Browse publications by year: 2023

  1. Al Qabbani A, Rani KGA, Syarif J, AlKawas S, Sheikh Abdul Hamid S, Samsudin AR, et al.
    PLoS One, 2023;18(4):e0283922.
    PMID: 37018321 DOI: 10.1371/journal.pone.0283922
    Current immunological issues in bone grafting regarding the transfer of xenogeneic donor bone cells into the recipient are challenging the industry to produce safer acellular natural matrices for bone regeneration. The aim of this study was to investigate the efficacy of a novel decellularization technique for producing bovine cancellous bone scaffold and compare its physicochemical, mechanical, and biological characteristics with demineralized cancellous bone scaffold in an in-vitro study. Cancellous bone blocks were harvested from a bovine femoral head (18-24 months old) subjected to physical cleansing and chemical defatting, and further processed in two ways. Group I was subjected to demineralization, while Group II underwent decellularization through physical, chemical, and enzymatic treatments. Both were then freeze-dried, and gamma radiated, finally producing a demineralized bovine cancellous bone (DMB) scaffold and decellularized bovine cancellous bone (DCC) scaffold. Both DMB and DCC scaffolds were subjected to histological evaluation, scanning electron microscopy/energy-dispersive X-ray spectroscopy (SEM/EDS), fourier-transform infrared spectroscopy (FTIR), quantification of lipid, collagen, and residual nucleic acid content, and mechanical testing. The osteogenic potential was investigated through the recellularization of scaffolds with human osteoblast cell seeding and examined for cell attachment, proliferation, and mineralization by Alizarin staining and gene expression. DCC produced a complete acellular extracellular matrix (ECM) with the absence of nucleic acid content, wider pores with extensive interconnectivity and partially retaining collagen fibrils. DCC demonstrated a higher cell proliferation rate, upregulation of osteogenic differentiation markers, and substantial mineralized nodules production. Our findings suggest that the decellularization technique produced an acellular DCC scaffold with minimal damage to ECM and possesses osteogenic potential through the mechanisms of osteoconduction, osteoinduction, and osteogenesis in-vitro.
    MeSH terms: Animals; Cattle; Cell Differentiation; Child, Preschool; Collagen; Humans; Infant; Nucleic Acids*; Tissue Engineering/methods; Tissue Scaffolds/chemistry; Cancellous Bone
  2. Ten KE, Muzahid NH, Rahman S, Tan HS
    PLoS One, 2023;18(4):e0283960.
    PMID: 37018343 DOI: 10.1371/journal.pone.0283960
    Galleria mellonella larvae have been increasingly used in research, including microbial infection studies. They act as suitable preliminary infection models to study host-pathogen interactions due to their advantages, such as the ability to survive at 37°C mimicking human body temperature, their immune system shares similarities with mammalian immune systems, and their short life cycle allowing large-scale studies. Here, we present a protocol for simple rearing and maintenance of G. mellonella without requiring special instruments and specialized training. This allows the continuous supply of healthy G. mellonella for research purposes. Besides, this protocol also provides detailed procedures on the (i) G. mellonella infection assays (killing assay and bacterial burden assay) for virulence studies and (ii) bacterial cell harvesting from infected larvae and RNA extraction for bacterial gene expression studies during infection. Our protocol could not only be used in the studies of A. baumannii virulence but can also be modified according to different bacterial strains.
    MeSH terms: Animals; Disease Models, Animal*; Humans; Larva/microbiology; Virulence
  3. Abisha S, Mutawa AM, Murugappan M, Krishnan S
    PLoS One, 2023;18(4):e0284021.
    PMID: 37018344 DOI: 10.1371/journal.pone.0284021
    Different diseases are observed in vegetables, fruits, cereals, and commercial crops by farmers and agricultural experts. Nonetheless, this evaluation process is time-consuming, and initial symptoms are primarily visible at microscopic levels, limiting the possibility of an accurate diagnosis. This paper proposes an innovative method for identifying and classifying infected brinjal leaves using Deep Convolutional Neural Networks (DCNN) and Radial Basis Feed Forward Neural Networks (RBFNN). We collected 1100 images of brinjal leaf disease that were caused by five different species (Pseudomonas solanacearum, Cercospora solani, Alternaria melongenea, Pythium aphanidermatum, and Tobacco Mosaic Virus) and 400 images of healthy leaves from India's agricultural form. First, the original plant leaf is preprocessed by a Gaussian filter to reduce the noise and improve the quality of the image through image enhancement. A segmentation method based on expectation and maximization (EM) is then utilized to segment the leaf's-diseased regions. Next, the discrete Shearlet transform is used to extract the main features of the images such as texture, color, and structure, which are then merged to produce vectors. Lastly, DCNN and RBFNN are used to classify brinjal leaves based on their disease types. The DCNN achieved a mean accuracy of 93.30% (with fusion) and 76.70% (without fusion) compared to the RBFNN (82%-without fusion, 87%-with fusion) in classifying leaf diseases.
    MeSH terms: Image Enhancement; Image Processing, Computer-Assisted/methods; Neural Networks (Computer); Plant Leaves; Solanum melongena*
  4. Sperber AD, Bor S, Fang X, Bangdiwala SI, Drossman DA, Ghoshal UC, et al.
    PMID: 37018412 DOI: 10.1111/nmo.14583
    BACKGROUND AND AIMS: The Rome Foundation Global Epidemiology Study (RFGES) assessed the prevalence, burden, and associated factors of Disorders of Gut-Brain Interaction (DGBI) in 33 countries around the world. Achieving worldwide sampling necessitated use of two different surveying methods: In-person household interviews (9 countries) and Internet surveys (26 countries). Two countries, China and Turkey, were surveyed with both methods. This paper examines the differences in the survey results with the two methods, as well as likely reasons for those differences.

