546 results on '"Andrew, Porter"'
Search Results
2. High-affinity antibodies specific to the core region of the tau protein exhibit diagnostic and therapeutic potential for Alzheimer’s disease
- Author
-
Mohammad Arastoo, Lewis K. Penny, Richard Lofthouse, Aya Abdallah, Anna Abrahamsson, Pietro Marini, Valeria Melis, Gernot Riedel, Charles R. Harrington, Claude M. Wischik, Andrew Porter, and Soumya Palliyil
- Subjects
Alzheimer’s disease ,Tauopathy ,Tau protein ,Paired helical filament ,Monoclonal antibody ,Diagnostic ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Background Recent advances in blood-based biomarker discovery are paving the way for simpler, more accessible diagnostic tools that can detect early signs of Alzheimer’s disease (AD). Recent successes in the development of amyloid-targeting immunotherapy approaches mark an important advancement in providing new options for the treatment of AD. We have developed a set of high-affinity monoclonal antibodies (mAbs) to tau protein that have the potential as tools for diagnosis and treatment of AD. Methods Sheep were immunised with either full-length tau (1-441) or truncated paired helical filament (PHF)-core tau (297–391). A stringent bio-panning and epitope selection strategy, with a particular focus directed to epitopes within the disease-relevant PHF-core tau, was used to identify single-chain antibodies (scAbs). These scAbs were ranked by affinity for each epitope class, with leads converted to high-affinity mAbs. These antibodies and their potential utility were assessed by their performance in tau immunoassays, as well as their ability to prevent tau aggregation and propagation. Further characterisation of these antibodies was performed by immunohistochemical staining of brain sections and immuno-gold electronmicroscopy of isolated PHFs. Results Our work resulted in a set of high-affinity antibodies reacting with multiple epitopes spanning the entire tau protein molecule. The tau antibodies directed against the core tau unit of the PHF inhibited pathological aggregation and seeding using several biochemical and cell assay systems. Through staining of brain sections and PHFs, the panel of antibodies revealed which tau epitopes were available, truncated, or occluded. In addition, highly sensitive immunoassays were developed with the ability to distinguish between and quantify various tau fragments. Conclusion This article introduces an alternative immunodiagnostic approach based on the concept of a “tauosome” – the diverse set of tau fragments present within biological fluids. The development of an antibody panel that can distinguish a range of different tau fragments provides the basis for a novel approach to potential diagnosis and monitoring of disease progression. Our results further support the notion that tau immunotherapy targeting the PHF-core needs to combine appropriate selection of both the target epitope and antibody affinity to optimise therapeutic potential.
- Published
- 2024
- Full Text
- View/download PDF
3. The Impact of a Virtual Coaching Program to Improve Instructional Alignment to State Standards
- Author
-
Toni M. Smith, Michael S. Garet, Mengli Song, Drew Atchison, and Andrew Porter
- Abstract
This study assesses the impact of a 2-year virtual coaching program on teacher and student outcomes. The program - Feedback on Alignment and Support for Teachers (FAST) - was intended to deepen teachers' understanding of their state's standards and improve the alignment of their instruction with the standards. Relying on a multisite school-level randomized controlled trial, we assessed the impact of the FAST program in fourth-grade math and fifth-grade English language arts (ELA). We found that the program had a positive impact on the alignment of teachers' instruction with state standards for both math and ELA teachers (effect sizes = 0.70 and 0.40, respectively), although the impact was statistically significant only for math teachers. In contrast to a growing body of evidence on the benefits of instructional coaching, the program's impact on student achievement, was in the negative direction for both fourth-grade mathematics and fifth-grade ELA (effect sizes = -0.07 and -0.10, respectively), although the impact on achievement was statistically significant only for ELA. These results suggest that improving instructional alignment alone may not be sufficient for improving student achievement.
- Published
- 2024
- Full Text
- View/download PDF
4. Implementation of problem-based learning modules in an introduction to public health course
- Author
-
Yui Matsuda, Ashley Falcon, Andrew Porter, Aaron Royer, Leah Mohnkern, Diana Vergara, and Yesenia Valiente
- Subjects
problem-based learning ,public health ,undergraduate ,active learning ,education ,students ,Public aspects of medicine ,RA1-1270 - Abstract
IntroductionWith traditional lecture-based learning methods often criticized for their limited ability to foster critical thinking and cognitive engagement, problem-based learning (PBL) has emerged as a promising alternative. This research investigates the impact of PBL on student learning outcomes, specifically focusing on the development of higher-order thinking skills, communication, growth mindset, and metacognitive abilities.MethodsPBL was implemented in an undergraduate public health course at a private university in the southeast US. The study was conducted in the Spring of 2022 using a convergent mixed-methods approach. Quantitative data were derived from university-wide Quality Enhancement Plan surveys and a course-specific PBL survey, which were analyzed using Repeated Measures ANOVA to assess changes in student perceptions over time. Additionally, qualitative data from open-ended survey questions were analyzed through thematic analysis, providing deeper insights into the students’ experiences and perceptions of PBL.ResultsResults indicated significant improvements in student communication skills, growth mindset, and metacognitive abilities across the semester. The thematic analysis of qualitative responses corroborated these findings, revealing enhanced team collaboration, active engagement in problem-solving, and increased comfort with complex real-world issues.DiscussionThe findings contribute to the growing body of evidence supporting PBL and offer practical insights for implementing PBL in public health education. The study also highlights the need for institutional support in adopting innovative teaching methods like PBL, emphasizing faculty development, resource allocation, and curriculum design.
- Published
- 2024
- Full Text
- View/download PDF
5. Intraoperative Fluoroscopy Versus Navigation to Determine Cup Anteversion in Direct Anterior Total Hip Replacement: A Technical Trick for Obtaining 'True' Anteversion
- Author
-
Filippo Romanelli, DO, Ian S. Hong, MD, Jibran A. Khan, DO, Andrew Porter, MD, Jaclyn M. Jankowski, DO, Frank A. Liporace, MD, and Richard S. Yoon, MD
- Subjects
Total hip arthroplasty ,Direct anterior ,Intraoperative imaging ,Fluoroscopy ,Computer-assisted navigation ,Orthopedic surgery ,RD701-811 - Abstract
During acetabular cup positioning, intraoperative measurements of cup anteversion were taken using both fluoroscopy and navigation system. With the C-arm introduced at 40°, an anteroposterior view of the pelvis is taken. The C-arm is then centered over the hip, showing an anteverted cup with an approximate inclination of 40°. The axial C-arm is tilted away until the cup opening is visualized as a straight line, indicating that the beam of the fluoroscopy is aligned with the cup’s anteversion. The tilt angle on the C-arm and anteversion reading on the navigation workstation were recorded. The high degree of agreement between fluoroscopic and navigation measurement of acetabular cup anteversion supports the use of fluoroscopy in settings with limited access to navigation systems in direct anterior total hip arthroplasty.
