18 results on '"Toruno, P."'
Search Results
2. Correction to: Outcomes of mechanical thrombectomy in patients with acute ischemic stroke and thrombocytopenia: systematic review and meta-analysis
- Author
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Toruno, Michelle A., Al-Janabi, Omar M., Ghozy, Sherief, Kobeissi, Hassan, Kadirvel, Ramanathan, Rabinstein, Alejandro A., and Kallmes, David F.
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- 2024
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3. Elephant TP53-RETROGENE 9 induces transcription-independent apoptosis at the mitochondria
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Preston, Aidan J., Rogers, Aaron, Sharp, Miranda, Mitchell, Gareth, Toruno, Cristhian, Barney, Brayden B., Donovan, Lauren N., Bly, Journey, Kennington, Ryan, Payne, Emily, Iovino, Anthony, Furukawa, Gabriela, Robinson, Rosann, Shamloo, Bahar, Buccilli, Matthew, Anders, Rachel, Eckstein, Sarah, Fedak, Elizabeth A., Wright, Tanner, Maley, Carlo C., Kiso, Wendy K., Schmitt, Dennis, Malkin, David, Schiffman, Joshua D., and Abegglen, Lisa M.
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- 2023
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4. Elephant TP53-RETROGENE 9 induces transcription-independent apoptosis at the mitochondria
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Aidan J. Preston, Aaron Rogers, Miranda Sharp, Gareth Mitchell, Cristhian Toruno, Brayden B. Barney, Lauren N. Donovan, Journey Bly, Ryan Kennington, Emily Payne, Anthony Iovino, Gabriela Furukawa, Rosann Robinson, Bahar Shamloo, Matthew Buccilli, Rachel Anders, Sarah Eckstein, Elizabeth A. Fedak, Tanner Wright, Carlo C. Maley, Wendy K. Kiso, Dennis Schmitt, David Malkin, Joshua D. Schiffman, and Lisa M. Abegglen
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Cytology ,QH573-671 - Abstract
Abstract Approximately 20 TP53 retrogenes exist in the African and Asian elephant genomes (Loxodonta Africana, Elephas Maximus) in addition to a conserved TP53 gene that encodes a full-length protein. Elephant TP53-RETROGENE 9 (TP53-R9) encodes a p53 protein (p53-R9) that is truncated in the middle of the canonical DNA binding domain. This C-terminally truncated p53 retrogene protein lacks the nuclear localization signals and oligomerization domain of its full-length counterpart. When expressed in human osteosarcoma cells (U2OS), p53-R9 binds to Tid1, the chaperone protein responsible for mitochondrial translocation of human p53 in response to cellular stress. Tid1 expression is required for p53-R9-induced apoptosis. At the mitochondria, p53-R9 binds to the pro-apoptotic BCL-2 family member Bax, which leads to caspase activation, cytochrome c release, and cell death. Our data show, for the first time, that expression of this truncated elephant p53 retrogene protein induces apoptosis in human cancer cells. Understanding the molecular mechanism by which the additional elephant TP53 retrogenes function may provide evolutionary insight that can be utilized for the development of therapeutics to treat human cancers.
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- 2023
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5. Latin American consensus on uncomplicated recurrent urinary tract infection—2018
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Haddad, Jorge Milhem, Ubertazzi, Enrique, Cabrera, Oscar Storme, Medina, Martha, Garcia, Jorge, Rodriguez-Colorado, Silvia, Toruno, Efrain, Matsuoka, Priscila Katsumi, and Castillo-Pino, Edgardo
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- 2020
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6. Identification of African Elephant Polyomavirus in wild elephants and the creation of a vector expressing its viral tumor antigens to transform elephant primary cells.
