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  1. Article ; Online: The additive effects of nicotinamide mononucleotide and melatonin on mitochondrial biogenesis and fission/fusion, autophagy, and microRNA-499 in the aged rat heart with reperfusion injury.

    Mokhtari, Behnaz / Hosseini, Leila / Høilund-Carlsen, Poul Flemming / Salehinasab, Raheleh / Rajabi, Mojgan / Badalzadeh, Reza

    Naunyn-Schmiedeberg's archives of pharmacology

    2023  Volume 396, Issue 8, Page(s) 1701–1711

    Abstract: The prognosis of myocardial ischemia/reperfusion (I/R) injury is poor in elderly patients. Aging increases the susceptibility of the heart to cell death from I/R injury and prevents the optimal effectiveness of cardioprotective modalities. Since the ... ...

    Abstract The prognosis of myocardial ischemia/reperfusion (I/R) injury is poor in elderly patients. Aging increases the susceptibility of the heart to cell death from I/R injury and prevents the optimal effectiveness of cardioprotective modalities. Since the interaction of aging with cardioprotection is multifactorial, combination therapy may overcome the above-mentioned burden through correcting various components of the injury. Here, we explored the effects of nicotinamide mononucleotide (NMN)/melatonin combination therapy on mitochondrial biogenesis and fission/fusion, autophagy, and microRNA-499 in the aged rat heart with reperfusion injury. Ex vivo model of myocardial I/R injury was established by coronary occlusion and re-opening in 30 aged male Wistar rats (400-450 g, 22-24 months old). NMN (100 mg/kg/48 h, intraperitoneally) was administered over 28 days before I/R, and melatonin (50 µM) was added to the perfusion solution at early reperfusion. CK-MB release and expression of mitochondrial biogenesis genes and proteins, mitochondrial fission/fusion proteins, autophagy genes, and microRNA-499 were assessed. NMN/melatonin combination therapy concomitantly decreased CK-MB release in aged reperfused hearts (P < .001). It also upregulated SIRT1/PGC-1α/Nrf1/TFAM profiles at both gene and protein levels, Mfn2 protein, and microRNA-499 expression, and downregulated Drp1 protein and Beclin1, LC3, and p62 genes (P < .05 to P < .001). The effect of combination therapy was greater than individual ones. Co-application of NMN/melatonin within the setting of I/R injury in the aged rat heart induced noticeable cardioprotection through modulation of a coordinated network including microRNA-499 expression along with mitochondrial biogenesis associated with SIRT1/PGC-1α/Nrf1/TFAM profiles, mitochondrial fission/fusion, and autophagy, therefore, appears to prevent the burden of myocardial I/R injury in elderly patients.
    MeSH term(s) Rats ; Animals ; Male ; Melatonin/pharmacology ; Melatonin/therapeutic use ; Nicotinamide Mononucleotide/pharmacology ; Nicotinamide Mononucleotide/therapeutic use ; Sirtuin 1/genetics ; Sirtuin 1/metabolism ; Organelle Biogenesis ; Rats, Wistar ; Reperfusion Injury ; Myocardial Reperfusion Injury/drug therapy ; Myocardial Reperfusion Injury/genetics ; Myocardial Reperfusion Injury/prevention & control ; Autophagy ; MicroRNAs/genetics
    Chemical Substances Melatonin (JL5DK93RCL) ; Nicotinamide Mononucleotide (1094-61-7) ; Sirtuin 1 (EC 3.5.1.-) ; MicroRNAs ; MIRN499 microRNA, rat
    Language English
    Publishing date 2023-02-18
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 121471-8
    ISSN 1432-1912 ; 0028-1298
    ISSN (online) 1432-1912
    ISSN 0028-1298
    DOI 10.1007/s00210-023-02383-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Melatonin/nicotinamide mononucleotide/ubiquinol: a cocktail providing superior cardioprotection against ischemia/reperfusion injury in a common co-morbidities modelled rat.

