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  1. Article ; Online: Potentially toxic elements in the brains of people with multiple sclerosis.

    Pamphlett, Roger / Buckland, Michael E / Bishop, David P

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 655

    Abstract: Potentially toxic elements such as lead and aluminium have been proposed to play a role in the pathogenesis of multiple sclerosis (MS), since their neurotoxic mechanisms mimic many of the pathogenetic processes in MS. We therefore examined the ... ...

    Abstract Potentially toxic elements such as lead and aluminium have been proposed to play a role in the pathogenesis of multiple sclerosis (MS), since their neurotoxic mechanisms mimic many of the pathogenetic processes in MS. We therefore examined the distribution of several potentially toxic elements in the autopsied brains of people with and without MS, using two methods of elemental bio-imaging. Toxicants detected in the locus ceruleus were used as indicators of past exposures. Autometallography of paraffin sections from multiple brain regions of 21 MS patients and 109 controls detected inorganic mercury, silver, or bismuth in many locus ceruleus neurons of both groups, and in widespread blood vessels, oligodendrocytes, astrocytes, and neurons of four MS patients and one control. Laser ablation-inductively coupled plasma-mass spectrometry imaging of pons paraffin sections from all MS patients and 12 controls showed that combinations of iron, silver, lead, aluminium, mercury, nickel, and bismuth were present more often in the locus ceruleus of MS patients and were located predominantly in white matter tracts. Based on these results, we propose that metal toxicants in locus ceruleus neurons weaken the blood-brain barrier, enabling multiple interacting toxicants to pass through blood vessels and enter astrocytes and oligodendroglia, leading to demyelination.
    MeSH term(s) Humans ; Multiple Sclerosis ; Bismuth ; Silver ; Aluminum ; Paraffin ; Mercury ; Brain ; Hazardous Substances
    Chemical Substances Bismuth (U015TT5I8H) ; Silver (3M4G523W1G) ; Aluminum (CPD4NFA903) ; Paraffin (8002-74-2) ; Mercury (FXS1BY2PGL) ; Hazardous Substances
    Language English
    Publishing date 2023-01-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-27169-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Patient Outcomes in Helicopter Emergency Medical Service Documentaries and on Air Ambulance Websites.

    McMunn, Finlay W / Buckland, Rosalyn / Watts, Rosanna E / Roberts, Jake / Christian, Michael D

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53414

    Abstract: Background Helicopter emergency medical service (HEMS) documentaries attract millions of viewers, and publicly available patient stories on Air Ambulance websites are vital to raise awareness and funding for Air Ambulance charities in the United Kingdom ( ...

    Abstract Background Helicopter emergency medical service (HEMS) documentaries attract millions of viewers, and publicly available patient stories on Air Ambulance websites are vital to raise awareness and funding for Air Ambulance charities in the United Kingdom (UK). Despite abundant research investigating how fictional programs and news outlets present patient health outcomes, there are no comprehensive studies that investigate how non-fictional HEMS documentaries or Air Ambulance websites present patient outcomes. The aim of this study is to capture the frequency of poor outcomes (mortality) in patients broadcasted on documentaries focusing on HEMS and the patient stories section of UK Air Ambulance websites. Methods A retrospective cohort study reviewed five HEMS documentaries between January 2016 and October 2019 and 20 Air Ambulance websites that had patient stories published until October 2020. In all, 628 patients identified fit the eligibility criteria: 311 from HEMS documentaries and 317 patients from Air Ambulance websites.  Results In all, 0.64% (4/628) of patients died before the hospital, including 0.96% (3/311) of patients on HEMS documentaries and 0.32% (1/317) of patients on Air Ambulance websites. In addition, 2.23% (14/628) of patients died according to their final mention in the data source, including 1.93% (6/311) of patients on HEMS documentaries and 2.52% (8/317) of patients on Air Ambulance websites. Conclusions This study suggests under-reporting of poor patient outcomes in HEMS documentaries and on UK Air Ambulance websites. This could be attributed to the logistical and ethical implications of capturing and presenting poor outcomes but likely impacts upon public perception. Medical professionals should recognize this in order to proactively address potential misconceptions when communicating with patients and their families.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53414
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Chronic traumatic encephalopathy (CTE)-features and forensic considerations.

