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  1. Article ; Online: Letter to the Editor.

    Shoenfeld, Yehuda / Blank, Miri

    Parasitology international

    2021  Volume 83, Page(s) 102350

    Language English
    Publishing date 2021-04-21
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 1363151-2
    ISSN 1873-0329 ; 1383-5769
    ISSN (online) 1873-0329
    ISSN 1383-5769
    DOI 10.1016/j.parint.2021.102350
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The contradictive findings between ultrasound, hysteroscopy and cytokines in women with nonhormonal IUDs suffering from menorrhagia: a prospective study.

    Watad, Hadel / Ifrach, Udi / Stockheim, David / Yulzari, Vered / Meron, Orly C / Blank, Miri / Sredni, Benjamin / Weisz, Boaz / Cohen, Shlomo B

    Archives of gynecology and obstetrics

    2024  Volume 309, Issue 5, Page(s) 2057–2062

    Abstract: Purpose: The objective of this study is to assess the correlation between bleeding irregularities and the accurate placement of the intrauterine device (IUD) device in the uterine cavity, determined through transvaginal ultrasonography and hysteroscopy. ...

    Abstract Purpose: The objective of this study is to assess the correlation between bleeding irregularities and the accurate placement of the intrauterine device (IUD) device in the uterine cavity, determined through transvaginal ultrasonography and hysteroscopy. In addition, the study aims to examine the cytokine profile in the uterine cavity and serum of patients experiencing bleeding irregularities after the insertion of nonhormonal IUDs.
    Methods: A prospective cohort study was conducted at a single tertiary medical center, wherein patients experiencing intermenstrual bleeding and spotting after the insertion of nonhormonal IUDs were enrolled. The study involved hysteroscopic and sonographic assessments of the uterine cavity and IUD placement, along with the analysis of blood and uterine cavity cytokine profiles.
    Results: During the period between July 2019 and February 2020, a total of eight patients who experienced intermenstrual bleeding and spotting after the insertion of nonhormonal IUDs were enrolled the study. One case was excluded since a progestative device was detected by ultrasound. Out of the five cases that underwent a thorough ultrasonographic assessment, three cases (60%) showed an embedded IUD. However, these findings were excluded by the hysteroscopic evaluation.
    Conclusion: The results suggest that ultrasonographic assessment may lead to an overdiagnosis of IUD mispositioning compared to hysteroscopy. In addition, both ultrasound and hysteroscopy have limitations in diagnosing the cause of bleeding in most cases. The role of local reactive inflammatory cytokines should be further studied.
    MeSH term(s) Pregnancy ; Humans ; Female ; Hysteroscopy ; Menorrhagia/diagnostic imaging ; Menorrhagia/etiology ; Prospective Studies ; Metrorrhagia ; Intrauterine Devices ; Hemorrhage ; Ultrasonography ; Cytokines
    Chemical Substances Cytokines
    Language English
    Publishing date 2024-03-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 896455-5
    ISSN 1432-0711 ; 0932-0067
    ISSN (online) 1432-0711
    ISSN 0932-0067
    DOI 10.1007/s00404-024-07457-7
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  3. Article ; Online: Shared Pathogenicity Features and Sequences between EBV, SARS-CoV-2, and HLA Class I Molecule-binding Motifs with a Potential Role in Autoimmunity.

    Adiguzel, Yekbun / Mahroum, Naim / Muller, Sylviane / Blank, Miri / Halpert, Gilad / Shoenfeld, Yehuda

    Clinical reviews in allergy & immunology

    2023  Volume 65, Issue 2, Page(s) 206–230

    Abstract: Epstein-Barr virus (EBV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are extraordinary in their ability to activate autoimmunity as well as to induce diverse autoimmune diseases. Here we reviewed the current knowledge on their ... ...

