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  1. Article ; Online: Novel oral polio vaccine for serotype 2: new hope.

    Mathur, Poonam / Kottilil, Shyam

    The Lancet. Infectious diseases

    2023  Volume 24, Issue 3, Page(s) 223–224

    MeSH term(s) Humans ; Serogroup ; Poliovirus Vaccine, Oral ; Poliovirus ; Poliomyelitis/prevention & control ; Poliovirus Vaccine, Inactivated
    Chemical Substances Poliovirus Vaccine, Oral ; Poliovirus Vaccine, Inactivated
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(23)00549-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Toward demystifying HIV as a risk factor for coronavirus disease 2019 complications.

    Gener, Alejandro R / Kottilil, Shyam

    AIDS (London, England)

    2022  Volume 36, Issue 5, Page(s) 749–750

    MeSH term(s) COVID-19 ; HIV Infections/complications ; Humans ; Risk Factors
    Language English
    Publishing date 2022-03-23
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000003200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Shortening Treatment for Hepatitis C Virus Infection.

    Kottilil, Shyam

    Gastroenterology & hepatology

    2018  Volume 14, Issue 3, Page(s) 186–188

    Language English
    Publishing date 2018-06-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2386402-3
    ISSN 1554-7914
    ISSN 1554-7914
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Goldilocks Time for Remdesivir - Is Any Indication Just Right?

    Heil, Emily L / Kottilil, Shyam

    The New England journal of medicine

    2021  Volume 386, Issue 4, Page(s) 385–387

    MeSH term(s) Adenosine Monophosphate/analogs & derivatives ; Alanine/analogs & derivatives ; Humans
    Chemical Substances remdesivir (3QKI37EEHE) ; Adenosine Monophosphate (415SHH325A) ; Alanine (OF5P57N2ZX)
    Language English
    Publishing date 2021-12-22
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMe2118579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: New Therapeutics for HCC

    Arshi Khanam / Shyam Kottilil

    International Journal of Molecular Sciences, Vol 24, Iss 1, p

    Does Tumor Immune Microenvironment Matter?

    2022  Volume 437

    Abstract: The incidence of liver cancer is continuously rising where hepatocellular carcinoma (HCC) remains the most common form of liver cancer accounting for approximately 80–90% of the cases. HCC is strongly prejudiced by the tumor microenvironment and being an ...

    Abstract The incidence of liver cancer is continuously rising where hepatocellular carcinoma (HCC) remains the most common form of liver cancer accounting for approximately 80–90% of the cases. HCC is strongly prejudiced by the tumor microenvironment and being an inflammation-associated condition, the contribution of various immune mechanisms is critical in its development, progression, and metastasis. The tumor immune microenvironment is initially inflammatory which is subsequently replenished by the immunosuppressive cells contributing to tumor immune escape. Regardless of substantial advancement in systemic therapy, HCC has poor prognosis and outcomes attributed to the drug resistance, recurrence, and its metastatic behavior. Therefore, currently, new immunotherapeutic strategies are extensively targeted in preclinical and clinical settings in order to elicit robust HCC-specific immune responses and appear to be quite effective, extending current treatment alternatives. Understanding the complex interplay between the tumor and the immune cells and its microenvironment will provide new insights into designing novel immunotherapeutics to overcome existing treatment hurdles. In this review, we have provided a recent update on immunological mechanisms associated with HCC and discussed potential advancement in immunotherapies for HCC treatment.
    Keywords hepatocellular carcinoma ; tumor immune microenvironment ; immunotherapy ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999
    Subject code 610
    Language English
    Publishing date 2022-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: RNA Interference Therapeutics for Chronic Hepatitis B: Progress, Challenges, and Future Prospects.

    Sneller, Laura / Lin, Christine / Price, Angie / Kottilil, Shyam / Chua, Joel V

    Microorganisms

    2024  Volume 12, Issue 3

    Abstract: Chronic hepatitis B (CHB) is a global health challenge that can result in significant liver-related morbidity and mortality. Despite a prophylactic vaccine being available, patients already living with CHB often must engage in lifelong therapy with ... ...