    Byard, Roger / Tiemensma, Marianne / Buckland, Michael E / Vink, Robert

    Forensic science, medicine, and pathology

    2023  Volume 19, Issue 4, Page(s) 620–624

    Abstract: Chronic traumatic encephalopathy (CTE) is a neurodegenerative condition, in which the only known cause is exposure to repeated episodes of blunt head trauma. It most often occurs in professional and amateur athletes who have had frequent and repetitive ... ...

    Abstract Chronic traumatic encephalopathy (CTE) is a neurodegenerative condition, in which the only known cause is exposure to repeated episodes of blunt head trauma. It most often occurs in professional and amateur athletes who have had frequent and repetitive cranial impacts during contact sports, but may also be found in victims of domestic violence, military personnel exposed to explosive devices and in individuals with severe epilepsy. The pathognomonic pathological findings are of neurofibrillary tangles and pretangles in the depths of the cerebral sulci caused by perivascular accumulation of phosphorylated Tau (pTau). Cases may be high profile requiring an evaluation of whether the neuropathological findings of CTE can be related to injuries previously sustained on the sporting field. Failure to examine the brain or to adequately sample appropriate areas at autopsy may lead to cases being overlooked and to an underestimation of the incidence of this condition in the community. Performing immunohistochemical staining for pTau in three areas from the neocortex has been found to be a useful screening tool for CTE. Ascertaining whether there is a history of head trauma, including exposure to contact sports, as a standard part of forensic clinical history protocols will help identify at-risk individuals so that Coronial consideration of the need for brain examination can be appropriately informed. Repetitive head trauma, particularly from contact sport, is being increasingly recognized as a cause of significant preventable neurodegeneration.
    MeSH term(s) Humans ; Chronic Traumatic Encephalopathy/etiology ; Chronic Traumatic Encephalopathy/pathology ; Brain/pathology ; Neurofibrillary Tangles/pathology ; Military Personnel ; Craniocerebral Trauma/pathology
    Language English
    Publishing date 2023-04-14
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2195904-3
    ISSN 1556-2891 ; 1547-769X
    ISSN (online) 1556-2891
    ISSN 1547-769X
    DOI 10.1007/s12024-023-00624-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Chronic traumatic encephalopathy in a female ex-professional Australian rules footballer.

    Suter, Catherine M / Affleck, Andrew J / Pearce, Alan J / Junckerstorff, Reimar / Lee, Maggie / Buckland, Michael E

    Acta neuropathologica

    2023  Volume 146, Issue 3, Page(s) 547–549

    MeSH term(s) Humans ; Female ; Chronic Traumatic Encephalopathy ; Australia ; Brain ; Football
    Language English
    Publishing date 2023-06-30
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1079-0
    ISSN 1432-0533 ; 0001-6322
    ISSN (online) 1432-0533
    ISSN 0001-6322
    DOI 10.1007/s00401-023-02610-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Understanding the Epitranscriptome for Avant-Garde Brain Tumour Diagnostics.

    Tűzesi, Ágota / Hallal, Susannah / Satgunaseelan, Laveniya / Buckland, Michael E / Alexander, Kimberley L

    Cancers

    2023  Volume 15, Issue 4

    Abstract: RNA modifications are diverse, dynamic, and reversible transcript alterations rapidly gaining attention due to their newly defined RNA regulatory roles in cellular pathways and pathogenic mechanisms. The exciting emerging field of 'epitranscriptomics' is ...

    Abstract RNA modifications are diverse, dynamic, and reversible transcript alterations rapidly gaining attention due to their newly defined RNA regulatory roles in cellular pathways and pathogenic mechanisms. The exciting emerging field of 'epitranscriptomics' is predominantly centred on studying the most abundant mRNA modification, N6-methyladenine (m
    Language English
    Publishing date 2023-02-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15041232
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chronic and neurotropic: A paradigm-challenging case of dengue virus encephalitis in patient with advanced human immunodeficiency virus infection.

    Marinelli, Tina / Masters, Jeffrey / Buckland, Michael E / Lee, Maggie / Rawlinson, William / Kim, Ki Wook / Urriola, Nicolas / van Hal, Sebastiaan

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2024  

    Abstract: A 32-year-old female with advanced HIV infection presented to an Australian hospital with subacute but worsening symptoms of encephalitis. Metagenomic sequencing and Dengue NS3 antigen staining of brain tissue confirmed active Dengue virus (DENV) ... ...

