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  1. Article: Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis.

    Williams, Ryan / Natkulasingam, Sagana / Tooke, Beatrice / Webster, Ella / Quirk, Alan / Gupta, Veenu / French, Paul / Smith, Jo / Crawford, Mike J

    BJPsych bulletin

    2021  Volume 46, Issue 3, Page(s) 140–147

    Abstract: Aims and methods: To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in 'good health' ... ...

    Abstract Aims and methods: To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in 'good health' according to seven measures, and one composite measure derived from national standards, were compared between multiple rounds of data collection.
    Results: The proportion of patients in overall 'good health' under the care of 'Early Intervention in Psychosis' teams increased from 2014-2019, particularly for measures of smoking, alcohol and substance use. There was no overall change in the proportion of patients in overall 'good health' under the care of 'Community Mental Health Teams' from 2011-2017. However, there were improvements in alcohol use, blood glucose and lipid levels.
    Clinical implications: There have been modest improvements in the health of people with psychosis over the last nine years. Continuing efforts are required to translate these improvements into reductions in premature mortality.
    Language English
    Publishing date 2021-02-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2021.38
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The making of a new medical school.

    Tooke, J E

    Hospital medicine (London, England : 1998)

    2001  Volume 62, Issue 11, Page(s) 660–661

    MeSH term(s) Curriculum ; Education, Medical, Undergraduate/organization & administration ; England ; Humans ; Schools, Medical/organization & administration ; Schools, Medical/supply & distribution
    Language English
    Publishing date 2001-11
    Publishing country England
    Document type Editorial
    ZDB-ID 604229-6
    ISSN 1462-3935 ; 0007-1064
    ISSN 1462-3935 ; 0007-1064
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Multiple skin lesions on a background of hypergammaglobulinaemia.

    Schauer, A / Wood, B A / Tan, E / Tai, A / McLean-Tooke, A / Crawford, J / Harvey, N T

    Clinical and experimental dermatology

    2018  Volume 44, Issue 7, Page(s) 787–790

    MeSH term(s) Asia, Southeastern/ethnology ; C-Reactive Protein/analysis ; Diagnosis, Differential ; Humans ; Hypergammaglobulinemia/blood ; Male ; Plasma Cells/pathology ; Plasmacytoma/ethnology ; Plasmacytoma/pathology ; Skin Diseases/pathology
    Chemical Substances C-Reactive Protein (9007-41-4)
    Language English
    Publishing date 2018-11-25
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 195504-4
    ISSN 1365-2230 ; 0307-6938
    ISSN (online) 1365-2230
    ISSN 0307-6938
    DOI 10.1111/ced.13837
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Possible pathophysiological mechanisms for diabetic angiopathy in type 2 diabetes.

    Tooke, J E

    Journal of diabetes and its complications

    2000  Volume 14, Issue 4, Page(s) 197–200

    Abstract: The expression of large and small vessel disease in type 2 diabetes differs from that observed in type 1, with a higher prevalence of atherosclerosis and hypertension, maculopathy rather than proliferative retinopathy, and nephropathy of a more complex ... ...

