Publications by authors named "Wallach J"

The antibacterial agent Bio-AMS is metabolized in vivo through hydrolysis of the central acyl-sulfamide linker leading to high clearance and release of a moderately cytotoxic metabolite . Herein, we disclose analogues designed to prevent the metabolism of the central acyl-sulfamide moiety through steric hindrance or attenuation of the acyl-sulfamide electrophilicity. was identified as a metabolically stable analogue with a single-digit nanomolar dissociation constant for biotin protein ligase (BPL) and minimum inhibitory concentrations (MICs) against and ranging from 0.

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Human challenge experiments could accelerate tuberculosis vaccine development. This requires a safe Mycobacterium tuberculosis (Mtb) strain that can both replicate in the host and be reliably cleared. Here we genetically engineered Mtb strains encoding up to three kill switches: two mycobacteriophage lysin operons negatively regulated by tetracycline and a degron domain-NadE fusion, which induces ClpC1-dependent degradation of the essential enzyme NadE, negatively regulated by trimethoprim.

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Purpose Of Review: The rapid rise in incidence and prevalence of end-stage kidney disease (ESKD) over the past 50 years was matched by a drop-off in use of home dialysis and a proliferation of in-center hemodialysis across the United States. There is renewed interest in improving access to home dialysis modalities for patients with ESKD. The aim of this review is to update kidney care providers with clinical outcome data and new guidelines that promote patient-centered choices, and to address barriers to home dialysis uptake and continued use.

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Objective: In this pilot study a binaural pulse modulator was tested to see if it leads to a change in self-reported measures of distress. This binaural pulse modulator produces two frequencies that combine to create a binaural pulse to stimulate the nervous system through a differential auditory tone presentation and the response of the user can be adjusted to the appropriate target tone for effective treatment use. Each individual calibrated the binaural pulse to increase the level of emotion experienced while imagining an experience with a similar emotional valence or while engaged in a cognitive function while also listening to the sound.

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  • Non-Hodgkin lymphoma (NHL) is a prevalent type of blood cancer, and its causes remain largely unknown, though autoimmune diseases are suspected as potential risk factors.
  • A study used Mendelian randomization to investigate the relationship between ten autoimmune diseases and NHL risk, utilizing data from various European ancestry cohorts.
  • The results indicated that genetically predicted susceptibility to type 1 diabetes and sarcoidosis may lower NHL risk, while no significant association was found for the other eight autoimmune diseases; further research is needed to confirm these findings.
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  • Real-world evidence is gaining interest for assessing the efficacy and safety of treatments for substance use disorders (SUDs), but its feasibility as a substitute for clinical trials remains unclear.
  • A study evaluated 272 clinical trials for SUDs registered on ClinicalTrials.gov to see if their data could be replicated using current insurance claims or electronic health records.
  • Findings showed that while many trials had identifiable criteria, no trial met all the requirements for effective emulation using real-world data, highlighting limitations in available data sources.
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  • A systematic review was conducted to summarize quantitative bias analysis (QBA) methods for observational studies, focusing on their characteristics and range based on peer-reviewed articles.
  • Out of over 10,000 records, 53 articles detailed 57 QBA methods, with a majority (93%) aimed at observational studies and relevant biases such as unmeasured confounding and misclassification.
  • This review provides a valuable resource for future researchers to identify appropriate QBA methods to adjust for biases in summary-level epidemiologic data.
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  • - The FDA's breakthrough therapy designation speeds up the development and review process for new treatments that show promise over existing therapies, particularly for serious conditions; however, there's limited understanding of the outcomes for those approved through traditional pathways where further studies may not be necessary.
  • - This study aimed to analyze the primary end points from clinical trials of therapies that received breakthrough designation, focusing on whether ongoing studies confirming their efficacy were mandated when surrogate markers were used as primary end points.
  • - Between 2013 and 2023, the FDA approved 157 therapies under this designation, with 33% receiving accelerated approval and 67% getting traditional approval; further insights were gathered to understand the implications of these approval pathways.
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Ketamine derivatives such as deschloroketamine and deschloro--ethyl-ketamine show dissociative and psychoactive properties and their abuse as new psychoactive substances (NPSs) has been reported. Though some information is available on the biotransformation of dissociative NPSs, data on deschloro--cyclopropyl-ketamine deschloro--isopropyl-ketamine and deschloro--propyl-ketamine concerning their biotransformation and, thus, urinary detectability are not available. The aims of the presented work were to study the in vivo phase I and II metabolism; in vitro phase I metabolism, using pooled human liver microsomes (pHLMs); and detectability, within a standard urine screening approach (SUSA), of five deschloroketamine derivatives.

