125 results on '"Lewis EM"'
Search Results
2. A telephone support group intervention for non-HIV-infected fathers of HIV-infected children.
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Battles HB, Wiener LS, Lewis EM, Patel R, and Grant SM
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Fathers of HIV-infected children are rarely targeted as a group for specific psychosocial support and intervention. This paper is intended to provide an in-depth case description of a specific telephone group intervention and its percieved effectiveness by group members. Themes covered during the group intervention included diagnosis disclosure, coping, relationship issues, stigma, need for social and concrete support, medical care, and losses. The group was percieved to be effective in bringing together fathers of HIV-infected children. The fathers came from geographically diverse regions and without the group they might not have the opportunity to talk openly with others. All of the participants believed the group to be a valuable resource and would recommend it to others. The findings suggest that this is a cost-effective intervention that provides support to people who are either geographically distanced from each other or who are not emotionally ready to participate in a face-to-face support group. [ABSTRACT FROM AUTHOR]
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- 2003
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3. Regional collaboratives. Data collection for nursing work force strategic planning in California.
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Sechrist KR, Lewis EM, and Rutledge DN
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- 1999
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4. NATIONAL REPORTS: New Jersey.
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Lewis, EM
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THEATERS ,THEATRICAL producers & directors - Abstract
An interview with Jane Mandel and Cheryl Katz, artistic director and literary manager of Luna Stage in West Orange, New Jersey, respectively, is presented. Mandel describes her foray into the theater, her founding of Luna and its first production of "In the Name of the Woman." Katz discusses the type of audience for Luna, open talkbacks after readings of plays, and their network with New Jersey playwrights.
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- 2013
5. Guest editorial.
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Lewis EM and Marshall LC
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- 1997
6. Resistance and lifetime measurements of polymer solar cells using glycerol doped poly[3,4-ethylenedioxythiophene]: poly[styrenesulfonate] hole injection layers
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Lewis Emma, Mantha Bhaskar, and Barber Richard P.
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Renewable energy sources ,TJ807-830 - Abstract
We have performed resistivity measurements of poly[3,4-ethylenedioxythiophene]: poly[styrenesulfonate] (PEDOT:PSS) films with varying concentrations of glycerol. Resistivity is seen to decrease exponentially from roughly 3 Ω-cm for pure PEDOT:PSS to 3 × 10-2Ω-cm for 35 mg/cm3 glycerol in PEDOT:PSS. Beyond this concentration adding glycerol does not significantly change resistivity. Bulk heterojunction polymer solar cells using these variously doped PEDOT:PSS layers as electrodes were studied to characterize the effects on efficiency and lifetime. Although our data display significant scatter, lowering the resistance of the PEDOT:PSS layers results in lower device resistance and higher efficiency as expected. We also note that the lifetime of the devices tends to be reduced as the glycerol content of PEDOT:PSS is increased. Many devices show an initial increase in efficiency followed by a roughly exponential decay. This effect is explained based on concomitant changes in the zero bias conductance of the samples under dark conditions.
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- 2014
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7. Varicella vaccination and ischemic stroke in children: is there an association?
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Donahue JG, Kieke BA, Yih WK, Berger NR, McCauley JS, Baggs J, Zangwill KM, Baxter R, Eriksen EM, Glanz JM, Hambidge SJ, Klein NP, Lewis EM, Marcy SM, Naleway AL, Nordin JD, Ray P, Belongia EA, and Vaccine Safety DataLink Team
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- 2009
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8. Real-time vaccine safety surveillance for the elderly detection of adverse events.
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Lieu TA, Kulldorff M, Davis RL, Lewis EM, Weintraub E, Yih K, Yin R, Brown JS, and Platt R
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- 2007
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9. THE EDGE OF ROSS ISLAND.
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Lewis, EM
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- LEWIS, E. M., EDGE of Ross Island, The (Theatrical production)
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The play "The Edge of Ross Island" by E. M. Lewis is presented.
- Published
- 2009
10. Defining the molecular identity and morphology of glia limitans superficialis astrocytes in vertebrates.
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Hasel P, Cooper ML, Marchildon AE, Rufen-Blanchette U, Kim RD, Ma TC, Groh AMR, Hill EJ, Lewis EM, Januszewski M, Light SEW, Smith CJ, Stratton JA, Sloan SA, Kang UJ, Chao MV, and Liddelow SA
- Abstract
Astrocytes are a highly abundant glial cell type and perform critical homeostatic functions in the central nervous system. Like neurons, astrocytes have many discrete heterogeneous subtypes. The subtype identity and functions are, at least in part, associated with their anatomical location and can be highly restricted to strategically important anatomical domains. Here, we report that astrocytes forming the glia limitans superficialis, the outermost border of the brain and spinal cord, are a highly specialized astrocyte subtype and can be identified by a single marker: myocilin (Myoc). We show that glia limitans superficialis astrocytes cover the entire brain and spinal cord surface, exhibit an atypical morphology, and are evolutionarily conserved from zebrafish, rodents, and non-human primates to humans. Identification of this highly specialized astrocyte subtype will advance our understanding of CNS homeostasis and potentially be targeted for therapeutic intervention to combat peripheral inflammatory effects on the CNS., Competing Interests: Declaration of interests S.A.L. maintains a financial interest in AstronauTx, Ltd., and Synapticure and is a science advisory board (SAB) member of the Global BioAccess Fund., (Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2025
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11. Perceived acceptability and appropriateness of a web-based program targeting risk for anxiety in young children and their parents.
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Mirzadegan IA, Lewis EM, Cole SL, and Meyer A
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- Humans, Female, Male, Child, Preschool, Child, Adult, Patient Acceptance of Health Care psychology, Qualitative Research, Parents psychology, Cognitive Behavioral Therapy methods, Anxiety prevention & control, Anxiety psychology, Internet-Based Intervention
- Abstract
Objective: This mixed-methods study examined perceived acceptability and appropriateness of a novel digital mental health program targeting anxiety risk (i.e., perfectionism or error sensitivity) in 5-to-7-year-old children and their parents., Methods: Parent-child dyads participated in a modular, web-based cognitive-behavioral program targeting negative overreactions to making mistakes. The program, "Making Mistakes", consisted of a 6-month series of short video clips, journaling activities, and weekly reminders, and modules were delivered to caregivers and children separately. 86 dyads completed self-report measures, 18 of whom participated in semi-structured interviews, following completion of the primary program module. A standard thematic analysis was used to elucidate themes from the parent and child interview content., Results: Our quantitative and qualitative results were generally aligned. Children and parents viewed the novel digital mental health program as acceptable and appropriate, favoring the cognitive behavioral strategies such as modeling positive reactions to mistakes, responding positively to child mistakes, and emphasizing effort over outcome. Participants also provided helpful feedback related to program content, delivery, and engagement, as well as suggestions to enhance the program., Conclusions: Findings have implications for design and content features of parent-based and dyad-based programs, as well as digital mental health programs focused on reducing anxiety risk., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2025
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12. Understanding preferences for receiving health communications and information about clinical trials: a cross-sectional study among US adults.
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Majumdar D, Webb D, Parsons S, Selwan-Lewis EM, Rettig T, Chastain E, Obanor W, Birnberg R, and Kuang A
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Objective: Effective health communication is critical for understanding and acting on health information. This cross-sectional study explored participants' understanding of their health condition, their preferences for receiving health communications, and their interest in receiving clinical trial results across several therapeutic areas., Methods: The study recruited participants via social media, email newsletters, and advocacy organizations. An online screener captured demographic information (health conditions, age, race/ethnicity, gender, and education). Eligible participants were emailed an online survey assessing preferred sources and formats for receiving health information, interest in learning about topics related to the results of clinical trials, and health literacy levels., Results: In total, 449 participants (median age, 35 years [range, 18-76]; White, 53%; higher education, 65%; mean (range) health literacy score, 1.9 [0.4-3.0]) from 45 US states completed the survey representing 12 disease indications (bipolar, blood and solid tumor cancers, irritable bowel syndrome, inflammatory bowel disease, major depressive disorder, migraine, Parkinson's, psoriasis/atopic dermatitis, retinal vein occlusion/macular degeneration, rheumatoid arthritis, and spasticity). Healthcare providers were the preferred source of health information (59%), followed by Internet searches (11%). Least preferred sources were social media (5%), friends/family (3%), and email newsletters (2%). Participants preferred multiple formats and ranked reading materials online as most preferred (33%), along with videos (28%) and infographics (27%). Printed materials (14%) and audio podcasts (9%) were the least preferred formats. A majority of the participants reported that the health information they found was hard to understand (57%) and confusing (62%). Most participants (85%) were somewhat/very interested in learning about clinical trial results, with the highest interest in short summaries of safety (78%) and efficacy (74%) results., Conclusion: Effective health communication may be achieved via multiple formats shared directly by healthcare providers.
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- 2024
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13. Evaluation of gadolinium-based contrast agents in juvenile CD-1 mice including behavioral evaluations.
