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  • 11
    In: SSRN Electronic Journal, Elsevier BV
    Type of Medium: Online Resource
    ISSN: 1556-5068
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
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  • 12
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 8_Supplement ( 2010-04-15), p. 1963-1963
    Abstract: The DNA Base Excision Repair (BER) pathway repairs DNA damaged by endogenous and exogenous agents including chemotherapeutic agents. Removal of the damaged base by a DNA glycosylase creates an apurinic / apyrimidinic (AP) site. AP Endonuclease1 (APE1), a critical component in this pathway that hydrolyzes the phosphodiester backbone 5’ to the AP site. Failure to repair AP sites leads to DNA strand breaks, enhanced cytotoxicity, cell cycle arrest and increased apoptosis. In addition to APE1's role in repair, it also functions as a redox signaling factor to activate key transcription factors such as AP1 (Fos/Jun), p53, NFkB, HIF-1α, and others controlling the expression of genes important for cell survival and cancer promotion and progression. APE1 has been shown to have an altered level of expression in a variety of cancers including pancreatic, breast, prostate, gliomas, sarcomas and others. High APE1 expression has also been associated with chemoradiotherapy poor outcome, poor complete response rate, shorter local relapse-free interval, poorer survival and high angiogenesis. Due to APE1's critical role in repairing chemotherapy- and IR-induced DNA damage, we hypothesize that inhibiting APE1's DNA repair activity would not only allow us to further elucidate the role of DNA repair that elevated levels of APE1 play in tumors, but would also allow us to delineate the importance of its DNA repair and redox functions in normal cellular processes. While reducing the amount of APE1 in cancer cells using anti-sense oligonucleotide technology and RNA interference sensitizes tumor cells to chemotherapeutic agents, it may not be the most efficacious route of treatment. We have concluded a screen of small molecule compounds for their ability to inhibit APE1 AP endonuclease activity. Four families of compounds with IC50 values less than 10 μM were identified, validated and characterized. One of the most promising compounds, designated AR03 inhibited cleavage of AP sites in vivo in SF767 glioblastoma cells, in vitro in whole cell extracts and inhibits purified human APE1 in vitro. AR03 has low affinity for dsDNA and it does not affect the redox function of APE1. AR03 also potentiates the cytotoxicity of methyl methane sulfonate (MMS) and temozolomide (TMZ) in SF767 cells. AR03 is chemically distinct from all the previously reported small molecule inhibitors of APE1 which are either ineffective in vivo due to poor cellular uptake, not tested in cellular based scenarios, or lacking in specificity. Thus, AR03 is a novel small molecule inhibitor of APE1, which may have potential as an oncotherapeutic drug for treating glioblastoma and other cancers. Additional studies are needed to determine the effect of AR03 in combination with other cancer chemotherapeutic agents, in combination with other APE1 inhibitors or other emerging BER targets such as PARP. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 1963.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2010
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
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  • 13
    Online Resource
    Online Resource
    Elsevier BV ; 2016
    In:  The Lancet Vol. 387, No. 10020 ( 2016-02), p. 747-748
    In: The Lancet, Elsevier BV, Vol. 387, No. 10020 ( 2016-02), p. 747-748
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2067452-1
    detail.hit.zdb_id: 3306-6
    detail.hit.zdb_id: 1476593-7
    SSG: 5,21
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  • 14
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  American Journal of Gastroenterology Vol. 114, No. 5 ( 2019-05), p. 713-715
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 114, No. 5 ( 2019-05), p. 713-715
    Type of Medium: Online Resource
    ISSN: 0002-9270 , 1572-0241
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
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  • 15
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 113, No. 1 ( 2018-01), p. 72-79
    Type of Medium: Online Resource
    ISSN: 0002-9270
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2018
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  • 16
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 105 ( 2010-10), p. S544-
    Type of Medium: Online Resource
    ISSN: 0002-9270
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2010
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  • 17
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  American Journal of Gastroenterology Vol. 114, No. 1 ( 2019-10), p. S493-S493
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 114, No. 1 ( 2019-10), p. S493-S493
    Abstract: Children attending day care have an increased risk of infection. It is unknown whether day care attendance among children of mothers with inflammatory bowel disease (IBD) is associated with an increased risk of infection and whether maternal exposure to biologics potentiates this risk. METHODS: The Pregnancy in IBD and Neonatal Outcomes (PIANO) registry is a prospective cohort of over 1500 pregnant women with IBD and their children. Data are collected at each trimester, delivery and at 4, 9 and 12 months postpartum. A sub-set of this cohort completed data on day care exposure. Outcomes of interest included any infection or serious infection (infection requiring hospitalization) in the first year of life. Bivariate analyses were used to compare various clinical characteristics and infectious outcomes by day care use. Logistic regression models were used 1) to determine whether day care independently increased the risk of infections and 2) to determine whether biologic or immunosuppressive medications independently increased the risk of infections among those attending day care. RESULTS: A total of 310 pregnant women with IBD and their children were included. Of these, 39% of children attended day care in the first year of life. Clinical characteristics were similar in those that attended day care vs. not, including maternal medication use. Slightly greater numbers of children of non-smokers attended day care ( P = 0.007) (Table 1). Children attending day care had a higher rate of any infection in the first year of life than those not attending day care (65% vs. 54%, P = 0.05). However, there were no differences in serious infection rates (6% vs. 8%, P = 0.65) (Table 2). Use of daycare was not significantly associated with any infection after controlling for vaccine use, breastfeeding and preterm birth (OR 1.2, 95% CI 0.71-2.05). Among those attending day care, neither biologic (OR 0.47, 95% CI 0.05-4.86), immunomodulator (OR 0.76, 95% CI 0.04-16.42), nor combination therapy use (OR 0.78, 95% CI 0.06-9.34) was significantly associated with any infection. CONCLUSION: Approximately 1/3 of children born to women with IBD in this cohort attended day care in the first year of life. Day care was associated with higher overall infection rates, but not differences in serious infections. There was no further increased risk of infection among children in day care whose mothers were exposed to biologic medications, suggesting that childcare options should not be limited by in utero medication exposure.
