Publications by authors named "McCann K"

Non-small cell lung cancer (NSCLC) is frequently diagnosed late and has poor survival. The two predominant subtypes of NSCLC, adenocarcinoma (LUAD) and squamous cell carcinoma (LUSC), are currently differentially diagnosed using immunohistochemical markers; however, they are increasingly recognized as very different cancer types suggestive of potential for new, more targeted therapies. There are extensive efforts to find more precise and noninvasive differential diagnostic tools.

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Background: Long COVID, described as "the continuation or development of new symptoms 3 months after the initial SARS-CoV-2 infection", is estimated to affect at least 10-20 % of all cases of acute SARS-CoV-2 infection. Because of its novelty, information regarding the experience of Long COVID is still emerging.

Methods: This study examines psychological distress in two long COVID populations, and their experience of fatigue, cognitive failures, experiential avoidance, rumination, and perceived injustice.

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Neuronal activity in the hippocampus is critical for many types of memory acquisition and retrieval and influences an animal's response to stress. Moreover, the molecularly distinct principal neurons of hippocampal area CA2 are required for social recognition memory and aggression in mice. To interrogate the effects of stress on CA2-dependent behaviors, we chemogenetically manipulated neuronal activity in vivo during an acute, socially derived stressor and tested whether memory for the defeat was influenced.

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Article Synopsis
  • Sleep and arousal disorders are common, influenced by the locus coeruleus and wake-promoting neurons in the ventral periaqueductal gray (vPAG), yet the exact mechanisms of wakefulness remain unclear.
  • The study employs genetic techniques, calcium imaging, and behavioral tests in mice to examine how astrocytic alpha-1 adrenergic receptors (αARs) affect neuron activity through adenosine signaling.
  • Results show that activating αARs boosts calcium activity and excitability in vPAG neurons, while blocking adenosine receptors hampers this wake-promoting function, highlighting the essential role of astrocytic αARs in maintaining arousal.
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Introduction: Cognitive changes are very frequently reported by people with post-COVID-19 syndrome (PCS), but there is limited understanding of the underpinning mechanisms leading to these difficulties. It is possible that cognitive difficulties are related to immune status and/or low mood. The aim of the present study was to examine the relationship between immune status and cognitive functioning in PCS, while considering whether depression symptoms also influence this association.

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Preventative treatment for Alzheimer's Disease (AD) is dire, yet mechanisms underlying early regional vulnerability remain unknown. In AD, one of the earliest pathophysiological correlates to cognitive decline is hyperexcitability, which is observed first in the entorhinal cortex. Why hyperexcitability preferentially emerges in specific regions in AD is unclear.

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In the brain, the hippocampus is enriched with mineralocorticoid receptors (MR; Nr3c2), a ligand-dependent transcription factor stimulated by the stress hormone corticosterone in rodents. Recently, we discovered that MR is required for the acquisition and maintenance of many features of mouse area CA2 neurons. Notably, we observed that immunofluorescence for the vesicular glutamate transporter 2 (vGluT2), likely representing afferents from the supramammillary nucleus (SuM), was disrupted in the embryonic, but not postnatal, MR knockout mouse CA2.

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Historically, humans have managed food systems to maximize productivity. This pursuit has drastically modified terrestrial and aquatic ecosystems globally by reducing species diversity and body size while creating very productive, yet homogenized, environments. Such changes alter the structure and function of ecosystems in ways that ultimately erode their stability.

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New York City (NYC) was the epicenter of the early US COVID-19 pandemic. From March to May 2020, overburdened healthcare centers precipitated an emergent need for non-traditional facilities to meet patient care demands. Given travel restrictions and NYC's underutilized tourist infrastructure, hotels were available to support emergency response needs.

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Background: The inflammatory changes that underlie the heterogeneous presentations of COVID-19 remain incompletely understood. In this study we aimed to identify inflammatory profiles that precede the development of severe COVID-19, that could serve as targets for optimised delivery of immunomodulatory therapies and provide insights for the development of new therapies.

Methods: We included individuals sampled <10 days from COVID-19 symptom onset, recruited from both inpatient and outpatient settings.

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Article Synopsis
  • Weight gain is commonly seen after starting antiretroviral therapy, particularly among females, black individuals, and those with low initial CD4 counts, with some medications like tenofovir disoproxil fumarate and efavirenz showing less weight gain.
  • In a study combining data from three clinical trials, it was found that participants experienced weight gain over 96 weeks, particularly those with CD4 counts below 100, with significant predictors being lower CD4 counts, female sex, and certain medications.
  • The results suggest that those with low CD4 counts may experience substantial weight gain, potentially leading to obesity, indicating a need for tailored weight management strategies for these individuals.
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Preventative treatment for Alzheimer's Disease is of dire importance, and yet, cellular mechanisms underlying early regional vulnerability in Alzheimer's Disease remain unknown. In human patients with Alzheimer's Disease, one of the earliest observed pathophysiological correlates to cognitive decline is hyperexcitability. In mouse models, early hyperexcitability has been shown in the entorhinal cortex, the first cortical region impacted by Alzheimer's Disease.

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Most ecological models are based on the assumption that species interact in pairs. Diverse communities, however, can have higher-order interactions, in which two or more species jointly impact the growth of a third species. A pitfall of the common pairwise approach is that it misses the higher-order interactions potentially responsible for maintaining natural diversity.

