1,239 results match your criteria: "Institute of Clinical Science[Affiliation]"

Background: The survival benefit of surgical revascularization in multivessel coronary artery disease is well understood, though it can be modified by left ventricular dysfunction. Chronic exposure to air pollutants has gained more attention recently as a possible non-traditional morbidity and mortality cardiovascular risk factor. This study identified possible 5-year mortality risk factors related to postoperative left ventricular performance, including air pollutants.

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Natural history of valve disease in patients with mucopolysaccharidosis II and the impact of enzyme replacement therapy.

J Inherit Metab Dis

January 2025

Department of Pediatric Cardiology and Structural Heart Diseases, Center for Diseases in Childhood and Adolescence, University Medicine Mainz, Mainz, Germany.

Mucopolysaccharidosis II (MPS II, Hunter syndrome) is a rare, X-linked lysosomal storage disease caused by reduced activity of iduronate-2-sulfatase (I2S), with subsequent cellular accumulation of the glycosaminoglycans (GAGs), heparan sulfate, and dermatan sulfate (DS). DS is a major component of the extracellular matrix of heart valves, which can be affected in MPS II. We investigated the natural history of valve disease in MPS II and the impact of long-term intravenous enzyme replacement therapy (ERT) with recombinant I2S (idursulfase).

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Investigating TCR-pMHC interactions for TCRs without identified epitopes by constructing a computational pipeline.

Int J Biol Macromol

December 2024

Institute of Clinical Science, Zhongshan Hospital, Fudan University, Shanghai 200032, China. Electronic address:

The molecular mechanisms underlying epitope recognition by T cell receptors (TCRs) are critical for activating T cell immune responses and rationally designing TCR-based therapeutics. Single-cell sequencing techniques vastly boost the accumulation of TCR sequences, while the limitation of available TCR-pMHC structures hampers further investigations. In this study, we proposed a computational pipeline that incorporates structural information and single-cell sequencing data to investigate the epitope-recognition mechanisms for TCRs without identified epitopes.

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Rapid genome-wide profiling of DNA methylation and genetic variation using guide positioning sequencing (GPS).

Front Cell Dev Biol

September 2024

Institutes of Biomedical Sciences, Shanghai Medical College, Fudan University, Shanghai, China.

Whole-genome bisulfite sequencing (WGBS) has been extensively utilized for DNA methylation profiling over the past decade. However, it has shown limitations in terms of high costs and inefficiencies. The productivity and accuracy of DNA methylation detection rely critically on the optimization of methodologies and the continuous refinements of related sequencing platforms.

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Application of a single-cell-RNA-based biological-inspired graph neural network in diagnosis of primary liver tumors.

J Transl Med

October 2024

Department of Liver Surgery and Transplantation, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.

Article Synopsis
  • Single-cell technology offers a more comprehensive view of tumors by analyzing both tumor cells and their surrounding microenvironments, potentially improving diagnosis compared to traditional methods that focus solely on pathology.
  • Despite its advantages, single-cell RNA sequencing (scRNA-seq) faces significant issues, including complex data structures and low signal clarity, which hinder its diagnostic use.
  • The authors introduce a graph neural network framework designed for diagnosing primary liver tumors by leveraging scRNA-seq data and intercellular communication networks, demonstrating accurate differentiation between malignant and benign tumors and validating their findings with public datasets.
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Study design and procedures in the incontinence post robot-assisted radical prostatectomy: anatomical and functional causes (IPA) - a prospective observational clinical trial.

Scand J Urol

September 2024

Department of Urology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Urology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.

Article Synopsis
  • The IPA trial is a prospective, multicenter study aimed at understanding the factors that contribute to urinary incontinence after robot-assisted laparoscopic radical prostatectomy (RALP) in patients.
  • It involves detailed evaluations using various imaging and urodynamic tests both before and three months after surgery, with incontinence data collected through patient questionnaires.
  • As of October 2023, the trial has included 207 out of a planned 1,000 patients, and the findings aim to enhance knowledge of post-RALP incontinence to inform better treatment decisions for prostate cancer patients.
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miRNAs in Signal Transduction of SMAD Proteins in Breast Cancer.

Int J Mol Sci

September 2024

Department of Medical and Health Sciences, Collegium Medicum, WSB University, 41-300 Dabrowa Górnicza, Poland.