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Lewis EM, Jones P, Clemens G, Fretellier N, Bussi S, Hirani E, Czupalla O, Tedoldi F, Bourrinet P, and Hoberman AM
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- Mice, Humans, Animals, Gadolinium pharmacology, Magnetic Resonance Imaging, Brain, Contrast Media pharmacology, Organometallic Compounds pharmacology
- Abstract
Introduction: Seven gadolinium-based contrast agents (GBCAs), four linear and three macrocyclic, were evaluated for potential effects on development, including behavior of juvenile CD-1 mice., Methods: The GBCAs were administered via intravenous injection once daily on postnatal day (PND) 9, 12, 15, 18, and 21 (PND 1 was the day of delivery) at doses up to twice the human equivalent clinical dose (i.e., 0.63 mmol Gd/kg for gadoxetate disodium and 2.5 mmol Gd/kg for the other GBCAs). Mice were bled for evaluation of exposure (plasma) to gadolinium (Gd) on PND 9, 12, and 70. At scheduled euthanasia, the liver, spleen, brain, skin (dorsal surface), bone (left femur), and kidneys were excised from up to six mice/sex/group on PND 10, 22, or 70 for the determination of Gd levels and histopathological analysis. All mice were monitored for toxicity, growth and survival, sexual maturation, and behavior., Conclusion: Gd was quantifiable in the brain tissues with levels declining over time. There was no long-term effect on the growth and development for mice exposed to any of the GBCAs. There was no impact on neurodevelopment as assessed by brain histology and validated neurobehavioral tests, including a functional observational battery, motor activity, and learning and memory as evaluated in the Morris water maze. For all GBCAs, the highest dose tested represented the no-observable-adverse-effect level in juvenile mice., (© 2023 Charles River Laboratories, Inc., Horsham, PA. Birth Defects Research published by Wiley Periodicals LLC.)
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- 2024
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14. Evaluation of gadolinium-based contrast agents in pregnant CD-1 mice and subsequent in utero exposure of the developing offspring, including behavioral evaluations.
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Lewis EM, Bussi S, Fretellier N, Clemens G, Jones P, Tedoldi F, Bourrinet P, Czupalla O, Hirani E, and Hoberman AM
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- Pregnancy, Female, Mice, Humans, Animals, Magnetic Resonance Imaging, Brain, Contrast Media adverse effects, Gadolinium toxicity, Gadolinium DTPA
- Abstract
Introduction: The offspring of CD-1 mice exposed during pregnancy to one of seven gadolinium-based contrast agents (GBCAs) were evaluated for potential effects on postnatal development and behavior. The GBCAs, comprising four linear (gadopentetate dimeglumine, gadodiamide, gadobenate dimeglumine, and gadoxetate disodium) and three macrocyclic (gadoterate meglumine, gadoteridol, and gadobutrol), were administered via intravenous injection once daily from Gestation Day 6 through 17 following confirmed mating (Day 0) at doses of at least twice the human equivalent recommended clinical dose (i.e., 0.63 mmol Gd/kg for gadoxetate disodium and 2.5 mmol Gd/kg for the other GBCAs). All dams were allowed to deliver naturally. F0 generation females were monitored for maternal toxicity and gadolinium (Gd) levels in blood and brain. Offspring were evaluated for Gd levels in blood and brain at birth and on Day 70 postpartum. F1 generation mice were evaluated for survival and growth preweaning. Selected pups/litter were evaluated postweaning for sexual maturation, growth, and behavior. Gd was quantifiable in the brain of the F1 offspring on PND 1, with levels declining over time. There was no long-term effect of any GBCA on the growth and development of any offspring. There was no impact on neurodevelopment, as assessed by brain histology and validated neurobehavioral tests, including a battery of functional observational tests, motor activity, and learning and memory as evaluated in the Morris water maze., Conclusion: At the end of the postweaning period, the highest dose tested was considered the no-observable-adverse-effect level (NOAEL) in the F0 and F1 offspring for all tested GBCAs., (© 2023 Charles River Laboratories, Inc., Horsham, PA. Birth Defects Research published by Wiley Periodicals LLC.)
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- 2024
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15. Revealing the biology behind MRI signatures in high grade glioma.
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Lewis EM, Mao L, Wang L, Swanson KR, Barajas RF, Li J, Tran NL, Hu LS, and Plaisier CL
- Abstract
Magnetic resonance imaging (MRI) measurements are routinely collected during the treatment of high-grade gliomas (HGGs) to characterize tumor boundaries and guide surgical tumor resection. Using spatially matched MRI and transcriptomics we discovered HGG tumor biology captured by MRI measurements. We strategically overlaid the spatially matched omics characterizations onto a pre-existing transcriptional map of glioblastoma multiforme (GBM) to enhance the robustness of our analyses. We discovered that T1+C measurements, designed to capture vasculature and blood brain barrier (BBB) breakdown and subsequent contrast extravasation, also indirectly reveal immune cell infiltration. The disruption of the vasculature and BBB within the tumor creates a permissive infiltrative environment that enables the transmigration of anti-inflammatory macrophages into tumors. These relationships were validated through histology and enrichment of genes associated with immune cell transmigration and proliferation. Additionally, T2-weighted (T2W) and mean diffusivity (MD) measurements were associated with angiogenesis and validated using histology and enrichment of genes involved in neovascularization. Furthermore, we establish an unbiased approach for identifying additional linkages between MRI measurements and tumor biology in future studies, particularly with the integration of novel MRI techniques. Lastly, we illustrated how noninvasive MRI can be used to map HGG biology spatially across a tumor, and this provides a platform to develop diagnostics, prognostics, or treatment efficacy biomarkers to improve patient outcomes.
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- 2023
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16. Integrated molecular and multiparametric MRI mapping of high-grade glioma identifies regional biologic signatures.
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Hu LS, D'Angelo F, Weiskittel TM, Caruso FP, Fortin Ensign SP, Blomquist MR, Flick MJ, Wang L, Sereduk CP, Meng-Lin K, De Leon G, Nespodzany A, Urcuyo JC, Gonzales AC, Curtin L, Lewis EM, Singleton KW, Dondlinger T, Anil A, Semmineh NB, Noviello T, Patel RA, Wang P, Wang J, Eschbacher JM, Hawkins-Daarud A, Jackson PR, Grunfeld IS, Elrod C, Mazza GL, McGee SC, Paulson L, Clark-Swanson K, Lassiter-Morris Y, Smith KA, Nakaji P, Bendok BR, Zimmerman RS, Krishna C, Patra DP, Patel NP, Lyons M, Neal M, Donev K, Mrugala MM, Porter AB, Beeman SC, Jensen TR, Schmainda KM, Zhou Y, Baxter LC, Plaisier CL, Li J, Li H, Lasorella A, Quarles CC, Swanson KR, Ceccarelli M, Iavarone A, and Tran NL
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- Humans, Homozygote, Sequence Deletion, Magnetic Resonance Imaging methods, Brain Neoplasms diagnostic imaging, Brain Neoplasms genetics, Brain Neoplasms pathology, Multiparametric Magnetic Resonance Imaging, Glioma diagnostic imaging, Glioma genetics, Glioma pathology, Biological Products
- Abstract
Sampling restrictions have hindered the comprehensive study of invasive non-enhancing (NE) high-grade glioma (HGG) cell populations driving tumor progression. Here, we present an integrated multi-omic analysis of spatially matched molecular and multi-parametric magnetic resonance imaging (MRI) profiling across 313 multi-regional tumor biopsies, including 111 from the NE, across 68 HGG patients. Whole exome and RNA sequencing uncover unique genomic alterations to unresectable invasive NE tumor, including subclonal events, which inform genomic models predictive of geographic evolution. Infiltrative NE tumor is alternatively enriched with tumor cells exhibiting neuronal or glycolytic/plurimetabolic cellular states, two principal transcriptomic pathway-based glioma subtypes, which respectively demonstrate abundant private mutations or enrichment in immune cell signatures. These NE phenotypes are non-invasively identified through normalized K2 imaging signatures, which discern cell size heterogeneity on dynamic susceptibility contrast (DSC)-MRI. NE tumor populations predicted to display increased cellular proliferation by mean diffusivity (MD) MRI metrics are uniquely associated with EGFR amplification and CDKN2A homozygous deletion. The biophysical mapping of infiltrative HGG potentially enables the clinical recognition of tumor subpopulations with aggressive molecular signatures driving tumor progression, thereby informing precision medicine targeting., (© 2023. Springer Nature Limited.)
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- 2023
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17. Hawkmoth and bee pollinators impact pollen dispersal at the landscape but not local scales in two species of Oenothera.
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Lewis EM, Fant JB, Moore MJ, and Skogen KA
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- Bees genetics, Animals, Pollination, Plant Breeding, Pollen genetics, Flowers, Oenothera, Onagraceae, Moths
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Premise: Animal pollinators play an important role in pollen dispersal. Here, we assessed differences in pollen and seed dispersal and the role of pollinator functional groups with different foraging behaviors in generating patterns of genetic diversity over similar geographic ranges for two closely related taxa. We focused on two members of Oenothera section Calylophus (Onagraceae) that co-occur on gypsum outcrops throughout the northern Chihuahuan Desert but differ in floral phenotype and primary pollinator: Oenothera gayleana (bee) and O. hartwegii subsp. filifolia (hawkmoth)., Methods: We measured breeding system and floral traits and studied gene flow and population differentiation at the local (<13 km; four populations) and landscape (60-440 km; five populations) scales using 10-11 nuclear (pollen dispersal) and three plastid (seed dispersal) microsatellite markers., Results: Both taxa were self-incompatible and floral traits were consistent with expectations for different pollinators. Seed and pollen dispersal patterns were distinctly different for both species. We found no evidence of genetic structure at the local scale but did at the landscape scale; O. gayleana showed greater differentiation and significant isolation by distance than in O. hartwegii subsp. filifolia. The plastid data were consistent with gravity dispersal of seeds and suggest that pollen dispersal is the principal driver of genetic structure in both species., Conclusions: We demonstrated that pollinator functional groups can impact genetic differentiation in different and predictable ways. Hawkmoths, with larger foraging distances, can maintain gene flow across greater spatial scales than bees., (© 2023 The Authors. American Journal of Botany published by Wiley Periodicals LLC on behalf of Botanical Society of America.)
