Publications by authors named "SA Goldstein"

Two-pore domain, outwardly rectifying potassium (TOK) channels are exclusively expressed in fungi. Human fungal pathogen TOK channels are potential antifungal targets, but TOK channel modulation in general is poorly understood. Here, we discovered that TOK (CaTOK) is regulated by extracellular pH, in contrast to TOK channels from other fungal species tested.

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Coronaviruses exhibit many mechanisms of genetic innovation, including the acquisition of accessory genes that originate by capture of cellular genes or through duplication of existing viral genes. Accessory genes influence viral host range and cellular tropism, but little is known about how selection acts on these variable regions of virus genomes. We used experimental evolution of mouse hepatitis virus (MHV) encoding a cellular AKAP7 phosphodiesterase and an inactive native phosphodiesterase, NS2, to model the evolutionary fate of accessory genes.

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Cardiovascular disease is the leading cause of maternal mortality in the United States. Pregnancy is associated with increased risk of acute myocardial infarction (AMI) and outcomes of pregnancy-associated AMI (PAMI) are poor. Spontaneous coronary artery dissection is the most common cause of PAMI.

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Background: Chylothorax after pediatric cardiac surgery is associated with increased morbidity and mortality. Poor understanding exists regarding inflammation within the pleural fluid. Our aim was to determine the relationship between proinflammatory markers and chylothorax.

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  • Zoonotic viruses, like SARS-CoV-2, can spill over from animals to humans, often linked to animal trade, with COVID-19 traced back to the Huanan Seafood Wholesale Market.
  • Analysis of environmental samples from the market in early 2020 shows high genetic diversity of SARS-CoV-2, especially near a wildlife stall that had a variety of wildlife DNA, including potential intermediate hosts.
  • The research combines genomic techniques to identify specific animal species and suggest which ones should be prioritized for further research on their role in transmitting the virus.
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  • Congenital heart disease (CHD) is a wide range of structural heart issues and is the leading cause of serious birth defects.
  • Advances in pediatric care have resulted in more adults surviving with CHD than there are children currently living with the condition.
  • Adults with CHD face significant health risks from their heart conditions and previous surgeries, necessitating regular check-ups and targeted care plans for better health outcomes.
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Phosphodiesterases (PDEs) encoded by viruses are putatively acquired by horizontal transfer of cellular PDE ancestor genes. Viral PDEs inhibit the OAS-RNase L antiviral pathway, a key effector component of the innate immune response. Although the function of these proteins is well-characterized, the origins of these gene acquisitions are less clear.

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  • The study aimed to evaluate the prevalence of maternal chronic hypertension (MCH) among Veterans and assess blood pressure control before pregnancy as well as medication management during pregnancy.
  • About 8% of Veterans with documented pregnancies had MCH, with a significant portion showing uncontrolled blood pressure, particularly in those with chronic kidney disease and diabetes.
  • The findings suggest a need for improved interventions to manage MCH and preconception blood pressure to ensure better health outcomes during pregnancy.*
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In the United States (US), biosafety and biosecurity oversight of research on viruses is being reappraised. Safety in virology research is paramount and oversight frameworks should be reviewed periodically. Changes should be made with care, however, to avoid impeding science that is essential for rapidly reducing and responding to pandemic threats as well as addressing more common challenges caused by infectious diseases.

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The Concise Guide to PHARMACOLOGY 2023/24 is the sixth in this series of biennial publications. The Concise Guide provides concise overviews, mostly in tabular format, of the key properties of approximately 1800 drug targets, and over 6000 interactions with about 3900 ligands. There is an emphasis on selective pharmacology (where available), plus links to the open access knowledgebase source of drug targets and their ligands (https://www.

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Dysfunction of the human voltage-gated K channel Kv1.1 has been associated with epilepsy, multiple sclerosis, episodic ataxia, myokymia, and cardiorespiratory dysregulation. We report here that AETX-K, a sea anemone type I (SAK1) peptide toxin we isolated from a phage display library, blocks Kv1.

