35 results match your criteria: "Radboud Institute for Medical Innovation[Affiliation]"

Identification of a sorting motif for Tspan3 to MHCII compartments in human B cells.

Biochim Biophys Acta Biomembr

December 2024

Department of Medical BioSciences, Radboud University Medical Center, Radboud Institute for Medical Innovation, Nijmegen, the Netherlands. Electronic address:

Tetraspanins are four-transmembrane proteins that play fundamental roles in the immune system by enabling processes like migration, proliferation, signaling and protein trafficking. While the importance of cell surface tetraspanins has been established, the function of intracellular tetraspanins is less well understood. Here, we investigated the role of tetraspanin 3 (Tspan3) in lymphocytes.

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Cisplatin-functionalized dual-functional bone substitute granules for bone defect treatment after bone tumor resection.

Acta Biomater

January 2025

Dentistry - Regenerative Biomaterials, Radboudumc, Philips van Leydenlaan 25, 6525 EX Nijmegen, the Netherlands; Radboud Institute for Medical Innovation, Radboudumc, Geert Grooteplein 21, 6525 EZ Nijmegen, the Netherlands. Electronic address:

Invasive bone tumors pose a significant healthcare challenge, often requiring systemic chemotherapy and limb salvage surgery. However, these strategies are hampered by severe side effects, complex post-resection bone defects, and high local recurrence rates. To address this, we developed dual-functional bone substitute biomaterials by functionalizing commercially available bone substitute granules (Bio-Oss® and MBCP®+) with the established anticancer agent cisplatin.

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Background: Salivary duct carcinoma (SDC) is a rare and aggressive subtype of salivary gland cancer, frequently associated with incurable recurrences and distant metastases (R/M). Proliferation of SDC relies on androgen receptor (AR) signalling, prompting the use of combined androgen blockade (CAB, i.e.

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Background: Cell-based strategies are being explored as a therapeutic option for muscular dystrophies, using a variety of cell types from different origin and with different characteristics. Primary pericytes are multifunctional cells found in the capillary bed that exhibit stem cell-like and myogenic regenerative properties. This unique combination allows them to be applied systemically, presenting a promising opportunity for body-wide muscle regeneration.

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Model-informed dose optimization of mycophenolic acid in pediatric kidney transplant patients.

Eur J Clin Pharmacol

November 2024

Department of Pharmacy, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.

Purpose: We aimed to develop and evaluate a population PK model of mycophenolic acid (MPA) in pediatric kidney transplant patients to aid MPA dose optimization.

Methods: Data were collected from pediatric kidney transplant recipients from a Dutch academic hospital (Radboudumc, the Netherlands). Pharmacokinetic model-building and model-validation analyses were performed using NONMEM.

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Objective: Children with PTEN hamartoma tumor syndrome (PHTS) are at increased risk for developing thyroid abnormalities, including differentiated thyroid carcinoma (DTC). The Dutch PHTS guideline recommends ultrasound surveillance starting from age 18. Since the literature describes PHTS patients who developed DTC before age 18, the Dutch PHTS expertise centre has initiated annual ultrasound surveillance starting from age 12.

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In vivo genome editing for inherited retinal disease: Opportunities and challenges.

Mol Ther

August 2024

Center for Medical Genetics Ghent (CMGG), Ghent University Hospital, Ghent, Belgium; Department of Ophthalmology, Ghent University Hospital, Ghent, Belgium; Department of Head & Skin, Ghent University, Ghent, Belgium.

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Heparan sulfate (HS) is a linear polysaccharide with high structural and functional diversity. Detection and localization of HS in tissues can be performed using single chain variable fragment (scFv) antibodies. Although several anti-HS antibodies recognizing different sulfation motifs have been identified, little is known about their interaction with HS.

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PTEN hamartoma tumor syndrome (PHTS) has a broad clinical spectrum including various benign and malignant tumors at varying age of diagnosis. Many patients remain unrecognized, unaware of their increased cancer risk. We aimed to describe the cancer spectrum, age of onset and histopathological cancer characteristics to assess whether specific cancer characteristics could improve PHTS recognition.