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Virginia R Pearson, Jens B Bosse, Orkide O Koyuncu, Julian Scherer, Cristhian Toruno, Rosann Robinson, Lisa M Abegglen, Joshua D Schiffman, Lynn W Enquist, and Glenn F Rall
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Medicine ,Science - Abstract
Wild elephant populations are declining rapidly due to rampant killing for ivory and body parts, range fragmentation, and human-elephant conflict. Wild and captive elephants are further impacted by viruses, including highly pathogenic elephant endotheliotropic herpesviruses. Moreover, while the rich genetic diversity of the ancient elephant lineage is disappearing, elephants, with their low incidence of cancer, have emerged as a surprising resource in human cancer research for understanding the intrinsic cellular response to DNA damage. However, studies on cellular resistance to transformation and herpesvirus reproduction have been severely limited, in part due to the lack of established elephant cell lines to enable in vitro experiments. This report describes creation of a recombinant plasmid, pAelPyV-1-Tag, derived from a wild isolate of African Elephant Polyomavirus (AelPyV-1), that can be used to create immortalized lines of elephant cells. This isolate was extracted from a trunk nodule biopsy isolated from a wild African elephant, Loxodonta africana, in Botswana. The AelPyV-1 genome contains open-reading frames encoding the canonical large (LTag) and small (STag) tumor antigens. We cloned the entire early region spanning the LTag and overlapping STag genes from this isolate into a high-copy vector to construct a recombinant plasmid, pAelPyV-1-Tag, which effectively transformed primary elephant endothelial cells. We expect that the potential of this reagent to transform elephant primary cells will, at a minimum, facilitate study of elephant-specific herpesviruses.
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- 2021
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7. Development of both type I–B and type II CRISPR/Cas genome editing systems in the cellulolytic bacterium Clostridium thermocellum
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Julie E. Walker, Anthony A. Lanahan, Tianyong Zheng, Camilo Toruno, Lee R. Lynd, Jeffrey C. Cameron, Daniel G. Olson, and Carrie A. Eckert
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CRISPR ,Type I–B ,Cas9 ,Clostridium thermocellum ,Thermophilic recombineering ,Biotechnology ,TP248.13-248.65 ,Biology (General) ,QH301-705.5 - Abstract
The robust lignocellulose-solubilizing activity of C. thermocellum makes it a top candidate for consolidated bioprocessing for biofuel production. Genetic techniques for C. thermocellum have lagged behind model organisms thus limiting attempts to improve biofuel production. To improve our ability to engineer C. thermocellum, we characterized a native Type I–B and heterologous Type II Clustered Regularly-Interspaced Short Palindromic Repeat (CRISPR)/cas (CRISPR associated) systems. We repurposed the native Type I–B system for genome editing. We tested three thermophilic Cas9 variants (Type II) and found that GeoCas9, isolated from Geobacillus stearothermophilus, is active in C. thermocellum. We employed CRISPR-mediated homology directed repair to introduce a nonsense mutation into pyrF. For both editing systems, homologous recombination between the repair template and the genome appeared to be the limiting step. To overcome this limitation, we tested three novel thermophilic recombinases and demonstrated that exo/beta homologs, isolated from Acidithiobacillus caldus, are functional in C. thermocellum. For the Type I–B system an engineered strain, termed LL1586, yielded 40% genome editing efficiency at the pyrF locus and when recombineering machinery was expressed this increased to 71%. For the Type II GeoCas9 system, 12.5% genome editing efficiency was observed and when recombineering machinery was expressed, this increased to 94%. By combining the thermophilic CRISPR system (either Type I–B or Type II) with the recombinases, we developed a new tool that allows for efficient CRISPR editing. We are now poised to enable CRISPR technologies to better engineer C. thermocellum for both increased lignocellulose degradation and biofuel production.
