43 results on '"Göran Dahl"'
Search Results
2. Characterization of Selective and Potent JAK1 Inhibitors Intended for the Inhaled Treatment of Asthma
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Magnus Nilsson, Magdalena Rhedin, Ramon Hendrickx, Susanne Berglund, Antonio Piras, Parmis Blomgran, Anders Cavallin, Mia Collins, Göran Dahl, Bilel Dekkak, Therese Ericsson, Niklas Hagberg, Ann Aurell Holmberg, Agnes Leffler, Anders J Lundqvist, Thomais Markou, James Pinkerton, Lars Rönnblom, Stacey Siu, Vanessa Taylor, Tiiu Wennberg, Dimitrios Zervas, Arian D J Laurence, Suman Mitra, Maria G Belvisi, Mark Birrell, and Annika Borde
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Pharmacology ,Drug Design, Development and Therapy ,Ovalbumin ,STAT ,Respiratory Medicine and Allergy ,Pharmaceutical Science ,Janus Kinase 1 ,Asthma ,Rats ,JAK ,Drug Discovery ,Animals ,Cytokines ,Humans ,Janus Kinase Inhibitors ,AZD4604 ,AZD0449 ,Lung ,Signal Transduction ,Lungmedicin och allergi - Abstract
Magnus Nilsson,1 Magdalena Rhedin,2 Ramon Hendrickx,3 Susanne Berglund,1 Antonio Piras,2 Parmis Blomgran,2 Anders Cavallin,2 Mia Collins,2 Göran Dahl,4 Bilel Dekkak,5 Therese Ericsson,3 Niklas Hagberg,6 Ann Aurell Holmberg,3 Agnes Leffler,2 Anders J Lundqvist,3 Thomais Markou,5,7 James Pinkerton,5,7 Lars Rönnblom,6 Stacey Siu,8 Vanessa Taylor,8 Tiiu Wennberg,2 Dimitrios Zervas,5,7 Arian D J Laurence,9 Suman Mitra,2 Maria G Belvisi,5,7 Mark Birrell,5,7 Annika Borde2 1Medicinal Chemistry, Research and Early Development, Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden; 2Bioscience, Research and Early Development, Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden; 3DMPK, Research and Early Development, Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden; 4Discovery Science, R&D, AstraZeneca, Gothenburg, Sweden; 5Respiratory Pharmacology Group, Division of Airway Disease, National Heart and Lung Institute, Imperial College London, London, UK; 6Rheumatology and Science for Life Laboratories, Department of Medical Sciences, Uppsala University, Uppsala, Sweden; 7Research and Early Development, Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden; 8Rigel Pharmaceuticals, South San Francisco, CA, USA; 9Department of Haematology, University College London Hospitals NHS Foundation Trust, London, UKCorrespondence: Magnus Nilsson, Medicinal Chemistry, Research and Early Development, Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, SE-431 83, Sweden, Tel +46722237222, Email Magnus.Nilsson@astrazeneca.comPurpose: Janus kinase 1 (JAK1) is implicated in multiple inflammatory pathways that are critical for the pathogenesis of asthma, including the interleukin (IL)-4, IL-5, IL-13, and thymic stromal lymphopoietin cytokine signaling pathways, which have previously been targeted to treat allergic asthma. Here, we describe the development of AZD0449 and AZD4604, two novel and highly selective JAK1 inhibitors with promising properties for inhalation.Methods: The effects of AZD0449 and AZD4604 in JAK1 signaling pathways were assessed by measuring phosphorylation of signal transducer and activator of transcription (STAT) proteins and chemokine release using immunoassays of whole blood from healthy human volunteers and rats. Pharmacokinetic studies performed on rats evaluated AZD0449 at a lung deposited dose of 52 μg/kg and AZD4604 at 30 μg/kg. The efficacy of AZD0449 and AZD4604 was assessed by evaluating lung inflammation (cell count and cytokine levels) and the late asthmatic response (average enhanced pause [Penh]).Results: Both compounds inhibited JAK1-dependent cytokine signaling pathways in a dose-dependent manner in human and rat leukocytes. After intratracheal administration in rats, both compounds exhibited low systemic exposures and medium-to-long terminal lung half-lives (AZD0449, 34 hours; AZD4604, 5 hours). Both compounds inhibited STAT3 and STAT5 phosphorylation in lung tissue from ovalbumin (OVA)-challenged rats. AZD0449 and AZD4604 also inhibited eosinophilia in the lung and reduced the late asthmatic response, measured as Penh in the OVA rat model.Conclusion: AZD0449 and AZD4604 show potential as inhibitors of signaling pathways involved in asthmatic immune responses, with target engagement demonstrated locally in the lung. These findings support the clinical development of AZD0449 and AZD4604 for the treatment of patients with asthma.Keywords: AZD0449, AZD4604, JAK, STAT
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- 2022
3. Oral health experience of individuals with eating disorders
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Ulrica Gidlund, Tove Hasselblad, Pernilla Larsson-Gran, Yvonne von Hausswolff-Juhlin, and Göran Dahllöf
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Anorexia nervosa ,Bulimia nervosa ,Dental erosion ,Eating disorders ,Thematic analysis ,Psychiatry ,RC435-571 - Abstract
Abstract Background Evidence on how persons with and in remission from an eating disorder experience their oral health is limited. Dental treatment in Sweden today is often postponed until medical rehabilitation has been completed, but this carries risks. For the patient, the risk is severely impaired oral health and additional suffering, and for both society and the patient, higher costs than might have been necessary. Methods Ten female informants aged 21–51 years (mean age = 36.7, standard deviation 12.7) in remission from an eating disorder with a median duration of 12.5 (range 4–25) years of illness, were questioned in semi-structured interviews about their perceptions of oral health. All participants had been referred to a specialist dental clinic and needed oral rehabilitation. 10% of the patients had been diagnosed with anorexia nervosa and 90% with bulimia nervosa. All had been in remission from the eating disorder for at least one year. Transcripts of the interviews were analyzed with thematic analysis using an inductive approach. Results One overarching theme emerged from the analysis: dental damage persisted as a visible, lingering scar during remission of the eating disorder, reminiscent of the disease and its consequences. The three major themes identified were (1) Physical impact, (2) Psychological impact, and (3) Impact on daily living. The first major theme included erosive tooth wear and impaired oral function and aesthetics. Interviewees described the second as feelings of stigma, guilt, shame, anxiety, and worry, in particular concerning self-inflicted dental damage through self-induced vomiting. The last major theme covered avoidance strategies such as limiting smiling and laughing and minimizing social situations such as eating with others, pursuing a wanted career, and meeting a partner. Conclusions The participants in this study expressed a profound negative impact on daily life and a two-fold burden of stigma of having suffered from both an eating disorder and poor oral health.
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- 2024
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4. The Vital Role of Proteomics in Characterizing Novel Protein Degraders
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Göran Dahl, Katelyn Cassidy, Kevin Moreau, Andrew X. Zhang, Fiona Pachl, and Andrea M. Zuhl
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Proteomics ,0301 basic medicine ,Proteasome Endopeptidase Complex ,Computer science ,Ubiquitin-Protein Ligases ,Computational biology ,Protein degradation ,Ligands ,Biochemistry ,Mass Spectrometry ,Analytical Chemistry ,Small Molecule Libraries ,03 medical and health sciences ,0302 clinical medicine ,Drug Discovery ,Humans ,Molecular Targeted Therapy ,Novel protein ,Mechanism (biology) ,Ubiquitination ,Protein turnover ,High-Throughput Screening Assays ,Targeted proteomics ,Eukaryotic Cells ,030104 developmental biology ,030220 oncology & carcinogenesis ,Proteolysis ,Molecular Medicine ,Protein Processing, Post-Translational ,Protein Binding ,Biotechnology - Abstract
Mass spectrometry-based proteomics profiling is a discovery tool that enables researchers to understand the mechanisms of action of drug candidates. When applied to proteolysis targeting chimeras (PROTACs) such approaches provide unbiased perspectives of the binding, degradation selectivity, and mechanism related to efficacy and safety. Specifically, global profiling experiments can identify direct degradation events and assess downstream pathway modulation that may result from degradation or off-target inhibition. Targeted proteomics approaches can be used to quantify the levels of relevant E3 ligases and the protein of interest in cell lines and tissues of interest, which can inform the line of sight and provide insights on possible safety liabilities early in the project. Furthermore, proteomics approaches can be applied to understand protein turnover and resynthesis rates and inform on target tractability, as well as pharmacokinetics/pharmacodynamics understanding. In this perspective, we survey the literature around the impact of mass spectrometry-based proteomics in the development of PROTACs and present our envisioned proteomics cascade for supporting targeted protein degradation projects.