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Article Synopsis
  • Posaconazole is important for preventing and treating fungal infections in critically ill patients, but standard dosing only meets prophylaxis targets and not treatment levels.
  • Researchers developed a population pharmacokinetics model to optimize dosing for intravenous treatment of invasive pulmonary aspergillosis in the ICU.
  • An optimized dosing regimen of 300 mg every 12 hours for patients under 100 kg and every 8 hours for those 100 kg and above effectively meets treatment targets, while a maintenance dose of 400 mg every 24 hours achieves necessary drug levels for 14 days.
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Pharmacokinetics of standard versus high-dose rifampin for tuberculosis preventive treatment: A sub-study of the 2R randomized controlled trial.

Int J Antimicrob Agents

July 2024

Respiratory Epidemiology and Clinical Research Unit, Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; McGill International TB Centre, McGill University, Montreal, Quebec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada; Montreal Chest Institute, McGill University Health Centre, Montreal, Quebec, Canada. Electronic address:

Background: Pharmacokinetic data of rifampin, when used for tuberculosis preventive treatment (TPT) are not available. We aimed to describe the pharmacokinetics of rifampin used for TPT, at standard and higher doses, and to assess predictors of rifampin exposure.

Methods: A pharmacokinetic sub-study was performed in Bandung, Indonesia among participants in the 2R randomized trial, which compared TPT regimens of 2 months of high-dose rifampin at 20 mg/kg/day (2R) and 30 mg/kg/day (2R), with 4 months of standard-dose rifampin at 10 mg/kg/day (4R) in adolescents and adults.

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Exploring the Prevalence of Oral Features for Early Detection of PTEN Hamartoma Tumour Syndrome.

Int Dent J

December 2024

Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands; Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, the Netherlands. Electronic address:

Article Synopsis
  • * A study evaluated the oral characteristics of 81 pediatric and 86 adult PHTS patients, finding that adults commonly exhibited oral features like gingival hypertrophy, oral papillomas, and high palate, with nearly all showing at least two oral signs.
  • * Dental professionals play a key role in spotting these oral manifestations, which can prompt early clinical assessments and genetic testing, potentially improving outcomes and life expectancy for patients and their families.
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Background: When performing therapeutic drug monitoring (TDM) for flucloxacillin, it is advised to measure the unbound, not the total, flucloxacillin concentration. To be able to accurately quantify unbound flucloxacillin concentrations, a reliable analytical method is indispensable.

Objective: To determine the influence of temperature and pH of the sample during ultrafiltration on the measured unbound fraction of flucloxacillin.

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Article Synopsis
  • Posaconazole is essential for preventing and treating invasive fungal diseases, and this study focused on creating a personalized dosing strategy to improve treatment outcomes.
  • Researchers evaluated various pharmacokinetic models for posaconazole using data from previous studies and clinical practice to identify the most accurate model for predicting drug levels in patients.
  • The best-performing model demonstrated strong predictive capabilities, particularly when using two prior measurements, suggesting it could optimize posaconazole dosing and enhance antifungal treatment in healthcare settings.
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Background: Interleukin (IL)-13 is a key driver of inflammation and barrier dysfunction in atopic dermatitis (AD). While there is robust evidence that tralokinumab - a monoclonal antibody that neutralizes IL-13 - reduces inflammation and clinical disease activity, less is known about its effects on barrier function.

Objectives: To characterize the effects of tralokinumab treatment on skin barrier function.

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Challenges in conducting clinical research in primary care dentistry.

J Dent

May 2024

Department of Oral and Maxillofacial Surgery, Radboud Institute for Medical Innovation, Radboud University Medical Center, Philips van Leydenlaan 25, EX 6525 Nijmegen, The Netherlands.

The integration of dentistry into primary health care is crucial for promoting patient well-being. However, clinical studies in dentistry face challenges, including issues with study design, transparency, and relevance to primary care. Clinical trials in dentistry often focus on specific issues with strict eligibility criteria, limiting the generalizability of findings.