    Abstract Chronic hepatitis B (CHB) is a global health challenge that can result in significant liver-related morbidity and mortality. Despite a prophylactic vaccine being available, patients already living with CHB often must engage in lifelong therapy with nucleoside analogues. However, the potential of RNA interference (RNAi) therapeutics as a promising avenue for CHB treatment is being explored. RNAi, particularly using small interfering RNA (siRNA), targets viral RNA that can be used to inhibit hepatitis B virus (HBV) replication. Several candidates are currently being studied and have exhibited varying success in reducing hepatitis B surface antigen (HBsAg) levels, with some showing sustained HBsAg loss after cessation of therapy. The dynamic evolution of RNAi therapy presents a promising trajectory for the development of effective and sustained treatments for CHB. This review highlights recent findings on RNAi therapeutics, including modifications for stability, various delivery vectors, and specific candidates currently in development.
    Language English
    Publishing date 2024-03-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2720891-6
    ISSN 2076-2607
    ISSN 2076-2607
    DOI 10.3390/microorganisms12030599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Acute-on-Chronic Liver Failure: Pathophysiological Mechanisms and Management.

    Khanam, Arshi / Kottilil, Shyam

    Frontiers in medicine

    2021  Volume 8, Page(s) 752875

    Abstract: Acute-on-chronic liver failure (ACLF) is a multifaceted condition with poor treatment options and high short-term mortality. ACLF can develop in patients with or without liver cirrhosis, where patients with decompensated cirrhosis display a higher risk ... ...

    Abstract Acute-on-chronic liver failure (ACLF) is a multifaceted condition with poor treatment options and high short-term mortality. ACLF can develop in patients with or without liver cirrhosis, where patients with decompensated cirrhosis display a higher risk of short-term mortality. Pathophysiological mechanisms include systemic inflammation due to bacterial and fungal infections and acute hepatic insult with drug, alcohol, and viral hepatitis. Cryptogenic factors also contribute to the development of ACLF. The clinical outcome of patients with ACLF gets further complicated by the occurrence of variceal hemorrhage, hepatorenal syndrome, hepatic encephalopathy, and systemic immune dysfunction. Regardless of the better understanding of pathophysiological mechanisms, no specific and definitive treatment is available except for liver transplantation. The recent approach of regenerative medicine using mesenchymal stem cells (MSCs) could be advantageous for the treatment of ACLF as these cells can downregulate inflammatory response by inducing antiinflammatory events and prevent hepatic damage and fibrosis by inhibiting hepatic stellate cell activation and collagen synthesis. Moreover, MSCs are involved in tissue repair by the process of liver regeneration. Considering the broad therapeutic potential of MSCs, it can serve as an alternative treatment to liver transplant in the near future, if promising results are achieved.
    Language English
    Publishing date 2021-11-08
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2021.752875
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: IFNL4

    O'Brien, Thomas R / Lee, Mei-Hsuan / Wilson, Eleanor / Kottilil, Shyam

    Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research

    2023  Volume 43, Issue 9, Page(s) 435–438

    Abstract: Globally, ∼56.8 million people are chronically infected with hepatitis C virus (HCV), with about half residing in Asia. The cost and efficiency of delivering regimens based on direct-acting antiviral agents for HCV are important considerations in ... ...

    Abstract Globally, ∼56.8 million people are chronically infected with hepatitis C virus (HCV), with about half residing in Asia. The cost and efficiency of delivering regimens based on direct-acting antiviral agents for HCV are important considerations in implementing these curative treatments. For sofosbuvir-based regimens, most patients are treated for 12 weeks; however, treatment for 8 weeks has been shown to cure HCV infection in 95% of patients without cirrhosis. Furthermore, virological failure after 8-week treatment occurs in only 1%-2% of individuals without cirrhosis, who have a favorable
    MeSH term(s) Humans ; Sofosbuvir/therapeutic use ; Antiviral Agents/therapeutic use ; Hepacivirus/genetics ; Ribavirin/therapeutic use ; Hepatitis C, Chronic/drug therapy ; Drug Therapy, Combination ; Hepatitis C/drug therapy ; Liver Cirrhosis ; Genotype ; Treatment Outcome ; Interleukins/genetics
    Chemical Substances Sofosbuvir (WJ6CA3ZU8B) ; Antiviral Agents ; Ribavirin (49717AWG6K) ; IFNL4 protein, human ; Interleukins
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Intramural
    ZDB-ID 1226675-9
    ISSN 1557-7465 ; 1079-9907
    ISSN (online) 1557-7465
    ISSN 1079-9907
    DOI 10.1089/jir.2023.0022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Blockade of CCR4 breaks immune tolerance in chronic hepatitis B patients by modulating regulatory pathways.