    Abstract A 32-year-old female with advanced HIV infection presented to an Australian hospital with subacute but worsening symptoms of encephalitis. Metagenomic sequencing and Dengue NS3 antigen staining of brain tissue confirmed active Dengue virus (DENV) encephalitis. The most recent possible DENV exposure was months prior in West Africa, indicating chronicity.
    Language English
    Publishing date 2024-02-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciae061
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Radiogenomics Provides Insights into Gliomas Demonstrating Single-Arm 1p or 19q Deletion.

    Lasocki, Arian / Buckland, Michael E / Molinaro, Tahlia / Xie, Jing / Gaillard, Frank

    AJNR. American journal of neuroradiology

    2023  Volume 44, Issue 11, Page(s) 1270–1274

    Abstract: Background and purpose: IDH: Materials and methods: One hundred twenty-one : Results: The cohort comprised 65 tumors without 1p or 19q deletion, 12 unideleted tumors, and 44 codeleted. The proportion of unideleted tumors demonstrating the T2-FLAIR ...

    Abstract Background and purpose: IDH
    Materials and methods: One hundred twenty-one
    Results: The cohort comprised 65 tumors without 1p or 19q deletion, 12 unideleted tumors, and 44 codeleted. The proportion of unideleted tumors demonstrating the T2-FLAIR mismatch sign (33%) was similar to that in tumors without deletion (49%;
    Conclusions: IDH
    MeSH term(s) Humans ; Oligodendroglioma/diagnostic imaging ; Oligodendroglioma/genetics ; Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/genetics ; Brain Neoplasms/pathology ; Glioma/diagnostic imaging ; Glioma/genetics ; Glioma/pathology ; Astrocytoma/diagnostic imaging ; Astrocytoma/genetics ; Magnetic Resonance Imaging/methods ; Isocitrate Dehydrogenase/genetics ; Chromosomes, Human, Pair 1/genetics ; Mutation ; Chromosomes, Human, Pair 19/genetics
    Chemical Substances Isocitrate Dehydrogenase (EC 1.1.1.41)
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603808-6
    ISSN 1936-959X ; 0195-6108
    ISSN (online) 1936-959X
    ISSN 0195-6108
    DOI 10.3174/ajnr.A8034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Chronic Traumatic Encephalopathy as a Preventable Environmental Disease.

    Buckland, Michael E / Affleck, Andrew J / Pearce, Alan J / Suter, Catherine M

    Frontiers in neurology

    2022  Volume 13, Page(s) 880905

    Abstract: In this Perspective we explore the evolution of our understanding of chronic traumatic encephalopathy (CTE) and its relationship with repetitive head injury. As with many neurodegenerative conditions, there is an imperfect correspondence between ... ...

    Abstract In this Perspective we explore the evolution of our understanding of chronic traumatic encephalopathy (CTE) and its relationship with repetitive head injury. As with many neurodegenerative conditions, there is an imperfect correspondence between neuropathology and clinical phenotype, but unlike other neurodegenerative diseases, CTE has a discrete and easily modifiable risk factor: exposure to repetitive head injury. Consequently, evaluation of the evidence regarding exposure to repetitive head injury and CTE risk should be undertaken using public or occupational health frameworks of medical knowledge. The current debate over the existence of CTE as a disease of concern is fuelled in part by immediate medico-legal considerations, and the involvement of high-profile athletes, with inevitable media interest. Moving beyond this debate has significant potential to address and reduce disease impact in the near future, and provide novel insights into mechanisms underlying abnormal protein accumulation in CTE and other neurodegenerative diseases.
    Language English
    Publishing date 2022-06-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2022.880905
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Prognostic and predictive biomarkers in central nervous system tumours: the molecular state of play.

    Satgunaseelan, Laveniya / Sy, Joanne / Shivalingam, Brindha / Sim, Hao-Wen / Alexander, Kimberley L / Buckland, Michael E

    Pathology

    2023  Volume 56, Issue 2, Page(s) 158–169

    Abstract: Central nervous system (CNS) tumours were one of the first cancer types to adopt and integrate molecular profiling into routine clinical diagnosis in 2016. The vast majority of these biomarkers, used to discriminate between tumour types, also offered ... ...

