Publications by authors named "Grimes P"

Importance: Diverse racial and ethnic representation in clinical trials has been limited, not representative of the US population, and the subject of pending US Food and Drug Administration guidance. Psoriasis presentation and disease burden can vary by skin pigmentation, race and ethnicity, and socioeconomic differences. Overall, there are limited primary data on clinical response, genetics, and quality of life in populations with psoriasis and skin of color (SoC).

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  • The study investigates the genetic risk factors associated with different patterns of adolescent depression, highlighting the importance of understanding how genetics contribute to varied symptom trajectories over time.
  • Using data from two large longitudinal cohorts in the US and UK, researchers employed growth modeling and polygenic risk score analysis to assess genetic influences on depression and related psychiatric disorders across various ancestries.
  • The findings demonstrate unique depression trajectories in adolescents and suggest that genetics play a significant role in the development and progression of depressive symptoms, potentially guiding early intervention strategies.
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Three proton-sensing G protein-coupled receptors (GPCRs), GPR4, GPR65, and GPR68, respond to changes in extracellular pH to regulate diverse physiology and are implicated in a wide range of diseases. A central challenge in determining how protons activate these receptors is identifying the set of residues that bind protons. Here, we determine structures of each receptor to understand the spatial arrangement of putative proton sensing residues in the active state.

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  • There is a need for evidence-based treatment guidelines for vitiligo specifically tailored for pediatric, adolescent, and young adult patients in the US.
  • A literature review involving consensus-building among experts led to the formation of 42 recommendations regarding the diagnosis and treatment of vitiligo in young patients.
  • Key findings included strong recommendations for treatments such as topical calcineurin inhibitors and topical corticosteroids, with specific guidance on duration and patient age considerations for effective management.
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Objective: A topical serum comprised of plant-based adaptogens was purposefully developed to support the ability of the skin to adapt and achieve balance. The study described herein evaluated changes in the expression of target genes related to skin homeostasis following topical exposure.

Methods: Utilizing an epidermal skin model, quantitative polymerase chain reaction (qPCR) analysis of gene expression was conducted following 48-hour exposure to 15μL of the study product (MYS serum) to the surface of each tissue (N=4).

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Objective: The ability of the skin to maintain homeostasis declines with age. Adaptogens support the capacity of the skin to respond to stress. We sought to evaluate the efficacy of a novel serum comprised of plant-based adaptogens for improving photoaged skin following twice-daily application.

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Background: Topical antioxidants and retinoids are foundational components of an effective skincare regimen. Pyrroloquinoline quinone (PQQ) is a potent free radical scavenger that supports efficient mitochondrial energy creation. An advanced antioxidant combines topical allyl PQQ with existing WEL antioxidant technology (TAP) to comprehensively address extrinsic and intrinsic skin aging.

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Background: There is no established standard of care for treating central centrifugal cicatricial alopecia (CCCA), and treatment approaches vary widely.

Objective: To develop consensus statements regarding the use of various pharmacological therapies in treating adults with CCCA.

Methods: We invited 27 dermatologists with expertise in hair and scalp disorders to participate in a 3-round modified Delphi study between January and March 2023.

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  • Cysteamine isobionic-amide, a new depigmenting agent, was tested against the gold standard treatment, Modified Kligman's formula (mKF), for melasma in a clinical trial involving 80 patients.
  • Both treatments demonstrated equivalent effectiveness in reducing melasma severity at weeks 4 and 16, but cysteamine showed significantly higher patient satisfaction and quality of life improvements.
  • The study suggests that cysteamine isobionic-amide is a promising alternative to mKF for long-term melasma treatment, offering a faster onset of action and fewer side effects.
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Background: Efficacy of ruxolitinib cream, a topical Jak1/Jak2 inhibitor, was demonstrated in a phase 2 trial in patients with vitiligo.

Objective: This study aimed to characterize circulating inflammatory biomarker profiles in patients who demonstrated ≥50% improvement in facial Vitiligo Area Scoring Index scores by week 24 (group 1) and those who did not (group 2).

Design: This was a posthoc analysis of a multicenter, randomized, double-blind, vehicle-controlled, phase 2 study in which screening was conducted between June 7, 2017 and March 21, 2018.