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- 2020
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8. Spliceosomal components protect embryonic neurons from R-loop-mediated DNA damage and apoptosis
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Shelly Sorrells, Sara Nik, Mattie Casey, Rosannah C. Cameron, Harold Truong, Cristhian Toruno, Michelle Gulfo, Albert Lowe, Cicely Jette, Rodney A. Stewart, and Teresa V. Bowman
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Splicing ,Radiation ,Apoptosis ,Zebrafish ,R-loops ,Neurons ,Medicine ,Pathology ,RB1-214 - Abstract
RNA splicing factors are essential for the viability of all eukaryotic cells; however, in metazoans some cell types are exquisitely sensitive to disruption of splicing factors. Neuronal cells represent one such cell type, and defects in RNA splicing factors can lead to neurodegenerative diseases. The basis for this tissue selectivity is not well understood owing to difficulties in analyzing the consequences of splicing factor defects in whole-animal systems. Here, we use zebrafish mutants to show that loss of spliceosomal components, including splicing factor 3b, subunit 1 (sf3b1), causes increased DNA double-strand breaks and apoptosis in embryonic neurons. Moreover, these mutants show a concomitant accumulation of R-loops, which are non-canonical nucleic acid structures that promote genomic instability. Dampening R-loop formation by conditional induction of ribonuclease H1 in sf3b1 mutants reduced neuronal DNA damage and apoptosis. These findings show that splicing factor dysfunction leads to R-loop accumulation and DNA damage that sensitizes embryonic neurons to apoptosis. Our results suggest that diseases associated with splicing factor mutations could be susceptible to treatments that modulate R-loop levels.
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- 2018
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9. Interdependence of Bad and Puma during ionizing-radiation-induced apoptosis.
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Cristhian Toruno, Seth Carbonneau, Rodney A Stewart, and Cicely Jette
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Medicine ,Science - Abstract
Ionizing radiation (IR)-induced DNA double-strand breaks trigger an extensive cellular signaling response that involves the coordination of hundreds of proteins to regulate DNA repair, cell cycle arrest and apoptotic pathways. The cellular outcome often depends on the level of DNA damage as well as the particular cell type. Proliferating zebrafish embryonic neurons are highly sensitive to IR-induced apoptosis, and both p53 and its transcriptional target puma are essential mediators of the response. The BH3-only protein Puma has previously been reported to activate mitochondrial apoptosis through direct interaction with the pro-apoptotic Bcl-2 family proteins Bax and Bak, thus constituting the role of an "activator" BH3-only protein. This distinguishes it from BH3-only proteins like Bad that are thought to indirectly promote apoptosis through binding to anti-apoptotic Bcl-2 family members, thereby preventing the sequestration of activator BH3-only proteins and allowing them to directly interact with and activate Bax and Bak. We have shown previously that overexpression of the BH3-only protein Bad in zebrafish embryos supports normal embryonic development but greatly sensitizes developing neurons to IR-induced apoptosis. While Bad has previously been shown to play only a minor role in promoting IR-induced apoptosis of T cells in mice, we demonstrate that Bad is essential for robust IR-induced apoptosis in zebrafish embryonic neural tissue. Moreover, we found that both p53 and Puma are required for Bad-mediated radiosensitization in vivo. Our findings show the existence of a hierarchical interdependence between Bad and Puma whereby Bad functions as an essential sensitizer and Puma as an essential activator of IR-induced mitochondrial apoptosis specifically in embryonic neural tissue.
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- 2014
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10. Patient Characterization Protocols for Psychophysiological Studies of Traumatic Brain Injury and Post-TBI Psychiatric Disorders
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Paul E. Rapp, Brenna M. Rosenberg, David O. Keyser, Dominic eNathan, Kevin M. Toruno, Christopher J. Cellucci, Alfonso M. Albano, Scott A. Wylie, Douglas eGibson, Adele M.K. Gilpin, and Theodore R. Bashore
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cognitive assessment ,resilience ,Event Related Potentials (ERPs) ,Neuropsychiatric assessment ,Sociological assessment ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Psychophysiological investigations of traumatic brain injury (TBI) are being conducted for several reasons, including the objective of learning more about the underlying physiological mechanisms of the pathological processes that can be initiated by a head injury. Additional goals include the development of objective physiologically based measures that can be used to monitor the response to treatment and to identify minimally symptomatic individuals who are at risk of delayed onset neuropsychiatric disorders following injury. Research programs studying TBI search for relationships between psychophysiological measures, particularly ERP component properties (e.g. timing, amplitude, scalp distribution), and a participant’s clinical condition. Moreover, the complex relationships between brain injury and psychiatric disorders are receiving increased research attention, and ERP technologies are making contributions to this effort. This review has two objectives supporting such research efforts. The first is to review evidence indicating that traumatic brain injury is a significant risk factor for post-injury neuropsychiatric disorders. The second objective is to introduce ERP researchers who are not familiar with neuropsychiatric assessment to the instruments that are available for characterizing traumatic brain injury, post-concussion syndrome, and psychiatric disorders. Specific recommendations within this very large literature are made. We have proceeded on the assumption that, as is typically the case in an ERP laboratory, the investigators are not clinically qualified and that they will not have access to participant medical records.
