Publications by authors named "Zakzuk J"

Introduction: Invasive pneumococcal disease (IPD) remains a pediatric health challenge despite national vaccination efforts in Colombia. We described the socio-demographic, epidemiological, and clinical characteristics of children (<18 years of age) with IPD at a pediatric reference center in Bolívar, Colombia.

Methods: Descriptive cross-sectional study of all pediatric patients (under 18 years of age) diagnosed with IPD between 2016 and 2023.

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  • * The discovery of 26 B. tropicalis allergens, some cross-reactive with other mite species, complicates diagnosis and treatment options for allergies, though advancements in component-resolved diagnostics aid in this process.
  • * Immunotherapy using B. tropicalis extracts is effectively implemented in various countries, but there is a challenge with the limited availability of standardized extracts, despite significant research contributions over the past five decades on allergen characterization and potential impacts of climate change.
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Purpose: To analyze the costs of high thromboembolic risk patients who require low molecular weight heparins (LMWHs) as a thromboprophylaxis strategy.

Methods: Cost analysis was conducted to assess LMWHs (enoxaparin versus comparators: nadroparin and dalteparin) as thromboprophylaxis for hospitalized patients with high thromboembolic risk in Oncology, General or Orthopedic Surgery, and Internal Medicine services from the healthcare provider's perspective in Colombia. A decision tree was developed, and the health outcomes considered in the analysis were deep vein thrombosis, major bleeding, pulmonary thromboembolism, and chronic pulmonary hypertension.

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  • Ascaris infection, a common soil-transmitted helminth, may exacerbate asthma and allergic reactions through its influence on immune responses, specifically group-2 innate lymphoid cells (ILC2).
  • * The study involved comparing non-infected and Ascaris-infected individuals, analyzing ILC subsets, their activation markers, and the presence of specific antibodies.
  • * Results showed that ILC2 activation markers were significantly higher in Ascaris-infected individuals, particularly those sensitized to a specific Ascaris antigen, suggesting a link between helminth infection and enhanced immune responses.
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  • A study investigates how the parasitic infection of Ascaris lumbricoides affects the immune system, particularly focusing on the role of B regulatory cells (Bregs) in infected individuals.
  • In a helminth-endemic area of Colombia, researchers compared 18 A. lumbricoides-infected subjects with 11 non-infected individuals, measuring Breg frequencies and specific antibodies in their blood.
  • Results showed that infected individuals had higher Breg levels and lower levels of certain antibodies, suggesting that A. lumbricoides infection leads to an immunosuppressive effect that varies based on infection intensity.
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Background: Alopecia areata (AA) is an autoimmune disease characterized by non-scaring hair loss and preservation of hair follicles. The information available on disease course, and clinical features of AA is scarce worldwide, and almost nonexistent in Colombia.

Objective: To determine the clinical and sociodemographic characteristics of patients diagnosed with AA who presented to a dermatology consultation in five Colombian cities.

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Objective: To estimate the economic burden associated with COVID-19 in Córdoba, Colombia, 2020 and 2021.

Methods: Economic burden study. Direct costs were analyzed from the third-party payer perspective using healthcare administrative databases and interviews from a cohort of confirmed COVID-19 cases from Córdoba.

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Background And Objective: Sensitization to Blomia tropicalis is associated with asthma in various tropical and subtropical countries; however, information about the specific molecular components associated with this disease is scarce. Using molecular diagnosis, we sought to identify B tropicalis allergens associated with asthma in Colombia.

Methods: Specific IgE (sIgE) to 8 B tropicalis recombinant allergens (Blo t 2, 5, 7, 8, 10, 12, 13, and 21) was determined using an in-house ELISA system in asthma patients (n=272) and controls (n=298) recruited in a national prevalence study performed in several Colombian cities (Barranquilla, Bogotá, Medellín, Cali, and San Andrés).

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  • - The study aimed to identify different asthma phenotypes in asthmatic children aged 7 to 17 years in Cartagena, Colombia, using T2 inflammation biomarkers like FeNO and eosinophil counts.
  • - Of the 107 children assessed, 19.6% exhibited non-T2 inflammation (non-allergic asthma), while 71.9% were found to have allergic asthma, with 30.8% classified as high T2 allergic asthma due to elevated biomarker levels.
  • - Results showed a significant correlation between FeNO and eosinophil levels, highlighting that both specific IgE testing and biomarker measurements are essential for accurately diagnosing high T2 asthma phenotypes in children.
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  • The study aimed to compare immune cell populations in the blood of infected (n=35) and uninfected (n=27) individuals from rural Bolívar, using specific diagnostic techniques and flow cytometry for analysis.
  • Results showed no significant differences in age or sex between the two groups, with mild infections noted in cases and a slight decrease in neutrophil percentage among infected individuals, though the overall differences in immune cell types were minimal.
  • The study was ethically approved, participants consented, and funding was provided through the Colombian Sistema General de Regalías.
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Objective: To quantify the production of Th1/Th2/Th17 cytokines induced by Ascaris lumbricoides antigens in peripheral blood mononuclear cells (PBMCs) using a multiplex technique.

Methods: PBMCs were cultured from individuals with mild A. lumbricoides infection (n = 20) and uninfected individuals (n = 21) and stimulated with A.

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Background: cystatin (Al-CPI) prevents the development of allergic airway inflammation and dextran-induced colitis in mice models. It has been suggested that helminth-derived cystatins inhibit cathepsins in dendritic cells (DC), but their immunomodulatory mechanisms are unclear. We aimed to analyze the transcriptional profile of human monocyte-derived DC (moDC) upon stimulation with Al-CPI to elucidate target genes and pathways of parasite immunomodulation.

