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  1. Article: The chemokine receptors CXCR3 and CCR5 mark subsets of T cells associated with certain inflammatory reactions.

    Qin, S / Rottman, J B / Myers, P / Kassam, N / Weinblatt, M / Loetscher, M / Koch, A E / Moser, B / Mackay, C R

    The Journal of clinical investigation

    1998  Volume 101, Issue 4, Page(s) 746–754

    Abstract: T cells infiltrating inflammatory sites are usually of the activated/memory type. The precise ... and their receptors. Particularly important chemokines for activated/memory T cells are the CXCR3 ... on activated T cells. Surprisingly, a proportion of circulating blood T cells, B cells, and ...

    Abstract T cells infiltrating inflammatory sites are usually of the activated/memory type. The precise mechanism for the positioning of these cells within tissues is unclear. Adhesion molecules certainly play a role; however, the intricate control of cell migration appears to be mediated by numerous chemokines and their receptors. Particularly important chemokines for activated/memory T cells are the CXCR3 ligands IP-10 and Mig and the CCR5 ligands RANTES, macrophage inflammatory protein-1alpha, and macrophage inflammatory protein-1beta. We raised anti-CXCR3 mAbs and were able to detect high levels of CXCR3 expression on activated T cells. Surprisingly, a proportion of circulating blood T cells, B cells, and natural killer cells also expressed CXCR3. CCR5 showed a similar expression pattern as CXCR3, but was expressed on fewer circulating T cells. Blood T cells expressing CXCR3 (and CCR5) were mostly CD45RO+, and generally expressed high levels of beta1 integrins. This phenotype resembled that of T cells infiltrating inflammatory lesions. Immunostaining of T cells in rheumatoid arthritis synovial fluid confirmed that virtually all such T cells expressed CXCR3 and approximately 80% expressed CCR5, representing high enrichment over levels of CXCR3+ and CCR5+ T cells in blood, 35 and 15%, respectively. Analysis by immunohistochemistry of various inflamed tissues gave comparable findings in that virtually all T cells within the lesions expressed CXCR3, particularly in perivascular regions, whereas far fewer T cells within normal lymph nodes expressed CXCR3 or CCR5. These results demonstrate that the chemokine receptor CXCR3 and CCR5 are markers for T cells associated with certain inflammatory reactions, particularly TH-1 type reactions. Moreover, CXCR3 and CCR5 appear to identify subsets of T cells in blood with a predilection for homing to these sites.
    MeSH term(s) Animals ; Antibodies, Monoclonal/immunology ; Biomarkers ; Chemokine CXCL10 ; Chemokines/immunology ; Chemokines, CXC ; Chemotaxis ; Humans ; Immunologic Memory/immunology ; Inflammation/immunology ; Leukocytes/immunology ; Lymphocyte Activation/immunology ; Lymphocytes/immunology ; Mice ; Mice, Inbred BALB C ; Receptors, CCR5/immunology ; Receptors, CXCR3 ; Receptors, Chemokine/biosynthesis ; Receptors, Chemokine/immunology ; Synovial Fluid/cytology ; Synovial Fluid/immunology ; T-Lymphocyte Subsets/cytology ; T-Lymphocyte Subsets/immunology ; Tumor Cells, Cultured
    Chemical Substances Antibodies, Monoclonal ; Biomarkers ; CXCR3 protein, human ; Chemokine CXCL10 ; Chemokines ; Chemokines, CXC ; Cxcr3 protein, mouse ; Receptors, CCR5 ; Receptors, CXCR3 ; Receptors, Chemokine
    Language English
    Publishing date 1998-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3067-3
    ISSN 1558-8238 ; 0021-9738
    ISSN (online) 1558-8238
    ISSN 0021-9738
    DOI 10.1172/JCI1422
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  2. Article ; Online: Standardizing care of childhood stroke: a call to action for clinicians and researchers.

    Mackay, Mark T

    Developmental medicine and child neurology

    2017  Volume 59, Issue 10, Page(s) 988–989

    Language English
    Publishing date 2017-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 80369-8
    ISSN 1469-8749 ; 0012-1622
    ISSN (online) 1469-8749
    ISSN 0012-1622
    DOI 10.1111/dmcn.13544
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Marked variations in gamma delta T cell numbers and distribution throughout the life of sheep.

    Mackay, C R / Hein, W R

    Current topics in microbiology and immunology

    1991  Volume 173, Page(s) 107–111

    MeSH term(s) Animals ; Cattle ; Epithelial Cells ; Epithelium/immunology ; Receptors, Antigen, T-Cell, alpha-beta ; Receptors, Antigen, T-Cell, gamma-delta ; Sheep ; T-Lymphocyte Subsets/cytology ; T-Lymphocyte Subsets/immunology ; Thymus Gland/cytology ; Thymus Gland/immunology
    Chemical Substances Receptors, Antigen, T-Cell, alpha-beta ; Receptors, Antigen, T-Cell, gamma-delta
    Language English
    Publishing date 1991
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ISSN 0070-217X
    ISSN 0070-217X
    DOI 10.1007/978-3-642-76492-9_15
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Making waves: The changing tide of cerebral palsy.

