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  1. Article ; Online: B Cell Responses in the Development of Mammalian Meat Allergy.

    Chandrasekhar, Jessica L / Cox, Kelly M / Erickson, Loren D

    Frontiers in immunology

    2020  Volume 11, Page(s) 1532

    Abstract: Studies of meat allergic patients have shown that eating meat poses a serious acute health risk that can induce severe cutaneous, gastrointestinal, and respiratory reactions. Allergic reactions in affected individuals following meat consumption are ... ...

    Abstract Studies of meat allergic patients have shown that eating meat poses a serious acute health risk that can induce severe cutaneous, gastrointestinal, and respiratory reactions. Allergic reactions in affected individuals following meat consumption are mediated predominantly by IgE antibodies specific for galactose-α-1,3-galactose (α-gal), a blood group antigen of non-primate mammals and therefore present in dietary meat. α-gal is also found within certain tick species and tick bites are strongly linked to meat allergy. Thus, it is thought that exposure to tick bites promotes cutaneous sensitization to tick antigens such as α-gal, leading to the development of IgE-mediated meat allergy. The underlying immune mechanisms by which skin exposure to ticks leads to the production of α-gal-specific IgE are poorly understood and are key to identifying novel treatments for this disease. In this review, we summarize the evidence of cutaneous exposure to tick bites and the development of mammalian meat allergy. We then provide recent insights into the role of B cells in IgE production in human patients with mammalian meat allergy and in a novel mouse model of meat allergy. Finally, we discuss existing data more generally focused on tick-mediated immunomodulation, and highlight possible mechanisms for how cutaneous exposure to tick bites might affect B cell responses in the skin and gut that contribute to loss of oral tolerance.
    MeSH term(s) Allergens/immunology ; Animals ; B-Lymphocytes/immunology ; B-Lymphocytes/metabolism ; Disease Susceptibility/immunology ; Food Hypersensitivity/etiology ; Food Hypersensitivity/metabolism ; Humans ; Immunoglobulin E/immunology ; Lymphocyte Activation/genetics ; Lymphocyte Activation/immunology ; Mammals ; Plasma Cells/immunology ; Plasma Cells/metabolism ; Red Meat/adverse effects
    Chemical Substances Allergens ; Immunoglobulin E (37341-29-0)
    Language English
    Publishing date 2020-07-17
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2020.01532
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Correction to: Universal, School-Based Mental Health Program Implemented among Racially and Ethnically Diverse Youth Yields Equitable Outcomes: Building Resilience for Healthy Kids.

    Chandrasekhar, Jessica L / Bowen, Anne E / Heberlein, Erin / Pyle, Emily / Studts, Christina R / Simon, Stacey L / Shomaker, Lauren / Kaar, Jill L

    Community mental health journal

    2023  Volume 59, Issue 6, Page(s) 1118

    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-023-01114-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A call to create evidence-based mental health promotion interventions for youth that are equitable across ethnic/racial subgroups: Advocates 4-ALL Youth.

    Kaar, Jill L / Bowen, Anne E / Simon, Stacey L / Dadematthews, Adefunke / Chandrasekhar, Jessica L / Musci, Rashelle / Pangelinan, Melissa

    Frontiers in public health

    2023  Volume 11, Page(s) 1139921

    Abstract: Background: Adolescents from historically racial and ethnic minoritized and low-income communities have higher rates of early-life and chronic difficulties with anxiety and depression compared to non-Hispanic White youth. With mental health distress ... ...

    Abstract Background: Adolescents from historically racial and ethnic minoritized and low-income communities have higher rates of early-life and chronic difficulties with anxiety and depression compared to non-Hispanic White youth. With mental health distress exacerbated during and in the wake of the COVID-19 pandemic, there is a need for accessible, equitable evidence-based programs that promote psychological well-being, strengthen one's ability to adapt to adversity, and build self-efficacy prior to adolescence.
    Methods: An evidenced-based resiliency-focused health coaching intervention was adapted using a health equity implementation framework to meet the needs of a Title I elementary school in rural Alabama (AL) that serves over 80% Black and Hispanic students. To ensure that the program met local community needs while maintaining core program educational activities, all adaptations were documented utilizing a standard coding system.
    Results: Leveraging an existing academic-community partnership with Auburn University and a local AL school district, a new program, Advocates 4-All Youth (ALLY), was created. Three major adaptations were required: (1) the use of local community volunteers (ALLYs) to deliver the program versus health coaches, (2) the modification of program materials to meet the challenge of varying levels of general and health-related literacy, and (3) the integration of the Empower Action Model to target protective factors in a culturally-tailored delivery to ensure key program outcomes are found equitable for all students.
    Conclusion: With continued increases in youth mental health distress, there is a need for the development of universal primary prevention interventions to promote mental well-being and to strengthen protective factors among youth from historically disadvantaged backgrounds. ALLY was created to meet these needs and may be an effective strategy if deemed efficacious in improving program outcomes.
    MeSH term(s) Humans ; Adolescent ; Pandemics ; COVID-19/prevention & control ; Health Promotion ; Mental Health ; Anxiety Disorders
    Language English
    Publishing date 2023-04-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1139921
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Universal, School-Based Mental Health Program Implemented Among Racially and Ethnically Diverse Youth Yields Equitable Outcomes: Building Resilience for Healthy Kids.