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- 2013
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11. Identifying Aspiration Among Infants in Neonatal Intensive Care Units Through Occupational Therapy Feeding Evaluations.
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Bowman, O. Jayne, Hagan, Joseph L., Toruno, Rose Marie, and Wiggin, Mitzi M.
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RESPIRATORY aspiration -- Risk factors ,ACADEMIC medical centers ,CHI-squared test ,DEGLUTITION ,DEGLUTITION disorders ,FLUOROSCOPY ,HEALTH promotion ,INFANT nutrition ,MEDICAL care costs ,NEONATAL intensive care ,JUDGMENT sampling ,NEONATAL intensive care units ,RETROSPECTIVE studies ,RECEIVER operating characteristic curves ,RESPIRATORY aspiration ,DATA analysis software ,OCCUPATIONAL therapy needs assessment ,MANN Whitney U Test ,SYMPTOMS ,CHILDREN - Abstract
Importance: When a neonate's sucking, swallowing, and breathing are disorganized, oropharyngeal aspiration often occurs and results in illness, developmental problems, and even death. Occupational therapists who work in the neonatal intensive care unit (NICU) need to identify neonates who are at risk for aspirating so they can provide appropriate treatment. Objective: To ascertain whether client factors and performance skills of infants ages 0--6 mo during occupational therapy feeding evaluations are related to results of videofluoroscopic swallowing studies (VFSSs). Design: Retrospective chart reviews. Setting: 187-bed NICU in a nonprofit teaching hospital. Participants: A purposive sample of 334 infants ages 0--6 mo, ≥33 wk gestational age at birth, admitted to a Level II, III, or IV NICU as defined by the American Academy of Pediatrics. Outcomes and Measures: Neonates were administered a feeding evaluation by an occupational therapist and a VFSS by a speech-language pathologist, which yielded information about client factors and performance skills. Results: Signs and symptoms of aspiration on the evaluations were significantly associated with VFSS results. Of 310 patients, 79 had silent aspiration. Of 55 infants who demonstrated no aspiration symptoms during the feeding evaluation, 45% demonstrated aspiration symptoms on the VFSS, and 55% aspirated on the VFSS but demonstrated no symptoms of aspiration. Conclusions and Relevance: Aspiration among infants occurs inconsistently and depends on client factors, contexts, and environments. Occupational therapists are encouraged to assess an infant's feeding over several sessions to obtain a more accurate picture of the infant's feeding status. [ABSTRACT FROM AUTHOR]
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- 2020
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12. Therapy services and specialized devices for conjoined twins: Unique challenges with conjoined twins and the importance of physical and occupational therapy.