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- 2023
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18. Systematic integration of protein-affecting mutations, gene fusions, and copy number alterations into a comprehensive somatic mutational profile.
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Striker SS, Wilferd SF, Lewis EM, O'Connor SA, and Plaisier CL
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- Mutation, Gene Regulatory Networks, Phenotype, DNA Copy Number Variations genetics, Gene Fusion
- Abstract
Somatic mutations occur as random genetic changes in genes through protein-affecting mutations (PAMs), gene fusions, or copy number alterations (CNAs). Mutations of different types can have a similar phenotypic effect (i.e., allelic heterogeneity) and should be integrated into a unified gene mutation profile. We developed OncoMerge to fill this niche of integrating somatic mutations to capture allelic heterogeneity, assign a function to mutations, and overcome known obstacles in cancer genetics. Application of OncoMerge to TCGA Pan-Cancer Atlas increased detection of somatically mutated genes and improved the prediction of the somatic mutation role as either activating or loss of function. Using integrated somatic mutation matrices increased the power to infer gene regulatory networks and uncovered the enrichment of switch-like feedback motifs and delay-inducing feedforward loops. These studies demonstrate that OncoMerge efficiently integrates PAMs, fusions, and CNAs and strengthens downstream analyses linking somatic mutations to cancer phenotypes., Competing Interests: The authors declare no competing interests., (© 2023 The Author(s).)
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- 2023
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19. Amygdala AVPR1A mediates susceptibility to chronic social isolation in females.
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François M, Delgado IC, Lafond A, Lewis EM, Kuromaru M, Hassouna R, Deng S, Thaker VV, Dölen G, and Zeltser LM
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Females are more sensitive to social exclusion, which could contribute to their heightened susceptibility to anxiety disorders. Chronic social isolation stress (CSIS) for at least 7 weeks after puberty induces anxiety-related behavioral adaptations in female mice. Here, we show that Arginine vasopressin receptor 1a ( Avpr1a )-expressing neurons in the central nucleus of the amygdala (CeA) mediate these sex-specific effects, in part, via projections to the caudate putamen. Loss of function studies demonstrate that AVPR1A signaling in the CeA is required for effects of CSIS on anxiety-related behaviors in females but has no effect in males or group housed females. This sex-specificity is mediated by AVP produced by a subpopulation of neurons in the posterodorsal medial nucleus of the amygdala that project to the CeA. Estrogen receptor alpha signaling in these neurons also contributes to preferential sensitivity of females to CSIS. These data support new therapeutic applications for AVPR1A antagonists in women.
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- 2023
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20. Extended surveillance to assess safety of 9-valent human papillomavirus vaccine.
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Sundaram ME, Kieke BA, Hanson KE, Belongia EA, Weintraub ES, Daley MF, Hechter RC, Klein NP, Lewis EM, Naleway AL, Nelson JC, and Donahue JG
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- Adolescent, Adult, Child, Female, Humans, Male, Young Adult, Human Papillomavirus Viruses, Vaccination adverse effects, Papillomavirus Infections epidemiology, Papillomavirus Vaccines administration & dosage, Papillomavirus Vaccines adverse effects, Polyradiculoneuropathy, Chronic Inflammatory Demyelinating chemically induced
- Abstract
The safety of 9-valent HPV vaccine (9vHPV) has been established with regard to common and uncommon adverse events. However, investigation of rare and severe adverse events requires extended study periods to capture rare outcomes. This observational cohort study investigated the occurrence of three rare and serious adverse events following 9-valent human papillomavirus (9vHPV) vaccination compared to other vaccinations, in US individuals 9-26 years old, using electronic health record data from the Vaccine Safety Datalink (VSD). We searched for occurrences of Guillain-Barré syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), and stroke following 9vHPV vaccination from October 4, 2015, through January 2, 2021. We compared the risks of GBS, CIDP, and stroke following 9vHPV vaccination to risks of those outcomes following comparator vaccines commonly given to this age group (Td, Tdap, MenACWY, hepatitis A, and varicella vaccines) from January 1, 2007, through January 2, 2021. We observed 1.2 cases of stroke, 0.3 cases of GBS, and 0.1 cases of CIDP per 100,000 doses of 9vHPV vaccine. After observing more than 1.8 million doses of 9vHPV, we identified no statistically significant increase in risks associated with 9vHPV vaccination for any of these adverse events, either combined or stratified by age (9-17 years of age vs. 18-26 years of age) and sex (males vs. females). Our findings provide additional evidence supporting 9vHPV vaccine safety, over longer time frames and for more serious and rare adverse events.
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- 2022
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21. Pathway-specific contribution of parvalbumin interneuron NMDARs to synaptic currents and thalamocortical feedforward inhibition.
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Lewis EM, Spence HE, Akella N, and Buonanno A
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- Humans, In Situ Hybridization, Fluorescence, Neurons metabolism, Prefrontal Cortex metabolism, Interneurons metabolism, Parvalbumins metabolism, Receptors, N-Methyl-D-Aspartate physiology
- Abstract
Prefrontal cortex (PFC) is a site of information convergence important for behaviors relevant to psychiatric disorders. Despite the importance of inhibitory GABAergic parvalbumin-expressing (PV+) interneurons to PFC circuit function and decades of interest in N-methyl-D-aspartate receptors (NMDARs) in these neurons, examples of defined circuit functions that depend on PV+ interneuron NMDARs have been elusive. Indeed, it remains controversial whether all PV+ interneurons contain functional NMDARs in adult PFC, which has major consequences for hypotheses of the pathogenesis of psychiatric disorders. Using a combination of fluorescent in situ hybridization, pathway-specific optogenetics, cell-type-specific gene ablation, and electrophysiological recordings from PV+ interneurons, here we resolve this controversy. We found that nearly 100% of PV+ interneurons in adult medial PFC (mPFC) express transcripts encoding GluN1 and GluN2B, and they have functional NMDARs. By optogenetically stimulating corticocortical and thalamocortical inputs to mPFC, we show that synaptic NMDAR contribution to PV+ interneuron EPSCs is pathway-specific, which likely explains earlier reports of PV+ interneurons without synaptic NMDAR currents. Lastly, we report a major contribution of NMDARs in PV+ interneurons to thalamus-mediated feedforward inhibition in adult mPFC circuits, suggesting molecular and circuit-based mechanisms for cognitive impairment under conditions of reduced NMDAR function. These findings represent an important conceptual advance that has major implications for hypotheses of the pathogenesis of psychiatric disorders., (© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
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- 2022
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22. The creator did not give me more than I can handle: Exploring coping in parents of Black autistic children.
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Lewis EM, Dababnah S, Hollie KR, Kim I, Wang Y, and Shaia WE
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- Child, Humans, Adaptation, Psychological, Parents, Parenting, Autistic Disorder, Autism Spectrum Disorder
- Abstract
Lay Abstract: Parents of Black autistic children use several strategies to cope with daily stressors. These strategies include seeking social support, self-care, and optimism. We asked parents about their experiences receiving treatment services for their autistic child and how they reduce parenting stress. Twenty-two parents completed a coping survey and participated in individual interviews. Few studies have explored the experiences of Black families raising autistic children, and it's important for healthcare and other systems of care to understand the role culture, race, and ethnicity play in the use of coping strategies. In our study, the majority of parents relied on social support to relieve stress and identified partners, family, and community members, as their most useful sources of support. Connecting with other parents of autistic children, through support groups and social media, also helped parents relieve stress. Parents discussed using self-care activities (e.g. church, exercising, listening to music) to cope with stressors. Several parents described how prayer and meditation helped them reframe stressful situations and gain more patience and appreciation for "what's important." The findings of this work demonstrate the need for professionals to have ongoing and deeper conversations about the ways in which parents deal with stressors. In particular, clinicians should leverage the strengths of Black families and promote strategies that are culturally informed and engaged.
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- 2022
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23. The Postnatal Resolution of Developmental Toxicity Induced by Pharmacological Diacylglycerol Acyltransferase 2 (DGAT2) Inhibition During Gestation in Rats.
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Catlin NR, Bowman CJ, Campion SN, Lewis EM, Nowland WS, Stethem C, and Cappon GD
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- Animals, Female, Fertility, Pregnancy, Rabbits, Rats, Rats, Sprague-Dawley, Triglycerides, Diacylglycerol O-Acyltransferase metabolism, Diacylglycerol O-Acyltransferase pharmacology, Reproduction
- Abstract
Ervogastat (PF-06865571) is a small molecule diacylglycerol acyltransferase 2 (DGAT2) inhibitor being developed for the oral treatment of nonalcoholic steatohepatitis (NASH) with liver fibrosis. DGAT2 is a key enzyme in triglyceride synthesis in tissues and in regulating energy metabolism. Fertility and developmental toxicity studies with ervogastat were conducted in female rats and rabbits. There were no effects on female rat fertility or rabbit embryo-fetal development. Administration of ervogastat to pregnant rats during organogenesis reduced fetal weight and caused higher incidences of bent bones in fetuses that were shown to resolve by postnatal day 28 and were therefore considered to be transient variations secondary to developmental delay. Extended dosing in rats through the end of gestation and lactation (pre- and post-natal development study) caused impaired skin development, reduced offspring viability, and growth retardation. The spectrum of developmental effects in rats is consistent with the intended pharmacology (altered triglyceride metabolism) and the transient nature of the skeletal findings, along with the late gestational window of sensitivity for the effects on skin barrier development, reduce the concern for potential adverse developmental effects following unintended early gestational exposure to ervogastat in humans where treatment can be discontinued once pregnancy is determined., (© The Author(s) 2022. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2022
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24. Ethnic discrimination and alcohol-related problem severity among Hispanic/Latin drinkers: The role of social anxiety in the minority stress model.