    Mokhtari, Behnaz / Høilund-Carlsen, Poul Flemming / Chodari, Leila / Yasami, Masoud / Badalzadeh, Reza / Ghaffari, Samad

    Molecular biology reports

    2023  Volume 50, Issue 4, Page(s) 3525–3537

    Abstract: Background: The metabolic and intracellular abnormalities in aging and diabetes cause loss of cardioprotection by routine interventions against myocardial ischemia/reperfusion (I/R) injury. We aimed to evaluate the possible interaction of aging and type- ...

    Abstract Background: The metabolic and intracellular abnormalities in aging and diabetes cause loss of cardioprotection by routine interventions against myocardial ischemia/reperfusion (I/R) injury. We aimed to evaluate the possible interaction of aging and type-2 diabetes mellitus with cardioprotection and the potential protective effect of a mitochondrial cocktail (melatonin/nicotinamide mononucleotide (NMN)/ubiquinol) on myocardial I/R injury in aged diabetic rats.
    Methods: Male Wistar rats (n = 108, 22-24 months old, 400-450 g) received high-fat diet/low dose of streptozotocin to induce type-2 diabetes, then were randomized into 9 groups of 12 rats each with/without I/R and/or melatonin, NMN, and ubiquinol, alone or in dual or triple combinations. Myocardial I/R was induced by LAD occlusion for 30 min followed by 24 h reperfusion. NMN (100 mg/kg/48 h, intraperitoneally) was administered for 28 days before I/R operation. Melatonin (10 mg/kg, intraperitoneally) and/or ubiquinol (30 mg/kg, intravenously) were administered at early reperfusion. Finally, hemodynamic index changes, infarct size, CK-MB levels, mitochondrial functional endpoints, and expression of mitochondrial biogenesis genes (SIRT-1/PGC-1α/NRF-2/TFAM) were assessed.
    Results: The solo and dual applications of melatonin, NMN, and ubiquinol did not exert remarkable cardioprotective impacts. However, the triple combination improved myocardial function and decreased infarct size and CK-MB levels following myocardial I/R (P < .05 to P < .01). It also improved mitochondrial function and restored mitochondrial biogenesis genes (P < .01).
    Conclusions: Combination therapy with melatonin, NMN, and ubiquinol exerted significant cardioprotection and improved mitochondrial function and biogenesis via upregulation of SIRT-1/PGC-1α/NRF-2/TFAM profiles in aged diabetic rats and, thus, offers a promising strategy for providing noticeable cardioprotection against I/R injury also in aged diabetic patients.
    MeSH term(s) Rats ; Male ; Animals ; Melatonin/pharmacology ; Melatonin/therapeutic use ; Nicotinamide Mononucleotide/pharmacology ; Nicotinamide Mononucleotide/therapeutic use ; Diabetes Mellitus, Experimental/drug therapy ; Rats, Wistar ; Myocardial Ischemia ; Myocardial Reperfusion Injury/drug therapy ; Myocardial Reperfusion Injury/prevention & control ; Myocardial Reperfusion Injury/metabolism ; Diabetes Mellitus, Type 2/drug therapy ; Infarction/drug therapy ; Morbidity ; Ischemia
    Chemical Substances Melatonin (JL5DK93RCL) ; Nicotinamide Mononucleotide (1094-61-7) ; ubiquinol (M9NL0C577Y)
    Language English
    Publishing date 2023-02-14
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 186544-4
    ISSN 1573-4978 ; 0301-4851
    ISSN (online) 1573-4978
    ISSN 0301-4851
    DOI 10.1007/s11033-022-08189-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Can Target-to-Background Ratio Measurement Lead to Detection and Accurate Quantification of Atherosclerosis With FDG PET? Likely Not.

    Alavi, Abass / Werner, Thomas J / Høilund-Carlsen, Poul Flemming / Revheim, Mona-Elisabeth

    Clinical nuclear medicine

    2022  Volume 47, Issue 6, Page(s) 532–536

    Abstract: Abstract: The introduction of FDG in 1976 started a new discipline and enhanced the role of molecular imaging in medicine. While the initial intent with this tracer was to determine brain function in a variety of neuropsychiatric disorders, over time, ... ...

