Publications by authors named "Venkatesh Krishnan"

Objective: Neutrophils play an important role in regulating immune and inflammatory responses in patients with rheumatoid arthritis (RA). We assessed whether baricitinib, a JAK1/JAK2 inhibitor, could reduce neutrophil activation and whether a neutrophil activation score could predict treatment response.

Methods: Markers of neutrophil activation, calprotectin, and neutrophil extracellular traps (NETs) were analyzed using enzyme-linked immunosorbent assay in plasma from patients with RA (n = 271) and healthy controls (n = 39).

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess the effectiveness of tiragolumab (anti-TIGIT) combined with atezolizumab (anti-PD-L1) as a treatment for PD-L1-positive persistent or recurrent cervical cancer in patients who had already undergone one or two chemotherapy treatments.
  • - In a phase II trial involving 171 patients, the combination treatment showed an objective response rate of 19.0%, which was not statistically significant against a predefined historical reference, indicating limited effectiveness.
  • - While both treatment groups had low progression-free survival rates (2.8 months for the combination therapy and 1.9 months for atezolizumab alone), the median overall survival was slightly better for the combination group at 11
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess the effectiveness of ixekizumab vs. placebo and adalimumab in reducing spinal pain in patients with ankylosing spondylitis (AS) through objective inflammation measures like MRI and CRP levels.!
  • In a 52-week trial, ixekizumab showed greater reductions in spinal pain compared to placebo, particularly when inflammation was controlled, and continued to improve at week 52.!
  • The analysis suggests that ixekizumab not only helps lessen pain through inflammation reduction but may also work through additional mechanisms, indicating its potential as a more effective treatment for AS pain management.!
View Article and Find Full Text PDF
Article Synopsis
  • Mirikizumab, an anti-IL-23 monoclonal antibody, showed effectiveness in treating moderate-to-severe ulcerative colitis in clinical trials, particularly after 12 weeks of treatment.
  • The study analyzed gene expression at week 52 in patients who responded to mirikizumab at week 12, using biopsies to identify differentially expressed genes (DEGs) and maintaining their expression.
  • Results indicated that mirikizumab responders had significantly more transcriptional changes and consistency in gene expression at week 52 compared to placebo responders, suggesting a unique molecular healing pathway related to IL-23 inhibition.
View Article and Find Full Text PDF

 Infectious spondylodiscitis is a debilitating condition and evidence-based medicine dictates confirming the diagnosis before treatment. Computed tomography-guided spinal biopsy plays a major role and hence we would like to determine its utility in current clinical practice.  The purpose of this study is to determine the percentage of confirmatory positives of CT-guided spinal biopsy in patients who were clinicoradiologically diagnosed with infectious spondylitis.

View Article and Find Full Text PDF

Background: Functional limitations and physical disabilities associated with aging and chronic disease are major concerns for human societies and expeditious development of function-promoting therapies is a public health priority.

Methods: Expert panel discussion.

Results: The remarkable success of Operation Warp Speed for the rapid development of COVID-19 vaccines, COVID-19 therapeutics, and of oncology drug development programs over the past decade have taught us that complex public health problems such as the development of function-promoting therapies will require collaboration among many stakeholders, including academic investigators, the National Institutes of Health, professional societies, patients and patient advocacy organizations, the pharmaceutical and biotechnology industry, and the U.

View Article and Find Full Text PDF

Testosterone, many steroidal androgens, and nonsteroidal ligands that bind to androgen receptor and exert tissue-specific transcriptional activity (selective androgen receptor modulators [SARMs]) are being developed as function-promoting therapies to treat functional limitations associated with aging and chronic diseases. This narrative review describes preclinical studies, mechanisms, and randomized trials of testosterone, other androgens, and nonsteroidal SARMs. Sex differences in muscle mass and strength and empiric use of anabolic steroids by athletes to increase muscularity and athletic performance provide supportive evidence of testosterone's anabolic effects.

View Article and Find Full Text PDF
Article Synopsis
  • This study explored how unbiased informatics can reveal new insights into signaling pathways related to human diseases, specifically focusing on plaque psoriasis.
  • Researchers analyzed transcriptomic data from psoriasis lesions of patients treated with the anti-IL17A antibody ixekizumab (IXE) and found significant correlations with gene sets tied to the MuvB complex, which regulates the cell cycle.
  • The findings suggest that inhibiting MuvB signaling could play a critical role in the effectiveness of IXE treatment for psoriasis, and the study's data has been made available on a cloud-based platform for further research.
View Article and Find Full Text PDF
Article Synopsis
  • Mirikizumab is a monoclonal antibody that targets IL-23 and showed effectiveness and good tolerance in a phase 2 clinical trial for patients with moderate-to-severe ulcerative colitis.
  • In the trial, patients received either mirikizumab or a placebo, and their colonic tissue was analyzed for gene expression changes over a 12-week period.
  • Results showed that the 200 mg mirikizumab group had significant improvements in clinical outcomes, with changes in gene transcripts linked to disease activity and resistance to current therapies, providing insight into how IL-23 inhibition aids healing in ulcerative colitis.
View Article and Find Full Text PDF

Over the past 25 years, considerable progress has been made in terms of elucidating the regulatory and signaling mechanisms underlying the control of skeletal muscle mass by myostatin and other secreted proteins belonging to the transforming growth factor-β superfamily. Preclinical studies demonstrating the potential benefits of targeting the activities of these ligands have fueled the development of numerous biologics capable of perturbing this signaling pathway and increasing muscle mass and function. These biologics have been tested in numerous clinical trials for a wide range of indications characterized by muscle loss and excess adiposity.