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Buckner JD, Lewis EM, Shepherd JM, and Zvolensky MJ
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- Adaptation, Psychological, Alcohol Drinking, Anxiety, Hispanic or Latino, Humans, Motivation, Young Adult, Alcohol-Related Disorders, Alcoholism
- Abstract
Introduction: Hispanic/Latin individuals in the U.S. experience many health disparities, including worse alcohol-related outcomes. Thus, identifying psycho-sociocultural factors that may play a role in alcohol-related problems among these individuals is vital to informing prevention and treatment efforts. Minority stress-based models of alcohol misuse posit that some Hispanic/Latin individuals may drink (and continue to drink despite drinking-related problems) to alleviate negative affect associated with experiencing ethnic discrimination. Yet, little research has directly tested this hypothesis. Given the social nature of both ethnic discrimination and drinking, it follows that experiencing more ethnic discrimination could be related to greater social anxiety and some individuals may misuse alcohol to cope with this type of negative affect., Methods: Participants were 373 Hispanic/Latin current drinking undergraduates., Results: Ethnic discrimination was significantly, positively correlated with alcohol-related problems, social anxiety, and coping motivated drinking, even after controlling for drinking frequency and quantity, traumatic life events, and several relevant demographic variables. Discrimination was indirectly related to alcohol-related problems via the sequential relations of social anxiety and coping motives. Alternative model testing indicated that social anxiety was not related to alcohol problems via discrimination, strengthening confidence in directionality of proposed relations., Conclusions: Discrimination is associated with greater anxiety about negative evaluation among Hispanic/Latin individuals. The current study extended understanding of the impact of this type of anxiety by determining that social anxiety appears to play an important role in the relation between discrimination and alcohol-related problems among Hispanic/Latin young adults., (Copyright © 2022 Elsevier Inc. All rights reserved.)
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- 2022
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25. Nonredundant, isoform-specific roles of HDAC1 in glioma stem cells.
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Lo Cascio C, McNamara JB, Melendez EL, Lewis EM, Dufault ME, Sanai N, Plaisier CL, and Mehta S
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- Apoptosis, Gene Expression Profiling, Glioma metabolism, Glioma pathology, Histone Deacetylase 1 metabolism, Humans, Protein Isoforms genetics, Tumor Cells, Cultured, DNA, Neoplasm genetics, Glioma genetics, Histone Deacetylase 1 genetics, Mutation, Neoplastic Stem Cells metabolism
- Abstract
Glioblastoma (GBM) is characterized by an aberrant yet druggable epigenetic landscape. One major family of epigenetic regulators, the histone deacetylases (HDACs), are considered promising therapeutic targets for GBM due to their repressive influences on transcription. Although HDACs share redundant functions and common substrates, the unique isoform-specific roles of different HDACs in GBM remain unclear. In neural stem cells, HDAC2 is the indispensable deacetylase to ensure normal brain development and survival in the absence of HDAC1. Surprisingly, we find that HDAC1 is the essential class I deacetylase in glioma stem cells, and its loss is not compensated for by HDAC2. Using cell-based and biochemical assays, transcriptomic analyses, and patient-derived xenograft models, we find that knockdown of HDAC1 alone has profound effects on the glioma stem cell phenotype in a p53-dependent manner. We demonstrate marked suppression in tumor growth upon targeting of HDAC1 and identify compensatory pathways that provide insights into combination therapies for GBM. Our study highlights the importance of HDAC1 in GBM and the need to develop isoform-specific drugs.
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- 2021
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26. The Impact of Brief Mindfulness Training on Postevent Processing Among Individuals With Clinically Elevated Social Anxiety.
- Author
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Lewis EM, Gilroy SP, Buckner JD, and Heimberg RG
- Subjects
- Anxiety therapy, Female, Humans, Male, Randomized Controlled Trials as Topic, Surveys and Questionnaires, Thinking, Mindfulness
- Abstract
Postevent processing (PEP), the engagement in detailed and repetitive self-focused review of one's performance in social situations, is theorized to maintain pathological social anxiety. However, little is known about interventions that may impact this maintenance factor. The current study examined the impact of brief mindfulness training (BMT) on PEP among socially anxious individuals. There were 77 participants (75.32% female, 63.64% non-Hispanic/Latinx White) with clinically elevated social anxiety who attended one appointment in the laboratory during which they were randomized to receive a brief mindfulness-based training (n = 37) or no training (i.e., thinking as usual control group; n = 40). After the training period, participants underwent a 3-minute social anxiety induction task, after which they were instructed to apply their thinking strategy. Participants were then asked to complete 2 weeks of daily online surveys that included a PEP induction task, instructions to use their thinking strategy following PEP induction, and a measure of state PEP. Individuals in the BMT condition reported a significant reduction in state anxiety posttraining compared to individuals in the control condition. Conditions did not differ on state PEP after the social anxiety induction task. However, compared to those in the control condition, participants in the BMT condition reported significantly greater decreases in state PEP over the 14-day follow-up period. Thus, this brief mindfulness-based strategy may be useful for individuals with clinically elevated social anxiety who engage in PEP, a cognitive vulnerability factor implicated in the maintenance of social anxiety., (Copyright © 2021. Published by Elsevier Ltd.)
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- 2021
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27. Difficulties with emotion regulation and drinking during the COVID-19 pandemic among undergraduates: the serial mediation of COVID-related distress and drinking to cope with the pandemic.
- Author
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Buckner JD, Lewis EM, Abarno CN, Morris PE, Glover NI, and Zvolensky MJ
- Subjects
- Adolescent, Alcoholism psychology, Anxiety psychology, Female, Humans, Male, Pandemics, Psychological Distress, Young Adult, Adaptation, Psychological physiology, Alcohol Drinking in College psychology, COVID-19 psychology, Emotional Regulation, Students psychology
- Abstract
The coronavirus disease 2019 (COVID-19) pandemic has contributed to thousands of hospitalizations and deaths worldwide. Although alcohol use has increased in response to the pandemic, no known studies have identified transdiagnostic risk factors for greater drinking in response to COVID-related distress. Individuals with more difficulty with emotion regulation may drink more during the pandemic to manage pandemic-related distress. The current study tested whether difficulty with emotion regulation was related to greater estimated blood alcohol content (eBAC) during a typical week in the past month and if this was due to COVID-related distress and drinking to cope with the pandemic. The sample consisted of 347 past-month drinking undergraduates in Louisiana, a state with some of the U.S. highest rates of COVID-19 infections and related deaths. Difficulty with engaging in goal-directed behaviors was related to greater past-month eBAC and this relation was mediated by the sequential effects of COVID-related worry and drinking to cope with the pandemic. Results indicate that individuals with difficulty engaging in goal-directed behaviors are especially vulnerable to greater eBAC during the COVID-19 pandemic which may be due in part to their vulnerability to more COVID-related worry which may lead to more drinking to cope with the pandemic.
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- 2021
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28. Biopsychosocial Model Social Anxiety and Substance Use Revised.
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Buckner JD, Morris PE, Abarno CN, Glover NI, and Lewis EM
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- Anxiety, Anxiety Disorders, Humans, Models, Biopsychosocial, Substance-Related Disorders epidemiology
- Abstract
Purpose of Review: To review data published in the past 5 years to evaluate the utility of our biopsychosocial model of social anxiety's relation to substance misuse to evaluate the model's utility and update it., Recent Findings: Data support the utility of our revised model-e.g., socially anxious persons report using substances to manage subjective anxiety, despite evidence that some substances may not have a direct effect on physiological responding. Other factors with promise include social influence, cognitive processes (e.g., post-event processing), and avoidance. Data highlight the importance of context as socially anxious persons use some substances more in some high-risk situations, despite lack of relation between social anxiety and use generally. Sociocultural factors remain understudied. This updated model is a theory- and data-driven model of the relations between social anxiety and substance misuse that can inform future work to improve substance-related outcomes among this especially vulnerable group.
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- 2021
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29. Brief Motivation-Based Interventions for Students Sanctioned for Violating Campus Cannabis Use Policies.
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Buckner JD, Ecker AH, Walukevich-Dienst K, Lewis EM, Pugh E, and Abarno CN
- Abstract
College cannabis use continues to rise, yet few students voluntarily seek treatment for cannabis use, despite use-related problems. Thus, the campus judicial system may be one way to identify high-risk cannabis users and intervene with them. Despite research indicating that brief motivational interventions (BMIs) decrease risky alcohol use among students sanctioned for psychological services following campus alcohol policies violations, extant data do not support BMI for students who violate cannabis polices. Thus, the aims of this review paper are to (a) review the extant literature of BMI for cannabis use among sanctioned students, (b) discuss some unique issues concerning BMI for cannabis use, and (c) provide case examples of promising novel ways BMI may be used to address unique needs of these students. Given the wide range of cannabis use and related problems experienced by these students, personalized approaches to BMI-based interventions may improve outcomes for these students., (© Copyright 2021 Springer Publishing Company, LLC.)
