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  1. Article ; Online: Interactions with ectoparasitic mites induce host metabolic and immune responses in flies at the expense of reproduction-associated factors.

    Benoit, Joshua B / Bose, Joy / Bailey, Samuel T / Polak, Michal

    Parasitology

    2020  Volume 147, Issue 11, Page(s) 1196–1205

    Abstract: Parasites cause harm to their hosts and represent pervasive causal agents of natural selection. Understanding host proximate responses during interactions with parasites can help predict which genes and molecular pathways are targets of this selection. ... ...

    Abstract Parasites cause harm to their hosts and represent pervasive causal agents of natural selection. Understanding host proximate responses during interactions with parasites can help predict which genes and molecular pathways are targets of this selection. In the current study, we examined transcriptional changes arising from interactions between Drosophila melanogaster and their naturally occurring ectoparasitic mite, Gamasodes queenslandicus. Shifts in host transcript levels associated with behavioural avoidance revealed the involvement of genes underlying nutrient metabolism. These genetic responses were reflected in altered body lipid and glycogen levels in the flies. Mite infestation triggered a striking immune response, while male accessory gland protein transcript levels were simultaneously reduced, suggesting a trade-off between host immune responses to parasite challenge and reproduction. Comparison of transcriptional analyses during mite infestation to those during nematode and parasitoid attack identified host genes similarly expressed in flies during these interactions. Validation of the involvement of specific genes with RNA interference lines revealed candidates that may directly mediate fly-ectoparasite interactions. Our physiological and molecular characterization of the Drosophila-Gamasodes interface reveals new proximate mechanisms underlying host-parasite interactions, specifically host transcriptional shifts associated with behavioural avoidance and infestation. The results identify potential general mechanisms underlying host resistance and evolutionarily relevant trade-offs.
    MeSH term(s) Animals ; Biological Evolution ; Drosophila melanogaster/immunology ; Drosophila melanogaster/metabolism ; Drosophila melanogaster/parasitology ; Glycogen/metabolism ; Host-Parasite Interactions ; Immunity ; Lipid Metabolism ; Mite Infestations ; Mites ; Parasites ; Reproduction ; Transcriptome
    Chemical Substances Glycogen (9005-79-2)
    Language English
    Publishing date 2020-06-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 207627-5
    ISSN 1469-8161 ; 0031-1820
    ISSN (online) 1469-8161
    ISSN 0031-1820
    DOI 10.1017/S0031182020000918
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multimodal profiling of chordoma immunity reveals distinct immune contextures.

    van Oost, Siddh / Meijer, Debora M / Ijsselsteijn, Marieke E / Roelands, Jessica P / van den Akker, Brendy E M W / van der Breggen, Ruud / Briaire-de Bruijn, Inge H / van der Ploeg, Manon / Wijers-Koster, Pauline M / Polak, Samuel B / Peul, Wilco C / van der Wal, Robert J P / de Miranda, Noel F C C / Bovee, Judith V M G

    Journal for immunotherapy of cancer

    2024  Volume 12, Issue 1

    Abstract: Background: Chordomas are rare cancers from the axial skeleton which present a challenging clinical management with limited treatment options due to their anatomical location. In recent years, a few clinical trials demonstrated that chordomas can ... ...