    Abstract The expression of large and small vessel disease in type 2 diabetes differs from that observed in type 1, with a higher prevalence of atherosclerosis and hypertension, maculopathy rather than proliferative retinopathy, and nephropathy of a more complex nature. Such differences are mirrored by differences in vascular pathophysiology with an early impairment of microvascular vasodilatory reserve being a prominent feature. The defect appears to be endothelium dependent and in conjunction with evidence of endothelium activation suggests that the endothelium plays a crucial role in the pathogenesis of vascular disease in type 2 diabetes and may even be an intrinsic feature or common antecedent of the insulin resistance syndrome. Several cellular mechanisms may be proposed linking insulin resistance and endothelial dysfunction including (i) abnormalities of common signal transduction mechanisms, (ii) alterations in cell membrane fluidity altering the expression and/or presentation of a wide range of receptors, or (iii) changes in oxidative stress. It is intuitively unlikely that the alteration of a single signal transduction mechanism could be a common cause, particularly as aspects of endothelial dysfunction implicate different mechanisms. Accordingly, changes in oxidative stress, either stemming from glucose-mediated increased free-radical generation and/or reduction of antioxidant capacity, are strong contender mechanisms. Not only may increased oxidative stress result in the quenching of nitric oxide, neutralizing its many protective functions, but it may also damage DNA, protein structure, and membrane properties. Elucidating the links between oxidative stress, endothelial function, and insulin resistance has important implications for the prevention of diabetic angiopathy and perhaps for the prevention of diabetes itself.
    MeSH term(s) Diabetes Mellitus, Type 2/physiopathology ; Diabetic Angiopathies/physiopathology ; Endothelium, Vascular/physiopathology ; Humans ; Insulin Resistance ; Microcirculation/physiopathology ; Oxidative Stress ; Vasodilation
    Language English
    Publishing date 2000-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1105840-7
    ISSN 1056-8727
    ISSN 1056-8727
    DOI 10.1016/s1056-8727(00)00083-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: What is the mechanism of microalbuminuria in diabetes: a role for the glomerular endothelium?

    Satchell, S C / Tooke, J E

    Diabetologia

    2008  Volume 51, Issue 5, Page(s) 714–725

    Abstract: Microalbuminuria is an important risk factor for cardiovascular disease and progressive renal impairment. This holds true in the general population and particularly in those with diabetes, in whom it is common and marks out those likely to develop ... ...

    Abstract Microalbuminuria is an important risk factor for cardiovascular disease and progressive renal impairment. This holds true in the general population and particularly in those with diabetes, in whom it is common and marks out those likely to develop macrovascular disease and progressive renal impairment. Understanding the pathophysiological mechanisms through which microalbuminuria occurs holds the key to designing therapies to arrest its development and prevent these later manifestations. Microalbuminuria arises from the increased passage of albumin through the glomerular filtration barrier. This requires ultrastructural changes rather than alterations in glomerular pressure or filtration rate alone. Compromise of selective glomerular permeability can be confirmed in early diabetic nephropathy but does not correlate well with reported glomerular structural changes. The loss of systemic endothelial glycocalyx--a protein-rich surface layer on the endothelium--in diabetes suggests that damage to this layer represents this missing link. The epidemiology of microalbuminuria reveals a close association with systemic endothelial dysfunction and with vascular disease, also implicating glomerular endothelial dysfunction in microalbuminuria. Our understanding of the metabolic and hormonal sequelae of hyperglycaemia is increasing, and we consider these in the context of damage to the glomerular filtration barrier. Reactive oxygen species, inflammatory cytokines and growth factors are key players in this respect. Taken together with the above observations and the presence of generalised endothelial dysfunction, these considerations lead to the conclusion that glomerular endothelial dysfunction, and in particular damage to its glycocalyx, represents the most likely initiating step in diabetic microalbuminuria.
    MeSH term(s) Albuminuria/pathology ; Albuminuria/physiopathology ; Diabetes Mellitus, Type 1/pathology ; Diabetes Mellitus, Type 1/physiopathology ; Diabetes Mellitus, Type 2/pathology ; Diabetes Mellitus, Type 2/physiopathology ; Diabetic Angiopathies/pathology ; Diabetic Nephropathies/pathology ; Diabetic Nephropathies/physiopathology ; Endothelial Cells/pathology ; Endothelial Cells/physiology ; Glomerular Filtration Rate ; Humans ; Hypoglycemia/pathology ; Hypoglycemia/physiopathology ; Kidney Glomerulus/pathology ; Kidney Glomerulus/physiopathology ; Risk Factors ; Serum Albumin/metabolism
    Chemical Substances Serum Albumin
    Language English
    Publishing date 2008-03-18
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/s00125-008-0961-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Allosteric communication in class A β-lactamases occurs via cooperative coupling of loop dynamics.