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- 2021
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30. Increases in distress during stay-at-home mandates During the COVID-19 pandemic: A longitudinal study.
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Buckner JD, Abarno CN, Lewis EM, Zvolensky MJ, and Garey L
- Subjects
- Adult, Female, Humans, Longitudinal Studies, Louisiana epidemiology, Male, Young Adult, Anxiety epidemiology, Anxiety etiology, COVID-19, Communicable Disease Control, Depression epidemiology, Depression etiology, Psychological Distress
- Abstract
The Coronavirus disease 2019 (COVID-19) pandemic has contributed to over 500,000 deaths, and hospitalization of thousands of individuals worldwide. Cross-sectional data indicate that anxiety and depression levels are greater during the pandemic, yet no known prospective studies have tested this assertion. Further, individuals with elevated trait anxiety prior to a global pandemic may theoretically be more apt to experience greater pandemic-related anxiety and/or impairment. The current study tested whether anxiety and depression increased from the month before the state's Stay-At-Home order to the period of the Stay-At-Home order among 120 young adults in Louisiana, a state with especially high rates of COVID-19 related infections and deaths. We also tested whether pre-pandemic social anxiety was related to greater pandemic related anxiety, depression, and COVID-related worry and impairment. Depression but not anxiety increased during the Stay-At-Home order. Further, pre-pandemic trait anxiety, social anxiety, and depression were statistically significant predictors of anxiety and depression during the Stay-At-Home order, although only social anxiety was robustly related to COVID-related worry and impairment. Emotional distress increased during the COVID-19 pandemic Stay-At-Home order and this is especially the case among individuals with pre-pandemic elevations in trait anxiety (especially social anxiety) and depression., (Copyright © 2021. Published by Elsevier B.V.)
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- 2021
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31. Online personalized feedback intervention reduces cannabis-related problems among college students with high problem distress.
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Walukevich-Dienst K, Lewis EM, Neighbors C, Green JC, and Buckner JD
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- Adolescent, Cannabis, Female, Follow-Up Studies, Humans, Male, Marijuana Smoking trends, Motivation physiology, Young Adult, Feedback, Psychological physiology, Marijuana Smoking psychology, Marijuana Smoking therapy, Psychological Distress, Students psychology, Universities trends
- Abstract
Despite experiencing problems related to using cannabis, very few undergraduate cannabis users are interested in treatment for cannabis-related problems or benefit from cannabis-focused online personalized feedback interventions (PFIs). Thus, it may be important to determine whether individuals perceive their problems as distressing, as only those who are distressed by their problems may be motivated to change their cannabis use or benefit from cannabis-related interventions. The current study examined cannabis-related problem distress, its relation to motivation to change cannabis use, and whether problem distress impacted outcomes of a problem-focused online PFI. Past-month cannabis-using undergraduates who endorsed experiencing at least one cannabis-related problem in the past 3 months were randomized to a PFI ( n = 102) or a personalized normative feedback (PNF)-only condition ( n = 102). Problem distress was robustly related to readiness, importance, and confidence to change cannabis use at baseline. Among those with high levels of problem distress at baseline, those in the PFI condition reported a greater decrease in problems than those in the PNF-only condition. This was not the case among those with lower levels of problem distress. Further, the number of cannabis-related problems did not moderate intervention outcomes. Cannabis users who perceive their problems as more distressing may be more motivated to change their cannabis use and more likely to benefit from a problem-focused PFI relative to a PNF-only intervention. Results have implications for the personalization of cannabis-focused interventions to maximize the impacts of interventions and decrease cannabis-related problems. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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- 2021
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32. Inhibition of Acetyl-CoA Carboxylase Causes Malformations in Rats and Rabbits: Comparison of Mammalian Findings and Alternative Assays.
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Catlin NR, Bowman CJ, Campion SN, Davenport SD, Esler WP, Kumpf SW, Lewis EM, Nowland WS, Ross TT, Stedman DS, Stethem C, and Cappon GD
- Subjects
- Animals, Lipogenesis, Mice, Rabbits, Rats, Rats, Sprague-Dawley, Zebrafish metabolism, Acetyl-CoA Carboxylase genetics, Acetyl-CoA Carboxylase metabolism, Diabetes Mellitus, Type 2
- Abstract
Acetyl-CoA carboxylase (ACC) is an enzyme within the de novo lipogenesis (DNL) pathway and plays a role in regulating lipid metabolism. Pharmacologic ACC inhibition has been an area of interest for multiple potential indications including oncology, acne vulgaris, metabolic diseases such as type 2 diabetes mellitus, and nonalcoholic fatty liver disease/nonalcoholic steatohepatitis. A critical role for ACC in de novo synthesis of long-chain fatty acids during fetal development has been demonstrated in studies in mice lacking Acc1, where the absence of Acc1 results in early embryonic lethality. Following positive predictions of developmental toxicity in the alternative in vitro assays (positive in murine embryonic stem cell [mESC] assay and rat whole embryo culture, but negative in zebrafish), developmental toxicity (growth retardation and dysmorphogenesis associated with disrupted midline fusion) was observed with the oral administration of the dual ACC1 and 2 inhibitors, PF-05175157, in Sprague Dawley rats and New Zealand White rabbits. The results of these studies are presented here to make comparisons across the assays, as well as mechanistic insights from the mESC assay demonstrating high ACC expression in the mESC and that ACC-induced developmental toxicity can be rescued with palmitic acid providing supportive evidence for DNL pathway inhibition as the underlying mechanism. Ultimately, while the battery of alternative approaches and weight-of-evidence case were useful for hazard identification, the embryo-fetal development studies were necessary to inform the risk assessment on the adverse fetal response, as malformations and/or embryo-fetal lethality were limited to doses that caused near-complete inhibition of DNL., (© The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2021
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33. Parallel Social Information Processing Circuits Are Differentially Impacted in Autism.
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Lewis EM, Stein-O'Brien GL, Patino AV, Nardou R, Grossman CD, Brown M, Bangamwabo B, Ndiaye N, Giovinazzo D, Dardani I, Jiang C, Goff LA, and Dölen G
- Subjects
- Animals, Disease Models, Animal, Fragile X Mental Retardation Protein genetics, Gene Knock-In Techniques, Male, Mice, Mice, Knockout, Object Attachment, Oxytocin genetics, Autism Spectrum Disorder physiopathology, Fragile X Mental Retardation Protein physiology, Neurons physiology, Oxytocin physiology, Social Behavior
- Abstract
Parallel processing circuits are thought to dramatically expand the network capabilities of the nervous system. Magnocellular and parvocellular oxytocin neurons have been proposed to subserve two parallel streams of social information processing, which allow a single molecule to encode a diverse array of ethologically distinct behaviors. Here we provide the first comprehensive characterization of magnocellular and parvocellular oxytocin neurons in male mice, validated across anatomical, projection target, electrophysiological, and transcriptional criteria. We next use novel multiple feature selection tools in Fmr1-KO mice to provide direct evidence that normal functioning of the parvocellular but not magnocellular oxytocin pathway is required for autism-relevant social reward behavior. Finally, we demonstrate that autism risk genes are enriched in parvocellular compared with magnocellular oxytocin neurons. Taken together, these results provide the first evidence that oxytocin-pathway-specific pathogenic mechanisms account for social impairments across a broad range of autism etiologies., Competing Interests: Declaration of Interests The authors declare no competing interests., (Copyright © 2020 Elsevier Inc. All rights reserved.)
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- 2020
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34. Smoking and social anxiety: the role of false safety behaviors.
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Buckner JD, Zvolensky MJ, and Lewis EM
- Subjects
- Female, Humans, Male, Young Adult, Anxiety psychology, Avoidance Learning, Smoking psychology, Smoking Cessation psychology
- Abstract
Despite the negative health consequences associated with smoking, most smokers find it difficult to quit. This is especially true for smokers with elevated social anxiety. One factor that may play a role in maintaining smoking with elevated anxiety is false safety behavior (FSB), behaviors geared toward decreasing anxiety short-term but that maintain or increase anxiety long-term. The present study tested whether FSB explained the relation of social anxiety severity with smoking among 71 current smokers. Avoidance-related FSB was the only type of FSB related to cigarettes smoked per day (CPD) and it was robustly related to more CPD. Further, social anxiety was related to CPD indirectly via FSB-Avoidance. Findings suggest that more frequent use of avoidance behaviors to manage anxiety may maintain smoking and may partially explain the high rates of smoking among those with elevated social anxiety. Thus, FSB may be a promising target in smoking cessation interventions, especially among those with elevated social anxiety.
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- 2020
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35. Retrospective study of the use of an influenza disease two-tiered classification system to characterize clinical severity in US children.
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Hsiao A, Buck PO, Yee A, Hansen J, Lewis EM, Aukes LL, Yanni E, Bekkat-Berkani R, Schuind A, and Klein NP
- Subjects
- Child, Europe, Hospitalization, Humans, Infant, Retrospective Studies, Vaccination, Influenza Vaccines, Influenza, Human diagnosis, Influenza, Human epidemiology
- Abstract
In children <5 years, influenza is associated with higher risk of serious disease and hospitalization when compared with other age groups. Influenza vaccination reduces the risk of influenza and vaccination may attenuate the severity of disease. Recent studies in Europe suggest that classifying influenza disease as mild versus moderate-to-severe (M-S) using a novel definition may be clinically significant. We retrospectively evaluated whether this M-S definition also characterized influenza severity in a cohort of US children. We included children <18 years at Kaiser Permanente Northern California with PCR-confirmed influenza during the 2013-2014 influenza season. We classified children as M-S if they had ≥1 symptom: fever >39°C, acute otitis media, lower respiratory tract infection (LRTI), or extra-pulmonary complications; otherwise, they were classified as mild. We used multivariable log-binomial models to assess whether M-S influenza disease was associated with increased healthcare utilization. Nearly half of the 1,105 influenza positive children were classified as M-S. Children 6-35 months had the highest proportion of M-S disease (35.1%), mostly due to LRTI (63.2%) and fever (44.6%). Children ≥6 months who had M-S disease were associated with a 1.6 to 2.8 times increased likelihood of having had an emergency department or any follow-up outpatient visits. Those who had M-S disease were associated with an increased likelihood of receiving antibiotics, with the highest likelihood in children 6-35 months (RR 9.0, 95% CI 4.1, 19.8). While more studies are needed, an influenza classification system may distinguish children with more clinically significant disease.
