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Effects of therapeutic plasma exchange (TPE) on efficacy and adverse events in patients with autoimmune neurological diseases: a systematic review and meta-analysis based on real-world studies and single-arm clinical trials.

BackgroundTherapeutic plasma exchange (TPE) is a core intervention for autoimmune neurological diseases (ANDs). To date, clinical efficacy and safety of TPE across disease subtypes, age strata and regions have not been systematically synthesized. This meta-analysis aimed to evaluate the clinical response, mortality and adverse event (AE) rates of TPE in patients with ANDs.MethodsRelevant real-world observational studies and single-arm trials were retrieved from PubMed, Embase and Cochrane Library. We conducted single-arm meta-analysis to pool effect sizes with 95% confidence intervals (CIs). S

Therapeutic plasma exchange an emerging treatment modality: A 3-year retrospective analysis of patients admitted in a multispecialty hospital of North India.

Background and aimsTherapeutic plasma exchange (TPE) is increasingly used throughout the medical field. We aimed to analyze the various aspects of TPE practices at our hospital in terms of clinical indications, technical feasibility, safety, outcome as well as complications associated with the procedures.Materials and methodsThe data included demographic profiles, clinical parameters, and technical characteristics of each TPE procedure. All the information was noted in data spread sheet (Microsoft Excel 2013) for further analysis.ResultsThis is a 3-year retrospective study of total 266 TPE pro

Extracellular vesicles: a new frontier in diagnosing and treating graft-versus-host disease after allogeneic hematopoietic cell transplantation.

Graft-versus-host disease (GvHD) is a prevalent complication following allogeneic hematopoietic stem cell transplantation (HSCT) and is characterized by relatively high morbidity and mortality rates. GvHD can result in extensive systemic damage in patients following allogeneic HSCT (allo-HSCT), with the skin, gastrointestinal tract, and liver frequently being the primary target organs affected. The severe manifestations of acute intestinal GvHD often indicate a poor prognosis for patients after allo-HSCT. Endoscopy and histopathological evaluation remain employed to diagnose GvHD, and auxiliar

Exploration and Development of PPAR Modulators in Health and Disease: An Update of Clinical Evidence.

Peroxisome proliferator-activated receptors (PPARs) are nuclear receptors that govern the expression of genes responsible for energy metabolism, cellular development, and differentiation. Their crucial biological roles dictate the significance of PPAR-targeting synthetic ligands in medical research and drug discovery. Clinical implications of PPAR agonists span across a wide range of health conditions, including metabolic diseases, chronic inflammatory diseases, infections, autoimmune diseases, neurological and psychiatric disorders, and malignancies. In this review we aim to consolidate exist

Diabetes mellitus and the skin.

Several dermatoses are routinely associated with diabetes mellitus, especially in patients with chronic disease. This relationship can be easily proven in some skin disorders, but it is not so clear in others. Dermatoses such necrobiosis lipoidica, granuloma annulare, acanthosis nigricans and others are discussed in this text, with an emphasis on proven link with the diabetes or not, disease identification and treatment strategy used to control those dermatoses and diabetes.

Review of oncological emergencies in small animal patients.

Oncological emergencies can occur at any time during the course of a malignancy and need to be recognized promptly to maximize successful outcomes. Emergencies are characterized as chemotherapy-induced, paraneoplastic syndromes, or directly related to the neoplasm. Prompt identification with treatment of these emergencies can prolong survival and improve quality of life, even in the setting of terminal illness. This review aims to educate the reader on the pathophysiology, clinical presentation and treatment of some of these emergencies, and to review the current veterinary literature to help

Совпадение в полном тексте источника
… The Compendium on continuing education for the practicing veterinarian (USA) Brady C.A. & Otto C.M. ( 2001 ) Systemic inflammatory response syndrome, sepsis, and multiple organ dysfunction . … Journal of the American Veterinary Medical Association 172 , 72 – 74 . 272367 Laforcade A. ( 2015 ) Systemic inflammatory response syndrome . Small Animal Critical Care Medicine 2 , 30 – 34 . …

A systematic literature review informing the consensus statement on efficacy and safety of pharmacological treatment with interleukin-6 pathway inhibition with biological DMARDs in immune-mediated inflammatory diseases.

