Publications by authors named "Megan L Fitzgerald"

Article Synopsis
  • - Long COVID is a long-lasting illness that can cause significant health issues over time.
  • - While there has been some improvement in understanding long COVID, there are currently no approved treatments available.
  • - Engaging patients as active partners in research can help close the gap between patients and researchers, speeding up the development of effective treatments and cures.
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  • Research highlights a critical gap in understanding long COVID (PASC) in children and emphasizes the need for studies that define its characteristics in this age group.
  • The objective is to identify common prolonged symptoms in children aged 6 to 17 post-SARS-CoV-2 infection, examining differences between school-age kids and adolescents, as well as potential symptom clusters for future research.
  • A multicenter study involved nearly 5,000 participants, revealing that certain symptoms were significantly more prevalent in those with a history of COVID-19 compared to those without.
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  • The RECOVER-Pathology study focuses on analyzing the long-term effects of SARS-CoV-2 (long COVID) by examining postmortem tissue to better understand the prevalence and types of organ injuries related to PASC.
  • The study will involve detailed autopsies of individuals who died at least 15 days after their initial COVID-19 infection, with the aim of linking pathological findings to clinical characteristics and identifying potential causes of ongoing symptoms.
  • As the largest autopsy study on long COVID in the U.S., RECOVER-Pathology seeks to contribute significantly to knowledge about the mechanisms behind organ damage and to help guide future treatments.
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Article Synopsis
  • The study evaluates the BNT162b2 vaccine's effectiveness in preventing COVID-19 infection and severe illness in children and adolescents, focusing on the Delta and Omicron variants.
  • It involved analyzing data from over 77,000 adolescents during the Delta phase and 167,000 children and adolescents during the Omicron phase, comparing vaccinated individuals to those unvaccinated.
  • Results showed the vaccine was extremely effective (98.4%) during the Delta period, while the effectiveness during the Omicron period dropped to around 74.3%, with no significant impact on cardiac complications among vaccinated individuals.
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Importance: Pregnancy induces unique physiologic changes to the immune response and hormonal changes leading to plausible differences in the risk of developing post-acute sequelae of SARS-CoV-2 (PASC), or Long COVID. Exposure to SARS-CoV-2 during pregnancy may also have long-term ramifications for exposed offspring, and it is critical to evaluate the health outcomes of exposed children. The National Institutes of Health (NIH) Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC aims to evaluate the long-term sequelae of SARS-CoV-2 infection in various populations.

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Article Synopsis
  • The BNT162b2 vaccine was effective in preventing COVID-19 infection among adolescents during the Delta variant period, showing a 98.4% effectiveness without significant waning after the first dose.
  • During the Omicron period, the vaccine's effectiveness decreased to 74.3% against infections in children, while still providing strong protection against severe disease and ICU admissions.
  • The study involved a large sample size across different age groups and carefully assessed potential risks related to vaccination, especially concerning cardiac complications, and found no increased risk.
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Article Synopsis
  • SARS-CoV-2 infection can lead to long-term health issues known as post-acute sequelae of SARS-CoV-2 infection (PASC) or long COVID, which can manifest as ongoing or new symptoms after the initial infection.
  • The RECOVER-Adult study aims to better understand PASC by investigating its prevalence, symptoms, risk factors, and underlying biological mechanisms through a large cohort of nearly 15,000 adults.
  • Participants will provide ongoing data through questionnaires, physical examinations, and biological samples over several months, helping researchers gather critical insights into the complexities of long COVID.
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Importance: Pregnancy induces unique physiologic changes to the immune response and hormonal changes leading to plausible differences in the risk of developing post-acute sequelae of SARS-CoV-2 (PASC), or Long COVID. Exposure to SARS-CoV-2 during pregnancy may also have long-term ramifications for exposed offspring, and it is critical to evaluate the health outcomes of exposed children. The National Institutes of Health (NIH) Researching COVID to Enhance Recovery (RECOVER) Multi-site Observational Study of PASC aims to evaluate the long-term sequelae of SARS-CoV-2 infection in various populations.

