41 results on '"Koury E"'
Search Results
2. Validation of the Clinical COPD Questionnaire as a psychophysical outcome measure in adult laryngotracheal stenosis
- Author
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Nouraei, S. A.R., Randhawa, P. S., Koury, E. F., Abdelrahim, A., Butler, C. R., Venkataraman, A., Howard, D. J., and Sandhu, G. S.
- Published
- 2009
- Full Text
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3. Diagnosis of adult laryngotracheal stenosis during routine spirometry using the ‘expiratory disproportion index’
- Author
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Nouraei, R., Koury, E., Cummins, A., Murphy, K., Howard, D., and Sandhu, G.
- Published
- 2009
4. Validation of the clinical COPD questionnaire as a psychophysical outcome measure in adult laryngotracheal stenosis
- Author
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Koury, E., Nouraei, R., Randhawa, P., Howard, D., and Sandhu, G.
- Published
- 2009
5. Drag reduction by polymer solutions in a riblet-lined pipe
- Author
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Koury, E. and Virk, P. S.
- Published
- 1995
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6. How we do it: Free conchal cartilage revisited for primary reconstruction of attic defects in combined approach tympanoplasty
- Author
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Koury, E., Faris, C., Sharma, S., and Quinn, S. J.
- Published
- 2005
7. Development of ultrasensitive Doppler imaging method for the surgical management of open-brain tumors
- Author
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Barthelemy, C., primary, Koury, E., additional, Beuve, S., additional, Zemmoura, I., additional, Gennisson, JL., additional, Bassarab, A., additional, Kouame, D., additional, and Remenieras, JP., additional
- Published
- 2019
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8. Fatores de risco associado à mortalidade de pacientes com Sepse na UTI de adultos do Real Hospital Português de Beneficência em Recife-PE
- Author
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Corrêa de Araujo Koury e Azevedo, Joana and Ramos Lacerda de Melo, Heloísa
- Subjects
Fatores de risco ,UTI ,Sepse ,Epidemiologia - Abstract
A sepse é um problema de saúde pública no Brasil e no mundo, e também é uma causa comum de admissão de pacientes na Unidade de Terapia Intensiva (UTI). Essa pesquisa visa descrever dados clínicos, epidemiológicos e laboratoriais de pacientes adultos com sepse, bem como verificar a associação entre esses dados com a mortalidade de pacientes com sepse. Método: O trabalho foi desenvolvido no formato de dois artigos originais; o desenho do estudo do primeiro artigo é tipo série de casos; e o segundo artigo é um estudo de casocontrole aninhado a uma coorte prospectiva e não intervencionista. Ambos foram realizados na UTI de um hospital privado da cidade do Recife, estado de Pernambuco, no período de agosto a dezembro de 2004. Foram coletados dados referentes ao exame clínico e laboratorial dos pacientes adultos admitidos na UTI com diagnóstico de sepse ou que a desenvolviam durante o internamento. Os pacientes eram acompanhados até a alta da UTI, óbito ou transferência para outro hospital. Resultados: Foram incluídos 199 pacientes, dos quais 87 (43,7%) evoluíram para o óbito e 112 (56,3%) tiveram alta da UTI. A maioria dos pacientes era do sexo masculino (56,3%) e mais da metade (68,2%) da população estudada foi composta por idosos (maiores de 65 anos). Em 85,4% dos casos o motivo da internação foi clínico e a grande maioria dos pacientes tinha patologia crônica associada (76,4%). A sepse foi de origem pulmonar em 79,3% dos casos. Após regressão logística, apenas o tempo para internação na UTI maior que 72h, a presença de patologia crônica associada, o número de órgãos acometidos superior a 03 e o lactato maior que 04 mmol/L estiveram associados com a mortalidade. O escore APACHE II >25 e o SOFA > 12 foram igualmente úteis para definir risco de morte, bem como o escore SOFA >12 esteve associado com uma mortalidade precoce (< 72h). Conclusão: A população de idosos foi a mais acometida pela sepse, sendo a maioria das internações de origem clínica e o principal foco da sepse os pulmões. O tempo de internação prolongado, presença de co-morbidades e falência de mais de três órgãos e lactato sérico acima de 4mmol/L estiveram associados com um maior risco de morte
- Published
- 2005
9. DEVELOPMENT AND CHARACTERIZATION OF A CONTINUOUS TYMPANIC TEMPERATURE LOGGING (CTTL) PROBE FOR BOVINE ANIMALS.
- Author
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Mayer, J. J., Davis, J. D., Purswell, J. L., Koury, E. J., Younan, N. H., Larson, J. E., and Brown-Brandl, T. M.
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- 2016
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10. Tympanoplasties cartilagineuses : technique et résultats, comparaison aux tympanoplasties avec aponévrose temporale
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Koury, E., primary, Discher, J., additional, Marx, M., additional, Calmels, M., additional, Fraysse, B., additional, Deguine, O., additional, and Lescure, B., additional
- Published
- 2012
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11. Estimation of tracheostomy tube cuff pressure by pilot balloon palpation
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Faris, C, primary, Koury, E, additional, Philpott, J, additional, Sharma, S, additional, Tolley, N, additional, and Narula, A, additional
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- 2007
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12. Ohmic processing of solid-liquid mixtures: Heat generation and convection effects
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Fryer, P.J., primary, de Alwis, A.A.P., additional, Koury, E., additional, Stapley, A.G.F., additional, and Zhang, L., additional
- Published
- 1993
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13. Differential patterns of regional c-Fos induction in the rat brain by amphetamine and the novel wakefulness-promoting agent modafinil
- Author
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Engber, T. M., Koury, E. J., Dennis, S. A., Miller, M. S., Contreras, P. C., and Bhat, R. V.
- Published
- 1998
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14. Cyprocide selectively kills nematodes via cytochrome P450 bioactivation.
