5 research outputs found
Overexpression of Dyrk1A Is Implicated in Several Cognitive, Electrophysiological and Neuromorphological Alterations Found in a Mouse Model of Down Syndrome
- Author
- A Contestabile
- A Duchon
- A Garthe
- A Laguna
- A Laguna
- A Salehi
- A Savonenko
- A Thomazeau
- AC Costa
- AM Kleschevnikov
- Andrea Corrales
- B Kholodar-Smith D
- B Souchet
- BJ Saab
- C Bowes
- C MartĂnez-CuĂ©
- C MartĂnez-CuĂ©
- C Sebrié
- Carmen MartĂnez-CuĂ©
- D Bortone
- D Colas
- D PĂ©rez-Cremades
- DJ Smith
- DP Liu
- DS Olton
- F Fernandez
- F Guedj
- F Guedj
- FJ Tejedor
- G Chen
- GW Wang
- I Branchi
- I Imayoshi
- J Braudeau
- J Ortiz-Abalia
- J Park
- JC Biedenkapp
- JC Earnheart
- JesĂșs FlĂłrez
- JK Seamans
- K Pereira
- KA Goosens
- KJ Ahn
- L Chakrabarti
- LL Baxter
- LS Crnic
- M Escorihuela R
- M McKay S
- M Schebesta
- MarĂa L. ArbonĂ©s
- MV LLorens-MartĂn
- N Rueda
- N Rueda
- N Tiso
- NoemĂ Rueda
- O Yabut
- OH Lowry
- P Bianchi
- P PĂ©rez-Domper
- Paul A. Adlard
- Paula MartĂnez
- PS Goldman-Rakic
- PV Belichenko
- R Bartesaghi
- R De la Torre
- R Morris
- Rebeca Vidal
- RJ Steele
- S Campeau
- S Ge
- SG Anagnostaras
- Susana GarcĂa-Cerro
- TJ Shors
- TJ Shors
- V Fotaki
- VerĂłnica Vidal
- W Becker
- W Xie
- X Altafaj
- X Altafaj
- X Guo
- X Sturgeon
- Y Goto
- Y Hiaoui
- Y Nishizawa
- Y Tozuka
- Publication venue
- 'Public Library of Science (PLoS)'
- Publication date
- 01/01/2014
- Field of study
Down syndrome (DS) phenotypes result from the overexpression of several dosage-sensitive genes. The DYRK1A (dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 1A) gene, which has been implicated in the behavioral and neuronal alterations that are characteristic of DS, plays a role in neuronal progenitor proliferation, neuronal differentiation and long-term potentiation (LTP) mechanisms that contribute to the cognitive deficits found in DS. The purpose of this study was to evaluate the effect of Dyrk1A overexpression on the behavioral and cognitive alterations in the Ts65Dn (TS) mouse model, which is the most commonly utilized mouse model of DS, as well as on several neuromorphological and electrophysiological properties proposed to underlie these deficits. In this study, we analyzed the phenotypic differences in the progeny obtained from crosses of TS females and heterozygous Dyrk1A (+/-) male mice. Our results revealed that normalization of the Dyrk1A copy number in TS mice improved working and reference memory based on the Morris water maze and contextual conditioning based on the fear conditioning test and rescued hippocampal LTP. Concomitant with these functional improvements, normalization of the Dyrk1A expression level in TS mice restored the proliferation and differentiation of hippocampal cells in the adult dentate gyrus (DG) and the density of GABAergic and glutamatergic synapse markers in the molecular layer of the hippocampus. However, normalization of the Dyrk1A gene dosage did not affect other structural (e.g., the density of mature hippocampal granule cells, the DG volume and the subgranular zone area) or behavioral (i.e., hyperactivity/attention) alterations found in the TS mouse. These results suggest that Dyrk1A overexpression is involved in some of the cognitive, electrophysiological and neuromorphological alterations, but not in the structural alterations found in DS, and suggest that pharmacological strategies targeting this gene may improve the treatment of DS-associated learning disabilities
The Helicobacter pylori Genome Project : insights into H. pylori population structure from analysis of a worldwide collection of complete genomes
- Author
- Abad-Baroja Daniel
- Abiodun Olumide
- Abnet Christian C.