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Coronaviruses exhibit many mechanisms of genetic innovation, including the acquisition of accessory genes that originate by capture of cellular genes or through duplication of existing viral genes. Accessory genes influence viral host range and cellular tropism, but little is known about how selection acts on these variable regions of virus genomes. We used experimental evolution of mouse hepatitis virus (MHV) encoding a cellular AKAP7 phosphodiesterase and an inactive native phosphodiesterase, NS2 to model the evolutionary fate of accessory genes.

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Article Synopsis
  • Improved survival rates after heart transplantation (HT) have led more recipients to consider pregnancy, but there is limited data on the associated outcomes.
  • In a study analyzing over 19 million deliveries in the U.S., HT recipients were found to have significantly higher risks for severe maternal morbidity (SMM), preterm birth, and readmission within one year after delivery compared to non-HT recipients.
  • The findings indicate that women with a history of HT face 16 to 38 times greater odds of suffering from various complications during and after pregnancy, highlighting the need for careful counseling for these patients.
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  • Zoonotic virus spillovers, including the COVID-19 pandemic, are linked to animal trade, with the Huanan Seafood Market in Wuhan being a focal point of investigation.
  • Analysis of environmental samples from this market showed a specific wildlife stall with high SARS-CoV-2 positivity and identified various animal DNA, including raccoon dogs, which can transmit the virus.
  • The study used genetic data to suggest potential intermediate hosts for SARS-CoV-2, aiming to guide future testing and viral sampling efforts.
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Phosphodiesterases (PDEs) encoded by viruses are putatively acquired by horizontal transfer of cellular PDE ancestor genes. Viral PDEs inhibit the OAS-RNase L antiviral pathway, a key effector component of the innate immune response. Although the function of these proteins is well-characterized, the origins of these gene acquisitions is less clear.

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Article Synopsis
  • There is ongoing uncertainty regarding the use of primary prevention implantable cardioverter-defibrillators (ICDs) in older patients with hypertrophic cardiomyopathy, emphasizing the need for clarity in treatment options.
  • A study analyzed data from patients who received ICDs between 2010 and 2016, noting an overall increase in ICD utilization across age groups, including those aged 65 and older.
  • Key risk factors for postdischarge mortality and hospitalization after ICD implantation in older patients included older age, severe heart failure symptoms, and low left ventricular ejection fraction, while a history of nonsustained ventricular tachycardia was particularly associated with hospitalizations for cardiac issues.*
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Background: Prolonged effusions post-Fontan procedure are associated with morbidity. Fontan patients have higher pro-inflammatory cytokines in chest tube drainage compared to controls. Colchicine, an anti-inflammatory medication, decreases effusions in adults after cardiac surgery.

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Objectives: To describe factors associated with failed extubation (FE) in neonates following cardiovascular surgery, and the relationship with clinical outcomes.

Design: Retrospective cohort study.

Setting: Twenty-bed pediatric cardiac ICU (PCICU) in an academic tertiary care children's hospital.

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Purpose: Given limited ambulatory access to genetics specialists, innovative service delivery solutions are needed. Electronic consultation (e-consult) programs are growing to connect clinicians to specialists. We explored the utilization and outcomes of a genetics and genomics e-consult program at Massachusetts General Hospital system in its first year.

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  • * Many antihypertensive medications are considered safe for pregnant individuals when monitored carefully for fetal growth and amniotic fluid levels.
  • * The article outlines guidelines for diagnosing and treating hypertension during pregnancy, offering detailed information on the safety and effectiveness of various antihypertensives both during and after pregnancy.
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  • - Innovative service delivery models, like electronic consultations (e-Consults), are essential to improve access to genetics specialists for clinicians.
  • - Massachusetts General Hospital implemented an e-Consult service, which handled 153 requests in its first year, completing most within an average of 3.2 days.
  • - The service was primarily used by generalist providers, and 82% of clinicians who received actionable recommendations followed through, highlighting the potential of e-Consult models in genetics care access.
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Voltage-gated sodium channels located in axon initial segments (AIS) trigger action potentials (AP) and play pivotal roles in the excitability of cortical pyramidal neurons. The differential electrophysiological properties and distributions of Na1.2 and Na1.

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