- Published
- 2024
- Full Text
- View/download PDF
6. Nuclear alpha-synuclein is present in the human brain and is modified in dementia with Lewy bodies
- Author
-
David J. Koss, Daniel Erskine, Andrew Porter, Pawel Palmoski, Hariharan Menon, Olivia G. J. Todd, Marta Leite, Johannes Attems, and Tiago F. Outeiro
- Subjects
Alpha-synuclein ,Dementia with Lewy bodies ,Lewy body disease ,Synucleinopathies ,Nuclear pathology ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Dementia with Lewy bodies (DLB) is pathologically defined by the cytoplasmic accumulation of alpha-synuclein (aSyn) within neurons in the brain. Predominately pre-synaptic, aSyn has been reported in various subcellular compartments in experimental models. Indeed, nuclear alpha-synuclein (aSynNuc) is evident in many models, the dysregulation of which is associated with altered DNA integrity, transcription and nuclear homeostasis. However, the presence of aSynNuc in human brain cells remains controversial, yet the determination of human brain aSynNuc and its pathological modification is essential for understanding synucleinopathies. Here, using a multi-disciplinary approach employing immunohistochemistry, immunoblot, and mass-spectrometry (MS), we confirm aSynNuc in post-mortem brain tissue obtained from DLB and control cases. Highly dependent on antigen retrieval methods, in optimal conditions, intra-nuclear pan and phospho-S129 positive aSyn puncta were observed in cortical neurons and non-neuronal cells in fixed brain sections and in isolated nuclear preparations in all cases examined. Furthermore, an increase in nuclear phospho-S129 positive aSyn immunoreactivity was apparent in DLB cases compared to controls, in both neuronal and non-neuronal cell types. Our initial histological investigations identified that aSynNuc is affected by epitope unmasking methods but present under optimal conditions, and this presence was confirmed by isolation of nuclei and a combined approach of immunoblotting and mass spectrometry, where aSynNuc was approximately tenfold less abundant in the nucleus than cytoplasm. Notably, direct comparison of DLB cases to aged controls identified increased pS129 and higher molecular weight species in the nuclei of DLB cases, suggesting putative pathogenic modifications to aSynNuc in DLB. In summary, using multiple approaches we provide several lines of evidence supporting the presence of aSynNuc in autoptic human brain tissue and, notably, that it is subject to putative pathogenic modifications in DLB that may contribute to the disease phenotype.
- Published
- 2022
- Full Text
- View/download PDF
7. Retinal pigment epithelium extracellular vesicles are potent inducers of age‐related macular degeneration disease phenotype in the outer retina
- Author
-
Marzena Kurzawa‐Akanbi, Phillip Whitfield, Florence Burté, Pietro Maria Bertelli, Varun Pathak, Mary Doherty, Birthe Hilgen, Lina Gliaudelytė, Mark Platt, Rachel Queen, Jonathan Coxhead, Andrew Porter, Maria Öberg, Daniela Fabrikova, Tracey Davey, Chia Shyan Beh, Maria Georgiou, Joseph Collin, Veronika Boczonadi, Anetta Härtlova, Michael Taggart, Jumana Al‐Aama, Viktor I Korolchuk, Christopher M Morris, Jasenka Guduric‐Fuchs, David H Steel, Reinhold J Medina, Lyle Armstrong, and Majlinda Lako
- Subjects
age‐related macular degeneration ,complement factor H ,extracellular vesicles ,human induced pluripotent stem cells ,retinal pigment epithelium ,photoreceptors ,Cytology ,QH573-671 - Abstract
Abstract Age‐related macular degeneration (AMD) is a leading cause of blindness. Vision loss is caused by the retinal pigment epithelium (RPE) and photoreceptors atrophy and/or retinal and choroidal angiogenesis. Here we use AMD patient‐specific RPE cells with the Complement Factor H Y402H high‐risk polymorphism to perform a comprehensive analysis of extracellular vesicles (EVs), their cargo and role in disease pathology. We show that AMD RPE is characterised by enhanced polarised EV secretion. Multi‐omics analyses demonstrate that AMD RPE EVs carry RNA, proteins and lipids, which mediate key AMD features including oxidative stress, cytoskeletal dysfunction, angiogenesis and drusen accumulation. Moreover, AMD RPE EVs induce amyloid fibril formation, revealing their role in drusen formation. We demonstrate that exposure of control RPE to AMD RPE apical EVs leads to the acquisition of AMD features such as stress vacuoles, cytoskeletal destabilization and abnormalities in the morphology of the nucleus. Retinal organoid treatment with apical AMD RPE EVs leads to disrupted neuroepithelium and the appearance of cytoprotective alpha B crystallin immunopositive cells, with some co‐expressing retinal progenitor cell markers Pax6/Vsx2, suggesting injury‐induced regenerative pathways activation. These findings indicate that AMD RPE EVs are potent inducers of AMD phenotype in the neighbouring RPE and retinal cells.
- Published
- 2022
- Full Text
- View/download PDF
8. Effects of Oxygen Flows and Annealing Temperatures on Optical, Electrical, and Structural Properties of Co-Sputtered In2O3-Ga2O3-Zn Thin Films
- Author
-
Yih-Shing Lee, Sheng-Yu Zhao, Yuan-Zhe Lin, Glen Andrew Porter, and Tsung-Cheng Tien
- Subjects
co-sputtering indium–gallium–zinc oxide (IGZO) film ,oxygen flow ,annealing temperature ,X-ray photoelectron spectra ,Crystallography ,QD901-999 - Abstract
This study investigated the effects of oxygen (O2) flow rates and annealing temperatures on optical, electrical, and structural properties of indium–gallium–zinc oxide (IGZO) film on glass substrates fabricated by using a co-sputtering system with two radio-frequency (RF) (In2O3 and Ga2O3) and one direct current (DC) (Zn) magnetron. The average transmittance and optical energy gap increased significantly when the oxygen flow rate was increased from 1 sccm to 3 sccm. An increased O2 flow during co-sputtering IGZO films caused the crystallinity of the InGaZn7O10 phase to increase, yielding a smoother and more uniform granular structure. The carrier mobility rose and the carrier concentration decreased with increasing O2 flow. The results of X-ray photoelectron spectra (XPS) analyses explained the impacts of the O2 flow rates and annealing temperatures on optical and electrical properties of the co-sputtered IGZO films. The optimum process conditions of the co-sputtered In2O3-Ga2O3-Zn films were revealed as an O2 flow rate of 3 sccm and an annealing temperature at 300 °C, which showed the largest average transmittance of 82.48%, a larger optical bandgap of 3.21 eV, and a larger carrier mobility of 7.01 cm2 V−1s−1. XPS results at various annealing temperatures indicated that the co-sputtered IGZO films with an O2 flow rate of 3 sccm have more stable chemical compositions among different annealing temperatures.
- Published
- 2023
- Full Text
- View/download PDF
9. Ultraviolet light-induced collagen degradation inhibits melanoma invasion
- Author
-
Timothy Budden, Caroline Gaudy-Marqueste, Andrew Porter, Emily Kay, Shilpa Gurung, Charles H. Earnshaw, Katharina Roeck, Sarah Craig, Víctor Traves, Jean Krutmann, Patricia Muller, Luisa Motta, Sara Zanivan, Angeliki Malliri, Simon J. Furney, Eduardo Nagore, and Amaya Virós
- Subjects
Science - Abstract
Ultraviolet radiation (UVR) increases melanoma incidence. Here, the authors report that UVR-damaged dermal fibroblasts upregulate MMP1 to degrade collagen which inhibits melanoma invasion and that aged primary melanomas in skin with degraded collagen have a better prognosis, while new collagen synthesis restores invasion and leads to death.
