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  1. Article ; Online: Cellular responses to SARS-CoV-2 vaccination after B-cell depletion: conflicting results from studies.

    Bhargava, Pavan

    The Lancet. Rheumatology

    2022  Volume 4, Issue 4, Page(s) e247

    Language English
    Publishing date 2022-03-24
    Publishing country England
    Document type Journal Article
    ISSN 2665-9913
    ISSN (online) 2665-9913
    DOI 10.1016/S2665-9913(22)00032-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Targeting metabolism to treat multiple sclerosis.

    Bhargava, Pavan

    Neural regeneration research

    2020  Volume 16, Issue 3, Page(s) 502–503

    Language English
    Publishing date 2020-09-28
    Publishing country India
    Document type Journal Article
    ZDB-ID 2388460-5
    ISSN 1876-7958 ; 1673-5374
    ISSN (online) 1876-7958
    ISSN 1673-5374
    DOI 10.4103/1673-5374.293143
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Role of Gut Dysbiosis and Potential Approaches to Target the Gut Microbiota in Multiple Sclerosis.

    Ladakis, Dimitrios C / Bhargava, Pavan

    CNS drugs

    2023  Volume 37, Issue 2, Page(s) 117–132

    Abstract: It has now been established that a perturbation in gut microbiome composition exists in multiple sclerosis (MS) and its interplay with the immune system and brain could potentially contribute to the development of the disease and influence its course. ... ...

    Abstract It has now been established that a perturbation in gut microbiome composition exists in multiple sclerosis (MS) and its interplay with the immune system and brain could potentially contribute to the development of the disease and influence its course. The effects of the gut microbiota on the disease may be mediated by direct interactions between bacteria and immune cells or through interactions of products of bacterial metabolism with immune and CNS cells. In this review article we summarize the ways in which the gut microbiome of people with MS differs from controls and how bacterial metabolites can potentially play a role in MS pathogenesis, and examine approaches to alter the composition of the gut microbiota potentially alleviating gut dysbiosis and impacting the course of MS.
    MeSH term(s) Humans ; Multiple Sclerosis ; Gastrointestinal Microbiome ; Dysbiosis/microbiology ; Brain
    Language English
    Publishing date 2023-01-24
    Publishing country New Zealand
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1203800-3
    ISSN 1179-1934 ; 1172-7047
    ISSN (online) 1179-1934
    ISSN 1172-7047
    DOI 10.1007/s40263-023-00986-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Relationship Between Multiple Sclerosis, Gut Dysbiosis, and Inflammation: Considerations for Treatment.

    Jank, Larissa / Bhargava, Pavan

    Neurologic clinics

    2023  Volume 42, Issue 1, Page(s) 55–76

    Abstract: Multiple sclerosis is associated with gut dysbiosis, marked by changes in the relative abundances of specific microbes, circulating gut-derived metabolites, and altered gut permeability. This gut dysbiosis promotes disease pathology by increasing ... ...

    Abstract Multiple sclerosis is associated with gut dysbiosis, marked by changes in the relative abundances of specific microbes, circulating gut-derived metabolites, and altered gut permeability. This gut dysbiosis promotes disease pathology by increasing circulating proinflammatory bacterial factors, reducing tolerogenic factors, inducing molecular mimicry, and changing microbial nutrient metabolism. Beneficial antiinflammatory effects of the microbiome can be harnessed in therapeutic interventions. In the future, it is essential to assess the efficacy of these therapies in randomized controlled clinical trials to help make dietary and gut dysbiosis management an integral part of multiple sclerosis care.
    MeSH term(s) Humans ; Multiple Sclerosis/therapy ; Dysbiosis/complications ; Dysbiosis/therapy ; Dysbiosis/metabolism ; Inflammation/therapy ; Inflammation/metabolism
    Language English
    Publishing date 2023-08-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1013148-6
    ISSN 1557-9875 ; 0733-8619
    ISSN (online) 1557-9875
    ISSN 0733-8619
    DOI 10.1016/j.ncl.2023.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Contribution of B cells to cortical damage in multiple sclerosis.

    Bhargava, Pavan / Hartung, Hans-Peter / Calabresi, Peter A

    Brain : a journal of neurology

    2022  Volume 145, Issue 10, Page(s) 3363–3373

    Abstract: Multiple sclerosis is associated with lesions not just in the white matter, but also involving the cortex. Cortical involvement has been linked to greater disease severity and hence understanding the factor underlying cortical pathology could help ... ...