    METHODS: The two RFGES survey methods are described in detail, and differences in DGBI findings summarized for household versus Internet surveys globally, and in more detail for China and Turkey. Logistic regression analysis was used to elucidate factors contributing to these differences.

    RESULTS: Overall, DGBI were only half as prevalent when assessed with household vs Internet surveys. Similar patterns of methodology-related DGBI differences were seen within both China and Turkey, but prevalence differences between the survey methods were dramatically larger in Turkey. No clear reasons for outcome differences by survey method were identified, although greater relative reduction in bowel and anorectal versus upper gastrointestinal disorders when household versus Internet surveying was used suggests an inhibiting influence of social sensitivity.

    CONCLUSIONS: The findings strongly indicate that besides affecting data quality, manpower needs and data collection time and costs, the choice of survey method is a substantial determinant of symptom reporting and DGBI prevalence outcomes. This has important implications for future DGBI research and epidemiological research more broadly.

  5. Ruman UE, Zubair M, Zeeshan MH
    Anal Biochem, 2023 Jun 01;670:115148.
    PMID: 37019252 DOI: 10.1016/j.ab.2023.115148
    The purpose of this study was to explore the new effective method and investigate the dissipation of chlorfenapyr and deltamethrin (DM) pesticides used in the treatment of guava fruit from tropical and sub-tropical areas of Pakistan. Five different solutions of varying concentrations of pesticides were prepared. This study involved the in-vitro and in-vivo analysis of modulated electric flux-triggered degradation as an efficient method for the safer degradation of selected pesticides. The Taser gun was used as a tool for providing different numbers of electrical shocks of million voltages to the pesticides present in guava fruit at different temperatures. The degraded pesticides were extracted and analyzed by High-performance liquid chromatography (HPLC). The HPLC chromatograms verified that significant dissipation of pesticides took place when these were exposed to 9 shocks at 37 °C, which proved the efficiency of this degradation method. More than 50% of the total spray of both pesticides was dissipated. Thus, modulated electrical flux-triggered degradation is one of the effective methods for pesticide degradation.
    MeSH terms: Fruit/chemistry; Pesticides*
  6. Hossain R, Ibrahim RB, Hashim HB
    World Neurosurg, 2023 Jul;175:57-68.
    PMID: 37019303 DOI: 10.1016/j.wneu.2023.03.115
    To develop a research overview of brain tumor classification using machine learning, we conducted a systematic review with a bibliometric analysis. Our systematic review and bibliometric analysis included 1747 studies of automated brain tumor detection using machine learning reported in the previous 5 years (2019-2023) from 679 different sources and authored by 6632 investigators. Bibliographic data were collected from the Scopus database, and a comprehensive bibliometric analysis was conducted using Biblioshiny and the R platform. The most productive and collaborative institutes, reports, journals, and countries were determined using citation analysis. In addition, various collaboration metrics were determined at the institute, country, and author level. Lotka's law was tested using the authors' performance. Analysis showed that the authors' publication trends followed Lotka's inverse square law. An annual publication analysis showed that 36.46% of the studies had been reported in 2022, with steady growth from previous years. Most of the cited authors had focused on multiclass classification and novel convolutional neural network models that are efficient for small training sets. A keyword analysis showed that "deep learning," "magnetic resonance imaging," "nuclear magnetic resonance imaging," and "glioma" appeared most often, proving that of the several brain tumor types, most studies had focused on glioma. India, China, and the United States were among the highest collaborative countries in terms of both authors and institutes. The University of Toronto and Harvard Medical School had the highest number of affiliations with 132 and 87 publications, respectively.
    MeSH terms: Machine Learning; Brain; Glioma*; Humans; Bibliometrics; Radiopharmaceuticals
  7. Chan FKL, Wong MCS, Chan AT, East JE, Chiu HM, Makharia GK, et al.
    Gut, 2023 Jul;72(7):1240-1254.
    PMID: 37019620 DOI: 10.1136/gutjnl-2023-329429