- Author
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Knox J, Burns AR, Cooke B, Cammalleri SR, Kitner M, Ching J, Castelli JMP, Puumala E, Snider J, Koury E, Collins JB, Geissah S, Dowling JJ, Andersen EC, Stagljar I, Cowen LE, Lautens M, Zasada I, and Roy PJ
- Subjects
- Animals, Sulfides pharmacology, Sulfides chemistry, Cytochrome P-450 Enzyme System metabolism, Nematoda drug effects, Antinematodal Agents pharmacology
- Abstract
Left unchecked, plant-parasitic nematodes have the potential to devastate crops globally. Highly effective but non-selective nematicides are justifiably being phased-out, leaving farmers with limited options for managing nematode infestation. Here, we report our discovery of a 1,3,4-oxadiazole thioether scaffold called Cyprocide that selectively kills nematodes including diverse species of plant-parasitic nematodes. Cyprocide is bioactivated into a lethal reactive electrophilic metabolite by specific nematode cytochrome P450 enzymes. Cyprocide fails to kill organisms beyond nematodes, suggesting that the targeted lethality of this pro-nematicide derives from P450 substrate selectivity. Our findings demonstrate that Cyprocide is a selective nematicidal scaffold with broad-spectrum activity that holds the potential to help safeguard our global food supply., (© 2024. The Author(s).)
- Published
- 2024
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15. Esophago-Pleural Fistula Complicating a Laparoscopic Adjustable Gastric Band.
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Adekunle AD, Nyahoda TS, Koury E, and Chahla E
- Abstract
Laparoscopic adjustable gastric banding was previously a commonly performed bariatric procedure. However, in recent years, the procedure has become less commonly performed. Long-term complications nonetheless persist and continue to be seen in clinical practice. We present a case of an esophago-pleural fistula complicating a longstanding laparoscopic adjustable gastric band in a woman presenting with persistent empyema. Palliative esophageal stenting was successfully performed, and the patient was discharged home on hospice care per her family's wishes., Competing Interests: The authors have no relevant conflicts of interest to declare., (Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel.)
- Published
- 2022
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16. ATM/ATR kinases link the synaptonemal complex and DNA double-strand break repair pathway choice.
- Author
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Láscarez-Lagunas LI, Nadarajan S, Martinez-Garcia M, Quinn JN, Todisco E, Thakkar T, Berson E, Eaford D, Crawley O, Montoya A, Faull P, Ferrandiz N, Barroso C, Labella S, Koury E, Smolikove S, Zetka M, Martinez-Perez E, and Colaiácovo MP
- Subjects
- Animals, Synaptonemal Complex genetics, Synaptonemal Complex metabolism, Caenorhabditis elegans genetics, Caenorhabditis elegans metabolism, DNA Repair, Meiosis, DNA metabolism, Nuclear Proteins metabolism, DNA Breaks, Double-Stranded, Caenorhabditis elegans Proteins genetics, Caenorhabditis elegans Proteins metabolism
- Abstract
DNA double-strand breaks (DSBs) are deleterious lesions, which must be repaired precisely to maintain genomic stability. During meiosis, programmed DSBs are repaired via homologous recombination (HR) while repair using the nonhomologous end joining (NHEJ) pathway is inhibited, thereby ensuring crossover formation and accurate chromosome segregation.
1 , 2 How DSB repair pathway choice is implemented during meiosis is unknown. In C. elegans, meiotic DSB repair takes place in the context of the fully formed, highly dynamic zipper-like structure present between homologous chromosomes called the synaptonemal complex (SC).3 , 4 , 5 , 6 , 7 , 8 , 9 The SC consists of a pair of lateral elements bridged by a central region composed of the SYP proteins in C. elegans. How the structural components of the SC are regulated to maintain the architectural integrity of the assembled SC around DSB repair sites remained unclear. Here, we show that SYP-4, a central region component of the SC, is phosphorylated at Serine 447 in a manner dependent on DSBs and the ATM/ATR DNA damage response kinases. We show that this SYP-4 phosphorylation is critical for preserving the SC structure following exogenous (γ-IR-induced) DSB formation and for promoting normal DSB repair progression and crossover patterning following SPO-11-dependent and exogenous DSBs. We propose a model in which ATM/ATR-dependent phosphorylation of SYP-4 at the S447 site plays important roles both in maintaining the architectural integrity of the SC following DSB formation and in warding off repair via the NHEJ repair pathway, thereby preventing aneuploidy., Competing Interests: Declaration of interests The authors declare no competing interests., (Copyright © 2022 Elsevier Inc. All rights reserved.)- Published
- 2022
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17. R-loop-induced irreparable DNA damage evades checkpoint detection in the C. elegans germline.
- Author
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Hicks T, Koury E, McCabe C, Williams C, Crahan C, and Smolikove S
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- Animals, Germ Cells, Meiosis genetics, Caenorhabditis elegans genetics, Caenorhabditis elegans Proteins genetics, Caenorhabditis elegans Proteins metabolism, Cell Cycle Checkpoints, DNA Breaks, Double-Stranded, R-Loop Structures
- Abstract
Accumulation of DNA-RNA hybrids in the form of R-loops can result in replication-transcription conflict that leads to the formation of DNA double strand breaks (DSBs). Using null mutants for the two Caenorhabditis elegans genes encoding for RNaseH1 and RNaseH2, we identify novel effects of R-loop accumulation in the germline. R-loop accumulation leads, as expected, to replication stress, followed by the formation of DSBs. A subset of these DSBs are irreparable. However, unlike irreparable DSBs generated in other systems, which trigger permanent cell cycle arrest, germline irreparable DSBs are propagated to oocytes. Despite DNA damage checkpoint activation in the stem cell niche, the signaling cannot be sustained and nuclei with irreparable DNA damage progress into meiosis. Moreover, unlike other forms of DNA damage that increase germline apoptosis, R-loop-generated DSBs remain undetected by the apoptotic checkpoint. This coincides with attenuation of ATM/ATR signaling in mid-to-late meiotic prophase I. These data altogether indicate that in the germline, DSBs that are generated by R-loops can lead to irreparable DSBs that evade cellular machineries designed for damage recognition. These studies implicate germline R-loops as an especially dangerous driver of germline mutagenesis., (© The Author(s) 2022. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2022
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18. Metastatic Endometrial Cancer to the Sigmoid Colon Masquerading as Primary Colorectal Cancer.
- Author
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Koury E, Kawar H, and Chahla E
- Abstract
A 67-year-old female presented with a chief complaint of hematochezia. Medical history was notable for stage 1a endometrial carcinoma status post treatment with radiotherapy alone. The patient was not considered a candidate for surgical intervention at the time due to multiple underlying comorbidities. Colonoscopy revealed a 4 cm, nonobstructive, friable, and ulcerated mass in the sigmoid colon. Initially this was concerning for a primary colorectal carcinoma, although immunohistochemistry revealed a uterine endometrial origin of the lesion. A total hysterectomy was eventually performed along with surgical resection of the affected segment of the colon, which was followed by radiation therapy. This case illustrates an unusual site of metastasis for endometrial carcinoma. The colonic metastasis of endometrial adenocarcinoma is reported to be rare and unusual, especially in the absence of endometriosis. Immunohistochemistry staining is an important adjunct in distinguishing the diagnosis of endometrial adenocarcinoma from primary colorectal carcinomas. Primary colon cancers are cytokeratin-7 negative and cytokeratin-20 positive, whereas endometrial cancers are cytokeratin-7 positive and cytokeratin-20 negative. This case is important given the scarcity and peculiarity of metastatic colon cancer originating from uterine adenocarcinomas. The possibility of metastatic disease should be maintained with identification of solitary colonic lesions, especially when there is a prior history of malignancy., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Koury et al.)