The aim of this study was to identify miRNAs that could potentially influence the activity of SMAD proteins involved in TGFβ signal transduction in five types of breast cancer in Polish women. Patients with five breast cancer subtypes were included in the study: luminal A ( = 130), luminal B HER2- ( = 100), luminal B HER2+ ( = 96), non-luminal HER2+ ( = 36), and TNBC ( = 43). During surgery, tumor tissue was removed along with a margin of healthy tissue (control).

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  • The study aimed to identify expanded sequence types (eSTs) of Ureaplasma species from amniotic fluid in pregnancies affected by preterm prelabor rupture of membranes (PPROM) using a multilocus sequence typing scheme.
  • It analyzed DNA samples from singleton pregnancies between 24 to 36 weeks gestation and discovered a total of 33 different eSTs, with 21 being novel, while the most common eST was found in 18% of the samples.
  • The research categorized Ureaplasma DNA into two clusters, revealing that cluster II (U. urealyticum) had a higher rate of polymicrobial findings compared to cluster I (U. parvum), but there were
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: Multiple risk factors for coronary artery disease have been identified without answering one of the leading questions related to the extent of the involvement of the epicardial arteries. Trace elements are involved in various stages of atherosclerotic lesion formation and may play a significant role in the advancement of coronary artery disease. : A total of 157 (92 (59%) men and 65 (41%) women) patients with a median age of 71 (65-75) years presenting with chronic coronary syndrome were enrolled in the prospective single-center analysis.

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In end-stage heart failure, which is characterized by persistent or progressive ventricular dysfunction despite optimal medical therapy, a left ventricular assist device (LVAD) can be beneficial. Congestive heart failure provokes inflammatory and prothrombotic activation. The aim of this study was to evaluate the serum concentration of citrullinated histone 3 (CH3) representing neutrophil extracellular trap (NET) formation in patients referred for LVAD implantation.

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Background And Objective: Screening for bladder cancer (BCa) could reduce mortality via early detection of early-stage high-grade (Ta/T1 N0 M0 grade 2-3) disease. Noninvasive biomarkers could aid in screening, but current markers lack the specificity required. The urinary free glycosaminoglycan profile (GAGome) is a promising biomarker for early detection of BCa metabolism.

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Metabolic dysfunction-associated steatotic liver disease (MASLD) has been proposed as a new name for the previous non-alcoholic fatty liver disease (NAFLD). There are some differences between MASLD and NAFLD, e.g.

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Article Synopsis
  • Talar head fractures are uncommon and mostly reported in men, often linked with other foot injuries and caused by high-energy trauma like car accidents and falls.
  • The study analyzed 32 patients with 33 fractures, focusing on fracture characteristics, treatment options, and outcomes over at least two years.
  • Most fractures required surgical intervention, primarily through screw fixation, with a notable absence of avascular necrosis in the cohort.
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  • * Researchers compared the immune profiles of MM patients with healthy individuals using flow cytometry and tracked changes during chemotherapy treatments, identifying significant shifts in immune cell types.
  • * The study found that MM patients had an altered immune landscape, revealing potential diagnostic and prognostic markers for therapy, with specific immune cells showing notable changes during chemotherapy cycles.
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Background: Aortic valve infective endocarditis (IE) is associated with significant morbidity and mortality. We aimed to describe the clinical profile, risk factors and predictors of short- and long-term mortality in patients with aortic valve IE treated with aortic valve replacement (AVR) compared with a control group undergoing AVR for non-infectious valvular heart disease.

Methods: Between January 2008 and December 2013, a total of 170 cases with IE treated with AVR (exposed cohort) and 677 randomly selected non-infectious AVR-treated patients with degenerative aortic valve disease (controls) were recruited from three tertiary hospitals with cardiothoracic facilities across Scandinavia.

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Assessment of the reliability, responsiveness, and meaningfulness of the scale for the assessment and rating of ataxia (SARA) for lysosomal storage disorders.

J Neurol

October 2024

Unité Des Ataxies Cérébelleuses, Service de Neurologie, Médiathèque Jean Jacquy, CHU-Charleroi, 6000, Charleroi, Belgium.