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Cugini, Katherine, McCormick Jr., Frank B., Mitchell, Cheryl, Psencik, Erin, Sarduy, Stephanie, Masuoka, Isabela, Toruno, Rose, and Davies, Jonathan
- Abstract
Abstract Conjoined twins are a rare occurrence that offer unique challenges and circumstances to therapists. The overall goal of physical and occupational therapy treatment is to provide care that promotes developmental progression to two conjoined individuals with distinct personalities and potentially different physical and medical needs. The unique presentation of conjoined twins must be considered in determining therapeutic goals, interventions and plans of care. Providing therapeutic interventions throughout the NICU stay is a dynamic, evolving process, which challenges the therapy team to work together to find solutions. This paper aims to highlight the considerations, challenges, and strategies used to address barriers in the therapeutic care of conjoined twins. [ABSTRACT FROM AUTHOR]
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- 2018
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13. Profound hypothermia is superior to ultraprofound hypothermia in improving survival in a swine model of lethal injuries.
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Alam, Hasan B., Chen, Zheng, Li, Yongqing, Velmahos, George, DeMoya, Marc, Keller, Christopher E., Toruno, Kevin, Mehrani, Tina, Rhee, Peter, and Spaniolas, Konstantinos
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HYPOTHERMIA ,HEMORRHAGE ,CARDIAC surgery ,CARDIOPULMONARY bypass - Abstract
Background: Rapid induction of profound hypothermia can improve survival from uncontrolled lethal hemorrhage. However, the optimal depth of hypothermia in this setting remains unknown. This experiment was designed to compare the impact of deep (15°C), profound (10°C), and ultraprofound (5°C) hypothermia on survival and organ functions. Methods: Uncontrolled lethal hemorrhage was induced in 32 swine (80-120 lb) by creating an iliac artery and vein injury, followed 30 minutes later by laceration of the descending thoracic aorta. Hypothermia was induced rapidly (2°C/min) by infusing cold organ preservation solution into the aorta through a thoracotomy. The experimental groups were (n = 8 per group): a normothermic control, and 3 hypothermic groups in which the core temperature was reduced to 15°C, 10°C, and 5°C. Vascular injuries were repaired during 60 minutes of hypothermia. Animals were then rewarmed (0.5°C/min) and resuscitated on cardiopulmonary bypass, and monitored for 6 weeks for neurologic deficits, cognitive function, and organ dysfunction. Results: All normothermic animals died, whereas 6-week survival rates for the 15°C, 10°C, and 5°C groups were 62.5%, 87.5%, and 25%, respectively (P < .05: normothermic vs 15°C and 10°C; 10°C vs 5°C). The surviving animals from the 15°C and 10°C groups were neurologically intact, displayed normal learning capacity, and had no long-term organ dysfunction. The survivors from the 5°C group displayed slower recovery and impaired cognitive functions. Conclusions: In a model of lethal injuries, rapid induction of profound hypothermia can prevent death. The depth of hypothermia influences survival, with a better outcome associated with a core temperature of 10°C compared with 5°C. [Copyright &y& Elsevier]
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- 2006
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14. Interdependence of Bad and Puma during Ionizing-Radiation-Induced Apoptosis
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Toruno, Cristhian, Carbonneau, Seth, Stewart, Rodney A., and Jette, Cicely
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Biology ,Biochemistry ,Nucleic Acids ,DNA ,DNA repair ,Genetics ,Animal Genetics ,Cancer Genetics ,Model Organisms ,Animal Models ,Zebrafish ,Molecular Cell Biology ,Cell Death ,Neuroscience ,Molecular Neuroscience ,Signaling Pathways ,Developmental Neuroscience ,Radiobiology - Abstract
Ionizing radiation (IR)-induced DNA double-strand breaks trigger an extensive cellular signaling response that involves the coordination of hundreds of proteins to regulate DNA repair, cell cycle arrest and apoptotic pathways. The cellular outcome often depends on the level of DNA damage as well as the particular cell type. Proliferating zebrafish embryonic neurons are highly sensitive to IR-induced apoptosis, and both p53 and its transcriptional target puma are essential mediators of the response. The BH3-only protein Puma has previously been reported to activate mitochondrial apoptosis through direct interaction with the pro-apoptotic Bcl-2 family proteins Bax and Bak, thus constituting the role of an “activator” BH3-only protein. This distinguishes it from BH3-only proteins like Bad that are thought to indirectly promote apoptosis through binding to anti-apoptotic Bcl-2 family members, thereby preventing the sequestration of activator BH3-only proteins and allowing them to directly interact with and activate Bax and Bak. We have shown previously that overexpression of the BH3-only protein Bad in zebrafish embryos supports normal embryonic development but greatly sensitizes developing neurons to IR-induced apoptosis. While Bad has previously been shown to play only a minor role in promoting IR-induced apoptosis of T cells in mice, we demonstrate that Bad is essential for robust IR-induced apoptosis in zebrafish embryonic neural tissue. Moreover, we found that both p53 and Puma are required for Bad-mediated radiosensitization in vivo. Our findings show the existence of a hierarchical interdependence between Bad and Puma whereby Bad functions as an essential sensitizer and Puma as an essential activator of IR-induced mitochondrial apoptosis specifically in embryonic neural tissue.