- Published
- 2021
- Full Text
- View/download PDF
10. Diacetyl and Other Ketones in e-Cigarette Aerosols: Some Important Sources and Contributing Factors
- Author
-
Kevin McAdam, Gareth Waters, Serban Moldoveanu, Jennifer Margham, Anthony Cunningham, Carl Vas, Andrew Porter, and Helena Digard
- Subjects
e-cigarette ,diacetyl ,flavors ,acetyl propionyl ,acetoin ,pyrolysis - gas chromatography ,Chemistry ,QD1-999 - Abstract
Background: Concerns over the presence of the diketones 2,4 butanedione (DA) and 2,3 pentanedione (AP) in e-cigarettes arise from their potential to cause respiratory diseases. Their presence in e-liquids is a primary source, but they may potentially be generated by glycerol (VG) and propylene glycol (PG) when heated to produce aerosols. Factors leading to the presence of AP, DA and acetoin (AC) in e-cigarette aerosols were investigated. We quantified direct transfer from e-liquids, examined thermal degradation of major e-liquid constituents VG, PG and 1,3 propanediol (1,3 PD) and the potential for AC, AP and DA production from sugars and flavor additives when heated in e-cigarettes.Method: Transfers of AC, AP and DA from e-liquids to e-cigarette aerosols were quantified by comparing aerosol concentrations to e-liquid concentrations. Thermal generation from VG, PG or 1,3 PD e-liquids was investigated by measuring AC, AP and DA emissions as a function of temperature in an e-cigarette. Thermal generation of AC, AP and DA from sugars was examined by aerosolising e-liquids containing sucrose, fructose or glucose in an e-cigarette. Pyrolytic formation of AP and DA from a range of common flavors was assessed using flash pyrolysis techniques.Results: AC transfer efficiency was >90%, while AP and DA were transferred less efficiently (65%) indicating losses during aerosolisation. Quantifiable levels of DA were generated from VG and PG, and to a lesser extent 1,3 PD at coil temperatures >300°C. Above 350°C AP was generated from VG and 1,3 PD but not PG. AC was not generated from major constituents, although low levels were generated by thermal reduction of DA. Aerosols from e-liquids containing sucrose contained quantifiable (>6 ng/puff) levels of DA at all sucrose concentrations tested, with DA emissions increasing with increasing device power and concentration. 1% glucose, fructose or sucrose e-liquids gave comparable DA emissions. Furanose ring compounds also generate DA and AP when heated to 250°C.Conclusions: In addition to less than quantitative direct transfer from the e-liquid, DA and AP can be present in the e-cigarette aerosol due to thermal decomposition reactions of glycols, sugars and furanonse ring flavors under e-cigarette operating conditions.
- Published
- 2021
- Full Text
- View/download PDF
11. The composition of contemporary American and Swedish smokeless tobacco products
- Author
-
Kevin G. McAdam, Harriet Kimpton, Arif Faizi, Andrew Porter, and Brad Rodu
- Subjects
Smokeless tobacco ,Snus ,Snuff ,Water measurement ,Moisture content ,Chemistry ,QD1-999 - Abstract
Abstract The major components of 70 brands of smokeless tobacco products (STPs) from Sweden and the US were determined to provide greater understanding of the general chemical composition of these products. Various styles of STPs were examined: loose and portion snus from Sweden, and chewing tobacco, dry snuff, moist snuff, hard pellet, soft pellet and plug from the US. The components analysed were major STP components such as water, nicotine, sugars, humectants, sodium ions, chloride ions and ash. The relative quantities of the components varied significantly between different styles of STP. The major component of moist snuff and Swedish loose snus is water. With Swedish portion snus water and pouch material comprise more than half of the product mass; with chewing tobaccos water and sugars comprise around 60% of the products. With these STPs, tobacco was a minor component (30–35%) of the product mass. By way of contrast, tobacco comprised the majority (around 70–90%) of the product mass with dry snuff, hard pellet and soft pellet products. Additives such as sugars, propylene glycol, glycerol, and sodium chloride comprised up to around 12% of the STPs, except for plug and chewing tobaccos where sugars comprised 15–30% by mass of the STP on average. Significant disagreements were found amongst alternative methods of determining water/moisture content for STPs. In particular the oven method, commonly used to determine moisture in tobacco, gave significantly higher values than the Karl Fischer water method when propylene glycol was present. Smaller but similar differences were found using the Near-Infrared method. Choice of measurement technique has important consequences for accuracy of toxicant levels when reporting on a dry-weight basis, a commonly used parameter in smokeless tobacco research and emerging regulatory standards. Conversion to a DWB was also found to produce a preferential bias between and within different STP categories in favour of drier products. These data provide greater understanding of differences in the compositions of contemporary smokeless tobacco products, and demonstrate challenges associated with conversion of actual product contents to dry weight basis values.
- Published
- 2019
- Full Text
- View/download PDF
12. Analysis of coumarin and angelica lactones in smokeless tobacco products
- Author
-
Kevin McAdam, Trevor Enos, Carol Goss, Harriet Kimpton, Arif Faizi, Steve Edwards, Christopher Wright, Andrew Porter, and Brad Rodu
- Subjects
Coumarin ,Angelica lactone ,Smokeless tobacco ,Snuff ,Snus ,Chemistry ,QD1-999 - Abstract
Abstract Differences in health risks between different styles of smokeless tobacco products (STPs) have prompted interest in their relative levels of toxic chemicals. We report here the development of methods for the analysis of STPs for coumarin and for α-angelica lactone (α-AL), both of which have been included in various published lists of tobacco toxicants. We have also determined the concentrations of these lactones in commercial STPs from the US and Sweden, representing 80–90% of the 2010 market share for all the major STP categories in these two countries: 65 products (plus two reference products) for coumarin and 66 commercial products for α-AL. For coumarin, methanol extracts of the STPs were analysed by HPLC/MS/MS. The lower limit of quantification (LOQ) and limit of detection (LOD) were, respectively, 100 and 30 ng coumarin/g of STP on a wet weight basis (WWB). Alpha-AL was determined via direct headspace GC/MS. The LOQ and LOD were 65 and 30 ng/g WWB respectively. Coumarin was detected In 3/33 Swedish snus, 5/13 US chewing tobaccos, 16/16 moist snuffs and 5/6 dry snuffs. Concentrations in those samples with quantifiable coumarin contents ranged from 186 to 1656 ng/g WWB. Concentrations of coumarin measured in this study were consistent with levels naturally found in tobacco. None of the STPs analysed would significantly contribute to coumarin exposure in consumers compared with dietary sources, and estimated exposure levels were 1000× lower than the European Food Safety Authority Tolerable Daily Intake. Hence the relevance of coumarin to the toxicity of STPs and its inclusion in the FDA’s list of harmful and potentially harmful compounds list is questionable. Measurements of α-AL in these STPs found that the majority did not have quantifiable contents, however, for three STPs concentrations of α-AL were above the LOQ (116–140 ng/g WWB) and for four other STPs concentrations of α-AL could be estimated between the LOD and LOQ. Beta-angelica lactone was tentatively identified in three of the STPs but the levels could not be reliably quantified. The levels of α-AL in tobacco products are reported here for the first time, but the relevance of α-AL to the toxicity of STPs is also highly questionable given that it has GRAS status as a permitted food additive.
- Published
- 2018
- Full Text
- View/download PDF
13. The Impact of a Virtual Coaching Program to Improve Instructional Alignment to State Standards
- Author
-
Toni M. Smith, Michael S. Garet, Mengli Song, Drew Atchison, and Andrew Porter
- Subjects
Education - Published
- 2023
14. The identification of carbon dioxide mediated protein post-translational modifications
- Author
-
Victoria L. Linthwaite, Joanna M. Janus, Adrian P. Brown, David Wong-Pascua, AnnMarie C. O’Donoghue, Andrew Porter, Achim Treumann, David R. W. Hodgson, and Martin J. Cann
- Subjects
Science - Abstract
Carbon dioxide can interact with proteins to form carbamate post-translational modifications. Here, the authors developed a strategy to identify carbamate post-translational modifications by trapping carbon dioxide and subsequently identifying the carbamylated proteins.