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Stimulation of the postsynaptic metabotropic glutamate receptor mGluR5 triggers retrograde signaling of endocannabinoids that activate presynaptic cannabinoid CB1 receptors on juxtaposing axon terminals. To better understand the synaptic structure that supports mGluR5 mediation of CB1 activation in the prefrontal cortex (PFC) and basolateral amygdala (BLA), we examined electron microscopic dual immunolabeling of these receptors in the prelimbic PFC (prPFC) and BLA of adult male rats. CB1 immunoreactivity was detected in axon terminals that were typically large, complex, and contained dense-core and clear synaptic vesicles.

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Adolescence is a transition period during which social interaction is necessary for normal brain and behavior development. Severely abnormal social interactions during adolescence can increase the incidence of lifelong psychiatric disease. Decreased prepulse inhibition (PPI) is a quantifiable hallmark of some psychiatric illnesses in humans and can be elicited in rodents by isolation rearing throughout the adolescent transition period.

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The prelimbic prefrontal cortex (PL) is a brain region integral to complex behaviors that are highly influenced by cannabinoids and by dopamine D2 receptor (D2R)-mediated regulation of fast-firing parvalbumin-containing interneurons. We have recently shown that constitutive deletion of the cannabinoid-1 receptor (CB1R) greatly reduces parvalbumin levels in these neurons. The effects of CB1R deletion on PL parvalbumin interneurons may be ascribed to loss of CB1R-mediated retrograde signaling on mesocortical dopamine transmission, and, in turn, altered expression and/or subcellular distribution of D2R in the PL.

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Cannabinoid modulation of dopaminergic transmission is suggested by the ability of delta9-tetrahydrocanabinoid to affect motor and motivated behaviors in a manner similar to that produced by pharmacological manipulation of the nigrostriatal and mesocorticolimbic dopamine systems. These behavioral effects as well as analogous effects of endocannabinoids are largely mediated through the cannabinoid type 1 receptor (CB1R). This receptor is located within the substantia nigra and ventral tegmental area, which respectively house the somata of nigrostriatal and mesocorticolimbic dopaminergic neurons.

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Rationale: The nucleus accumbens (Acb) shell and caudate-putamen nucleus (CPu) are respectively implicated in the motivational and motor effects of dopamine, which are mediated in part through dopamine D₂-like receptors (D₂Rs) and modulated by activation of the cannabinoid-1 receptor (CB₁R). The dopamine D(₂/D3) receptor agonist, quinpirole elicits internalization of D₂Rs in isolated cells; however, dendritic and axonal targeting of D₂Rs may be highly influenced by circuit-dependent changes in vivo and potentially influenced by endogenous CB₁R activation.

Objective: We sought to determine whether quinpirole alters the surface/cytoplasmic partitioning of D₂Rs in striatal neurons in vivo.

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Article Synopsis
  • The α7 nicotinic acetylcholine receptor (α7nAChR) and dopamine D(2) receptor (D(2) R) are important for attention and cognition, particularly in the prefrontal cortex (PFC).
  • Immunolabeling studies in rodents showed that these receptors are present in both neurons and glial cells, sometimes within the same cells and sometimes not.
  • Most of the D(2) R-expressing terminals were presynaptic and lacked typical synaptic structures, indicating a potential inhibitory role on neurons that also express α7nAChR, while astrocytes often showed associations with both receptors, suggesting they may play a key role in supporting synaptic function.
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The mechanisms subserving the ability of glucocorticoid signaling within the medial prefrontal cortex (mPFC) to terminate stress-induced activation of the hypothalamic-pituitary-adrenal (HPA) axis are not well understood. We report that antagonism of the cannabinoid CB(1) receptor locally within the mPFC prolonged corticosterone secretion following cessation of stress in rats. Mice lacking the CB(1) receptor exhibited a similar prolonged response to stress.

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Cortical and striatal regions of the brain contain high levels of the cannabinoid-1 (CB1) receptor, the central neuronal mediator of activity-dependent synaptic plasticity evoked by endocannabinoids. The expression levels of parvalbumin, a calcium-binding protein found in fast-spiking interneurons of both regions, may be controlled in part by synaptic activity during critical periods of development. However, there is currently no evidence that CB1 receptor expression affects parvalbumin levels in either cortical or striatal interneurons.

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