- Published
- 2014
- Full Text
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15. In Vivo and Ex Vivo Patient-Derived Tumor Xenograft Models of Lymphoma for Drug Discovery
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Luca Vincenzo Cappelli, Clarisse Kayembe, Danilo Fiore, Giorgio Inghirami, Wayne Tam, Pedro Toruno, Maria Teresa Cacciapuoti, Cacciapuoti, M. T., Cappelli, L. V., Fiore, D., Toruno, P., Kayembe, C., Tam, W., and Inghirami, G.
- Subjects
Xenograft Model Antitumor Assay ,applications ,Lymphoma ,Health Informatics ,Computational biology ,medicine.disease_cause ,implants and route ,General Biochemistry, Genetics and Molecular Biology ,Tissue handling ,drug discovery ,Mice ,In vivo ,medicine ,clonal determination ,genomic correspondence ,immuno-phenotype ,implants and routes ,lymphoma ,PDTX ,target therapy ,Animals ,Disease Models, Animal ,Heterografts ,Xenograft Model Antitumor Assays ,Drug Discovery ,General Pharmacology, Toxicology and Pharmaceutics ,Tumor xenograft ,Protocol (science) ,General Immunology and Microbiology ,Drug discovery ,business.industry ,Animal ,General Neuroscience ,medicine.disease ,Medical Laboratory Technology ,Disease Models ,Carcinogenesis ,business ,Heterograft ,application ,Ex vivo - Abstract
In the hemato-oncology field, remarkable scientific progress has been achieved, primarily propelled by the discovery of new technologies, improvement in genomics, and novel in vitro and in vivo models. The establishment of multiple cell line collections and the development of instrumental mouse models enhanced our ability to discover effective therapeutics. However, cancer models that faithfully mimic individual cancers are still imperfect. Patient-derived tumor xenografts (PDTXs) have emerged as a powerful tool for identifying the mechanisms which drive tumorigenesis and for testing potential therapeutic interventions. The recognition that PDTXs can maintain many of the donor samples’ properties enabled the development of new strategies for discovering and implementing therapies. Described in this article are protocols for the generation and characterization of lymphoma PDTXs that may be used as the basis of shared procedures. Universal protocols will foster the model utilization, enable the integration of public and private repositories, and aid in the development of shared platforms. © 2021 Wiley Periodicals LLC. Basic Protocol 1: Tissue handling and cryopreservation of primary and PDTX samples. Basic Protocol 2: Performing tumor implant in immunocompromised mice PDTX models. Alternate Protocol 1: Intra-medullary femoral injection. Alternate Protocol 2: Intravenous injection. Alternate Protocol 3: Intraperitoneal injection. Support Protocol 1: Phenotypical characterization of PDTXs by flow cytometry. Support Protocol 2: Biological and molecular characterization of PDTX tumors by PCR detection of IGK, IGH, and TCR rearrangements. Basic Protocol 3: Harvesting PDTX-derived tumor cells for ex vivo experiments. Basic Protocol 4: In vivo testing of multiple compounds in a PDTX mouse model.
