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  1. Article ; Online: Circuits and Synapses: Hypothesis, Observation, Controversy and Serendipity - An Opinion Piece.

    Thomson, Alex M

    Frontiers in neural circuits

    2021  Volume 15, Page(s) 732315

    Abstract: More than a century of dedicated research has resulted in what we now know, and what we think we know, about synapses and neural circuits. This piece asks to what extent some of the major advances - both theoretical and practical - have resulted from ... ...

    Abstract More than a century of dedicated research has resulted in what we now know, and what we think we know, about synapses and neural circuits. This piece asks to what extent some of the major advances - both theoretical and practical - have resulted from carefully considered theory, or experimental design: endeavors that aim to address a question, or to refute an existing hypothesis. It also, however, addresses the important part that serendipity and chance have played. There are cases where hypothesis driven research has resulted in important progress. There are also examples where a hypothesis, a model, or even an experimental approach - particularly one that seems to provide welcome simplification - has become so popular that it becomes dogma and stifles advance in other directions. The nervous system rejoices in complexity, which should neither be ignored, nor run from. The emergence of testable "rules" that can simplify our understanding of neuronal circuits has required the collection of large amounts of data that were difficult to obtain. And although those collecting these data have been criticized for not advancing hypotheses while they were "collecting butterflies," the beauty of the butterflies always enticed us toward further exploration.
    MeSH term(s) Animals ; Butterflies ; Neurons ; Synapses
    Language English
    Publishing date 2021-09-16
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2452968-0
    ISSN 1662-5110 ; 1662-5110
    ISSN (online) 1662-5110
    ISSN 1662-5110
    DOI 10.3389/fncir.2021.732315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: New guidance for self-harm: an opportunity not to be missed.

    Mughal, Faraz / Burton, Fiona M / Fletcher, Harriet / Lascelles, Karen / O'Connor, Rory C / Rae, Sarah / Thomson, Alex B / Kapur, Nav

    The British journal of psychiatry : the journal of mental science

    2023  Volume 223, Issue 5, Page(s) 501–503

    Abstract: In this editorial we, as members of the 2022 NICE Guideline Committee, highlight and discuss what, in our view, are the key guideline recommendations (generated through evidence synthesis and consensus) for mental health professionals when caring for ... ...

    Abstract In this editorial we, as members of the 2022 NICE Guideline Committee, highlight and discuss what, in our view, are the key guideline recommendations (generated through evidence synthesis and consensus) for mental health professionals when caring for people after self-harm, and we consider some of the implementation challenges.
    MeSH term(s) Humans ; Self-Injurious Behavior/therapy ; Self-Injurious Behavior/psychology ; Consensus
    Language English
    Publishing date 2023-08-23
    Publishing country England
    Document type Research Support, Non-U.S. Gov't ; Editorial
    ZDB-ID 218103-4
    ISSN 1472-1465 ; 0007-1250
    ISSN (online) 1472-1465
    ISSN 0007-1250
    DOI 10.1192/bjp.2023.113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Patients with naproxen‐induced liver injury display T‐cell memory responses toward an oxidative (S)‐O‐desmethyl naproxen metabolite but not the acyl glucuronide

    Thomson, Paul / Fragkas, Nik / Kafu, Laila M. / Aithal, Guruprasad P. / Lucena, M. Isabel / Terracciano, Luigi / Meng, Xiaoli / Pirmohamed, Munir / Brees, Dominique / Kullak‐Ublick, Gerd A. / Odermatt, Alex / Hammond, Thomas / Kammüller, M. E. / Naisbitt, Dean J.

    Allergy. 2024 Jan., v. 79, no. 1, p. 200-214

    2024  , Page(s) 200–214

    Abstract: BACKGROUND: Exposure to nonsteroidal anti‐inflammatory drugs (NSAIDs) such as ibuprofen (IBU) and naproxen (NAP) is associated with idiosyncratic drug‐induced liver injury (DILI). Carboxylate bioactivation into reactive metabolites (e.g., acyl ... ...