    Screening for colorectal cancer (CRC) is effective in reducing CRC related mortality. Current screening methods include endoscopy based and biomarker based approaches. This guideline is a joint official statement of the Asian Pacific Association of Gastroenterology (APAGE) and the Asian Pacific Society of Digestive Endoscopy (APSDE), developed in response to the increasing use of, and accumulating supportive evidence for the role of, non-invasive biomarkers for the diagnosis of CRC and its precursor lesions. A systematic review of 678 publications and a two stage Delphi consensus process involving 16 clinicians in various disciplines was undertaken to develop 32 evidence based and expert opinion based recommendations for the use of faecal immunochemical tests, faecal based tumour biomarkers or microbial biomarkers, and blood based tumour biomarkers for the detection of CRC and adenoma. Comprehensive up-to-date guidance is provided on indications, patient selection and strengths and limitations of each screening tool. Future research to inform clinical applications are discussed alongside objective measurement of research priorities. This joint APAGE-APSDE practice guideline is intended to provide an up-to-date guide to assist clinicians worldwide in utilising non-invasive biomarkers for CRC screening; it has particular salience for clinicians in the Asia-Pacific region.
    MeSH terms: Feces; Gastroenterology*; Humans; Biomarkers, Tumor; Endoscopy, Gastrointestinal; Early Detection of Cancer
  8. Chin KL, Fonte L, Lim BH, Sarmiento ME, Acosta A
    Front Immunol, 2023;14:1091352.
    PMID: 37020538 DOI: 10.3389/fimmu.2023.1091352
    MeSH terms: Animals; Helminthiasis*; Helminths*; Immunization; Tuberculosis*
  9. Poudel P, Sharma S, Ansari MNM, Vaish R, Kumar R, Ibrahim SM, et al.
    Glob Chall, 2023 Apr;7(4):2100140.
    PMID: 37020619 DOI: 10.1002/gch2.202100140
    This paper presents a piezoelectric wind energy harvester that operates by a galloping mechanism with different shaped attachments attached to a bluff body. A comparison is made between harvesters that consist of different shaped attachments on a bluff body; these include triangular, circular, square, Y-shaped, and curve-shaped attachments. Simulation of the pressure field and the velocity field variation around the different shaped bluff bodies is performed and it is found that a high pressure difference creates a high lift force on the bluff body with curve-shaped attachments. A theoretical model based on a galloping mechanism is presented, which is verified by experiments. It is observed that the proposed harvester with curve-shaped attachments provides the best performance, where the harvester with a curve-shaped attachments provides the highest voltage and power output compared to the other shaped harvesters examined in this study. This paper provides a new concept for improving the power performance of the piezoelectric wind energy harvesters with modifications made on the bluff body.
  10. Kalamegam G, Sait KHW, Ahmed F, Kadam R, Pushparaj PN, Anfinan N, et al.
    Front Oncol, 2023;13:1171430.
    PMID: 37020874 DOI: 10.3389/fonc.2023.1171430
    [This corrects the article DOI: 10.3389/fonc.2018.00592.].
  11. Habib A, Nazri MIBA, Rahman SA
    Data Brief, 2023 Jun;48:109090.
    PMID: 37020897 DOI: 10.1016/j.dib.2023.109090
    Clinical diagnosis of inborn errors of metabolism in the suspected patients is usually guided by the initial general investigations in the laboratory such as the concentration of ammonia, blood gases status, blood glucose and ketones. The establishment of a biochemical diagnosis in patients with inborn errors of metabolism depends on the detection of the specific metabolites in the abnormal metabolic pathway which can appear in any of the body fluids but are most commonly tested in blood and urine samples. Acylcarnitine and/or acylcarnitine ratio in patients with carnitine acylcarnitine translocase and carnitine palmitoyl transferase deficiency showed an abnormal profile regardless of the metabolic status of patients. The acylcarnitine was derived from the analysis of dried blood spot using multiple reaction monitoring (MRM) which was performed using quadrupole mass spectrometry. The dataset presented in this article was generated from analysis of acylcarnitines in the 17,121 dried blood spots from symptomatic Malaysian patients less than fifty years old who exhibited symptoms suggestive of inborn errors of metabolism, but had a normal acylcarnitine profile. A precursor or ion scan of m/z 85 was selected for the analysis. Quantification of each analyte was obtained using the signal intensity ratio of the acylcarnitine to its internal standard. The acylcarnitines analyzed included C0, C2, C3, C3DC, C4, C5, C5:1, C5DC, C5OH, C6, C8, C10, C12, C14, C16, C18, C18:1, C16OH, C18OH and C18:1OH and was analyzed using Neolynx V4.0 software. We decided to choose the 1st and 99th percentiles as the minimum and maximum cut-offs. The filtered part of data in this article was used in the article Novel mutations associated with Carnitine-Acylcarnitine Translocase and Carnitine Palmitoyl Transferase 2 deficiencies in Malaysia. This dataset is intended to enable the scientific communities to get access to the raw dataset for future translational research use in inborn errors of metabolism as very few acylcarnitine data was developed and published for the symptomatic patients suspected of inborn errors of metabolism especially in the Asian population.
