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  1. Article: Pediatric glioblastoma cells are sensitive to drugs that inhibit eIF2α dephosphorylation and its phosphomimetic S51D variant.

    Eytan, Karin / Versano, Ziv / Oren, Roni / Jacob-Hirsch, Jasmine / Leitner, Moshe / Harmelin, Alon / Rechavi, Gideon / Toren, Amos / Paglin, Shoshana / Yalon, Michal

    Frontiers in oncology

    2022  Volume 12, Page(s) 959133

    Abstract: We found that pediatric glioblastoma (PED-GBM) cell lines from diffuse intrinsic pontine glioma (DIPG) carrying the H3K27M mutation or from diffuse hemispheric glioma expressing the H3G34R mutation are sensitive to the combination of vorinostat (a ... ...

    Abstract We found that pediatric glioblastoma (PED-GBM) cell lines from diffuse intrinsic pontine glioma (DIPG) carrying the H3K27M mutation or from diffuse hemispheric glioma expressing the H3G34R mutation are sensitive to the combination of vorinostat (a histone deacetylase inhibitor) and PARP-1 inhibitors. The combined treatment increased the phosphorylation of eIF2α (P-eIF2α) relative to each drug alone and enhanced the decrease in cell survival. To explore the role played by increased P-eIF2α in modulating PED-GBM survival and response to treatments, we employed brain-penetrating inhibitors of P-eIF2α dephosphorylation: salubrinal and raphin-1. These drugs increased P-eIF2α, DNA damage, and cell death, similarly affecting the sensitivity of DIPG cells and derived neurospheres to PARP-1 inhibitors. Interestingly, these drugs also decreased the level of eIF2Bϵ (the catalytic subunit of eIF2B) and increased its phosphorylation, thereby enhancing the effect of increased P-eIF2α. Transient transfection with the S51D phosphomimetic eIF2α variant recapitulated the effect of salubrinal and raphin-1 on PED-GBM survival and sensitivity to PARP-1 inhibitors. Importantly, either salubrinal or raphin-1 dramatically increased the sensitivity of DIPG cells to radiation, the main treatment modality of PED-GBM. Finally, PED-GBM was more sensitive than normal human astrocytes to salubrinal, raphin-1, and the treatment combinations described herein. Our results indicate that combinations of histone deacetylase inhibitors and PARP-1 inhibitors should be evaluated for their toxicity and efficacy in PED-GBM patients and point to drugs that increase P-eIF2α or modulate its downstream effectors as a novel means of treating PED-GBM.
    Language English
    Publishing date 2022-08-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2022.959133
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: MutT homolog 1 counteracts the effect of anti-neoplastic treatments in adult and pediatric glioblastoma cells.

    Versano, Ziv / Shany, Eitan / Freedman, Shany / Tuval-Kochen, Liron / Leitner, Moshe / Paglin, Shoshana / Toren, Amos / Yalon, Michal

    Oncotarget

    2018  Volume 9, Issue 44, Page(s) 27547–27563

    Abstract: Glioblastoma, a fatal disease in both adult and pediatric patients, currently has limited treatment options that offer no more than temporary relief. Our experiments with adult and pediatric glioblastoma cell lines showed that radiation induces a dose- ... ...

    Abstract Glioblastoma, a fatal disease in both adult and pediatric patients, currently has limited treatment options that offer no more than temporary relief. Our experiments with adult and pediatric glioblastoma cell lines showed that radiation induces a dose-dependent increase in the level of MutT homolog 1 (MTH1) - an enzyme that hydrolyzes oxidized purine nucleoside triphosphates. Similarly, the combination of vorinostat, which is a histone deacetylase inhibitor, and ABT-888, which is a PARP-1 inhibitor, enhanced clonogenic death and increased the MTH1 level, relative to each treatment alone. This result suggests that the MTH1 level is directly related to the damage that is inflicted upon the cells, and its activity protects them against anti-neoplastic therapy. Indeed, the MTH1 inhibitor TH588 and MTH1 siRNA increased glioblastoma's response to both radiation and the combination of vorinostat and ABT-888. TH588 also inhibited glioblastoma's capacity for migration and invasion. In normal fibroblasts, low radiation doses and the combination of vorinostat and ABT-888 decreased the level of the enzyme. TH588 did not alter the fibroblasts' response to radiation and only mildly affected their response to the combination of vorinostat and ABT-888. In summary, the inhibition of MTH1 is required to better realize the therapeutic potential of anti-neoplastic treatments in glioblastoma.
    Language English
    Publishing date 2018-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2560162-3
    ISSN 1949-2553 ; 1949-2553
    ISSN (online) 1949-2553
    ISSN 1949-2553
    DOI 10.18632/oncotarget.25547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Role of Klotho Protein in Tumor Genesis, Cancer Progression, and Prognosis in Patients with High-Grade Glioma.

