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  1. Article ; Online: Elevated ATP via enhanced miRNA-30b, 30c, and 30e downregulates the expression of CD73 in CD8+ T cells of HIV-infected individuals.

    Shahbaz, Shima / Okoye, Isobel / Blevins, Gregg / Elahi, Shokrollah

    PLoS pathogens

    2022  Volume 18, Issue 3, Page(s) e1010378

    Abstract: CD8+ T cells play a crucial role against chronic viral infections, however, their effector functions are influenced by the expression of co-stimulatory/inhibitory receptors. For example, CD73 works with CD39 to convert highly inflammatory ATP to ... ...

    Abstract CD8+ T cells play a crucial role against chronic viral infections, however, their effector functions are influenced by the expression of co-stimulatory/inhibitory receptors. For example, CD73 works with CD39 to convert highly inflammatory ATP to adenosine. However, its expression on T cells in the context of viral infections has not been well defined. Here, we analyzed the expression of CD73 on human T cells in a cohort of 102 HIV-infected individuals including those on antiretroviral therapy (ART), ART-naïve, and long-term non-progressors who were not on ART. We found that the frequency of CD73+ T cells was markedly lower among T cell subsets (e.g. naïve, effector or memory) in the peripheral blood of all HIV-infected individuals. Notably, CD73 was decreased at the cell surface, intracellular and gene levels. Functionally, CD8+CD73+ T cells exhibited decreased cytokine expression (TNF-α, IFN-γ and IL-2) upon global or antigen-specific stimulation and impaired expression of cytolytic molecules at the gene and protein levels. In contrast, CD8+CD73+ T cells expressed elevated levels of homing receptors such as CCR7, α4β7 integrin, which suggests a migratory advantage for these cells as observed in vitro. We also observed significant migration of CD73+CD8+ T cells into the cerebrospinal fluids of multiple sclerosis (MS) patients at the time of disease relapse. Moreover, we found that elevated levels of ATP in the plasma of HIV-infected individuals upregulates the expression of miRNA30b-e in T cells in vitro. In turn, inhibition of miRNAs (30b, 30c and 30e) resulted in significant upregulation of CD73 mRNA in CD8+ T cells. Therefore, we provide a novel mechanism for the downregulation of CD73 via ATP-induced upregulation of miRNA30b, 30c and 30e in HIV infection. Finally, these observations imply that ATP-mediated downregulation of CD73 mainly occurs via its receptor, P2X1/P2RX1. Our results may in part explain why HIV-infected individuals have reduced risk of developing MS considering the role of CD73 for efficient T cell entry into the central nervous system.
    MeSH term(s) 5'-Nucleotidase/genetics ; Adenosine Triphosphate/metabolism ; CD8-Positive T-Lymphocytes/metabolism ; GPI-Linked Proteins/genetics ; HIV Infections/metabolism ; Humans ; MicroRNAs/genetics ; MicroRNAs/metabolism ; T-Lymphocyte Subsets
    Chemical Substances GPI-Linked Proteins ; MIRN30a microRNA, human ; MicroRNAs ; Adenosine Triphosphate (8L70Q75FXE) ; 5'-Nucleotidase (EC 3.1.3.5) ; NT5E protein, human (EC 3.1.3.5)
    Language English
    Publishing date 2022-03-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2205412-1
    ISSN 1553-7374 ; 1553-7374
    ISSN (online) 1553-7374
    ISSN 1553-7374
    DOI 10.1371/journal.ppat.1010378
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: [No title information]

    Zaeem, Zoya / Emery, Derek / Blevins, Gregg

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2022  Volume 194, Issue 36, Page(s) E1269–E1270

    Title translation Sclérose en plaques de forme fulminante chez un homme de 36 ans.
    MeSH term(s) Adult ; Humans ; Male ; Multiple Sclerosis
    Language French
    Publishing date 2022-09-19
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.211807-f
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Fulminant multiple sclerosis in a 36-year-old man.