- Published
- 2021
16. In Vivo and Ex Vivo Patient-Derived Tumor Xenograft Models of Lymphoma for Drug Discovery.
- Author
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Cacciapuoti MT, Cappelli LV, Fiore D, Toruno P, Kayembe C, Tam W, and Inghirami G
- Subjects
- Animals, Disease Models, Animal, Heterografts, Mice, Xenograft Model Antitumor Assays, Drug Discovery, Lymphoma drug therapy
- Abstract
In the hemato-oncology field, remarkable scientific progress has been achieved, primarily propelled by the discovery of new technologies, improvement in genomics, and novel in vitro and in vivo models. The establishment of multiple cell line collections and the development of instrumental mouse models enhanced our ability to discover effective therapeutics. However, cancer models that faithfully mimic individual cancers are still imperfect. Patient-derived tumor xenografts (PDTXs) have emerged as a powerful tool for identifying the mechanisms which drive tumorigenesis and for testing potential therapeutic interventions. The recognition that PDTXs can maintain many of the donor samples' properties enabled the development of new strategies for discovering and implementing therapies. Described in this article are protocols for the generation and characterization of lymphoma PDTXs that may be used as the basis of shared procedures. Universal protocols will foster the model utilization, enable the integration of public and private repositories, and aid in the development of shared platforms. © 2021 Wiley Periodicals LLC. Basic Protocol 1: Tissue handling and cryopreservation of primary and PDTX samples Basic Protocol 2: Performing tumor implant in immunocompromised mice PDTX models Alternate Protocol 1: Intra-medullary femoral injection Alternate Protocol 2: Intravenous injection Alternate Protocol 3: Intraperitoneal injection Support Protocol 1: Phenotypical characterization of PDTXs by flow cytometry Support Protocol 2: Biological and molecular characterization of PDTX tumors by PCR detection of IGK, IGH, and TCR rearrangements Basic Protocol 3: Harvesting PDTX-derived tumor cells for ex vivo experiments Basic Protocol 4: In vivo testing of multiple compounds in a PDTX mouse model., (© 2021 Wiley Periodicals LLC.)
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- 2021
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17. Repeated anodal trans-spinal direct current stimulation results in long-term reduction of spasticity in mice with spinal cord injury.
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Mekhael W, Begum S, Samaddar S, Hassan M, Toruno P, Ahmed M, Gorin A, Maisano M, Ayad M, and Ahmed Z
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- Animals, Female, Mice, Muscle Spasticity physiopathology, Solute Carrier Family 12, Member 2 physiology, Spinal Cord Injuries physiopathology, Electric Stimulation Therapy, Muscle Spasticity therapy, Spinal Cord Injuries therapy
- Abstract
Key Points: Spasticity is a disorder of muscle tone that is associated with lesions of the motor system. This condition involves an overactive spinal reflex loop that resists the passive lengthening of muscles. Previously, we established that application of anodal trans-spinal direct current stimulation (a-tsDCS) for short periods of time to anaesthetized mice sustaining a spinal cord injury leads to an instantaneous reduction of spasticity. However, the long-term effects of repeated a-tsDCS and its mechanism of action remained unknown. In the present study, a-tsDCS was performed for 7 days and this was found to cause long-term reduction in spasticity, increased rate-dependent depression in spinal reflexes, and improved ground and skill locomotion. Pharmacological, molecular and cellular evidence further suggest that a novel mechanism involving Na-K-Cl cotransporter isoform 1 mediates the observed long-term effects of repeated a-tsDCS., Abstract: Spasticity can cause pain, fatigue and sleep disturbances; restrict daily activities such as walking, sitting and bathing; and complicate rehabilitation efforts. Thus, spasticity negatively influences an individual's quality of life and novel therapeutic interventions are needed. We previously demonstrated in anaesthetized mice that a short period of trans-spinal subthreshold direct current stimulation (tsDCS) reduces spasticity. In the present study, the long-term effects of repeated tsDCS to attenuate abnormal muscle tone in awake female mice with spinal cord injuries were investigated. A motorized system was used to test velocity-dependent ankle resistance and associated electromyographical activity. Analysis of ground and skill locomotion was also performed, with electrophysiological, molecular and cellular studies being conducted to reveal a potential underlying mechanism of action. A 4 week reduction in spasticity was associated with an increase in rate-dependent depression of spinal reflexes, and ground and skill locomotion were improved following 7 days of anodal-tsDCS (a-tsDCS). Secondary molecular, cellular and pharmacological experiments further demonstrated that the expression of K-Cl co-transporter isoform 2 (KCC2) was not changed in animals with spasticity. However, Na-K-Cl cotransporter isoform 1 (NKCC1) was significantly up-regulated in mice that exhibited spasticity. When mice were treated with a-tsDCS, down regulation of NKCC1 was detected, and this level did not significantly differ from that in the non-injured control mice. Thus, long lasting reduction of spasticity by a-tsDCS via downregulation of NKCC1 may constitute a novel therapy for spasticity following spinal cord injury., (© 2019 The Authors. The Journal of Physiology © 2019 The Physiological Society.)