    Abstract Multiple sclerosis is associated with lesions not just in the white matter, but also involving the cortex. Cortical involvement has been linked to greater disease severity and hence understanding the factor underlying cortical pathology could help identify new therapeutic strategies for multiple sclerosis. The critical role of B cells in multiple sclerosis has been clarified by multiple pivotal trials of B-cell depletion in people with multiple sclerosis. The presence of B-cell rich areas of meningeal inflammation in multiple sclerosis has been identified at all stages of multiple sclerosis. Leptomeningeal inflammation is associated with greater extent of cortical demyelination and neuronal loss and with greater disease severity. Recent studies have identified several potential mechanisms by which B cells may mediate cortical injury including antibody production, extracellular vesicles containing neurotoxic substances and production of pro-inflammatory cytokines. Additionally, B cells may indirectly mediate cortical damage through effects on T cells, macrophages or microglia. Several animal models replicate the meningeal inflammation and cortical injury noted in people with multiple sclerosis. Studies in these models have identified Bruton's tyrosine kinase inhibition and type II anti-CD20 antibodies as potential agents that can impact meningeal inflammation. Trials of anti-CD20 monoclonal antibodies in people with multiple sclerosis have unsuccessfully attempted to eliminate B cells in the leptomeninges. New strategies to target B cells in multiple sclerosis include Bruton's tyrosine kinase inhibition and cell-based therapies aimed at B cells infected with Epstein-Barr virus. Future studies will clarify the mechanisms by which B cells mediate cortical injury and treatment strategies that can target B cells in the leptomeninges and CNS parenchyma.
    MeSH term(s) Animals ; Agammaglobulinaemia Tyrosine Kinase ; Antibodies, Monoclonal ; Cytokines ; Epstein-Barr Virus Infections/complications ; Herpesvirus 4, Human ; Inflammation/pathology ; Multiple Sclerosis/pathology ; B-Lymphocytes
    Chemical Substances Agammaglobulinaemia Tyrosine Kinase (EC 2.7.10.2) ; Antibodies, Monoclonal ; Cytokines
    Language English
    Publishing date 2022-06-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80072-7
    ISSN 1460-2156 ; 0006-8950
    ISSN (online) 1460-2156
    ISSN 0006-8950
    DOI 10.1093/brain/awac233
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Response to-<i>Tracking the role of sphingolipids in MS: The dynamic nature of ceramide synthases</i>.

    Bhargava, Pavan / Haughey, Norman / Calabresi, Peter A

    Multiple sclerosis (Houndmills, Basingstoke, England)

    2022  Volume 28, Issue 13, Page(s) 2148–2149

    MeSH term(s) Ceramides ; Humans ; Sphingolipids
    Chemical Substances Ceramides ; Sphingolipids
    Language English
    Publishing date 2022-04-02
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 1290669-4
    ISSN 1477-0970 ; 1352-4585
    ISSN (online) 1477-0970
    ISSN 1352-4585
    DOI 10.1177/13524585221084094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Metabolomics in multiple sclerosis disease course and progression.

    Bhargava, Pavan / Anthony, Daniel C

    Multiple sclerosis (Houndmills, Basingstoke, England)

    2020  Volume 26, Issue 5, Page(s) 591–598

    Abstract: Multiple sclerosis (MS) is associated with changes in the metabolome. Numerous studies employing varying metabolomics platforms have examined a range of biological material ranging from brain tissue to urine and demonstrated consistently alterations in ... ...

    Abstract Multiple sclerosis (MS) is associated with changes in the metabolome. Numerous studies employing varying metabolomics platforms have examined a range of biological material ranging from brain tissue to urine and demonstrated consistently alterations in multiple metabolic pathways in MS. We review not only the studies that describe the ability of metabolomics to differentiate MS patients from healthy controls and other neurological disease but also discuss the potential of metabolomics-based methods to build predictive models that are able to stage disease, monitor progression, and select the most appropriate therapy. The increasing number of impressive claims for the capacity of metabolomics to distinguish between different types of demyelinating disease suggests that the provision of such tests may be close at hand. Besides the ability to provide potential diagnostic and prognostic biomarkers, metabolomics also provides us with unique insights into the pathophysiology of the disease and helps identify metabolic pathways that may be potential therapeutic targets. Future studies will integrate metabolomics data with other omics techniques to provide further insight into the source of these metabolic abnormalities and help with identification of the most promising targets for therapeutic intervention.
    MeSH term(s) Disease Progression ; Humans ; Metabolome ; Metabolomics ; Multiple Sclerosis/classification ; Multiple Sclerosis/diagnosis ; Multiple Sclerosis/metabolism ; Precision Medicine
    Language English
    Publishing date 2020-01-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1290669-4
    ISSN 1477-0970 ; 1352-4585
    ISSN (online) 1477-0970
    ISSN 1352-4585
    DOI 10.1177/1352458519876020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Right brain: humor completes the neurologic examination.