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- 2020
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36. The first 60 years: Honoring Teratology's past, a new perspective on the future.
- Author
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Roberts LG and Lewis EM
- Subjects
- Interdisciplinary Studies, Societies, Medical, Teratology
- Abstract
Background: This paper updates the history of the Teratology Society, now known as the Society for Birth Defects Research and Prevention (BDRP), for its first 60 years and describes the current strategy to position the Society to continue to advance its multidisciplinary science in the future. Common threads across our history include the positive impact of the Society's approach to sharing multidisciplinary, cutting-edge science and the collegial nature of the annual meetings., Aim: In recent years, we have tackled challenging issues through periodic strategic planning sessions to improve the impact of the Society and its value to our members., Materials & Methods: Archived and current resources were reviewed for this historical perspective., Results: In 2019, the Society took steps to rebrand itself to clarify our mission to the broader scientific and governmental communities., Discussion: Although our name has changed, the mission remains to understand and prevent birth defects and disorders of developmental and reproductive origin., Conclusion: As BDRP, we continue to promote the exchange of research and ideas, provide educational opportunities, influence policy through advocacy, and evolve our communications to better serve our members and to have a greater impact on the health of future generations., (© 2020 Wiley Periodicals, Inc.)
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- 2020
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37. Dose Timing of D-Cycloserine to Augment Exposure Therapy for Social Anxiety Disorder: A Randomized Clinical Trial.
- Author
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Smits JAJ, Pollack MH, Rosenfield D, Otto MW, Dowd S, Carpenter J, Dutcher CD, Lewis EM, Witcraft SM, Papini S, Curtiss J, Andrews L, Kind S, Conroy K, and Hofmann SG
- Subjects
- Adult, Antibiotics, Antitubercular therapeutic use, Case-Control Studies, Cycloserine therapeutic use, Double-Blind Method, Drug Administration Schedule, Female, Humans, Male, Phobia, Social psychology, Phobia, Social therapy, Placebos administration & dosage, Severity of Illness Index, Antibiotics, Antitubercular administration & dosage, Cycloserine administration & dosage, Implosive Therapy methods, Phobia, Social drug therapy
- Abstract
Importance: Findings suggest that the efficacy of D-cycloserine (DCS) for enhancing exposure therapy may be strongest when administered after sessions marked by low fear at the conclusion of exposure practice. These findings have prompted investigation of DCS dosing tailored to results of exposure sessions., Objective: To compare tailored postsession DCS administration with presession DCS administration, postsession DCS administration, and placebo augmentation of exposure therapy for social anxiety disorder., Design, Setting, and Participants: This double-blind randomized clinical trial involved adults with social anxiety disorder enrolled at 3 US university centers. Symptom severity was assessed at baseline, weekly during treatment, and at 1-week and 3-month follow-up. Data analysis was performed from September 2019 to March 2020., Interventions: Participants completed a 5-session treatment and received pills commensurate with their condition assignment at sessions 2 through 5, which emphasized exposure practice., Main Outcomes and Measures: Symptom severity was evaluated by the Liebowitz Social Anxiety Scale and Social Phobic Disorders-Severity Form as administered by independent evaluators., Results: A total of 152 participants were enrolled (mean [SD] age, 29.24 [10.16] years; 84 men [55.26%]). Compared with placebo, presession and postsession conditions showed greater symptom improvement (b = -0.25; 95% CI, -0.37 to -0.13; P < .001; d = 1.07; and b = -0.20; 95% CI, -0.32 to -0.07; P = .002; d = 0.85) and lower symptom severity (b = -0.51; 95% CI, -0.81 to -0.21; P < .001; d = 0.76; and b = -0.49; 95% CI, -0.80 to -0.18; P = .002; d = 0.72) at 3-month follow-up. No differences were found between presession and postsession conditions. The tailored condition showed no advantage over placebo. Compared with the tailored condition, presession and postsession conditions evidenced greater decreases (b = -0.22; 95% CI, -0.34 to -0.10; P < .001; d = 0.94; and b = -0.17, 95% CI, -0.29 to -0.04; P = .008; d = 0.72) and lower symptom severity (b = -0.44, 95% CI, -0.73 to -0.14; P = .004; d = 0.64; and b = -0.41, 95% CI, -0.72 to -0.11; P = .008; d = 0.61) at 3-month follow-up., Conclusions and Relevance: Administration of DCS enhanced exposure therapy for social anxiety disorder when given before or after the exposure session. However, the study failed to achieve the aim to develop a tailored clinical application., Trial Registration: ClinicalTrials.gov Identifier: NCT02066792.
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- 2020
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38. Mindfulness training for clinically elevated social anxiety: The impact on peak drinking.
- Author
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Buckner JD, Lewis EM, Abarno CN, and Heimberg RG
- Subjects
- Adolescent, Blood Alcohol Content, Female, Humans, Male, Students, Treatment Outcome, Young Adult, Alcohol Drinking psychology, Anxiety therapy, Mindfulness
- Abstract
Social anxiety is related to more drinking in high-risk drinking situations and to more drinking-related problems. Given the rise in mindfulness-based interventions for social anxiety, it is important to test whether drinking impacts outcomes among individuals with clinically elevated social anxiety. Undergraduates with clinically elevated social anxiety were randomly assigned to mindfulness training (n = 29) or thinking-as-usual control (n = 29). They were encouraged to practice mindfulness or thinking-as-usual in response to social events daily for two-weeks following baseline. Follow-up measures were completed one month post-baseline. The interaction of baseline peak estimated blood alcohol content (eBAC) X condition predicted one-month follow-up peak eBAC such that among those with greater (but not lower) baseline eBAC, mindfulness was related to lower follow-up eBAC compared to control. Similarly, mindfulness training resulted in less post-training anxiety among those with greater (but not lower) baseline eBAC. However, this effect was not evident during a two-week practice period nor at one-month follow-up. Rather, at one-month follow-up, the interaction of baseline eBAC X condition predicted follow-up mindfulness (non-reactivity); among those with higher (but not lower) baseline eBAC, mindfulness training was associated with less follow-up mindfulness than the control condition. Results indicate that among those with greater baseline peak eBAC, mindfulness practice resulted in lower follow-up eBAC compared to control among those with clinically elevated social anxiety. However, although mindfulness training may result in less anxiety in the short-term among heavy drinkers with social anxiety, this effect did not last longer-term. Rather, heavier drinkers evinced poorer longer-term mindfulness-related outcomes., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
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- 2020
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39. On-line personalized feedback intervention for negative affect and cannabis: A pilot randomized controlled trial.
- Author
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Buckner JD, Zvolensky MJ, and Lewis EM
- Subjects
- Adolescent, Adult, Anxiety psychology, Cannabis, Female, Humans, Internet, Male, Pilot Projects, Students psychology, Young Adult, Affect, Feedback, Psychological, Marijuana Abuse psychology, Marijuana Smoking psychology
- Abstract
Cannabis is the most commonly used illicit substance and many users report difficulty quitting. Situations involving stress and negative affect are the most difficult in which to abstain during quit/reduction attempts. Further, cannabis users with elevated social anxiety experience greater cannabis-related impairment than individuals with more normative levels of social anxiety. Yet, although most persons with cannabis-related problems are interested in quitting and endorse negative emotional symptoms, the vast majority do not seek in-person treatment. Thus, the current study tested the utility of an online personalized feedback intervention (PFI) that integrates feedback regarding cannabis with strategies to manage negative affect (PFI-NAC). Current (past month) cannabis using undergraduates (who used cannabis weekly, on average) were randomly assigned to the 1-session PFI-NAC (n = 37) or an assessment-only control (n = 26) and completed a 2-week follow-up assessment. After controlling for baseline negative affect and cannabis use frequency, social anxiety interacted with condition to predict follow-up cannabis use frequency. Specifically, among those with moderate or high levels of social anxiety, those in PFI-NAC reported less use at follow up than controls; this was not the case among those with lower social anxiety. Results of this pilot study indicate a 1-session intervention that teaches simultaneously teaching skills to manage negative affect and cannabis may benefit some cannabis users with moderate to high social anxiety. Future work with larger samples and a wider range of cannabis users, with longer follow-up assessments, are important next steps. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
- Published
- 2020
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40. Context-specific drinking and social anxiety: The roles of anticipatory anxiety and post-event processing.