- Abreu José Jiménez
- Adinortey Cynthia Ayefoumi
- Adinortey Michael Buenor
- Aftab Hafeza
- Aguilar Mynor
- Akada Junko
- Akande Kolawole Oluseyi
- Alcoba Laura
- Alfaray Ricky Indra
- Ally Reid
- Alonso-Larraga Juan Octavio
- Altayeb Hisham N.
- Ansari Shamshul
- Arita Masanori
- Asare Emmanuel
- Assumpção Paulo Pimentel
- Azrad Maya
- Backert Steffen
- Ballal Mamatha
- Barreiro-Alonso Eva
- Bartelli Thais F.
- Benejat Lucie
- Bentolila Federico
- Berg Douglas E.
- Bernal Giuliano
- Binh Tran Thanh
- Björnsson Einar S.
- Blaser Martin J.
- Bockarie Ansumana Sandy
- Bollag Roni
- Bordin Dmitry S.
- Boscolo Agostini Rajiv
- Botargues Josep
- Bravo Luis E.
- Bravo Maria Mercedes
- Brunet-Mas Eduard
- Bujanda Luis
- Calvet Xavier
- Camargo M. Constanza
- Campos-NĂșñez Christian
- Cannizzaro Renato
- Canzonieri Vincenzo
- Castaneda Carlos
- Castillo Francisco
- Castillo Miluska
- Chanock Stephen J.
- Chaves-Cervantes Manuel
- Chen Xiongfong
- Cherry Joshua L.
- Chiner-Oms Ălvaro
- Choi Il Ju
- Cichoz-Lach Halina
- Colanzi Rony P.
- Comas Iñaki
- Corvalan Alejandro H.
- Cover Timothy L.
- Cromarty Taylor J.
- Cruz Modesto
- Cruz-Correa Marcia
- de Jesus Ngoma-Kisoko Patrick
- De Re Valli
- Dekker John P.
- Delgado-Guillena Pedro
- Demiryas SĂŒleyman
- Dias-Neto Emmanuel
- Didelot Xavier
- Dominguez Ricardo L.
- Domper-Arnal MarĂa JosĂ©
- Dung Ho Dang Quy
- DurĂĄn-BermĂșdez Sundry
- Engstrand Lars
- Enroth Helena
- Falush Daniel
- Fauzia Kartika Afrida
- FernĂĄndez-Reyes MarĂa
- Ferreira Rui M.
- Fields Patricia I.
- Figueiredo Ceu
- Fischer Wolfgang
- Fleitas-Kanonnikoff Tania
- Flores Virginia
- Fox James G.
- Fukuyo Masaki
- Gao Yang
- GarcĂa-Cancino Apolinaria
- GarcĂa-Mateo Sandra
- Geary Janis
- Georgopoulos Sotirios
- Ghirotto Silvia
- Gilman Robert H.
- Gisbert Javier P.
- Gold Benjamin D.
- Goldstein Alisa M.
- Gonzalez Robinson
- Gonzalez-Hormazabal Patricio
- GonzĂĄlez-Pons MarĂa
- Goodman Karen J.
- GoĆciniak GraĆŒyna
- Graham David Y.
- Gunnarsdóttir Anna Ingibjörg
- Gutiérrez-Escobar Andrés J.
- GuĂ°jĂłnsson HallgrĂmur
- Haas Rainer
- Haesebrouck Freddy
- HarĂ°ardĂłttir HjördĂs
- Hernandez Elisa
- Herrera-Goepfert Roberto
- Hicks Belynda
- Hosking Celso
- Htet Kyaw
- Hu Nan
- Huang Robert J.
- Hutchinson Amy
- Hwang Joo Ha
- Igissinov Nurbek
- In Haejin
- Jacobs William R.