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- 2021
5. Macrocyclic Modalities Combining Peptide Epitopes and Natural Product Fragments
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Niklas Larsson, Eric Valeur, Marco Potowski, Herbert Waldmann, Sasikala Thavam, Tom N. Grossmann, Anita Dellsén, Alleyn T. Plowright, Rodrigo J. Carbajo, Stéphanie M. Guéret, Malin Lemurell, Göran Dahl, Organic Chemistry, and AIMMS
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Protein Conformation ,Stereochemistry ,Imine ,Nitric Oxide Synthase Type II ,Suppressor of Cytokine Signaling Proteins ,Sequence (biology) ,Peptide ,010402 general chemistry ,Peptides, Cyclic ,01 natural sciences ,Biochemistry ,Article ,Catalysis ,Epitope ,Epitopes ,chemistry.chemical_compound ,Colloid and Surface Chemistry ,Humans ,Agouti-Related Protein ,chemistry.chemical_classification ,Natural product ,Chemistry ,Receptors, Melanocortin ,Absolute configuration ,Stereoisomerism ,General Chemistry ,Cycloaddition ,0104 chemical sciences ,Melanocortin ,Protein Binding - Abstract
"Hot loop" protein segments have variable structure and conformation and contribute crucially to protein-protein interactions. We describe a new hot loop mimicking modality, termed PepNats, in which natural product (NP)-inspired structures are incorporated as conformation-determining and -restricting structural elements into macrocyclic hot loop-derived peptides. Macrocyclic PepNats representing hot loops of inducible nitric oxide synthase (iNOS) and human agouti-related protein (AGRP) were synthesized on solid support employing macrocyclization by imine formation and subsequent stereoselective 1,3-dipolar cycloaddition as key steps. PepNats derived from the iNOS DINNN hot loop and the AGRP RFF hot spot sequence yielded novel and potent ligands of the SPRY domain-containing SOCS box protein 2 (SPSB2) that binds to iNOS, and selective ligands for AGRP-binding melanocortin (MC) receptors. NP-inspired fragment absolute configuration determines the conformation of the peptide part responsible for binding. These results demonstrate that combination of NP-inspired scaffolds with peptidic epitopes enables identification of novel hot loop mimics with conformationally constrained and biologically relevant structure.
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- 2020
6. The Nature of Identitarianism
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Göran Dahl and Göran Dahl
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- White nationalism--Europe, Right-wing extremists--Europe, Identity politics--Europe, Islamophobia--Europe, Antisemitism--Europe
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The Nature of Identitarianism explores the background to this new far right movement.Since its origins in France in 2003, Identitarianism has become one of the most influential far-right ideologies. Inspiring groups such as Generation Identity in Europe and the Alt-Right in America, Identitarianism has spawned a far-right constellation that includes white nationalist direct action groups, think tanks, “alternative media” organizations and social media “celebrities”. But the ideas that underpin Identitarianism are often poorly understood. This book examines the movement's antecedents and intellectual lineage in the thinkers of the Conservative Revolution and the European New Right, as well as the influence of far-right gurus such as Francis Parker Yockey, Jean Thiriart, Julius Evola, and Aleksandr Dugin. The author also investigates how conspiracy thinking, antisemitism, and islamophobia feature prominently in the identitarian worldview.This book will be essential reading for scholars and activists alike with an interest in race relations, fascism, extremism, and social movements.
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- 2023
7. Proteolysis-targeting chimeras in drug development: A safety perspective
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Pete Newham, Helen Boyd, M. Paola Castaldi, Fiona Pachl, Clay W Scott, Andrew X. Zhang, Kevin Moreau, Göran Dahl, and Muireann Coen
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0301 basic medicine ,Drug ,Proteasome Endopeptidase Complex ,media_common.quotation_subject ,Proteolysis ,Ubiquitin-Protein Ligases ,INDISULAM ,Computational biology ,KNOCKDOWN ,03 medical and health sciences ,Chimera (genetics) ,0302 clinical medicine ,Ubiquitinated Proteins ,DESIGN ,SELECTIVE DEGRADATION ,medicine ,Pharmacology & Pharmacy ,PROTEIN-DEGRADATION ,Review Articles ,media_common ,LIGASE ,Pharmacology ,Science & Technology ,medicine.diagnostic_test ,business.industry ,Chimera ,GSPT1 ,A protein ,CONCISE GUIDE ,MODEL ,030104 developmental biology ,Proteasome ,Drug development ,Pharmaceutical Preparations ,PROTACS ,1115 Pharmacology and Pharmaceutical Sciences ,business ,Life Sciences & Biomedicine ,030217 neurology & neurosurgery - Abstract
Proteolysis-targeting chimeras are a new drug modality that exploits the endogenous ubiquitin proteasome system to degrade a protein of interest for therapeutic benefit. As the first-generation of proteolysis-targeting chimeras have now entered clinical trials for oncology indications, it is timely to consider the theoretical safety risks inherent with this modality which include off-target degradation, intracellular accumulation of natural substrates for the E3 ligases used in the ubiquitin proteasome system, proteasome saturation by ubiquitinated proteins, and liabilities associated with the "hook effect" of proteolysis-targeting chimeras This review describes in vitro and non-clinical in vivo data that provide mechanistic insight of these safety risks and approaches being used to mitigate these risks in the next generation of proteolysis-targeting chimera molecules to extend therapeutic applications beyond life-threatening diseases.
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- 2020
8. A Comparative Study of Fluorescence Assays in Screening for BRD4
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Helena Lindmark, Pia Hansson, Göran Dahl, Graham Cotton, Colin J. Dunsmore, Klaus Doering, Wayne P. Bowen, Ian L. Dale, Helen Boyd, and Felix Nicolaus
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0301 basic medicine ,Computer science ,Fluorescence assay ,Nuclear Proteins ,Cell Cycle Proteins ,Fluorescence Polarization ,Computational biology ,Surface Plasmon Resonance ,01 natural sciences ,Fluorescence ,High-Throughput Screening Assays ,0104 chemical sciences ,010404 medicinal & biomolecular chemistry ,03 medical and health sciences ,030104 developmental biology ,Homogeneous ,Drug Discovery ,False positive paradox ,Humans ,Molecular Medicine ,Biological sciences ,Fluorescence anisotropy ,Fluorescent Dyes ,Transcription Factors - Abstract
Fluorescence assay technologies are commonly used in high-throughput screening because of their sensitivity and ease of use. Different technologies have their characteristics and the rationale for choosing one over the other can differ between projects because of factors such as availability of reagents, assay performance, and cost. Another important factor to consider is the assay susceptibility to artifacts, which is almost as important as the ability of the assay to pick up active compounds. Spending time and money on false positives or missing the opportunity to build chemistry around false negatives is something that every drug project tries to avoid. We used a BET family Bromodomain, BRD4(1), to explore the outcome of a screening campaign using three fluorescent assay technologies as primary assays. A diverse 7,038 compound set was screened in fluorescence lifetime, fluorescence polarization, and homogeneous time-resolved fluorescence to look at primary hit rates, compound overlap, and hit confirmation rates. The results show a difference between the fluorescence assay technologies with three separate hit lists and some overlap. The confirmed hits from each assay were further evaluated for translation into cells (NanoBRET™). Most of the actives confirmed in cells originated from compounds that overlapped between the assays. In addition, a well-annotated set of compounds with undesirable mechanism of inhibition was screened against BRD4(1) to compare the ability to discriminate true hits from artifact compounds. The results indicate a difference between the assays in their ability to generate false positives and negatives.
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- 2018
9. Structure and biophysical characterization of the human full-length neurturin–GFRa2 complex: A role for heparan sulfate in signaling
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Tomas Akerud, Bingze Xu, Göran Dahl, Robert G. Roth, Patrik Johansson, Anna Aagaard, Maria Sörhede Winzell, Janna M. Bigalke, G. Jonah A. Rainey, Jenny Sandmark, Pia Davidsson, and Linda Öster
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0301 basic medicine ,Cell signaling ,Glial Cell Line-Derived Neurotrophic Factor Receptors ,Neurturin ,Protein domain ,Crystallography, X-Ray ,Biochemistry ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Protein Domains ,Glial cell line-derived neurotrophic factor ,Humans ,Binding site ,Protein Structure, Quaternary ,Molecular Biology ,biology ,Chemistry ,Cell Biology ,Heparan sulfate ,Cell biology ,030104 developmental biology ,Multiprotein Complexes ,Protein Structure and Folding ,biology.protein ,Neural cell adhesion molecule ,Heparitin Sulfate ,Signal transduction ,030217 neurology & neurosurgery ,Signal Transduction - Abstract
Neurturin (NRTN) provides trophic support to neurons and is considered a therapeutic agent for neurodegenerative diseases, such as Parkinson's disease. It binds to its co-receptor GFRa2, and the resulting NRTN–GFRa2 complex activates the transmembrane receptors rearranged during transfection (RET) or the neural cell adhesion molecule (NCAM). We report the crystal structure of NRTN, alone and in complex with GFRa2. This is the first crystal structure of a GFRa with all three domains and shows that domain 1 does not interact directly with NRTN, but it may support an interaction with RET and/or NCAM, via a highly conserved surface. In addition, biophysical results show that the relative concentration of GFRa2 on cell surfaces can affect the functional affinity of NRTN through avidity effects. We have identified a heparan sulfate-binding site on NRTN and a putative binding site in GFRa2, suggesting that heparan sulfate has a role in the assembly of the signaling complex. We further show that mutant NRTN with reduced affinity for heparan sulfate may provide a route forward for delivery of NRTN with increased exposure in preclinical in vivo models and ultimately to Parkinson's patients.