    Abstract Background: Chordomas are rare cancers from the axial skeleton which present a challenging clinical management with limited treatment options due to their anatomical location. In recent years, a few clinical trials demonstrated that chordomas can respond to immunotherapy. However, an in-depth portrayal of chordoma immunity and its association with clinical parameters is still lacking.
    Methods: We present a comprehensive characterization of immunological features of 76 chordomas through application of a multimodal approach. Transcriptomic profiling of 20 chordomas was performed to inform on the activity of immune-related genes through the immunologic constant of rejection (ICR) signature. Multidimensional immunophenotyping through imaging mass cytometry was applied to provide insights in the different immune contextures of 32 chordomas. T cell infiltration was further evaluated in all 76 patients by means of multispectral immunofluorescence and then associated with clinical parameters through univariate and multivariate Cox proportional hazard models as well as Kaplan-Meier estimates. Moreover, distinct expression patterns of human leukocyte antigen (HLA) class I were assessed by immunohistochemical staining in all 76 patients. Finally, clonal enrichment of the T cell receptor (TCR) was sought through profiling of the variable region of
    Results: Chordomas generally presented an immune "hot" microenvironment in comparison to other sarcomas, as indicated by the ICR transcriptional signature. We identified two distinct groups of chordomas based on T cell infiltration which were independent from clinical parameters. The highly infiltrated group was further characterized by high dendritic cell infiltration and the presence of multicellular immune aggregates in tumors, whereas low T cell infiltration was associated with lower overall cell densities of immune and stromal cells. Interestingly, patients with higher T cell infiltration displayed a more pronounced clonal enrichment of the TCR repertoire compared with those with low T cell counts. Furthermore, we observed that the majority of chordomas maintained HLA class I expression.
    Conclusion: Our findings shed light on the natural immunity against chordomas through the identification of distinct immune contextures. Understanding their immune landscape could guide the development and application of immunotherapies in a tailored manner, ultimately leading to an improved clinical outcome for patients with chordoma.
    MeSH term(s) Humans ; Chordoma/genetics ; Chordoma/pathology ; Chordoma/therapy ; Gene Expression Profiling ; Receptors, Antigen, T-Cell/genetics ; Tumor Microenvironment
    Chemical Substances Receptors, Antigen, T-Cell
    Language English
    Publishing date 2024-01-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2023-008138
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Low-Threshold-For-Surgery Versus Primarily-Conservative Treatment for Odontoid Fractures in the Elderly: Evaluating Practice Variation in The Netherlands.

    Huybregts, Jeroen G J / Polak, Samuel B / Jacobs, Wilco C H / Krekels-Huijbregts, Ilse A / Smeets, Anouk Y J M / Arts, Mark P / Slooff, Willem-Bart M / Öner, F Cumhur / Peul, Wilco C / van Santbrink, Henk / Vleggeert-Lankamp, Carmen L A

    Global spine journal

    2023  , Page(s) 21925682231194818

    Abstract: Study design: Retrospective cohort study.: Objectives: Odontoid fractures are the most common cervical spine fractures in the elderly. The optimal treatment remains controversial. The aim of this study was to compare results of a low-threshold-for- ... ...

    Abstract Study design: Retrospective cohort study.
    Objectives: Odontoid fractures are the most common cervical spine fractures in the elderly. The optimal treatment remains controversial. The aim of this study was to compare results of a low-threshold-for-surgery strategy (surgery for dislocated fractures in relatively healthy patients) to a primarily-conservative strategy (for all patients).
    Methods: Patient records from 5 medical centers were reviewed for patients who met the selection criteria (e.g. age ≥55 years, type II/III odontoid fractures). Demographics, fracture types/characteristics, fracture union/stability, clinical outcome and mortality were compared. The influence of age on outcome was studied (≥55-80 vs ≥80 years).
    Results: A total of 173 patients were included: 120 treated with low-threshold-for-surgery (of which 22 primarily operated, and 23 secondarily) vs 53 treated primarily-conservative. No differences in demographics and fracture characteristics between the groups were identified. Fracture union (53% vs 43%) and fracture stability (90% vs 85%) at last follow-up did not differ between groups. The majority of patients (56%) achieved clinical improvement compared to baseline. Analysis of differences in clinical outcome between groups was infeasible due to data limitations. In both strategies, patients ≥80 years achieved worse union (64% vs 30%), worse stability (97% vs 77%), and - as to be expected - increased mortality <104 weeks (2% vs 22%).
    Conclusions: Union and stability rates did not differ between the treatment strategies. Advanced age (≥80 years) negatively influenced both radiological outcome and mortality. No cases of secondary neurological deficits were identified, suggesting that concerns for the consequences of under-treatment may be unjustified.
    Language English
    Publishing date 2023-08-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2648287-3
    ISSN 2192-5690 ; 2192-5682
    ISSN (online) 2192-5690
    ISSN 2192-5682
    DOI 10.1177/21925682231194818
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Interactions with ectoparasitic mites induce host metabolic and immune responses in flies at the expense of reproduction-associated factors