  12. Hakemzadeh MH, Ibrahim A, Sopian K, Abd Hamid AS, Jarimi H
    Heliyon, 2023 Mar;9(3):e14661.
    PMID: 37020933 DOI: 10.1016/j.heliyon.2023.e14661
    Global solar radiation can theoretically be approximated in terms of tilt and azimuth of the surface regarding the impossibility of simultaneous measurement of solar radiation at various surface tilt and azimuth angles. Moreover, the random and anisotropic nature of diffuse radiation in a tropical climate makes it extremely difficult to estimate global solar radiation accurately as a function of surface tilt and azimuth angles. This study aims to develop a novel experimental and theoretical approach in the form of a computational network in order to determine a precise combined model integrated with global horizontal solar radiation to evaluate global tilted solar radiation in a tropical climate. Obtained results revealed that precisely estimation of the global tilted solar radiation was possible, by combining geometric factors for the tilted beam solar radiation, a combination of Gueymard and Louche models for the tilted diffuse solar radiation, and isotropic ground reflectance model for the ground reflected radiation, along with global horizontal solar radiation. It was observed that the accuracy of the model developed was higher for the partly sunny sky compared to the cloudy and rainy sky, estimates were more accurate on south-facing surfaces, and the model's accuracy declined with the increasing tilt angle of the surface. The statistical analysis exhibited excellent agreement between the measured data and simulation results, considering the value of normalized mean absolute error (nMAE %), normalized root mean squared error (nRMSE %), and mean absolute percentage error (MAPE %), which were in the ranges 0.22-0.94, 0.27-1.11, and 0.23-1.02, respectively for estimating global tilted solar radiation in various regions of Peninsular Malaysia, and they were respectively found in the range of 10.2-27.5%, 16.1-38.9%, and 6.0-17.8%, for evaluating the monthly optimum tilt angle towards the south, that leads to a loss of solar energy from 1.3 to 5.4 kWh/m2/year in Peninsular Malaysia. This search revealed that the experimental and theoretical approach employed in this study can be extended to more climatic regions.
  13. Aminatun, Hanum S F, Izak R D, Hadi S, Amrillah T, Che Abdullah CA
    RSC Adv, 2023 Apr 03;13(16):10459-10467.
    PMID: 37021102 DOI: 10.1039/d2ra07756f
    Knee injuries are musculoskeletal system injuries, including the Anterior Cruciate Ligament (ACL). ACL injuries are most common in athletes. This ACL injury necessitates biomaterial replacement. It is sometimes taken from the patient's tendon and a biomaterial scaffold is used. The use of biomaterial scaffolds as artificial ACLs remains to be investigated. The purpose of this study is to determine the properties of an ACL scaffold made of polycaprolactone (PCL)-hydroxyapatite (HA) and collagen with various composition variations of (50 : 45 : 5), (50 : 40 : 10), (50 : 35 : 15), (50 : 30 : 20), and (50 : 25 : 25) wt%. The scaffold was created using the electrospinning method with a voltage of 23 kV, a needle-collector distance of 15 cm, and a solution flow rate of 2 mL h-1. The average fiber diameter in all samples was less than 1000 nm. The model with the best characterization was PCL : HA : collagen with a weight-to-weight (wt%) ratio of 50 : 45 : 5 and an average fiber diameter of 488 ± 271 nm. The UTS and modulus of elasticity for braided samples were 2.796 MPa and 3.224 MPa, respectively, while the non-braided samples were 2.864 MPa and 12.942 MPa. The estimated time of degradation was 9.44 months. It was also revealed to be non-toxic, with an 87.95% viable cell percentage.
  14. Lin GSS, Sim DHH, Luddin N, Lai JCH, Ghani HA, Noorani TY
    J Dent Sci, 2023 Apr;18(2):604-612.
    PMID: 37021270 DOI: 10.1016/j.jds.2022.08.012
    BACKGROUND/PURPOSE: The usage of bioceramic-based root canal sealers has escalated over the years due to their excellent properties. The present study aimed to fabricate a novel algin incorporated bioactive glass 58S calcium-silicate (Bio-G) sealer and characterise its surface microstructure and chemical compositions in comparison to commercially available bioceramic sealers (BioRoot RCS and iRoot SP).