- Jadallah Khaled
- Jehanne Quentin
- Jemilohun Christopher
- Johnson Deborah
- Jonaitis Laimas
- Jonaitis Paulius
- Jones Kristie
- JĂłnasson JĂłn Gunnlaugur
- Kamiya Shigeru
- Katsura Yukako
- Keller Peter M.
- Kepil Nuray
- Kessing Bailey
- Kikuste Ilze
- Kim Jae Gyu
- Kim Nayoung
- Kiudelis Gediminas
- Kiudelis Vytautas
- Kobayashi Ichizo
- Kocazeybek Bekir
- Korona-Glowniak Izabela
- Krishna Uma
- Kruse Edward J.
- KrzyĆŒek PaweĆ
- Kupcinskas Juozas
- Lane Charlotte
- Lario Sergio
- Lee Yi-Chia
- Lehours Philippe
- Leja MÄrcis
- Linares Pedro
- Link Alexander
- Liou Jyh-Ming
- Livzan Maria A.
- Lizasoain Jacobo
- Loh John T.
- Loke Mun Fai
- Lopez Aileen
- Luo Wen
- Mabeku Laure Brigitte Kouitcheu
- Machado Jose C.
- Magaji Francis Ajang
- Malekzadeh Reza
- Malfertheiner Peter
- Mariño-RamĂrez Leonardo
- Martin Vicente
- Martinez-Gonzalez Beatriz
- MartĂnez-MartĂnez Francisco JosĂ©
- Matalka Ismail
- Matsuhisa Takeshi
- Matsumoto Takashi
- Maulahela Hasan
- Megraud Francis
- Michopoulos Spyridon
- Miftahussurur Muhammad
- Moldobaeva Mariia Satarovna
- Molina-Castro Silvia
- Montes Milagrosa
- Moreira Leticia
- Morgan Douglas R.
- Morgan Richard D.
- Muro Edurne Amorena
- Muñoz-RamĂrez Zilia Y.
- Naumann Michael
- Ngoyi Dieudonné Mumba
- Norton Morgan
- Noureen Mehwish
- Nunes Diana Noronha
- Ofori Eric Gyamerah
- Okonkwo Uchenna
- Oleastro Monica
- Olu-Abiodun Oluwatosin
- Omotoso Ayodele
- On Avi
- Osada Naoki
- Osaki Takako
- Osuagwu Chukwuemeka Chukwunwendu
- Owoseni Opeyemi O.
- Parra-SepĂșlveda Cristian
- PaweĆka Dorota
- Pazos Alvaro
- Peek Richard M.
- Pelosof Adriane
- Peretz Avi
- Piazuelo M. Blanca
- Pohl Daniel
- Price Nancy L.
- PĂ©rez-MartĂnez Isabel
- Quiel Luis
- Quilty Douglas
- Raaf NaĂŻma
- Rabkin Charles S.
- Rajagopalan Saranathan
- Rakhat Attokurova
- Raley Castle
- RamĂrez-LĂĄzaro MarĂa JosĂ©
- RamĂrez-Mayorga Vanessa
- Riquelme Arnoldo
- Roberts Richard J.
- Rodriguez Luz M.
- Romero-Gallo Judith
- Rudzīte Dace
- RĆ«dule Aiga
- Sandoval-Motta Santiago
- Sarıbas Suat
- Secka Ousman
- Serrano Carolina A.
- Sgouras Dionyssios N.
- Sheppard Sam
- Shetty Vignesh
- Shimura Takaya
- Shrestha Pradeep Krishna
- Skieceviciene Jurgita
- Smet Annemieke
- Song Minkyo
- Sotoudeh Masoud
- Sugihartono Titong
- Syam Ari Fahrial
- Sztokfisz Claudia Zitron
- Szymczak Wendy
- Tacatic Braulio Volga
- Tamayo Esther
- Tan Patrick
- Tarazona-Santos Eduardo
- Tasçı İhsan
- Taylor Philip R.
- Teshome Kedest
- Thorell Kaisa
- Tishkov Ivan
- Tokunaga Kengo
- Torres Javier
- Torres Roberto C.