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- 2018
10. Dental professionals’ views on motivational interviewing for the prevention of dental caries with adolescents in central Norway
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Eva Lassemo, Helen D. Rodd, Marit Slåttelid Skeie, Jan-Are K. Johnsen, Hege Nermo, Kari Sand, Randi Krog Eftedal, Tone Natland Fagerhaug, Arefe Jasbi, Zoe Marshman, Göran Dahllöf, and Marikken Høiseth
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Prevention ,Promotion ,Oral health ,Motivational interviewing ,Adolescents ,Dentistry ,RK1-715 - Abstract
Abstract Background Establishing positive oral health behaviours during adolescence should be a key priority to improve lifelong oral health. However, changing adolescent behaviours is known to be a challenge. Motivational interviewing (MI) is a method of working with patients to activate their motivation for change and has shown promising results within the dental setting. Yet, little is known about the actual experiences and perspectives of Norwegian dental health professionals in delivering motivational interviewing as part of routine care to their young patients. The overall aim of the present study was to explore the implementation of motivational interviewing by dentists and dental hygienists, employed by the Norwegian Public Dental Service, for their adolescent patients. Methods As part of the larger #Care4YoungTeeth
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- 2023
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11. Associations of adverse childhood experiences with caries and toothbrushing in adolescents. The Young-HUNT4 Survey
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Lena Myran, Abhijit Sen, Tiril Willumsen, Audun Havnen, Therese Kvist, Anne Rønneberg, Göran Dahllöf, and Hedda Høvik
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ACE ,Adverse childhood experience ,Adolescents ,Caries ,Cross-sectional ,DMFT ,Dentistry ,RK1-715 - Abstract
Abstract Background Adverse childhood experiences (ACEs) are associated with poor oral health. Using a life course theoretical framework, this study explored the associations of specific and cumulative ACEs with caries and toothbrushing frequency in a Norwegian adolescent population. Methods Participants were adolescents (n = 6351) age 13–17 years from The Young-HUNT4 Survey. Clinical data were retrieved from dental health records. Oral health outcomes were toothbrushing frequency, dentine caries experience (Decayed, Missing, and Filled Teeth – DMFT), and enamel caries. ACE exposure variables were physical abuse, sexual abuse, witness to violence, parental separation/divorce, parental alcohol problems, and bully victimization. Negative binominal regression models (incident rate ratios, IRRs; 95% confidence intervals, CIs) were used to determine the associations of the various ACEs with caries; logistic regression analyses (odds ratios, ORs; 95% CIs) were used to estimate associations with toothbrushing frequency. Potential effect modification by age was assessed using likelihood ratio test. Results Adolescents exposed to physical abuse by others, sexual abuse by peers, parental separation/divorce, bullying, or who had witnessed violence, were more likely to report non-daily toothbrushing compared with those with no exposure to the given ACEs. Each cumulative increase in ACE exposure was associated with a 30% higher likelihood of non-daily toothbrushing (OR 1.30, 95% CI 1.19–1.42). Similarly, increasing number of adversities were associated with both higher dentine caries experience (IRR 1.06, 95% CI 1.02–1.09) and higher enamel caries (IRR 1.07, 95% CI 1.03–1.11). This effect was modified by age (13–15 vs. 16–17 years) for dentine caries experience. Furthermore, there was evidence of effect modification by age with bully victimization for both toothbrushing frequency (Pinteraction = 0.014) and dentine caries experience (Pinteraction < 0.001). Specifically, bully victimization was associated with a higher likelihood of non-daily toothbrushing (OR 2.59, 95% CI 1.80–3.72) and higher dentine caries experience (IRR 1.30, 95% CI 1.14–1.50) among 16–17-year-olds. Conclusions Several specific ACEs were associated with non-daily toothbrushing and a higher caries experience among Norwegian adolescents in the Young-HUNT4 Survey.
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- 2023
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12. Unified Software Solution for Efficient SPR Data Analysis in Drug Research
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Göran Dahl, Bernd Kappler, Anna Tigerström, Annette Brodte, Fredrik Edfeldt, Philip B. Rawlins, Anders Egnéus, Geoff Holdgate, Rutger H. A. Folmer, Gareth M. Davies, Stephan Steigele, Eva-Lotta Westberg, Stephan Heyse, Nichole O'Connell, Martin Ginkel, Per Hillertz, and Alexander Mehrle
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Data Analysis ,0301 basic medicine ,Application Notes ,general pharmaceutical process ,Computer science ,ligand binding ,receptor binding ,Drug Evaluation, Preclinical ,Pharmaceutical Research ,label-free technologies ,Biosensing Techniques ,Bioinformatics ,Biochemistry ,Workflow ,Analytical Chemistry ,03 medical and health sciences ,Software ,Drug Discovery ,Humans ,Instrumentation (computer programming) ,Throughput (business) ,automation or robotics ,business.industry ,Process (computing) ,Surface Plasmon Resonance ,Visualization ,030104 developmental biology ,Drug Design ,Embedded system ,Benchmark (computing) ,database and data management ,Molecular Medicine ,pharmacology ,business ,Raw data ,Biotechnology - Abstract
Surface plasmon resonance (SPR) is a powerful method for obtaining detailed molecular interaction parameters. Modern instrumentation with its increased throughput has enabled routine screening by SPR in hit-to-lead and lead optimization programs, and SPR has become a mainstream drug discovery technology. However, the processing and reporting of SPR data in drug discovery are typically performed manually, which is both time-consuming and tedious. Here, we present the workflow concept, design and experiences with a software module relying on a single, browser-based software platform for the processing, analysis, and reporting of SPR data. The efficiency of this concept lies in the immediate availability of end results: data are processed and analyzed upon loading the raw data file, allowing the user to immediately quality control the results. Once completed, the user can automatically report those results to data repositories for corporate access and quickly generate printed reports or documents. The software module has resulted in a very efficient and effective workflow through saved time and improved quality control. We discuss these benefits and show how this process defines a new benchmark in the drug discovery industry for the handling, interpretation, visualization, and sharing of SPR data.
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- 2017
13. Cryo-EM structure of the activated RET signaling complex reveals the importance of its cysteine-rich domain
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Janna M. Bigalke, Göran Dahl, Shintaro Aibara, Alexey Amunts, Sarah Dorbéus, Jenny Sandmark, Robert G. Roth, and Euan Gordon
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congenital, hereditary, and neonatal diseases and abnormalities ,endocrine system ,Glial Cell Line-Derived Neurotrophic Factor Receptors ,endocrine system diseases ,Cryo-electron microscopy ,Protein Conformation ,Neurturin ,03 medical and health sciences ,0302 clinical medicine ,Protein structure ,Protein Domains ,Structural Biology ,Extracellular ,Humans ,Cysteine ,Receptor ,neoplasms ,Research Articles ,030304 developmental biology ,0303 health sciences ,Multidisciplinary ,Chemistry ,Cryoelectron Microscopy ,Proto-Oncogene Proteins c-ret ,SciAdv r-articles ,3. Good health ,Cell biology ,030220 oncology & carcinogenesis ,Multiprotein Complexes ,Signal transduction ,Research Article ,Signal Transduction ,Protein Binding - Abstract
We report the first subnanometer resolution structure of the RET extracellular domain in complex with a ligand and co-receptor., Signaling through the receptor tyrosine kinase RET is essential during normal development. Both gain- and loss-of-function mutations are involved in a variety of diseases, yet the molecular details of receptor activation have remained elusive. We have reconstituted the complete extracellular region of the RET signaling complex together with Neurturin (NRTN) and GFRα2 and determined its structure at 5.7-Å resolution by cryo-EM. The proteins form an assembly through RET-GFRα2 and RET-NRTN interfaces. Two key interaction points required for RET extracellular domain binding were observed: (i) the calcium-binding site in RET that contacts GFRα2 domain 3 and (ii) the RET cysteine-rich domain interaction with NRTN. The structure highlights the importance of the RET cysteine-rich domain and allows proposition of a model to explain how complex formation leads to RET receptor dimerization and its activation. This provides a framework for targeting RET activity and for further exploration of mechanisms underlying neurological diseases.