    Peshes-Yeloz, Naama / Ungar, Lior / Wohl, Anton / Jacoby, Elad / Fisher, Tamar / Leitner, Moshe / Nass, Dvora / Rubinek, Tamar / Wolf, Ido / Cohen, Zvi R

    World neurosurgery

    2019  Volume 130, Page(s) e324–e332

    Abstract: Background: Klotho, a single-pass transmembrane protein associated with premature aging, acts as a tumor suppressor gene by inhibiting insulin/insulin-like growth factor-1 and fibroblast growth factor pathways. Downregulated Klotho expression is ... ...

    Abstract Background: Klotho, a single-pass transmembrane protein associated with premature aging, acts as a tumor suppressor gene by inhibiting insulin/insulin-like growth factor-1 and fibroblast growth factor pathways. Downregulated Klotho expression is reported in melanoma, mesothelioma, bladder, breast, gastric, cervix, lung, and kidney cancers and is associated with a poor prognosis. Klotho expression and Klotho promoter hypermethylation are predictive factors for patient prognosis.
    Methods: To investigate the potential role of Klotho in glioblastoma-multiforme (GBM), 22 GBM samples were collected from the Sheba Tumor Bank and examined.
    Results: We found that increased Klotho messenger ribonucleic acid (RNA) expression predicted longer survival (P = 0.03) of GBM patients. Methylation analysis was performed on bisulfite-treated deoxyribonucleic acid from the GBM patient samples using ionization time-of-flight mass spectrometry according to the Sequenom EpiTYPER protocols. Klotho promoter hypermethylation was detected in 65% of the GBM samples and correlated significantly with improved survival (P < 0.04). We found 3 major Klotho promotor hypermethylation sites located 585-579 bp, 540-533 bp, and 537-534 bp upstream of the transcription start site. Methylated deoxyribonucleic acid immunoprecipitation studies confirmed these results. Notably, the messenger RNA expression in these GBM samples revealed an unexpected linear correlation with methylation of these 3 hypermethylation sites identified in the Klotho promotor. Thus Klotho expression and methylation could predict prognosis in patients with GBM.
    Conclusions: Epigenetic regulation in GBM appears to be complicated. Specific CpG islands affect genes or micro RNAs that interact to control Klotho expression. The diverse effects of these islands may be due to unique factors of GBM.
    MeSH term(s) Brain Neoplasms/diagnosis ; Brain Neoplasms/genetics ; Brain Neoplasms/metabolism ; Carcinogenesis/genetics ; Carcinogenesis/metabolism ; Carcinogenesis/pathology ; Disease Progression ; Gene Expression Regulation, Neoplastic ; Glioblastoma/diagnosis ; Glioblastoma/genetics ; Glioblastoma/metabolism ; Glioma/diagnosis ; Glioma/genetics ; Glioma/metabolism ; Glucuronidase/biosynthesis ; Glucuronidase/genetics ; Humans ; MCF-7 Cells ; Neoplasm Grading/methods ; Prognosis
    Chemical Substances Glucuronidase (EC 3.2.1.31) ; klotho protein (EC 3.2.1.31)
    Language English
    Publishing date 2019-06-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2534351-8
    ISSN 1878-8769 ; 1878-8750
    ISSN (online) 1878-8769
    ISSN 1878-8750
    DOI 10.1016/j.wneu.2019.06.082
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Sustained Response to Imatinib in a Pediatric Patient with Concurrent Myeloproliferative Disease and Lymphoblastic Lymphoma Associated with a CCDC88C-PDGFRB Fusion Gene.

    Bielorai, Bella / Leitner, Moshe / Goldstein, Gal / Mehrian-Shai, Ruty / Trakhtenbrot, Luba / Fisher, Tamar / Marcu, Victoria / Yalon, Michal / Schiby, Ginette / Barel, Ortal / Cal, Nitzan / Golan, Hana / Toren, Amos

    Acta haematologica

    2019  Volume 141, Issue 2, Page(s) 119–127

    Abstract: Background: The WHO defined myeloid and lymphoid neoplasms (MLN) with eosinophilia associated with PDGFRB, PDGFRA, FGFR1 rearrangements as a new entity in 2016. PDGFRB-rearranged MLN sensitive to imatinib were described in adult patients. We report the ... ...