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Background: Alopecia areata (AA) is an autoimmune disease characterized by non-scaring hair loss and preservation of hair follicles. The information available on disease course, and clinical features of AA is scarce worldwide, and almost nonexistent in Colombia.

Objective: To determine the clinical and sociodemographic characteristics of patients diagnosed with AA who presented to a dermatology consultation in five Colombian cities.

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Early detection of CSU patients with low probability of a clinical response with antihistamines could undergo prompt initiation of therapeutic alternatives. The aim of the study was to develop and internally validate a model for predicting the clinical response to antihistamines in adult patients with chronic spontaneous urticaria (CSU), who consult allergology and dermatology care centers. A cohort of CSU patients, recruited from four participating centers, were followed up for 12 months.

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  • Immunity plays a critical role in allergic diseases, as antibody responses to certain proteins can influence asthma presentation and immune system reactions.
  • The study evaluated immune responses to two specific proteins, Asc l 5 and Al-CPI, in a population affected by asthma, utilizing ELISA to measure different antibody levels (IgE, IgG4, IgG).
  • Findings indicated that while Al-CPI induced lower IgE levels, it resulted in higher IgG4 and IgG responses compared to Asc l 5, suggesting these proteins activate distinct immune responses that could impact asthma development.
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Background: Asthma is not well investigated in equatorial Africa and little is known about the disease-associated allergen molecules recognized by IgE from patients in this area. The aim was to study the molecular IgE sensitization profile of asthmatic children and young adults in a semi-rural area (Lambaréné) of an equatorial African country (Gabon), to identify the most important allergen molecules associated with allergic asthma in equatorial Africa.

Methods: Fifty-nine asthmatic patients, mainly children and few young adults, were studied by skin prick testing to (Der p), (Der f), cat, dog, cockroach, grass, Alternaria and peanut.

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Since the discovery of immunoglobulin E (IgE) as a mediator of allergic diseases in 1967, our knowledge about the immunological mechanisms of IgE-mediated allergies has remarkably increased. In addition to understanding the immune response and clinical symptoms, allergy diagnosis and management depend strongly on the precise identification of the elicitors of the IgE-mediated allergic reaction. In the past four decades, innovations in bioscience and technology have facilitated the identification and production of well-defined, highly pure molecules for component-resolved diagnosis (CRD), allowing a personalized diagnosis and management of the allergic disease for individual patients.

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Objectives: This study aimed to estimate the burden of acute COVID-19 in Córdoba, one of the most affected departments (states) in Colombia, through the estimation of disability-adjusted life-years (DALYs).

Methods: DALYs were estimated based on the number of cases of severe acute respiratory syndrome coronavirus 2 infection cases reported by official Colombian sources. A transition probability matrix among severity states was calculated using data obtained from a retrospective cohort that included 1736 COVID-19 confirmed subjects living in Córdoba.

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  • - The study focused on evaluating the allergenic properties of Blo t 2, a specific allergen from house dust mites, using both human and mouse models to assess its effects.
  • - Results showed that sensitivity to Blo t 2 was comparable to another allergen, Blo t 21, but higher than Der p 2, with most patients having a low-intensity allergic response.
  • - Immunization of mice with Blo t 2 led to significant allergic reactions, including skin inflammation and lung issues, confirming its allergenic activity and importance in clinical settings.
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Intestinal helminthiasis are a common public health problem in developed and developing countries. It is thought that they can influence pregnancy by causing gestational anemia. The aim of this study was to determine if there is a relationship between helminth infection and gestational anemia.

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Background: Allergen-specific immunotherapy (AIT) is the only disease-modifying treatment approach to change disease-causing allergens. Hypoallergenic derivatives show promise as potential therapeutics, amongst which BTH2 was designed to induce tolerance against Blomia tropicalis allergy. Our aim was to investigate the hypoallergenicity and immunoregulatory activity of BTH2 in vitro and its therapeutic potential in a mouse model of AIT.

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  • - An outbreak of COVID-19, caused by the SARS-CoV-2 virus, began in Wuhan, China and spread globally, with mixed evidence on how asthma impacts the severity of infection, highlighting the need for more research.
  • - Asthma patients should continue their treatments as COVID-19 doesn’t seem to trigger asthma attacks, and interestingly, the type of asthma (like non-allergic forms) may be linked to varying risks of severe COVID-19.
  • - The pandemic caused behavioral shifts, with more people staying indoors due to lockdowns, potentially altering exposure to allergens—some allergies may have improved while others worsened based on living conditions and changes in outdoor allergen levels.
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Glutathione-S transferases (GSTs) are part of a ubiquitous family of dimeric proteins that participate in detoxification reactions. It has been demonstrated that various GSTs induce allergic reactions in humans: those originating from house dust mites (HDM), cockroaches, and helminths being the best characterized. Evaluation of their allergenic activity suggests that they have a clinical impact.

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Background: The shrimp Litopenaeus vannamei is an important source of food allergens but its allergenic repertoire is poorly characterized. Cross-reactivity between crustacean and mites has been reported, with tropomyosin, the most relevant allergen involved. The aim of this study was to investigate the structural and immunological properties of a recombinant Fatty Acid Binding Protein (FABP) family from L.

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Objective: Gestational anaemia (GA) is common in developing countries. This study assessed the relationship of late GA and negative perinatal outcomes in participants recruited in a reference maternity unit of the Caribbean region of Colombia.

Design: Prospective analytical birth cohort study.

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