    Galdadas, Ioannis / Qu, Shen / Oliveira, Ana Sofia F / Olehnovics, Edgar / Mack, Andrew R / Mojica, Maria F / Agarwal, Pratul K / Tooke, Catherine L / Gervasio, Francesco Luigi / Spencer, James / Bonomo, Robert A / Mulholland, Adrian J / Haider, Shozeb

    eLife

    2021  Volume 10

    Abstract: Understanding allostery in enzymes and tools to identify it offer promising alternative strategies to inhibitor development. Through a combination of equilibrium and nonequilibrium molecular dynamics simulations, we identify allosteric effects and ... ...

    Abstract Understanding allostery in enzymes and tools to identify it offer promising alternative strategies to inhibitor development. Through a combination of equilibrium and nonequilibrium molecular dynamics simulations, we identify allosteric effects and communication pathways in two prototypical class A β-lactamases, TEM-1 and KPC-2, which are important determinants of antibiotic resistance. The nonequilibrium simulations reveal pathways of communication operating over distances of 30 Å or more. Propagation of the signal occurs through cooperative coupling of loop dynamics. Notably, 50% or more of clinically relevant amino acid substitutions map onto the identified signal transduction pathways. This suggests that clinically important variation may affect, or be driven by, differences in allosteric behavior, providing a mechanism by which amino acid substitutions may affect the relationship between spectrum of activity, catalytic turnover, and potential allosteric behavior in this clinically important enzyme family. Simulations of the type presented here will help in identifying and analyzing such differences.
    MeSH term(s) Amino Acid Substitution ; Drug Resistance, Bacterial ; Molecular Dynamics Simulation ; Protein Conformation ; beta-Lactamases/chemistry
    Chemical Substances beta-Lactamases (EC 3.5.2.6)
    Language English
    Publishing date 2021-03-23
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2687154-3
    ISSN 2050-084X ; 2050-084X
    ISSN (online) 2050-084X
    ISSN 2050-084X
    DOI 10.7554/eLife.66567
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A Novel Targeted Amplicon Next-Generation Sequencing Gene Panel for the Diagnosis of Common Variable Immunodeficiency Has a High Diagnostic Yield: Results from the Perth CVID Cohort Study.

    Kermode, William / De Santis, Dianne / Truong, Linh / Della Mina, Erika / Salman, Sam / Thompson, Grace / Nolan, David / Loh, Richard / Mallon, Dominic / Mclean-Tooke, Andrew / John, Mina / Tangye, Stuart G / O'Sullivan, Michael / D'Orsogna, Lloyd J

    The Journal of molecular diagnostics : JMD

    2022  Volume 24, Issue 6, Page(s) 586–599

    Abstract: With the advent of next-generation sequencing (NGS), monogenic forms of common variable immunodeficiency (CVID) have been increasingly described. Our study aimed to identify disease-causing variants in a Western Australian CVID cohort using a novel ... ...

    Abstract With the advent of next-generation sequencing (NGS), monogenic forms of common variable immunodeficiency (CVID) have been increasingly described. Our study aimed to identify disease-causing variants in a Western Australian CVID cohort using a novel targeted NGS panel. Targeted amplicon NGS was performed on 22 unrelated subjects who met the formal European Society for Immunodeficiencies-Pan-American Group for Immunodeficiency diagnostic criteria for CVID and had at least one of the following additional criteria: disease onset at age <18 years, autoimmunity, low memory B lymphocytes, family history, and/or history of lymphoproliferation. Candidate variants were assessed by in silico predictions of deleteriousness, comparison to the literature, and classified according to the American College of Medical Genetics and Genomics-Association for Molecular Pathology criteria. All detected genetic variants were verified independently by an external laboratory, and additional functional studies were performed if required. Pathogenic or likely pathogenic variants were detected in 6 of 22 (27%) patients. Monoallelic variants of uncertain significance were also identified in a further 4 of 22 patients (18%). Pathogenic variants, likely pathogenic variants, or variants of uncertain significance were found in TNFRSF13B, TNFRSF13C, ICOS, AICDA, IL21R, NFKB2, and CD40LG, including novel variants and variants with unexpected inheritance pattern. Targeted amplicon NGS is an effective tool to identify monogenic disease-causing variants in CVID, and is comparable or superior to other NGS methods. Moreover, targeted amplicon NGS identified patients who may benefit from targeted therapeutic strategies and had important implications for family members.
    MeSH term(s) Adolescent ; Australia ; Cohort Studies ; Common Variable Immunodeficiency/diagnosis ; Common Variable Immunodeficiency/genetics ; High-Throughput Nucleotide Sequencing ; Humans ; Mutation
    Language English
    Publishing date 2022-05-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2000060-1
    ISSN 1943-7811 ; 1525-1578
    ISSN (online) 1943-7811
    ISSN 1525-1578
    DOI 10.1016/j.jmoldx.2022.02.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Microvasculature in diabetes.