OBJECTIVES: Informing an international task force updating the consensus statement on efficacy and safety of biological disease-modifying antirheumatic drugs (bDMARDs) selectively targeting interleukin-6 (IL-6) pathway in the context of immune-mediated inflammatory diseases. METHODS: A systematic literature research of all publications on IL-6 axis inhibition with bDMARDs published between January 2012 and December 2020 was performed using MEDLINE, EMBASE and Cochrane CENTRAL databases. Efficacy and safety outcomes were assessed in clinical trials including their long-term extensions and obse

Сбалансирую эффективность и безопасность в нескольких пациентах с миеломой, получающих B-камерную антигенную терапию CAR-Cell.

В качестве новаторского и эффективного метода лечения пациентов с повторной/неизлечимой миеломой (BCMA) вспыхнула антигенная терапия созревания (BCMA), которая была ориентирована на CAR T-клеточную терапию, что свидетельствует о высокой доле респондентов и продолжительной ремиссии. Однако его применение связано с широким спектром токсичных свойств, начиная от хорошо известных общих событий и кончая более редкими и менее хорошо описанными осложнениями. Всеобъемлющее понимание как общих, так и редких токсичных свойств имеет важнейшее значение для своевременного признания и регулирования в целях

Следует ли улучшить сопоставление между рационами питания?

Питание считается возможным кофактором, который влияет на иммунную систему и потенциально вызывает дисрегулирование кишечного гомеостаза и воспаления. Цель этого исследования заключалась в анализе качества данных о воздействии конкретного состава рациона питания на симптомы иммунопосредованных подстрекательских заболеваний (ИМИД), включая ревматоидный артрит (RA), спондилоартрит, множественный склероз (MS), воспалительный кишечник (IBD) [восстановление болезни Крона и язвительный колит], псориоз и псориатический артрит у взрослых пациентов. Мы провели обзор метаанализов и систематических обзор

Cell-Selective Altered Cargo Properties of Extracellular Vesicles Following In Vitro Exposures to Intermittent Hypoxia.

Intermittent hypoxia (IH), a hallmark of obstructive sleep apnea (OSA), is associated with cardiovascular and metabolic dysfunction. However, the mechanisms underlying these morbidities remain poorly delineated. Extracellular vesicles (EVs) mediate intercellular communications, play pivotal roles in a multitude of physiological and pathological processes, and could mediate IH-induced cellular effects. Here, the effects of IH on human primary cells and the release of EVs were examined. Microvascular endothelial cells (HMVEC-d), THP1 monocytes, THP1 macrophages M0, THP1 macrophages M1, THP1 macr

Extraglandular Manifestations of Sjögren’s Syndrome (SS): Dermatologic, Arthritic, Endocrine, Pulmonary, Cardiovascular, Gastroenterology, Renal, Urology, and Gynecologic Manifestations

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Development Trends of Janus Kinase Inhibitors (JAKi) Over Three Decades: From Common to Rare Diseases.

Janus kinase inhibitors (JAKi) have undergone three decades of research and development, demonstrating substantial therapeutic efficacy and broad clinical applicability in autoimmune diseases, inflammatory disorders, hematopoietic malignancies, and a spectrum of rare diseases. However, their research and development are constrained by three key challenges: the difficulty in target selection and safety concerns arising from their effects on cellular signaling pathways, as well as the challenges in formulating optimal dosing regimens due to interindividual variability in pharmacokinetics. In thi

Уровень крови в световой цепи нейрофильтрации в качестве биомаркера неврологических расстройств.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Плазменный обмен и т.д. Иммуноадсорбция: воздействие на иммунологические маркеры и прогнозируемая ценность при нападениях со стероидами-редактерами MS.