- Published
- 2019
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18. Transspinal direct current stimulation modulates migration and proliferation of adult newly born spinal cells in mice.
- Author
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Samaddar S, Vazquez K, Ponkia D, Toruno P, Sahbani K, Begum S, Abouelela A, Mekhael W, and Ahmed Z
- Subjects
- Animals, Brain metabolism, Brain physiopathology, Brain-Derived Neurotrophic Factor metabolism, Electric Stimulation Therapy methods, Evoked Potentials, Motor physiology, Male, Mice, Neural Stem Cells metabolism, Regional Blood Flow physiology, Spinal Cord metabolism, Spinal Cord Injuries metabolism, Spinal Cord Injuries physiopathology, Transcutaneous Electric Nerve Stimulation methods, Cell Movement physiology, Cell Proliferation physiology, Neural Stem Cells physiology, Spinal Cord physiopathology
- Abstract
Direct current electrical fields have been shown to be a major factor in the regulation of cell proliferation, differentiation, migration, and survival, as well as in the maturation of dividing cells during development. During adulthood, spinal cord cells are continuously produced in both animals and humans, and they hold great potential for neural restoration following spinal cord injury. While the effects of direct current electrical fields on adult-born spinal cells cultured ex vivo have recently been reported, the effects of direct current electrical fields on adult-born spinal cells in vivo have not been characterized. Here, we provide convincing findings that a therapeutic form of transspinal direct current stimulation (tsDCS) affects the migration and proliferation of adult-born spinal cells in mice. Specifically, cathodal tsDCS attracted the adult-born spinal cells, while anodal tsDCS repulsed them. In addition, both tsDCS polarities caused a significant increase in cell number. Regarding the potential mechanisms involved, both cathodal and anodal tsDCS caused significant increases in expression of brain-derived neurotrophic factor, while expression of nerve growth factor increased and decreased, respectively. In the spinal cord, both anodal and cathodal tsDCS increased blood flow. Since blood flow and angiogenesis are associated with the proliferation of neural stem cells, increased blood flow may represent a major factor in the modulation of newly born spinal cells by tsDCS. Consequently, we propose that the method and novel findings presented in the current study have the potential to facilitate cellular, molecular, and/or bioengineering strategies to repair injured spinal cords. NEW & NOTEWORTHY Our results indicate that transspinal direct current stimulation (tsDCS) affects the migratory pattern and proliferation of adult newly born spinal cells, a cell population which has been implicated in learning and memory. In addition, our results suggest a potential mechanism of action regarding the functional effects of applying direct current. Thus tsDCS may represent a novel method by which to manipulate the migration and cell number of adult newly born cells and restore functions following brain or spinal cord injury., (Copyright © 2017 the American Physiological Society.)
- Published
- 2017
- Full Text
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