    Abstract Background: The WHO defined myeloid and lymphoid neoplasms (MLN) with eosinophilia associated with PDGFRB, PDGFRA, FGFR1 rearrangements as a new entity in 2016. PDGFRB-rearranged MLN sensitive to imatinib were described in adult patients. We report the first pediatric patient with PDGFRB-rearranged myeloproliferative disorder associated with T-lymphoblastic lymphoma bearing the t(5; 14)(q33;q32) translocation who was successfully treated with imatinib only. Methods/Aims: Analysis of bone marrow and peripheral blood cells by fluorescent in situ hybridization identified the PDGFRB partner as CCDC88C. Whole genome sequencing of the patient's DNA identified the exact junction site, confirmed by PCR amplification and Sanger sequencing. A real-time quantitative PCR assay was designed to quantify the fused CCDC88C-PDGFRB product.
    Results: A 2.5-year-old boy was diagnosed with myeloproliferative disorder and eosinophilia associated with lymphoblastic lymphoma both bearing the CCDC88C-PDGFRB fusion. Imatinib therapy resulted in rapid clinical, hematological, and cytogenetic response. Molecular response to treatment was monitored by a real-time PCR assay specific for the CCDC88C- PDGFRB fusion.
    Conclusion: This is the first description of MLN with eosinophilia in the pediatric age group. Response to treatment with imatinib only was monitored by specific quantitative PCR assay with sustained remission lasting 5.5 years from diagnosis.
    MeSH term(s) Base Sequence ; Child, Preschool ; Humans ; Imatinib Mesylate/therapeutic use ; In Situ Hybridization, Fluorescence ; Intracellular Signaling Peptides and Proteins/genetics ; Karyotype ; Male ; Microfilament Proteins/genetics ; Myeloproliferative Disorders/complications ; Myeloproliferative Disorders/diagnosis ; Myeloproliferative Disorders/drug therapy ; Oncogene Proteins, Fusion/genetics ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Protein Kinase Inhibitors/therapeutic use ; Receptor, Platelet-Derived Growth Factor beta/genetics ; Whole Genome Sequencing
    Chemical Substances CCDC88C protein, human ; Intracellular Signaling Peptides and Proteins ; Microfilament Proteins ; Oncogene Proteins, Fusion ; Protein Kinase Inhibitors ; Imatinib Mesylate (8A1O1M485B) ; Receptor, Platelet-Derived Growth Factor beta (EC 2.7.10.1)
    Language English
    Publishing date 2019-02-06
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 80008-9
    ISSN 1421-9662 ; 0001-5792
    ISSN (online) 1421-9662
    ISSN 0001-5792
    DOI 10.1159/000495687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Quantitative profiling of the in vivo enzymatic activity of ricin reveals disparate depurination of different pulmonary cell types.

    Falach, Reut / Sapoznikov, Anita / Gal, Yoav / Israeli, Ofir / Leitner, Moshe / Seliger, Nehama / Ehrlich, Sharon / Kronman, Chanoch / Sabo, Tamar

    Toxicology letters

    2016  Volume 258, Page(s) 11–19

    Abstract: The plant-derived toxins ricin and abrin, operate by site-specific depurination of ribosomes, which in turn leads to protein synthesis arrest. The clinical manifestation following pulmonary exposure to these toxins is that of a severe lung inflammation ... ...