- Published
- 2021
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19. Portal Vein Thrombosis and Intra-Abdominal Hypertension Presenting as Complications of Hypertriglyceridemia-Induced Severe Acute Pancreatitis.
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Amini A, Vaezi Z, Koury E, Zafar S, and Chahla E
- Abstract
A 44-year-old male without any significant past medical history presented to the emergency department (ED) with the chief complaint of severe constant epigastric pain for three hours. On physical examination, the abdomen was distended and tender, particularly in the epigastric region. The lab work showed an elevation of the lipase (12,405 U/L) and triglycerides (5,837 mg/dL). An abdominal CT scan with contrast was ordered, which revealed non-necrotic pancreatitis. In addition, the liver ultrasound showed no evidence of gallstones. Subsequently, fluid infusion, meropenem, pain medication, and an insulin drip were started, and the patient was transferred to the intensive care unit (ICU). After six hours in the ICU, he complained of abdominal pain despite taking a high hydromorphone dose. On further physical examination, the abdomen was tender and distended but without rebound tenderness. The gastric distention on kidneys, ureter, and bladder (KUB) and a bladder pressure of 34 mmHg raised the suspicion for intra-abdominal hypertension (IAH), which led us to place a nasogastric tube (NGT) and consult the surgical team. The patient's symptoms and bladder pressure were closely followed and showed significant improvement. On day seven in the ICU, the patient responded well to medications; feeding through the Dobhoff tube was started, and his triglycerides decreased to approximately 1,000 mg/dL. Despite his general improvement and meropenem regimen, the patient spiked a fever of 38.5 °C. Due to the possibility of pancreatitis complications, a CT abdomen with contrast was ordered, which showed partial portal vein thrombosis (PVT). Subsequently, enoxaparin was started, and the patient was closely observed for gastrointestinal bleeding. Eventually, after 17 days in the ICU, the patient was transferred to the floor and then discharged from the hospital with normal lab tests and without evidence of portal thrombosis on abdominal CT. In this report, we illustrate and discuss a case of hypertriglyceridemia (HTG)-induced pancreatitis (HTGP), which progressed to PVT and IAH. Physicians should be aware that patients with HTG are inclined to have severe pancreatitis. In addition, the degree of triglyceride elevation is correlated with the severity of acute pancreatitis., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Amini et al.)
- Published
- 2020
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20. Nintedanib-Induced Colitis Treated Effectively With Budesonide.
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Amini A, Koury E, and Chahla E
- Abstract
A 68-year-old male with a past medical history of interstitial pulmonary fibrosis (IPF) on nintedanib and chronic nintedanib-induced diarrhea for three years presented with hematochezia and worsening diarrhea. Diarrhea had persisted despite the use of cholestyramine and oral antidiarrhea medications. As part of the evaluation of diarrhea, he had undergone colonoscopy two years prior, which had shown non-specific moderate diffuse colitis. No significant abnormalities had been noted on physical exam and lab tests. On the present admission, colonoscopy showed diffuse erythematous, friable, and granular mucosa throughout the entire colon. Biopsies were taken and pathology was reported as acute superficial inflammation and possible nintedanib-induced colitis. Since the patient wanted to continue nintedanib as a part of IPF treatment, 9 mg oral budesonide was started, and the patient was followed up after four months. At his follow-up visit, the patient reported that diarrhea had completely resolved. In this report, we illustrate and discuss a case of nintedanib-induced colitis, which can be resistant to oral antidiarrhea medication and cholestyramine. The mechanism of this side effect is not completely understood; however, it may be related to direct inflammation of the intestinal epithelium, given that nintedanib metabolites are excreted primarily in the stool. As a result, it has been hypothesized that steroids could potentially treat this diarrhea by relieving this inflammation. In our patient, we elected to use budesonide due to less associated systemic side effects and possible similarity of inflammation between nintedanib-associated colitis and inflammatory bowel disease., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Amini et al.)
- Published
- 2020
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21. Duodenal angiosarcoma can be misdiagnosed as a Dieulafoy's lesion.
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Amini A, Koury E, Vaezi Z, Melnick J, Su A, and Chahla E
- Abstract
Angiosarcomas are soft-tissue neoplasms that originate from the vascular epithelium. The most commonly involved sites include the skin and subcutaneous tissues. In the GI tract, generally, angiosarcomas involve the spleen and liver, although locations in the small intestine and colon have been very occasionally reported. In the present study we report the unusual case of a man with duodenal epithelioid angiosarcoma, presenting with anemia and recurrent upper gastrointestinal bleeding, which was initially misdiagnosed as a Dieulafoy's lesion. It is important to consider the diagnosis of gastrointestinal malignancy, including unusual neoplasms such as angiosarcomas, in the setting of anendoscopic appearance such as hemorrhagic nodule, purpuric mass and/or recurrent bleeding lesions that are persistent despite repeat interventions. In such cases, a biopsy should be considered to confirm the diagnosis., (©2020 RIGLD, Research Institute for Gastroenterology and Liver Diseases.)
- Published
- 2020
22. Two unusual sites of metastases of esophageal adenocarcinoma.
- Author
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Amini A, Koury E, Vaezi Z, Leathersich A, Zafar S, and Chahla E
- Abstract
The most common sites of metastasis for esophageal cancers include the liver, lungs, and bones. We report a rare case of esophageal adenocarcinoma with metastasis to the subcutaneous perianal region as well as to the small bowel. Physicians should consider the possibility of metastasis in a patient with esophageal adenocarcinoma even after the onset of remission. It is essential to examine these patients and maintain a high index of suspicion for possible metastases. Early recognition helps in the accurate staging of the disease and enables the initiation of life-prolonging therapy and achieving meaningful palliation., (©2020 RIGLD, Research Institute for Gastroenterology and Liver Diseases.)