    Zaeem, Zoya / Emery, Derek / Blevins, Gregg

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2022  Volume 194, Issue 22, Page(s) E776

    MeSH term(s) Adult ; Humans ; Male ; Multiple Sclerosis/diagnosis
    Language English
    Publishing date 2022-06-03
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.211807
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: High-resolution diffusion tensor imaging and T2 mapping detect regional changes within the hippocampus in multiple sclerosis.

    Valdés Cabrera, Diana / Blevins, Gregg / Smyth, Penelope / Emery, Derek / Solar, Kevin Grant / Beaulieu, Christian

    NMR in biomedicine

    2023  , Page(s) e4952

    Abstract: Hippocampus demyelinating lesions in multiple sclerosis (MS) have been frequently observed in ex vivo histopathological studies; however, they are difficult to image and quantify in vivo. Diffusion tensor imaging (DTI) and T2 mapping could potentially ... ...

    Abstract Hippocampus demyelinating lesions in multiple sclerosis (MS) have been frequently observed in ex vivo histopathological studies; however, they are difficult to image and quantify in vivo. Diffusion tensor imaging (DTI) and T2 mapping could potentially detect such regional in vivo changes if acquired with sufficient spatial resolution. The goal here was to evaluate whether there are focal hippocampal abnormalities in 43 MS patients (35 relapsing-remitting, eight secondary progressive) with and without cognitive impairment (CI) versus 43 controls using high-resolution 1 mm isotropic DTI, as well as complementary methods of T2-weighted and T2 mapping at 3 T. Abnormal hippocampus regions were identified voxel-by-voxel by using mean diffusivity (MD)/T2 thresholds and avoiding voxels attributed to cerebrospinal fluid. When compared with controls, averaged left/right whole hippocampus MD was higher in both MS groups, while lower fractional anisotropy (FA) and volume, and higher T2 relaxometry and T2-weighted signal values, were only significant in CI MS. The hippocampal MD and T2 images/maps were not uniformly affected and focal regions of elevated MD/T2 were evident in MS patients. Both CI and not CI MS groups showed greater proportional areas of the hippocampus with elevated MD, whereas only the CI group showed a greater proportional area of elevated T2 relaxation times or T2-weighted signal. Higher T2 relaxometry and T2-weighted signal values of elevated regions correlated with greater disability and whole hippocampus FA negatively correlated with physical fatigue. High-resolution hippocampus DTI and T2 mapping with less partial volume effects showed whole hippocampus abnormalities with regional elevations of MD/T2 in MS, which could be interpreted as potentially from demyelination, neuron loss, and/or inflammation, and which overall were more extensive in the hippocampus of patients with larger total brain lesion volumes and CI.
    Language English
    Publishing date 2023-04-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1000976-0
    ISSN 1099-1492 ; 0952-3480
    ISSN (online) 1099-1492
    ISSN 0952-3480
    DOI 10.1002/nbm.4952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: MR Susceptibility Separation for Quantifying Lesion Paramagnetic and Diamagnetic Evolution in Relapsing-Remitting Multiple Sclerosis.

    Zhu, Ziyan / Naji, Nashwan / Esfahani, Javad Hamidi / Snyder, Jeff / Seres, Peter / Emery, Derek J / Noga, Michelle / Blevins, Gregg / Smyth, Penelope / Wilman, Alan H

    Journal of magnetic resonance imaging : JMRI

    2024  

    Abstract: Background: Multiple sclerosis (MS) lesion evolution may involve changes in diamagnetic myelin and paramagnetic iron. Conventional quantitative susceptibility mapping (QSM) can provide net susceptibility distribution, but not the discrete paramagnetic ... ...