    MATERIALS AND METHODS: The powder form of experimental Bio-G sealer consisted of synthesised BG 58S particle, calcium silicate, zirconia dioxide, calcium carbonate and alginic acid powder as binder. The liquid composed of 5% calcium chloride solution. Five standardised disc specimens were prepared for each sealer group according to the manufacturer's instructions. Subsequently, sealer disc-specimens were placed in an incubator at 37 °C, 95% relative humidity for 72 h to allow setting prior to testing under scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS), Fourier transformed infrared spectroscopy (FTIR) and X-ray diffraction (XRD).

    RESULTS: Experimental Bio-G sealer revealed irregular micro-sized particles ranging from 0.5 μm to 105 μm aggregated in clusters comparable to those of BioRoot RCS and iRoot SP. EDS microanalysis showed that Bio-G had high content of oxygen, silicon, and calcium, with the presence of aluminium and chloride similar to BioRoot RCS. Meanwhile, the FTIR and XRD findings suggested that all sealers predominantly contained calcium silicate hydrate, calcium carbonate, and zirconium dioxide, while calcium aluminium silicate oxide was detected in Bio-G.

    CONCLUSION: The present novel Bio-G sealer demonstrated desirable particle size distribution and acceptable degree of purity. Future studies are warranted to explore its properties and clinical application.

  15. Kasim AS, Golbabapour S, Zaini AA, Peng EK, Jalaludin MY, Nathan AM, et al.
    PMID: 37021461 DOI: 10.1002/edm2.417
    INTRODUCTION: Overweight and obese children are at risk of obstructive sleep apnoea (OSA) and abnormal pulmonary function (PF).

    AIM: Investigate the relationship between body mass index (BMI), OSA on PF in children.

    MATERIALS & METHOD: Seventy-four children were recruited. Mixed obstructive apnoea-hypopnea index (MOAHI), BMI, oxygen saturation (SpO2 ), forced expiratory volume one second (FEV1 ), forced vital capacity (FVC) and fractionated exhaled nitric oxide (FeNO) were measured.

