Publications by authors named "Nigel McMillan"

Article Synopsis
  • - RNA science is booming, especially in developing vaccines and therapies, but delivering RNA to the brain is a significant hurdle due to the blood-brain barrier blocking most delivery methods.
  • - RNA molecules are fragile and need protection during delivery, with extracellular vesicles (EVs) emerging as promising carriers since they can naturally shield RNA and facilitate its transport into target cells.
  • - The review highlights the challenges of traditional RNA delivery systems and discusses the benefits of using EVs for brain delivery, suggesting future strategies to enhance RNA-based therapies for neurological disorders.
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Aurora B kinase (AURKB) inhibitors have been trialled in a range of different tumour types but are not approved for any indication. Expression of the human papilloma virus (HPV) oncogenes and loss of retinoblastoma (RB) protein function has been reported to increase sensitivity to AURKB inhibitors but the mechanism of their contribution to sensitivity is poorly understood. Two commonly reported outcomes of AURKB inhibition are polyploidy and senescence, although their relationship is unclear.

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Traditionally, antiviral drugs target viral enzymes and or structural proteins, identified through large drug screens or rational drug design. The screening, chemical optimisation, small animal toxicity studies and clinical trials mean time to market is long for a new compound, and in the event of a novel virus or pandemic, weeks, and months matter. Small interfering RNAs (siRNAs) as a gene silencing platform is an alluring alternative.

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Article Synopsis
  • Merkel cell polyomavirus (MCPyV) is a key factor in causing Merkel cell carcinoma (MCC), a deadly skin cancer with a low survival rate and high recurrence.
  • Current treatments for MCC are often ineffective, especially for metastatic cases, creating a pressing need for new therapeutic options.
  • Gene-targeted therapies like siRNA and CRISPR/Cas hold potential for MCC treatment, but more research and clinical trials are needed to translate these strategies into effective solutions.
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  • Respiratory syncytial virus (RSV) primarily impacts vulnerable populations, leading to bronchiolitis and respiratory problems, yet effective antivirals have been challenging to develop despite recent RSV vaccine approvals.
  • The newly approved nirsevimab shows promise for use as a prophylactic treatment, while current therapeutics are often delivered via IV or IM rather than more convenient IN methods.
  • Research is increasingly focusing on intranasal (IN) antiviral therapies to target RSV directly in the respiratory tract, aiming to lessen illness severity and halt the spread of the virus more effectively.
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Long antisense RNAs (asRNAs) have been observed to repress HIV and other virus expression in a manner that is refractory to viral evolution. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of the coronavirus disease 2019 (COVID-19) disease, has a distinct ability to evolve resistance around antibody targeting, as was evident from the emergence of various SARS-CoV-2 spike antibody variants. Importantly, the effectiveness of current antivirals is waning due to the rapid emergence of new variants of concern, more recently the omicron variant.

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There remains a striking overall mortality burden of COVID-19 worldwide. Given the waning effectiveness of current SARS-CoV-2 antivirals due to the rapid emergence of new variants of concern (VOC), we employed a direct-acting molecular therapy approach using gene silencing RNA interference (RNAi) technology. In this study, we developed and screened several ultra-conserved small-interfering RNAs (siRNAs) before selecting one potent siRNA candidate for pre-clinical in vivo testing.

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Despite focusing on cholera burden, epidemiologic studies in Bangladesh tend to be limited in geographic scope. National-level cholera surveillance data can help inform cholera control strategies and assess the effectiveness of preventive measures. Hospital-based sentinel surveillance among patients with suspected diarrhea in different sites across Bangladesh has been conducted since 2014.

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Article Synopsis
  • - A cluster-randomized trial in Dhaka, Bangladesh, compared the Vi-TT vaccine with the JE vaccine as a control to evaluate immune responses in children.
  • - A total of 1,500 children were selected in a 2:1 ratio (Vi-TT to JE) and blood samples were taken before vaccination and several times after, measuring anti-Vi-IgG response.
  • - The results showed that a single dose of Vi-TT produced a strong and lasting antibody response for at least two years, which could help in understanding population protection against the disease in the future.
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RNA interference (RNAi) is an emerging and promising therapy for a wide range of respiratory viral infections. This highly specific suppression can be achieved by the introduction of short-interfering RNA (siRNA) into mammalian systems, resulting in the effective reduction of viral load. Unfortunately, this has been hindered by the lack of a good delivery system, especially via the intranasal (IN) route.

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The current global initiative to end Cholera by 2030 emphasizes the use of oral cholera vaccine (OCV) combined with feasible household Water-Sanitation-Hygiene (WASH) interventions. However, little is known about how improved WASH practices and behaviors and OCV interact to reduce the risk of cholera. We reanalyzed two arms of a cluster-randomized trial in urban Bangladesh, to evaluate the effectiveness of OCV given as a 2-dose regimen.

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Article Synopsis
  • Immune responses targeting sialidase are crucial for protection against cholera and show age-related differences, with adults producing stronger responses than children after infection.
  • The study involved 50 cholera patients and evaluated their immune responses specifically to sialidase, LPS, and cholera toxin over 18 months.
  • Nutritional status and co-infections significantly influenced immune responses, with stunted children exhibiting lower anti-sialidase antibody levels compared to healthy peers, while parasitic infections enhanced these responses in adults.
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Clinical and pre-clinical work for a number of cancer types has demonstrated relatively positive outcomes and effective tumour regression when the level and function of p53, a well-established tumour suppressor, is restored. Human papillomavirus (HPV)-driven cancers encode the E6 oncoprotein, which leads to p53 degradation, to allow the carcinogenic process to proceed. Indeed, there have been several attempts to revive p53 function in HPV-driven cancers by both pharmacological and genetic means to increase p53 bioavailability.

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Several viruses are known to be associated with the development of certain cancers, including human papilloma virus (HPV), an established causative agent for a range of anogenital and head and neck cancers. However, the causality has been based on the presence of the virus, or its genetic material, in the sampled tumors. We have long wondered if viruses cause cancer via a "hit and run" mechanism such that they are no longer present in the resulting tumors.

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The major HPV oncogenes, E6 and E7, are known for its notoriety in driving the carcinogenic process in human papilloma virus (HPV) driven cancers. It is well-established that the removal of E7 dampens HPV cancer cell growth and proliferation. This has made E7 an attractive target for HPV cancers.

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Background: Cholera remains a public health threat for low- and middle-income countries, particularly in Asia and Africa. Shancholâ„¢, an inactivated oral cholera vaccine (OCV) is currently in use globally. OCV and oral poliovirus vaccines (OPV) could be administered concomitantly, but the immunogenicity and safety of coadministration among children aged 1-3 years is unknown.

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Since the start of the COVID-19 pandemic, multiple waves of SARS-CoV-2 variants have emerged. Of particular concern is the omicron variant, which harbors 28 mutations in the spike glycoprotein receptor binding and N-terminal domains relative to the ancestral strain. The high mutability of SARS-CoV-2 therefore poses significant hurdles for development of universal assays that rely on spike-specific immune detection.

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Cholera, caused by Vibrio cholerae, persists in developing countries due to inadequate access to safe water, sanitation, and hygiene. There are approximately 4 million cases and 143,000 deaths each year due to cholera. The disease is transmitted fecally-orally via contaminated food or water.

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Despite a vaccine being available, human papillomavirus virus (HPV)-driven cancers remain the ninth most prevalent cancers globally. Current therapies have significant drawbacks and often still lead to poor prognosis and underwhelming survival rates. With gene therapy becoming more available in the clinic, it poses a new front for therapeutic development.

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