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  1. Article: Clotting Dysfunction in Sepsis: A Role for ROS and Potential for Therapeutic Intervention.

    Lopes-Pires, Maria Elisa / Frade-Guanaes, Jéssica Oliveira / Quinlan, Gregory J

    Antioxidants (Basel, Switzerland)

    2021  Volume 11, Issue 1

    Abstract: Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and ... ...

    Abstract Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and nitrogen species (RNS) production occurs, instigated by a variety of sources, including activated inflammatory cells, such as neutrophils, platelets, and cells from the vascular endothelium. Inflammation can become an inappropriate self-sustaining and expansive process, resulting in sepsis. Patients with sepsis often exhibit loss of aspects of normal vascular homeostatic control, resulting in abnormal coagulation events and the development of disseminated intravascular coagulation. Diagnosis and treatment of sepsis remain a significant challenge for healthcare providers globally. Targeting the drivers of excessive oxidative/nitrosative stress using antioxidant treatments might be a therapeutic option. This review focuses on the association between excessive oxidative/nitrosative stress, a common feature in sepsis, and loss of homeostatic control at the level of the vasculature. The literature relating to potential antioxidants is also described.
    Language English
    Publishing date 2021-12-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11010088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Clotting Dysfunction in Sepsis: A Role for ROS and Potential for Therapeutic Intervention

    Lopes-Pires, Maria Elisa / Frade-Guanaes, Jéssica Oliveira / Quinlan, Gregory J.

    Antioxidants. 2021 Dec. 30, v. 11, no. 1

    2021  

    Abstract: Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and ... ...

    Abstract Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and nitrogen species (RNS) production occurs, instigated by a variety of sources, including activated inflammatory cells, such as neutrophils, platelets, and cells from the vascular endothelium. Inflammation can become an inappropriate self-sustaining and expansive process, resulting in sepsis. Patients with sepsis often exhibit loss of aspects of normal vascular homeostatic control, resulting in abnormal coagulation events and the development of disseminated intravascular coagulation. Diagnosis and treatment of sepsis remain a significant challenge for healthcare providers globally. Targeting the drivers of excessive oxidative/nitrosative stress using antioxidant treatments might be a therapeutic option. This review focuses on the association between excessive oxidative/nitrosative stress, a common feature in sepsis, and loss of homeostatic control at the level of the vasculature. The literature relating to potential antioxidants is also described.
    Keywords antioxidants ; coagulation ; death ; disseminated intravascular coagulation ; endothelium ; health services ; inflammation ; neutrophils ; nitrogen ; oxygen ; pathogens ; therapeutics
    Language English
    Dates of publication 2021-1230
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11010088
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Phagomimetic action of antibiotics: Revisited. How do antibiotics know where to go?

    Gutteridge, John M C / Quinlan, Gregory J / Kovacic, Peter

    Biochemical and biophysical research communications

    2019  Volume 521, Issue 3, Page(s) 721–724

    Abstract: Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a 'respiratory burst' in which superoxide radicals are released. We have previously compared the release of reactive oxygen ... ...

    Abstract Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a 'respiratory burst' in which superoxide radicals are released. We have previously compared the release of reactive oxygen species (ROS) by antibiotics, during electron transfer reactions, to this event. Antibiotics in their normal bacterial environment, and ROS, are both increasingly implicated in purposeful signalling functions, rather than their more widely known roles in bacterial killing and molecular damage. Here, we extend our comparison between antibiotics and phagocytic cells to propose that antibiotics actively accumulate at a site of pathogen infection or tumour growth. A common link being virulent cellular growth. When this occurs, new proteins are secreted, aberrant iron acquisition takes place, and lipocalins are released. Each provide a mechanism by which antibiotics can bind, and be retained, at an active site of pathogen infection or tumour growth.
    MeSH term(s) Animals ; Anti-Bacterial Agents/pharmacokinetics ; Anti-Bacterial Agents/pharmacology ; Antibiotics, Antineoplastic/pharmacokinetics ; Antibiotics, Antineoplastic/pharmacology ; Bacteria/drug effects ; Bacteria/metabolism ; Bacterial Infections/drug therapy ; Bacterial Infections/metabolism ; Humans ; Iron/metabolism ; Neoplasms/drug therapy ; Neoplasms/metabolism ; Phagocytes/drug effects ; Phagocytes/metabolism ; Phagocytosis/drug effects ; Reactive Oxygen Species/metabolism
    Chemical Substances Anti-Bacterial Agents ; Antibiotics, Antineoplastic ; Reactive Oxygen Species ; Iron (E1UOL152H7)
    Language English
    Publishing date 2019-11-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 205723-2
    ISSN 1090-2104 ; 0006-291X ; 0006-291X
    ISSN (online) 1090-2104 ; 0006-291X
    ISSN 0006-291X
    DOI 10.1016/j.bbrc.2019.10.152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Phagomimetic action of antibiotics: Revisited. How do antibiotics know where to go?

