Publications by authors named "J-M Franco"

Background: Computational modeling indicated that pathological high shear stress (HSS; 100 dyn/cm) is generated in pulmonary arteries (PAs; 100-500 µm) in congenital heart defects causing PA hypertension (PAH) and in idiopathic PAH with occlusive vascular remodeling. Endothelial-to-mesenchymal transition (EndMT) is a feature of PAH. We hypothesize that HSS induces EndMT, contributing to the initiation and progression of PAH.

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  • * Results indicate that 42% of the eyes showed progression, which significantly correlated with worse visual acuity and greater vision loss.
  • * The study found that eyes with posterior staphyloma experienced a much higher likelihood of progression, and various patterns of atrophic, tractional, and neovascular changes were noted in the affected eyes.
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Purpose: To evaluate the outcomes of gonioscopy-assisted transluminal trabeculotomy (GATT) under different levels of glaucoma severity.

Design: Retrospective, multicenter, before-and-after study.

Methods: One eye from all primary open-angle glaucoma patients who underwent GATT combined with cataract surgery (Phaco-GATT) or GATT stand-alone with 12 months of follow-up were included and divided according to glaucoma severity (mild = GI, moderate = GII, and advanced = GIII) and the outcomes compared.

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Social determinants of health (SDoH) play a critical role in patient outcomes, yet their documentation is often missing or incomplete in the structured data of electronic health records (EHRs). Large language models (LLMs) could enable high-throughput extraction of SDoH from the EHR to support research and clinical care. However, class imbalance and data limitations present challenges for this sparsely documented yet critical information.

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  • Precision medicine is an evolving approach in healthcare that aims to enhance decision-making and health outcomes, particularly in managing diabetes, which poses serious health risks for millions globally.
  • The second international consensus report on precision diabetes medicine reviews current findings on prevention, diagnosis, treatment, and prognosis across different forms of diabetes, highlighting the potential for translating research into clinical practice.
  • The report also identifies knowledge gaps and sets out key milestones for better clinical implementation, emphasizing the need for standards addressing cost-effectiveness, health equity, and accessibility in treatment options.
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  • CABG benefits are linked to graft patency, but there's little research on post-surgery graft assessments and the factors leading to graft failure.
  • This study analyzed data from seven randomized clinical trials with 4,413 patients to investigate graft failure rates and their relationship to clinical outcomes, focusing on events like myocardial infarctions and additional surgeries.
  • Findings showed that graft failure occurred in 33.7% of patients and was more likely in older adults, women, and smokers, while statin use appeared protective; graft failure significantly raised the risk of future heart events.
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Artificial intelligence (AI) is an emerging technology that is revolutionizing the discovery of new materials. One key application of AI is virtual screening of chemical libraries, which enables the accelerated discovery of materials with desired properties. In this study, we developed computational models to predict the dispersancy efficiency of oil and lubricant additives, a critical property in their design that can be estimated through a quantity named blotter spot.

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  • The study examines the impact of treating paravalvular regurgitation (PVR) after transcatheter aortic valve implantation (TAVI) and its association with morbidity and mortality.
  • A total of 201 patients were treated for moderate PVR using various interventions, including redo-TAVI, plug closure, and balloon valvuloplasty, with outcomes measured at 30 days and 1 year.
  • Findings indicate that successful reduction of aortic regurgitation (AR) to mild levels significantly improved 1-year mortality rates, suggesting that treatment decisions and patient selection for PVR interventions need further research.
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  • The study suggests that orexin may influence amyloid beta peptide levels in a model of Alzheimer's disease, indicating a link between orexin and CBR in microglial regulation.
  • The research highlights the formation of CB-OX receptor complexes in microglia, which may enhance neuroprotection when activated.
  • Findings indicate that using OXR antagonists can amplify the effects of CBR activation, presenting a potential therapeutic strategy for Alzheimer's disease treatment.
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Cannabidiol (CBD) is a phytocannabinoid with potential in one of the most prevalent syndromes occurring at birth, the hypoxia of the neonate. CBD targets a variety of proteins, cannabinoid CB and serotonin 5HT receptors included. These two receptors may interact to form heteromers (CB-5HT-Hets) that are also a target of CBD.

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  • The REGAIN trial found that spinal and general anesthesia provide similar outcomes regarding ambulation and survival after hip fracture surgery.
  • In a secondary analysis, researchers compared pain levels, analgesic use, and patient satisfaction between the two anesthesia types.
  • Results indicated that spinal anesthesia led to more severe pain in the first 24 hours post-surgery and higher prescription analgesic use at 60 days, while patient satisfaction remained comparable across both groups.
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Efficacy and safety of anticoagulant treatment for venous thromboembolism (VTE) may vary in patients with different cancer sites. We evaluated the rates of VTE recurrence and major bleeding and the relative efficacy and safety of 6-month treatment with oral apixaban or subcutaneous dalteparin in patients with different cancer sites randomized in the Caravaggio study. Primary cancer was located at gastrointestinal sites in 375 patients (32.

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Background: To develop an international, multi-site nomogram for side-specific prediction of extraprostatic extension (EPE) of prostate cancer based on clinical, biopsy, and magnetic resonance imaging- (MRI) derived data.