    Abstract Background: Multiple sclerosis (MS) lesion evolution may involve changes in diamagnetic myelin and paramagnetic iron. Conventional quantitative susceptibility mapping (QSM) can provide net susceptibility distribution, but not the discrete paramagnetic and diamagnetic components.
    Purpose: To apply susceptibility separation (χ separation) to follow lesion evolution in MS with comparison to R
    Study type: Longitudinal, prospective.
    Subjects: Twenty relapsing-remitting MS subjects (mean age: 42.5 ± 9.4 years, 13 females; mean years of symptoms: 4.3 ± 1.4 years).
    Field strength/sequence: Three-dimensional multiple echo gradient echo (QSM and R
    Assessment: Data were analyzed from two scans separated by a mean interval of 14.4 ± 2.0 months. White matter lesions on fluid-attenuated inversion recovery were defined by an automatic pipeline, then manually refined (by ZZ/AHW, 3/25 years' experience in MRI), and verified by a radiologist (MN, 25 years' experience in MS). Susceptibility separation yielded the paramagnetic and diamagnetic susceptibility content of each voxel. Lesions were classified into four groups based on the variation of QSM/R
    Statistical tests: Two-sample paired t tests for assessment of longitudinal differences. Spearman correlation coefficients to assess associations between χ separation and R
    Results: A total of 183 lesions were quantified. Categorizing lesions into groups based on χ separation demonstrated significant annual changes in QSM//R
    Data conclusion: Susceptibility separation changes in MS lesions may distinguish and quantify paramagnetic and diamagnetic evolution, potentially providing additional insight compared to R
    Level of evidence: 2 TECHNICAL EFFICACY: Stage 2.
    Language English
    Publishing date 2024-02-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146614-5
    ISSN 1522-2586 ; 1053-1807
    ISSN (online) 1522-2586
    ISSN 1053-1807
    DOI 10.1002/jmri.29266
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Diffusion imaging of fornix and interconnected limbic deep grey matter is linked to cognitive impairment in multiple sclerosis.

    Valdés Cabrera, Diana / Smyth, Penelope / Blevins, Gregg / Emery, Derek / Beaulieu, Christian

    The European journal of neuroscience

    2021  Volume 55, Issue 1, Page(s) 277–294

    Abstract: Diffusion tensor imaging (DTI) and volumetric magnetic resonance imaging (MRI) have shown white matter (WM) and deep grey matter (GM) abnormalities in the limbic system of multiple sclerosis (MS) participants. Structures like the fornix have been ... ...

    Abstract Diffusion tensor imaging (DTI) and volumetric magnetic resonance imaging (MRI) have shown white matter (WM) and deep grey matter (GM) abnormalities in the limbic system of multiple sclerosis (MS) participants. Structures like the fornix have been associated with cognitive impairment (CI) in MS, but the diffusion metrics are often biased by partial volume effects from cerebrospinal fluid (CSF) due to its small bundle size and intraventricular location. These errors in DTI parameter estimation worsen with atrophy in MS. The goal here was to evaluate DTI parameters and volumes of the fornix, as well as associated deep GM structures like the thalamus and hippocampus, with high-resolution fluid-attenuated inversion recovery (FLAIR)-DTI at 3T in 43 MS patients, with and without CI, versus 43 controls. The fornix, thalamus and hippocampus displayed atrophy and/or abnormal diffusion metrics, with the fornix showing the most extensive changes within the structures studied here, mainly in CI MS. The affected fornix volumes and diffusion metrics were associated with thalamic atrophy and atypical diffusion metrics in interconnected limbic GM, larger total lesion volume and global brain atrophy. Lower fractional anisotropy (FA) and higher mean and radial diffusivity in the fornix, lower hippocampus FA and lower thalamus volume were strongly correlated with CI in MS. Hippocampus FA and thalamus atrophy were negatively correlated with fatigue and longer time since MS symptoms onset, respectively. FLAIR-DTI and volumetric analyses provided methodologically superior evidence for microstructural abnormalities and extensive atrophy of the fornix and interconnected deep GM in MS that were associated with cognitive deficits.
    MeSH term(s) Atrophy/pathology ; Cognitive Dysfunction/diagnostic imaging ; Cognitive Dysfunction/etiology ; Diffusion Tensor Imaging/methods ; Gray Matter ; Humans ; Multiple Sclerosis/complications ; Multiple Sclerosis/diagnostic imaging ; White Matter/pathology
    Language English
    Publishing date 2021-12-02
    Publishing country France
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 645180-9
    ISSN 1460-9568 ; 0953-816X
    ISSN (online) 1460-9568
    ISSN 0953-816X
    DOI 10.1111/ejn.15539
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cross-sectional analysis of peripheral blood mononuclear cells in lymphopenic and non-lymphopenic relapsing-remitting multiple sclerosis patients treated with dimethyl fumarate.