- Tran Bao
- Trang Tran Thi Huyen
- Tshibangu-Kabamba Evariste
- Tshimpi-Wola Antoine
- Tsukanov Vladislav V.
- Tuan Vo Phuoc
- Tumba Ghislain Disashi
- Uchiyama Ikuo
- Vadivelu Jamuna
- Vale Filipa F.
- Van Khien Vu
- Vanags Aigars
- Vangravs Reinis
- Varkalaite Greta
- Varon Christine
- Velapatino Billie
- Vellasamy Kumutha Malar
- Villagra Miguel
- Vincze Tamas
- Wagner Karoline
- Wan Yunhu
- Wang Difei
- Waskito Langgeng Agung
- White Joseph
- Wilson Keith T.
- Wu Ming-Shiang
- Yahara Koji
- Yamaoka Yoshio
- Yeager Meredith
- Yee Than Than
- Yeoh Khay Guan
- Yu Kai
- Zamudio Roxana
- Zanussi Stefania
- Zhao Yongmei
- Zhu Bin
- Zhu Bin
- Zhu Feng
- Ć Ä·enders Äąirts
- Publication venue
- Nature Publishing Group
- Publication date
- 11/12/2023
- Field of study
Helicobacter pylori, a dominant member of the gastric microbiota, shares co-evolutionary history with humans. This has led to the development of genetically distinct H. pylori subpopulations associated with the geographic origin of the host and with differential gastric disease risk. Here, we provide insights into H. pylori population structure as a part of the Helicobacter pylori Genome Project (HpGP), a multi-disciplinary initiative aimed at elucidating H. pylori pathogenesis and identifying new therapeutic targets. We collected 1011 well-characterized clinical strains from 50 countries and generated high-quality genome sequences. We analysed core genome diversity and population structure of the HpGP dataset and 255 worldwide reference genomes to outline the ancestral contribution to Eurasian, African, and American populations. We found evidence of substantial contribution of population hpNorthAsia and subpopulation hspUral in Northern European H. pylori. The genomes of H. pylori isolated from northern and southern Indigenous Americans differed in that bacteria isolated in northern Indigenous communities were more similar to North Asian H. pylori while the southern had higher relatedness to hpEastAsia. Notably, we also found a highly clonal yet geographically dispersed North American subpopulation, which is negative for the cag pathogenicity island, and present in 7% of sequenced US genomes. We expect the HpGP dataset and the corresponding strains to become a major asset for H. pylori genomics
Metformin inhibited esophageal squamous cell carcinoma proliferation in vitro and in vivo and enhanced the anti-cancer effect of cisplatin
- Author
- A Leone
- A Pennathur
- Aamir Ahmad
- BI PĂ©rez-Revuelta
- D Hatoum
- D Micic
- E Karlsson
- Feng Wang
- G Han
- G Kanyilmaz
- GW Landman
- H Noto
- H Xu
- J Sesen
- JM Evans
- Jun Wang
- K Kato
- L Van De Voorde
- Liuxing Wang
- M Bodmer
- M Moschetta
- M Panczyk
- MD Glasgow
- MJ Domper Arnal
- P Zarogoulidis
- PC Enzinger
- Qingxia Fan
- RL Siegel
- S Del Barco
- S Fujihara
- SE Clare