- Published
- 2018
- Full Text
- View/download PDF
15. STEF/TIAM2-mediated Rac1 activity at the nuclear envelope regulates the perinuclear actin cap
- Author
-
Anna Woroniuk, Andrew Porter, Gavin White, Daniel T. Newman, Zoi Diamantopoulou, Thomas Waring, Claire Rooney, Douglas Strathdee, Daniel J. Marston, Klaus M. Hahn, Owen J. Sansom, Tobias Zech, and Angeliki Malliri
- Subjects
Science - Abstract
The perinuclear actin cap determines nuclear morphology but its regulation is currently poorly understood. Here, the authors find that an activator of the Rac1 GTPase, STEF/TIAM2, localises to the nuclear envelope and contributes to perinuclear actin and myosin tension, which in turn regulates the actin cap.
- Published
- 2018
- Full Text
- View/download PDF
16. Functionalization of polymeric nanoparticles with targeting VNAR ligands using vinyl sulfone conjugation
- Author
-
Adam Leach, Marie Finnegan, Mariana S. Machado, Laura Ferguson, John Steven, Peter Smyth, Andrew Porter, Caroline Barelle, Efrosyni Themistou, and Christopher J. Scott
- Subjects
Chemistry(all) ,Materials Science(all) ,SDG 3 - Good Health and Well-being ,Biomedical Engineering ,General Materials Science ,General Chemistry ,General Medicine - Abstract
Actively targeted drug loaded nanoparticles represent an exciting new form of therapeutics for cancer and other diseases. These formulations are complex and in order to realize their ultimate potential, optimization of their preparation is required. In this current study, we have examined the conjugation of a model targeting ligand, conjugated in a site-specific manner using a vinyl sulfone coupling approach. A disulfide-functionalized poly(L-lactide)-b-poly(oligo(ethylene glycol) methacrylate)-stat-(bis(2-methacryloyl)oxyethyl disulfide) (PLA-b-P(OEGMA-stat-DSDMA)) diblock copolymer was synthesized by simultaneous ring opening polymerization (ROP) and reversible addition-fragmentation chain transfer (RAFT) polymerization. Subsequently, the disulfide bonds of the polymer were reduced to thiols and divinyl sulfone was attached to the polymer using thiol–ene chemistry to produce the vinyl sulfone (VS)-functionalized PLA-b-P(OEGMA-stat-VSTEMA) amphiphilic block copolymer. Single emulsion – solvent evaporation was employed using a blend of this polymer with poly(D,L-lactide-co-glycolide) (PLGA) to produce VS-functionalized polymeric nanoparticles. The ability of these novel nanoparticles to attach ligands was then exemplified using a single domain variable new antigen receptor (VNAR) with a free carboxyl terminal cysteine residue. The resulting VNAR-functionalized nanoparticles were found to maintain specific affinity to their cognate antigen (DLL4) for at least 72 h at 4 °C. The simplicity of the degradable amphiphilic block copolymer synthesis and the efficiency of VNAR conjugation to the VS-functionalized nanoparticles show the potential of this platform for therapeutic development.
- Published
- 2023
17. P197 Evaluating the safety and factors associated with treatment cessation in Takayasu arteritis
- Author
-
Robert T Maughan, Andrew Porter, Chanaka Dahanayake, Claudia Ianonne, Ritu Alapat, Charis Pericleous, Taryn A Youngstein, and Justin Mason
- Subjects
Rheumatology ,Pharmacology (medical) - Abstract
Background/Aims Immunosuppression in Takayasu arteritis (TA) reduces the risk of arterial disease progression. However, long-term use of glucocorticoids (GC) and other agents carries risk, particularly as patients age. GC tapering practice can vary and there are no guidelines on the safety of treatment cessation due to a lack of data. This study describes the cessation of treatment in a large single-centre cohort and evaluates the baseline, clinical and treatment parameters associated with successful treatment stop. Methods The Imperial College Takayasu Arteritis Cohort (UK) was reviewed retrospectively; 158 patients, median follow-up 8.4 [5-13.6] years. Patients with data available within 1 year of audit (31/03/2021) were analysed. Treatment was defined as > 6 months of GC, csDMARD or biologic medication and cessation as stopping treatment for >1 year. Cessation safety was assessed by serial angiography (whole aorta MRI or CT) and NIH disease activity scoring. Baseline demographic, clinical and treatment parameters as well as initial treatment responses were compared for cessation and non-cessation cases. Data are median [IQR], comparisons are non-parametric for continuous variables. Results Of 129 (82%) cases requiring treatment, 107 (83%) remained in care. 29 (27.1%) cases of cessation were identified, time off-treatment was 3.6 [2.5-8.2] years. For 25 (86%) cessation cases, treatment withdrawal was due to sustained quiescence. Infection, non-adherence and tolerance accelerated cessation in 4 cases. Long-term inactivity was confirmed by disease activity scoring in all cases and by angiography where available (23 cases). No instances of treatment restart were observed. Baseline demographic and disease severity parameters were similar in cessation and non-cessation patients (Table). Cessation cases had lower GC doses after 2 years of treatment and a trend towards lower disease activity, suggesting better responses. Relatedly, biologic administration (reserved for refractory disease) was markedly lower in the cessation group. Finally, cessation cases had earlier treatment start years, were older at audit and had an increased proportion of Numano Type V classification. Conclusion In TA, complete treatment cessation is feasible and safe in a proportion of cases. Initial treatment response, treatment duration and Numano type V arterial involvement are potential predictors of successful treatment cessation and may aid future stratification strategies after validation. Disclosure R.T. Maughan: None. A. Porter: None. C. Dahanayake: None. C. Ianonne: None. R. Alapat: None. C. Pericleous: None. T.A. Youngstein: None. J. Mason: None.
- Published
- 2023
18. P201 Inactive Takayasu’s arteritis: a case series analysis of presentations to a tertiary vasculitis centre
- Author
-
Samuel Hanlon, Jan Nouza, Matthew Colquhoun, Japna Satara, Andrew Porter, Robert Maughan, Taryn Youngstein, and Justin Mason
- Subjects
Rheumatology ,Pharmacology (medical) - Abstract
Background/Aims At diagnosis, a proportion of Takayasu’s arteritis (TAK) cases present with imaging evidence consistent with TAK without evidence of active arteritis or systemic disease. Inactive TAK is considered the end-point of a triphasic disease process characterised by a “burnt-out” non-inflammatory fibrotic state. Current EULAR/ACR guidelines recommend immunosuppressive treatment and routine imaging for active TAK but data guiding the management of inactive disease are scarce. The purpose of this case series was to examine baseline characteristics of patients presenting with inactive TAK and investigate disease progression. Methods We performed a retrospective review of the Imperial College Takayasu Arteritis Cohort. TAK diagnosis was based on imaging evidence in combination with clinical history. Disease was determined inactive by activity scoring indices (ITAS2010 + NIH) together with inflammatory markers. MR Angiogram (28/30 cases) and CT Angiogram (2/30) were utilised as imaging modalities to determine vascular involvement. Disease distribution was characterised using the Numano Classification (Table 1). Results 19% (30/158) of patients presented with “inactive disease” at diagnosis. Inactive cases had a median age of diagnosis of 37.8 years, compared to 33.8 in patients with active disease. 48% of inactive cases experienced >2 year delay in reaching diagnosis. Inactive cases did not display significantly elevated inflammatory markers (CRP 3.86, ESR 27.0) at baseline visit and demonstrated arterial lesions on angiography consistent with standard TA definitions in terms of anatomical distribution and characteristics. Inactive patients were followed up with interval MR imaging, allowing us to chart natural disease course without treatment. Of 30 total cases, only five patients developed progression of vascular lesions. Three patients displayed marginal imaging progression without active symptoms together with normal inflammatory markers; these patients did not receive immunosuppression and serial interval imaging demonstrated stable disease, suggesting a non-inflammatory aetiology. Two patients developed progression attributed to active disease, necessitating treatment with immunosuppression. Conclusion A significant proportion of patients have inactive disease at TAK diagnosis. This presents a challenge to the treating clinician and further uncertainty for patients. This case study provides evidence that cases of burnt-out TAK can be managed safely without immunosuppressive treatment using routine imaging surveillance and serum biomarkers. Disclosure S. Hanlon: None. J. Nouza: None. M. Colquhoun: None. J. Satara: None. A. Porter: None. R. Maughan: None. T. Youngstein: None. J. Mason: None.