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- 2019
14. Internet-Based Cognitive Behavioral Therapy for Children and Adolescents With Dental or Injection Phobia: Randomized Controlled Trial
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Robert Schibbye, Erik Hedman-Lagerlöf, Viktor Kaldo, Göran Dahllöf, and Shervin Shahnavaz
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundDental phobia (DP) and injection phobia (IP) are common in children and adolescents and are considered some of the biggest obstacles to successful treatment in pediatric dentistry. Cognitive behavioral therapy (CBT) is an evidence-based treatment for anxiety and phobias. As the availability of CBT in dentistry is low, internet-based CBT (ICBT) was developed. Open trials have shown that ICBT is a promising intervention, but randomized trials are lacking. ObjectiveThis randomized controlled trial tests whether therapist-guided ICBT supported by a parent could reduce fear, allowing children and adolescents with DP or IP to receive dental treatment. MethodsWe enrolled 33 participants (mean age 11.2, SD 1.9 y) whom a clinical psychologist had diagnosed with DP, IP, or both. After inclusion, participants were randomized to either ICBT (17/33, 52%) or a control group of children on a waitlist (16/33, 48%). ICBT was based on exposure therapy and comprised a 12-week at-home program combined with visits to their regular dental clinic. Participants corresponded weekly with their therapist after completing each module, and 1 parent was designated as a coach to support the child in the assignments during treatment. All participants completed measurements of the outcome variables before treatment start and after 12 weeks (at treatment completion). The measurements included a structured diagnostic interview with a clinical psychologist. Our primary outcome measure was the Picture-Guided Behavioral Avoidance Test (PG-BAT), which assesses the ability to approach 17 dental clinical procedures, and a positive clinical diagnosis. Secondary outcome measures included self-report questionnaires that measured self-efficacy and levels of dental and injection anxiety. The children and their parents completed the questionnaires. ResultsAll participants underwent the 12-week follow-up. After treatment, 41% (7/17) of the participants in the ICBT group no longer met the diagnostic criteria for DP or IP, whereas all participants in the control group did (P=.004). Repeated-measure ANOVAs showed that ICBT led to greater improvements on the PG-BAT compared with the control group; between-group effect sizes for the Cohen d were 1.6 (P
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- 2024
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15. Inhibition of low-density lipoprotein receptor degradation with a cyclic peptide that disrupts the homodimerization of IDOL E3 ubiquitin ligase
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Eilidh K. Leitch, Paul T. Wan, Göran Dahl, Maria Fridén-Saxin, Helen Boyd, Ali Tavassoli, Garry Pairaudeau, Eric Valeur, Nagarajan Elumalai, and Paul Clarkson
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0301 basic medicine ,chemistry.chemical_classification ,biology ,Cholesterol ,Low-density lipoprotein receptor degradation ,General Chemistry ,Cyclic peptide ,3. Good health ,Ubiquitin ligase ,Amino acid ,Cell biology ,03 medical and health sciences ,chemistry.chemical_compound ,Chemistry ,030104 developmental biology ,Mediator ,chemistry ,LDL receptor ,biology.protein ,Hepatic stellate cell ,lipids (amino acids, peptides, and proteins) - Abstract
A cyclic peptide IDOL homodimerization inhibitor identified from a genetically encoded SICLOPPS library is active in vitro and in cells., Cellular uptake of circulating cholesterol occurs via the low density lipoprotein receptor (LDLR). The E3 ubiquitin ligase IDOL is a mediator of LDLR degradation, with IDOL homodimerization thought to be required for its activity. To probe the possibility of modulating LDLR levels with an inhibitor of IDOL homodimerization, we screened a SICLOPPS library of 3.2 million cyclic peptides for compounds that disrupt this protein–protein interaction. We identified cyclo-CFFLYT as the lead inhibitor, and improved its activity through the incorporation of non-natural amino acids. The activity of the optimized cyclic peptide was assessed in hepatic cells, with a dose-dependent increase in LDLR levels observed in the presence of our IDOL homodimerization inhibitor.
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- 2018
16. A class of highly selective inhibitors bind to an active state of PI3Kγ
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Gangadhara Gangadhara, Nils Pemberton, Kostas Karabelas, Rebecca Rae, Mickael Mogemark, Christian Tyrchan, Tineke Papavoine, Göran Dahl, Perry Matthew, Helena Lindmark, Stefan Blaho, Linda Öster, Jenny Gunnarsson, Thomas Bohnacker, Matthias P. Wymann, Jens Petersen, and Roger L. Williams
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Models, Molecular ,Conformational change ,Stereochemistry ,Class I Phosphatidylinositol 3-Kinases ,Protein Conformation ,Phthalimides ,Plasma protein binding ,Crystallography, X-Ray ,Substrate Specificity ,03 medical and health sciences ,Phosphatidylinositol 3-Kinases ,Protein structure ,Transferase ,Class Ib Phosphatidylinositol 3-Kinase ,Humans ,Protein Isoforms ,Binding site ,Site-directed mutagenesis ,Protein kinase A ,Molecular Biology ,Protein Kinase Inhibitors ,030304 developmental biology ,Phosphoinositide-3 Kinase Inhibitors ,chemistry.chemical_classification ,Adenosine Triphosphatases ,0303 health sciences ,Binding Sites ,030302 biochemistry & molecular biology ,Cell Biology ,Enzyme ,chemistry ,Mutagenesis, Site-Directed ,Protein Binding - Abstract
We have discovered a class of PI3Kγ inhibitors exhibiting over 1,000-fold selectivity over PI3Kα and PI3Kβ. On the basis of X-ray crystallography, hydrogen-deuterium exchange-mass spectrometry and surface plasmon resonance experiments we propose that the cyclopropylethyl moiety displaces the DFG motif of the enzyme away from the adenosine tri-phosphate binding site, inducing a large conformational change in both the kinase- and helical domains of PI3Kγ. Site directed mutagenesis explained how the conformational changes occur. Our results suggest that these cyclopropylethyl substituted compounds selectively inhibit the active state of PI3Kγ, which is unique to these compounds and to the PI3Kγ isoform, explaining their excellent potency and unmatched isoform selectivity that were confirmed in cellular systems. This is the first example of a Class I PI3K inhibitor achieving its selectivity by affecting the DFG motif in a manner that bears similarity to DFG in/out for type II protein kinase inhibitors.
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- 2018
17. Dental caries at enamel and dentine level among European adolescents – a systematic review and meta-analysis
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Marit S. Skeie, Abhijit Sen, Göran Dahllöf, Tone Natland Fagerhaug, Hedda Høvik, and Kristin S. Klock
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Epidemiology ,Caries prevalence ,Caries experience ,Adolescent ,Dentistry ,RK1-715 - Abstract
Abstract Background In contrast with the last century, caries epidemiology has begun integrating enamel caries into determinations of caries prevalence and experience. The objective of the present systematic review and meta-analysis was to assess the caries status including estimations of enamel caries, of European adolescents. Method Four databases (Medline Ovid, Embase, CINAHL, and SweMed+) were systematically searched from 1 January 2000 through 20 September 2021 for peer-reviewed publications on caries prevalence and caries experience in 12–19-year-olds; that also included evaluations of enamel lesions. Summary estimates were calculated using random effect model. Results Overall, 30 publications were selected for the systematic review covering 25 observational studies. Not all studies could be used in the meta-analyses. Caries prevalence was 77% (n = 22 studies). Highest prevalence was reported in the age groups 16–19 years, and in studies where caries examinations were done before 2010. The overall mean DMFS score was 5.93 (n = 14 studies) and it was significantly lower among Scandinavian adolescents than among other European adolescents (4.43 vs. 8.89). The proportion of enamel caries (n = 7 studies) was 50%, and highest in the lowest age group (12–15 years). Results from the present systematic review reflected the caries distribution to be skewed at individual-, tooth- and surface levels; at tooth and surface level, also changed according to age. Conclusions Although studies in which the caries examinations had been done in 2010 or later documented a reduction in caries prevalence, caries during adolescence still constitutes a burden. Thus, the potential for preventing development of more severe caries lesions, as seen in the substantial volume of enamel caries during early adolescence, should be fully exploited. For this to happen, enamel caries should be a part of epidemiological reporting in national registers.
- Published
- 2022
- Full Text
- View/download PDF
18. Late Complications in Long-Term Childhood Cancer Survivors: What the Oral Health Professional Needs to Know
- Author
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Sali Al-Ansari, Juliette Stolze, Dorine Bresters, Alan Henry Brook, Alexa M. G. A. Laheij, Henk S. Brand, Göran Dahllöf, Frederik R. Rozema, and Judith E. Raber-Durlacher
- Subjects
pediatric cancer ,childhood cancer survivors ,late effects ,chronic oral complications ,oral care ,dental treatment ,Dentistry ,RK1-715 - Abstract
With diagnostic and therapeutic advances, over 80% of children diagnosed with cancer become long-term survivors. As the number of childhood cancer survivors (CCS) continues to increase, dental practitioners become more likely to have CCS among their patients. CCS may develop late complications from damage caused by their cancer treatment to endocrine, cardiovascular, musculoskeletal, and other organ systems. These complications may surface decades after the completion of treatment. Adverse outcomes of childhood cancer treatment frequently involve oral and craniofacial structures including the dentition. Tooth development, salivary gland function, craniofacial growth, and temporomandibular joint function may be disturbed, increasing oral health risks in these individuals. Moreover, CCS are at risk of developing subsequent malignancies, which may manifest in or near the oral cavity. It is important that dental practitioners are aware of the childhood cancer history of their patients and have knowledge of potential late complications. Therefore, this narrative review aims to inform dental practitioners of late oral complications of cancer treatment modalities commonly used in pediatric oncology. Furthermore, selected common non-oral late sequelae of cancer therapy that could have an impact on oral health and on delivering dental care will be discussed.