    Abstract Epstein-Barr virus (EBV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are extraordinary in their ability to activate autoimmunity as well as to induce diverse autoimmune diseases. Here we reviewed the current knowledge on their relation. Further, we suggested that molecular mimicry could be a possible common mechanism of autoimmunity induction in the susceptible individuals infected with SARS-CoV-2. Molecular mimicry between SARS-CoV-2 and human proteins, and EBV and human proteins, are present. Besides, relation of the pathogenicity associated with both coronavirus diseases and EBV supports the notion. As a proof-of-the-concept, we investigated 8mer sequences with shared 5mers of SARS-CoV-2, EBV, and human proteins, which were predicted as epitopes binding to the same human leukocyte antigen (HLA) supertype representatives. We identified significant number of human peptide sequences with predicted-affinities to the HLA-A*02:01 allele. Rest of the peptide sequences had predicted-affinities to the HLA-A*02:01, HLA-B*40:01, HLA-B*27:05, HLA-A*01:01, and HLA-B*39:01 alleles. Carriers of these serotypes can be under a higher risk of autoimmune response induction upon getting infected, through molecular mimicry-based mechanisms common to SARS-CoV-2 and EBV infections. We additionally reviewed established associations of the identified proteins with the EBV-related pathogenicity and with the autoimmune diseases.
    MeSH term(s) Humans ; SARS-CoV-2 ; Herpesvirus 4, Human ; Autoimmunity ; COVID-19 ; Epstein-Barr Virus Infections ; Virulence ; HLA-B Antigens ; Autoimmune Diseases ; Peptides ; HLA-A Antigens
    Chemical Substances HLA-B Antigens ; Peptides ; HLA-A Antigens
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1239045-8
    ISSN 1559-0267 ; 1080-0549
    ISSN (online) 1559-0267
    ISSN 1080-0549
    DOI 10.1007/s12016-023-08962-4
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  4. Article: Helminth-Related Tuftsin-Phosphorylcholine Compound and its Interplay with Autoimmune Diseases.

    Blank, Miri / Shoenfeld, Yehuda

    The Israel Medical Association journal : IMAJ

    2019  Volume 21, Issue 3, Page(s) 158–162

    Abstract: Background: The hygiene theory represents one of the environmental facets that modulate the risk for developing autoimmune diseases. There is a reverse correlation between the presence of helminthes and flares of autoimmune diseases, which explains the ... ...

    Abstract Background: The hygiene theory represents one of the environmental facets that modulate the risk for developing autoimmune diseases. There is a reverse correlation between the presence of helminthes and flares of autoimmune diseases, which explains the rise in incidence of certain autoimmune diseases in developed countries. The protective properties of certain helminthes are attributed to their secretory compounds which immunomodulate the host immune network in order to survive. Thus, the helminthes use an array of mechanisms. One of the major mechanisms enabling manipulation of the host-helminth interaction is by targeting the pattern recognition receptors (PRRs)-dependent and -independent mechanisms, which include toll-like receptors, C-type lectin receptors, and the inflammasome. The current review provides a glimpse of numerous helminth secreted products which have a role in the immunomodulation of the host immune network, focusing on bifunctional tuftsin-phosphorylcholine (TPC). TPC is a natural compound based on phosphorylcholine of helminth origin that was used in the past to cover stents and tuftsin, a self-peptide derived from the spleen. TPC was proven to be efficient in three murine experimental models (lupus, colitis, and arthritis) and ex vivo in giant cell arteritis.
    MeSH term(s) Animals ; Autoimmune Diseases/prevention & control ; Disease Models, Animal ; Helminthiasis/immunology ; Helminths/immunology ; Humans ; Immunologic Factors/immunology ; Immunologic Factors/pharmacology ; Immunomodulation/immunology ; Mice ; Phosphorylcholine/immunology ; Phosphorylcholine/pharmacology ; Tuftsin/immunology ; Tuftsin/pharmacology
    Chemical Substances Immunologic Factors ; Phosphorylcholine (107-73-3) ; Tuftsin (QF5336J16C)
    Language English
    Publishing date 2019-03-24
    Publishing country Israel
    Document type Journal Article ; Review
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Xylella fastidiosa

    Zecharia, Noa / Krasnov, Helena / Vanunu, Miri / Siri, Andreina Castillo / Haberman, Ami / Dror, Orit / Vakal, Lera / Almeida, Rodrigo P P / Blank, Lior / Shtienberg, Dani / Bahar, Ofir

    Phytopathology

    2022  Volume 112, Issue 11, Page(s) 2296–2309

    Abstract: Diseases caused by the insect-transmitted ... ...