- Published
- 2023
19. P199 Glucocorticoid taper success after one and two years treatment in the Imperial College Takayasu Arteritis Cohort
- Author
-
Ritu Alapat, Andrew Porter, Charis Pericleous, Taryn A Youngstein, Robert Maughan, and Justin C Mason
- Subjects
Rheumatology ,Pharmacology (medical) - Abstract
Background/Aims The large vessel vasculitis Takayasu arteritis (TA) is initially treated with high dose glucocorticoids (GC) (40-60mg/day), typically with a csDMARD to induce remission. Subsequently, GC doses are tapered to reduce adverse effects. Although current EULAR guidelines tentatively recommend a target GC dose of Methods A retrospective analysis of the Imperial College Takayasu Arteritis Cohort (UK) was undertaken; 158 patients with median follow-up 8.4 [5-13.6] yrs. Patients with sufficient data and typical treatment initiation pattern were analysed, commencing either GC monotherapy or GC + csDMARD and no baseline immunosuppression. Primary outcome: GC Results Of 129 TA cases requiring treatment, 80 (62%) satisfied analysis criteria. Overall, 46 (57.5%) and 59 (73.7%) patients met the primary outcome at years one and two respectively. Of these, 43 (93.5%) and 46 (78%) did so without treatment intensification. Taper success was consistent over time, with 43 (94%) year one taper success cases maintaining status at year two. In most cases (90.5%), year two taper failure was due to inadequate treatment response as confirmed by disease activity scoring (Table). Baseline parameters were similar between groups, except ESR which was significantly lower in the taper success group. As expected, initial treatment with GC monotherapy tended to be lower in the taper success group. At year five, GC doses remained higher and biologic usage was greater in taper failure cases suggesting a more refractory disease course (Table). Conclusion The EULAR GC taper target was achieved in 57.5% of patients, increasing to 73.7% by two years. Clinical implementation of this target is practical and will aid in the reduction of cumulative GC exposure and identification of patients requiring treatment intensification. Disclosure R. Alapat: None. A. Porter: None. C. Pericleous: None. T.A. Youngstein: None. R. Maughan: None. J.C. Mason: None.
- Published
- 2023
20. Supplemental Information from Kub5-HeraRPRD1B Deficiency Promotes 'BRCAness' and Vulnerability to PARP Inhibition in BRCA-proficient Breast Cancers
- Author
-
David A. Boothman, John D. Minna, Yang Xie, Andrew Porter, Yunyun Zhou, Praveen Patidar, Julio C. Morales, Amy Rommel, Luc Girard, Ling Xiao, Farjana J. Fattah, and Edward A. Motea
- Abstract
Supplementary Methods, Figures, and Tables
- Published
- 2023
21. Data from Kub5-HeraRPRD1B Deficiency Promotes 'BRCAness' and Vulnerability to PARP Inhibition in BRCA-proficient Breast Cancers
- Author
-
David A. Boothman, John D. Minna, Yang Xie, Andrew Porter, Yunyun Zhou, Praveen Patidar, Julio C. Morales, Amy Rommel, Luc Girard, Ling Xiao, Farjana J. Fattah, and Edward A. Motea
- Abstract
Purpose:Identification of novel strategies to expand the use of PARP inhibitors beyond BRCA deficiency is of great interest in personalized medicine. Here, we investigated the unannotated role of Kub5-HeraRPRD1B (K-H) in homologous recombination (HR) repair and its potential clinical significance in targeted cancer therapy.Experimental Design:Functional characterization of K-H alterations on HR repair of double-strand breaks (DSB) were assessed by targeted gene silencing, plasmid reporter assays, immunofluorescence, and Western blots. Cell survival with PARP inhibitors was evaluated through colony-forming assays and statistically analyzed for correlation with K-H expression in various BRCA1/2 nonmutated breast cancers. Gene expression microarray/qPCR analyses, chromatin immunoprecipitation, and rescue experiments were used to investigate molecular mechanisms of action.Results:K-H expression loss correlates with rucaparib LD50 values in a panel of BRCA1/2 nonmutated breast cancers. Mechanistically, K-H depletion promotes BRCAness, where extensive upregulation of PARP1 activity was required for the survival of breast cancer cells. PARP inhibition in these cells led to synthetic lethality that was rescued by wild-type K-H reexpression, but not by a mutant K-H (p.R106A) that weakly binds RNAPII. K-H mediates HR by facilitating recruitment of RNAPII to the promoter region of a critical DNA damage response and repair effector, cyclin-dependent kinase 1 (CDK1).Conclusions:Cancer cells with low K-H expression may have exploitable BRCAness properties that greatly expand the use of PARP inhibitors beyond BRCA mutations. Our results suggest that aberrant K-H alterations may have vital translational implications in cellular responses/survival to DNA damage, carcinogenesis, and personalized medicine.
- Published
- 2023
22. Table S1A-D from Kub5-HeraRPRD1B Deficiency Promotes 'BRCAness' and Vulnerability to PARP Inhibition in BRCA-proficient Breast Cancers
- Author
-
David A. Boothman, John D. Minna, Yang Xie, Andrew Porter, Yunyun Zhou, Praveen Patidar, Julio C. Morales, Amy Rommel, Luc Girard, Ling Xiao, Farjana J. Fattah, and Edward A. Motea
- Abstract
Loss of K-H genetic alterations
- Published
- 2023
23. An evaluation and model of the Chinese Kang system to improve indoor thermal comfort in northeast rural China – Part-2: Result analysis
- Author
-
Zhai, Zhiqiang John, Yates, Andrew Porter, Duanmu, Lin, and Wang, Zongshan
- Published
- 2015
- Full Text
- View/download PDF
24. An evaluation and model of the Chinese Kang system to improve indoor thermal comfort in northeast rural China – Part-1: Model development
- Author
-
(John) Zhai, Zhiqiang, Yates, Andrew Porter, Duanmu, Lin, and Wang, Zongshan
- Published
- 2015
- Full Text
- View/download PDF
25. Homer and the Epic Cycle
- Author
-
Andrew Porter
- Abstract
How can the ancient relationship between Homer and the Epic Cycle be recovered? Using findings from the most significant research in the field, many ancient and modern assumptions are questioned and alternative perspectives offered that are better aligned with ancient epic performance realities and modern epic studies. This volume addresses a number of related issues: the misrepresentation of Cyclic (and Homeric) epic by Aristotle and his inheritors (including the part played by mythographers like Proclus); the role of the epic singer, patron/collector, and scribe/poet in the formation of memorialized songs; the relevance of shared patterns and devices and of other traditional connections between ancient epics; and the distinct fates of Homeric (Iliad, Odyssey) and Cyclic epic. The volume provides new answers to an age-old problem.