- Published
- 2020
23. "Obscure" Appendiceal Orifice Polyps Can Be Challenging to Identify by Colonoscopy.
- Author
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Amini A, Koury E, Vaezi Z, Talebian A, and Chahla E
- Abstract
The primary purpose of screening colonoscopy is the detection and subsequent removal of precancerous polyps. However, effective recognition of appendiceal lesions with a standard endoscope is often challenging and is limited to the base of the cecum and appendiceal orifice. The majority of appendiceal polyps are found incidentally following an appendectomy, though rarely they may be discovered during a colonoscopy. Despite being visualized by colonoscopy, most of these polyps are generally referred for surgical resection. The risk of developing carcinoma in patients with appendiceal polyps is likely similar to that of other colonic polyps, so it is essential for the endoscopist to examine and visualize the appendiceal orifice thoroughly. Various techniques are available to the endoscopist that can increase the accuracy of colonoscopic evaluation. These include luminal inflation and deflation, looking behind and pressing haustral folds, and repetitive passage of the scope over poorly visualized areas. To our knowledge, only 3 cases have been reported in the literature describing the discovery of obscure appendiceal polyps using colonoscopic techniques. Here we describe three cases of appendiceal orifice polyps missed on initial visualization but subsequently protruded into the cecum following prolonged examination and gentle deflation in the cecum. The endoscopist should consider the possibility of an appendiceal neoplasm, especially if other colonic polyps have been found. Endoscopists should spend adequate time examining the cecum during a screening colonoscopy to expose and thoroughly examine the appendiceal region., Competing Interests: The authors declare that they have no competing interests., (Copyright © 2020 by S. Karger AG, Basel.)
- Published
- 2020
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24. Akirin Is Required for Muscle Function and Acts Through the TGF-β Sma/Mab Signaling Pathway in Caenorhabditis elegans Development.
- Author
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Bowman R, Balukoff N, Clemons A, Koury E, Ford T, Baxi K, Egydio de Carvalho C, and Smolikove S
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- Animals, Autophagy, Caenorhabditis elegans, Caenorhabditis elegans Proteins genetics, Cell Cycle Proteins genetics, Loss of Function Mutation, Signal Transduction, Transcription Factors metabolism, Caenorhabditis elegans Proteins metabolism, Cell Cycle Proteins metabolism, Gene Expression Regulation, Developmental, Muscles metabolism, Transforming Growth Factor beta metabolism
- Abstract
Akirin, a conserved metazoan protein, functions in muscle development in flies and mice. However, this was only tested in the rodent and fly model systems. Akirin was shown to act with chromatin remodeling complexes in transcription and was established as a downstream target of the NFκB pathway. Here we show a role for Caenorhabditis elegans Akirin/AKIR-1 in the muscle and body length regulation through a different pathway. Akirin localizes to somatic tissues throughout the body of C. elegans , including muscle nuclei. In agreement with its role in other model systems, Akirin loss of function mutants exhibit defects in muscle development in the embryo, as well as defects in movement and maintenance of muscle integrity in the C. elegans adult. We also have determined that Akirin acts downstream of the TGF-β Sma/Mab signaling pathway in controlling body size. Moreover, we found that the loss of Akirin resulted in an increase in autophagy markers, similar to mutants in the TGF-β Sma/Mab signaling pathway. In contrast to what is known in rodent and fly models, C. elegans Akirin does not act with the SWI/SNF chromatin-remodeling complex, and is instead involved with the NuRD chromatin remodeling complex in both movement and regulation of body size. Our studies define a novel developmental role (body size) and a new pathway (TGF-β Sma/Mab) for Akirin function, and confirmed its evolutionarily conserved function in muscle development in a new organism., (Copyright © 2020 Bowman et al.)
- Published
- 2020
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25. CRL4 regulates recombination and synaptonemal complex aggregation in the Caenorhabditis elegans germline.
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Alleva B, Clausen S, Koury E, Hefel A, and Smolikove S
- Subjects
- Animals, Caenorhabditis elegans genetics, Chromosome Pairing genetics, Chromosome Segregation genetics, Crossing Over, Genetic, DNA Breaks, Double-Stranded, Germ Cells growth & development, Meiosis genetics, Meiotic Prophase I genetics, Caenorhabditis elegans Proteins genetics, Endodeoxyribonucleases genetics, Homologous Recombination genetics, Ligases genetics, Synaptonemal Complex genetics
- Abstract
To maintain the integrity of the genome, meiotic DNA double strand breaks (DSBs) need to form by the meiosis-specific nuclease Spo11 and be repaired by homologous recombination. One class of products formed by recombination are crossovers, which are required for proper chromosome segregation in the first meiotic division. The synaptonemal complex (SC) is a protein structure that connects homologous chromosomes during meiotic prophase I. The proper assembly of the SC is important for recombination, crossover formation, and the subsequent chromosome segregation. Here we identify the components of Cullin RING E3 ubiquitin ligase 4 (CRL4) that play a role in SC assembly in Caenorhabditis elegans. Mutants of the CRL4 complex (cul-4, ddb-1, and gad-1) show defects in SC assembly manifested in the formation of polycomplexes (PCs), impaired progression of meiotic recombination, and reduction in crossover numbers. PCs that are formed in cul-4 mutants lack the mobile properties of wild type SC, but are likely not a direct target of ubiquitination. In C. elegans, SC assembly does not require recombination and there is no evidence that PC formation is regulated by recombination as well. However, in one cul-4 mutant PC formation is dependent upon early meiotic recombination, indicating that proper assembly of the SC can be diminished by recombination in some scenarios. Lastly, our studies suggest that CUL-4 deregulation leads to transposition of the Tc3 transposable element, and defects in formation of SPO-11-mediated DSBs. Our studies highlight previously unknown functions of CRL4 in C. elegans meiosis and show that CUL-4 likely plays multiple roles in meiosis that are essential for maintaining genome integrity., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2019
- Full Text
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26. Does the Presence of Giant Pseudopolyps in a Patient with Newly Diagnosed Inflammatory Bowel Disease Increase the Risk of Major Thrombotic Events?