    Abstract The plant-derived toxins ricin and abrin, operate by site-specific depurination of ribosomes, which in turn leads to protein synthesis arrest. The clinical manifestation following pulmonary exposure to these toxins is that of a severe lung inflammation and respiratory insufficiency. Deciphering the pathways mediating between the catalytic activity and the developing lung inflammation, requires a quantitative appreciation of the catalytic activity of the toxins, in-vivo. In the present study, we monitored truncated cDNA molecules which are formed by reverse transcription when a depurinated 28S rRNA serves as template. We found that maximal depurination after intranasal exposure of mice to 2LD50 ricin was reached 48h, where nearly 40% of the ribosomes have been depurinated and that depurination can be halted by post-exposure administration of anti-ricin antibodies. We next demonstrated that the effect of ricin intoxication on different cell types populating the lungs differs greatly, and that outstandingly high levels of damage (80% depurination), were observed in particular for pulmonary epithelial cells. Finally, we found that the magnitude of depurination induced by the related plant-derived toxin abrin, was significantly lower in comparison to ricin, and can be attributed mostly to reduced depurination of pulmonary epithelial cells by abrin. This study provides for the first time vital information regarding the scope and timing of the catalytic performance of ricin and abrin in the lungs of intact animals.
    MeSH term(s) Abrin/administration & dosage ; Abrin/isolation & purification ; Abrin/metabolism ; Abrin/toxicity ; Abrus/enzymology ; Administration, Intranasal ; Animals ; Antitoxins/therapeutic use ; Cytotoxins/administration & dosage ; Cytotoxins/antagonists & inhibitors ; Cytotoxins/metabolism ; Cytotoxins/toxicity ; DNA, Complementary/metabolism ; Female ; Flow Cytometry ; Lethal Dose 50 ; Lung/drug effects ; Lung/metabolism ; Lung/pathology ; Mice ; Pneumonia/etiology ; Pneumonia/prevention & control ; Poisoning/drug therapy ; Poisoning/metabolism ; Poisoning/pathology ; Poisoning/physiopathology ; Protein Synthesis Inhibitors/administration & dosage ; Protein Synthesis Inhibitors/chemistry ; Protein Synthesis Inhibitors/metabolism ; Protein Synthesis Inhibitors/toxicity ; Purines/metabolism ; RNA, Ribosomal, 28S/metabolism ; Respiratory Insufficiency/etiology ; Respiratory Insufficiency/prevention & control ; Respiratory Mucosa/drug effects ; Respiratory Mucosa/metabolism ; Respiratory Mucosa/pathology ; Ribosomes/drug effects ; Ribosomes/enzymology ; Ribosomes/metabolism ; Ricin/administration & dosage ; Ricin/antagonists & inhibitors ; Ricin/metabolism ; Ricin/toxicity ; Ricinus/enzymology
    Chemical Substances Antitoxins ; Cytotoxins ; DNA, Complementary ; Protein Synthesis Inhibitors ; Purines ; RNA, Ribosomal, 28S ; Abrin (1393-62-0) ; Ricin (9009-86-3)
    Language English
    Publishing date 2016-09-06
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 433788-8
    ISSN 1879-3169 ; 0378-4274
    ISSN (online) 1879-3169
    ISSN 0378-4274
    DOI 10.1016/j.toxlet.2016.06.003
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  6. Article: Sustained Response to Imatinib in a Pediatric Patient with Concurrent Myeloproliferative Disease and Lymphoblastic Lymphoma Associated with a ; Fusion Gene

    Bielorai, Bella / Leitner, Moshe / Goldstein, Gal / Mehrian-Shai, Ruty / Trakhtenbrot, Luba / Fisher, Tamar / Marcu, Victoria / Yalon, Michal / Schiby, Ginette / Barel, Ortal / Cal, Nitzan / Golan, Hana / Toren, Amos

    Acta Haematologica

    2019  Volume 141, Issue 2, Page(s) 119–127

    Abstract: Background: The WHO defined myeloid and lymphoid neoplasms (MLN) with eosinophilia associated with PDGFRBPDGFRAFGFR1 rearrangements as a new entity in 2016. PDGFRB-rearranged MLN sensitive to imatinib were described in adult patients. We report the first ...

