Publications by authors named "Duncan Kuhn"

Introduction: Ubiquinol (reduced coenzyme Q10) is essential for adequate aerobic metabolism. The objective of this trial was to determine whether ubiquinol administration in patients resuscitated from cardiac arrest could increase physiological coenzyme Q10 levels, improve oxygen consumption, and reduce neurological biomarkers of injury.

Materials And Methods: This was a randomized, double-blind, placebo-controlled trial in patients successfully resuscitated from cardiac arrest.

View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the clinical data of 50 cold-stunned Kemp's ridley turtles with Enterococcus spp infections during their rehabilitation from 2006 to 2012.
  • The turtles showed various clinical signs like lethargy and anorexia, and infections were confirmed through blood and tissue cultures, supported by additional diagnostic tests.
  • Most turtles (79%) that were diagnosed before death successfully recovered and were released back into the wild, highlighting the importance of recognizing and treating these infections for effective rehabilitation.
View Article and Find Full Text PDF
Article Synopsis
  • Candida glabrata is emerging as a significant fungal pathogen, yet little is understood about its interaction with the human immune system, especially compared to Candida albicans.
  • The Epa1p protein on C. glabrata mediates nonopsonic binding to human macrophages, leading to immune response activation, although C. glabrata itself avoids phagocytosis.
  • In mouse models, Epa1p binding requires Dectin-1 blocking, highlighting differences in immune responses between humans and mice and pointing to a unique recognition mechanism for fungal binding.
View Article and Find Full Text PDF

Fungi are increasingly identified as major pathogens in bloodstream infections, often involving indwelling devices. Materials with antifungal properties may provide an important deterrent to these infections. Here we describe amphogel, a dextran-based hydrogel into which amphotericin B is adsorbed.

View Article and Find Full Text PDF

Candida biofilms formed on indwelling medical devices are increasingly associated with severe infections. In this study, we used proteomics and Western and Northern blotting analyses to demonstrate that alcohol dehydrogenase (ADH) is downregulated in Candida biofilms. Disruption of ADH1 significantly (P = 0.

View Article and Find Full Text PDF

Candida parapsilosis is an important non-albicans species which infects hospitalized patients. No studies have correlated outbreak infections of C. parapsilosis with multiple virulence factors.

View Article and Find Full Text PDF

Intravascular catheter infections are a major cause of morbidity and mortality in hospitalized patients, accounting for the majority of the 200,000 nosocomial bloodstream infections occurring in the US annually. Of the intravenous lines that are culture-positive for Candida, 40% actually represent fungemia, which generally necessitates systemic treatment and line removal to affect cure. Until recently, the reason for the need for device removal was unclear.

View Article and Find Full Text PDF

Candida albicans biofilms are formed through three distinct developmental phases and are associated with high fluconazole (FLU) resistance. In the present study, we used a set of isogenic Candida strains lacking one or more of the drug efflux pumps Cdr1p, Cdr2p, and Mdr1p to determine their role in FLU resistance of biofilms. Additionally, variation in sterol profile as a possible mechanism of drug resistance was investigated.

View Article and Find Full Text PDF

Candida is the fourth most common organism responsible for bloodstream infections in many intensive care units, with Candida albicans being the most predominant species isolated in such cases. It has previously been shown that candidal phospholipase B, encoded by the PLB1 gene, is an important virulence factor for C. albicans pathogenesis.

View Article and Find Full Text PDF