- Published
- 2022
26. Flow-Shop Scheduling with Transportation Capacity and Time Consideration
- Author
-
Glen Andrew Porter, Ching-Chien Huang, Viet Tinh Nguyen, Chia-Nan Wang, and Syed Tam Husain
- Subjects
Biomaterials ,Operations research ,Mechanics of Materials ,Computer science ,Modeling and Simulation ,Flow shop scheduling ,Electrical and Electronic Engineering ,Transportation capacity ,Computer Science Applications - Published
- 2022
27. Takayasu’s Arteritis
- Author
-
Kaitlin A. Quinn, Durga P. Misra, Aman Sharma, Andrew Porter, Justin Mason, and Peter C. Grayson
- Published
- 2023
28. Academic Impact of COVID-19 in Collegiate Athletes
- Author
-
Samuel Ofei-Dodoo, Elizabeth Lewis, Bob Klug, Thomas Dagg, Andrew Porter, Jordan Smith, Paul Cleland, and Leah Faust
- Published
- 2023
29. Simultaneous multislice acquisition with multi-contrast segmented EPI for separation of signal contributions in dynamic contrast-enhanced imaging.
- Author
-
Klaus Eickel, David Andrew Porter, Anika Söhner, Marc Maaß, Lutz Lüdemann, and Matthias Günther
- Subjects
Medicine ,Science - Abstract
We present a method to efficiently separate signal in magnetic resonance imaging (MRI) into a base signal S0, representing the mainly T1-weighted component without T2*-relaxation, and its T2*-weighted counterpart by the rapid acquisition of multiple contrasts for advanced pharmacokinetic modelling. This is achieved by incorporating simultaneous multislice (SMS) imaging into a multi-contrast, segmented echo planar imaging (EPI) sequence to allow extended spatial coverage, which covers larger body regions without time penalty. Simultaneous acquisition of four slices was combined with segmented EPI for fast imaging with three gradient echo times in a preclinical perfusion study. Six female domestic pigs, German-landrace or hybrid-form, were scanned for 11 minutes respectively during administration of gadolinium-based contrast agent. Influences of reconstruction methods and training data were investigated. The separation into T1- and T2*-dependent signal contributions was achieved by fitting a standard analytical model to the acquired multi-echo data. The application of SMS yielded sufficient temporal resolution for the detection of the arterial input function in major vessels, while anatomical coverage allowed perfusion analysis of muscle tissue. The separation of the MR signal into T1- and T2*-dependent components allowed the correction of susceptibility related changes. We demonstrate a novel sequence for dynamic contrast-enhanced MRI that meets the requirements of temporal resolution (Δt < 1.5 s) and image quality. The incorporation of SMS into multi-contrast, segmented EPI can overcome existing limitations of dynamic contrast enhancement and dynamic susceptibility contrast methods, when applied separately. The new approach allows both techniques to be combined in a single acquisition with a large spatial coverage.
- Published
- 2018
- Full Text
- View/download PDF
30. Activation of RHO-1 in cholinergic motor neurons competes with dopamine signalling to control locomotion.
- Author
-
Clara L Essmann, Katie R Ryan, Muna Elmi, Kimberley Bryon-Dodd, Andrew Porter, Andrew Vaughan, Rachel McMullan, and Stephen Nurrish
- Subjects
Medicine ,Science - Abstract
The small GTPase RhoA plays a crucial role in the regulation of neuronal signalling to generate behaviour. In the developing nervous system RhoA is known to regulate the actin cytoskeleton, however the effectors of RhoA-signalling in adult neurons remain largely unidentified. We have previously shown that activation of the RhoA ortholog (RHO-1) in C. elegans cholinergic motor neurons triggers hyperactivity of these neurons and loopy locomotion with exaggerated body bends. This is achieved in part through increased diacylglycerol (DAG) levels and the recruitment of the synaptic vesicle protein UNC-13 to synaptic release sites, however other pathways remain to be identified. Dopamine, which is negatively regulated by the dopamine re-uptake transporter (DAT), has a central role in modulating locomotion in both humans and C. elegans. In this study we identify a new pathway in which RHO-1 regulates locomotory behaviour by repressing dopamine signalling, via DAT-1, linking these two pathways together. We observed an upregulation of dat-1 expression when RHO-1 is activated and show that loss of DAT-1 inhibits the loopy locomotion phenotype caused by RHO-1 activation. Reducing dopamine signalling in dat-1 mutants through mutations in genes involved in dopamine synthesis or in the dopamine receptor DOP-1 restores the ability of RHO-1 to trigger loopy locomotion in dat-1 mutants. Taken together, we show that negative regulation of dopamine signalling via DAT-1 is necessary for the neuronal RHO-1 pathway to regulate locomotion.
- Published
- 2018
- Full Text
- View/download PDF
31. Frontmatter
- Author
-
Andrew Porter
- Published
- 2008
32. River Dog
- Author
-
Andrew Porter
- Published
- 2008
33. Merkin
- Author
-
Andrew Porter
- Published
- 2008
34. The Theory of Light and Matter
- Author
-
Andrew Porter
- Published
- 2008
35. Azul
- Author
-
Andrew Porter
- Published
- 2008
36. Cover
- Author
-
Andrew Porter
- Published
- 2008
37. Departure
- Author
-
Andrew Porter
- Published
- 2008
38. Storms
- Author
-
Andrew Porter
- Published
- 2008
39. Hole
- Author
-
Andrew Porter
- Published
- 2008
40. European Imperialism, 1860-1914
- Author
-
Andrew Porter
- Published
- 2016
41. Podcasts and Their Potential to Improve Sexual Health Literacy in Adolescents and Young Adults
- Author
-
Julia Chong, P. Christopher Palmedo, Marissa Maddalon, Andrew Porter, Nina Wojtowicz, and Spring Chenoa Cooper
- Subjects
Gerontology ,medicine.medical_specialty ,business.industry ,Public health ,media_common.quotation_subject ,Psychological intervention ,Health literacy ,Literacy ,Education ,medicine ,Social media ,Young adult ,business ,Health communication ,Reproductive health ,media_common - Abstract
Low health literacy poses many problems in the public health field and is linked to numerous negative health outcomes, including STIs and unplanned pregnancies. While many interventions focus on gi...