    Lee, Chieh-Hsin / Jiang, Bei / Nakhaei-Nejad, Maryam / Barilla, David / Blevins, Gregg / Giuliani, Fabrizio

    Multiple sclerosis and related disorders

    2021  Volume 52, Page(s) 103003

    Abstract: Background: Relapsing-remitting multiple sclerosis (RRMS) is an autoimmune disorder of the central nervous system. Dimethyl Fumarate is a disease-modifying medication used to treat RRMS patients that can induce lymphopenia. We aimed to immunophenotype ... ...

    Abstract Background: Relapsing-remitting multiple sclerosis (RRMS) is an autoimmune disorder of the central nervous system. Dimethyl Fumarate is a disease-modifying medication used to treat RRMS patients that can induce lymphopenia. We aimed to immunophenotype peripheral blood mononuclear cells (PBMC) in RRMS patients cross-sectionally and examine the characteristics and modifications of lymphopenia over time.
    Methods: Characterization of PBMC was done by multiparametric flow cytometry. Patients had been on treatment for up to 4 years and were grouped into lymphopenic (DMF-L) and non-lymphopenic (DMF-N) patients.
    Results: Lymphopenia affected the cell population changes over time, with other patient characteristics (gender, age, and previous treatment status) also having significant effects. In both lymphopenic and non-lymphopenic patients, PBMC percentages were reduced over time. While overall T and B cells frequencies were not affected, males, older patients and untreated patients had significant changes in B cell subpopulations over time. CD4
    Conclusions: Our data provide evidence that under the same therapy, lymphopenia affects how the immunophenotype changes over time and can override the differences associated with other patient characteristics and possibly mask other significant changes in the immune profile of patients.
    MeSH term(s) Cross-Sectional Studies ; Dimethyl Fumarate ; Humans ; Immunosuppressive Agents ; Leukocytes, Mononuclear ; Lymphocyte Count ; Lymphopenia ; Male ; Multiple Sclerosis ; Multiple Sclerosis, Relapsing-Remitting
    Chemical Substances Immunosuppressive Agents ; Dimethyl Fumarate (FO2303MNI2)
    Language English
    Publishing date 2021-05-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2645330-7
    ISSN 2211-0356 ; 2211-0348
    ISSN (online) 2211-0356
    ISSN 2211-0348
    DOI 10.1016/j.msard.2021.103003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Inline dual-echo T2 quantification in brain using a fast mapping reconstruction technique.

    Snyder, Jeff / Seres, Peter / Stobbe, Robert W / Grenier, Justin G / Smyth, Penelope / Blevins, Gregg / Wilman, Alan H

    NMR in biomedicine

    2022  Volume 36, Issue 1, Page(s) e4811

    Abstract: T2 mapping from 2D proton density and T2-weighted images (PD-T2) using Bloch equation simulations can be time consuming and introduces a latency between image acquisition and T2 map production. A fast T2 mapping reconstruction method is investigated and ... ...