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Background: Identification of tumor-derived variants in circulating tumor DNA (ctDNA) has potential as a sensitive and reliable surrogate for tumor tissue-based routine diagnostic testing. However, variations in pre(analytical) procedures affect the efficiency of ctDNA recovery. Here, an external quality assessment (EQA) was performed to determine the performance of ctDNA mutation detection work flows that are used in current diagnostic settings across laboratories within the Dutch COIN consortium (ctDNA on the road to implementation in The Netherlands).

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Females with PTEN Hamartoma Tumor Syndrome (PHTS) have breast cancer risks up to 76%. This study assessed associations between breast cancer and lifestyle in European female adult PHTS patients. Data were collected via patient questionnaires (July 2020-March 2023) and genetic diagnoses from medical files.

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Background: Pharmacokinetic data on high-dose isoniazid for the treatment of rifampicin-/multidrug-resistant tuberculosis (RR/MDR-TB) are limited. We aimed to describe the pharmacokinetics of high-dose isoniazid, estimate exposure target attainment, identify predictors of exposures, and explore exposure-response relationships in RR/MDR-TB patients.

Methods: We performed an observational pharmacokinetic study, with exploratory pharmacokinetic/pharmacodynamic analyses, in Indonesian adults aged 18-65 years treated for pulmonary RR/MDR-TB with standardized regimens containing high-dose isoniazid (10-15 mg/kg/day) for 9-11 months.

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Objective: To develop and validate an UPLC-MS/MS assay for simultaneous determination of the total concentration of ceftazidime, ciprofloxacin, flucloxacillin, piperacillin, tazobactam, sulfamethoxazole, N-acetyl sulfamethoxazole and trimethoprim, and the protein-unbound concentration of flucloxacillin, in human plasma to be used for research and clinical practice.

Methods: Sample pretreatment included protein precipitation with methanol. For the measurement of protein-unbound flucloxacillin, ultrafiltration was performed at physiological temperature.

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Autologous natural dendritic cells (nDCs) treatment can induce tumor-specific immune responses and clinical responses in cancer patients. In this phase III clinical trial (NCT02993315), 148 patients with resected stage IIIB/C melanoma were randomized to adjuvant treatment with nDCs (n = 99) or placebo (n = 49). Active treatment consisted of intranodally injected autologous CD1c+ conventional and plasmacytoid DCs loaded with tumor antigens.

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Article Synopsis
  • Tumor immunotherapy, especially in melanoma, is influenced by gut microbiota, which can predict patient survival rates.
  • In the MIND-DC phase III trial, 148 melanoma patients were treated with dendritic cells or placebo, and their gut and serum samples were analyzed for microbial and metabolomic changes.
  • Results indicated that the presence of certain beneficial microbes like Faecalibacterium prausnitzii correlated with better prognosis, suggesting that host-microbe interactions could significantly impact melanoma outcomes.
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Article Synopsis
  • The study aimed to analyze the effects of drug-drug interactions (DDIs) between antiretrovirals (ARVs) and other medications, including over-the-counter (OTC) drugs, on treatment outcomes in real-world settings.
  • Between March 2019 and May 2023, 139 clinical cases were reviewed, revealing that most interactions involved common ARV boosters and highlighted frequent DDI issues with CNS and cardiovascular drugs as well as OTC medications.
  • The findings emphasize the need for careful medication reconciliation, as OTC drugs often led to reduced efficacy of ARVs and toxicity in certain cases, making real-world case data a vital tool for understanding DDIs in clinical practice.
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Tubuloid differentiation to model the human distal nephron and collecting duct in health and disease.

Cell Rep

January 2024

Hubrecht Institute for Developmental Biology and Stem Cell Research-KNAW & University Medical Center Utrecht, 3584 CT Utrecht, the Netherlands; Oncode Institute, Hubrecht Institute-KNAW, 3584 CT Utrecht, the Netherlands. Electronic address:

Organoid technology is rapidly gaining ground for studies on organ (patho)physiology. Tubuloids are long-term expanding organoids grown from adult kidney tissue or urine. The progenitor state of expanding tubuloids comes at the expense of differentiation.

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