    Bhargava, Pavan

    Neurology

    2014  Volume 82, Issue 3, Page(s) e21–2

    MeSH term(s) Adolescent ; Comorbidity ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/epidemiology ; Female ; Fever/epidemiology ; Fever/etiology ; Humans ; Neurologic Examination/instrumentation ; Neurologic Examination/methods ; Smiling/physiology ; Stroke/epidemiology ; Stroke/pathology ; Stroke/physiopathology ; Thalamic Diseases/epidemiology ; Thalamic Diseases/pathology ; Thalamic Diseases/physiopathology ; Wit and Humor as Topic/psychology
    Language English
    Publishing date 2014-01-21
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000000035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Drug compliance after stroke and myocardial infarction

    Bhargava Pavan

    Neurology India, Vol 56, Iss 1, Pp 93-

    Is complementary medicine an issue?

    2008  Volume 93

    Keywords Neurology. Diseases of the nervous system ; RC346-429 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Neurology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2008-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: BAFF blockade in experimental autoimmune encephalomyelitis reduces inflammation in the meninges and synaptic and neuronal loss in adjacent brain regions.

    Gupta, Kanak / Kesharwani, Ajay / Rua, Steven / Singh, Saumitra Sen / Siu, Catherine / Jank, Larissa / Smith, Matthew D / Calabresi, Peter A / Bhargava, Pavan

    Journal of neuroinflammation

    2023  Volume 20, Issue 1, Page(s) 229

    Abstract: Multiple sclerosis (MS) has traditionally been viewed as a chronic inflammatory disease affecting the white matter of the central nervous system. However, over the past two decades, increasing evidence has highlighted the role of gray matter pathology in ...

    Abstract Multiple sclerosis (MS) has traditionally been viewed as a chronic inflammatory disease affecting the white matter of the central nervous system. However, over the past two decades, increasing evidence has highlighted the role of gray matter pathology in MS-related disability. Numerous studies have linked the presence of leptomeningeal inflammation to a more severe disease course, underscoring its potential importance as a driver of gray matter pathology in MS. The major components of leptomeningeal inflammation include T cells, B cells, macrophages, follicular dendritic cells, and plasma cells. Since BAFF [B cell-activating factor of the tumor necrosis factor (TNF) family] promotes B cell survival and maturation and is a co-stimulator of T cells, we used anti-BAFF antibody 10F4 as a BAFF antagonist to study its effect on meningeal inflammation and adjacent brain regions in a relapsing-remitting PLP-EAE (rr-EAE) model of multiple sclerosis in SJL/J mice. rr-EAE mice were treated either with anti-BAFF antibody 10F4 or with IgG control antibody. We performed ultra-high field (11.7 T) MRI to identify areas of meningeal inflammation and track them over time in both treatment groups. We also performed histopathological analysis in brain sections of these mice to study the effects of the BAFF antagonist on leptomeningeal inflammation, and hippocampal and cortical neurons and synapses. We observed that BAFF antagonist treatment reduced B cells, T cells, and myeloid cells in regions of meningeal inflammation. Additionally, we noted that BAFF treatment protected against EAE-induced synaptic and neuronal loss in the adjacent cortex and in the CA1, CA3, and dentate gyrus regions of the hippocampus likely due to its effects on meningeal inflammation.
    MeSH term(s) Mice ; Animals ; Encephalomyelitis, Autoimmune, Experimental/pathology ; Inflammation/drug therapy ; Inflammation/pathology ; Meninges ; Multiple Sclerosis/pathology ; Gray Matter/pathology ; Mice, Inbred Strains ; White Matter/pathology
    Language English
    Publishing date 2023-10-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2156455-3
    ISSN 1742-2094 ; 1742-2094
    ISSN (online) 1742-2094
    ISSN 1742-2094
    DOI 10.1186/s12974-023-02922-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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