- Author
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Amini A, Vaezi Z, Talebian A, Koury E, and Chahla E
- Abstract
Giant inflammatory polyp and thromboembolism are uncommon complications in inflammatory bowel disease (IBD) patients. Colon mucosal inflammation is possibly the main mechanism of pathogenesis for these two complications. IBD has long been associated with hypercoagulability and thromboembolism. In fact, thromboembolism has been noted in 0.7% to 7.7% of IBD patients, with the deep veins of the legs and the pulmonary veins accounting for 90% of the cases. The proposed mechanism of this hypercoagulability involves the promotion of hemostasis that results from the inflammatory process underlying the IBD, as well as the loss of proteins, including antithrombotic factors, resulting from the inflamed bowel and increased permeability of the colonic mucosa. This process may be exacerbated by the presence of giant inflammatory polyps, which are defined as polyps in the setting of IBD with dimensions greater than 1.5 cm. The presence of these polyps leads to an increase in inflamed colonic surface area, which can accelerate the rate of protein loss, leading to an increased incidence of thrombosis. Here, we report the case of a 21-year-old female with inferior vena cava and left renal vein thromboses secondary to a newly diagnosed IBD and the presence of severe giant inflammatory polyposis. These thromboses were detected incidentally in this patient after 1 week of hospitalization. She had presented with hypoalbuminemia and elevated inflammatory markers, which raised the suspicion for possible giant inflammatory polyposis as a potential risk for her major thromboembolic events. More studies are required to explore this plausible correlation further., Competing Interests: The authors declare that they have no competing interests., (Copyright © 2019 by S. Karger AG, Basel.)
- Published
- 2019
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27. Idiopathic Ileo-Ileo-Cecal Intussuception in a 25-Year-Old Female.
- Author
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Zaghrine E, Algaba R, Nicolas G, Koury E, Saliba C, Osman D, Al-Shami J, Al Sayegh JSA, and Kfoury T
- Subjects
- Adult, Female, Humans, Tomography, X-Ray Computed, Ileal Diseases diagnosis, Ileal Diseases surgery, Ileocecal Valve, Intussusception diagnosis, Intussusception surgery
- Abstract
BACKGROUND Intussusception is defined as the penetration or telescoping of a segment of bowel into a more distal segment. Intussusception is a common cause of small bowel obstruction, especially in children. However, this finding is much less common in adults. Furthermore, when present in adults, intussusception is often found in association with some sort of organic mass, such as a tumor or pancreatic divisum that acts as a lead point, dragging the proximal segment into the distal one. The presence of an intussusception in an adult patient with no obvious lead point is very uncommon. CASE REPORT Here we report a case of ileo-ileo-cecal double intussusception in an adult patient that yielded no lead point on surgical exploration. The patient was a 25-year-old female who presented with symptoms of obstruction and was diagnosed with the intussusception via computed tomography scan. Surgical resection of the bowel was necessary as reduction could not be accomplished. CONCLUSIONS The finding of intussusception in an adult patient is far less common than in children, and even more rare when a lead point is not established. When surgery is required, a thorough exploration should be performed to search any signs of a potential lead point. Laparoscopy is usually preferred to laparotomy; however, in this case the degree of distention determined the surgical approach. Thus, due to severe distention, laparotomy was preferred.
- Published
- 2019
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28. Microirradiation for Precise, Double-strand Break Induction in vivo in Caenorhabditis elegans .
- Author
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Harrell KE, Koury E, and Smolikove S
- Abstract
DNA double-strand breaks (DSBs) are toxic lesions that every cell must accurately repair in order to survive. The repair of DSBs is an integral part of a cell life cycle and can lead to lethality if repaired incorrectly. Laser microirradiation is an established technique which has been used in yeast, mammalian cell culture, and Drosophila cell culture to study the regulation of DSB repair. Up to our studies, this method has not been adapted for use in a whole, live, multicellular organism to study this repair in vivo. We have recently shown that this system can be used for study of the recruitment of vital repair proteins to microirradiation-induced breaks in the transparent nematode Caenorhabditis elegans. With the integration of microirradiation and imaging technology, we can precisely induce DSBs in target nuclei and study the recruitment of fluorescently tagged repair proteins from the time of damage induction. Whole, live worms are plated and immobilized for targeting of nuclei, and immediately following induction the targeted region can be imaged for up to an hour and a half post-microirradiation. This method is the first that allows for study of DNA repair protein kinetics in vivo in an intact organism, which can be adapted in numerous ways to allow for study of repair kinetics in various aspects of the repair process.
- Published
- 2018
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29. Leishmania in a Patient with Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia.
- Author
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Nicolas G, Koury E, Osman D, Saliba C, Nehme L, Mitri S, El Sayegh JA, Rached L, and Khoury G
- Subjects
- Aged, Amphotericin B therapeutic use, Antiprotozoal Agents therapeutic use, Fever parasitology, Glucocorticoids therapeutic use, Humans, Immunocompromised Host, Leishmaniasis, Visceral drug therapy, Male, Methylprednisolone Hemisuccinate therapeutic use, Leishmaniasis, Visceral diagnosis, Leukemia, Lymphocytic, Chronic, B-Cell complications
- Abstract
BACKGROUND Leishmaniasis is a parasitic infection spread by the bite of infected sand flies that are usually present in the Middle East, Africa, and some parts of Asia and Europe. Leishmaniasis manifests in 3 different forms: Visceral (also known as Kala Azar), which is the most serious type; cutaneous, which is the most common type; and mucocutaneous. The symptoms of this infection range from a silent infection to fever, enlargement of the liver and spleen, weight loss, and pancytopenia. CASE REPORT In this case report, we discuss a 73-year-old man known to have chronic lymphocytic leukemia (CLL), presenting with unremitting fever and who to our surprise was found to have Kala Azar. CONCLUSIONS Early diagnosis and treatment are very important in treating visceral leishmaniasis. While the conventional treatment in immunocompromised patients is liposomal amphotericin B, our patient responded to corticosteroids.
- Published
- 2018
- Full Text
- View/download PDF
30. Differential RPA-1 and RAD-51 recruitment in vivo throughout the C. elegans germline, as revealed by laser microirradiation.