    Abstract Abstract: The introduction of FDG in 1976 started a new discipline and enhanced the role of molecular imaging in medicine. While the initial intent with this tracer was to determine brain function in a variety of neuropsychiatric disorders, over time, this powerful approach has made a major impact on managing many other diseases and disorders. During the past 2 decades, FDG PET has been used to detect inflammatory lesions in the atherosclerotic plaques and in other settings. However, the suboptimal spatial resolution of PET limits its ability to visualize plaques that are very small in size. Furthermore, this tracer remains in the blood for an extended period and therefore provides suboptimal results. Target-to-background ratio (TBR) has been suggested to correct for this source of error. Unfortunately, TBR values vary substantially, depending on the timing of image acquisition. Delayed imaging at later time points (3-4 hours) may obviate the need for TBR measurement, but it is impractical with conventional PET instruments. Recently, 18F-sodium fluoride (NaF) has been used for detection and quantification of molecular calcification in the plaques. This tracer is highly specific for calcification and is rapidly cleared from the circulation. In addition, global atherosclerotic burden as measured by NaF PET can be determined accurately either in the heart or major arteries throughout the body. Therefore, the role of FDG PET-based TBR measurement for detection and quantification of atherosclerotic plaques is questionable at this time.
    MeSH term(s) Atherosclerosis/diagnostic imaging ; Calcinosis ; Fluorodeoxyglucose F18 ; Humans ; Plaque, Atherosclerotic/diagnostic imaging ; Positron-Emission Tomography/methods ; Radiopharmaceuticals ; Sodium Fluoride
    Chemical Substances Radiopharmaceuticals ; Fluorodeoxyglucose F18 (0Z5B2CJX4D) ; Sodium Fluoride (8ZYQ1474W7)
    Language English
    Publishing date 2022-04-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197628-x
    ISSN 1536-0229 ; 0363-9762
    ISSN (online) 1536-0229
    ISSN 0363-9762
    DOI 10.1097/RLU.0000000000004131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Utility of 18 F-NaF-Positron Emission Tomography/Computed Tomography in Measuring the Metabolic Activity of the Aging Spine : Implications for Osteoporosis.

    Park, Peter Sang Uk / Resto, David A / Khurana, Navpreet / Raynor, William Y / Werner, Thomas J / Høilund-Carlsen, Poul Flemming / Alavi, Abass

    Spine

    2023  Volume 48, Issue 15, Page(s) 1064–1071

    Abstract: Study design: Cross-sectional; observational.: Objectives: To determine whether sodium fluoride (NaF) positron emission tomography/computed tomography (PET/CT) can be used to monitor decreased bone turnover with aging in the spine.: Background: ... ...

