Publications by authors named "Craig Mcclain"

Background: During the coronavirus disease 2019 (COVID-19) pandemic, there was a marked increase in alcohol consumption. COVID-19 superimposed on underlying liver disease notably worsens the outcome of many forms of liver injury. The goal of a current pilot study was to test the dual exposure of alcohol and COVID-19 infection in an experimental animal model of alcohol-associated liver disease (ALD).

View Article and Find Full Text PDF

Inflammatory bowel disease is associated with several genetic risk loci. Loss-of-function mutation in the α1,2-fucosyltransferase (fut2) gene, which alters fucosylation on the surface of intestinal epithelial cells, is one example. However, whether bacterial fucosylation can contribute to gut inflammation is unclear.

View Article and Find Full Text PDF

Background: Alcohol-associated hepatitis (AH) is the clinical manifestation of alcohol-associated liver disease (ALD). AH is a complex disease encompassing the dysregulation of many cells and cell subpopulations. This study used a hepatic spatial transcriptomic and proteomic approach (10X Genomics Visium) to identify hepatic cell populations and their associated transcriptomic and proteomic alterations in human AH.

View Article and Find Full Text PDF

Background: Intestine epithelial hypoxia-inducible factor-1α (HIF-1α) plays a critical role in maintaining gut barrier function. The aim of this study was to determine whether pharmacological or genetic activation of intestinal HIF-1α ameliorates western diet-induced metabolic dysfunction-associated steatotic liver disease.

Methods: Metabolic effects of pharmacological activation of HIF-1α by dimethyloxalylglycine were evaluated in HIF-α luciferase reporter (ODD-luc) mice.

View Article and Find Full Text PDF

Community structure and ecosystem function may be driven by the size or the energy within a given habitat, but these metrics (space and energy) are difficult to separate, especially in systems where the habitat itself is also food, such as detritus. Only a handful of studies have attempted to isolate potential mechanisms experimentally, which has left a notable knowledge gap in understanding the drivers of community structure and function. Here, we tested whether fine woody debris (FWD) affects leaf litter communities primarily as a source of space or energy.

View Article and Find Full Text PDF

Surgeons, anaesthetists, wider surgical teams and hospital managers are a large global group that has the capacity and power to play a leadership role to contribute to change. Hospitals are a good target for improvement since they are centres of communities, linking together surrounding healthcare facilities and influencing wider determinants of the environment. District and rural hospitals are good sites to start since they serve large populations, have the least sustained energy and clean water supplies and will benefit most from quality improvement.

View Article and Find Full Text PDF

Metabolic dysfunction in the liver represents a predominant feature in the early stages of alcohol-associated liver disease (ALD). However, the mechanisms underlying this are only partially understood. To investigate the metabolic characteristics of the liver in ALD, we did a relative quantification of polar metabolites and lipids in the liver of mice with experimental ALD using untargeted metabolomics and untargeted lipidomics.

View Article and Find Full Text PDF
Article Synopsis
  • Cannabidiol (CBD) is a non-psychoactive compound from the cannabis plant that interacts with various receptors and has antioxidant properties.
  • Research suggests that CBD has significant effects on the gastrointestinal (GI) system, influencing intestinal permeability, the microbiome, and immune responses, making it promising for treating GI disorders like inflammatory bowel disease (IBD).
  • Future studies are essential to understand how CBD works in the gut and to conduct well-designed clinical trials to investigate its full therapeutic potential for both GI and non-GI related disorders.
View Article and Find Full Text PDF
Article Synopsis
  • * The main treatment for severe alcohol-associated hepatitis (AH) is corticosteroids, but not all patients respond effectively to this treatment.
  • * The article discusses key nutritional concepts for ALD and new insights into predicting how patients will respond to corticosteroids and their overall prognosis.
View Article and Find Full Text PDF

Alcohol-associated liver disease (ALD) is a prevalent medical problem with limited effective treatment strategies. Although many biological processes contributing to ALD have been elucidated, a complete understanding of the underlying mechanisms is still lacking. The current study employed a proteomic approach to identify hepatic changes resulting from ethanol (EtOH) consumption and the genetic ablation of the formyl peptide receptor 2 (FPR2), a G-protein coupled receptor known to regulate multiple signaling pathways and biological processes, in a mouse model of ALD.

View Article and Find Full Text PDF

Alterations in the gut-microbiome-brain axis are increasingly being recognized to be involved in Alzheimer's disease (AD) pathogenesis. However, the functional consequences of enteric dysbiosis linking gut microbiota and brain pathology in AD progression remain largely undetermined. The present work investigated the causal role of age-associated temporal decline in butyrate-producing bacteria and butyrate in the etiopathogenesis of AD.