    Chandrasekhar, Jessica L / Bowen, Anne E / Heberlein, Erin / Pyle, Emily / Studts, Christina R / Simon, Stacey L / Shomaker, Lauren / Kaar, Jill L

    Community mental health journal

    2023  Volume 59, Issue 6, Page(s) 1109–1117

    Abstract: Although suicide is a leading cause of mortality among racial and ethnic minority youth, limited data exists regarding the impact of school-based mental health interventions on these populations, specifically. A single-arm pragmatic trial design was ... ...

    Abstract Although suicide is a leading cause of mortality among racial and ethnic minority youth, limited data exists regarding the impact of school-based mental health interventions on these populations, specifically. A single-arm pragmatic trial design was utilized to evaluate the equity of outcomes of the universal, school-based mental health coaching intervention, Building Resilience for Healthy Kids. All sixth-grade students at an urban middle school were invited to participate. Students attended six weekly sessions with a health coach discussing goal setting and other resilience strategies. 285 students (86%) participated with 252 (88%) completing both pre- and post-intervention surveys. Students were a mean age of 11.4 years with 55% identifying as girls, 69% as White, 13% as a racial minority, and 18% as Hispanic. Racial minority students exhibited greater improvements in personal and total resilience compared to White students, controlling for baseline scores.
    MeSH term(s) Female ; Humans ; Adolescent ; Child ; Mental Health ; Ethnicity ; School Health Services ; Minority Groups ; Health Promotion
    Language English
    Publishing date 2023-02-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-023-01090-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sleep Moderates Improvements in Mental Health Outcomes in Youth: Building Resilience for Healthy Kids.

    Simon, Stacey L / Ware, Meredith A / Bowen, Anne E / Chandrasekhar, Jessica L / Lee, Joey A / Shomaker, Lauren B / Gulley, Lauren D / Heberlein, Erin / Kaar, Jill L

    American journal of health promotion : AJHP

    2022  Volume 36, Issue 5, Page(s) 772–780

    Abstract: Purpose: To examine the role of sleep in a school-based resiliency intervention.: Design: Single group feasibility study.: Setting: Urban middle school.: Subjects: Sixth grade students.: Intervention: A total of 285, 11-12-year-old students ( ...

    Abstract Purpose: To examine the role of sleep in a school-based resiliency intervention.
    Design: Single group feasibility study.
    Setting: Urban middle school.
    Subjects: Sixth grade students.
    Intervention: A total of 285, 11-12-year-old students (70% White, 18% Hispanic, 55% female) participated in the six-week 1:1 Healthy Kids intervention. Youth (n = 248) completed electronic surveys at pre-post the 6-week study assessing mental health parameters and self-reported bed and wake time.
    Measures: Students were categorized as having insufficient sleep opportunity if they reported time in bed of <9 hours per night.
    Analysis: General linear models examined differences between groups for each mental health parameters pre-post-study.
    Results: A third of participants (28%) were classified as having insufficient sleep opportunity. Youth with insufficient sleep were more often Hispanic (27% vs 16%;
    Conclusions: Our findings suggest that youth with poor sleep health may not benefit from school-based resiliency interventions.
    MeSH term(s) Adolescent ; Child ; Female ; Health Status ; Humans ; Male ; Outcome Assessment, Health Care ; Schools ; Sleep ; Sleep Deprivation
    Language English
    Publishing date 2022-02-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 645160-3
    ISSN 2168-6602 ; 0890-1171
    ISSN (online) 2168-6602
    ISSN 0890-1171
    DOI 10.1177/08901171211068455
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cutaneous Exposure to Clinically Relevant Lone Star Ticks Promotes IgE Production and Hypersensitivity through CD4

    Chandrasekhar, Jessica L / Cox, Kelly M / Loo, William M / Qiao, Hui / Tung, Kenneth S / Erickson, Loren D

    Journal of immunology (Baltimore, Md. : 1950)

    2019  Volume 203, Issue 4, Page(s) 813–824

    Abstract: Tick-borne allergies are a growing public health concern and have been associated with the induction of IgE-mediated food allergy to red meat. However, despite the increasing prevalence of tick bite-induced allergies, the mechanisms by which cutaneous ... ...

    Abstract Tick-borne allergies are a growing public health concern and have been associated with the induction of IgE-mediated food allergy to red meat. However, despite the increasing prevalence of tick bite-induced allergies, the mechanisms by which cutaneous exposure to ticks leads to sensitization and the production of IgE Abs are poorly understood. To address this question, an in vivo approach was used to characterize the IgE response to lone star tick proteins administered through the skin of mice. The results demonstrated that tick sensitization and challenge induced a robust production of IgE Abs and supported a role for IgE-mediated hypersensitivity reactions in sensitized animals following oral administration of meat. The induction of IgE responses was dependent on cognate CD4
    MeSH term(s) Allergens/immunology ; Animals ; CD4-Positive T-Lymphocytes/immunology ; Food Hypersensitivity/immunology ; Immunoglobulin E/immunology ; Insect Proteins/immunology ; Mice ; Mice, Inbred C57BL ; Mice, Knockout ; Myeloid Differentiation Factor 88/immunology ; Skin/immunology ; Tick Bites/immunology ; Ticks/immunology
    Chemical Substances Allergens ; Insect Proteins ; Myd88 protein, mouse ; Myeloid Differentiation Factor 88 ; Immunoglobulin E (37341-29-0)
    Language English
    Publishing date 2019-07-03
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 3056-9
    ISSN 1550-6606 ; 0022-1767 ; 1048-3233 ; 1047-7381
    ISSN (online) 1550-6606
    ISSN 0022-1767 ; 1048-3233 ; 1047-7381
    DOI 10.4049/jimmunol.1801156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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