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Background: Topical corticosteroids (TCS) are first-line therapies for numerous skin conditions. Topical Steroid Withdrawal (TSW) is a controversial diagnosis advocated by patients with prolonged TCS exposure who report severe systemic reactions upon treatment cessation. However, to date there have been no systematic clinical or mechanistic studies to distinguish TSW from other eczematous disorders.

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Objectives: To investigate the effectiveness of a school-based multiple health behaviour change e-health intervention for modifying risk factors for chronic disease (secondary outcomes).

Study Design: Cluster randomised controlled trial.

Setting, Participants: Students (at baseline [2019]: year 7, 11-14 years old) at 71 Australian public, independent, and Catholic schools.

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Background: ADVANCE compared 3 World Health Organization-recommended first-line regimens in participants with HIV who were antiretroviral naive.

Methods: This randomized, open-label, noninferiority trial enrolled participants living with HIV with no antiretroviral exposure in the previous 6 months to 1 of the following arms: tenofovir alafenamide (TAF) / emtricitabine (FTC) + dolutegravir (DTG) (2 tablets), tenofovir disoproxil fumarate (TDF) / FTC + DTG (2 tablets), or a fixed-dose combination of TDF / FTC / efavirenz (EFV) (1 tablet). We report the final safety and efficacy data up to 192 weeks.

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In rodents, exposure to predator odors such as cat urine acts as a severe stressor that engages innate defensive behaviors critical for survival in the wild. The neurotransmitters norepinephrine (NE) and dopamine (DA) modulate anxiety and predator odor responses, and we have shown previously that dopamine β-hydroxylase knockout (, which reduces NE and increases DA in mouse noradrenergic neurons, disrupts innate behaviors in response to mild stressors such as novelty. We examined the consequences of knockout on responses to predator odor (bobcat urine) and compared them to Dbh-competent littermate controls.

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Article Synopsis
  • - The use of gonadotropin-releasing hormone (GnRH) agonists has become popular for temporarily suppressing ovarian function in pre-menopausal breast cancer patients undergoing treatment with aromatase inhibitors or tamoxifen, showing positive survival outcomes in studies involving nearly 15,000 women.
  • - Previous clinical trials have primarily measured testosterone in prostate cancer and estradiol in breast cancer to evaluate the effectiveness of GnRH agonists.
  • - The text emphasizes that estradiol is the preferred biomarker for monitoring ovarian function suppression with GnRH agonist therapy in pre-menopausal breast cancer patients and suggests that future research should focus on maintaining estradiol levels as a key endpoint in trials.
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In rodents, exposure to predator odors such as cat urine acts as a severe stressor that engages innate defensive behaviors critical for survival in the wild. The neurotransmitters norepinephrine (NE) and dopamine (DA) modulate anxiety and predator odor responses, and we have shown previously that dopamine β-hydroxylase knockout ( -/-), which reduces NE and increases DA in mouse noradrenergic neurons, disrupts innate behaviors in response to mild stressors such as novelty. We examined the consequences of knockout ( -/-) on responses to predator odor (bobcat urine) and compared them to Dbh-competent littermate controls.

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Purpose Of Review: Breast cancer (BC) is the most common cancer among women in the United States and the second leading cause of cancer death. BC research, diagnostics, drug development, and expansion of therapies for novel indications advances so rapidly that BC treatment standards change month-by-month. Herein we discuss notable advancements in the past year for hormone receptor positive (HR+) HER2 negative (HER2-) BC.

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Over recent years, progress in molecular markers for genotyping malaria parasites has enabled informative studies of epidemiology and transmission dynamics. Results have highlighted the value of these tools for surveillance to support malaria control and elimination strategies. There are many different types and panels of markers available for malaria parasite genotyping, and for end users, the nuances of these markers with respect to 'use case', resolution, and accuracy, are not well defined.

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Preventative treatment for Alzheimer's Disease is of dire importance, and yet, cellular mechanisms underlying early regional vulnerability in Alzheimer's Disease remain unknown. In human patients with Alzheimer's Disease, one of the earliest observed pathophysiological correlates to cognitive decline is hyperexcitability. In mouse models, early hyperexcitability has been shown in the entorhinal cortex, the first cortical region impacted by Alzheimer's Disease.

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Article Synopsis
  • The study investigated symptom patterns in long COVID, focusing on differences between individuals infected with the original strain (wild type, WT) and those infected after the emergence of variants (VOC) post-Alpha VOC.
  • Researchers identified three symptom clusters across both groups: musculoskeletal issues, cardiorespiratory symptoms, and a less symptomatic cluster, noting significant differences in the prevalence of symptoms like palpitations and cough.
  • Findings suggest that individuals infected with later variants experience fewer heart-related symptoms compared to those infected with the original strain, highlighting potential shifts in long COVID symptoms over time.
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Introduction: The ADVANCE and NAMSAL trials evaluating antiretroviral drugs have both reported substantial levels of clinical obesity in participants. As one of the main risk factors for metabolic syndrome, growing rates of obesity may drive metabolic syndrome development. This study aims to evaluate the risk of metabolic syndrome in the ADVANCE and NAMSAL trials.

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