- Published
- 2021
42. Therapeutic Potential of Shark Anti-ICOSL VNAR Domains is Exemplified in a Murine Model of Autoimmune Non-Infectious Uveitis
- Author
-
Marina Kovaleva, Katherine Johnson, John Steven, Caroline J. Barelle, and Andrew Porter
- Subjects
variable domain of shark new antigen receptor ,single chain binding domain ,shark ,autoimmunity ,phage display ,biologic therapeutics ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Induced costimulatory ligand (ICOSL) plays an important role in the activation of T cells through its interaction with the inducible costimulator, ICOS. Suppression of full T cell activation can be achieved by blocking this interaction and has been shown to be an effective means of ameliorating disease in models of autoimmunity and inflammation. In this study, we demonstrated the ability of a novel class of anti-ICOSL antigen-binding single domains derived from sharks (VNARs) to effectively reduce inflammation in a murine model of non-infectious uveitis. In initial selections, specific VNARs that recognized human ICOSL were isolated from an immunized nurse shark phage display library and lead domains were identified following their performance in a series of antigen selectivity and in vitro bioassay screens. High potency in cell-based blocking assays suggested their potential as novel binders suitable for further therapeutic development. To test this hypothesis, surrogate anti-mouse ICOSL VNAR domains were isolated from the same phage display library and the lead VNAR clone selected via screening in binding and ICOS/ICOSL blocking experiments. The VNAR domain with the highest potency in cell-based blocking of ICOS/ICOSL interaction was fused to the Fc portion of human IgG1 and was tested in vivo in a mouse model of interphotoreceptor retinoid-binding protein-induced uveitis. The anti-mICOSL VNAR Fc, injected systemically, resulted in a marked reduction of inflammation in treated mice when compared with untreated control animals. This approach inhibited disease progression to an equivalent extent to that seen for the positive corticosteroid control, cyclosporin A, reducing both clinical and histopathological scores. These results represent the first demonstration of efficacy of a VNAR binding domain in a relevant clinical model of disease and highlight the potential of VNARs for the treatment of auto-inflammatory conditions.
- Published
- 2017
- Full Text
- View/download PDF
43. Tracheostomy in children promotes persistent neutrophilic airway inflammation
- Author
-
Jason Powell, Steven Powell, Michael W Mather, Lauren Beck, Andrew Nelson, Pawel Palmowski, Andrew Porter, Jonathan Coxhead, Ann Hedley, Jonathan Scott, Anthony J Rostron, Thomas P Hellyer, Fatima Zaidi, Tracey Davey, James P Garnett, Rachel Agbeko, Chris Ward, Christopher J Stewart, Clifford C Taggart, Malcolm Brodlie, and A John Simpson
- Abstract
BackgroundTracheostomies in children are associated with significant morbidity, poor quality of life, excess healthcare costs, and excess mortality. The underlying mechanisms facilitating adverse outcomes in tracheostomised children are poorly understood. We aimed to characterise airway host defence in tracheostomised children using serial molecular analyses.MethodsTracheal aspirates, tracheal cytology brushings, nasal swabs and stool samples were prospectively collected from children with a tracheostomy and controls. Transcriptomic, proteomic, and metabolomic methods were applied to characterise the impact of tracheostomy on host immune response and the airway microbiome.ResultsChildren followed up serially from the time of tracheostomy up to three months post-procedure (n=9) were studied. A validation cohort of children with a long-term tracheostomy was also enrolled (n=24). Controls (n=13) comprised children without a tracheostomy undergoing bronchoscopy. Tracheostomy was associated with new, rapidly emergent and sustained airway neutrophilic inflammation, superoxide production and evidence of proteolysis when compared with controls. In contrast, reduced airway microbial diversity was established pre-tracheostomy and sustained thereafter.ConclusionsChildhood tracheostomy is associated with rapidly emergent and persistent airway neutrophil recruitment and activation, with sustained proteolysis and superoxide generation. These findings suggest neutrophil recruitment and activation as potential exploratory targets in seeking to prevent recurrent airway complications in this vulnerable group of patients.Key messageThe effect tracheostomy has on children is not described. Tracheostomy in children results in persistent local airway neutrophilic inflammation, proteolysis, superoxide production and dysbiosis.
- Published
- 2022
44. Combined acquisition of diffusion and T2*-weighted measurements using simultaneous multi-contrast magnetic resonance imaging
- Author
-
David Andrew Porter, Nora-Josefin Breutigam, Mareike Alicja Buck, Klaus Eickel, Robert Frost, Daniel Christopher Hoinkiss, and Matthias Günther
- Subjects
Diffusion (acoustics) ,Radiological and Ultrasound Technology ,medicine.diagnostic_test ,business.industry ,Image quality ,Computer science ,Biophysics ,Scan types ,Healthy subjects ,Magnetic resonance imaging ,Imaging phantom ,Multi contrast ,medicine ,Radiology, Nuclear Medicine and imaging ,Computer vision ,Artificial intelligence ,business ,T2 weighted - Abstract
Object In this work, we present a technique called simultaneous multi-contrast imaging (SMC) to acquire multiple contrasts within a single measurement. Simultaneous multi-slice imaging (SMS) shortens scan time by allowing the repetition time (TR) to be reduced for a given number of slices. SMC imaging preserves TR, while combining different scan types into a single acquisition. This technique offers new opportunities in clinical protocols where examination time is a critical factor and multiple image contrasts must be acquired. Materials and methods High-resolution, navigator-corrected, diffusion-weighted imaging was performed simultaneously with T2*-weighted acquisition at 3 T in a phantom and in five healthy subjects using an adapted readout-segmented EPI sequence (rs-EPI). Results The results demonstrated that simultaneous acquisition of two contrasts (here diffusion-weighted imaging and T2*-weighting) with SMC imaging is feasible with robust separation of contrasts and minimal effect on image quality. Discussion The simultaneous acquisition of multiple contrasts reduces the overall examination time and there is an inherent registration between contrasts. By using the results of this study to control saturation effects in SMC, the method enables rapid acquisition of distortion-matched and well-registered diffusion-weighted and T2*-weighted imaging, which could support rapid diagnosis and treatment of acute stroke.
- Published
- 2022
45. Reconstructing Laomedon’s Reign in Homer: Olympiomachia, Poseidon’s Wall, and the Earlier Trojan War
- Author
-
Andrew Porter
- Subjects
History of Greece ,DF10-951 - Abstract
Homeric allusions to Laomedon, the walls of Troy, and the first Trojan War reflect a backstory of previous fighting among the Olympians, which helps to explain the Iliadic portrait of Zeus’s fear of insubordination among the other gods.
- Published
- 2014
46. 0696 The Moderating Role of Sleepiness among Intraday Passive and Active Suicidal Ideation
- Author
-
Todd Bishop and Andrew Porter
- Subjects
Physiology (medical) ,Neurology (clinical) - Abstract
Introduction Disrupted sleep has been linked to suicidal thought and behavior. Less is known regarding underlying mechanisms of this relationship. A more nuanced understanding of the link between sleep and suicide may help inform treatment decisions and the development of prevention and intervention strategies. We examine prior day sleepiness as a moderator to the relationship between passive and active suicidal ideation (SI). Methods Young adults (mean age=21.04; SD=2.22) endorsing SI (n=59) at least twice in the past two weeks were enrolled in a trial examining potential iatrogenic effects of the ecological momentary assessment (EMA) of SI. A baseline battery collected data on past suicidal thought and behavior, demographics, and psychological distress. EMA surveys were administered randomly five times per day over four weeks and assessed sleepiness and current emotional state including occurrence and severity of SI and passive/active ideation. Results Altogether, 835 daily average EMA entries were utilized in the present analysis. A significant relationship (p Conclusion This study examined the impact of daily sleepiness on relationships among passive and active SI among young adults endorsing suicidal thought. Findings indicate that the relation between daily passive and active SI severity grows stronger the sleepier one is relative to their average level of sleepiness. Future studies should incorporate objective measures of sleep to further explore these findings and clinical implications. Support (if any) This study was funded by the American Psychological Foundation. This work was also supported, in part, by the VA Center of Excellence for Suicide Prevention. Authors’ views do not necessarily represent those of the Department of Veterans Affairs or the United States Government.