    Cooper, Monica S / Fahey, Michael C / Mackay, Mark T

    Journal of paediatrics and child health

    2022  Volume 58, Issue 11, Page(s) 1929–1934

    Abstract: Cerebral palsy (CP) is a broad diagnosis unbound by aetiology and is based on a clinical examination demonstrating abnormalities of movement or posture. CP represents a static neurological condition, provided that neurodegenerative conditions, ... ...

    Abstract Cerebral palsy (CP) is a broad diagnosis unbound by aetiology and is based on a clinical examination demonstrating abnormalities of movement or posture. CP represents a static neurological condition, provided that neurodegenerative conditions, leukoencephalopathies and neuromuscular disorders are excluded. In paediatrics, the genetic conditions associated with CP are rapidly increasing, with primary and overlapping neurodevelopmental conditions perhaps better categorised by the predominant clinical feature such as CP, intellectual disability, autism spectrum disorder or epilepsy. Progress in molecular genetics may challenge what constitutes CP, but a genetic diagnosis does not negate the CP diagnosis. As clinicians working in the field, we discuss the changing tide of CP. Neuroimaging provides essential information through pattern recognition and demonstration of static brain changes. We present examples of children where a layered clinical diagnosis or dual aetiologies are appropriate. We also present examples of children with genetic causes of CP to highlight the challenges and limitations of neuroimaging to provide an aetiological diagnosis. In consultation with a geneticist, access to genomic testing (exome or genome sequencing) is now available in Australia under Medicare billing for children under the age of 10 with dysmorphic features, one or more major structural organ anomalies, (an evolving) intellectual disability or global developmental delay. We encourage the uptake of genomic testing in CP, because it can be difficult to tell whether a child has an environmental or genetic cause for CP. A specific genetic diagnosis may change patient management, reduce guilt and enable more distinctive research in the future to assist with understanding disease mechanisms.
    MeSH term(s) Aged ; Child ; Humans ; Cerebral Palsy/etiology ; Cerebral Palsy/complications ; Intellectual Disability/etiology ; Intellectual Disability/complications ; Autism Spectrum Disorder/complications ; National Health Programs ; Epilepsy
    Language English
    Publishing date 2022-09-06
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1024476-1
    ISSN 1440-1754 ; 1034-4810
    ISSN (online) 1440-1754
    ISSN 1034-4810
    DOI 10.1111/jpc.16186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Paroxysmal Nonepileptic Events in Children With Epilepsy and Cerebral Palsy.

    Cooper, Monica S / Fahey, Michael C / Dagia, Charuta / Reddihough, Dinah / Reid, Susan M / Mackay, Mark T

    Journal of child neurology

    2023  Volume 38, Issue 5, Page(s) 336–346

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Child ; Humans ; Cerebral Palsy/complications ; Retrospective Studies ; Epilepsy/complications ; Seizures/etiology ; Brain Injuries ; Electroencephalography/methods
    Language English
    Publishing date 2023-05-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639288-x
    ISSN 1708-8283 ; 0883-0738
    ISSN (online) 1708-8283
    ISSN 0883-0738
    DOI 10.1177/08830738231176055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Focal cerebral arteriopathy and childhood stroke.

    Fearn, Nicola D / Mackay, Mark T

    Current opinion in neurology

    2019  Volume 33, Issue 1, Page(s) 37–46

    Abstract: Purpose of review: Focal cerebral arteriopathy (FCA) is one of the most common causes of arterial ischaemic stroke in a previously healthy child. Distinguishing between different subtypes of arteriopathy is challenging and has significant management ... ...