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  • Surrogate markers are increasingly used in clinical trials as primary endpoints to evaluate the effectiveness of new drugs, especially for non-oncologic chronic diseases.
  • The study systematically reviews existing meta-analyses to assess how well these surrogate markers correlate with actual clinical outcomes, using data from sources like the FDA and MEDLINE up to March 2023.
  • Out of 37 surrogate markers analyzed, 15 had at least one relevant meta-analysis, highlighting the gaps in evidence for many markers and showing that only 10 reported strong correlations with clinical outcomes.
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  • The study assessed how the National Comprehensive Cancer Network (NCCN) guidelines reflect updates on oncology drugs that received accelerated approval from the FDA between 2009 and 2018.
  • It found that while all indications were included in NCCN guidelines, only a small percentage of them accurately reported the accelerated approval status, with most postapproval trials confirming drug benefits.
  • Additionally, NCCN guidelines often updated their recommendations based on FDA decisions about drug approval statuses, aligning closely with both positive and negative outcomes from confirmatory trials.
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Objectives: To present an application of specification curve analysis-a novel analytic method that involves defining and implementing all plausible and valid analytic approaches for addressing a research question-to nutritional epidemiology.

Study Design And Setting: We reviewed all observational studies addressing the effect of red meat on all-cause mortality, sourced from a published systematic review, and documented variations in analytic methods (eg, choice of model, covariates, etc.).

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  • The study aims to analyze research on climate change's impact on human health, focusing on vulnerable populations and identifying gaps in literature from 2012 to 2021.
  • A comprehensive database was used to gather over 10,000 peer-reviewed articles, observing a 23% increase in publications each year and highlighting significant research deficiencies concerning populations at risk, particularly in the global south.
  • Findings indicate that many critical issues, such as food security, human conflict, and the health of older adults, are underrepresented in the research, which may be influenced by the geographic and demographic backgrounds of the authors.
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  • The study investigates the link between genetically predicted susceptibility to ten autoimmune diseases and the risk of developing non-Hodgkin lymphoma (NHL).
  • It employs a two-sample Mendelian randomization approach, using extensive data from genome-wide association studies (GWASs) to analyze genetic variants associated with both autoimmune diseases and various NHL subtypes.
  • The researchers conducted multiple statistical analyses to ensure robustness and address potential biases, focusing primarily on SNPs that are strongly associated with the autoimmune diseases while excluding those influenced by the human leukocyte antigen region.
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  • Peripheral artery disease (PAD) affects over 200 million people globally, and researchers are exploring its genetic factors to improve diagnosis and treatment.
  • A systematic review analyzed 231 DNA variants from various studies, revealing inconsistencies in how PAD is defined and controlled.
  • While some consistent genetic variants linked to PAD were identified through genome-wide studies, more research is necessary to better understand the disease's progression and enhance patient outcomes.
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Mycobacterium tuberculosis (Mtb) possesses an arsenal of virulence factors to evade host immunity. Previously, we showed that the Mtb protein CpsA, which protects Mtb against the host NADPH oxidase, is required in mice during the first 3 weeks of infection but is thereafter dispensable for full virulence. Using flow cytometry, we find that ΔcpsA Mtb is retained in alveolar macrophages, impaired in recruiting and disseminating into monocyte-derived cells, and more likely to be localized in airway cells than wild-type Mtb.

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  • The study aims to assess the health impacts of various ingredients used in Christmas desserts featured on The Great British Bake Off, focusing on their links to disease and mortality risks.
  • An analysis of 48 dessert recipes revealed 178 unique ingredients, with 363 associations found in existing research, showing that many ingredients like fruits and nuts could lower health risks while sugar and alcohol increased them.
  • Overall, the research concluded that the dessert ingredients from the show mostly contribute to health benefits, suggesting that traditional Christmas treats may not be as harmful as commonly thought.
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Randomized controlled trials (RCTs) evaluating medications for alcohol use disorder (AUD) often examine heterogeneity of treatment effects through subgroup analyses that contrast effect estimates in groups of patients across individual demographic, clinical, and study design-related characteristics. However, these analyses are often not prespecified or adequately powered, highlighting the potential role of subgroup analyses in meta-analysis. Here, we conducted an umbrella review (i.

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Serotonergic psychedelics possess considerable therapeutic potential. Although 5-HT receptor activation mediates psychedelic effects, prototypical psychedelics activate both 5-HT-Gq/11 and β-arrestin2 transducers, making their respective roles unclear. To elucidate this, we develop a series of 5-HT-selective ligands with varying Gq efficacies, including β-arrestin-biased ligands.

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