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  1. Article ; Online: Protein Profiling of Placental Extracellular Vesicles in Gestational Diabetes Mellitus.

    Kandzija, Neva / Payne, Sophie / Cooke, William R / Seedat, Faheem / Fischer, Roman / Vatish, Manu

    International journal of molecular sciences

    2024  Volume 25, Issue 4

    Abstract: Throughout pregnancy, some degree of insulin resistance is necessary to divert glucose towards the developing foetus. In gestational diabetes mellitus (GDM), insulin resistance is exacerbated in combination with insulin deficiency, causing new-onset ... ...

    Abstract Throughout pregnancy, some degree of insulin resistance is necessary to divert glucose towards the developing foetus. In gestational diabetes mellitus (GDM), insulin resistance is exacerbated in combination with insulin deficiency, causing new-onset maternal hyperglycaemia. The rapid reversal of insulin resistance following delivery strongly implicates the placenta in GDM pathogenesis. In this case-control study, we investigated the proteomic cargo of human syncytiotrophoblast-derived extracellular vesicles (STBEVs), which facilitate maternal-fetal signalling during pregnancy, in a UK-based cohort comprising patients with a gestational age of 38-40 weeks. Medium/large (m/l) and small (s) STBEVs were isolated from GDM (n = 4) and normal (n = 5) placentae using ex vivo dual-lobe perfusion and subjected to mass spectrometry. Bioinformatics were used to identify differentially carried proteins and mechanistic pathways. In m/lSTBEVs, 56 proteins were differently expressed while in sSTBEVs, no proteins reached statistical difference. Differences were also observed in the proteomic cargo between m/lSTBEVs and sSTBEVs, indicating that the two subtypes of STBEVs may have divergent modes of action and downstream effects. In silico functional enrichment analysis of differentially expressed proteins in m/lSTBEVs from GDM and normal pregnancy found positive regulation of cytoskeleton organisation as the most significantly enriched biological process. This work presents the first comparison of two populations of STBEVs' protein cargos (m/l and sSTBEVs) from GDM and normal pregnancy isolated using placenta perfusion. Further investigation of differentially expressed proteins may contribute to an understanding of GDM pathogenesis and the development of novel diagnostic and therapeutic tools.
    MeSH term(s) Pregnancy ; Humans ; Female ; Infant ; Placenta/metabolism ; Diabetes, Gestational/metabolism ; Insulin Resistance/physiology ; Proteomics/methods ; Case-Control Studies ; Extracellular Vesicles/metabolism
    Language English
    Publishing date 2024-02-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms25041947
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Post-primary pulmonary TB haemoptysis - When there is more than meets the eye.

    Seedat, Ubaid Feroze / Seedat, Faheem

    Respiratory medicine case reports

    2018  Volume 25, Page(s) 96–99

    Abstract: Haemoptysis is concerning for both patient and healthcare provider and points to the presence of severe underlying lung disease warranting investigation. Approximately 8% of patients with pulmonary tuberculosis (PTB) infection will experience haemoptysis ...

    Abstract Haemoptysis is concerning for both patient and healthcare provider and points to the presence of severe underlying lung disease warranting investigation. Approximately 8% of patients with pulmonary tuberculosis (PTB) infection will experience haemoptysis at some point during their life
    Language English
    Publishing date 2018-07-29
    Publishing country England
    Document type Case Reports
    ZDB-ID 2666110-X
    ISSN 2213-0071
    ISSN 2213-0071
    DOI 10.1016/j.rmcr.2018.07.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Neuropsychiatric symptoms in a patient with Cushing's syndrome.

    Daya, Reyna / Seedat, Faheem / Blomerus, Emilia / Bulbulia, Saajidah / Bayat, Zaheer

    The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

    2022  Volume 28, Page(s) 1706

    Abstract: Cushing's syndrome (CS) may present with different neurological and/or psychiatric symptoms including anxiety, depression, cognitive impairment and psychosis. Psychosis is a rare clinical manifestation, with literature limited to case reports. We report ... ...

    Abstract Cushing's syndrome (CS) may present with different neurological and/or psychiatric symptoms including anxiety, depression, cognitive impairment and psychosis. Psychosis is a rare clinical manifestation, with literature limited to case reports. We report a case of a 52-year-old woman with psychosis secondary to CS who was mis-diagnosed as schizophrenia-like psychosis. This case highlights the importance of considering CS as a differential when ruling out medical causes in patients with either new or persistent mental health disturbances.
    Language English
    Publishing date 2022-01-18
    Publishing country South Africa
    Document type Case Reports
    ISSN 1608-9685
    ISSN 1608-9685
    DOI 10.4102/sajpsychiatry.v28i0.1706
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Secondary hypertension: An update on the diagnosis and localisation of a pheochromocytoma or paraganglioma.