    Abstract T2 mapping from 2D proton density and T2-weighted images (PD-T2) using Bloch equation simulations can be time consuming and introduces a latency between image acquisition and T2 map production. A fast T2 mapping reconstruction method is investigated and compared with a previous modeling approach to reduce computation time and allow inline T2 maps on the MRI console. Brain PD-T2 images from five multiple sclerosis patients were used to compare T2 map reconstruction times between the new subtraction method and the Euclidean norm minimization technique. Bloch equation simulations were used to create the lookup table for decay curve matching in both cases. Agreement of the two techniques used Bland-Altman analysis for investigating individual subsets of data and all image points in the five volumes (meta-analysis). The subtraction method resulted in an average reduction of computation time for single slices from 134 s (minimization method) to 0.44 s. Comparing T2 values between the subtraction and minimization methods resulted in a confidence interval ranging from -0.06 to 0.06 ms (95% of values were within ± 0.06 ms between the techniques). Using identical reconstruction code based on the subtraction method, inline T2 maps were produced from PD-T2 images directly on the scanner console. The excellent agreement between the two methods permits the subtraction technique to be interchanged with the previous method, reducing computation time and allowing inline T2 map reconstruction based on Bloch simulations directly on the scanner.
    MeSH term(s) Humans ; Brain/diagnostic imaging
    Language English
    Publishing date 2022-08-26
    Publishing country England
    Document type Meta-Analysis ; Journal Article
    ZDB-ID 1000976-0
    ISSN 1099-1492 ; 0952-3480
    ISSN (online) 1099-1492
    ISSN 0952-3480
    DOI 10.1002/nbm.4811
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: AMPA-R Limbic Encephalitis Associated with Systemic Lupus Erythematosus.

    Zaeem, Zoya / Luk, Collin C / Anderson, Dustin / Blevins, Gregg / Siddiqi, Zaeem A

    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques

    2020  Volume 47, Issue 5, Page(s) 709–710

    MeSH term(s) Autoantibodies ; Humans ; Limbic Encephalitis/complications ; Limbic Encephalitis/diagnostic imaging ; Lupus Erythematosus, Systemic/complications ; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid
    Chemical Substances Autoantibodies ; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid (77521-29-0)
    Language English
    Publishing date 2020-04-13
    Publishing country England
    Document type Letter
    ZDB-ID 197622-9
    ISSN 0317-1671
    ISSN 0317-1671
    DOI 10.1017/cjn.2020.70
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Canadian Consensus Guidelines for the Diagnosis and Treatment of Autoimmune Encephalitis in Adults.

    Hahn, Christopher / Budhram, Adrian / Alikhani, Katayoun / AlOhaly, Nasser / Beecher, Grayson / Blevins, Gregg / Brooks, John / Carruthers, Robert / Comtois, Jacynthe / Cowan, Juthaporn / de Robles, Paula / Hébert, Julien / Kapadia, Ronak K / Lapointe, Sarah / Mackie, Aaron / Mason, Warren / McLane, Brienne / Muccilli, Alexandra / Poliakov, Ilia /
    Smyth, Penelope / Williams, Kimberly G / Uy, Christopher / McCombe, Jennifer A

    The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques

    2024  , Page(s) 1–21

    Abstract: Autoimmune encephalitis is increasingly recognized as a neurologic cause of acute mental status changes with similar prevalence to infectious encephalitis. Despite rising awareness, approaches to diagnosis remain inconsistent and evidence for optimal ... ...

    Abstract Autoimmune encephalitis is increasingly recognized as a neurologic cause of acute mental status changes with similar prevalence to infectious encephalitis. Despite rising awareness, approaches to diagnosis remain inconsistent and evidence for optimal treatment is limited. The following Canadian guidelines represent a consensus and evidence (where available) based approach to both the diagnosis and treatment of adult patients with autoimmune encephalitis. The guidelines were developed using a modified RAND process and included input from specialists in autoimmune neurology, neuropsychiatry and infectious diseases. These guidelines are targeted at front line clinicians and were created to provide a pragmatic and practical approach to managing such patients in the acute setting.
    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 197622-9
    ISSN 0317-1671
    ISSN 0317-1671
    DOI 10.1017/cjn.2024.16
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