    Abstract Purpose of review: Focal cerebral arteriopathy (FCA) is one of the most common causes of arterial ischaemic stroke in a previously healthy child. Distinguishing between different subtypes of arteriopathy is challenging and has significant management implications.
    Recent findings: Recent studies have helped to define the subtypes of focal cerebral arteriopathies and improved understanding of their clinical and radiological features. In addition, they have reported new evidence for the association between viral infection and inflammation in the pathogenesis of FCA and proposed new radiological, serum and cerebrospinal fluid biomarkers to guide diagnosis and management. There is limited evidence to guide treatment of FCA but a role for steroids and antiviral therapies have been reported.
    Summary: Despite the recent advances there is a limited knowledge of the pathophysiology and outcomes following FCA. Research priorities include the identification of biomarkers to improve accuracy of initial diagnosis and predict progression, and interventional trials to determine best treatments to reduce stroke recurrence risk.
    MeSH term(s) Biomarkers ; Brain Ischemia/etiology ; Brain Ischemia/physiopathology ; Cerebral Arterial Diseases/complications ; Cerebral Arterial Diseases/diagnosis ; Cerebral Arterial Diseases/physiopathology ; Cerebrovascular Disorders/complications ; Cerebrovascular Disorders/diagnosis ; Cerebrovascular Disorders/physiopathology ; Child ; Diagnosis, Differential ; Disease Progression ; Humans
    Chemical Substances Biomarkers
    Language English
    Publishing date 2019-12-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1182686-1
    ISSN 1473-6551 ; 1350-7540
    ISSN (online) 1473-6551
    ISSN 1350-7540
    DOI 10.1097/WCO.0000000000000787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Parenteral Long-Acting Antiseizure Medications Are Used More Often to Treat Seizure Clusters Than Convulsive Status Epilepticus in the Pediatric Emergency Department.

    Pfeiffer, Christina K / Mackay, Mark T / Long, Elliot / Stephens, David / Dalziel, Stuart R / Babl, Franz E

    Journal of child neurology

    2022  Volume 37, Issue 7, Page(s) 589–598

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Anticonvulsants/therapeutic use ; Child ; Emergency Service, Hospital ; Epilepsy, Generalized/drug therapy ; Humans ; Levetiracetam/therapeutic use ; Seizures/drug therapy ; Status Epilepticus/drug therapy
    Chemical Substances Anticonvulsants ; Levetiracetam (44YRR34555)
    Language English
    Publishing date 2022-02-10
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 639288-x
    ISSN 1708-8283 ; 0883-0738
    ISSN (online) 1708-8283
    ISSN 0883-0738
    DOI 10.1177/08830738221077751
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  8. Article ; Online: Intravenous chlorpromazine for acute paediatric migraine.

    Löllgen, Ruth Mc / Babl, Franz E / Mackay, Mark T / Hill, Ashley / Palmer, Greta M

    Emergency medicine Australasia : EMA

    2022  Volume 34, Issue 4, Page(s) 623–625

    Abstract: Objective: In paediatric migraine, ibuprofen, acetaminophen and triptans are safe, effective therapies but there is scant paediatric data informing second-line emergency treatment.: Methods: Retrospective cohort study of children diagnosed with ... ...

    Abstract Objective: In paediatric migraine, ibuprofen, acetaminophen and triptans are safe, effective therapies but there is scant paediatric data informing second-line emergency treatment.
    Methods: Retrospective cohort study of children diagnosed with migraine at a tertiary children's hospital ED.
    Results: There were 207 children with migraine over a 1 year period. 46% received simple oral analgesia. 25% intravenous chlorpromazine, of whom 45% received further analgesia.
    Conclusions: While intravenous chlorpromazine as second-line agent was mostly safe, it had unclear efficacy given the requirement for further treatment and hospital admissions.
    MeSH term(s) Acetaminophen/therapeutic use ; Child ; Chlorpromazine/therapeutic use ; Emergency Service, Hospital ; Humans ; Ibuprofen ; Migraine Disorders/drug therapy ; Retrospective Studies
    Chemical Substances Acetaminophen (362O9ITL9D) ; Chlorpromazine (U42B7VYA4P) ; Ibuprofen (WK2XYI10QM)
    Language English
    Publishing date 2022-06-09
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13985
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  9. Article ; Online: Recent developments and new frontiers in childhood arterial ischemic stroke.

    Mackay, Mark T / Steinlin, Maja

    International journal of stroke : official journal of the International Stroke Society

    2018  Volume 14, Issue 1, Page(s) 32–43

    Abstract: This review will discuss important developments in childhood arterial ischemic stroke over the past decade, focusing on improved understanding of the causes, consequences, and targets for intervention. Risk factors for childhood arterial ischemic stroke ... ...