View Article and Find Full Text PDF

Background: Task-sharing of spinal anaesthesia care by non-specialist graduate physicians, termed medical officers (MOs), is commonly practised in rural Indian healthcare facilities to mitigate workforce constraints. We sought to assess whether spinal anaesthesia failure rates of MOs were non-inferior to those of consultant anaesthesiologists (CA) following a standardised educational curriculum.

Methods: We performed a randomised, non-inferiority trial in three rural hospitals in Tamil Nadu and Chhattisgarh, India.

View Article and Find Full Text PDF
Article Synopsis
  • Alcohol-associated hepatitis (AH) has a high mortality rate and challenges in identifying patients at risk, prompting research into the extracellular matrix as a potential predictor for mortality.
  • Plasma samples from 62 AH patients revealed over 1600 peptide features linked to significant proteins, with notable changes corresponding to disease severity and associated with specific proteases.
  • Three peptides showed strong links to 90-day mortality, leading to a promising noninvasive method for predicting outcomes in AH patients that could enhance current prognostic tools.
View Article and Find Full Text PDF

Background And Aims: In a recent trial, patients with severe alcohol-associated hepatitis treated with anakinra plus zinc (A+Z) had lower survival and higher acute kidney injury (AKI) rates versus prednisone (PRED). We characterize the clinical factors and potential mechanisms associated with AKI development in that trial.

Approach And Results: Data from 147 participants in a multicenter randomized clinical trial (74 A+Z, 73 PRED) were analyzed.

View Article and Find Full Text PDF
Article Synopsis
  • Dietary doses of copper, in combination with fructose, impact metabolic dysfunction and contribute to MASLD through the gut-liver axis.
  • A study on rats identified 2847 differentially expressed proteins in the ileum, highlighting specific pathways affected by varying copper levels and fructose.
  • Key findings indicate that different copper-fructose diets uniquely alter pathways related to oxidative stress, arachidonic acid metabolism, and gut barrier integrity, which are crucial for understanding MASLD development.
View Article and Find Full Text PDF

Previous research highlighted the involvement of the cannabinoid CB1 receptor in regulating the physiology of hepatocytes and hepatic stellate cells. The inhibition of the CB1 receptor via peripherally restricted CB1 receptor inverse agonist JD5037 has shown promise in inhibiting liver fibrosis in mice treated with CCl4. However, its efficacy in phospholipid transporter-deficiency-induced liver fibrosis remains uncertain.

View Article and Find Full Text PDF

Background: Virtually the entire spectrum of liver disease is observed in association with type 2 diabetes mellitus (T2DM); indeed, T2DM is now the most common cause of liver disease in the U.S. We conducted a pilot study to investigate the relevance of increased microbial translocation and systemic inflammation in the development of liver injury in patients with T2DM.

View Article and Find Full Text PDF

Body size is a fundamental biological trait shaping ecological interactions, evolutionary processes, and our understanding of the structure and dynamics of marine communities on a global scale. Accurately defining a species' body size, despite the ease of measurement, poses significant challenges due to varied methodologies, tool usage, and subjectivity among researchers, resulting in multiple, often discrepant size estimates. These discrepancies, stemming from diverse measurement approaches and inherent variability, could substantially impact the reliability and precision of ecological and evolutionary studies reliant on body size data across extensive species datasets.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the role of fatty acid desaturase 1 (FADS1) in metabolic diseases, specifically how reduced FADS1 activity is linked to metabolic dysfunction-associated steatotic liver disease (MASLD).
  • The researchers used adeno-associated virus serotype 8 (AAV8) to overexpress FADS1 in rats fed different diets and found that this overexpression improved metabolic health, including better glucose tolerance and lower triglyceride levels.
  • The results indicate that enhancing FADS1 activity can be a potential treatment for MASLD, particularly by inhibiting harmful fatty acid processes in diet-induced conditions.
View Article and Find Full Text PDF

Objective: This study evaluated how surgical and anesthesiology departments adapted their resources in response to the coronavirus disease 2019 (COVID-19) pandemic.

Design: This scoping review used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews protocol, with Covidence as a screening tool. An initial search of PubMed, Embase, Web of Science, Global Index Medicus, and Cochrane Systematic Reviews returned 6,131 results in October 2021.

View Article and Find Full Text PDF

Diagnostic challenges continue to impede development of effective therapies for successful management of alcohol-associated hepatitis (AH), creating an unmet need to identify noninvasive biomarkers for AH. In murine models, complement contributes to ethanol-induced liver injury. Therefore, we hypothesized that complement proteins could be rational diagnostic/prognostic biomarkers in AH.

View Article and Find Full Text PDF

Lipids play a significant role in life activities and participate in the biological system through different pathways. Although comprehensive two-dimensional liquid chromatography-mass spectrometry (2DLC-MS) has been developed to profile lipid abundance changes, lipid identification and quantification from 2DLC-MS data remain a challenge. We created , open-source software for lipid assignment and isotopic peak stripping of the 2DLC-MS data.

View Article and Find Full Text PDF