View Article and Find Full Text PDF

Introduction: To compare the mortality of hospitalized patients with COVID-19 between those that required supplemental oxygen and received dexamethasone with a comparable set of patients who did not receive dexamethasone.

Methods: We utilized the Premier Health Database to identify hospitalized adult patients with COVID-19 from July 1, 2020-January 31, 2021. Index date was when patients first initiated oxygen therapy.

View Article and Find Full Text PDF

Background: Macrophages are an important component of the tumour immune microenvironment (TME) and can promote tumour growth and metastasis. Macrophage-secreted chemokine-ligand-23 (CCL23) induces ovarian cancer cell migration via chemokine-receptor 1 (CCR1). However, the effect of CCL23 on other immune cells in the TME is unknown.

View Article and Find Full Text PDF

Mucin domains are densely O-glycosylated modular protein domains found in various extracellular and transmembrane proteins. Mucin-domain glycoproteins play important roles in many human diseases, such as cancer and cystic fibrosis, but the scope of the mucinome remains poorly defined. Recently, we characterized a bacterial O-glycoprotease, StcE, and demonstrated that an inactive point mutant retains binding selectivity for mucin-domain glycoproteins.

View Article and Find Full Text PDF
Article Synopsis
  • Baricitinib is a selective Janus kinase inhibitor being tested for its effectiveness and safety when combined with standard of care treatments for hospitalized adults with COVID-19.
  • In a phase 3 trial, 1525 participants were randomly assigned to receive either baricitinib or a placebo for up to 14 days while receiving standard treatments like corticosteroids and antivirals.
  • The study found that 27.8% of those on baricitinib and 30.5% on placebo progressed to severe outcomes, with no significant difference in effectiveness (p=0.18).
View Article and Find Full Text PDF

Purpose: The purpose of this study is to evaluate the role of spinal angiography and arterial embolization in avoiding spinal cord ischemia in patients undergoing CT-guided alcohol injection of aggressive vertebral hemangiomas.

Methods: In this retrospective study, patients with vertebral hemangioma who underwent CT-guided direct alcohol injection between January 2007 and October 2018 were identified. Of 28 such patients, 26 had neurological deficits, and 2 had only back pain or radiculopathy.

View Article and Find Full Text PDF

Ovarian cancer is the leading cause of gynecological malignancy-related deaths, due to its widespread intraperitoneal metastases and acquired chemoresistance. Mesothelial cells are an important cellular component of the ovarian cancer microenvironment that promote metastasis. However, their role in chemoresistance is unclear.

View Article and Find Full Text PDF

Nitroimidazole compounds are widely used antibiotics to encounter anaerobic bacterial and parasitic infections. The wide usage of antibiotic drugs became an ecological contaminant which in turn into potential monitoring. In this regards, we have designed and developed a new electrochemical sensing probe to monitor an antiprotozoal drug, ornidazole (ODZ), with the aid of a glassy carbon electrode (GCE) integrated with manganese molybdate nanorods (MnMoO) decorated graphene nanosheets (GNS) hybrid materials that prepared by feasible probe sonochemical method (parameters: 2-4 W, 5 mV amp, 20 kHz).

View Article and Find Full Text PDF

Purpose Of Review: To provide an update on cell-based immunotherapies in solid tumors particularly in gynecological cancers.

Recent Findings: Recent clinical trial results demonstrate safety and tolerability of different cell therapies in gynecological cancers. Novel approaches, such as harnessing the cells of the innate immune system are also under investigation in a phase I trial.

View Article and Find Full Text PDF

Study Design: Retrospective case series.

Purpose: This study aimed to analyze how the sagittal spinopelvic alignment is influenced by an attempted surgical reduction of the L5-S1 segment in patients with high-grade spondylolisthesis (HGS).

Overview Of Literature: Conventional treatment strategies stress the importance of achieving fusion across the lumbosacral junction in patients with HGS.

View Article and Find Full Text PDF

Flutamide is a non-steroidal antiandrogen drug and widely used in the treatment of prostatic carcinoma. Nevertheless, the excessive intake and improper disposal could affect the living organisms. In this work, we have synthesized a new nanocomposite based on ZnMnO nanoparticles and porous reduced graphene oxide nanosheets (ZnMnO-PGO) for the electrocatalytic detection of flutamide (FLU) drug.

View Article and Find Full Text PDF

Study Design: Retrospective case series.

Purpose: This study aimed to examine the efficacy of composite grip strength as a marker of surgical outcome in patients with moderate to severe degenerative cervical myelopathy.

Overview Of Literature: Degenerative cervical myelopathy causes loss of dexterity, muscle strength, and sensations in the hand.

View Article and Find Full Text PDF

Study Design: Prospective cohort study.

Purpose: To evaluate the association between nutritional parameters related to postoperative surgical site infections and duration of hospital stay and intensive care unit (ICU) stay in patients undergoing major spine surgery.

Overview Of Literature: Malnutrition is highly prevalent in surgical patients.

View Article and Find Full Text PDF