- Published
- 2024
- Full Text
- View/download PDF
19. Discovery of Second Generation Reversible Covalent DPP1 Inhibitors Leading to an Oxazepane Amidoacetonitrile Based Clinical Candidate (AZD7986)
- Author
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Göran Dahl, Amanda Van de Poël, James Root, Steve Swallow, Philip Gardiner, Hans Lönn, Cecilia Wikell, Helena Käck, Kevin James Doyle, Kristina Stenvall, Petra Johannesson, and Stephen Connolly
- Subjects
0301 basic medicine ,Administration, Oral ,01 natural sciences ,Cathepsin C ,03 medical and health sciences ,Mice ,Structure-Activity Relationship ,Dogs ,Drug Discovery ,Structure–activity relationship ,Animals ,Humans ,Protease Inhibitors ,Benzoxazoles ,Dose-Response Relationship, Drug ,Molecular Structure ,Chemistry ,Drug discovery ,U937 Cells ,Combinatorial chemistry ,0104 chemical sciences ,Rats ,010404 medicinal & biomolecular chemistry ,Oxazepines ,030104 developmental biology ,Covalent bond ,Molecular Medicine ,Rabbits ,Once daily - Abstract
A novel series of second generation DPP1 inhibitors free from aorta binding liabilities found for earlier compound series was discovered. This work culminated in the identification of compound 30 (AZD7986) as a highly potent, reversible, and selective clinical candidate for COPD, with predicted human PK properties suitable for once daily human dosing.
- Published
- 2016
20. A comprehensive company database analysis of biological assay variability
- Author
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Johan Ulander, Göran Dahl, Christian Tyrchan, and Christian Kramer
- Subjects
0301 basic medicine ,Pharmacology ,Databases, Factual ,Drug Industry ,Computer science ,Drug discovery ,Database analysis ,Uncertainty ,Reproducibility of Results ,Computational biology ,computer.software_genre ,01 natural sciences ,0104 chemical sciences ,010404 medicinal & biomolecular chemistry ,03 medical and health sciences ,030104 developmental biology ,Drug Discovery ,Personal belief ,Data analysis ,Bioassay ,Biological Assay ,Data mining ,Drug industry ,computer - Abstract
Analysis of data from various compounds measured in diverse biological assays is a central part of drug discovery research projects. However, no systematic overview of the variability in biological assays has been published and judgments on assay quality and robustness of data are often based on personal belief and experience within the drug discovery community. To address this we performed a reproducibility analysis of all biological assays at AstraZeneca between 2005 and 2014. We found an average experimental uncertainty of less than a twofold difference and no technologies or assay types had higher variability than others. This work suggests that robust data can be obtained from the most commonly applied biological assays.
- Published
- 2015
21. Structure–activity relationships of HCV NS3 protease inhibitors evaluated on the drug-resistant variants A156T and D168V
- Author
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Eva Åkerblom, Robert Rönn, Angelica E. Ehrenberg, Anja Sandström, Göran Dahl, Pernilla Örtqvist, Anders Karlén, U. Helena Danielson, and Aparna Vema
- Subjects
Models, Molecular ,Pharmacology ,Mutation rate ,NS3 ,Protease ,biology ,medicine.medical_treatment ,Hepatitis C virus ,Hepacivirus ,Drug resistance ,Viral Nonstructural Proteins ,biology.organism_classification ,medicine.disease_cause ,Virology ,Structure-Activity Relationship ,Flaviviridae ,Infectious Diseases ,Drug Resistance, Viral ,medicine ,Protease Inhibitors ,Pharmacology (medical) ,Protease inhibitor (pharmacology) ,Pharmaceutical sciences ,Protein Binding - Abstract
Background HCV infections are a serious threat to public health. An important drug target is the NS3 protease, for which several inhibitors are in clinical trials. Because of the high mutation rate of the virus, resistance against any HCV-specific drug is likely to become a substantial problem. Structure–activity data for the major resistant variants are therefore needed to guide future designs of protease inhibitors. Methods The inhibitory potency of tripeptide NS3 protease inhibitors, with either a P2 proline or phenylglycine, in combination with different P3 and P1-P1’ groups, was assessed in enzyme activity assays using the full-length NS3 protein with known resistance- conferring substitutions A156T or D168V. The results obtained from these variants were compared with the inhibition of the wild-type enzyme. Molecular modelling was used to rationalize the biochemical results. Results Inhibitors combining the P2 proline and P1 (1 R,2 S)-1-amino-2-vinylcyclopropyl-carboxylic acid (vinylACCA) lost much of their potency on the resistant variants. Exchange of the P2 proline for phenylglycine yielded inhibitors that were equipotent on the wild-type and on the A156T and D168V variants. The same result was obtained from the combination of either the P2 residue with a norvaline or an aromatic scaffold in the P1 position. Conclusions The combination of a substituted P2 proline and P1 vinylACCA appears to be the main problem behind the observed resistance. Molecular modelling suggests an enforced change in binding conformation for the P2 proline- based inhibitors, whereas the phenylglycine-based inhibitors retained their wild-type binding conformation in the substituted forms of the enzyme.
- Published
- 2010
22. Hepatitis C Virus NS3 Protease Is Activated by Low Concentrations of Protease Inhibitors
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Göran Dahl, Omar Gutiérrez Arenas, and U. Helena Danielson
- Subjects
Glycerol ,chemistry.chemical_classification ,NS3 ,Protease ,Genotype ,Protein Conformation ,medicine.medical_treatment ,Osmolar Concentration ,Hydrogen-Ion Concentration ,Viral Nonstructural Proteins ,Biology ,Biochemistry ,Enzyme Activation ,NS2-3 protease ,Enzyme activator ,Non-competitive inhibition ,Enzyme ,chemistry ,Catalytic triad ,Biocatalysis ,medicine ,Protease Inhibitors ,Phosphofructokinase 2 - Abstract
The nonstructural protein 3 (NS3) of hepatitis C virus (HCV) is a bifunctional enzyme with a protease and a helicase functionality located in each of the two domains of the single peptide chain. There is little experimental evidence for a functional role of this unexpected arrangement since artificial single domain forms of both enzymes are catalytically competent. We have observed that low concentrations of certain protease inhibitors activate the protease of full-length NS3 from HCV genotype 1a with up to 100%, depending on the preincubation time and the inhibitor used. The activation was reduced, but not eliminated, by increased ionic strength, lowered glycerol concentration, or lowered pH. In all cases, it was at the expense of a significant loss of activity. Activation was not seen with the artificial protease domain of genotype 1b NS3 fused with a fragment of the NS4A cofactor. This truncated and covalently modified enzyme form was much less active and exhibited fundamentally different catalytic properties to the full-length NS3 protease without the fused cofactor. The most plausible explanation for the activation was found to involve a slow transition between two enzyme conformations, which differed in their catalytic ability and affinity for inhibitors. Equations derived based on this assumption resulted in better fits to the experimental data than the equation for simple competitive inhibition. The mechanism may involve an inhibitor-induced stabilization of the helicase domain in a conformation that enhances the protease activity, or an improved alignment of the catalytic triad in the protease. The proposed mnemonic mechanism and derived equations are viable for both these explanations and can serve as a basic framework for future studies of enzymes activated by inhibitors or other ligands.
- Published
- 2009
23. β-Amino acid substitutions and structure-based CoMFA modeling of hepatitis C virus NS3 protease inhibitors
- Author
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U. Helena Danielson, Johanna Nurbo, Göran Dahl, Anders Karlén, Anja Sandström, and Shane D. Peterson
- Subjects
Models, Molecular ,Peptidomimetic ,Stereochemistry ,medicine.medical_treatment ,Clinical Biochemistry ,Drug Evaluation, Preclinical ,Quantitative Structure-Activity Relationship ,Pharmaceutical Science ,Peptide ,Tripeptide ,Viral Nonstructural Proteins ,Ligands ,Biochemistry ,Drug Discovery ,medicine ,Protease Inhibitors ,Amino Acids ,Molecular Biology ,chemistry.chemical_classification ,NS3 ,Protease ,Molecular Structure ,biology ,Organic Chemistry ,virus diseases ,Stereoisomerism ,digestive system diseases ,Amino acid ,chemistry ,Enzyme inhibitor ,Docking (molecular) ,biology.protein ,Molecular Medicine - Abstract
In an effort to develop a new type of HCV NS3 peptidomimetic inhibitor, a series of tripeptide inhibitors incorporating a mix of alpha- and beta-amino acids has been synthesized. To understand the structural implications of beta-amino acid substitution, the P(1), P(2), and P(3) positions of a potent tripeptide scaffold were scanned and combined with carboxylic acid and acyl sulfonamide C-terminal groups. Inhibition was evaluated and revealed that the structural changes resulted in a loss in potency compared with the alpha-peptide analogues. However, several compounds exhibited muM potency. Inhibition data were compared with modeled ligand-protein binding poses to understand how changes in ligand structure affected inhibition potency. The P(3) position seemed to be the least sensitive position for beta-amino acid substitution. Moreover, the importance of a proper oxyanion hole interaction for good potency was suggested by both inhibition data and molecular modeling. To gain further insight into the structural requirements for potent inhibitors, a three-dimensional quantitative structure-activity relationship (3D-QSAR) model has been constructed using comparative molecular field analysis (CoMFA). The most predictive CoMFA model has q(2)=0.48 and r(pred)(2)=0.68.