    Abstract BACKGROUND: Exposure to nonsteroidal anti‐inflammatory drugs (NSAIDs) such as ibuprofen (IBU) and naproxen (NAP) is associated with idiosyncratic drug‐induced liver injury (DILI). Carboxylate bioactivation into reactive metabolites (e.g., acyl glucuronides, AG) and resulting T‐cell activation is hypothesized as causal for this adverse event. However, conclusive evidence supporting this is lacking. METHODS: In this work, we identify CD4⁺ and CD8⁺ T‐cell hepatic infiltration in a biopsy from an IBU DILI patient. Lymphocyte transformation test and IFN‐γ ELIspot, conducted on peripheral blood mononuclear cells (PBMCs) of patients with NAP‐DILI, were used to explore drug‐specific T‐cell activation. T‐cell clones (TCC) were generated and tested for drug specificity, phenotype/function, and pathways of T‐cell activation. Cells were exposed to NAP, its oxidative metabolite 6‐O‐desmethyl NAP (DM‐NAP), its AG or synthesized NAP‐AG human‐serum albumin adducts (NAP‐AG adduct). RESULTS: CD4⁺ and CD8⁺ T‐cells from patients expressing a range of different Vβ receptors were stimulated to proliferate and secrete IFN‐γ and IL‐22 when exposed to DM‐NAP, but not NAP, NAP‐AG or the NAP‐AG adduct. Activation of the CD4⁺ TCC was HLA‐DQ‐restricted and dependent on antigen presenting cells (APC); most TCC were activated with DM‐NAP‐pulsed APC, while fixation of APC blocked the T‐cell response. Cross‐reactivity was not observed with structurally‐related drugs. CONCLUSION: Our results confirm hepatic T‐cell infiltrations in NSAID‐induced DILI, and show a T‐cell memory response toward DM‐NAP indicating an immune‐mediated basis for the adverse event. Whilst bioactivation at the carboxylate group is widely hypothesized to be pathogenic for NSAID associated DILI, we found no evidence of this with NAP.
    Keywords T-lymphocytes ; albumins ; antigens ; biopsy ; cross reaction ; hypersensitivity ; ibuprofen ; liver ; lymphocyte proliferation ; memory ; metabolites ; patients ; phenotype
    Language English
    Dates of publication 2024-01
    Size p. 200-214
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.15830
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: Interventions for Perceptual Disorders in Stroke: A Systematic Review.

    Hazelton, Christine / Thomson, Katie / Todhunter-Brown, Alex / Campbell, Pauline / Chung, Charlie S Y / Dorris, Liam / Gillespie, David C / Hunter, Susan M / McGill, Kris / Nicolson, Donald J / Williams, Linda J / Brady, Marian C

    Stroke

    2023  Volume 54, Issue 6, Page(s) e239–e240

    MeSH term(s) Humans ; Perceptual Disorders ; Stroke
    Language English
    Publishing date 2023-04-06
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STROKEAHA.123.041957
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Cornu Ammonis Regions-Antecedents of Cortical Layers?

    Mercer, Audrey / Thomson, Alex M

    Frontiers in neuroanatomy

    2017  Volume 11, Page(s) 83

    Abstract: Studying neocortex and hippocampus in parallel, we are struck by the similarities. All three to four layered allocortices and the six layered mammalian neocortex arise in the pallium. All receive and integrate multiple cortical and subcortical inputs, ... ...

