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Αλέξανδρος Γ. Σφακιανάκης

Monday, May 9, 2022

Persistent advanced periductal fibrosis is associated with cagA‐positive Helicobacter pylori infection in post‐praziquantel treatment of opisthorchiasis

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Abstract

Background

Liver fluke infection caused by Opisthorchis viverrini is associated with several hepatobiliary diseases including advanced periductal fibrosis (APF) and cholangiocarcinoma. Recently, we demonstrated a persistent APF in over one-third of opisthorchiasis patients after worm removal by praziquantel (PZQ) treatment. However, the underlying mechanism(s) of this phenomena is unclear. Given a co-infection with Helicobacter pylori (H. pylori) especially cagA-positive strain enhances APF, we hypothesized that H. pylori with CagA virulent factor contributes to persistent APF.

Materials and methods

Seventy-five opisthorchiasis patients who underwent ultrasonography and treatment with PZQ were recruited in the 2-year follow-up study. Helicobacter and its cagA in the feces were examined by conventional and qPCR. Correlations between prevalence or bacterial loads of Helicobacter spp., H. pylori, and cagA-positive H. pylori before and after PZQ treatment were analyzed among resolved, slowly resolved, relapsed, and persistent APF groups.

Results

Overall, prevalence of Helicobacter spp., H. pylori, and cagA-positive H. pylori declined after PZQ treatment. However, only the prevalence and bacterial loads of cagA-positive H. pylori detected at 2-year post-treatment were significantly lower than those before treatment (p < .05). In addition, both prevalence and bacterial loads of cagA-positive H. pylori were significantly lower in the resolved APF group after PZQ treatment, while there were no significant changes in the slowly resolved, relapsed, and persistent APF groups. Among the APF subgroups, cagA-positive H. pylori prevalence in both relapsed and persistent APF groups were significantly higher than the resolved APF group.

Conclusion

The results support our hypothesis that H. pylori, especially cagA-positive strain, contributes to the relapsed and persistent APF. A supplementary antibiotic treatment for H. pylori to reduce persistent APF and eventually CCA is warranted.

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Perceptions of NZ orthodontists and periodontists on the management of gingival recession in orthodontic patients

alexandrossfakianakis shared this article with you from Inoreader

ABSTRACT

Background

This study aimed to investigate the perceptions and opinions of orthodontists and periodontists on the management of gingival recession in orthodontic patients.

Methods

An online survey was sent to 29 periodontists and 80 orthodontists registered and currently practising in New Zealand. All participants answered questions about the timing and clinical indications of mucogingival surgeries in orthodontic patients diagnosed with mucogingival deformities.

Results

Most periodontists and orthodontists believed that gingival grafts should ideally be performed after orthodontic treatment. In clinical practice, 40% of periodontists indicated that they would receive referrals after completion of orthodontic treatment. However, 29.6% of orthodontists indicated that they would refer to a periodontist before orthodontic treatment in clinical practice. The most crucial factor that affected periodontists' decision making was 'evidence-based guidelines' (35.0%), followed by 'clinical experience' (30.0%) and 'patient concerns' (15.0%). All four factors of 'gingival phenotype', 'presence of gingival recession', 'amount of keratinised tissue' and 'planning specific tooth movements' were equally considered by orthodontists regarding their decision-making.

Conclusions

The majority of the surveyed New Zealand periodontists and orthodontists expressed a belief that the ideal timing for the management of gingival recessions would be after the completion of orthodontic treatment. © 2022 Australian Dental Association.

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Identification of non-synonymous variations in ROBO1 and GATA5 genes in a family with bicuspid aortic valve disease

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Journal of Human Genetics, Published online: 09 May 2022; doi:10.1038/s10038-022-01036-x

Identification of non-synonymous variations in ROBO1 and GATA5 genes in a family with bicuspid aortic valve disease
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Avoidance of cutaneous adverse drug reactions induced by antiepileptic drugs based on pharmacogenomics

alexandrossfakianakis shared this article with you from Inoreader

Journal of Human Genetics, Published online: 09 May 2022; doi:10.1038/s10038-022-01040-1

Avoidance of cutaneous adverse drug reactions induced by antiepileptic drugs based on pharmacogenomics
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Synergistic antibacterial effects of low-intensity ultrasound and peptide LCMHC against Staphylococcus aureus

alexandrossfakianakis shared this article with you from Inoreader

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Publication date: Available online 9 May 2022

Source: International Journal of Food Microbiology

Author(s): Zijin Yuan, Jude Juventus Aweya, Jian Li, Zhongyan Wang, Shiying Huang, Mingjing Zheng, Linfan Shi, Shanggui Deng, Shen Yang

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Particulate matter (PM10) induces in vitro activation of human neutrophils, and lung histopathological alterations in a mouse model

alexandrossfakianakis shared this article with you from Inoreader

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