    Gutteridge, John M.C / Quinlan, Gregory J / Kovacic, Peter

    Biochemical and biophysical research communications. 2020 Jan. 15, v. 521, no. 3

    2020  

    Abstract: Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a ‘respiratory burst’ in which superoxide radicals are released. We have previously compared the release of reactive oxygen ... ...

    Abstract Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a ‘respiratory burst’ in which superoxide radicals are released. We have previously compared the release of reactive oxygen species (ROS) by antibiotics, during electron transfer reactions, to this event. Antibiotics in their normal bacterial environment, and ROS, are both increasingly implicated in purposeful signalling functions, rather than their more widely known roles in bacterial killing and molecular damage. Here, we extend our comparison between antibiotics and phagocytic cells to propose that antibiotics actively accumulate at a site of pathogen infection or tumour growth. A common link being virulent cellular growth. When this occurs, new proteins are secreted, aberrant iron acquisition takes place, and lipocalins are released. Each provide a mechanism by which antibiotics can bind, and be retained, at an active site of pathogen infection or tumour growth.
    Keywords active sites ; cell growth ; chemotaxis ; electron transfer ; neoplasms ; pathogens ; phagocytosis ; research ; virulence
    Language English
    Dates of publication 2020-0115
    Size p. 721-724.
    Publishing place Elsevier Inc.
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 205723-2
    ISSN 0006-291X ; 0006-291X
    ISSN (online) 0006-291X
    ISSN 0006-291X
    DOI 10.1016/j.bbrc.2019.10.152
    Database NAL-Catalogue (AGRICOLA)

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  5. Article: Pulmonary Arterial Hypertension: Iron Matters.

    Ramakrishnan, Latha / Pedersen, Sofia L / Toe, Quezia K / Quinlan, Gregory J / Wort, Stephen J

    Frontiers in physiology

    2018  Volume 9, Page(s) 641

    Abstract: The interplay between iron and oxygen is longstanding and central to all aerobic life. Tight regulation of these interactions including homeostatic regulation of iron utilization ensures safe usage of this limited resource. However, when control is lost ... ...

    Abstract The interplay between iron and oxygen is longstanding and central to all aerobic life. Tight regulation of these interactions including homeostatic regulation of iron utilization ensures safe usage of this limited resource. However, when control is lost adverse events can ensue, which are known to contribute to an array of disease processes. Recently, associations between disrupted iron homeostasis and pulmonary artery hypertension (PAH) have been described with the suggestion that there is a contributory link with disease. This review provides a background for iron regulation in humans, describes PAH classifications, and discusses emerging literature, which suggests a role for disrupted iron homeostatic control in various sub-types of PAH, including a role for decompartmentalization of hemoglobin. Finally, the potential for therapeutic options to restore iron homeostatic balance in PAH are discussed.
    Language English
    Publishing date 2018-05-31
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564217-0
    ISSN 1664-042X
    ISSN 1664-042X
    DOI 10.3389/fphys.2018.00641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Human pulmonary artery endothelial cells upregulate ACE2 expression in response to iron-regulatory elements: potential implications for SARS-CoV-2 infection of vascular endothelial cells.

    Toe, Quezia K / Issitt, Theo / Mahomed, Abdul / Panselinas, Ioannis / Almaghlouth, Fatma / Burke-Gaffney, Anne / Wort, Stephen John / Quinlan, Gregory J

    bioRxiv

    Abstract: Emerging studies from the ongoing covid-19 pandemic have implicated vascular dysfunction and endotheliitis in many patients presenting with severe disease. However, there is limited evidence for the expression of ACE2 (the principal co-receptor for Sars- ... ...