    Siddiqui, Nida / Daya, Reyna / Seedat, Faheem / Bulbulia, Saajidah / Bayat, Zaheer

    South African family practice : official journal of the South African Academy of Family Practice/Primary Care

    2021  Volume 63, Issue 1, Page(s) e1–e6

    Abstract: Most cases of hypertension are because of essential hypertension, however 5% - 15% of cases can be a result of a secondary cause. In this article, we focus on the endocrine causes of secondary hypertension with a particular focus on pheochromocytomas ( ... ...

    Abstract Most cases of hypertension are because of essential hypertension, however 5% - 15% of cases can be a result of a secondary cause. In this article, we focus on the endocrine causes of secondary hypertension with a particular focus on pheochromocytomas (PCCs) and paragangliomas (PGLs). Around 15 endocrine disorders can initially present with hypertension. Amongst those PCCs and PGLs are rare but potentially life-threatening causes. An early diagnosis and timely referral can be life-saving. Herein, we present an approach for screening and diagnosis of these patients and focus on the importance of genetic testing.
    MeSH term(s) Adrenal Gland Neoplasms/diagnosis ; Genetic Testing ; Humans ; Hypertension/diagnosis ; Paraganglioma/diagnosis ; Pheochromocytoma/diagnosis
    Language English
    Publishing date 2021-07-14
    Publishing country South Africa
    Document type Journal Article
    ISSN 2078-6204
    ISSN (online) 2078-6204
    DOI 10.4102/safp.v63i1.5277
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: LIPID AND LIPOPROTEIN LEVELS IN HIV-INFECTED ADULTS WITH SEPSIS COMPARED TO HEALTHY HIV- INFECTED CONTROLS.

    Seedat, Faheem / Raal, Frederick / Martinson, Neil / Variava, Ebrahim

    African journal of infectious diseases

    2020  Volume 14, Issue 2, Page(s) 1–9

    Abstract: Background: In acute sepsis, reduced lipid and lipoprotein levels occur in HIV negative patients, in particular, low high-density lipoprotein cholesterol (HDL-c) levels are inversely correlated with sepsis severity and increased mortality. However, due ... ...

    Abstract Background: In acute sepsis, reduced lipid and lipoprotein levels occur in HIV negative patients, in particular, low high-density lipoprotein cholesterol (HDL-c) levels are inversely correlated with sepsis severity and increased mortality. However, due to the limited data describing lipid and lipoprotein levels in septic HIV-infected individuals we aimed to investigate the changes in this subgroup.
    Materials and methods: A prospective cross-sectional observational study of HIV-infected patients comparing admitted HIV - infected patients with sepsis to healthy controls from the antiretroviral therapy (ART) clinic. Non fasting - lipograms, ART use, diagnosis of tuberculosis (TB), markers of infection, renal function and mortality outcome to 3 months post discharge were reviewed.
    Results: Total cholesterol (TC), low-density lipoprotein (LDL-c) and HDL-c were all significantly lower in the sepsis group (p < 0.001). HDL-c was significantly associated with a higher white cell count (p = 0.018), higher C- reactive protein (p = 0.036) and low serum albumin (p < 0.001). In those with active TB (55%) HDL-c was reduced even further (0.55 vs. 0.72mmol/L, p = 0.013). Acute kidney injury (p = 0.560) and mortality at discharge (p = 0.097) or 3 months follow up (p = 0.953) was not associated with reduced HDL-c.
    Conclusion: Septic HIV-infected patients had significantly reduced lipid and lipoprotein levels at admission. Of note however, a low HDL-c was associated with markers of infection and reductions in HDL-c was more marked in those with active TB.
    Language English
    Publishing date 2020-07-31
    Publishing country Nigeria
    Document type Journal Article
    ISSN 2006-0165
    ISSN 2006-0165
    DOI 10.21010/ajid.v14i2.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Novel therapies for familial hypercholesterolemia.

