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Altered Mental Status in Patients Hospitalized with COVID-19: Perspectives from Neurologic and Psychiatric Consultants

Talmasov, Daniel; Kelly, Sean M; Lewis, Ariane; Taylor, Adrienne D; Gurin, Lindsey
PMID: 33965986
ISSN: 1465-7309
CID: 4878172

Telehealth transcranial direct current stimulation for recovery from Post-Acute Sequelae of SARS-CoV-2 (PASC) [Letter]

Eilam-Stock, Tehila; George, Allan; Lustberg, Matthew; Wolintz, Robyn; Krupp, Lauren B; Charvet, Leigh E
PMCID:8514329
PMID: 34655835
ISSN: 1876-4754
CID: 5063142

Targeting the Atf7ip-Setdb1 Complex Augments Antitumor Immunity by Boosting Tumor Immunogenicity

Hu, Hai; Khodadadi-Jamayran, Alireza; Dolgalev, Igor; Cho, Hyunwoo; Badri, Sana; Chiriboga, Luis A; Zeck, Briana; Lopez De Rodas Gregorio, Miguel; Dowling, Catríona M; Labbe, Kristen; Deng, Jiehui; Chen, Ting; Zhang, Hua; Zappile, Paul; Chen, Ze; Ueberheide, Beatrix; Karatza, Angeliki; Han, Han; Ranieri, Michela; Tang, Sittinon; Jour, George; Osman, Iman; Sucker, Antje; Schadendorf, Dirk; Tsirigos, Aristotelis; Schalper, Kurt A; Velcheti, Vamsidhar; Huang, Hsin-Yi; Jin, Yujuan; Ji, Hongbin; Poirier, John T; Li, Fei; Wong, Kwok-Kin
Substantial progress has been made in understanding how tumors escape immune surveillance. However, few measures to counteract tumor immune evasion have been developed. Suppression of tumor antigen expression is a common adaptive mechanism that cancers use to evade detection and destruction by the immune system. Epigenetic modifications play a critical role in various aspects of immune invasion, including the regulation of tumor antigen expression. To identify epigenetic regulators of tumor antigen expression, we established a transplantable syngeneic tumor model of immune escape with silenced antigen expression and used this system as a platform for a CRISPR-Cas9 suppressor screen for genes encoding epigenetic modifiers. We found that disruption of the genes encoding either of the chromatin modifiers activating transcription factor 7-interacting protein (Atf7ip) or its interacting partner SET domain bifurcated histone lysine methyltransferase 1 (Setdb1) in tumor cells restored tumor antigen expression. This resulted in augmented tumor immunogenicity concomitant with elevated endogenous retroviral (ERV) antigens and mRNA intron retention. ERV disinhibition was associated with a robust type I interferon response and increased T-cell infiltration, leading to rejection of cells lacking intact Atf7ip or Setdb1. ATF7IP or SETDB1 expression inversely correlated with antigen processing and presentation pathways, interferon signaling, and T-cell infiltration and cytotoxicity in human cancers. Our results provide a rationale for targeting Atf7ip or Setdb1 in cancer immunotherapy.
PMID: 34462284
ISSN: 2326-6074
CID: 5061142

COVID-19 and ischemic stroke

Sagris, Dimitrios; Papanikolaou, Aikaterini; Kvernland, Alexandra; Korompoki, Eleni; Frontera, Jennifer A; Troxel, Andrea B; Gavriatopoulou, Maria; Milionis, Haralampos; Lip, Gregory Y H; Michel, Patrik; Yaghi, Shadi; Ntaios, George
Since the onset of the COVID-19 pandemic, a substantial proportion of COVID-19 patients had documented thrombotic complications and ischemic stroke. Several mechanisms related to immune mediated thrombosis, the renin angiotensin system, and the effect of SARS-CoV-2 in cardiac and brain tissue may contribute to the pathogenesis of ischemic stroke in patients with COVID-19. Simultaneously, significant strains on global healthcare delivery, including ischemic stroke management, have made treatment of stroke in the setting of COVID-19 particularly challenging. In this review we summarize the current knowledge on epidemiology, clinical manifestation and pathophysiology of ischemic stroke in patients with COVID-19 to bridge the gap from bench to bedside and clinical practice during the most challenging global health crisis of the last decades.
PMID: 34224187
ISSN: 1468-1331
CID: 4932952

Distinct conformers of amyloid beta accumulate in the neocortex of patients with rapidly progressive Alzheimer's disease

Liu, He; Kim, Chae; Haldiman, Tracy; Sigurdson, Christina J; Nyström, Sofie; Nilsson, K Peter R; Cohen, Mark L; Wisniewski, Thomas; Hammarström, Per; Safar, Jiri G
Amyloid beta (Aβ) deposition in the neocortex is a major hallmark of Alzheimer's disease (AD), but the extent of deposition does not readily explain phenotypic diversity and rate of disease progression. The prion strain-like model of disease heterogeneity suggests the existence of different conformers of Aβ. We explored this paradigm using conformation-dependent immunoassay (CDI) for Aβ and conformation-sensitive luminescent conjugated oligothiophenes (LCOs) in AD cases with variable progression rates. Mapping the Aβ conformations in the frontal, occipital, and temporal regions in 20 AD patients with CDI revealed extensive interindividual and anatomical diversity in the structural organization of Aβ with the most significant differences in the temporal cortex of rapidly progressive AD. The fluorescence emission spectra collected in situ from Aβ plaques in the same regions demonstrated considerable diversity of spectral characteristics of two LCOs-quatroformylthiophene acetic acid and heptaformylthiophene acetic acid. Heptaformylthiophene acetic acid detected a wider range of Aβ deposits, and both LCOs revealed distinct spectral attributes of diffuse and cored plaques in the temporal cortex of rapidly and slowly progressive AD and less frequent and discernible differences in the frontal and occipital cortex. These and CDI findings indicate a major conformational diversity of Aβ accumulating in the neocortex, with the most notable differences in temporal cortex of cases with shorter disease duration, and implicate distinct Aβ conformers (strains) in the rapid progression of AD.
PMCID:8531671
PMID: 34599965
ISSN: 1083-351x
CID: 5061732