    Benoit, Joshua B / Bose, Joy / Bailey, Samuel T / Polak, Michal

    Parasitology. 2020 Sept., v. 147, no. 11

    2020  

    Abstract: Parasites cause harm to their hosts and represent pervasive causal agents of natural selection. Understanding host proximate responses during interactions with parasites can help predict which genes and molecular pathways are targets of this selection. ... ...

    Abstract Parasites cause harm to their hosts and represent pervasive causal agents of natural selection. Understanding host proximate responses during interactions with parasites can help predict which genes and molecular pathways are targets of this selection. In the current study, we examined transcriptional changes arising from interactions between Drosophila melanogaster and their naturally occurring ectoparasitic mite, Gamasodes queenslandicus. Shifts in host transcript levels associated with behavioural avoidance revealed the involvement of genes underlying nutrient metabolism. These genetic responses were reflected in altered body lipid and glycogen levels in the flies. Mite infestation triggered a striking immune response, while male accessory gland protein transcript levels were simultaneously reduced, suggesting a trade-off between host immune responses to parasite challenge and reproduction. Comparison of transcriptional analyses during mite infestation to those during nematode and parasitoid attack identified host genes similarly expressed in flies during these interactions. Validation of the involvement of specific genes with RNA interference lines revealed candidates that may directly mediate fly–ectoparasite interactions. Our physiological and molecular characterization of the Drosophila–Gamasodes interface reveals new proximate mechanisms underlying host–parasite interactions, specifically host transcriptional shifts associated with behavioural avoidance and infestation. The results identify potential general mechanisms underlying host resistance and evolutionarily relevant trade-offs.
    Keywords Drosophila melanogaster ; Nematoda ; RNA interference ; body fat ; ectoparasites ; glycogen ; immune response ; males ; metabolism ; mite infestations ; mites ; natural selection ; parasitoids ; parasitology ; reproduction ; transcription (genetics)
    Language English
    Dates of publication 2020-09
    Size p. 1196-1205.
    Publishing place Cambridge University Press
    Document type Article
    Note NAL-light
    ZDB-ID 207627-5
    ISSN 1469-8161 ; 0031-1820
    ISSN (online) 1469-8161
    ISSN 0031-1820
    DOI 10.1017/S0031182020000918
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Drivers of patient and caregiver preferences for growth hormone deficiency treatments in France: a discrete choice experiment.

    Polak, Michel / Demaret, Béatrice / Henocque, Robin / Chachoua, Lylia / Aballea, Samuel / Mezghani, Marwa / La Torre, Daria / Salvi, Lara / Touraine, Philippe

    Hormone research in paediatrics

    2023  

    Abstract: Introduction: To identify drivers of preference for growth hormone deficiency (GHD) treatment in French children, and their caregivers, and to quantify the relative importance of different aspects of treatment modalities using a discrete choice ... ...