    Abstract Studying neocortex and hippocampus in parallel, we are struck by the similarities. All three to four layered allocortices and the six layered mammalian neocortex arise in the pallium. All receive and integrate multiple cortical and subcortical inputs, provide multiple outputs and include an array of neuronal classes. During development, each cell positions itself to sample appropriate local and distant inputs and to innervate appropriate targets. Simpler cortices had already solved the need to transform multiple coincident inputs into serviceable outputs before neocortex appeared in mammals. Why then do phylogenetically more recent cortices need multiple pyramidal cell layers? A simple answer is that more neurones can compute more complex functions. The dentate gyrus and hippocampal CA regions-which might be seen as hippocampal antecedents of neocortical layers-lie side by side, albeit around a tight bend. Were the millions of cells of rat neocortex arranged in like fashion, the surface area of the CA pyramidal cell layers would be some 40 times larger. Even if evolution had managed to fold this immense sheet into the space available, the distances between neurones that needed to be synaptically connected would be huge and to maintain the speed of information transfer, massive, myelinated fiber tracts would be needed. How much more practical to stack the "cells that fire and wire together" into narrow columns, while retaining the mechanisms underlying the extraordinary precision with which circuits form. This demonstrably efficient arrangement presents us with challenges, however, not the least being to categorize the baffling array of neuronal subtypes in each of five "pyramidal layers." If we imagine the puzzle posed by this bewildering jumble of apical dendrites, basal dendrites and axons, from many different pyramidal and interneuronal classes, that is encountered by a late-arriving interneurone insinuating itself into a functional circuit, we can perhaps begin to understand why definitive classification, covering every aspect of each neurone's structure and function, is such a challenge. Here, we summarize and compare the development of these two cortices, the properties of their neurones, the circuits they form and the ordered, unidirectional flow of information from one hippocampal region, or one neocortical layer, to another.
    Language English
    Publishing date 2017-09-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2452969-2
    ISSN 1662-5129
    ISSN 1662-5129
    DOI 10.3389/fnana.2017.00083
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Retrospective analysis of necrotizing typhlitis cases associated with

    McFadzean, Harriet / Schock, Alex / Stubberfield, Emma / Card, Roderick M / Thomson, Jill / Rohde, Judith / Murray, Laura / Velo-Rego, Elena / Ainsworth, Heather / Barlow, Alex M / Welchman, David

    Avian pathology : journal of the W.V.P.A

    2021  , Page(s) 1–11

    Abstract: This paper describes a retrospective analysis of necrotizing typhlitis in common rheas ( ...

    Abstract This paper describes a retrospective analysis of necrotizing typhlitis in common rheas (
    Language English
    Publishing date 2021-04-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1476380-1
    ISSN 1465-3338 ; 0307-9457
    ISSN (online) 1465-3338
    ISSN 0307-9457
    DOI 10.1080/03079457.2021.1907305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Electrocardiographic Predictors of Mortality in Acute Anterior Wall Myocardial Infarction With Right Bundle Branch Block and Right Precordial Q-Waves (qRBBB).

    Paul, Amal / Bhatia, Kaku Singh / Alex, Anoop George / Thomson, Viji Samuel / Mani, Thenmozhi / Sharathbabu, N M

    The Canadian journal of cardiology

    2020  Volume 36, Issue 11, Page(s) 1764–1769

    Abstract: Background: Published data on the clinical, electrocardiographic, and angiographic profile of acute anterior-wall ST-elevation myocardial infarction (STEMI) with right bundle branch block with q in leads V1, V2 (qRBBB) are scarce. The aim of this study ... ...