    Abstract Central nervous system (CNS) tumours were one of the first cancer types to adopt and integrate molecular profiling into routine clinical diagnosis in 2016. The vast majority of these biomarkers, used to discriminate between tumour types, also offered prognostic information. With the advent of The Cancer Genome Atlas (TCGA) and other large genomic datasets, further prognostic sub-stratification was possible within tumour types, leading to increased precision in CNS tumour grading. This review outlines the evolution of the molecular landscape of adult CNS tumours, through the prism of World Health Organization (WHO) Classifications. We begin our journey in the pre-molecular era, where high-grade gliomas were divided into 'primary' and 'secondary' glioblastomas. Molecular alterations explaining these clinicopathological observations were the first branching points of glioma diagnostics, with the discovery of IDH1/2 mutations and 1p/19q codeletion. Subsequently, the rigorous characterisation of paediatric gliomas led to the unearthing of histone H3 alterations as a key event in gliomagenesis, which also had implications for young adult patients. Simultaneously, studies investigating prognostic biomarkers within tumour types were undertaken. Certain genomic phenotypes were found to portend unfavourable outcomes, for example, MYCN amplification in spinal ependymoma. The arrival of methylation profiling, having revolutionised the diagnosis of CNS tumours, now promises to bring increased prognostic accuracy, as has been shown in meningiomas. While MGMT promoter hypermethylation has remained a reliable biomarker of response to cytotoxic chemotherapy, targeted therapy in CNS tumours has unfortunately not had the success of other cancers. Therefore, predictive biomarkers have lagged behind the identification of prognostic biomarkers in CNS tumours. Emerging research from new clinical trials is cause for guarded optimism and may shift our conceptualisation of predictive biomarker testing in CNS tumours.
    MeSH term(s) Young Adult ; Humans ; Child ; Prognosis ; Brain Neoplasms/diagnosis ; Brain Neoplasms/genetics ; Brain Neoplasms/therapy ; Central Nervous System Neoplasms/diagnosis ; Central Nervous System Neoplasms/genetics ; Glioma/diagnosis ; Glioma/genetics ; Biomarkers ; Mutation ; Isocitrate Dehydrogenase/genetics ; Biomarkers, Tumor/genetics
    Chemical Substances Biomarkers ; Isocitrate Dehydrogenase (EC 1.1.1.41) ; Biomarkers, Tumor
    Language English
    Publishing date 2023-12-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 7085-3
    ISSN 1465-3931 ; 0031-3025
    ISSN (online) 1465-3931
    ISSN 0031-3025
    DOI 10.1016/j.pathol.2023.11.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Understanding the extracellular vesicle surface for clinical molecular biology.

    Hallal, Susannah / Tűzesi, Ágota / Grau, Georges E / Buckland, Michael E / Alexander, Kimberley L

    Journal of extracellular vesicles

    2022  Volume 11, Issue 10, Page(s) e12260

    Abstract: Extracellular vesicles (EVs) are lipid-membrane enclosed nanoparticles that play significant roles in health and disease. EVs are abundant in body fluids and carry an array of molecules (proteins, lipids, nucleic acids and glycans) that reflect the ... ...

    Abstract Extracellular vesicles (EVs) are lipid-membrane enclosed nanoparticles that play significant roles in health and disease. EVs are abundant in body fluids and carry an array of molecules (proteins, lipids, nucleic acids and glycans) that reflect the identity and activity of their cell-of-origin. While the advent of high throughput omics technologies has allowed in-depth characterisation of EV compositions, how these molecular species are spatially distributed within EV structures is not well appreciated. This is particularly true of the EV surface where a plethora of molecules are reported to be both integral and peripherally associated to the EV membrane. This coronal layer or 'atmosphere' that surrounds the EV membrane contributes to a large, highly interactive and dynamic surface area that is responsible for facilitating EV interactions with the extracellular environment. The EV coronal layer harbours surface molecules that reflect the identity of parent cells, which is likely a highly valuable property in the context of diagnostic liquid biopsies. In this review, we describe the current understanding of the mechanical, electrostatic and molecular properties of the EV surface that offer significant biomarker potential and contribute to a highly dynamic interactome.
    MeSH term(s) Biomarkers/analysis ; Extracellular Vesicles/chemistry ; Lipids/analysis ; Molecular Biology ; Nucleic Acids/analysis
    Chemical Substances Biomarkers ; Lipids ; Nucleic Acids
    Language English
    Publishing date 2022-10-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2683797-3
    ISSN 2001-3078 ; 2001-3078
    ISSN (online) 2001-3078
    ISSN 2001-3078
    DOI 10.1002/jev2.12260
    Database MEDical Literature Analysis and Retrieval System OnLINE

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