    RESULTS: Twenty-four and thirty children had mild OSA and moderate-to-severe OSA respectively. BMI correlated negatively with SpO2 nadir (r = -.363, p = .001). FVC, FEV1 and nadir SpO2 values decreased with OSA severity (p 

  16. Abdul Halim NSS, Ripin ZM, Ridzwan MIZ
    Int J Occup Saf Ergon, 2023 Jun;29(2):494-514.
    PMID: 35306979 DOI: 10.1080/10803548.2022.2055908
    Objectives. This study aimed to evaluate the efficacy of patient transfer assistive devices in reducing the risk of work-related musculoskeletal disorders (WMSDs) among nurses. Methods. PubMed, Scopus, Google Scholar and the Cochrane Database of Systematic Reviews were searched to identify studies with a quantitative assessment of the efficacy of patient transfer assistive devices on the incidence and injury claims of WMSDs as compared to the manual lifting of patients. A health impact analysis of the pre-post intervention of assistive device implementation was performed. The percentage of the reduction of forces, incidence of WMSDs, number of missed workdays and injury compensation claims were calculated, pooled and presented as boxplots. Results. A total of 25 studies met the inclusion criteria. The best post-intervention outcomes of assistive devices deployment in the healthcare setting included a reduction in WMSD incidence by 59.8%, missed workdays by 90.0% and workers' compensation claims by 95.0%. Additionally, hand force declined by 71% (p 
    MeSH terms: Humans; Patient Transfer; Upper Extremity
  17. Taha M, Rahim F, Hayat S, Chigurupati S, Khan KM, Imran S, et al.
    Future Med Chem, 2023 Mar;15(5):405-419.
    PMID: 37013918 DOI: 10.4155/fmc-2022-0306
    Aim: To synthesize pyrrolopyridine-based thiazolotriazoles as a novel class of α-amylase and α-glucosidase inhibitors and to determine their enzymatic kinetics. Methodology: Pyrrolopyridine-based thiazolotriazole analogs (1-24) were synthesized and characterized through proton nuclear magnetic resonance, carbon-13 nuclear magnetic resonance and high-resolution electron ionization mass spectrometry. Results: All synthesized analogs displayed good inhibitory potential of α-amylase and α-glucosidase ranging 17.65-70.7 μM and 18.15-71.97 μM, respectively, compared with the reference drug, acarbose (11.98 μM and 12.79 μM). Analog 3 was the most potent among the synthesized analogs, having α-amylase and α-glucosidase inhibitory activity at 17.65 and 18.15 μM, respectively. The structure-activity relationship and binding modes of interactions between selected analogs were confirmed via docking and enzymatic kinetics studies. The compounds (1-24) were tested for cytotoxicity against the 3T3 mouse fibroblast cell line and were observed to be nontoxic.
    MeSH terms: alpha-Amylases; alpha-Glucosidases/metabolism; Animals; Diabetes Mellitus*; Heterocyclic Compounds*; Kinetics; Structure-Activity Relationship; Molecular Structure; Mice; Molecular Docking Simulation; Glycoside Hydrolase Inhibitors/chemistry
  18. Mohd Suria TYI, Omar AF, Wan Mokhtar I, Rahman ANAA, Kamaruddin AA, Ahmad MS
    Spec Care Dentist, 2023;43(6):848-855.
    PMID: 37013967 DOI: 10.1111/scd.12857
    OBJECTIVES: This study aims to analyze the impact and students' perceptions of online peer-assisted learning (OPL), developed as an alternative and innovative approach to Special Care Dentistry (SCD) training during the COVID-19 pandemic. Online peer-assisted learning (OPL) is an alternative pedagogical approach that combines online education and peer-assisted teaching.

    METHODS: The OPL session was conducted by two postgraduate students in SCD (as teachers), to final year undergraduate dental students (as learners) (n = 90), supervised by two specialists in SCD-related areas (as supervisors). Vetted online pre- and post-intervention quizzes were conducted before and after the session, respectively, followed by an online validated feedback survey of the students' learning experiences. Meanwhile, a reflective session was conducted between the postgraduate students and supervisors to explore their perceptions of OPL. Quantitative data was analyzed via paired t-test (significance level, P 

    MeSH terms: Dentistry; Humans; Learning; Education, Distance*; Pandemics
  19. Sallih ASM, Wee MW, Zaki RA, Hng SY, Eg KP, Nathan AM, et al.
    Pediatr Pulmonol, 2023 Jun;58(6):1784-1797.
    PMID: 37014160 DOI: 10.1002/ppul.26403
    BACKGROUND: Few studies have examined the impact of Coronavirus disease 2019 (COVID-19) infection on children with chronic lung disease (CLD).