    Abstract Background: Published data on the clinical, electrocardiographic, and angiographic profile of acute anterior-wall ST-elevation myocardial infarction (STEMI) with right bundle branch block with q in leads V1, V2 (qRBBB) are scarce. The aim of this study was to estimate the incidence of short-term mortality and in-hospital complications in acute qRBBB STEMI and identify the electrocardiographic (ECG) predictors of a poor outcome.
    Methods: We conducted a single-centre retrospective study among the patients with acute anterior-wall STEMI and qRBBB pattern on ECG. All relevant clinical and treatment data were collected from the electronic medical records. All the ECGs taken during the index hospitalization were subjected to detailed analysis.
    Results: Among the 272 qRBBB patients included in the study, 64% had thrombolysis in myocardial infarction (TIMI) risk score of ≥6, and 41% were in Killip class III or IV at the time of presentation. The in-hospital mortality rate was 42.6%. There was a high incidence of ventricular tachyarrhythmias (12%), complete heart block (13%), heart failure (69%), and cardiogenic shock (52%). Extreme deviation of mean QRS axis to the right (180 to 269 degrees) in the baseline ECG was associated with high in-hospital mortality (odds ratio: 13.43; 95% confidence interval: 1.48-122.03; P = 0.021).
    Conclusions: Acute qRBBB myocardial infarction is a sinister form of acute coronary syndrome that entails high in-hospital mortality and morbidity, necessitating early recognition and prompt institution of reperfusion therapy. Extreme deviation of QRS axis to the right (180 to 269 degrees) is a significant electrocardiographic predictor of in-hospital mortality.
    MeSH term(s) Anterior Wall Myocardial Infarction/complications ; Anterior Wall Myocardial Infarction/diagnosis ; Anterior Wall Myocardial Infarction/mortality ; Bundle-Branch Block/etiology ; Bundle-Branch Block/mortality ; Bundle-Branch Block/physiopathology ; Electrocardiography ; Female ; Follow-Up Studies ; Hospital Mortality/trends ; Humans ; India/epidemiology ; Male ; Middle Aged ; Retrospective Studies ; ST Elevation Myocardial Infarction/complications ; ST Elevation Myocardial Infarction/diagnosis ; ST Elevation Myocardial Infarction/mortality ; Survival Rate/trends
    Language English
    Publishing date 2020-02-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 632813-1
    ISSN 1916-7075 ; 0828-282X
    ISSN (online) 1916-7075
    ISSN 0828-282X
    DOI 10.1016/j.cjca.2020.02.065
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patients with naproxen-induced liver injury display T-cell memory responses toward an oxidative (S)-O-desmethyl naproxen metabolite but not the acyl glucuronide.

    Thomson, Paul / Fragkas, Nik / Kafu, Laila M / Aithal, Guruprasad P / Lucena, M Isabel / Terracciano, Luigi / Meng, Xiaoli / Pirmohamed, Munir / Brees, Dominique / Kullak-Ublick, Gerd A / Odermatt, Alex / Hammond, Thomas / Kammüller, Michael / Naisbitt, Dean J

    Allergy

    2023  Volume 79, Issue 1, Page(s) 200–214

    Abstract: Background: Exposure to nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (IBU) and naproxen (NAP) is associated with idiosyncratic drug-induced liver injury (DILI). Carboxylate bioactivation into reactive metabolites (e.g., acyl ... ...

    Abstract Background: Exposure to nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (IBU) and naproxen (NAP) is associated with idiosyncratic drug-induced liver injury (DILI). Carboxylate bioactivation into reactive metabolites (e.g., acyl glucuronides, AG) and resulting T-cell activation is hypothesized as causal for this adverse event. However, conclusive evidence supporting this is lacking.
    Methods: In this work, we identify CD4
    Results: CD4
    Conclusion: Our results confirm hepatic T-cell infiltrations in NSAID-induced DILI, and show a T-cell memory response toward DM-NAP indicating an immune-mediated basis for the adverse event. Whilst bioactivation at the carboxylate group is widely hypothesized to be pathogenic for NSAID associated DILI, we found no evidence of this with NAP.
    MeSH term(s) Humans ; Naproxen/adverse effects ; Naproxen/metabolism ; Glucuronides/metabolism ; CD8-Positive T-Lymphocytes ; Leukocytes, Mononuclear/metabolism ; Chemical and Drug Induced Liver Injury, Chronic ; Anti-Inflammatory Agents, Non-Steroidal ; Ibuprofen ; Oxidative Stress ; Lymphocyte Activation
    Chemical Substances Naproxen (57Y76R9ATQ) ; Glucuronides ; Anti-Inflammatory Agents, Non-Steroidal ; Ibuprofen (WK2XYI10QM)
    Language English
    Publishing date 2023-07-29
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 391933-x
    ISSN 1398-9995 ; 0105-4538
    ISSN (online) 1398-9995
    ISSN 0105-4538
    DOI 10.1111/all.15830
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Neocortical layer 6, a review.