    Khanam, Arshi / Ghosh, Alip / Chua, Joel V / Kottilil, Shyam

    Journal of translational medicine

    2023  Volume 21, Issue 1, Page(s) 271

    Abstract: Background: Immunotargets including checkpoint inhibitors and toll-like receptor 8 agonists have recently gained attention for the recovery of hepatitis B virus (HBV)-specific T cell exhaustion in chronic hepatitis B(CHB). Chemokine receptors have a ... ...

    Abstract Background: Immunotargets including checkpoint inhibitors and toll-like receptor 8 agonists have recently gained attention for the recovery of hepatitis B virus (HBV)-specific T cell exhaustion in chronic hepatitis B(CHB). Chemokine receptors have a similar significant role during viral infections; however, their role in CHB remains poorly understood. Therefore, in this study we evaluated the role of chemokine receptor 4 (CCR4) in deriving immunosuppression during CHB.
    Methods: We characterized CCR4+CD8+ T cells in CHB and identified their involvement in immunosuppression. Further, we examined if CCR4 blockade with mogamulizumab antibody can recover the functional exhaustion in HBsAg-specific T cells.
    Results: CHB patients exhibit higher frequency of CCR4+CD8+ T cells that increase with higher HBsAg levels and fibrosis scores. In vitro, HBs antigen triggers CCR4 expression. These cells express multiple inhibitory receptors and exhibit immunosuppressive functions by producing excessive immunoregulatory cytokines IL-4, IL-5, IL-10 and TGF-β1. CCR4 Blockade significantly boosted HBsAg-specific antiviral-cytokine production(IFN-γ, TNF-α and IL-21) in T cells through enhancing their proliferation capacity and polarizing these cells towards T helper 1(Th1) and T follicular helper cells(T
    Conclusions: CCR4 blockade reconstitutes antiviral immune response in T cells and limits the immunosuppressive functions of Tregs, representing them as a promising immunotherapeutic target for functional cure of CHB.
    MeSH term(s) Humans ; Hepatitis B, Chronic ; Transforming Growth Factor beta1 ; Hepatitis B Surface Antigens ; Hepatitis B virus ; Cytokines/metabolism ; CD8-Positive T-Lymphocytes ; Antiviral Agents/therapeutic use ; Immune Tolerance
    Chemical Substances Transforming Growth Factor beta1 ; Hepatitis B Surface Antigens ; Cytokines ; Antiviral Agents
    Language English
    Publishing date 2023-04-21
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118570-0
    ISSN 1479-5876 ; 1479-5876
    ISSN (online) 1479-5876
    ISSN 1479-5876
    DOI 10.1186/s12967-023-04104-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Acute-on-Chronic Liver Failure

    Arshi Khanam / Shyam Kottilil

    Frontiers in Medicine, Vol

    Pathophysiological Mechanisms and Management

    2021  Volume 8

    Abstract: Acute-on-chronic liver failure (ACLF) is a multifaceted condition with poor treatment options and high short-term mortality. ACLF can develop in patients with or without liver cirrhosis, where patients with decompensated cirrhosis display a higher risk ... ...

    Abstract Acute-on-chronic liver failure (ACLF) is a multifaceted condition with poor treatment options and high short-term mortality. ACLF can develop in patients with or without liver cirrhosis, where patients with decompensated cirrhosis display a higher risk of short-term mortality. Pathophysiological mechanisms include systemic inflammation due to bacterial and fungal infections and acute hepatic insult with drug, alcohol, and viral hepatitis. Cryptogenic factors also contribute to the development of ACLF. The clinical outcome of patients with ACLF gets further complicated by the occurrence of variceal hemorrhage, hepatorenal syndrome, hepatic encephalopathy, and systemic immune dysfunction. Regardless of the better understanding of pathophysiological mechanisms, no specific and definitive treatment is available except for liver transplantation. The recent approach of regenerative medicine using mesenchymal stem cells (MSCs) could be advantageous for the treatment of ACLF as these cells can downregulate inflammatory response by inducing antiinflammatory events and prevent hepatic damage and fibrosis by inhibiting hepatic stellate cell activation and collagen synthesis. Moreover, MSCs are involved in tissue repair by the process of liver regeneration. Considering the broad therapeutic potential of MSCs, it can serve as an alternative treatment to liver transplant in the near future, if promising results are achieved.
    Keywords acute-on-chronic liver failure ; cirrhosis ; immunopathology ; liver transplantation ; stem cell therapy ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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