- Author
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Koury E, Harrell K, and Smolikove S
- Subjects
- Animals, Animals, Genetically Modified, Caenorhabditis elegans Proteins genetics, Cell Nucleus genetics, Cell Nucleus metabolism, Cell Nucleus radiation effects, DNA Breaks, Double-Stranded, Germ Cells radiation effects, Green Fluorescent Proteins genetics, Green Fluorescent Proteins metabolism, Kinetics, Lasers, Luminescent Measurements methods, Rad51 Recombinase genetics, Rad51 Recombinase metabolism, Recombinational DNA Repair, Replication Protein A genetics, Time-Lapse Imaging methods, Caenorhabditis elegans Proteins metabolism, Germ Cells metabolism, Replication Protein A metabolism
- Abstract
Studies of the repair pathways associated with DNA double strand breaks (DSBs) are numerous, and provide evidence for cell-cycle specific regulation of homologous recombination (HR) by the regulation of its associated proteins. Laser microirradiation is a well-established method to examine in vitro kinetics of repair and allows for live-imaging of DSB repair from the moment of induction. Here we apply this method to whole, live organisms, introducing an effective system to analyze exogenous, microirradiation-induced breaks in the Caenorhabditis elegans germline. Through this method we observed the sequential kinetics of the recruitment of ssDNA binding proteins RPA-1 and RAD-51 in vivo. We analyze these kinetics throughout different regions of the germline, and thus throughout a range of developmental stages of mitotic and meiotic nuclei. Our analysis demonstrates a largely conserved timing of recruitment of ssDNA binding proteins to DSBs throughout the germline, with a delay of RAD-51 recruitment at mid-pachytene nuclei. Microirradiated nuclei are viable and undergo a slow kinetics of resolution. We observe RPA-1 and RAD-51 colocalization for hours post-microirradiation throughout the germline, suggesting that there are mixed RPA-1/RAD-51 filaments. Finally, through live imaging analysis we observed RAD-51 foci movement with low frequency of coalescence., (© The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.)
- Published
- 2018
- Full Text
- View/download PDF
31. Foreign Body Ingestion Causing Recurrent Diverticulitis.
- Author
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Nicolas GN, Assaker R, Saliba C, Osman DR, Koury E, Farhat MA, Azar RR, and Khoury G
- Subjects
- Aged, Humans, Male, Recurrence, Diverticulitis etiology, Foreign Bodies complications, Sigmoid Diseases etiology
- Abstract
BACKGROUND Ingested foreign bodies (IFBs) are usually asymptomatic and are excreted uneventfully. IFBs become a major concern in elderly patients due to the increase number of diverticuloses where the foreign body can lodge and cause severe complications. CASE REPORT We report a case of an elderly patient who ingested a chicken bone that caused recurrent diverticulitis. CONCLUSIONS The diagnosis of complicated IFB cases is challenging, requires physician clinical expertise, and must be considered in individuals at risk.
- Published
- 2017
- Full Text
- View/download PDF
32. Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery.
- Author
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Nicolas G, Kfoury T, Shimlati R, Koury E, Tohmeh M, Gharios E, and Wakim R
- Subjects
- Adolescent, Adult, Humans, Intestinal Obstruction etiology, Laparoscopy, Male, Young Adult, Intestinal Obstruction diagnosis, Intestinal Obstruction surgery, Intestine, Small abnormalities
- Abstract
BACKGROUND Among the causes of constipation are bands and adhesions that lead to obstructions at different points in the intestinal tract. These can occur as a consequence of healing following surgery or trauma. However, an entity known as congenital band exists where a band is present from birth. Here we report three such cases of adults with symptoms of intestinal obstruction, in whom a congenital band was discovered through exploratory laparoscopy. CASE REPORT All three of these patients presented lacking a history of any abdominal trauma or previous abdominal surgeries, a fact that is often used to exclude an adhesion as a differential. All three recovered quickly and had relief of their symptoms following surgical intervention. CONCLUSIONS Bands and adhesions are common surgical causes of small bowel obstruction, leading to symptoms such as nausea, vomiting, constipation, and obstipation. These bands almost always result from a prior abdominal surgery or from a recent abdominal trauma. The three cases presented here show a far more unusual picture of a band, one that is congenitally present, as there was an absence of such a history. This is significant because clinical suspicion of a band is often very low due to a lack of distinguishing clinical and diagnostic features, and when the past history is negative., Competing Interests: Conflicts of Interest: None declared Conflicts of interest No conflicts.
- Published
- 2016
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33. Non-invasive Assessment and Symptomatic Improvement of the Obstructed Nose (NASION): a physiology-based patient-centred approach to treatment selection and outcomes assessment in nasal obstruction.
- Author
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Nouraei SA, Virk JS, Kanona H, Zatonski M, Koury EF, and Chatrath P
- Subjects
- Adult, Decision Making, Female, Humans, Longitudinal Studies, Male, Prospective Studies, Skin Tests, Nasal Obstruction surgery, Outcome and Process Assessment, Health Care
- Abstract
Objectives: To evaluate the impact of selecting treatment for nasal obstruction on the basis of a structured physiology-based assessment protocol on patient outcomes., Design: Prospective longitudinal study., Setting: District general hospital., Participants: A population of 71 patients with a mean age of 33 years, containing 36 males, presented with nasal obstruction for consideration of nasal surgery. All patients underwent a structured clinical assessment, skin prick allergy testing and oral-nasal flow-volume loop examination. Fifty-one patients completed the follow-up, and mean follow-up was 11 months., Main Outcome Measures: NOSE, SNOT-22 and NASION scales., Results: Of the 51 patients who completed follow-up, six had conservative treatment, 28 had septal/turbinate surgery, and 17 underwent nasal valve surgery. Mean NOSE score fell from 68 ± 18 to 39 ± 31 following the treatment. Mean SNOT-22 score fell from 47 ± 20 to 29 ± 26 following the treatment. The difference between pre-treatment and post-treatment NOSE and SNOT-22 scores were statistically significant. Success rate of septal/turbinate surgery in patients without nasal allergy was 88%, and this fell to 42% in patients undergoing septal/turbinate surgery who also had nasal allergy. Presence of nasal allergy was the only independent predictor of treatment failure. Patients with nasal valve surgery reported significantly greater symptomatic improvement following surgery. The newly formed NASION scale demonstrated internal consistency with a Cronbach α of 0.9 and excellent change-responsiveness and convergent validity with correlation coefficients of 0.64 and 0.77 against treatment-related changes in SNOT-22 and NOSE scales, respectively., Conclusions: Successful surgical outcomes can be achieved with the use of a structured history, clinical evaluation and physiological testing. Flow-volume loops can help elucidate the cause of nasal obstruction. The newly formed NASION scale is a validated retrospective single time-point patient outcome measure., (© 2015 John Wiley & Sons Ltd.)
- Published
- 2016
- Full Text
- View/download PDF
34. Dual acting norepinephrine reuptake inhibitors and 5-HT(2A) receptor antagonists: Identification, synthesis and activity of novel 4-aminoethyl-3-(phenylsulfonyl)-1H-indoles.