    Mohamed, Farzahna / Seedat, Faheem / Raal, Frederick J

    Current opinion in endocrinology, diabetes, and obesity

    2020  Volume 28, Issue 2, Page(s) 188–195

    Abstract: Purpose of review: Familial hypercholesterolemia is a genetic disorder of defective clearance and subsequent increase in serum LDL cholesterol (LDL-C) with a resultant increased risk of premature atherosclerotic cardiovascular disease. Despite treatment ...

    Abstract Purpose of review: Familial hypercholesterolemia is a genetic disorder of defective clearance and subsequent increase in serum LDL cholesterol (LDL-C) with a resultant increased risk of premature atherosclerotic cardiovascular disease. Despite treatment with traditional lipid-lowering therapies (LLT), most patients with familial hypercholesterolemia are unable to achieve target LDL-C. We review current and future novel therapeutic options available for familial hypercholesterolemia.
    Recent findings: The use of proprotein convertase subtilisin kexin type 9 (PCSK9) inhibitors are effective in lowering LDL-C in patients with familial hypercholesterolemia, with a reduction in LDL-C of 60% in heterozygous familial hypercholesterolemia (HeFH) and up to 35% in homozygous familial hypercholesterolemia (HoFH). Inclisiran, another novel agent, is a small-interfering ribonucleic acid that reduces hepatic production of PCSK9 to provide a prolonged and sustained reduction in LDL-C of nearly 50% in HeFH. However, both agents require LDL receptor (LDLR) activity. Evinacumab, a novel monoclonal antibody against angiopoetin-like 3 (ANGPTL3), reduces LDL-C by 50% independent of LDLR activity.
    Summary: Achieving a target LDL-C in familial hypercholesterolemia can be challenging with standard LLT; however, novel therapeutic modalities show remarkable reductions in LDL-C allowing nearly all patients with HeFH and a significant proportion of patients with HoFH to achieve acceptable LDL-C levels.
    MeSH term(s) Angiopoietin-Like Protein 3 ; Angiopoietin-like Proteins ; Anticholesteremic Agents/therapeutic use ; Atherosclerosis ; Cholesterol, LDL ; Humans ; Hyperlipoproteinemia Type II/drug therapy ; Hyperlipoproteinemia Type II/genetics ; Proprotein Convertase 9/genetics
    Chemical Substances ANGPTL3 protein, human ; Angiopoietin-Like Protein 3 ; Angiopoietin-like Proteins ; Anticholesteremic Agents ; Cholesterol, LDL ; PCSK9 protein, human (EC 3.4.21.-) ; Proprotein Convertase 9 (EC 3.4.21.-)
    Language English
    Publishing date 2020-11-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2272017-0
    ISSN 1752-2978 ; 1752-296X
    ISSN (online) 1752-2978
    ISSN 1752-296X
    DOI 10.1097/MED.0000000000000590
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Acromegaly with empty sella syndrome.

    Daya, Reyna / Seedat, Faheem / Purbhoo, Khushica / Bulbulia, Saajidah / Bayat, Zaheer

    Endocrinology, diabetes & metabolism case reports

    2021  Volume 2021

    Abstract: Summary: Acromegaly is a rare, chronic progressive disorder with characteristic clinical features caused by persistent hypersecretion of growth hormone (GH), mostly from a pituitary adenoma (95%). Occasionally, ectopic production of GH or growth hormone- ...

    Abstract Summary: Acromegaly is a rare, chronic progressive disorder with characteristic clinical features caused by persistent hypersecretion of growth hormone (GH), mostly from a pituitary adenoma (95%). Occasionally, ectopic production of GH or growth hormone-releasing hormone (GHRH) with resultant GH hypersecretion may lead to acromegaly. Sometimes localizing the source of GH hypersecretion may prove difficult. Rarely, acromegaly has been found in patients with an empty sella (ES) secondary to prior pituitary radiation and/or surgery. However, acromegaly in patients with primary empty sella (PES) is exceeding rarely and has only been described in a few cases. We describe a 47-year-old male who presented with overt features of acromegaly (macroglossia, prognathism, increased hand and feet size). Biochemically, both the serum GH (21.6 μg/L) and insulin-like growth factor 1 (635 μg/L) were elevated. In addition, there was a paradoxical elevation of GH following a 75 g oral glucose load. Pituitary MRI demonstrated an ES. In order to exclude an ectopic source of GH hypersecretion, further biochemical tests and imaging were done, which were unremarkable. Notably, increased uptake in the sella turcica on the 68Gallium DOTATATE PET/CT confirmed the ES as the likely source of GH secretion. As no overt lesion was noted, medical treatment (octreotide acetate) was initiated with a good clinical and biochemical response. At his 3 month follow-up, he reported an improvement in symptoms (fatigue and headache), however he still complained of low libido. Due to a persistently low testosterone level at follow-up, a long-acting testosterone was initiated. His GH level normalised, and IGF-1 has significantly reduced.
    Learning points: The commonest cause of acromegaly is due to GH hypersecretion from pituitary adenomas (95%). Acromegaly has rarely been found in patients with ES. It is important to exclude a past history suggestive of pituitary apoplexy. Extra-pituitary source of GH such as ectopic production of GHRH with resultant GH hypersecretion needs to be excluded. In such cases, since there is no resectable mass, medical therapy is the primary treatment option.
    Language English
    Publishing date 2021-07-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2785530-2
    ISSN 2052-0573
    ISSN 2052-0573
    DOI 10.1530/EDM-21-0049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Secondary hypertension