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While the majority of American Academy of Dermatology members have some broad awareness of human trafficking, most are not aware of it in their communities or of the skin signs that could prompt identification of those being exploited, and have requested educational resources to assist patients affected by trafficking. The American Academy of Dermatology Ad Hoc Task Force on Dermatologic Resources for the Intervention and Prevention of Human Trafficking has been working to develop relevant resources, including an online toolkit on the American Academy of Dermatology website: https://www.aad.

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  • * The study outlines current topical treatment options for melasma, emphasizing the need for dermatologists to consider the specific needs of patients with skin of color.
  • * A proposed treatment algorithm based on clinical consensus aims to standardize care for melasma, although individual variations and biases may still influence treatment outcomes.
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Background: The treatment of vitiligo can be challenging and depends on several factors such as the subtype, disease activity, vitiligo extent, and treatment goals. Vitiligo usually requires a long-term approach. To improve the management of vitiligo worldwide, a clear and up-to-date guide based on international consensus with uniform stepwise recommendations is needed.

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Background: The treatment of vitiligo can be challenging. Up-to-date agreed consensus recommendations on the use of topical and systemic therapies to facilitate the clinical management of vitiligo are currently lacking.

Objectives: To develop internationally agreed-upon expert-based recommendations for the treatment of vitiligo.

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Importance: Patients with vitiligo often have impaired quality of life (QOL) and experience substantial psychosocial burden.

Objective: To explore the global association of vitiligo with QOL and mental health from the patient perspective.

Design, Setting, And Participants: This qualitative study of the cross-sectional population-based Vitiligo and Life Impact Among International Communities (VALIANT) study was conducted from May 6, 2021, to June 21, 2021.

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Background: Several elements, including age, influence judgments of beauty and attractiveness. Aging is affected by intrinsic factors (e.g.

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  • - There has been a rise in research submissions focusing on medical and surgical conditions in individuals with "Skin of Color," highlighting challenges with terminology among authors, reviewers, and editors.
  • - The study aimed to improve the Fitzpatrick scale by performing a literature review and examining makeup foundation ranges to better categorize skin tones.
  • - The authors concluded that splitting Fitzpatrick types 4 and 5 into separate categories, now called the SCE scale (Skin Color Ethnicity), would enhance clarity and aid in reporting scientific data on skin of color.
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The achievement of light-responsive behaviours is an important target for protocell engineering to allow control of fundamental protocellular processes such as communication via diffusible chemical signals, shape changes or even motility at the flick of a switch. As a step towards this ambitious goal, here we describe the synthesis of a novel poly(ethylene glycol)-based crosslinker, reactive towards nucleophiles, that effectively degrades with UV light (405 nm). We demonstrate its utility for the fabrication of the first protocell membranes capable of light-induced disassembly, for the photo-generation of patterns of protocells, and for the modulation of protocell membrane permeability.

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Background: Vitiligo is a chronic autoimmune disease affecting melanocytes, resulting in skin depigmentation. Patients with vitiligo often have reduced quality of life and comorbid autoimmune conditions and have reported a lack of available treatments for their vitiligo.

Objectives: The Vitiligo and Life Impact Among International Communities (VALIANT) study is the first global survey to explore the natural history and management of vitiligo from the perspectives of patients and healthcare professionals (HCPs).

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  • Membrane transporters are crucial for how drugs and natural compounds are distributed in the body, affecting both their effectiveness and potential side effects; variations in these transporters among individuals can lead to different responses to medications.* -
  • The study focuses on the Human organic cation transporter OCT1, examining how specific genetic variations impact its ability to transport drugs, primarily by affecting protein folding rather than the actual uptake of substances.* -
  • The findings also indicate that the prevalence of reduced-function variants differs among populations, with implications for precision medicine, as certain genetic variations may be linked to conditions like high LDL cholesterol.*
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  • - Acne vulgaris can lead to a skin condition called acne-induced macular hyperpigmentation (AMH), especially in people with darker skin, which can last a long time and lower quality of life.
  • - There is a lack of large clinical trials on treating both acne and AMH, making it challenging to provide evidence-based recommendations on how to manage these conditions.
  • - A consensus among dermatologists suggests using topical retinoids and benzoyl peroxide as first-line treatments for AMH, with additional therapies like hydroquinone and chemical peels being considered for better results.
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