Comparison of self-reported symptoms and psychophysical tests in coronavirus disease 2019 (COVID-19) subjects experiencing long-term olfactory dysfunction: a 6-month follow-up study

Bordin, Anna; Mucignat-Caretta, Carla; Gaudioso, Piergiorgio; Pendolino, Alfonso Luca; Leoni, Davide; Scarpa, Bruno; Andrews, Peter J; Cattelan, Anna Maria; Antonini, Angelo; Nicolai, Piero; Marchese-Ragona, Rosario; Ottaviano, Giancarlo
PMID: 34148294
ISSN: 2042-6984
CID: 4918032

Biomarkers of Coagulation and Inflammation in COVID-19-Associated Ischemic Stroke

Esenwa, Charles; Cheng, Natalie T; Luna, Jorge; Willey, Joshua; Boehme, Amelia K; Kirchoff-Torres, Kathryn; Labovitz, Daniel; Liberman, Ava L; Mabie, Peter; Moncrieffe, Khadean; Soetanto, Ainie; Lendaris, Andrea; Seiden, Johanna; Goldman, Inessa; Altschul, David; Holland, Ryan; Benton, Joshua; Dardick, Joseph; Fernandez-Torres, Jenelys; Flomenbaum, David; Lu, Jenny; Malaviya, Avinash; Patel, Nikunj; Toma, Aureliana; Lord, Aaron; Ishida, Koto; Torres, Jose; Snyder, Thomas; Frontera, Jennifer; Yaghi, Shadi
[Figure: see text].
PMCID:8547586
PMID: 34428931
ISSN: 1524-4628
CID: 5037592

Opportunities and limitations of mobile neuroimaging technologies in educational neuroscience

Janssen, Tieme W. P; Grammer, Jennie K; Bleichner, Martin G; Bulgarelli, Chiara; Davidesco, Ido; Dikker, Suzanne; Jasinska, Kaja K; Siugzdaite, Roma; Vassena, Eliana; Vatakis, Argiro; Zion-Golumbic, Elana; van Atteveldt, Nienke
As the field of educational neuroscience continues to grow, questions have emerged regarding the ecological validity and applicability of this research to educational practice. Recent advances in mobile neuroimaging technologies have made it possible to conduct neuroscientific studies directly in naturalistic learning environments. We propose that embedding mobile neuroimaging research in a cycle (Matusz, Dikker, Huth, & Perrodin, 2019), involving lab-based, seminaturalistic, and fully naturalistic experiments, is well suited for addressing educational questions. With this review, we take a cautious approach, by discussing the valuable insights that can be gained from mobile neuroimaging technology, including electroencephalography and functional near-infrared spectroscopy, as well as the challenges posed by bringing neuroscientific methods into the classroom. Research paradigms used alongside mobile neuroimaging technology vary considerably. To illustrate this point, studies are discussed with increasingly naturalistic designs. We conclude with several ethical considerations that should be taken into account in this unique area of research. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
PSYCH:2022-09410-009
ISSN: 1751-228x
CID: 5296282

Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021

Evans, Laura; Rhodes, Andrew; Alhazzani, Waleed; Antonelli, Massimo; Coopersmith, Craig M; French, Craig; Machado, Flávia R; Mcintyre, Lauralyn; Ostermann, Marlies; Prescott, Hallie C; Schorr, Christa; Simpson, Steven; Wiersinga, W Joost; Alshamsi, Fayez; Angus, Derek C; Arabi, Yaseen; Azevedo, Luciano; Beale, Richard; Beilman, Gregory; Belley-Cote, Emilie; Burry, Lisa; Cecconi, Maurizio; Centofanti, John; Coz Yataco, Angel; De Waele, Jan; Dellinger, R Phillip; Doi, Kent; Du, Bin; Estenssoro, Elisa; Ferrer, Ricard; Gomersall, Charles; Hodgson, Carol; Møller, Morten Hylander; Iwashyna, Theodore; Jacob, Shevin; Kleinpell, Ruth; Klompas, Michael; Koh, Younsuck; Kumar, Anand; Kwizera, Arthur; Lobo, Suzana; Masur, Henry; McGloughlin, Steven; Mehta, Sangeeta; Mehta, Yatin; Mer, Mervyn; Nunnally, Mark; Oczkowski, Simon; Osborn, Tiffany; Papathanassoglou, Elizabeth; Perner, Anders; Puskarich, Michael; Roberts, Jason; Schweickert, William; Seckel, Maureen; Sevransky, Jonathan; Sprung, Charles L; Welte, Tobias; Zimmerman, Janice; Levy, Mitchell
PMCID:8486643
PMID: 34599691
ISSN: 1432-1238
CID: 5037112

It takes more than tau to tangle: using proteomics to determine how phosphorylated tau mediates toxicity in neurodegenerative diseases

Pires, Geoffrey; Drummond, Eleanor
PMID: 33818497
ISSN: 1673-5374
CID: 4855602