    Tooke, J E

    Cardiovascular research

    1996  Volume 32, Issue 4, Page(s) 764–771

    MeSH term(s) Diabetes Mellitus/physiopathology ; Diabetic Angiopathies/physiopathology ; Endothelium, Vascular/physiopathology ; Humans ; Microcirculation/physiopathology
    Language English
    Publishing date 1996-10
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80340-6
    ISSN 1755-3245 ; 0008-6363
    ISSN (online) 1755-3245
    ISSN 0008-6363
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Endothelium: the main actor or choreographer in the remodelling of the retinal microvasculature in diabetes?

    Tooke, J E

    Diabetologia

    1996  Volume 39, Issue 6, Page(s) 745–746

    MeSH term(s) Diabetic Retinopathy/etiology ; Diabetic Retinopathy/physiopathology ; Endothelium, Vascular/physiology ; Humans ; Microcirculation ; Retinal Vessels/anatomy & histology ; Retinal Vessels/physiology
    Language English
    Publishing date 1996-06
    Publishing country Germany
    Document type Comment ; Journal Article
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/bf00418549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Demonstration of the role of cell wall homeostasis in

    Salamaga, Bartłomiej / Kong, Lingyuan / Pasquina-Lemonche, Laia / Lafage, Lucia / von Und Zur Muhlen, Milena / Gibson, Josie F / Grybchuk, Danyil / Tooke, Amy K / Panchal, Viralkumar / Culp, Elizabeth J / Tatham, Elizabeth / O'Kane, Mary E / Catley, Thomas E / Renshaw, Stephen A / Wright, Gerard D / Plevka, Pavel / Bullough, Per A / Han, Aidong / Hobbs, Jamie K /
    Foster, Simon J

    Proceedings of the National Academy of Sciences of the United States of America

    2021  Volume 118, Issue 44

    Abstract: Bacterial cell wall peptidoglycan is essential, maintaining both cellular integrity and morphology, in the face of internal turgor pressure. Peptidoglycan synthesis is important, as it is targeted by cell wall antibiotics, including methicillin and ... ...

    Abstract Bacterial cell wall peptidoglycan is essential, maintaining both cellular integrity and morphology, in the face of internal turgor pressure. Peptidoglycan synthesis is important, as it is targeted by cell wall antibiotics, including methicillin and vancomycin. Here, we have used the major human pathogen
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Anti-Infective Agents/metabolism ; Anti-Infective Agents/pharmacology ; Bacterial Proteins/metabolism ; Cell Wall/metabolism ; Cell Wall/physiology ; Homeostasis ; Methicillin/pharmacology ; N-Acetylmuramoyl-L-alanine Amidase/metabolism ; Peptidoglycan/metabolism ; Staphylococcal Infections/microbiology ; Staphylococcus aureus/growth & development ; Staphylococcus aureus/metabolism ; Teichoic Acids/metabolism ; Vancomycin/pharmacology
    Chemical Substances Anti-Bacterial Agents ; Anti-Infective Agents ; Bacterial Proteins ; Peptidoglycan ; Teichoic Acids ; Vancomycin (6Q205EH1VU) ; N-Acetylmuramoyl-L-alanine Amidase (EC 3.5.1.28) ; Methicillin (Q91FH1328A)
    Language English
    Publishing date 2021-10-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.2106022118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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