- Author
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Heffernan GD, Coghlan RD, Manas ES, McDevitt RE, Li Y, Mahaney PE, Robichaud AJ, Huselton C, Alfinito P, Bray JA, Cosmi SA, Johnston GH, Kenney T, Koury E, Winneker RC, Deecher DC, and Trybulski EJ
- Subjects
- Biological Transport drug effects, Cell Line, Humans, Indoles chemical synthesis, Indoles metabolism, Neurotransmitter Uptake Inhibitors metabolism, Receptor, Serotonin, 5-HT2A metabolism, Serotonin Antagonists metabolism, Structure-Activity Relationship, Indoles pharmacology, Neurotransmitter Uptake Inhibitors chemical synthesis, Neurotransmitter Uptake Inhibitors pharmacology, Norepinephrine metabolism, Serotonin 5-HT2 Receptor Antagonists, Serotonin Antagonists chemical synthesis, Serotonin Antagonists pharmacology
- Abstract
The discovery of a series of 4-aminoethyl-3-(phenylsulfonyl)-1H-indoles, dual acting norepinephrine reuptake inhibitors (NRIs) and 5-HT(2A) receptor antagonists, is described. The synthesis and structure-activity relationship (SAR) of this novel series of compounds is also presented.
- Published
- 2009
- Full Text
- View/download PDF
35. 1- or 3-(3-Amino-2-hydroxy-1-phenyl propyl)-1,3-dihydro-2H-benzimidazol-2-ones: potent, selective, and orally efficacious norepinephrine reuptake inhibitors.
- Author
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Zhang P, Terefenko EA, Bray J, Deecher D, Fensome A, Harrison J, Kim C, Koury E, Mark L, McComas CC, Mugford CA, Trybulski EJ, Vu AT, Whiteside GT, and Mahaney PE
- Subjects
- Administration, Oral, Animals, Behavior, Animal drug effects, Benzimidazoles administration & dosage, Benzimidazoles pharmacokinetics, Biological Transport drug effects, Dopamine Plasma Membrane Transport Proteins antagonists & inhibitors, Female, Humans, Hyperalgesia physiopathology, Male, Neurotransmitter Uptake Inhibitors administration & dosage, Neurotransmitter Uptake Inhibitors pharmacokinetics, Norepinephrine Plasma Membrane Transport Proteins antagonists & inhibitors, Propanolamines chemistry, Rats, Rats, Sprague-Dawley, Serotonin Plasma Membrane Transport Proteins metabolism, Spinal Nerves drug effects, Spinal Nerves physiology, Structure-Activity Relationship, Substrate Specificity, Benzimidazoles chemistry, Benzimidazoles pharmacology, Neurotransmitter Uptake Inhibitors chemistry, Neurotransmitter Uptake Inhibitors pharmacology, Norepinephrine metabolism
- Abstract
Sequential structural modifications of the aryloxypropanamine template (e.g., atomoxetine, 2) led to a novel series of 1-(3-amino-2-hydroxy-1-phenyl propyl)-1,3-dihydro-2H-benzimidazol-2-ones as selective norepinephrine reuptake inhibitors (NRIs). In general, this series of compounds potently blocked the human norepinephrine transporter (hNET) while exhibiting selectivity at hNET against both the human serotonin (hSERT) and dopamine transporters (hDAT). Numerous compounds (e.g., 19-22) had low nonamolar hNET potency with IC(50) values of 7-10 nM and excellent selectivity (>500 fold) at hNET over hSERT and hDAT. Several compounds, such as 20 and 22, were tested in a telemetric rat model of ovariectomized-induced thermoregulatory dysfunction and were efficacious at oral doses of 3 mg/kg in reducing the tail skin temperature. In addition, compound 20 was also studied in the rat hot plate and spinal nerve ligation (SNL) models of acute and neuropathic pain, respectively, and was orally efficacious at doses of 3-10 mg/kg.
- Published
- 2009
- Full Text
- View/download PDF
36. Synthesis and activity of novel 1- or 3-(3-amino-1-phenyl propyl)-1,3-dihydro-2H-benzimidazol-2-ones as selective norepinephrine reuptake inhibitors.
- Author
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Zhang P, Terefenko EA, McComas CC, Mahaney PE, Vu A, Trybulski E, Koury E, Johnston G, Bray J, and Deecher D
- Subjects
- Benzimidazoles chemistry, Combinatorial Chemistry Techniques, Drug Design, Humans, Molecular Structure, Neurotransmitter Uptake Inhibitors chemistry, Norepinephrine metabolism, Stereoisomerism, Benzimidazoles chemical synthesis, Benzimidazoles pharmacology, Neurotransmitter Uptake Inhibitors chemical synthesis, Neurotransmitter Uptake Inhibitors pharmacology, Norepinephrine antagonists & inhibitors
- Abstract
A series of novel 1- or 3-(3-amino-1-phenyl propyl)-1,3-dihydro-2H-benzimidazol-2-ones as selective norepinephrine reuptake inhibitors was discovered. Several compounds such as 15 and 20 showed good hNET potency. Compounds 15 and 20 also displayed excellent selectivity at hNET that appeared superior to those of reboxetine and atomoxetine (4 and 5).
- Published
- 2008
- Full Text
- View/download PDF
37. Synthesis and activity of 1-(3-amino-1-phenylpropyl)indolin-2-ones: a new class of selective norepinephrine reuptake inhibitors.
- Author
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McComas CC, Vu AT, Mahaney PE, Cohn ST, Fensome A, Marella MA, Nogle L, Trybulski EJ, Ye F, Zhang P, Alfinito P, Bray J, Johnston G, Koury E, and Deecher DC
- Subjects
- Humans, Indoles chemistry, Molecular Structure, Neurotransmitter Uptake Inhibitors chemistry, Stereoisomerism, Structure-Activity Relationship, Indoles chemical synthesis, Indoles pharmacology, Neurotransmitter Uptake Inhibitors chemical synthesis, Neurotransmitter Uptake Inhibitors pharmacology, Norepinephrine antagonists & inhibitors
- Abstract
Norepinephrine and serotonin play an important role in a wide variety of biological processes and are implicated in a number of neurological disorders. A novel class of 1-(3-amino-1-phenylpropyl)indolin-2-ones was designed and synthesized that displays potent norepinephrine reuptake inhibition while maintaining high selectivity (>100-fold) against the human serotonin and dopamine transporters.
- Published
- 2008
- Full Text
- View/download PDF
38. Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence.