    Abstract Study design: Cross-sectional; observational.
    Objectives: To determine whether sodium fluoride (NaF) positron emission tomography/computed tomography (PET/CT) can be used to monitor decreased bone turnover with aging in the spine.
    Background: Osteoporosis is characterized by structural changes in the bone such as decreased bone mineral density leading to an increased risk for fractures. An imaging modality capable of identifying molecular changes that precede these structural changes could be critical for the early diagnosis and monitoring of osteoporosis and other metabolic bone disorders.
    Materials and methods: The potential of 18 F-sodium fluoride (NaF)-PET/CT in detecting changes in bone turnover associated with aging was examined in the lumbar spine of 88 healthy volunteers (43 females, 45 males; mean age 44.6 yr). Regions of interest equal to the trabecular body of the L1 to L4 vertebrae were used to calculate the mean standardized uptake value (SUVmean) and average Hounsfield unit (HU) values. Receiver-operating characteristic curve analysis with an area under the curve using the Wilson/Brown method was generated to assess the value of NaF uptake (SUVmean) in predicting osteoporosis as defined by HU-threshold values. To determine the correlation among global SUVmean, mean HU values, and age, the Spearman correlation test was performed on images acquired at 90 minutes postinjection.
    Results: There was a significant negative correlation between NaF SUVmean and age in females ( P < 0.0001, r = -0.59), and a weaker, but also significant correlation in males ( P = 0.03, r = -0.32). In females only, there was a significant correlation between NaF uptake and age at all acquisition time points. Measured NaF uptake increased by 10% to 15% with acquisition time in both sexes, from 45 to 90 minutes and from 90 to 180 minutes.
    Conclusions: NaF-PET/CT detects decreased vertebral bone turnover with aging, particularly in females. Measured NaF uptake increased with PET acquisition time after tracer injection, which must be considered in follow-up studies monitoring disease development and treatment effects.
    MeSH term(s) Male ; Female ; Humans ; Adult ; Positron Emission Tomography Computed Tomography/methods ; Sodium Fluoride ; Cross-Sectional Studies ; Fluorine Radioisotopes/chemistry ; Aging ; Spine/diagnostic imaging ; Osteoporosis/diagnostic imaging
    Chemical Substances Sodium Fluoride (8ZYQ1474W7) ; Fluorine Radioisotopes
    Language English
    Publishing date 2023-03-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 752024-4
    ISSN 1528-1159 ; 0362-2436
    ISSN (online) 1528-1159
    ISSN 0362-2436
    DOI 10.1097/BRS.0000000000004640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Risk of cancer and serious disease in Danish patients with urgent referral for serious non-specific symptoms and signs of cancer in Funen 2014-2021.

    Grønnemose, Rasmus Birkholm / Hansen, Per Syrak / Worsøe Laursen, Søren / Gerke, Oke / Kjellberg, Jakob / Lykkegaard, Jesper / Thye-Rønn, Clara / Høilund-Carlsen, Poul Flemming / Thye-Rønn, Peter

    British journal of cancer

    2024  Volume 130, Issue 8, Page(s) 1304–1315

    Abstract: Background: In 2011, as the first European country, Denmark introduced the non-organ-specific cancer patient pathway (CPP) for patients presenting with non-specific symptoms and signs of cancer (NSSC). The proportion of patients with cancer over time is ...

    Abstract Background: In 2011, as the first European country, Denmark introduced the non-organ-specific cancer patient pathway (CPP) for patients presenting with non-specific symptoms and signs of cancer (NSSC). The proportion of patients with cancer over time is unknown.
    Methods: A retrospective cohort study of all patients with a NSSC-CPP investigational course in the province of Funen to the Diagnostic Centre in Svendborg from 2014 to 2021 was performed to evaluate the proportion of patients with cancer and serious disease over time.
    Results: A total of 6698 patients were referred to the NSSC-CPP of which 20.2% had cancer. While the crude referral rate increased from 114 per 100,000 people in 2014 and stabilised to around 214 in 2017-2021, the cancer detection rate of the total yearly new cancers in Funen diagnosed through the NSSC-CPP in DC Svendborg increased from 3 to 6%.
    Conclusions: With now high and stable conversion and crude referral rates, the NSSC-CPP is one of the largest CPPs in Denmark as measured by the number of new cancer cases found. Similar urgent referral programmes in other countries might fill an unmet medical need for patients presenting with serious non-specific symptoms and signs of cancer in general practice.
    MeSH term(s) Humans ; Retrospective Studies ; Early Detection of Cancer ; Neoplasms/diagnosis ; Neoplasms/epidemiology ; Referral and Consultation ; Denmark/epidemiology
    Language English
    Publishing date 2024-02-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 80075-2
    ISSN 1532-1827 ; 0007-0920
    ISSN (online) 1532-1827
    ISSN 0007-0920
    DOI 10.1038/s41416-024-02620-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Letter from the Guest Editors.