Article Synopsis
  • The study evaluated the Scale for the Assessment and Rating of Ataxia (SARA) for its reliability and validity in patients with neurological symptoms from lysosomal storage disorders (LSDs), particularly Niemann-Pick disease type C and GM2 Gangliosidoses.
  • Data from three clinical trials involving 122 patients and 703 visits were analyzed, focusing on retest reliability, responsiveness, and identifying meaningful changes in SARA scores through various global impression assessments.
  • Results showed high reliability (ICC of 0.95+) and minimal change in SARA scores over time, with patient interviews indicating that a one-point improvement on the SARA scale is clinically significant for patients' everyday lives.
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The progression of global warming results in an increased exposure to extreme heat, leading to exaggeration of preexisting diseases and premature deaths. The aim of the study was to present possible risk factors for all-cause long-term mortality in patients who underwent surgical revascularization, including an assessment of the influence of ambient temperature exposure. Retrospective analysis included 153 (123 (80%) males and 30 (20%) females) patients who underwent off-pump revascularization and were followed for a median time of 2533 (1035-3250) days.

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Objective: Hip osteoarthritis is a common cause of disability and surgery is often unavoidable. Patient satisfaction is high and functional ability improves after surgery. However, residual impairment and pain are common.

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Cellular Components of the Blood-Brain Barrier and Their Involvement in Aging-Associated Cognitive Impairment.

Aging Dis

July 2024

Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.

Human life expectancy has been significantly extended, which poses major challenges to our healthcare and social systems. Aging-associated cognitive impairment is attributed to endothelial dysfunction in the cardiovascular system and neurological dysfunction in the central nervous system. The central nervous system is considered an immune-privileged tissue due to the exquisite protection provided by the blood-brain barrier.

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Neoadjuvant Immunotherapy for Patients With Microsatellite Instability-High or POLE-Mutated Locally Advanced Colorectal Cancer With Bulky Tumors: New Optimization Strategy.

Clin Colorectal Cancer

July 2024

State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers, Beijing Key Laboratory of Carcinogenesis and Translational Research, Gastrointestinal Cancer Center, Unit III, Peking University Cancer Hospital & Institute, Beijing 100142, China. Electronic address:

To evaluate the efficacy and safety of neoadjuvant immunotherapy for patients with microsatellite instability-high (MSI-H) or DNA polymerase ε (POLE)-mutated locally advanced colorectal cancer (LACRC) with bulky tumors.  PATIENTS: We retrospectively reviewed 22 consecutive patients with MSI-H or POLE-mutated LACRC with bulky tumors (>8 cm in diameter) who received preoperative programmed death-1 blockade, with or without CapOx chemotherapy.  MAIN OUTCOME MEASURES: Pathological complete response (pCR), clinical complete response (cCR), toxicity, R0 resection rate, and complications were evaluated.

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Background: Coronary artery atherosclerosis development and progression are related to generic, clinical, and lifestyle factors combined with inflammatory activation. The relationship between trace element concentration and morbidity is under investigation to gain a clearer understanding of underlying pathological processes.

Methods: Thirty-five consecutive patients (22 males and 13 females) with a median [interquartile range (IQR)] age of 67 (61-73) years presenting with anginal symptoms were included in the single center prospective analysis in 2022 and divided into a epicardial coronary artery disease (CAD) and non-CAD group.

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Background: Thoracic aortic aneurysms are often an accidental finding and result from a degenerative process. Medical therapy includes pharmacological control of arterial hypertension and smoking cessation, that slows the growth of aneurysms. An association between the dilatation of the ascending and abdominal aorta has been already reported.

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FIGO good practice recommendations on optimizing models of care for the prevention and mitigation of preterm birth.

Int J Gynaecol Obstet

September 2024

Department of Obstetrics and Gynecology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

The global challenge of preterm birth persists with little or no progress being made to reduce its prevalence or mitigate its consequences, especially in low-resource settings where health systems are less well developed. Improved delivery of respectful person-centered care employing effective care models delivered by skilled healthcare professionals is essential for addressing these needs. These FIGO good practice recommendations provide an overview of the evidence regarding the effectiveness of the various care models for preventing and managing preterm birth across global contexts.

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Purpose: Etoposide to standard R-CHOP is used for high-risk diffuse large B-cell lymphoma (DLBCL) in some countries. Due to the lack of randomized trials, a real-world data study using matching methods was used to test the potential effectiveness of R-CHOEP over R-CHOP.

Patients And Methods: This study included patients from the Danish Lymphoma Register diagnosed between 2006 and 2020 at the age of 18-60 years with de novo DLBCL and age-adjusted IPI ≥2.

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