- Author
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Faris C, Koury E, Kothari P, and Frosh A
- Subjects
- Female, Humans, Male, Nasal Obstruction etiology, Nose Diseases complications, Prospective Studies, Cartilage transplantation, Nasal Obstruction surgery, Nose Diseases surgery, Rhinoplasty methods
- Abstract
Objective: We a describe technique for correction of internal nasal valve incompetence (INVI) using functional rhinoplasty (FRP) with combined cartilaginous batten and spreader grafts and report the functional and cosmetic outcomes., Design: Prospective series using subjective improvement in nasal airway and quality of life., Setting: Subregional ENT centre, one operating rhinologist., Participants: Twenty-three consecutive adults presenting to ENT department at North Hertfordshire NHS Trust with symptomatic INVI., Main Outcomes Measures: Pre and post-operative symptom scores for nasal obstruction and its impact on overall quality of life using visual analogue scales (1-100mm). Cosmetic outcome graded using subjective scores. Statistical analysis performed using the Wilcoxon signed rank test., Results: We found a median subjective improvement on the visual analogue scale of 55 mm for nasal patency (p<0.001) and of 49 mm for quality of life (p<0.001). Twenty-two patients felt that the appearance of their nose had not changed or had significantly improved post operatively., Conclusion: Combined use of batten and spreader grafts for the correction of INVI in normal or narrow nasal vaults is effective without compromising cosmesis.
- Published
- 2006
39. How we do it: free conchal cartilage revisited for primary reconstruction of attic defects in combined approach tympanoplasty.
- Author
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Koury E, Faris C, Sharma S, and Quinn SJ
- Subjects
- Cholesteatoma, Middle Ear surgery, Female, Humans, Male, Retrospective Studies, Transplantation, Autologous, Turbinates transplantation, Tympanoplasty methods
- Abstract
Keypoints * There are concerns over the efficacy of free cartilage autografts in attic reconstruction (scutumplasty) for combined approach tympanoplasty (CAT). * Our operative technique uses free conchal cartilage autografts and an additional piece of conchal cartilage to buttress the reconstruction. * Of the 16 cases where this technique was used, there were two cases (13%) of failure of the attic reconstruction and a keratin pearl (residual disease) in one case (6%). This compares favourably with comparable series using a variety of reconstruction techniques.
- Published
- 2005
- Full Text
- View/download PDF
40. Activation of p38MAPK in microglia after ischemia.
- Author
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Walton KM, DiRocco R, Bartlett BA, Koury E, Marcy VR, Jarvis B, Schaefer EM, and Bhat RV
- Subjects
- Animals, Blotting, Western, Brain Ischemia physiopathology, Enzyme Activation physiology, Gerbillinae, Hippocampus enzymology, Immunohistochemistry, Male, Phosphorylation, Signal Transduction physiology, p38 Mitogen-Activated Protein Kinases, Brain Ischemia enzymology, Calcium-Calmodulin-Dependent Protein Kinases metabolism, Microglia enzymology, Mitogen-Activated Protein Kinases
- Abstract
p38MAPK has been implicated in the regulation of proinflammatory cytokines and apoptosis in vitro. To understand its role in neurodegeneration, we determined the time course and localization of the dually phosphorylated active form of p38MAPK in hippocampus after global forebrain ischemia. Phosphorylated p38MAPK and mitogen-activated protein kinase-activated protein 2 activity increased over 4 days after ischemia. Phosphorylated p38MAPK immunoreactivity was observed in microglia in regions adjacent to, but not in, the dying CA1 neurons. In contrast, neither c-Jun N-terminal kinase 1 nor p42/p44MAPK activity was altered after ischemia. These results provide the first evidence for localization of activated p38MAPK in the CNS and support a role for p38MAPK in the microglial response to stress.
- Published
- 1998
- Full Text
- View/download PDF
41. Region-specific targets of p42/p44MAPK signaling in rat brain.
- Author
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Bhat RV, Engber TM, Finn JP, Koury EJ, Contreras PC, Miller MS, Dionne CA, and Walton KM
- Subjects
- Animals, Calcium-Calmodulin-Dependent Protein Kinases antagonists & inhibitors, Cell Nucleus physiology, Cerebral Cortex physiology, Cytoplasm metabolism, Electroshock, Enzyme Inhibitors pharmacology, Flavonoids pharmacology, Hippocampus physiology, MAP Kinase Kinase 1, Microtubule-Associated Proteins metabolism, Mitogen-Activated Protein Kinase 3, Organ Specificity, Phosphorylation, Protein Serine-Threonine Kinases metabolism, Protein-Tyrosine Kinases metabolism, Proto-Oncogene Proteins c-fos biosynthesis, Rats, Rats, Sprague-Dawley, Brain physiology, Calcium-Calmodulin-Dependent Protein Kinases metabolism, Mitogen-Activated Protein Kinase 1 metabolism, Mitogen-Activated Protein Kinase Kinases, Mitogen-Activated Protein Kinases, Signal Transduction physiology
- Abstract
In vitro studies indicate that p42/p44MAPK phosphorylate both nuclear and cytoplasmic proteins. However, the functional targets of p42/p44MAPK activation in vivo remain unclear. To address this question, we localized activated p42/p44MAPK in hippocampus and cortex and determined their signaling effects after electroconvulsive shock treatment (ECT) in rats. Phosphorylated p42/p44MAPK content increased in the cytoplasm of hippocampal neurons in response to ECT. Consistent with this cytoplasmic localization, inhibition of ECT-induced p42/p44MAPK activation by the extracellular signal-regulated kinase kinase inhibitor PD098059 blocked phosphorylation of the cytoplasmic protein microtubule-associated protein 2c (MAP2c), but failed to inhibit the induction of the nuclear protein c-Fos in response to ECT. In contrast to hippocampal neurons, cortical neurons exhibited an increase in amount of phosphorylated p42/p44MAPK in both the nucleus and cytoplasm after ECT. Accordingly, PD098059 blocked the induction of Fos-like immunoreactivity in the nuclei of cortical neurons as well as MAP2c phosphorylation in the cytoplasm. Our data indicate that both nuclear and cytoplasmic substrates can be activated by p42/p44MAPK in vivo. However, the functional targets of p42/p44MAPK signaling depend on the precise location of p42/p44MAPK within different subcellular compartments of brain regions. These results indicate unique functional pathways of p42/p44MAPK-mediated signal transduction within different brain regions in vivo.
- Published
- 1998
- Full Text
- View/download PDF
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