    Institution Department of Pediatric Hematology-Oncology, The Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Ramat-Gan, Israel
    Hematology Laboratory, Sheba Medical Center, Tel-Hashomer, Israel
    Department of Pathology, Sheba Medical Center, Tel-Hashomer, Israel
    Cancer Research Center, Sheba Medical Center, Tel-Hashomer, Israel
    Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
    Abstract Background: The WHO defined myeloid and lymphoid neoplasms (MLN) with eosinophilia associated with PDGFRBPDGFRAFGFR1 rearrangements as a new entity in 2016. PDGFRB-rearranged MLN sensitive to imatinib were described in adult patients. We report the first pediatric patient with PDGFRB-rearranged myeloproliferative disorder associated with T-lymphoblastic lymphoma bearing the t(5; 14)(q33;q32) translocation who was successfully treated with imatinib only. Methods/Aims: Analysis of bone marrow and peripheral blood cells by fluorescent in situ hybridization identified the PDGFRB partner as CCDC88C. Whole genome sequencing of the patient’s DNA identified the exact junction site, confirmed by PCR amplification and Sanger sequencing. A real-time quantitative PCR assay was designed to quantify the fused CCDC88CPDGFRB product. Results: A 2.5-year-old boy was diagnosed with myeloproliferative disorder and eosinophilia associated with lymphoblastic lymphoma both bearing the CCDC88C-PDGFRB fusion. Imatinib therapy resulted in rapid clinical, hematological, and cytogenetic response. Molecular response to treatment was monitored by a real-time PCR assay specific for the CCDC88CPDGFRB fusion. Conclusion: This is the first description of MLN with eosinophilia in the pediatric age group. Response to treatment with imatinib only was monitored by specific quantitative PCR assay with sustained remission lasting 5.5 years from diagnosis.
    Keywords Myeloid/lymphoid neoplasm ; Pediatrics ; Imatinib
    Language English
    Publishing date 2019-02-06
    Publisher S. Karger AG
    Publishing place Basel, Switzerland
    Document type Article
    Note Original Paper
    ZDB-ID 80008-9
    ISSN 1421-9662 ; 0001-5792
    ISSN (online) 1421-9662
    ISSN 0001-5792
    DOI 10.1159/000495687
    Database Karger publisher's database

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  7. Article: Polymerase chain reaction-based diagnosis of Mediterranean spotted fever in serum and tissue samples.

    Leitner, Moshe / Yitzhaki, Shmuel / Rzotkiewicz, Sabine / Keysary, Avi

    The American journal of tropical medicine and hygiene

    2002  Volume 67, Issue 2, Page(s) 166–169

    Abstract: A nested polymerase chain reaction (PCR) assay has been developed and used in the diagnosis of fatal and benign cases of Mediterranean spotted fever (MSF). The test was based on specific primers derived from a Rickettsia conorii 17-kD protein gene. A ... ...

    Abstract A nested polymerase chain reaction (PCR) assay has been developed and used in the diagnosis of fatal and benign cases of Mediterranean spotted fever (MSF). The test was based on specific primers derived from a Rickettsia conorii 17-kD protein gene. A positive signal was obtained from spotted fever group (SFG) and typhus group (TG) rickettsiae. Discrimination between SFG and TG rickettsiae was based on a restriction fragment length polymorphism test. Other gram-negative bacterial species tested did not generate a signal, attesting for the specificity of the assay. The SFG-specific DNA fragment was detected in four of 29 acute-phase sera from serologically confirmed patients with MSF, while acute-phase sera from 25 patients without MSF were PCR negative. Acute-phase sera samples (five of five) and tissue autopsies (six of seven) from fatal suspected cases of MSF were PCR positive. The results demonstrate that sera and tissue samples are suitable specimens for the nested PCR tests, especially in fatal cases.
    MeSH term(s) Boutonneuse Fever/blood ; Boutonneuse Fever/diagnosis ; Boutonneuse Fever/microbiology ; DNA Primers ; DNA, Bacterial/analysis ; Fluorescent Antibody Technique ; Humans ; Polymerase Chain Reaction ; Rickettsia conorii/genetics ; Rickettsia conorii/isolation & purification ; Rickettsia typhi/genetics ; Rickettsia typhi/isolation & purification ; Sensitivity and Specificity
    Chemical Substances DNA Primers ; DNA, Bacterial
    Language English
    Publishing date 2002-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.2002.67.166
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Related to testes-specific, vespid and pathogenesis protein-1 is regulated by methylation in glioblastoma.

    Jacoby, Elad / Yalon, Michal / Leitner, Moshe / Cohen, Zvi R / Cohen, Yehudit / Fisher, Tamar / Eder, Sarit / Amariglio, Ninette / Rechavi, Gideon / Cazacu, Simona / Xiang, Cunli / Mikkelsen, Tom / Brodie, Chaya / Toren, Amos

    Oncology letters

    2014  Volume 7, Issue 4, Page(s) 1209–1212

    Abstract: Related to testes-specific, vespid and pathogenesis protein-1 (RTVP-1), also known as glioma pathogenesis-related protein 1, is highly expressed and has oncogenic features in glioblastoma (GBM; World Health Organization class IV). Promoter methylation ... ...

