12,617 results match your criteria: "Leiden University Medical Center LUMC; 2333 ZA Leiden[Affiliation]"

For glioblastoma patients, the efficacy-targeted therapy is limited to date. Most of the molecular therapies previously studied are lacking efficacy in this population. More trials are needed to study the actual actionability of biomarkers in (recurrent) glioblastoma.

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Chest Pain in Primary Care: A Systematic Review of Risk Stratification Tools to Rule Out Acute Coronary Syndrome.

Ann Fam Med

September 2024

Amsterdam UMC, University of Amsterdam, Academic Medical Center, Departments of General Practice and Public and Occupational Health, Amsterdam Public Health, Amsterdam, The Netherlands.

Purpose: Chest pain frequently poses a diagnostic challenge for general practitioners (GPs). Utilizing risk stratification tools might help GPs to rule out acute coronary syndrome (ACS) and make appropriate referral decisions. We conducted a systematic review of studies evaluating risk stratification tools for chest pain in primary care settings, both with and without troponin assays.

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Classic infantile Pompe disease is caused by abnormal lysosomal glycogen accumulation in multiple tissues, including the brain due to a deficit in acid α-glucosidase. Although treatment with recombinant human acid α-glucosidase has dramatically improved survival, recombinant human acid α-glucosidase does not reach the brain, and surviving classic infantile Pompe patients develop progressive cognitive deficits and white matter lesions. We investigated the feasibility of measuring non-invasively glycogen build-up and other metabolic alterations in the brain of classic infantile Pompe patients.

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Background And Purpose: Data on health-related quality of life (HRQoL) and mood in cerebral amyloid angiopathy (CAA), a disease characterized by stroke and cognitive decline, are limited. We aimed to investigate the impacted domains of life, value-based HRQoL and the prevalence of depression and anxiety in patients with CAA.

Methods: We conducted a cross-sectional study of patients with sporadic (s)CAA, lobar dominant mixed CAA and hypertensive arteriopathy (mixed CAA-HTA), or Dutch-type hereditary (D-)CAA, from prospective outpatient clinic cohorts.

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Background And Aims: Immune checkpoint inhibitors (ICIs) revolutionized cancer treatment. However, ICIs may increase the immune response to non-tumor cells, possibly resulting in increased arterial inflammation, raising the risk of atherosclerotic events. Nevertheless, malignancies may induce a pro-inflammatory state and the association between ICIs and arterial inflammation remains to be clarified.

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Background: A considerable number of patients with chronic thromboembolic pulmonary hypertension (CTEPH) lack a history of venous thromboembolism (VTE).

Objectives: We aimed to examine the annual incidence and prevalence of CTEPH in Denmark and to compare the rates of VTE, bleeding, and mortality between CTEPH patients with and without a history of VTE.

Methods: The Danish National Patient Registry covering all Danish hospitals was used to identify all CTEPH cases between 2009 and 2018, based on combinations of discharge diagnoses using International Classification of Diseases, 10th Revision codes for CTEPH and relevant diagnostic and/or therapeutic interventions.

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Article Synopsis
  • Identifying early-stage mycosis fungoides (MF), a type of skin cancer, is hard because it looks a lot like harmless skin conditions.
  • Researchers are using deep learning (DL), a type of computer technology, to help doctors tell the difference between MF and these benign conditions by looking at images from skin biopsies.
  • The study showed that this DL method can get pretty close to the accuracy of expert doctors, which is promising for improving cancer diagnoses in the future.
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TldR: TnpB's evolutionary shift from transposon nucleases to RNA-guided transcriptional regulators.

Trends Microbiol

November 2024

Department of Chemical and Pharmaceutical Biology, Groningen Research Institute of Pharmacy, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, the Netherlands. Electronic address:

TnpB proteins are transposon-encoded nucleases involved in transposon DNA propagation. Wiegand et al. identified a new class of TnpB-derived proteins, called TnpB-like nuclease-dead repressors (TldRs), which function as RNA-guided transcriptional regulators targeting conserved promoter regions.

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Gene therapy strategies for RAG1 deficiency: Challenges and breakthroughs.

Immunol Lett

December 2024

Department of Immunology, Leiden University Medical Center, Leiden, the Netherlands; Department of Pediatrics, Pediatric Stem Cell Transplantation Program and Laboratory for Pediatric Immunology, Willem-Alexander Children's Hospital, the Netherlands.

Mutations in the recombination activating genes (RAG) cause various forms of immune deficiency. Hematopoietic stem cell transplantation (HSCT) is the only cure for patients with severe manifestations of RAG deficiency; however, outcomes are suboptimal with mismatched donors. Gene therapy aims to correct autologous hematopoietic stem and progenitor cells (HSPC) and is emerging as an alternative to allogeneic HSCT.

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Background: Prevention of rheumatoid arthritis has become a definitive target. However, whether prevention of anti-citrullinated protein antibody (ACPA)-negative rheumatoid arthritis is possible is still unknown. We aimed to assess the efficacy of a 1-year course of methotrexate on the development of rheumatoid arthritis in ACPA-negative people with clinically suspect arthralgia and predicted increased risk of rheumatoid arthritis.

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Objectives: Maternal mortality remains an unfinished global agenda and postpartum hemorrhage (PPH) remains one of the leading causes. The aims of this study were to describe the incidence, underlying causes, and case fatality rate of PPH in public hospitals in eastern Ethiopia.

Methods: This study was part of a larger Ethiopian Obstetric Surveillance System (EthOSS) project - a multicenter surveillance of women admitted to 13 public hospitals in eastern Ethiopia due to any of the five major obstetric conditions: obstetric hemorrhage, eclampsia, uterine rupture, sepsis, and severe anemia - conducted from April 1, 2021 to March 31, 2022.

