Publications by authors named "Patrick Younan"

Background: SGN-B7H4V is a novel investigational vedotin antibody-drug conjugate (ADC) comprising a B7-H4-directed human monoclonal antibody conjugated to the cytotoxic payload monomethyl auristatin E (MMAE) via a protease-cleavable maleimidocaproyl valine citrulline (mc-vc) linker. This vedotin linker-payload system has been clinically validated in multiple Food and Drug Administration approved agents including brentuximab vedotin, enfortumab vedotin, and tisotumab vedotin. B7-H4 is an immune checkpoint ligand with elevated expression on a variety of solid tumors, including breast, ovarian, and endometrial tumors, and limited normal tissue expression.

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Brentuximab vedotin, a CD30-directed antibody-drug conjugate (ADC), is approved for clinical use in multiple CD30-expressing lymphomas. The cytotoxic payload component of brentuximab vedotin is monomethyl auristatin E (MMAE), a highly potent microtubule-disrupting agent. Preclinical results provided here demonstrate that treatment of cancer cells with brentuximab vedotin or free MMAE leads to a catastrophic disruption of the microtubule network eliciting a robust endoplasmic reticulum (ER) stress response that culminates in the induction of the classic hallmarks of immunogenic cell death (ICD).

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  • Ebola virus infections cause a significant decrease in T-cells, which correlates with higher mortality, but the reasons for this T-cell depletion are still not fully understood.
  • The study shows that Ebola virus mRNAs and proteins can be found in CD4+ T cells, even without a full infection occurring, indicating an incomplete or 'abortive' infection.
  • It was found that the interaction between EBOV and T cells leads to autophagy and activation of pathways related to ER-stress, contributing to the observed reduction in T-cell numbers during Ebola infections.
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  • Viral apoptotic mimicry involves the display of phosphatidylserine (PtdSer) on the outer surface of enveloped viruses, enhancing their ability to infect cells and evade the immune system.
  • The study identifies TMEM16F, a calcium-dependent scramblase, as the key protein responsible for incorporating PtdSer into the membranes of Ebola virus particles during infection.
  • Reducing TMEM16F function in Huh7 cells led to a significant decrease in PtdSer associated with Ebola virions, highlighting its crucial role in viral membrane composition.
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  • The outer membrane of Ebola virus is high in phosphatidylserine (PtdSer), which is crucial for how the virus infects cells and avoids the immune system.
  • Inhibiting the enzymes that create PtdSer significantly reduces the production of viral particles, leading to a blockage in the release of new viruses from infected cells.
  • Targeting PtdSer's role in viral budding might provide a new strategy for developing treatments against Ebola virus infections.
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  • * A study investigated mAbs from four ebolavirus survivors to understand their antiviral mechanisms by examining their impact on various stages of viral replication and their effects on immune cell activation.
  • * Findings revealed that mAbs targeting different regions of the ebolavirus protein exhibited distinct antiviral activities, suggesting that combining mAbs with various specificities could enhance treatment effectiveness against filovirus infections.
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  • Some monoclonal antibodies (mAbs) from filovirus infection survivors can potentially protect against new infections, but the role of natural infection-induced antibodies in causing antibody-dependent enhancement (ADE) is still unclear.
  • A study found that all mAbs tested facilitated ADE at low concentrations, regardless of their specific properties, indicating that ADE is a widespread phenomenon in these antibodies.
  • Modifying certain parts of an mAb to change its interaction with receptors led to partial protection in live models, implying that ADE might hinder the effectiveness of antibody protection and could help spread filovirus infections.
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  • Ebola Virus Disease (EVD) is driven by an exaggerated immune response called a "cytokine storm," which is influenced by the activation of T lymphocytes.
  • The protein T-cell immunoglobulin and mucin domain-containing protein 1 (Tim-1) plays a crucial role in EBOV infection, with studies showing that Tim-1 mice have better survival rates despite minimal differences in viral load.
  • EBOV binds to T lymphocytes via Tim-1 and induces a significant inflammatory response, leading to changes in cytokine production and activation of T helper cells, which contributes to the severity of the cytokine storm associated with fatal disease outcomes.
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  • Ebola virus (EBOV) infections lead to fatal outcomes often preceded by a syndrome similar to sepsis and a significant drop in T cell counts (lymphopenia), which correlates with mortality rates.
  • The study found that the EBOV glycoprotein (GP) contributes to T cell death by binding to CD4+ T cells via TLR4, leading to cell death mechanisms such as apoptosis and necrosis.
  • Additionally, EBOV exposure causes increased differentiation of monocytes, enhancing their susceptibility to infection, which further exacerbates T cell death and impairs the immune response.
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The 2013-2016 outbreak of Ebola virus (EBOV) in West Africa, which has seen intermittent reemergence since it was officially declared over in February of 2016, has demonstrated the need for the rapid development of therapeutic intervention strategies. Indirect evidence has suggested that the EBOV infection shares several commonalities associated with the onset of bacterial sepsis, including the development of a "cytokine storm." Eritoran, a Toll-like receptor 4 (TLR4) antagonist, was previously shown to result in protection of mice against lethal influenza virus infection.