- Published
- 2023
47. P295 Establishing adenosine deaminase 2 activity in a cohort of patients with large vessel vasculitis
- Author
-
Andrew Porter, Robert Maughan, Charis Pericleous, Allan Kiprianos, Hyuk Jee, Pui Lee, Taryn Youngstein, and Justin Mason
- Subjects
Rheumatology ,Pharmacology (medical) - Abstract
Background/Aims Deficiency of adenosine deaminase 2 (DADA2) leads to a broad phenotype; some patients develope vasculitis and strokes, and others have predominantly haematological manifestations. Small, medium and large vessel vasculitis has been described. In contrast, plasma ADA2 activity is elevated in inflammatory conditions including systemic lupus erythematosus and systemic juvenile idiopathic arthritis with macrophage activation syndrome. The role of ADA2 and how its deficiency associates with the vasculitides is not well understood. Using a well-characterised large vessel vasculitis cohort, we sought to establish the potential role of ADA2 activity. Methods ADA2 activity was measured in adults with Takayasu arteritis (TA), large vessel giant cell arteritis (LV-GCA), intracranial vasculitis (IV) and healthy control (HC) subjects using a coupled spectrophotometric assay. Plasma from 11 patients with genotyped DADA2 and 10 patients heterozygous for pathogenic variants in ADA2 were used to define thresholds for deficiency and carrier status respectively (DADA2 activity 0 - 0.90 U/L, ADA2 carrier activity 2.02 - 10.62 U/L). Activity levels above the upper limit of normal (ULN) were defined as > 99th percentile of the HC activity (30.3U/L). To assess potential associations with TA disease status, ADA2 was measured prospectively in matched active and remission samples. TA disease activity was determined as active, grumbling or stable using clinical and radiological features, physician impression, CRP, ESR and Indian Takayasu clinical Activity Score (ITAS). Results No patients had deficient ADA2 activity while 7 subjects had activity within the carrier range (1 HC [1.9%], 5 TA [3.7%], 1 LV-GCA [2.3%]). Compared to HC levels (17.43 [14.11 - 20.78] U/L), activity in the TA group was significantly increased (TA 19.68U/L, p = 0.0061), while LV-GCA and IV were not significantly different. In 20 cases, activity exceeded the ULN; 16 TA (11.9%, p = 0.044; 4 active, 2 grumbling, 10 stable) and 4 LV-GCA (9.1%, ns). In TA, there was a positive correlation between ADA2 activity and ESR (Spearman R = 0.2863, p = 0.0009) but not with CRP or ITAS score. Subgroup analysis revealed ADA2 activity was most prominently elevated in the stable group relative to HCs (TA stable 20.54 U/L [8.08 - 48.66], median +17.8%, p = 0.0006), but not with active or grumbling disease. Consistent with this, prospective analysis demonstrated a significant increase in ADA2 activity in remission vs active disease (p = 0.024), with activity increasing in 18 (62%) patients achieving remission. Conclusion There were no cases of ADA2 deficiency in this cohort. Consistent with other inflammatory conditions, ADA2 activity was elevated in TA compared to HC subjects. Surprisingly, increased ADA2 activity was linked to stable TA in both cross-sectional and prospective analyses. This may suggest a potential role of ADA2 enzyme activity in vascular repair and regrowth - possibly tying in with known elevated levels of ADA2 activity in growing children. Disclosure A. Porter: None. R. Maughan: None. C. Pericleous: None. A. Kiprianos: None. H. Jee: None. P. Lee: None. T. Youngstein: None. J. Mason: None.
- Published
- 2022
48. Inside school turnaround: What drives success?
- Author
-
Kirsten Lee Hill, Laura Desimone, Tonya Wolford, Adrienne Reitano, and Andrew Porter
- Subjects
Education - Abstract
This study proposes an empirically grounded theory of how school reform implementation relates to effectiveness, useful for developing and studying many approaches to school reform both in the U.S. and abroad, and also for assessing how policymakers and implementers might leverage various aspects of implementation to create effective school improvement models at scale. Guided by a new framework that links Bryk and colleagues’ (2010) five essential supports and as reported by Desimone’s (2002) adaptation of Porter and colleagues’ (1986) policy attributes theory, we use a mixed-methods approach to study the implementation and effectiveness of school turnaround efforts in the School District of Philadelphia. We explore the relationships among key turnaround model components, approaches to model implementation, and academic achievement using a matched comparison design and estimating a series of regressions. Qualitative methods are used to contextualize findings and offer explanatory hypotheses.
- Published
- 2022
49. The Art of grid fields: Geometry of neuronal time
- Author
-
Andrey eShilnikov and Andrew Porter Maurer
- Subjects
grid cells ,navigation ,theta ,oscillators ,Phase resetting ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
The discovery of grid cells in the entorhinal cortex has both elucidated our understanding of spatial representations in the brain, and germinated a large number of theoretical models regarding the mechanisms of these cells’ striking spatial firing characteristics. These models cross multiple neurobiological levels that include intrinsic membrane resonance, dendritic integration, after hyperpolarization characteristics and attractor dynamics. Despite the breadth of the models, to our knowledge, parallels can be drawn between grid fields and other temporal dynamics observed in nature, much of which was described by Art Winfree and colleagues long before the initial description of grid fields. Using theoretical and mathematical investigations of oscillators, in a wide array of mediums far from the neurobiology of grid cells, Art Winfree has provided a substantial amount of research with significant and profound similarities. These theories provide specific inferences into the biological mechanisms and extraordinary resemblances across phenomenon. Therefore, this manuscript provides a novel interpretation on the phenomenon of grid fields, from the perspective of coupled oscillators, postulating that grid fields are the spatial representation of phase resetting curves in the brain. In contrast to prior models of gird cells, the current manuscript provides a sketch by which a small network of neurons, each with oscillatory components can operate to form grid cells, perhaps providing a unique hybrid between the competing attractor neural network and oscillatory interference models. The intention of this new interpretation of the data is to encourage novel testable hypotheses.
- Published
- 2016
- Full Text
- View/download PDF
50. Intervention in Takayasu Aortitis: When, Where and How?
- Author
-
Justin C. Mason, Andrew Porter, and Imperial College Healthcare NHS Trust- BRC Funding
- Subjects
030203 arthritis & rheumatology ,Aorta ,medicine.medical_specialty ,business.industry ,Arterial stenosis ,030204 cardiovascular system & hematology ,Renal artery stenosis ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,Large vessel vasculitis ,Internal medicine ,cardiovascular system ,Cardiology ,Medicine ,medicine.symptom ,business ,Claudication ,Aortitis ,Aortic valve regurgitation - Abstract
Takayasu arteritis is a large vessel vasculitis which commonly affects the aorta and its major branches. Active arterial inflammation is characterised by the presence of T and B lymphocytes, natural killer cells, macrophages and occasional multinucleate giant cells. Uncontrolled vascular inflammation can progress to cause arterial stenosis, occlusion or aneurysmal dilatation. Medical treatment involves combination immunosuppression and more recently biologic therapies targeting TNF-α and IL-6. Due to the typical delays in diagnosis and accumulation of arterial injury, open and endovascular surgical intervention are important and potentially life-saving treatment options for Takayasu arteritis. Common indications for surgery include aortic coarctation and ascending aortic dilatation ± aortic valve regurgitation, renal artery stenosis, ischaemic heart disease, supra-aortic disease, mesenteric ischaemia, severe limb-threatening claudication and aneurysm repair. Surgical outcomes are markedly improved in patients with clinically inactive disease and those who receive adequate periprocedural immunosuppression. Decisions regarding surgical approaches are best made as part of a multi-disciplinary team.
- Published
- 2020
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.