    Abstract Related to testes-specific, vespid and pathogenesis protein-1 (RTVP-1), also known as glioma pathogenesis-related protein 1, is highly expressed and has oncogenic features in glioblastoma (GBM; World Health Organization class IV). Promoter methylation has been found to control RTVP-1 expression in prostate carcinoma, Wilms' tumor, acute myeloid leukemia and melanoma. In this bi-institutional study, the methylation status of RTVP-1 in astrocytic brain malignancies (GBM and oligodendroglioma) was examined. The RTVP-1 promoter was hypomethylated in GBM compared with non-tumor brain samples, but was hypermethylated in oligodendroglioma. RTVP-1 methylation correlated with RTVP-1 expression at the mRNA level. In GBM, hypermethylation of the RTVP-1 promoter was associated with improved overall survival although with no statistical significance.
    Language English
    Publishing date 2014-01-27
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 2573196-8
    ISSN 1792-1082 ; 1792-1074
    ISSN (online) 1792-1082
    ISSN 1792-1074
    DOI 10.3892/ol.2014.1829
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Early diagnosis of severe Mediterranean spotted fever cases by nested-PCR detecting spotted fever Rickettsiae 17-kD common antigen gene.

    Ergas, David / Sthoeger, Zev M / Zev Sthoeger, M / Keysary, Avi / Strenger, Carmela / Leitner, Moshe / Zimhony, Oren

    Scandinavian journal of infectious diseases

    2008  Volume 40, Issue 11-12, Page(s) 965–967

    Abstract: We describe 3 cases of Mediterranean spotted fever (MSF) who presented with severe sepsis, in 2 of which the clinical diagnosis was unclear at presentation. In each case the diagnosis of MSF was made using a nested-PCR assay for Rickettsia conorii 17-kD ... ...

    Abstract We describe 3 cases of Mediterranean spotted fever (MSF) who presented with severe sepsis, in 2 of which the clinical diagnosis was unclear at presentation. In each case the diagnosis of MSF was made using a nested-PCR assay for Rickettsia conorii 17-kD protein gene. The nested-PCR based diagnosis preceded the serological results of MSF that were all negative at admission. The early diagnosis of MSF by specific PCR will facilitate an early institution of appropriate therapy, saving unnecessary tests and medications.
    MeSH term(s) Adult ; Anti-Bacterial Agents/therapeutic use ; Antigens, Bacterial/genetics ; Boutonneuse Fever/diagnosis ; Boutonneuse Fever/drug therapy ; Genes, Bacterial ; Humans ; Male ; Middle Aged ; Polymerase Chain Reaction/methods ; Polymorphism, Restriction Fragment Length ; Rickettsia conorii/genetics
    Chemical Substances Anti-Bacterial Agents ; Antigens, Bacterial
    Language English
    Publishing date 2008
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 390956-6
    ISSN 1651-1980 ; 0036-5548
    ISSN (online) 1651-1980
    ISSN 0036-5548
    DOI 10.1080/00365540802400584
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Fatal Rickettsia conorii subsp. israelensis infection, Israel.

    Weinberger, Miriam / Keysary, Avi / Sandbank, Judith / Zaidenstein, Ronit / Itzhaki, Avi / Strenger, Carmela / Leitner, Moshe / Paddock, Christopher D / Eremeeva, Marina E

    Emerging infectious diseases

    2008  Volume 14, Issue 5, Page(s) 821–824

    Abstract: Underdiagnosis of fatal spotted fever may be attributed to nonspecific clinical features and insensitive acute-phase serologic studies. We describe the importance of molecular and immunohistochemical methods in establishing the postmortem diagnosis of ... ...

    Abstract Underdiagnosis of fatal spotted fever may be attributed to nonspecific clinical features and insensitive acute-phase serologic studies. We describe the importance of molecular and immunohistochemical methods in establishing the postmortem diagnosis of locally acquired Israeli spotted fever due to Rickettsia conorii subsp. israelensis in a traveler returning to Israel from India.
    MeSH term(s) Autopsy ; Boutonneuse Fever/diagnosis ; Boutonneuse Fever/drug therapy ; Fatal Outcome ; Humans ; India ; Israel/epidemiology ; Male ; Middle Aged ; Molecular Sequence Data ; Rickettsia conorii/classification ; Rickettsia conorii/genetics ; Rickettsia conorii/isolation & purification ; Sequence Analysis, DNA ; Travel
    Language English
    Publishing date 2008-04-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid1405.071278
    Database MEDical Literature Analysis and Retrieval System OnLINE

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