    Nida Siddiqui / Reyna Daya / Faheem Seedat / Saajidah Bulbulia / Zaheer Bayat

    South African Family Practice, Vol 63, Iss 1, Pp e1-e

    An update on the diagnosis and localisation of a pheochromocytoma or paraganglioma

    2021  Volume 6

    Abstract: Most cases of hypertension are because of essential hypertension, however 5% – 15% of cases can be a result of a secondary cause. In this article, we focus on the endocrine causes of secondary hypertension with a particular focus on pheochromocytomas ( ... ...

    Abstract Most cases of hypertension are because of essential hypertension, however 5% – 15% of cases can be a result of a secondary cause. In this article, we focus on the endocrine causes of secondary hypertension with a particular focus on pheochromocytomas (PCCs) and paragangliomas (PGLs). Around 15 endocrine disorders can initially present with hypertension. Amongst those PCCs and PGLs are rare but potentially life-threatening causes. An early diagnosis and timely referral can be life-saving. Herein, we present an approach for screening and diagnosis of these patients and focus on the importance of genetic testing.
    Keywords secondary hypertension ; endocrine ; pheochromocytoma ; paraganglioma ; screening ; normetanephrines ; metanephrines ; succinate dehydrogenase ; Medicine ; R
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher AOSIS
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: Hypoparathyroidism Causing Seizures: When Epilepsy Does Not Fit.

    Seedat, Faheem / Daya, Reyna / Bhana, Sindeep A

    Case reports in medicine

    2018  Volume 2018, Page(s) 5948254

    Abstract: A 24-year-old man presented to the Chris Hani Baragwanath Academic Hospital emergency department with recurrent seizures having previously been diagnosed with epilepsy from age 14. The biochemical investigations and brain imaging were suggestive of ... ...

    Abstract A 24-year-old man presented to the Chris Hani Baragwanath Academic Hospital emergency department with recurrent seizures having previously been diagnosed with epilepsy from age 14. The biochemical investigations and brain imaging were suggestive of seizures secondary to hypocalcemia, and a diagnosis of idiopathic hypoparathyroidism was confirmed. After calcium and vitamin D replacement, the patient recovered well and is seizure free, and off antiepileptic therapy. This case highlights the occurrence of brain calcinosis in idiopathic hypoparathyroidism; the occurrence of acute symptomatic seizures due to provoking factors other than epilepsy; and the importance, in the correct clinical setting, of considering alternative, and sometimes treatable, causes of seizures other than epilepsy.
    Language English
    Publishing date 2018-04-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2502642-2
    ISSN 1687-9635 ; 1687-9627
    ISSN (online) 1687-9635
    ISSN 1687-9627
    DOI 10.1155/2018/5948254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Cryptogenic Cushing Syndrome Due to a White Lie.

    Hesse, Reinhardt / Seedat, Faheem / Raal, Frederick J / Snyman, Tracy / George, Jaya A

    Clinical chemistry

    2020  Volume 66, Issue 5, Page(s) 658–663

    MeSH term(s) Adult ; Blacks ; Cushing Syndrome/chemically induced ; Cushing Syndrome/diagnosis ; Dexamethasone/adverse effects ; Female ; Humans ; Skin Lightening Preparations/adverse effects
    Chemical Substances Skin Lightening Preparations ; Dexamethasone (7S5I7G3JQL)
    Language English
    Publishing date 2020-04-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 80102-1
    ISSN 1530-8561 ; 0009-9147
    ISSN (online) 1530-8561
    ISSN 0009-9147
    DOI 10.1093/clinchem/hvaa035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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