Methods: Ten institutions from the USA and Europe contributed clinical and side-specific biopsy and MRI variables of consecutive patients who underwent prostatectomy. A logistic regression model was used to develop a nomogram for predicting side-specific EPE on prostatectomy specimens.

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Background: Optimal atrioventricular delay (AVD) achieves maximum cardiac output in patients undergoing cardiac resynchronization therapy (CRT). Nonoptimal AVD decreases left ventricular (LV) end-diastolic volume and causes loss of flow momentum prior to LV ejection.

Objective: We investigated the potential role of energy dissipation (ED) in these changes in cardiac output through the study of intraventricular flow.

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  • - The study investigates the genetic factors influencing plasma levels of Factor VIII (FVIII) and von Willebrand factor (VWF), which are linked to both clotting disorders and thrombosis risk, using data from over 46,000 individuals across various ethnic backgrounds.
  • - Researchers discovered 13 new genetic associations with FVIII and VWF levels, including 7 associated with FVIII and 11 with VWF, extending the knowledge beyond previously known variants. Functional tests supported most of these associations.
  • - The analysis suggests that higher plasma levels of FVIII may contribute to increased risk of venous thrombosis and coronary artery disease, while elevated VWF levels might heighten the risk of ischemic stroke, highlighting the potential for these proteins
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Elevated blood pressure is a major risk factor for cardiovascular disease and has a substantial genetic contribution. Genetic variation influencing blood pressure has the potential to identify new pharmacological targets for the treatment of hypertension. To discover additional novel blood pressure loci, we used 1000 Genomes Project-based imputation in 150 134 European ancestry individuals and sought significant evidence for independent replication in a further 228 245 individuals.

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Background: Flow entering the left ventricle is reversed toward the outflow tract through rotating reversal flow around the mitral valve. This was thought to facilitate early ejection, but had not been proved to date. We hypothesized that perfect coupling between reversal and ejection flow would occur at optimal atrioventricular delay (AVD), contributing to its hemodynamic superiority, and evaluated its applicability for AVD optimization.

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Excessive alcohol consumption is a major public health problem worldwide. Although drinking habits are known to be inherited, few genes have been identified that are robustly linked to alcohol drinking. We conducted a genome-wide association metaanalysis and replication study among >105,000 individuals of European ancestry and identified β-Klotho (KLB) as a locus associated with alcohol consumption (rs11940694; P = 9.

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Membrane-localized proteins perceive and respond to biotic and abiotic stresses. We performed quantitative proteomics on plasma membrane-enriched samples from Arabidopsis (Arabidopsis thaliana) treated with bacterial flagellin. We identified multiple receptor-like protein kinases changing in abundance, including cysteine (Cys)-rich receptor-like kinases (CRKs) that are up-regulated upon the perception of flagellin.

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Context: A young age at menopause has been associated with increased cardiovascular disease (CVD) risk.

Objective: To compare the cardiovascular risk profile between women with premature ovarian insufficiency (POI) and premenopausal controls of comparable age.

Design: Cross-sectional case control study.

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  • A genome-wide association meta-analysis of body fat percentage (BF%) was conducted with data from 100,716 individuals to explore the genetic basis of adiposity and its connection to cardiometabolic diseases.
  • Twelve genetic loci were identified as significantly associated with BF%, including eight known for overall adiposity and four novel loci.
  • Findings indicate that some loci have a stronger effect on BF% compared to BMI, suggesting they are primarily linked to fat, while others influence both fat and lean mass, offering new insights into the relationship between body fat and disease risk.
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Study Question: Are differences in androgen levels among women with various forms of ovarian dysfunction associated with cardiometabolic abnormalities?

Summary Answer: Androgen levels differed substantially between women with and without ovarian dysfunction, and increased androgen levels were associated with impaired cardiometabolic features in all women irrespective of their clinical condition.

What Is Known Already: Sex steroid hormones play important roles in the development of cardiovascular diseases (CVD). Extremes of low as well as high androgen levels have been associated with increased CVD risk in both men and women.

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Progesterone receptors (PRs) are phosphorylated on multiple sites, and a variety of roles for phosphorylation have been suggested by cell-based studies. Previous studies using PR-null mice have shown that PR plays an important role in female fertility, regulation of uterine growth, the uterine decidualization response, and proliferation as well as ductal side-branching and alveologenesis in the mammary gland. To study the role of PR phosphorylation in vivo, a mouse was engineered with homozygous replacement of PR with a PR serine-to-alanine mutation at amino acid 191.

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  • Researchers analyzed data from 14 studies involving nearly 27,000 participants to find genetic factors influencing the levels of tissue plasminogen activator (tPA), a key enzyme in blood clot breakdown.
  • They identified three significant genetic loci associated with tPA levels: one linked to the STXBP5 gene on chromosome 6, another near the PLAT gene on chromosome 8, and a third related to the STX2 gene on chromosome 12.
  • Functional tests showed that silencing STXBP5 reduces tPA release from cells, while silencing STX2 increases it, suggesting these genes play important roles in regulating tPA levels.
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Kinesin motor proteins exert essential cellular functions in all eukaryotes. They control mitosis, migration and intracellular transport through interaction with microtubules. Small molecule inhibitors of the mitotic kinesin KiF11/Eg5 are a promising new class of anti-neoplastic agents currently evaluated in clinical cancer trials for solid tumors and hematological malignancies.

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