    Abstract Diseases caused by the insect-transmitted bacterium
    MeSH term(s) Citrus ; Disease Outbreaks ; Genetics, Population ; Host Specificity ; Israel/epidemiology ; Plant Diseases/microbiology ; Xylella/genetics
    Language English
    Publishing date 2022-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208889-7
    ISSN 1943-7684 ; 0031-949X
    ISSN (online) 1943-7684
    ISSN 0031-949X
    DOI 10.1094/PHYTO-03-22-0105-R
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  6. Article ; Online: Functional IgG Autoantibodies against Autonomic Nervous System Receptors in Symptomatic Women with Silicone Breast Implants.

    Talalai, Efrosiniia / Gorobets, Denis / Halpert, Gilad / Tsur, Avishai M / Heidecke, Harald / Levy, Yair / Watad, Abdulla / Blank, Miri / Michaelevski, Izhak / Shoenfeld, Yehuda / Amital, Howard

    Cells

    2023  Volume 12, Issue 11

    Abstract: The association between the clinical picture of symptomatic women with silicone breast implants (SBI) and dysregulated immunity was in dispute for decades. In the current study, we describe for the first time the functional activity of purified IgG ... ...

    Abstract The association between the clinical picture of symptomatic women with silicone breast implants (SBI) and dysregulated immunity was in dispute for decades. In the current study, we describe for the first time the functional activity of purified IgG antibodies derived from symptomatic women with SBIs (suffering from subjective/autonomic-related symptoms), both in vitro and in vivo. We found that IgGs, derived from symptomatic women with SBIs, dysregulate inflammatory cytokines (TNFα, IL-6) in activated human peripheral blood mononuclear cells, compared to healthy-women-derived IgGs. Importantly, behavioral studies conducted following intracerebroventricular injection of IgGs derived from symptomatic women with SBIs (who have dysregulated circulating level of IgG autoantibodies directed against autonomic nervous system receptors) into mice brains demonstrated a specific and transient significant increment (about 60%) in the time spent at the center of the open field arena compared with mice injected with IgG from healthy women (without SBIs). This effect was accompanied with a strong trend of reduction of the locomotor activity of the SBI-IgG treated mice, indicating an overall apathic-like behavior. Our study is the first to show the potential pathogenic activity of IgG autoantibodies in symptomatic women with SBIs, emphasizing the importance of these antibodies in SBI-related illness.
    MeSH term(s) Female ; Humans ; Animals ; Mice ; Breast Implants/adverse effects ; Leukocytes, Mononuclear ; Autoantibodies ; Silicones ; Carrier Proteins ; Immunoglobulin G
    Chemical Substances Autoantibodies ; Silicones ; Carrier Proteins ; Immunoglobulin G
    Language English
    Publishing date 2023-05-30
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2661518-6
    ISSN 2073-4409 ; 2073-4409
    ISSN (online) 2073-4409
    ISSN 2073-4409
    DOI 10.3390/cells12111510
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  7. Article ; Online: Tuftsin phosphorylcholine-a novel compound harnessing helminths to fight autoimmunity.

    Segal, Yahel / Blank, Miri / Shoenfeld, Yehuda

    Immunologic research

    2018  Volume 66, Issue 6, Page(s) 637–641

    Abstract: The distinction that in areas where helminthic infections are common, autoimmune diseases are less prevalent, led to the investigation of immune modulatory properties of helminths and their derivatives. Such are phosphorylcholine (PC) moieties which are ... ...