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In this Correspondence, G. Siuzdak and colleagues present XCMS-METLIN, an extensive resource for metabolomics, lipidomics, and chemical analysis. [Image: see text]

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The impact of statin use on sepsis mortality.

J Clin Lipidol

July 2024

Department of Internal Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, the Netherlands (Drs Li, Winter, Jukema, Rensen, Kooijman); Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, the Netherlands (Drs Le, Winter, Rensen, Kooijman). Electronic address:

Background: Statins exert pleiotropic anti-inflammatory and antioxidant effects in addition to their cholesterol-lowering properties. This study aimed to investigate whether statin use is associated with improved outcomes of sepsis.

Methods: Data from sepsis patients were extracted from the Medical Information Mart for Intensive Care IV database.

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Objectives: Rheumatoid arthritis (RA) has a considerable disease burden with life-long physical limitations, reduced work productivity and high societal costs. Trials on arthralgia at-risk for RA are therefore conducted, aiming to intercept evolving RA and reduce the disease burden. A 1-year course of methotrexate in patients with clinically suspect arthralgia (CSA) caused sustained improvements in subclinical joint inflammation and physical impairments.

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Ithildin is an open-source library and framework for efficient parallelized simulations of excitable media, written in the C++ programming language. It uses parallelization on multiple CPU processors via the message passing interface (MPI). We demonstrate the library's versatility through a series of simulations in the context of the monodomain description of cardiac electrophysiology, including the S1S2 protocol, spiral break-up, and spiral waves in ventricular geometry.

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Article Synopsis
  • Researchers found that changes in a specific part of the p53 gene, called p53β, might be important in causing some types of cancer.
  • They discovered a special change (stop-lost variant) in this gene in four families with a history of certain cancers like colorectal, breast, and thyroid cancer.
  • This change affects how p53β works and can increase cancer risk, showing that we need to look closely at all parts of the p53 gene to better understand cancer and who might be at risk.
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Comment on "Multiple reactions during desensitization may predict decreased efficacy of PEGasparaginase chemotherapy".

Ann Allergy Asthma Immunol

October 2024

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands; Evean "Oostergouw", Center for Specialized Geriatric Care, Zaandam, The Netherlands. Electronic address:

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Agonist antibody to MuSK protects mice from MuSK myasthenia gravis.

Proc Natl Acad Sci U S A

September 2024

Helen L. and Martin S. Kimmel Center for Biology and Medicine at the Skirball Institute, New York University Medical School, New York, NY 10016.

Article Synopsis
  • Myasthenia gravis (MG) is a severe illness that causes muscle weakness because signals from nerves to muscles don't work well.
  • In some types of MG, the body's immune system mistakenly attacks important proteins that help muscles respond to signals.
  • Researchers found that special antibodies from MG patients can cause muscle disease in mice, but a new type of antibody can help treat it without shutting down the whole immune system.
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Article Synopsis
  • - The study investigates the role of oxidized LDL particles (LDLox) in assessing cardiometabolic risk, focusing on their relationship with other biomarkers and risk factors using data from 1089 participants aged 40-75.
  • - Researchers performed correlation analyses and developed machine learning models to predict risks associated with high blood pressure and obesity, achieving promising validation scores that highlighted the significance of LDLox.
  • - The findings provide new insights into how LDL oxidation may interact with aging markers to influence cardiometabolic health, suggesting that further research with larger groups could enhance clinical assessment tools.
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Article Synopsis
  • * Findings reveal that 29% of these patients developed at least one other primary malignancy, with notably higher risks for cutaneous and haematological cancers compared to the general population.
  • * Specifically, patients are at a significantly increased risk for melanomas and squamous cell carcinomas, while no link was found to other solid organ tumors, highlighting the need for clinicians to monitor these risks closely.
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Systems mapping of bidirectional endosomal transport through the crowded cell.

Curr Biol

October 2024

Department of Cell and Chemical Biology, ONCODE institute, Leiden University Medical Center LUMC, Einthovenweg 20, 2333 ZC Leiden, the Netherlands. Electronic address:

Kinesin and dynein-dynactin motors move endosomes and other vesicles bidirectionally along microtubules, a process mainly studied under in vitro conditions. Here, we provide a physiological bidirectional transport model following color-coded, endogenously tagged transport-related proteins as they move through a crowded cellular environment. Late endosomes (LEs) surf bidirectionally on Protrudin-enriched endoplasmic reticulum (ER) membrane contact sites, while hopping and gliding along microtubules and bypassing cellular obstacles, such as mitochondria.

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Probing the glioma micro-environment: Analysis using biopsy in combination with ultra-fast cyclic immunolabeling.

Neoplasia

November 2024

Departments of Neurology and Radiology, Massachusetts General Hospital, and Program in Neuroscience, Harvard Medical School, Boston, MA, USA; Department of Neurosurgery, Leiden University Medical Center, Leiden, the Netherlands; Department of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands. Electronic address:

The interaction between gliomas and the immune system is poorly understood and thus hindering development of effective immunotherapies for glioma patients. The immune response is highly variable during tumor development, and affected by therapies such as surgery, radiation, and chemotherapy. Currently, analysis of these local changes is difficult due to poor accessibility of the tumor and high-morbidity of sampling.

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Soil-transmitted helminth (STH) infections account for a significant global health burden, necessitating mass drug administration with benzimidazole-class anthelmintics, such as albendazole (ALB), for morbidity control. However, ALB efficacy shows substantial variability, presenting challenges for achieving consistent treatment outcomes. We have explored the potential impact of the baseline gut microbiota on ALB efficacy in hookworm-infected individuals through microbiota profiling and machine learning (ML) techniques.

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