    Abstract Emerging studies from the ongoing covid-19 pandemic have implicated vascular dysfunction and endotheliitis in many patients presenting with severe disease. However, there is limited evidence for the expression of ACE2 (the principal co-receptor for Sars-Cov-2 cellular attachment) in vascular endothelial cells which has prompted the suggestion that the virus does not infect these cell types. However, the studies presented here demonstrate enhanced expression of ACE2 at the level of both mRNA and protein, in human pulmonary artery endothelial cells (PAECs) challenged with either IL-6 or hepcidin. Notably elevated levels both these iron-regulatory elements have been described in Covid-19 patients with severe disease and are further associated with morbidity and mortality. Additionally, levels of both IL-6 and hepcidin are often elevated in the elderly and in chronic disease settings, these populations being at greater risk of adverse outcomes from Sars-Cov-2 infection. A role for IL-6 and hepcidin as modulators of ACE2 expression seems plausible, additional, studies are required to determine if viral infection can be demonstrated in PAECs challenged with either of these iron-regulatory elements.
    Keywords covid19
    Language English
    Publishing date 2021-04-08
    Publisher Cold Spring Harbor Laboratory
    Document type Article ; Online
    DOI 10.1101/2021.04.08.437687
    Database COVID19

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  7. Article ; Online: Plasma S100A8/A9 heterodimer is an early prognostic marker of acute kidney injury associated with cardiac surgery.

    Nikolakopoulou, Zacharoula / Hector, Lauren R / Creagh-Brown, Benedict C / Evans, Timothy W / Quinlan, Gregory J / Burke-Gaffney, Anne

    Biomarkers in medicine

    2019  Volume 13, Issue 3, Page(s) 205–218

    Abstract: Aim: We investigated whether plasma levels of the inflammation marker S100A8/A9, could predict acute kidney injury (AKI) onset in patients undergoing cardiac surgery necessitating cardiopulmonary bypass (CPB).: Patients & methods: Plasma levels of ... ...

    Abstract Aim: We investigated whether plasma levels of the inflammation marker S100A8/A9, could predict acute kidney injury (AKI) onset in patients undergoing cardiac surgery necessitating cardiopulmonary bypass (CPB).
    Patients & methods: Plasma levels of S100A8/A9 and other neutrophil cytosolic proteins were measured in 39 patients pre- and immediately post-CPB.
    Results: All markers increased significantly post-CPB with S100A8/A9, S100A12 and myeloperoxidase levels significantly higher in patients who developed AKI within 7 days. S100A8/A9 had good prognostic utility for AKI, with an area under the receiver operating characteristic curve of 0.81 (95% CI: 0.676-0.949) and a cut-off value of 10.6 μg/ml (85.7% sensitivity and 75% specificity) irrespective of age.
    Conclusion: Plasma S100A8/A9 levels immediately after cardiac surgery, can predict onset of AKI, irrespective of age.
    MeSH term(s) Acute Kidney Injury/blood ; Acute Kidney Injury/diagnosis ; Acute Kidney Injury/etiology ; Aged ; Biomarkers/blood ; Calgranulin A/blood ; Calgranulin B/blood ; Cardiac Surgical Procedures/adverse effects ; Cardiopulmonary Bypass/adverse effects ; Female ; Follow-Up Studies ; Humans ; Male ; Prognosis ; ROC Curve
    Chemical Substances Biomarkers ; Calgranulin A ; Calgranulin B ; S100A8 protein, human ; S100A9 protein, human
    Language English
    Publishing date 2019-02-27
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2481014-9
    ISSN 1752-0371 ; 1752-0363
    ISSN (online) 1752-0371
    ISSN 1752-0363
    DOI 10.2217/bmm-2018-0238
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Decreased breath excretion of redox active iron in COPD: a protective failure?