    Abstract Introduction: To identify drivers of preference for growth hormone deficiency (GHD) treatment in French children, and their caregivers, and to quantify the relative importance of different aspects of treatment modalities using a discrete choice experiment (DCE).
    Materials and methods: Attributes characterizing GHD treatment modalities were identified through a literature review, qualitative interviews and focus groups with children, adolescents, and caregivers. A DCE questionnaire of 12 choice tasks was administered online to four groups of participants: autonomous adolescents (12 to 18 years), non-autonomous adolescent / caregiver dyads, caregivers of non-autonomous children (3 to 11 years) and autonomous children / caregiver dyads. The survey was pilot tested. A multinomial logit model with random effects was used to estimate preference weights for all attribute levels.
    Results: Frequency of administration, injection pain, dose setting, type of device, storage and device reusability were selected as DCE attributes following the qualitative research phase and a pilot study. A total of 105 patients were represented in the DCE survey. Frequency of administration and injection pain were the attributes with the greatest influence on respondents' preferences and had similar importance. Weekly administration was significantly preferred over daily administration by all groups of participants. Respondents' choices were also significantly influenced by the type of device, dose setting and device reusability.
    Conclusion: Children with GHD and their caregivers prefer a less frequent injection schedule and lower injection pain. Both aspects of treatment modalities are important to consider in treatment decisions to alleviate the daily burden for GHD patients and their families and potentially enhance treatment adherence.
    Language English
    Publishing date 2023-11-29
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2537278-6
    ISSN 1663-2826 ; 1663-2818
    ISSN (online) 1663-2826
    ISSN 1663-2818
    DOI 10.1159/000534974
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A systematic review of pathological findings in COVID-19: a pathophysiological timeline and possible mechanisms of disease progression.

    Polak, Samuel B / Van Gool, Inge C / Cohen, Danielle / von der Thüsen, Jan H / van Paassen, Judith

    Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc

    2020  Volume 33, Issue 11, Page(s) 2128–2138

    Abstract: Since the outbreak of the COVID-19 pandemic, much has been learned regarding its clinical course, prognostic inflammatory markers, disease complications, and mechanical ventilation strategy. Clinically, three stages have been identified based on viral ... ...

    Abstract Since the outbreak of the COVID-19 pandemic, much has been learned regarding its clinical course, prognostic inflammatory markers, disease complications, and mechanical ventilation strategy. Clinically, three stages have been identified based on viral infection, pulmonary involvement with inflammation, and fibrosis. Moreover, low and high elastance phenotypes can be distinguished in mechanically ventilated patients, based on lung mechanics, ventilation-to-perfusion ratio, and CT scans; these two phenotypes have presumed differences in their underlying pathophysiology. Although essential for therapeutic guidance, the pathophysiology of COVID-19 is poorly understood. Here, we systematically reviewed published case reports and case series in order to increase our understanding of COVID-19 pathophysiology by constructing a timeline and correlating histopathological findings with clinical stages of COVID-19. Using PRISMA-IPD guidelines, 42 articles reporting 198 individual cases were included in our analysis. In lung samples (n = 131 cases), we identified three main histological patterns: epithelial (n = 110, 85%), with reactive epithelial changes and DAD; vascular (n = 76, 59%) with microvascular damage, (micro)thrombi, and acute fibrinous and organizing pneumonia; and fibrotic (n = 28, 22%) with interstitial fibrosis. The epithelial and vascular patterns can present in all stages of symptomatic COVID-19, whereas the fibrotic pattern presents starting at ~3 weeks. Moreover, patients can present with more than one pattern, either simultaneously or consecutively. These findings are consistent with knowledge regarding clinical patterns of viral infection, development of hyperinflammation and hypercoagulability, and fibrosis. Close collaboration among medical staff is necessary in order to translate this knowledge and classification of pathophysiological mechanisms into clinical stages of disease in individual patients. Moreover, further research, including histopathological studies, is warranted in order to develop reliable, clinically relevant biomarkers by correlating these pathological findings with laboratory results and radiological findings, thus, increasing our understanding of COVID-19 and facilitating the move to precision medicine for treating patients.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/pathology ; Coronavirus Infections/physiopathology ; Disease Progression ; Humans ; Pandemics ; Pneumonia, Viral/pathology ; Pneumonia, Viral/physiopathology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-22
    Publishing country United States
    Document type Journal Article ; Systematic Review
    ZDB-ID 645073-8
    ISSN 1530-0285 ; 0893-3952
    ISSN (online) 1530-0285
    ISSN 0893-3952
    DOI 10.1038/s41379-020-0603-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A systematic review of pathological findings in COVID-19

    Polak, Samuel B. / Van Gool, Inge C. / Cohen, Danielle / von der Thüsen, Jan H. / van Paassen, Judith

    Modern Pathology ; ISSN 0893-3952 1530-0285

    a pathophysiological timeline and possible mechanisms of disease progression

    2020  

    Keywords Pathology and Forensic Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1038/s41379-020-0603-3
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Surgery for extraforaminal lumbar disc herniation: a single center comparative observational study.