    Abstract The distinction that in areas where helminthic infections are common, autoimmune diseases are less prevalent, led to the investigation of immune modulatory properties of helminths and their derivatives. Such are phosphorylcholine (PC) moieties which are a component of secreted products of helminths. PC has been broadly studied for its attenuating effects on the human immune system. In an attempt to develop a novel therapeutic small molecule for the treatment of autoimmune conditions, we have conjugated PC with tuftsin, a natural immunomodulatory tetrapeptide, to create TPC. Herein, we review our findings regarding the effects of TPC in murine models of three autoimmune diseases-systemic lupus erythematosus (SLE), inflammatory bowel disease (IBD), and rheumatic arthritis (RA), as well as ex-vivo samples from giant cell arteritis (GCA) patients. In all four disease models examined, TPC was shown to attenuate the inflammatory response by reducing expression of pro-inflammatory cytokines and altering the phenotype of T cell expression. In murine models, TPC has further produced a significant improvement in clinical disease scores with no significant side effects noted. Our findings suggest TPC presents promising potential as a novel therapeutic agent for the effective treatment of various autoimmune conditions.
    MeSH term(s) Animals ; Autoimmune Diseases/drug therapy ; Autoimmune Diseases/parasitology ; Autoimmunity/drug effects ; Helminthiasis/drug therapy ; Helminthiasis/parasitology ; Helminths/drug effects ; Humans ; Inflammation/drug therapy ; Inflammation/parasitology ; Phosphorylcholine/pharmacology ; Phosphorylcholine/therapeutic use ; Tuftsin/pharmacology ; Tuftsin/therapeutic use
    Chemical Substances Phosphorylcholine (107-73-3) ; Tuftsin (QF5336J16C)
    Language English
    Publishing date 2018-12-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632857-x
    ISSN 1559-0755 ; 0257-277X
    ISSN (online) 1559-0755
    ISSN 0257-277X
    DOI 10.1007/s12026-018-9051-2
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  8. Article ; Online: Functional IgG Autoantibodies against Autonomic Nervous System Receptors in Symptomatic Women with Silicone Breast Implants

    Efrosiniia Talalai / Denis Gorobets / Gilad Halpert / Avishai M. Tsur / Harald Heidecke / Yair Levy / Abdulla Watad / Miri Blank / Izhak Michaelevski / Yehuda Shoenfeld / Howard Amital

    Cells, Vol 12, Iss 1510, p

    2023  Volume 1510

    Abstract: The association between the clinical picture of symptomatic women with silicone breast implants (SBI) and dysregulated immunity was in dispute for decades. In the current study, we describe for the first time the functional activity of purified IgG ... ...

    Abstract The association between the clinical picture of symptomatic women with silicone breast implants (SBI) and dysregulated immunity was in dispute for decades. In the current study, we describe for the first time the functional activity of purified IgG antibodies derived from symptomatic women with SBIs (suffering from subjective/autonomic-related symptoms), both in vitro and in vivo. We found that IgGs, derived from symptomatic women with SBIs, dysregulate inflammatory cytokines (TNFα, IL-6) in activated human peripheral blood mononuclear cells, compared to healthy-women-derived IgGs. Importantly, behavioral studies conducted following intracerebroventricular injection of IgGs derived from symptomatic women with SBIs (who have dysregulated circulating level of IgG autoantibodies directed against autonomic nervous system receptors) into mice brains demonstrated a specific and transient significant increment (about 60%) in the time spent at the center of the open field arena compared with mice injected with IgG from healthy women (without SBIs). This effect was accompanied with a strong trend of reduction of the locomotor activity of the SBI-IgG treated mice, indicating an overall apathic-like behavior. Our study is the first to show the potential pathogenic activity of IgG autoantibodies in symptomatic women with SBIs, emphasizing the importance of these antibodies in SBI-related illness.
    Keywords silicone breast implants ; autoantibodies ; autonomic nervous system ; dysautonomia ; G-protein coupled-receptors ; Biology (General) ; QH301-705.5
    Subject code 150
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Anti-TPO-mediated specific features of the placenta immunohistochemical profile and possible mechanisms for fetal loss.

    Borodina, Elena / Gzgzyan, Alexander M / Dzhemlikhanova, Liailia Kh / Niauri, Dariko A / Tolibova, Gulrukhsor Kh / Tral, Tatiana G / Kogan, Igor Y / Safarian, Galina Kh / Ostrinski, Yuri / Churilov, Leonid P / Amital, Howard / Blank, Miri / Shoenfeld, Yehuda

    Clinical and experimental immunology

    2023  Volume 213, Issue 2, Page(s) 235–242

    Abstract: Passive transfer of antithyroid antibodies in mice leads to reproductive disorders. The purpose was to assess the placental tissue of experimental animals under the influence of the circulating thyroperoxidase antibodies. We performed an ... ...