ОКРУЖАЮЩАЯ СРЕДА: Данные о нейрохимических механизмах, лежащих в основе реакции на афероз в приступах с множественным склерозом (MS), ограничены. ЦЕЛЬ: Изучение влияния иммуноадсорбции (IA) на плазменный обмен (PLEX) на сывороточные иммунологические параметры [IgG, IgA, IgM, kappa- и лямбда-иммуноглобулиновые цепочки освещения (Δ-FLC, β-FLC), CXCL13, CXCL12] и прогнозное значение этих параметров для реакции на аферез. Были изучены образцы до и послепроцедурной сыворотки 38 участников (IA: n = 19, PLEX: n = 19) процесса IAPEMS (NCT02671682), проведенного в нашем высшем центре.Результаты: После

Repurposing Pharmaceuticals Previously Approved by Regulatory Agencies to Medically Counter Injuries Arising Either Early or Late Following Radiation Exposure.

The increasing risks of radiological or nuclear attacks or associated accidents have served to renew interest in developing radiation medical countermeasures. The development of prospective countermeasures and the subsequent gain of Food and Drug Administration (FDA) approval are invariably time consuming and expensive processes, especially in terms of generating essential human data. Due to the limited resources for drug development and the need for expedited drug approval, drug developers have turned, in part, to the strategy of repurposing agents for which safety and clinical data are alrea

Targeting the CD47-TSP1 Axis in Abdominal Aortic Aneurysm: A Novel Immunotherapeutic Approach.

Abdominal aortic aneurysm (AAA) is a life-threatening vascular disorder characterized by progressive dilation and weakening of the abdominal aortic wall. Despite advances in surgical repair, rupture remains associated with mortality rates exceeding 65%, and no effective pharmacological therapy exists to prevent disease progression. Increasing evidence highlights chronic inflammation, extracellular matrix degradation, and immune dysregulation as central drivers of AAA pathogenesis. Among these mechanisms, the thrombospondin-1 (TSP1)-CD47 signaling axis has emerged as a critical upstream regulat

Bench-to-bedside review: Angiopoietin signalling in critical illness - a future target?

Multiple organ dysfunction syndrome (MODS) occurs in response to major insults such as sepsis, severe haemorrhage, trauma, major surgery and pancreatitis. The mortality rate is high despite intensive supportive care. The pathophysiological mechanism underlying MODS are not entirely clear, although several have been proposed. Overwhelming inflammation, immunoparesis, occult oxygen debt and other mechanisms have been investigated, and - despite many unanswered questions - therapies targeting these mechanisms have been developed. Unfortunately, only a few interventions, usually those targeting mu

Modulating CD8⁺ T cell immunity through exercise: mechanistic insights and implications for precision immunotherapy.

CD8⁺ T lymphocytes are pivotal effectors of adaptive immunity, executing cytotoxic mechanisms essential for pathogen clearance, tumor surveillance and tissue protection. Their activity is shaped by antigenic stimulation, cytokine networks and the metabolic and structural architecture of the tissue microenvironment. Physical exercise has emerged as a potent, non-pharmacological modulator of CD8⁺ T cell biology, capable of influencing recruitment, activation, differentiation and functional persistence. Acute exercise mobilizes effector and memory subsets, enhances trafficking to peripheral tissu

CNS Toxicity of Immunotherapy.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

The Role of Hypoxia-Inducible Factor-1α (HIF-1α) in the Progression of Ovarian Cancer: Perspectives on Female Infertility.

Hypoxia-Inducible Factor-1α (HIF-1α) is crucial in the progression of ovarian cancer, especially in influencing its tumor microenvironment and promoting pathogenic pathways that worsen female infertility. In hypoxic settings, HIF-1α is stabilized and activates the transcription of genes associated with angiogenesis, metabolic reprogramming, epithelial-to-mesenchymal transition, and therapeutic resistance. Angiogenesis and glycolytic reprogramming mediated by HIF-1 tumor proliferation, survival, and metastasis. Its dysfunction concurrently impairs ovarian homeostasis, undermining follicular gro