    Polak, Samuel B / Madsbu, Mattis A / Vangen-Lønne, Vetle / Salvesen, Øyvind / Nygaard, Øystein / Solberg, Tore K / Vleggeert-Lankamp, Carmen L A M / Gulati, Sasha

    Acta neurochirurgica

    2020  Volume 162, Issue 6, Page(s) 1409–1415

    Abstract: Background: Surgery on extraforaminal lumbar disc herniation (ELDH) is a commonly performed procedure. Operating on this type of herniation is known to come with more difficulties than on the frequently seen paramedian lumbar disc herniation (PLDH). ... ...

    Abstract Background: Surgery on extraforaminal lumbar disc herniation (ELDH) is a commonly performed procedure. Operating on this type of herniation is known to come with more difficulties than on the frequently seen paramedian lumbar disc herniation (PLDH). However, no comparative data are available on the effectiveness and safety of this operation. We sought out to compare clinical outcomes at 1 year following surgery for ELDH and PLDH.
    Methods: Data were collected through the Norwegian Registry for Spine Surgery (NORspine). The primary outcome measure was change at 1 year in the Oswestry Disability Index (ODI). Secondary outcome measures were quality of life measured with EuroQol 5 dimensions (EQ-5D); and numeric rating scales (NRSs).
    Results: Data of a total of 1750 patients were evaluated in this study, including 72 ELDH patients (4.1%). One year after surgery, there were no differences in any of the patient reported outcome measurements (PROMs) between the two groups. PLDH and ELDH patients experienced similar changes in ODI (- 30.92 vs. - 34.00, P = 0.325); EQ-5D (0.50 vs. 0.51, P = 0.859); NRS back (- 3.69 vs. - 3.83, P = 0.745); and NRS leg (- 4.69 vs. - 4.46, P = 0.607) after 1 year. The proportion of patients achieving a clinical success (defined as an ODI score of less than 20 points) at 1 year was similar in both groups (61.5% vs. 52.7%, P = 0.204).
    Conclusions: Patients operated for ELDH reported similar improvement after 1 year compared with patients operated for PLDH.
    MeSH term(s) Adult ; Female ; Humans ; Intervertebral Disc Degeneration/surgery ; Intervertebral Disc Displacement/surgery ; Lumbar Vertebrae/surgery ; Male ; Middle Aged ; Neurosurgical Procedures/adverse effects ; Neurosurgical Procedures/methods ; Patient Reported Outcome Measures ; Postoperative Complications/epidemiology ; Quality of Life
    Language English
    Publishing date 2020-04-13
    Publishing country Austria
    Document type Comparative Study ; Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-020-04313-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: A systematic review of pathological findings in COVID-19: a pathophysiological timeline and possible mechanisms of disease progression

    Polak, Samuel B / Van Gool, Inge C / Cohen, Danielle / von der Thüsen, Jan H / van Paassen, Judith

    Mod Pathol

    Abstract: Since the outbreak of the COVID-19 pandemic, much has been learned regarding its clinical course, prognostic inflammatory markers, disease complications, and mechanical ventilation strategy. Clinically, three stages have been identified based on viral ... ...