    Abstract Passive transfer of antithyroid antibodies in mice leads to reproductive disorders. The purpose was to assess the placental tissue of experimental animals under the influence of the circulating thyroperoxidase antibodies. We performed an immunohistochemical examination of murine placentae after a passive transfer of thyroperoxidase antibodies. Placentae of mice that passively transferred IgG from healthy donors were used as control samples. For histological examination, 30 placental samples were selected from mice from the anti-TPO group and 40 placental samples were taken from mice from the IgG group. Immunostaining for VEGFR1, THBS 1, Laminin, CD31, CD34, FGF-β, CD56, CD14, TNF-α, kisspeptin, MCL 1, and Annexin V was performed. There is a significant decrease in the relative area of the expression of VEGFR1 (23.42 ± 0.85 vs. 33.44 ± 0.35, P < 0.01), thrombospondin 1 (31.29 ± 0.83 vs. 34.51 ± 0.75, P < 0.01), CD14 (25.80 ± 0.57 vs. 32.07 ± 0.36, P < .01), CD56 (30.08 ± 0.90 vs. 34.92 ± 0.15, P < 0.01), kisspeptin (25.94 ± 0.47 vs. 31.27 ± 0.57, P < 0.01), MCL 1 (29.24 ± 1.06 vs. 38.57 ± 0.79, P < 0.01) in the labyrinth zone of the placentae of mice from the anti-TPO group compared with control group. A significant increase in the relative expression of laminin and FGF-β was noted in the group of mice to which antibodies to thyroperoxidase were transferred, compared with the control group (36.73 ± 1.38 vs. 29.83 ± 0.94, P < 0.01 and 23.26 ± 0.61 vs. 16.38 ± 1.01, P < 0.01respectively). Our study exposed an imbalance of pro- and anti-angiogenic factors, decreased representation of placental macrophages and NK cells, abnormal trophoblast invasion processes, and insufficient expression of antiapoptotic factors in the placentae of mice in which anti-TPO antibodies were passively transferred.
    MeSH term(s) Pregnancy ; Female ; Animals ; Mice ; Placenta/pathology ; Laminin/metabolism ; Kisspeptins/metabolism ; Myeloid Cell Leukemia Sequence 1 Protein/metabolism ; Immunoglobulin G/metabolism
    Chemical Substances Laminin ; Kisspeptins ; Myeloid Cell Leukemia Sequence 1 Protein ; Immunoglobulin G
    Language English
    Publishing date 2023-05-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 218531-3
    ISSN 1365-2249 ; 0009-9104 ; 0964-2536
    ISSN (online) 1365-2249
    ISSN 0009-9104 ; 0964-2536
    DOI 10.1093/cei/uxad057
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  10. Article ; Online: Hypercoagulability in celiac disease--an update.

    Lerner, Aaron / Blank, Miri

    Autoimmunity reviews

    2014  Volume 13, Issue 11, Page(s) 1138–1141

    Abstract: Celiac disease is a life-long autoimmune disease affecting multiple organs of genetically susceptible individuals. One of the extra intestinal manifestations of the disease is thromboembolic events like strokes, veins' thrombosis, and pregnancy losses. ... ...

    Abstract Celiac disease is a life-long autoimmune disease affecting multiple organs of genetically susceptible individuals. One of the extra intestinal manifestations of the disease is thromboembolic events like strokes, veins' thrombosis, and pregnancy losses. Hypercoagulable autoimmune diseases like lupus erythematosus and antiphospholipid syndrome, associated with celiac disease just add risk to the patients. Pathogenic predisposing avenues increasing the hypercoagulability in celiac disease are multiple: nutritional deficiencies (B12, folate, and vitamin K), genetic predisposition (MTHFR mutations), thrombophilic autoantibodies, hyperhomocysinemia, endothelial dysfunction and platelet abnormalities. Primary pharmacologic thromboprophylaxis or treating the predisposing factors should be considered on a personal basis.
    MeSH term(s) Autoantibodies ; Autoimmune Diseases ; Celiac Disease/etiology ; Humans ; Methylenetetrahydrofolate Reductase (NADPH2)/genetics ; Mutation ; Thrombophilia/etiology
    Chemical Substances Autoantibodies ; MTHFR protein, human (EC 1.5.1.20) ; Methylenetetrahydrofolate Reductase (NADPH2) (EC 1.5.1.20)
    Language English
    Publishing date 2014-11
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2144145-5
    ISSN 1873-0183 ; 1568-9972
    ISSN (online) 1873-0183
    ISSN 1568-9972
    DOI 10.1016/j.autrev.2014.07.004
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