- Author
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Buckner JD, Lewis EM, Terlecki MA, Albery IP, and Moss AC
- Subjects
- Adolescent, Adult, Alcohol-Related Disorders psychology, Female, Humans, Male, Time Factors, Young Adult, Alcohol Drinking psychology, Anticipation, Psychological, Anxiety psychology, Motivation, Phobia, Social psychology, Social Environment
- Abstract
Individuals with clinically elevated social anxiety are especially vulnerable to alcohol-related problems, despite not drinking more than those with less anxiety. It is therefore important to identify contexts in which socially anxious persons drink more to inform intervention efforts. This study tested whether social anxiety was related to greater drinking before, during, or after a social event and whether such drinking was related to the psychosocial factors anticipatory anxiety or post-event processing (PEP; review of the social event). Among past-month drinkers, those with clinically elevated or higher social anxiety (HSA; n = 212) reported more anticipatory anxiety, more pre-event drinking to manage anxiety, and PEP than those with normative or lower social anxiety (LSA; n = 365). There was a significant indirect effect of social anxiety on pre-drinking via anticipatory anxiety. Social anxiety was related to more drinking during the event indirectly via the serial effects of anticipatory anxiety and pre-drinking. Unexpectedly, PEP did not mediate or moderate the relation between social anxiety and post-event drinking. In sum, anticipatory anxiety was related to more drinking before, during, and after a social event and HSA drinkers were especially vulnerable to drinking more to manage this anxiety, which increased drinking before and during the event. This effect was specific to anticipatory anxiety and not evident for another social anxiety-specific risk factor, PEP. Thus, anticipatory anxiety may be an important therapeutic target for drinkers generally and may be especially important among HSA drinkers., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
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- 2020
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41. Cannabis-Related Impairment and Social Anxiety: The Role of Use to Manage Negative and Positive Affect in Social Situations.
- Author
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Walukevich-Dienst K, Lewis EM, and Buckner JD
- Subjects
- Anxiety complications, Female, Humans, Male, Marijuana Abuse complications, Social Behavior, Young Adult, Adaptation, Psychological, Affect, Anxiety psychology, Marijuana Abuse psychology
- Abstract
Background and Objectives : Individuals with elevated social anxiety are thought to be at high risk for developing cannabis-related problems because they use cannabis to cope with anxiety-provoking social situations. Social anxiety is unique among the anxiety conditions in that it is characterized by both elevated negative affect (NA) and lower positive affect (PA). Yet it is unclear whether persons with elevated social anxiety use cannabis to decrease their NA or to increase their PA. Methods : This study examined the role of PA and NA (including cannabis use to increase PA and to decrease NA in social situations) on cannabis use frequency and related problems among current (past three-month) cannabis users ( N = 278). Results : Social anxiety was significantly correlated with NA, PA, cannabis use to decrease NA, and use to increase PA. Serial mediation analyses tested the paths between social anxiety, affect, use to manage affect, typical cannabis use frequency, and cannabis use-related problems. Contrary to prediction, social anxiety was not indirectly related to use frequency or related problems via NA or PA generally. Rather, social anxiety was indirectly related to cannabis problems via the serial effect of use to cope with NA and typical use frequency and via the serial effect of use to increase PA and typical use frequency. Conclusions/Importance : Social anxiety may be associated with using cannabis to decrease NA and increase PA specifically in social situations, which increases cannabis use frequency and thus, problem risk.
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- 2020
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42. Mental Health Problems and Suicide Risk: The Impact of Acute Suicidal Affective Disturbance.
- Author
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Buckner JD, Lewis EM, and Tucker RP
- Subjects
- Acute Disease, Adolescent, Alcohol-Related Disorders epidemiology, Depressive Disorder epidemiology, Female, Humans, Least-Squares Analysis, Male, Mediation Analysis, Mental Health, Mood Disorders epidemiology, Panic Disorder epidemiology, Phobia, Social epidemiology, Risk, Suicide statistics & numerical data, Young Adult, Alcohol-Related Disorders psychology, Depressive Disorder psychology, Mood Disorders psychology, Panic Disorder psychology, Phobia, Social psychology, Suicide psychology
- Abstract
Acute Suicidal Affective Disturbance (ASAD) is a suicide-specific, episodic clinical entity that is theorized to characterize acute suicide risk. Little work has examined the role of ASAD in mental health conditions linked to suicide risk. Thus, the current study examined whether depression, social anxiety, panic, and alcohol-related problems were related to suicide risk via ASAD history. A total of 527 undergraduates completed an online survey. Depression, social anxiety, and alcohol problem risk (but not panic) were robustly, significantly related to suicide risk, but only social anxiety and depression were robustly related to ASAD history. Depression and social anxiety symptoms were indirectly related to suicide risk via ASAD. ASAD may serve as a potential explanatory pathway through which some mental health conditions may lead to greater suicide risk.
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- 2020
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43. Near Real-Time Surveillance to Assess the Safety of the 9-Valent Human Papillomavirus Vaccine.
- Author
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Donahue JG, Kieke BA, Lewis EM, Weintraub ES, Hanson KE, McClure DL, Vickers ER, Gee J, Daley MF, DeStefano F, Hechter RC, Jackson LA, Klein NP, Naleway AL, Nelson JC, and Belongia EA
- Subjects
- Adolescent, Adult, Appendicitis chemically induced, Appendicitis epidemiology, Child, Drug Hypersensitivity epidemiology, Female, Humans, Male, Pancreatitis chemically induced, Pancreatitis epidemiology, United States epidemiology, Young Adult, Adverse Drug Reaction Reporting Systems trends, Epidemiological Monitoring, Papillomavirus Infections epidemiology, Papillomavirus Infections prevention & control, Papillomavirus Vaccines administration & dosage, Papillomavirus Vaccines adverse effects
- Abstract
Background and Objectives: Human papillomavirus is the most common sexually transmitted infection in the United States and causes certain anogenital and oropharyngeal cancers. The 9-valent human papillomavirus vaccine (9vHPV) provides protection against additional types not included in the quadrivalent vaccine. We conducted near real-time vaccine safety surveillance for 24 months after the vaccine became available in the Vaccine Safety Datalink., Methods: Immunizations and adverse events were extracted weekly from October 2015 to October 2017 from standardized data files for persons 9 to 26 years old at 6 Vaccine Safety Datalink sites. Prespecified adverse events included anaphylaxis, allergic reaction, appendicitis, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, injection site reaction, pancreatitis, seizure, stroke, syncope, and venous thromboembolism. The observed and expected numbers of events after 9vHPV were compared weekly by using sequential methods. Both historical and concurrent comparison groups were used to identify statistical signals for adverse events. Unexpected signals were investigated by medical record review and/or additional analyses., Results: During 105 weeks of surveillance, 838 991 doses of 9vHPV were administered. We identified unexpected statistical signals for 4 adverse events: appendicitis among boys 9 to 17 years old after dose 3; pancreatitis among men 18 to 26 years old; and allergic reactions among girls 9 to 17 years old and women 18 to 26 years old after dose 2. On further evaluation, which included medical record review, temporal scan analysis, and additional epidemiological analyses, we did not confirm signals for any adverse events., Conclusions: After 2 years of near real-time surveillance of 9vHPV and several prespecified adverse events, no new safety concerns were identified., Competing Interests: POTENTIAL CONFLICT OF INTEREST: Dr Naleway has received funding from Pfizer for an unrelated study; Dr Klein reports research support from Merck (including a 9-valent human papillomavirus vaccine phase 4 postmarketing safety study), Sanofi Pasteur, GlaxoSmithKline, Protein Science (now Sanofi Pasteur), and Pfizer; the other authors have indicated they have no potential conflicts of interest to disclose., (Copyright © 2019 by the American Academy of Pediatrics.)
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- 2019
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44. Reproductive and developmental toxicity assessment of palbociclib, a CDK4/6 inhibitor, in Sprague-Dawley rats and New Zealand White rabbits.
- Author
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Catlin NR, Bowman CJ, Engel SM, Sacaan A, Thibault S, Lewis EM, and Cappon GD
- Subjects
- Animals, Dose-Response Relationship, Drug, Embryonic Development drug effects, Female, Fertility drug effects, Fetal Development drug effects, Male, Rabbits, Rats, Rats, Sprague-Dawley, Cyclin-Dependent Kinase 4 antagonists & inhibitors, Cyclin-Dependent Kinase 6 antagonists & inhibitors, Piperazines toxicity, Pyridines toxicity
- Abstract
Palbociclib is a selective inhibitor of the cyclin-dependent kinase (CDK) 4/6, approved for the treatment of breast cancer. We assessed the potential effects of oral administration of palbociclib on reproduction and development. There were no effects on female or male fertility indices; however, in the male there was seminiferous tubule degeneration in the testes and secondary findings in the epididymides, lower testicular and epididymal weights, sperm density and motility. Palbociclib was not teratogenic in rats or rabbits; however, in the presence of maternal toxicity (lower maternal body weight gain and food consumption), low fetal body weights were observed in rats and small forepaw phalanges were noted in rabbits. There were, however, no adverse effects on the F1 generation in a pre- and post-natal developmental toxicity study in the rat., (Copyright © 2019. Published by Elsevier Inc.)
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- 2019
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45. Oxytocin-dependent reopening of a social reward learning critical period with MDMA.