- Published
- 2008
24. Effects on protease inhibition by modifying of helicase residues in hepatitis C virus nonstructural protein 3
- Author
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Anja Sandström, Eva Åkerblom, Göran Dahl, and U. Helena Danielson
- Subjects
chemistry.chemical_classification ,NS3 ,Protease ,biology ,medicine.medical_treatment ,Hepatitis C virus ,Helicase ,Cell Biology ,medicine.disease_cause ,Biochemistry ,Molecular biology ,NS2-3 protease ,Enzyme ,chemistry ,medicine ,biology.protein ,Protease inhibitor (pharmacology) ,Binding site ,Molecular Biology - Abstract
This study of the full-length bifunctional nonstructural protein 3 from hepatitis C virus (HCV) has revealed that residues in the helicase domain affect the inhibition of the protease. Two residues (Q526 and H528), apparently located in the interface between the S2 and S4 binding pockets of the substrate binding site of the protease, were selected for modification, and three enzyme variants (Q526A, H528A and H528S) were expressed, purified and characterized. The substitutions resulted in indistinguishable K(m) values and slightly lower k(cat) values compared to the wild-type. The K(i) values for a series of structurally diverse protease inhibitors were affected by the substitutions, with increases or decreases up to 10-fold. The inhibition profiles for H528A and H528S were different, confirming that not only did the removal of the imidazole side chain have an effect, but also that minor differences in the nature of the introduced side chain influenced the characteristics of the enzyme. These results indicate that residues in the helicase domain of nonstructural protein 3 can influence the protease, supporting our hypothesis that full-length hepatitis C virus nonstructural protein 3 should be used for protease inhibitor optimization and characterization. Furthermore, the data suggest that inhibitors can be designed to interact with residues in the helicase domain, potentially leading to more potent and selective compounds.
- Published
- 2007
25. Acculturation and 4-year caries increment among children of foreign-born mothers in Sweden: a register-based cohort study
- Author
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Anna Granlund, Fernanda Cunha Soares, Anders Hjern, Göran Dahllöf, and Annika Julihn
- Subjects
Acculturation ,Child ,Dental caries ,Ethnicity ,Human development index ,Length of stay ,Dentistry ,RK1-715 - Abstract
Abstract Background To study the association of maternal age upon arrival and length of residence in Sweden with the 4-year caries increment in their children between ages 3 and 7 years in relation to the human development index (HDI) of the maternal country of origin. Method This registry-based cohort study included all children born in 2000–2003 who resided in Stockholm County, Sweden, at age 3 years and who were followed up at age 7 (n = 63,931). Negative binomial regressions were used to analyze different models adjusted for sociodemographic factors. Results Children of foreign-born mothers, regardless of the HDI of the maternal country of origin, had a higher risk of caries increment between ages 3 and 7 years than children of Swedish-born mothers. Furthermore, children of mothers who had arrived from a low or medium HDI country had a lower caries increment if their mothers arrived before age 7 compared with after age 7. Nearly half (44%) of the children whose mothers arrived in Sweden at age ≥ 20 years from a low HDI country had a caries increment compared to 22% of the children whose mothers had arrived in Sweden before 7 years of age. Furthermore, children whose mothers were born in a low HDI country and had resided in Sweden ≤ 19 years had approximately 1.5 times higher risk of caries increment compared to children of mothers who had resided in Sweden for more than 20 years. Conclusions Caries increment in the children of foreign-born mothers was associated with the age of their mother when she arrived in Sweden and was lower when the mother had arrived before age 7 years. This indicates an intergenerational effect that carries over to the children and is greater the longer the mother has participated in Swedish dental healthcare.
- Published
- 2022
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26. Will 'The Other God' Fail Again?
- Author
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Göran Dahl
- Subjects
021110 strategic, defence & security studies ,Sociology and Political Science ,Law ,Philosophy ,05 social sciences ,050602 political science & public administration ,0211 other engineering and technologies ,General Social Sciences ,02 engineering and technology ,0506 political science - Published
- 1996
27. Pharmacokinetics and the drug-target residence time concept
- Author
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Göran Dahl and Tomas Akerud
- Subjects
Pharmacology ,Drug ,Chemistry ,Drug discovery ,media_common.quotation_subject ,Drug target ,Proteins ,Receptor–ligand kinetics ,Drug Delivery Systems ,Pharmacokinetics ,Pharmaceutical Preparations ,In vivo ,Drug Discovery ,Animals ,Humans ,Duration of effect ,media_common ,Protein Binding - Abstract
The concept of drug-target residence time has been in focus in recent drug discovery literature. However, few studies consider the combined effect of pharmacokinetics (PK) and binding kinetics (BK) on the duration of effect of a drug. Using a simple model that takes both PK and BK into account, we found that prolongation of binding owing to a long drug-target residence time can only occur when the binding dissociation is slower than the PK elimination. Data for several drugs and/or drug candidates in the literature indicate that the opposite is observed, that is, they have a slower elimination compared with dissociation. These observations greatly reduce the usability of drug-target residence times for estimating the duration of effect of a drug in vivo.
- Published
- 2012
28. Target binding properties and cellular activity of afatinib (BIBW 2992), an irreversible ErbB family blocker
- Author
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Göran Dahl, Oliver Kraemer, Christian Klein, Eric E. J. Haaksma, Guenther Adolf, Michael P. Sanderson, Frank Himmelsbach, Gerd Bader, Flavio Solca, and Andreas Zoephel
- Subjects
Models, Molecular ,Protein Conformation ,Receptor, ErbB-2 ,Afatinib ,Molecular Sequence Data ,Transfection ,Proto-Oncogene Mas ,T790M ,Mice ,Structure-Activity Relationship ,ErbB ,medicine ,Animals ,Humans ,Epidermal growth factor receptor ,Kinase activity ,Phosphorylation ,Receptor ,Cells, Cultured ,Cell Proliferation ,Pharmacology ,Crystallography ,biology ,Kinase ,Cell growth ,Spectrum Analysis ,Genes, erbB ,Phosphotransferases ,Surface Plasmon Resonance ,Molecular biology ,ErbB Receptors ,Data Interpretation, Statistical ,biology.protein ,Quinazolines ,Molecular Medicine ,medicine.drug - Abstract
Deregulation of the ErbB (proto-oncogene B of the avian erythroblastosis virus AEV-H strain) receptor network is well recognized as an oncogenic driver in epithelial cancers. Several targeted drugs have been developed, including antibodies and small-molecule kinase inhibitors, each of them characterized by distinct patterns of ErbB receptor interactions. Understanding the precise pharmacological properties of these compounds is important for optimal use in clinical practice. Afatinib [BIBW 2992; N-[4-[(3-chloro-4-fluorophenyl)amino]-7-[[(3S)-tetrahydro-3-furanyl]oxy]-6-quinazolinyl]-4-(dimethylamino)-2-butenamide] is an ATP-competitive anilinoquinazoline derivative harboring a reactive acrylamide group. It was designed to covalently bind and irreversibly block enzymatically active ErbB receptor family members. Here, we show by X-ray crystallography the covalent binding of afatinib to wild-type epidermal growth factor receptor (EGFR) and by mass spectrometry the covalent interaction with EGFR, EGFRL858R/T790M, human epidermal growth factor receptor 2 (HER2), and ErbB-4. Afatinib potently inhibits the enymatic activity of ErbB-4 (EC50=1 nM) and the proliferation of cancer cell lines driven by multiple ErbB receptor aberrations at concentrations below 100 nM. N-[4-[(3-chloro-4-fluorophenyl)amino]-7-[[(3S)-tetrahydro-3-furanyl]oxy]-6-quinazolinyl]-4-(dimethylamino)-2-butanamide (BI 37781), a close analog of afatinib lacking the acrylamide group and thus incapable of covalent bond formation, had similar potency on cells driven by EGFR or EGFRL858R, but less or no detectable activity on cells expressing EGFRL858R/T790M HER2 or ErbB-4. These results stress the importance of the acrylamide group and show that afatinib differs from approved ErbB targeting agents by irreversibly inhibiting the kinase activity of all ErbB family members. They provide a mechanistic rationale for the distinct pharmacological features of this compound and explain the clinical activity seen in some patients who are resistant to antibody or kinase inhibitor therapy because of secondary mutations or ErbB receptor "reprogramming."