    Thomson, Alex M

    Frontiers in neuroanatomy

    2010  Volume 4, Page(s) 13

    Abstract: This review attempts to summarise some of the major areas of neocortical research as it pertains to neocortical layer 6. After a brief summary of the development of this intriguing layer, the major pyramidal cell classes to be found in layer 6 are ... ...

    Abstract This review attempts to summarise some of the major areas of neocortical research as it pertains to neocortical layer 6. After a brief summary of the development of this intriguing layer, the major pyramidal cell classes to be found in layer 6 are described and compared. The connections made and received by these different classes of neurones are then discussed and the possible functions of these connections, with particular reference to the shaping of responses in visual cortex and thalamus. Inhibition in layer 6 is discussed where appropriate, but not in great detail. Many types of interneurones are to be found in each cortical layer and layer 6 is no exception, but the functions of each type remain to be elucidated (Gonchar et al., 2007).
    Language English
    Publishing date 2010-03-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2452969-2
    ISSN 1662-5129 ; 1662-5129
    ISSN (online) 1662-5129
    ISSN 1662-5129
    DOI 10.3389/fnana.2010.00013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Echocardiography protocol and cardiometabolic phenotyping in Indian birth cohorts-the IndEcho study.

    Vasan, Senthil K / Alex, Anoop George / Roy, Ambuj / Gowri, Mahasampath / Sinha, Sikha / Suresh, Jenifer / Philip, Reesa Susan / Kochumon, Jolly / Jaiswal, Neetu / Arulappan, Geethanjali / Ramakrishnan, Lakshmy / Sachdev, Harshpal Singh / Tandon, Nikhil / Thomas, Nihal / Jebasingh, Felix / Osmond, Clive / Karpe, Fredrik / Bhargava, Santosh K / Antonisamy, Belavendra /
    Prabhakaran, Dorairaj / Fall, Caroline H D / Thomson, Viji S

    Frontiers in cardiovascular medicine

    2023  Volume 10, Page(s) 1055454

    Abstract: ... echocardiographic measurements of cardiac structure and function from 2,322 men and women aged 43-50 years. M-mode ... for body surface area: Delhi men: 68 g/m: Conclusions: Our study adds to scarce population-based echocardiographic ...

    Abstract Background: Asian Indians are at higher risk of cardiometabolic disease compared to other ethnic groups, and the age of onset is typically younger. Cardiac structure and function are poorly characterized in this ethnic group. In this study, we describe image-acquisition methods and the reproducibility of measurements and detailed echocardiography characteristics in two large Indian population-based cohorts (the New Delhi and Vellore Birth Cohorts) from India.
    Methods: The IndEcho study captured transthoracic echocardiographic measurements of cardiac structure and function from 2,322 men and women aged 43-50 years. M-mode measurements in the parasternal long axis (PLAX) and 2-dimensional (2D) short axis recordings at the mitral valve, mid-papillary and apical level were recorded. Apical 2D recordings of two- three- and four-chamber (2C, 3C and 4C) views and Doppler images (colour, pulsed and continuous) were recorded in cine-loop format. Left ventricular (LV) mass, LV hypertrophy, and indices of LV systolic and diastolic function were derived.
    Results: Echocardiographic measurements showed good/excellent technical reproducibility. Hetero-geneity across sites, sex and rural/urban differences in cardiac structure and function were observed. Overall, this cohort of South Asian Indians had smaller LV mass and normal systolic and diastolic function when compared with published data on other Asian Indians and the West, (LV mass indexed for body surface area: Delhi men: 68 g/m
    Conclusions: Our study adds to scarce population-based echocardiographic data for mid-life Asian Indians. Compared to published literature on other ethnic groups, the Asian Indian heart is characterised by smaller cardiac dimensions and normal range systolic and diastolic function on a background of a high prevalence of hypertension, diabetes and cardiac disease at a relatively young age. This data will form the basis for further analyses of lifecourse, metabolic and body composition predictors of cardiac structure and function, and echocardiographic predictors of future mortality.
    Isrctn registration number: 13432279.
    Language English
    Publishing date 2023-07-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2023.1055454
    Database MEDical Literature Analysis and Retrieval System OnLINE

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