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  • Ebola virus infections lead to poor immune responses, specifically involving T-lymphocytes, which are crucial for fighting infections.
  • Research showed that modifying EBOV proteins (VP24 and VP35) can enhance the immune response, particularly by increasing the activation and function of dendritic cells and T-cells.
  • These modifications also improve B-cell activity and increase the activation of natural killer (NK) cells, contributing to a more effective immune response against the virus.
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  • A 32-base pair deletion in the CCR5 gene has been shown to protect against HIV infection in human CD4 T cells.
  • Researchers developed a megaTAL nuclease that successfully disrupted CCR5 in human T cells, achieving up to 80% modification.
  • Gene-modified CD4 T cells not only resisted HIV infection but also expanded effectively in immunodeficient mice, suggesting potential for immune system reconstitution in patients.
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Recent studies have demonstrated that genetically modified hematopoietic stem cells (HSCs) can reduce HIV viremia. We have developed an HIV/AIDS-patient model in Simian/human immunodeficiency virus (SHIV)-infected pigtailed macaques that are stably suppressed on antiretroviral therapy (ART: raltegravir, emtricitabine and tenofovir). Following SHIV infection and ART, animals undergo autologous HSC transplantation (HSCT) with lentivirally transduced cluster of differentiation (CD)34(+) cells expressing the mC46 anti-HIV fusion protein.

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Unlabelled: Untreated human immunodeficiency virus (HIV) infection is characterized by depletion of CD4(+) T cells, ultimately leading to the impairment of host immune defenses and death. HIV-infected CD4(+) T cells die from direct virus-induced apoptosis and CD8 T-cell-mediated elimination, but a broader and more profound depletion occurs in uninfected CD4(+) T cells via multiple indirect effects of infection. We fit mathematical models to data from experiments that tested an HIV eradication strategy in which five macaques with a proportion of CD4(+) T cells resistant to simian-human immunodeficiency virus (SHIV) entry were challenged with SHIV89.

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The combination of genetic modification and hematopoietic stem cell (HSC) transplantation may provide the necessary means to develop an alternative treatment option to conventional antiretroviral therapy. As HSCs give rise to all hematopoietic cell types susceptible to HIV infection, modification of HSCs is an ideal strategy for the development of infection-resistant immune cell populations. Although promising results have been obtained in multiple animal models, additional evidence is needed to convincingly demonstrate the feasibility of this approach as a treatment of HIV-1 infected patients.

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The cure of a human immunodeficiency virus (HIV)-1-infected patient following allogeneic transplantation from a CCR5-null donor and potential cure of two patients transplanted with CCR5 wild-type hematopoietic stem cells (HSC) have provided renewed optimism that a potential alternative to conventional antiretroviral therapy (ART) is forthcoming. While allogeneic grafts have thus far suggested complete eradication of viral reservoirs, it has yet to be observed following autologous HSC transplantation. Development of curative autologous transplantation strategies would significantly increase the number of treatable patients, eliminating the need for matched donors and reducing the risks of adverse events.

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Background: Nonhuman primates (NHPs) are an important model organism for studies of HIV pathogenesis and preclinical evaluation of anti-HIV therapies. The successful translation of NHP-derived data to clinically relevant anti-HIV studies will require better understanding of the viral strains and NHP species used and their responses to existing antiretroviral therapies (ART).

Methods: Five pigtailed macaques (Macaca nemestrina) were productively infected with the SIV/HIV chimeric virus SHIV-1157 ipd3N4 following intravenous challenge.

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Despite continued progress in the development of novel antiretroviral therapies, it has become increasingly evident that drug-based treatments will not lead to a functional or sterilizing cure for HIV(+) patients. In 2009, an HIV(+) patient was effectively cured of HIV following allogeneic transplantation of hematopoietic stem cells (HSCs) from a CCR5(-/-) donor. The utility of this approach, however, is severely limited because of the difficulty in finding matched donors.

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Cleavage of eukaryotic translation initiation factor 4GI (eIF4GI) by viral 2A protease (2Apro) has been proposed to cause severe translation inhibition in poliovirus-infected cells. However, infections containing 1 mM guanidine-HCl result in eIF4GI cleavage but only partial translation shutoff, indicating eIF4GI cleavage is insufficient for drastic translation inhibition. Viral 3C protease (3Cpro) cleaves poly(A)-binding protein (PABP) and removes the C-terminal domain (CTD) that interacts with several translation factors.

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To explore induced islet neogenesis in the liver as a strategy for the treatment of diabetes, we used helper-dependent adenovirus (HDAD) to deliver the pancreatic duodenal homeobox-1 gene (Ipf1; also known as Pdx-1) to streptozotocin (STZ)-treated diabetic mice. HDAD is relatively nontoxic as it is devoid of genes encoding viral protein. Mice treated with HDAD-Ipf1 developed fulminant hepatitis, however, because of the exocrine-differentiating activity of Ipf1.

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We investigated the role of intracellular calcium ([Ca(2+)](i)) in adhesion molecule expression in human umbilical vascular endothelial cells (HUVECs). Calmodulin (CaM) antagonists, W-7, trifluoperazine and chlorpromazine, triggered a rise in [Ca(2+)](i) in HUVECs. In the presence of extracellular Ca(2+), thapsigargin pretreatment completely prevented W-7-stimulated increase in [Ca(2+)](i), indicating that increase is attributable to the release of Ca(2+) from internal stores.

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