    Alavi, Abass / Høilund-Carlsen, Poul Flemming

    Seminars in nuclear medicine

    2018  Volume 48, Issue 6, Page(s) 485–487

    MeSH term(s) Geriatrics ; Humans ; Nuclear Medicine
    Language English
    Publishing date 2018-10-15
    Publishing country United States
    Document type Editorial
    ZDB-ID 120248-0
    ISSN 1558-4623 ; 0001-2998
    ISSN (online) 1558-4623
    ISSN 0001-2998
    DOI 10.1053/j.semnuclmed.2018.10.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Critical review of PET imaging for detection and characterization of the atherosclerotic plaques with emphasis on limitations of FDG-PET compared to NaF-PET in this setting.

    Alavi, Abass / Werner, Thomas J / Raynor, William / Høilund-Carlsen, Poul Flemming / Revheim, Mona-Elisabeth

    American journal of nuclear medicine and molecular imaging

    2021  Volume 11, Issue 5, Page(s) 337–351

    Abstract: Applications of various positron emission tomography (PET) tracers for assessing atherosclerosis have been evolving over the years. ...

    Abstract Applications of various positron emission tomography (PET) tracers for assessing atherosclerosis have been evolving over the years.
    Language English
    Publishing date 2021-10-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2623515-8
    ISSN 2160-8407
    ISSN 2160-8407
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Two-year change in 18F-sodium fluoride uptake in major arteries of healthy subjects and angina pectoris patients.

    Piri, Reza / Lici, Gauher / Riyahimanesh, Pooriya / Gerke, Oke / Alavi, Abass / Høilund-Carlsen, Poul Flemming

    The international journal of cardiovascular imaging

    2021  Volume 37, Issue 10, Page(s) 3115–3126

    Abstract: To examine 2-year changes in carotid and ... ...

    Abstract To examine 2-year changes in carotid and aortic
    MeSH term(s) Angina Pectoris/diagnostic imaging ; Carotid Arteries ; Fluorine Radioisotopes ; Healthy Volunteers ; Humans ; Positron Emission Tomography Computed Tomography ; Predictive Value of Tests ; Sodium ; Sodium Fluoride
    Chemical Substances Fluorine Radioisotopes ; Sodium Fluoride (8ZYQ1474W7) ; Sodium (9NEZ333N27)
    Language English
    Publishing date 2021-05-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2055311-0
    ISSN 1875-8312 ; 1573-0743 ; 1569-5794 ; 0167-9899
    ISSN (online) 1875-8312 ; 1573-0743
    ISSN 1569-5794 ; 0167-9899
    DOI 10.1007/s10554-021-02263-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: PET-CT-MR Imaging-Based Cardiovascular Imaging.

    Høilund-Carlsen, Poul Flemming / Alavi, Abass / Moghbel, Mateen C / Salavati, Ali

    PET clinics

    2019  Volume 14, Issue 2, Page(s) xiii–xv

    Language English
    Publishing date 2019-02-10
    Publishing country United States
    Document type Editorial
    ZDB-ID 2764575-7
    ISSN 1879-9809 ; 1556-8598
    ISSN (online) 1879-9809
    ISSN 1556-8598
    DOI 10.1016/j.cpet.2019.01.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Low-Dose Radiation to COVID-19 Patients to Ease the Disease Course and Reduce the Need of Intensive Care.

    Høilund-Carlsen, Poul Flemming / Braad, Poul-Erik / Gerke, Oke / Iversen, Kasper Karmark / Vach, Werner

    Journal of nuclear medicine : official publication, Society of Nuclear Medicine

    2020  Volume 61, Issue 12, Page(s) 1724–1725

    MeSH term(s) COVID-19 ; Critical Care ; Disease ; Humans ; Pandemics ; Radiation ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80272-4
    ISSN 1535-5667 ; 0097-9058 ; 0161-5505 ; 0022-3123
    ISSN (online) 1535-5667
    ISSN 0097-9058 ; 0161-5505 ; 0022-3123
    DOI 10.2967/jnumed.120.251892
    Database MEDical Literature Analysis and Retrieval System OnLINE

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