    Abstract Since the outbreak of the COVID-19 pandemic, much has been learned regarding its clinical course, prognostic inflammatory markers, disease complications, and mechanical ventilation strategy. Clinically, three stages have been identified based on viral infection, pulmonary involvement with inflammation, and fibrosis. Moreover, low and high elastance phenotypes can be distinguished in mechanically ventilated patients, based on lung mechanics, ventilation-to-perfusion ratio, and CT scans; these two phenotypes have presumed differences in their underlying pathophysiology. Although essential for therapeutic guidance, the pathophysiology of COVID-19 is poorly understood. Here, we systematically reviewed published case reports and case series in order to increase our understanding of COVID-19 pathophysiology by constructing a timeline and correlating histopathological findings with clinical stages of COVID-19. Using PRISMA-IPD guidelines, 42 articles reporting 198 individual cases were included in our analysis. In lung samples (n = 131 cases), we identified three main histological patterns: epithelial (n = 110, 85%), with reactive epithelial changes and DAD; vascular (n = 76, 59%) with microvascular damage, (micro)thrombi, and acute fibrinous and organizing pneumonia; and fibrotic (n = 28, 22%) with interstitial fibrosis. The epithelial and vascular patterns can present in all stages of symptomatic COVID-19, whereas the fibrotic pattern presents starting at ~3 weeks. Moreover, patients can present with more than one pattern, either simultaneously or consecutively. These findings are consistent with knowledge regarding clinical patterns of viral infection, development of hyperinflammation and hypercoagulability, and fibrosis. Close collaboration among medical staff is necessary in order to translate this knowledge and classification of pathophysiological mechanisms into clinical stages of disease in individual patients. Moreover, further research, including histopathological studies, is warranted in order to develop reliable, clinically relevant biomarkers by correlating these pathological findings with laboratory results and radiological findings, thus, increasing our understanding of COVID-19 and facilitating the move to precision medicine for treating patients.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #611283
    Database COVID19

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  10. Article ; Online: Elevated cfDNA after exercise is derived primarily from mature polymorphonuclear neutrophils, with a minor contribution of cardiomyocytes.

    Fridlich, Ori / Peretz, Ayelet / Fox-Fisher, Ilana / Pyanzin, Sheina / Dadon, Ziv / Shcolnik, Eilon / Sadeh, Ronen / Fialkoff, Gavriel / Sharkia, Israa / Moss, Joshua / Arpinati, Ludovica / Nice, Shachar / Nogiec, Christopher D / Ahuno, Samuel Terkper / Li, Rui / Taborda, Eddie / Dunkelbarger, Sonia / Fridlender, Zvi G / Polak, Paz /
    Kaplan, Tommy / Friedman, Nir / Glaser, Benjamin / Shemer, Ruth / Constantini, Naama / Dor, Yuval

    Cell reports. Medicine

    2023  Volume 4, Issue 6, Page(s) 101074

    Abstract: Strenuous physical exercise causes a massive elevation in the concentration of circulating cell-free DNA (cfDNA), which correlates with effort intensity and duration. The cellular sources and physiological drivers of this phenomenon are unknown. Using ... ...

    Abstract Strenuous physical exercise causes a massive elevation in the concentration of circulating cell-free DNA (cfDNA), which correlates with effort intensity and duration. The cellular sources and physiological drivers of this phenomenon are unknown. Using methylation patterns of cfDNA and associated histones, we show that cfDNA in exercise originates mostly in extramedullary polymorphonuclear neutrophils. Strikingly, cardiomyocyte cfDNA concentration increases after a marathon, consistent with elevated troponin levels and indicating low-level, delayed cardiac cell death. Physical impact, low oxygen levels, and elevated core body temperature contribute to neutrophil cfDNA release, while muscle contraction, increased heart rate, β-adrenergic signaling, or steroid treatment fail to cause elevation of cfDNA. Physical training reduces neutrophil cfDNA release after a standard exercise, revealing an inverse relationship between exercise-induced cfDNA release and training level. We speculate that the release of cfDNA from neutrophils in exercise relates to the activation of neutrophils in the context of exercise-induced muscle damage.
    MeSH term(s) Neutrophils ; Myocytes, Cardiac ; Cell-Free Nucleic Acids ; Exercise/physiology ; Histones
    Chemical Substances Cell-Free Nucleic Acids ; Histones
    Language English
    Publishing date 2023-06-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2666-3791
    ISSN (online) 2666-3791
    DOI 10.1016/j.xcrm.2023.101074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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