    Type of Medium: Online Resource
    ISSN: 0002-9270 , 1572-0241
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
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  • 18
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  American Journal of Gastroenterology Vol. 114, No. 1 ( 2019-12), p. S4-S4
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 114, No. 1 ( 2019-12), p. S4-S4
    Abstract: There is a growing interest in the role of gut bacteria in a variety of diseases and an emerging hypothesis that inflammatory bowel disease (IBD) is triggered by microbial dysbiosis in genetically susceptible individuals. Currently fecal microbiota transplantation (FMT) is utilized for the treatment of C. difficile colitis. Data on the efficacy of FMT for IBD are mixed, but patients are interested in its use for treatment of IBD. We sought to describe the use of FMT (self or medical professional administered) in individuals with IBD using IBD Partners, an internet-based cohort. METHODS: A total of 3,247 patients enrolled in the IBD Partners cohort were offered the opportunity to complete an optional survey on use of FMT. Bivariate statistics were used to determine factors associated with use of FMT including IBD disease characteristics, indication for FMT, and mode of FMT delivery. RESULTS: Of the 3,247 patients eligible to complete the FMT survey, 51 (1.6%) people responded that they had an FMT in the past. Of patients undergoing FMT, 22 patients had the FMT for C. difficile while 29 reported that the FMT was for another indication. Most patients receiving FMT for an indication other than C. difficile had UC/IC (25, 86.2%). Colonoscopy (68.2%) and nasogastric tube (18.2%) were the most common routes of administration for patients receiving FMT for C. difficile colitis. Self-administration (72.4%) and enemas (17.2%) were the most common routes of administration in patients receiving FMT for an alternate indication. Patients reporting FMT for an indication other than C. difficile were less likely to have a physician directing their FMT treatment (20.6%) as compared to patients receiving FMT for C. difficile (86.3%). Patient reported efficacy was lower for FMT given for a non-C. difficile indication. CONCLUSION(S): Patients undergoing FMT for an indication other than C. difficile infection were more likely to have UC, self-administer FMT, and were less likely to be receiving FMT under the guidance of a medical professional. FMT was not as effective for symptoms when given for a non-C. difficile indication. Patients should be counseled on potential harms and lack of efficacy data associated with FMT for IBD indications to try to discourage self-administered FMT without proper medical oversite.
    Type of Medium: Online Resource
    ISSN: 0002-9270 , 1572-0241
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
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  • 19
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  American Journal of Gastroenterology Vol. 114, No. 1 ( 2019-10), p. S377-S378
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 114, No. 1 ( 2019-10), p. S377-S378
    Abstract: Prior studies have indicated that significant disparities exist when comparing black and white patients with inflammatory bowel disease (IBD), including increased emergency department visits and difficulty accessing specialists for Crohn's disease (CD) and ulcerative colitis (UC). The primary objective of this study was to compare any use of IBD-specific therapies among black and white patients with Medicaid Insurance, where race is self-reported at enrollment and patients have uniform insurance coverage. Among patients with CD who underwent surgery, we also aimed to evaluate postoperative therapies. METHODS: We performed a retrospective cohort study, analyzing data from the Medicaid Analytic Extract from four states (CA, GA, NC, and TX) between 2007 and 2014. We compared the use of IBD-specific therapies between black and white patients with IBD, including specific analyses of postoperative therapy among patients with CD. We performed bivariate analyses and multivariable logistic regression, adjusting for potential confounders. RESULTS: We identified 14,735 patients with IBD [4,672 black race (32%), 8,277 CD (58%)]. Among all 14,375 patients, 64% received at least one IBD-specific medication. Black patients were significantly more likely to receive therapy with an immunomodulator (20% vs. 15%, P 〈 0.001), an anti-tumor necrosis alpha (anti-TNF) therapy (23% vs. 18%, P 〈 0.001), combination therapy with an anti-TNF and an immunomodulator (4% vs. 3%, P 〈 0.001) and prednisone (43% vs. 38%, P 〈 0.001, Table 1). In multivariable analysis, there was no significant difference in odds of anti-TNF use by race for CD [adjusted Odds Ratio (aOR) 1.13, 95% Confidence Interval (CI): 0.99-1.28] or UC (aOR 1.12, 95% CI: 0.96-1.32, Table 2). Black patients with CD were more likely to receive combination therapy (aOR 1.50, 95% CI: 1.15-1.96). Among 398 patients undergoing surgery for CD, black patients received earlier postoperative therapy with an anti-TNF (median 94 days vs. 132 days, P = 0.023) and azathioprine (median 53 days vs. 92 days, P = 0.024), with no significant difference noted in use of methotrexate in the post-operative period. CONCLUSION: In patients with Medicaid Insurance, where access to IBD-specific therapy should be similar for all individuals, there was no significant disparity by race in the utilization of IBD-specific therapies. Access to comparable insurance benefits may aid significantly in resolving apparent healthcare disparities.
    Type of Medium: Online Resource
    ISSN: 0002-9270 , 1572-0241
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
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  • 20
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2017
    In:  American Journal of Gastroenterology Vol. 112 ( 2017-10), p. S327-S328
    In: American Journal of Gastroenterology, Ovid Technologies (Wolters Kluwer Health), Vol. 112 ( 2017-10), p. S327-S328
    Type of Medium: Online Resource
    ISSN: 0002-9270
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2017
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