- Author
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Nardou R, Lewis EM, Rothhaas R, Xu R, Yang A, Boyden E, and Dölen G
- Subjects
- Aging physiology, Animals, Conditioning, Classical drug effects, Conditioning, Classical physiology, Female, Long-Term Synaptic Depression physiology, Male, Mice, Mice, Inbred C57BL, N-Methyl-3,4-methylenedioxyamphetamine administration & dosage, Nucleus Accumbens drug effects, Nucleus Accumbens physiology, Signal Transduction drug effects, Critical Period, Psychological, Learning drug effects, Learning physiology, Long-Term Synaptic Depression drug effects, N-Methyl-3,4-methylenedioxyamphetamine pharmacology, Oxytocin metabolism, Reward
- Abstract
A critical period is a developmental epoch during which the nervous system is expressly sensitive to specific environmental stimuli that are required for proper circuit organization and learning. Mechanistic characterization of critical periods has revealed an important role for exuberant brain plasticity during early development, and for constraints that are imposed on these mechanisms as the brain matures
1 . In disease states, closure of critical periods limits the ability of the brain to adapt even when optimal conditions are restored. Thus, identification of manipulations that reopen critical periods has been a priority for translational neuroscience2 . Here we provide evidence that developmental regulation of oxytocin-mediated synaptic plasticity (long-term depression) in the nucleus accumbens establishes a critical period for social reward learning. Furthermore, we show that a single dose of (+/-)-3,4-methylendioxymethamphetamine (MDMA) reopens the critical period for social reward learning and leads to a metaplastic upregulation of oxytocin-dependent long-term depression. MDMA-induced reopening of this critical period requires activation of oxytocin receptors in the nucleus accumbens, and is recapitulated by stimulation of oxytocin terminals in the nucleus accumbens. These findings have important implications for understanding the pathogenesis of neurodevelopmental diseases that are characterized by social impairments and of disorders that respond to social influence or are the result of social injury3 .- Published
- 2019
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46. Integrated cognitive behavioral therapy for comorbid cannabis use and anxiety disorders: A pilot randomized controlled trial.
- Author
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Buckner JD, Zvolensky MJ, Ecker AH, Schmidt NB, Lewis EM, Paulus DJ, Lopez-Gamundi P, Crapanzano KA, and Bakhshaie J
- Subjects
- Adolescent, Adult, Anxiety Disorders psychology, Cognitive Behavioral Therapy, Diagnosis, Dual (Psychiatry), Female, Humans, Male, Marijuana Use psychology, Pilot Projects, Treatment Outcome, Young Adult, Anxiety Disorders therapy, Marijuana Use therapy
- Abstract
Cannabis use disorder (CUD) is the most common illicit substance use disorder and individuals with CUD have high rates of comorbid anxiety disorders. Comorbidity between CUD and anxiety disorders is of public health relevance given that although motivation enhancement therapy (MET) combined with cognitive-behavioral therapy (CBT) is an efficacious intervention for CUD, outcomes are worse for patients with elevated anxiety. The current study tested the acceptability and efficacy of the integration of a transdiagnostic anxiety CBT (i.e., treatment of patients with any anxiety disorder) with MET-CBT (integrated cannabis and anxiety reduction treatment, or ICART) for CUD compared to MET-CBT alone. Treatment-seeking cannabis users (56.4% male, M
age = 23.2, 63.3% non-Hispanic White) with CUD and at least one comorbid anxiety disorder were randomly assigned to ICART (n = 27) or MET-CBT (n = 28). Patients in the ICART condition attended significantly more treatment sessions than those in the MET-CBT condition. Patients in the ICART condition were more likely to be abstinent post-treatment than those in MET-CBT. Further, treatment produced decreases in cannabis use and related problems. Notably, therapy type did not moderate the impact of treatment on frequency of use and related problems. Together, these data suggest that ICART may be at least as efficacious as a gold-standard psychosocial CUD treatment, MET-CBT, for a difficult-to-treat subpopulation of cannabis users., (Copyright © 2018 Elsevier Ltd. All rights reserved.)- Published
- 2019
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47. Drinking Problems and Social Anxiety among Young Adults: The Roles of Drinking to Manage Negative and Positive Affect in Social Situations.
- Author
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Buckner JD, Lewis EM, and Walukevich-Dienst K
- Subjects
- Female, Humans, Male, Models, Psychological, Motivation, Surveys and Questionnaires, Young Adult, Adaptation, Psychological physiology, Affect physiology, Alcohol Drinking psychology, Alcoholism psychology, Anxiety psychology, Phobia, Social psychology
- Abstract
Background: Socially anxious individuals seem to be at a high risk for alcohol-related problems because they drink to cope. Yet social anxiety is unique among the anxiety conditions in that it is characterized by lower positive affect (PA). It is unclear whether drinking to cope is related to drinking to decrease negative affect (NA) or increase PA. Objectives : We tested whether social anxiety was related to more drinking problems via the sequential relations between affect (NA or PA), drinking to change affect (decrease NA or increase PA), and drinking quantity. We also tested whether the indirect effect of drinking to increase PA was significantly less than that of drinking to decrease NA. Methods: Past-month drinkers with clinically elevated social anxiety ( n = 174) and those with more normative or lower social anxiety ( n = 362) completed an online survey. Results: Social anxiety was indirectly related to drinking problems via the sequential effect of NA, drinking to decrease NA, and drinking quantity. Social anxiety was indirectly related to drinking problems via the sequential relations of PA and drinking quantity and of drinking to increase PA and drinking quantity. The indirect effect of drinking to increase PA did not significantly differ from drinking to decrease NA. Conclusions/Importance: Socially anxious drinkers may drink not only to decrease NA but also to increase PA in social situations. Both of these drinking motives appear to play important roles in socially anxious drinkers' experience of drinking-related problems.
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- 2019
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48. Cannabis use motives on weekends versus weekdays: Direct and indirect relations with cannabis use and related problems.
- Author
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Buckner JD, Walukevich KA, and Lewis EM
- Subjects
- Adaptation, Psychological, Adolescent, Female, Humans, Male, Social Behavior, Social Conformity, Time Factors, Young Adult, Marijuana Use psychology, Motivation
- Abstract
College cannabis users report using more cannabis during the weekend than on weekdays, yet little attention has been paid to the role of weekend and weekday-specific motives for use. The present investigation evaluated the impact of weekend and weekday-specific cannabis motives on cannabis use and related problems among current (past-3 month) cannabis using undergraduates (N = 276). Participants reported more cannabis use motives during the weekend than weekday. Enhancement and social motives were greater than coping, conformity, and expansion motives during weekends. Enhancement and conformity motives were indirectly related to problems via cannabis use frequency for both weekdays and weekends. Yet social, coping, and expansion motives were indirectly related to problems via cannabis use frequency for only weekdays. Findings support the differential impact of weekend and weekday-specific motives on cannabis use and related problems., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
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- 2019
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49. AIF promotes a JNK1-mediated cadherin switch independently of respiratory chain stabilization.
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Scott AJ, Walker SA, Krank JJ, Wilkinson AS, Johnson KM, Lewis EM, and Wilkinson JC
- Subjects
- Apoptosis, Catalysis, Cell Line, Energy Metabolism, Enzyme Activation, Extracellular Signal-Regulated MAP Kinases metabolism, Humans, Mitochondria enzymology, Mitochondria metabolism, Oxidants metabolism, Oxidation-Reduction, Oxidative Stress, Phosphorylation, Signal Transduction, p38 Mitogen-Activated Protein Kinases metabolism, Antigens, CD metabolism, Apoptosis Inducing Factor physiology, Cadherins metabolism, Electron Transport, Mitogen-Activated Protein Kinase 8 metabolism
- Abstract
Apoptosis-inducing factor (AIF) is a mitochondrial flavoprotein occasionally involved in cell death that primarily regulates mitochondrial energy metabolism under normal cellular conditions. AIF catalyzes the oxidation of NADH in vitro , yet the significance of this redox activity in cells remains unclear. Here, we show that through its enzymatic activity AIF is a critical factor for oxidative stress-induced activation of the mitogen-activated protein kinases JNK1 (c-Jun N-terminal kinase), p38, and ERK (extracellular signal-regulated kinase). AIF-dependent JNK1 signaling culminates in the cadherin switch, and genetic reversal of this switch leads to apoptosis when AIF is suppressed. Notably, this widespread ability of AIF to promote JNK signaling can be uncoupled from its more limited role in respiratory chain stabilization. Thus, AIF is a transmitter of extra-mitochondrial signaling cues with important implications for human development and disease., (© 2018 Scott et al.)
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- 2018
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50. Risky sexual behavior among cannabis users: The role of protective behavioral strategies.
- Author
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Buckner JD, Lewis EM, Shah SM, and Walukevich KA
- Subjects
- Adolescent, Behavior, Female, Humans, Intention, Male, Peer Group, Sexual Behavior statistics & numerical data, Social Norms, Young Adult, Condoms statistics & numerical data, Marijuana Use epidemiology, Safe Sex statistics & numerical data, Unsafe Sex statistics & numerical data
- Abstract
Cannabis users tend to use condoms less often than cannabis abstainers, placing them at risk for sexually transmitted disease and unplanned pregnancies. This is especially problematic among college students, who experience such problems at especially high rates. Despite accumulating data indicating that cannabis users are less likely to use condoms, little research has identified potentially malleable cognitive vulnerability factors that may be related to condom use in this vulnerable population. Thus, the current study tested whether cannabis users believed others use condoms less often and/or whether they engaged in less condom-related protective behavior strategies (PBS) than cannabis abstainers and whether cannabis use status was indirectly related to condom use via these vulnerability factors. Among 214 college students (64 past-month cannabis users), cannabis users engaged in less PBS (although cannabis use was unrelated to normative beliefs). Cannabis use status was indirectly related to condom use via PBS and cannabis use status was unrelated to condom use after controlling for PBS. Results highlight the importance of PBS use among cannabis users, a group at particular risk for risky sexual behaviors., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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