    Mumby, Sharon / Saito, Junpei / Adcock, Ian M / Chung, Kian Fan / Quinlan, Gregory J

    The European respiratory journal

    2015  Volume 47, Issue 4, Page(s) 1267–1270

    MeSH term(s) Bleomycin/chemistry ; Breath Tests ; Case-Control Studies ; Exhalation ; Hepcidins/blood ; Humans ; Interleukin-6/blood ; Iron/chemistry ; Oxidants/chemistry ; Oxidation-Reduction ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Signal Transduction ; Smoking
    Chemical Substances Hepcidins ; IL6 protein, human ; Interleukin-6 ; Oxidants ; Bleomycin (11056-06-7) ; Iron (E1UOL152H7)
    Language English
    Publishing date 2015-12-23
    Publishing country England
    Document type Letter ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.01710-2015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The "Iron"-y of Iron Overload and Iron Deficiency in Chronic Obstructive Pulmonary Disease.

    Cloonan, Suzanne M / Mumby, Sharon / Adcock, Ian M / Choi, Augustine M K / Chung, Kian Fan / Quinlan, Gregory J

    American journal of respiratory and critical care medicine

    2017  Volume 196, Issue 9, Page(s) 1103–1112

    MeSH term(s) Administration, Inhalation ; Anemia, Iron-Deficiency/epidemiology ; Anemia, Iron-Deficiency/metabolism ; Comorbidity ; Homeostasis ; Humans ; Iron/metabolism ; Iron/therapeutic use ; Iron Chelating Agents/therapeutic use ; Iron Deficiencies ; Iron Overload/drug therapy ; Iron Overload/epidemiology ; Iron Overload/metabolism ; Lung/metabolism ; Pulmonary Disease, Chronic Obstructive/drug therapy ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/metabolism ; Smoking/metabolism
    Chemical Substances Iron Chelating Agents ; Iron (E1UOL152H7)
    Language English
    Publishing date 2017-04-14
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201702-0311PP
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  10. Article ; Online: Modified criteria for the systemic inflammatory response syndrome improves their utility following cardiac surgery.

    MacCallum, Niall S / Finney, Simon J / Gordon, Sarah E / Quinlan, Gregory J / Evans, Timothy W

    Chest

    2014  Volume 145, Issue 6, Page(s) 1197–1203

    Abstract: Background: Debate remains regarding whether the systemic inflammatory response syndrome (SIRS) identifies patients with clinically important inflammation. Defining criteria may be disproportionately sensitive and lack specificity. We investigated the ... ...

    Abstract Background: Debate remains regarding whether the systemic inflammatory response syndrome (SIRS) identifies patients with clinically important inflammation. Defining criteria may be disproportionately sensitive and lack specificity. We investigated the incidence and evolution of SIRS in a homogenous population (following cardiac surgery) over 7 days to establish the relationship between SIRS and outcome, modeling alternative permutations of the criteria to increase their discriminatory power for mortality, length of stay, and organ dysfunction.
    Methods: We conducted a retrospective analysis of prospectively collected data from a cardiothoracic ICU. Consecutive patients requiring ICU admission for the first time after cardiac surgery (N = 2,764) admitted over a 41-month period were studied.
    Results: Concurrently, 96.2% of patients met the standard two criterion definition for SIRS within 24 h of ICU admission. Their mortality was 2.78%. By contrast, three or four criteria were more discriminatory of patients with higher mortality (4.21% and 10.2%, respectively). A test dataset suggested that meeting two criteria for at least 6 consecutive h may be the best model. This had a positive and negative predictive value of 7% and 99.5%, respectively, in a validation dataset. It performed well at predicting organ dysfunction and prolonged ICU admission.
    Conclusions: The concept of SIRS remains valid following cardiac surgery. With suitable modification, its specificity can be improved significantly. We propose that meeting two or more defining criteria for 6 h could be used to define better populations with more difficult clinical courses following cardiac surgery. This group may merit a different clinical approach.
    MeSH term(s) Aged ; Cohort Studies ; Female ; Humans ; Incidence ; Intensive Care Units ; Male ; Middle Aged ; Patient Selection ; Predictive Value of Tests ; Prospective Studies ; Retrospective Studies ; Sensitivity and Specificity ; Survival Rate ; Systemic Inflammatory Response Syndrome/diagnosis ; Systemic Inflammatory Response Syndrome/epidemiology ; Systemic Inflammatory Response Syndrome/mortality ; Thoracic Surgery ; Time Factors
    Language English
    Publishing date 2014-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.13-1023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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