    Abstract This review will discuss important developments in childhood arterial ischemic stroke over the past decade, focusing on improved understanding of the causes, consequences, and targets for intervention. Risk factors for childhood arterial ischemic stroke are different to adults. Infections, particularly herpes group viruses, are important precipitants for stroke. Non-atherosclerotic arteriopathies are the most common cause of childhood arterial ischemic stroke and an important predictor of recurrent events. Recent advances include the identification of serum biomarkers for inflammation and endothelial injury, and imaging biomarkers to monitor for vascular progression. Multicenter trials of immunotherapies in focal cerebral arteriopathies are currently in development. Recognition of clinical and radiological phenotypic patterns has facilitated the discovery of multisystem disorders associated with arterial ischemic stroke including ACTA2 arteriopathy and adenosine deaminase 2 deficiency. Identification of these Mendelian disorders provide insights into genetic mechanisms of disease and have implications for medical and surgical management. In contrast to adults, there are long diagnostic delays in childhood arterial ischemic stroke. Refinement of pediatric Code Stroke protocols and clinical decision support tools are essential to improve diagnostic certainty and improve access to reperfusion therapies. Children do not recover better than adults following arterial ischemic stroke, with more than half of survivors having long-term impairments. The physical, cognitive, and behavioral consequences of childhood arterial ischemic stroke are increasingly reported but further research is required to understand their impact on participation, quality of life, psychosocial, and family functioning. Longitudinal studies and the use of advanced imaging techniques, to understand neurobiological correlates of functional reorganization, are essential to developing targeted intervention strategies to facilitate recovery.
    MeSH term(s) Actins/genetics ; Adenosine Deaminase/genetics ; Biomarkers ; Brain Ischemia/genetics ; Brain Ischemia/therapy ; Cerebral Arterial Diseases/genetics ; Cerebral Arterial Diseases/therapy ; Child ; Endothelium, Vascular/immunology ; Genetic Predisposition to Disease ; Humans ; Inflammation ; Intercellular Signaling Peptides and Proteins/genetics ; Risk Factors ; Stroke/genetics ; Stroke/therapy
    Chemical Substances ACTA2 protein, human ; Actins ; Biomarkers ; Intercellular Signaling Peptides and Proteins ; ADA2 protein, human (EC 3.5.4.4) ; Adenosine Deaminase (EC 3.5.4.4)
    Language English
    Publishing date 2018-08-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2303728-3
    ISSN 1747-4949 ; 1747-4930
    ISSN (online) 1747-4949
    ISSN 1747-4930
    DOI 10.1177/1747493018790064
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  10. Article ; Online: Distinct manifestations and potential mechanisms of seizures due to cortical versus white matter injury in children.

    Cooper, Monica S / Mackay, Mark T / Shepherd, Daisy A / Dagia, Charuta / Fahey, Michael C / Reddihough, Dinah / Reid, Susan M / Harvey, A Simon

    Epilepsy research

    2023  Volume 199, Page(s) 107267

    Abstract: Purpose: To study seizure manifestations and outcomes in children with cortical versus white matter injury, differences potentially explaining variability of epilepsy in children with cerebral palsy.: Methods: In this population-based retrospective ... ...

    Abstract Purpose: To study seizure manifestations and outcomes in children with cortical versus white matter injury, differences potentially explaining variability of epilepsy in children with cerebral palsy.
    Methods: In this population-based retrospective cohort study, MRIs of children with cerebral palsy due to ischemia or haemorrhage were classified according to presence or absence of cortical injury. MRI findings were then correlated with history of neonatal seizures, seizures during childhood, epilepsy syndromes, and seizure outcomes.
    Results: Of 256 children studied, neonatal seizures occurred in 57 and seizures during childhood occurred in 93. Children with neonatal seizures were more likely to develop seizures during childhood, mostly those with cortical injury. Cortical injury was more strongly associated with (1) developing seizures during childhood, (2) more severe epilepsy syndromes (infantile spasms syndrome, focal epilepsy, Lennox-Gastaut syndrome), and (3) less likelihood of reaching > 2 years without seizures at last follow-up, compared to children without cortical injury. Children without cortical injury, mainly those with white matter injury, were less likely to develop neonatal seizures and seizures during childhood, and when they did, epilepsy syndromes were more commonly febrile seizures and self-limited focal epilepsies of childhood, with most achieving > 2 years without seizures at last follow-up. The presence of cortical injury also influenced seizure occurrence, severity, and outcome within the different predominant injury patterns of the MRI Classification System in cerebral palsy, most notably white matter injury.
    Conclusions: Epileptogenesis is understood with cortical injury but not well with white matter injury, the latter potentially related to altered postnatal white matter development or myelination leading to apoptosis, abnormal synaptogenesis or altered thalamic connectivity of cortical neurons. These findings, and the potential mechanisms discussed, likely explain the variability of epilepsy in children with cerebral palsy and epilepsy following early-life brain injury in general.
    MeSH term(s) Child ; Infant, Newborn ; Humans ; Retrospective Studies ; Cerebral Palsy/complications ; Cerebral Palsy/diagnostic imaging ; White Matter/diagnostic imaging ; Epilepsy/complications ; Epilepsies, Partial ; Spasms, Infantile/complications ; Brain Injuries/complications ; Brain Injuries/diagnostic imaging ; Seizures, Febrile ; Electroencephalography
    Language English
    Publishing date 2023-12-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 632939-1
    ISSN 1872-6844 ; 0920-1211
    ISSN (online) 1872-6844
    ISSN 0920-1211
    DOI 10.1016/j.eplepsyres.2023.107267
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