- Published
- 2012
29. The Swedish Model and the Conservative Revolution: Response to von Kreitor
- Author
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Göran Dahl
- Subjects
Cultural Studies ,Philosophy ,History ,Sociology and Political Science ,Economic history ,Demography - Published
- 1994
30. Documentary meaning- understanding or critique?
- Author
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Göran Dahl
- Subjects
Philosophy ,Sociology and Political Science ,Sociology of knowledge ,Meaning (existential) ,Sociology ,Epistemology - Published
- 1994
31. Mechanistic and kinetic characterization of hepatitis C virus NS3 protein interactions with NS4A and protease inhibitors
- Author
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Göran Dahl, Matthis Geitmann, and U. Helena Danielson
- Subjects
Cyclopropanes ,Macrocyclic Compounds ,Lactams ,Proline ,viruses ,Hepatitis C virus ,medicine.medical_treatment ,Lactams, Macrocyclic ,Kinetics ,Peptide ,Hepacivirus ,Biology ,Isoindoles ,Viral Nonstructural Proteins ,medicine.disease_cause ,Cofactor ,Protein–protein interaction ,Structural Biology ,medicine ,Humans ,Protease Inhibitors ,Molecular Biology ,chemistry.chemical_classification ,NS3 ,Sulfonamides ,Protease ,virus diseases ,biochemical phenomena, metabolism, and nutrition ,digestive system diseases ,Enzyme Activation ,Thiazoles ,Enzyme ,chemistry ,Biochemistry ,biology.protein ,Quinolines ,Carbamates ,Protein Binding - Abstract
The mechanism and kinetics of the interactions between ligands and immobilized full-length hepatitis C virus (HCV) genotype 1a NS3 have been characterized by SPR biosensor technology. The NS3 interactions for a series of NS3 protease inhibitors as well as for the NS4A cofactor, represented by a peptide corresponding to the sequence interacting with the enzyme, were found to be heterogeneous. It may represent interactions with two stable conformations of the protein. The NS3-NS4A interaction consisted of a high-affinity (K(D) = 50 nM) and a low-affinity (K(D) = 2 µM) interaction, contributing equally to the overall binding. By immobilizing NS3 alone or together with NS4A it was shown that all inhibitors had a higher affinity for NS3 in the presence of NS4A. NS4A thus has a direct effect on the binding of inhibitors to NS3 and not only on catalysis. As predicted, the mechanism-based inhibitor VX 950 exhibited a time-dependent interaction with a slow formation of a stable complex. BILN 2061 or ITMN-191 showed no signs of time-dependent interactions, but ITMN-191 had the highest affinity of the tested compounds, with both the slowest dissociation (k(off)) and fastest association rate, closely followed by BILN 2061. The k(off) for the inhibitors correlated strongly with their NS3 protease inhibitory effect as well as with their effect on replication of viral proteins in replicon cell cultures, confirming the relevance of the kinetic data. This approach for obtaining kinetic and mechanistic data for NS3 protease inhibitor and cofactor interactions is expected to be of importance for understanding the characteristics of HCV NS3 functionality as well as for anti-HCV lead discovery and optimization.
- Published
- 2011
32. Effects on protease inhibition by modifying of helicase residues in hepatitis C virus nonstructural protein 3
- Author
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Göran, Dahl, Anja, Sandström, Eva, Akerblom, and U Helena, Danielson
- Subjects
Models, Molecular ,Kinetics ,Electrophoresis, Polyacrylamide Gel ,Protease Inhibitors ,Viral Nonstructural Proteins ,Chromatography, Affinity - Abstract
This study of the full-length bifunctional nonstructural protein 3 from hepatitis C virus (HCV) has revealed that residues in the helicase domain affect the inhibition of the protease. Two residues (Q526 and H528), apparently located in the interface between the S2 and S4 binding pockets of the substrate binding site of the protease, were selected for modification, and three enzyme variants (Q526A, H528A and H528S) were expressed, purified and characterized. The substitutions resulted in indistinguishable K(m) values and slightly lower k(cat) values compared to the wild-type. The K(i) values for a series of structurally diverse protease inhibitors were affected by the substitutions, with increases or decreases up to 10-fold. The inhibition profiles for H528A and H528S were different, confirming that not only did the removal of the imidazole side chain have an effect, but also that minor differences in the nature of the introduced side chain influenced the characteristics of the enzyme. These results indicate that residues in the helicase domain of nonstructural protein 3 can influence the protease, supporting our hypothesis that full-length hepatitis C virus nonstructural protein 3 should be used for protease inhibitor optimization and characterization. Furthermore, the data suggest that inhibitors can be designed to interact with residues in the helicase domain, potentially leading to more potent and selective compounds.
- Published
- 2007
33. Resistance profiling of hepatitis C virus protease inhibitors using full-length NS3
- Author
-
Anja Sandström, Göran Dahl, Eva Åkerblom, and U. Helena Danielson
- Subjects
Protein Conformation ,Hepatitis C virus ,medicine.medical_treatment ,Hepacivirus ,Drug resistance ,Viral Nonstructural Proteins ,medicine.disease_cause ,Antiviral Agents ,Virus ,Microbiology ,Cell Line ,Flaviviridae ,Structure-Activity Relationship ,Drug Resistance, Multiple, Viral ,Catalytic Domain ,medicine ,Animals ,Humans ,Pharmacology (medical) ,Protease Inhibitors ,Cloning, Molecular ,Pharmacology ,NS3 ,Protease ,biology ,Molecular Structure ,biology.organism_classification ,Virology ,NS2-3 protease ,Kinetics ,Infectious Diseases ,Drug Design ,Mutation - Abstract
Background The NS3 protease of hepatitis C virus (HCV) is a prime target for anti-HCV drugs but resistance towards inhibitors of the enzyme is likely to emerge because of mutations in the viral genome that modify the structure of the protein. Enzyme inhibition data supporting this is limited to studies with few compounds and analysis performed with truncated NS3. Experimental The potential of HCV acquiring resistance towards NS3 protease inhibitors and the structural features associated with resistance has been explored with a series of inhibitors and by using full-length NS3 protease/helicase variants with amino acid substitutions (A156T, D168V and R155Q) in the protease domain. Results The A156T and D168V substitutions did not influence the kinetic properties of the protease, whereas the R155Q substitution reduced the catalytic efficiency 20 times, as compared with the wild type. Inhibition studies revealed that these substitutions primarily affected the potency of compounds which effectively inhibit the wild-type enzyme, and had little effect on weak or moderate inhibitors. As a consequence, all compounds had similar inhibitory potencies to the substituted enzyme variants. An exception was VX-950, which inhibited the D168V enzyme more efficiently than the wild type. For this inhibitor, the present data correlated better with replicon data than data from assays with truncated enzyme. Conclusions These results have provided a structural basis for designing inhibitors that may be less susceptible to resistance by three known mutations, and suggest that the present variants of full-length NS3 constitute effective models for resistance profiling of NS3 protease inhibitors.
- Published
- 2007
34. Mutations in COL1A1/A2 and CREB3L1 are associated with oligodontia in osteogenesis imperfecta
- Author
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Kristofer Andersson, Barbro Malmgren, Eva Åström, Ann Nordgren, Fulya Taylan, and Göran Dahllöf
- Subjects
Genetics ,Hypodontia ,Mutation ,Tooth agenesis ,Tooth development ,Medicine - Abstract
Abstract Background Osteogenesis imperfecta (OI) is a heterogeneous connective tissue disorder characterized by an increased tendency for fractures throughout life. Autosomal dominant (AD) mutations in COL1A1 and COL1A2 are causative in approximately 85% of cases. In recent years, recessive variants in genes involved in collagen processing have been found. Hypodontia ( A in one boy previously diagnosed with OI type III. COL1A1 and COL1A2 were the only two genes among 9 individuals which carried a pathogenic mutation. We found rare variants with unknown significance in several other genes related to tooth development. Conclusions Our findings suggest that mutations in COL1A1, COL1A2, and CREB3L1 may cause hypodontia and oligodontia in OI. The findings cannot exclude additive effects from other modifying or interacting genes that may contribute to the severity of the expressed phenotype. Larger cohorts and further functional studies are needed.
- Published
- 2020
- Full Text
- View/download PDF
35. Correction: Dental caries at enamel and dentine level among European adolescents – a systematic review and meta-analysis
- Author
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Marit S. Skeie, Abhijit Sen, Göran Dahllöf, Tone Natland Fagerhaug, Hedda Høvik, and Kristin S. Klock
- Subjects
Dentistry ,RK1-715 - Published
- 2023
- Full Text
- View/download PDF
36. THE MEN OF 1989.
- Author
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Göran Dahl
- Subjects
ESSAYS ,PROSE literature ,RACISM ,DEMOCRACY ,HEGEMONY - Abstract
The article discusses German playwright and author Botho Strau&Bgr;'s essay "Anschwellender Bocksgesang." What Strau&Bgr;'s essay which begins the anthology is really all about is difficult to say but it has a mysterious power of attraction as it is thought to contain deep insight into the "spirit of the times." He confesses, as stated above his allegiance to the right, as he means that it is from there that one can best understand the tragic contemporary circumstances one lives in, where humanity's bloody side once again routinely confronts people. Liberal democracy's self understanding, the "1789 ideas", are thought to be entirely inadequate. Racism and contempt for foreigners is interpreted by Strau&Bgr; as the emergence of that which has been repressed and as religious purification rituals. He continuously appeals for a departure from the "Mainstream", that is, the postulated liberal hegemony in Germany. He believes that liberal ideology proves deficient, in among other things its ability to understand what ethnic war in the former Yugoslavia and Soviet Union is about: defense of one's own language and culture, blood offering and the mystical community.