    OBJECTIVE: To perform a systematic review and meta-analysis to determine the prevalence, risk factors for contracting COVID-19, and complications of COVID-19, in children with CLD.

    METHODS: This systematic review was based on articles published between January 1, 2020 and July 25, 2022. Children under 18 years old, with any CLD and infected with COVID-19 were included.

    RESULTS: Ten articles involving children with asthma and four involving children with cystic fibrosis (CF) were included in the analyses. The prevalence of COVID-19 in children with asthma varied between 0.14% and 19.1%. The use of inhaled corticosteroids (ICS) was associated with reduced risk for COVID-19 (risk ratio [RR]: 0.60, 95% confidence interval [CI]: 0.40-0.90). Uncontrolled asthma, younger age, AND moderate-severe asthma were not significant risk factors for contracting COVID-19. Children with asthma had an increased risk for hospitalization (RR: 1.62, 95% CI: 1.07-2.45) but were not more likely to require assisted ventilation (RR: 0.51, 95% CI: 0.14-1.90). The risk of COVID-19 infection among children with CF was <1%. Posttransplant and cystic fibrosis-related diabetes mellitus (CFRDM) patients were at an increased risk for hospitalization and intensive care treatment.

    CONCLUSION: Hospitalizations were higher in children with asthma with COVID-19 infection. However, using ICS reduced the risk of COVID-19 infection. As for CF, postlung transplantation and CFRDM were risk factors for severe disease.

    MeSH terms: Administration, Inhalation; Adolescent; Adrenal Cortex Hormones/therapeutic use; Child; Humans
  20. Dama G, Hu X, Yan Y, Li Y, Li H, Yang F, et al.
    Histochem Cell Biol, 2023 Jul;160(1):11-25.
    PMID: 37014442 DOI: 10.1007/s00418-023-02186-5
    Experimental autoimmune encephalomyelitis (EAE) is a classical animal model of human multiple sclerosis (MS) that is most commonly used to study the neuropathology and therapeutic effects of the disease. Telocytes (TCs) are a specialized type of interstitial or mesenchymal cell first identified by Popescu in various tissues and organs. However, the existence, distribution and role of CD34+ stromal cells (SCs)/TCs in the EAE-induced mouse spleen remain to be elucidated. We conducted immunohistochemistry, immunofluorescence (double staining for CD34 and c-kit, vimentin, F4/80, CD163, Nanog, Sca-1, CD31 or tryptase) and transmission electron microscopy experiments to investigate the existence, distribution and role of CD34+ SCs/TCs in the EAE-induced mouse spleen. Interestingly, immunohistochemistry, double-immunofluorescence, and transmission electron microscopy results revealed that CD34+ SCs/TCs were significantly upregulated in the EAE mouse spleen. Immunohistochemical or double-immunofluorescence staining of CD34+ SCs/TCs showed positive expression for CD34, c-kit, vimentin, CD34/vimentin, c-kit/vimentin and CD34/c-kit, and negative expression for CD31 and tryptase. Transmission electron microscopy (TEM) results demonstrated that CD34+ SCs/TCs established close connections with lymphocytes, reticular cells, macrophages, endothelial cells and erythrocytes. Furthermore, we also found that M1 (F4/80) or M2 (CD163) macrophages, and haematopoietic, pluripotent stem cells were markedly increased in EAE mice. Our results suggest that CD34+ SCs/TCs are abundant and may play a contributing role in modulating the immune response, recruiting macrophages and proliferation of haematopoietic and pluripotent stem cells following injury to promote tissue repair and regeneration in EAE mouse spleens. This suggests that their transplantation combined with stem cells might represent a promising therapeutic target for the treatment and prevention of multiple autoimmune and chronic inflammatory disorders.
    MeSH terms: Animals; Spleen; Vimentin/metabolism; Cell Adhesion Molecules/metabolism; Stromal Cells/metabolism; Antigens, CD34/metabolism; Endothelial Cells/metabolism; Mice; Tryptases/metabolism
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