- Published
- 1997
37. Safety and Side Effects of Using Placenta-Derived Decidual Stromal Cells for Graft-versus-Host Disease and Hemorrhagic Cystitis
- Author
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Arjang Baygan, Wictor Aronsson-Kurttila, Gianluca Moretti, Babylonia Tibert, Göran Dahllöf, Lena Klingspor, Britt Gustafsson, Bita Khoein, Guido Moll, Charlotta Hausmann, Britt-Marie Svahn, Magnus Westgren, Mats Remberger, Behnam Sadeghi, and Olle Ringden
- Subjects
graft-versus-host disease ,mesenchymal stromal cells ,hematopoietic stem cell transplantation ,hemorrhagic cystitis ,decidual stromal cells ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Mesenchymal stromal cells (MSCs) are increasingly used in regenerate medicine. Placenta-derived decidual stromal cells (DSCs) are a novel therapy for acute graft-versus-host-disease (GVHD) and hemorrhagic cystitis (HC) after allogeneic hematopoietic stem cell transplantation (HSCT). DSCs are more immunosuppressive than MSCs. We assessed adverse events and safety using DSCs among 44 treated patients and 40 controls. The median dose of infused cells was 1.5 (range 0.9–2.9) × 106 DSCs/kg. The patients were given 2 (1–5) doses, with a total of 82 infusions. Monitoring ended 3 months after the last DSC infusion. Three patients had transient reactions during DSC infusion. Laboratory values, hemorrhages, and transfusions were similar in the two groups. The frequency of leukemic relapse (2/2, DSC/controls) and invasive fungal infections (6/6) were the same in the two groups. Causes of death were those seen in HSCT patients: infections (5/3), respiratory failure (1/1), circulatory failure (3/1), thromboembolism (1/0), multiorgan failure (0/1), and GVHD and others (2/7). One-year survival for the DSC patients with GVHD was 67%, which was significantly better than achieved previously at our center. One-year survival was 90% in the DSC-treated HC group. DSC infusions appear safe. Randomized studies are required to prove efficacy.
- Published
- 2017
- Full Text
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38. Mutations in COL1A1 and COL1A2 and dental aberrations in children and adolescents with osteogenesis imperfecta - A retrospective cohort study.
- Author
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Kristofer Andersson, Göran Dahllöf, Katarina Lindahl, Andreas Kindmark, Giedre Grigelioniene, Eva Åström, and Barbro Malmgren
- Subjects
Medicine ,Science - Abstract
Osteogenesis imperfecta (OI) is a heterogeneous group of disorders of connective tissue, caused mainly by mutations in the collagen I genes (COL1A1 and COL1A2). Dentinogenesis imperfecta (DGI) and other dental aberrations are common features of OI. We investigated the association between collagen I mutations and DGI, taurodontism, and retention of permanent second molars in a retrospective cohort of 152 unrelated children and adolescents with OI. The clinical examination included radiographic evaluations. Teeth from 81 individuals were available for histopathological evaluation. COL1A1/2 mutations were found in 104 individuals by nucleotide sequencing. DGI was diagnosed clinically and radiographically in 29% of the individuals (44/152) and through isolated histological findings in another 19% (29/152). In the individuals with a COL1A1 mutation, 70% (7/10) of those with a glycine substitution located C-terminal of p.Gly305 exhibited DGI in both dentitions while no individual (0/7) with a mutation N-terminal of this point exhibited DGI in either dentition (p = 0.01). In the individuals with a COL1A2 mutation, 80% (8/10) of those with a glycine substitution located C terminal of p.Gly211 exhibited DGI in both dentitions while no individual (0/5) with a mutation N-terminal of this point (p = 0.007) exhibited DGI in either dentition. DGI was restricted to the deciduous dentition in 20 individuals. Seventeen had missense mutations where glycine to serine was the most prevalent substitution (53%). Taurodontism occurred in 18% and retention of permanent second molars in 31% of the adolescents. Dental aberrations are strongly associated with qualitatively changed collagen I. The varying expressivity of DGI is related to the location of the collagen I mutation. Genotype information may be helpful in identifying individuals with OI who have an increased risk of dental aberrations.
- Published
- 2017
- Full Text
- View/download PDF
39. Factors Associated with Dental Fear and Anxiety in Children Aged 7 to 9 Years
- Author
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Andreas Dahlander, Fernanda Soares, Margaret Grindefjord, and Göran Dahllöf
- Subjects
dental anxiety ,children ,dental fear ,longitudinal study ,Dentistry ,RK1-715 - Abstract
The aim was to investigate changes in dental fear and anxiety (DFA) and verify factors associated with DFA in children. A longitudinal cohort study that included 160 children aged 7 years was carried out. A questionnaire was completed by parents at two time points and evaluated the immigrant background, maternal education, whether the child had ever had toothache, and whether the parents had dental fear. The oral clinical examination evaluated decayed, extracted, and filled primary teeth (deft). The children’s fear survey schedule dental subscale (CFSS-DS) was used to assess the dental fear of the children. Multilevel mixed-effects logistic regressions analyses were used. The CFSS-DS found that 7% of the children had dental fear at age 7 and mean CFSS-DS was 22.9. At 9 years of age, 8% reported dental fear and the mean increased to 25.4. Parental dental fear, experience of toothache, and report of painful dental treatment and caries development between 7 and 9 years of age were factors that were significantly related to development of DFA. There was a change in DFA between 7 and 9 years of age. Dental fear and anxiety is a dynamic process in growing individuals and is significantly related to painful symptoms and experiences of dental care as well as parental dental fear.
- Published
- 2019
- Full Text
- View/download PDF
40. Experiences of Being a Parent to a Child with Amelogenesis Imperfecta
- Author
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Gunilla Pousette Lundgren, Tove Hasselblad, Anna Stigsdotter Johansson, Anna Johansson, and Göran Dahllöf
- Subjects
congenital disorder ,dental enamel ,psychosocial stress ,thematic analysis ,qualitative study ,Dentistry ,RK1-715 - Abstract
Amelogenesis imperfecta (AI) is a hereditary developmental disorder affecting the enamel of teeth. Affected patients present with tooth hypersensitivity, rapid tooth wear, or fractures of enamel as well as alterations in color and shape, all of which compromise esthetic appearance and masticatory function. Chronic conditions in childhood severely impact the whole family, affecting normal family routines and/or increasing the family’s financial burden. The aim of this study was to explore experiences and the impact on daily life of being a parent to a child with severe forms of amelogenesis imperfecta. Parents of children and adolescents with AI participated in an interview with a psychologist. The transcribed interviews were analyzed using thematic analysis. The parents talked about several concerns about having a child with AI. Four main themes emerged from the interviews: Feelings associated with passing on a hereditary disorder, knowledge decreases stress, unfamiliarity with the diagnosis, and psychosocial stress. In these main categories we identified several subthemes. Feelings associated with passing on a hereditary disorder included the subtheme of guilt/shame; knowledge decreases stress included knowledge about diagnosis in the family and support from dental health care professionals; Unfamiliarity with diagnosis included missed diagnosis, fear of not getting correct treatment, and insufficient pain control; finally, the subtheme Psychosocial stress included fear of child being bullied and emergency dental visits. The findings show that parents of children with severe amelogenesis imperfecta report similar experiences as do parents of children with other chronic and rare diseases.
- Published
- 2019
- Full Text
- View/download PDF
41. Amelogenesis Imperfecta and Early Restorative Crown Therapy: An Interview Study with Adolescents and Young Adults on Their Experiences.
- Author
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Gunilla Pousette Lundgren, Anette Wickström, Tove Hasselblad, and Göran Dahllöf
- Subjects
Medicine ,Science - Abstract
Patients with Amelogenesis imperfecta (AI) can present with rapid tooth loss or fractures of enamel as well as alterations in enamel thickness, color, and shape; factors that may compromise aesthetic appearance and masticatory function. The aim was to explore the experiences and perceptions of adolescents and young adults living with AI and receiving early prosthetic therapy. Seven patients with severe AI aged 16 to 23 years who underwent porcelain crown therapy participated in one-to-one individual interviews. The interviews followed a topic guide consisting of open-ended questions related to experiences of having AI. Transcripts from the interviews were analyzed using thematic analysis. The analysis process identified three main themes: Disturbances in daily life, Managing disturbances, and Normalization of daily life. These themes explain the experiences of patients living with enamel disturbances caused by AI and receiving early crown therapy. Experiences include severe pain and sensitivity problems, feelings of embarrassment, and dealing with dental staff that lack knowledge and understanding of their condition. The patients described ways to manage their disturbances and to reduce pain when eating or drinking, and strategies for meeting other people. After definitive treatment with porcelain crown therapy, they described feeling like a normal patient. In conclusion the results showed that adolescents and young adults describe a profound effect of AI on several aspects of their daily life.
- Published
- 2016
- Full Text
- View/download PDF
42. Peripheral blood lymphocyte populations in influenza patients
- Author
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Connie Jarstrand, Göran Dahl, and Jerzy Wasserman
- Subjects
Microbiology (medical) ,Adult ,General Immunology and Microbiology ,Adolescent ,T-Lymphocytes ,Influenza a ,General Medicine ,Biology ,Virology ,Leukocyte Count ,Infectious Diseases ,Peripheral blood lymphocyte ,Lectins ,Immunology ,Acute Disease ,Influenza, Human ,Immunologic Techniques ,Humans ,Mitogens ,Receptor - Abstract
The peripheral blood lymphocyte populations were determined in 10 patients during the acute phase of influenza and 6–8 weeks after recovery. The percentage of T-lymphocytes, demonstrated by their binding sheep erythrocytes non-specifically (E-rosette forming cells), was decreased during influenza. A relative and absolute increase of non-T-lymphocytes could be shown by the determination on these cells of receptors for activated C'3 (EAC-rosette forming cells).
- Published
- 1977
43. Efficient equity-oriented strategies for health
- Author
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Göran Dahlgren
- Subjects
Public aspects of medicine ,RA1-1270 - Published
- 2000
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