- Shaoxuan Wu
- SL Bowker
- T Griss
- Tao Wang
- V Nair
- Xianfei Ding
- Yana Zhang
- Yanyan Chi
- Zhengzheng Shan
- Zhuan Lv
- Publication venue
- 'Public Library of Science (PLoS)'
- Publication date
- Field of study
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
- Author
- Aarts E
- Abbas Z
- Abburu S
- Abd Ghaffar Mk
- Abdelgalil R
- Abdelhadi M
- Abdikadir Hr
- Abdulmajid A
- Abdulrahman N
- Abid A
- Abid H
- Abrisqueta Carrion J
- Abuhussein N
- Abul Mh
- Acar S
- Acherman Yiz
- Acquaah F
- Acres M
- Adams R
- Adams Rd
- Adebayo Aa
- Adeleja I
- Adiyaman C
- Adjei H
- Adlan A
- Afzal Z
- Agalar C
- Agarwal V
- Agrawal M
- Ahern N
- Ahmad A
- Ahmad K
- Ahmad S
- Ahmed F
- Ahmed H
- Ahmed M
- Ahmed N
- Ahmed S
- Ahn Js
- Aidoo-Micah Ge
- Aildasani L
- Aithie Jm
- Akbulut F
- Akcaoglu T
- Akdogan A
- Akhtar S
- Akkaya E
- Akkucuk S
- Akpunarli B
- Aksoy K
- Aktas Mk
- Aktekin H
- Al-Mousawi A
- Al-Nasser A
- Al-Nasser Z
- Al-Obaedi O
- Al-Robeye A
- Albayrak D
- Alberdi San Roman I
- Alberti Delgado P
- Alcazar Montero Ja
- Alcocer Bp
- Alconchel-Gago F
- Aldrey I
- Ali A
- Ali B
- Ali H
- Ali M
- Ali S
- Alim Ye
- Aliseda-Jover D
- Alizadeh M
- Aljbour A
- Aljbour I
- Allan C
- Allen Jly
- Allot R
- Alonso Gonçalves S
- Alonso Hernandez N
- Altintas O
- Altomare Df
- Alvarez Reyes I
- Amajuoyi A
- Amarelo Garcia M
- Ambrona-Zafra D
- Amelung Fj
- Amin H
- Amin O
- Amphlett Ah
- Anabitarte O
- Anakwenze V
- Anandarajah C
- Anania G
- Anconelli D
- Anderson L
- Anderson Lb
- Anderson Rgj
- Anderson Sm
- Ang A
- Angelov S
- Anilkumar A
- Anim-Addo N
- Ankarali T
- Ansari N
- Antoniou I
- Anyan-Brown J
- Aonzo P
- Apicella M
- Aquilino F
- Aray E
- Archer Ch
- Archer M
- Arcudi C
- Arenal Jj
- Arezzo A
- Argenti F
- Arif T
- Arora E
- Arrigo A
- Arslan E
- Arslan U
- Arthurs B
- Arukan C
- Arun C
- Asbjoernsen Ca
- Ashfaq U
- Ashken L
- Ashraf S
- Ashraf Sf
- Ashton Aj
- Ashwood J
- Asik M
- Aslan L
- Aslanyan A
- Asma A
- Asmadi A
- Assadullah S
- Atalay H
- Atasoy H
- Atayi A
- Atesavci Sn
- Atif M
- Atraszkiewicz Ba
- Attalla M
- Austreng L
- Auyoung E
- Avery P
- Axelson T
- Ayaz B
- Aydar Seyi
- Aytekin A
- Aziz H
- Aziz N
- Babaoglu H
- Bach S
- Badia Jm
- Badii B
- Badran A
- Baeten Cim
- Bagaglini G
- Bagley J
- Bahcecioglu B
- Baixauli J
- Baker An
- Baker C
- Bakewell Zr
- Bakhsh A
- Baki Be
- Balagna P
- Balaji S
- Balci B
- Baldwin A
- Bali An
- Balian V
- Bamac E
- Bamgbose Fa
- Bandirmali O
- Barai I
- Barmayehvar B
- Barnes J
- Barone V
- Barrera Gomez M
- Barrow Tr
- Barthorpe Ae
- Bartlett J
- Bartlett Rd
- Barton Ec
- BartoĆĄ M
- Bartrina Soler P
- Baskoy L
- Bassam N
- Bassett J
- Bassiony S
- Bastiaansen Ajnm
- Bath Mf
- Batho A
- Batt E
- Baykan B
- Bayoumy Ab
- Bayram S
- Bazeer Hz
- Beaver D
- Becerra Nieves M
- Beckett J
- Beecroft S
- Behar N
- Bektur G
- Belia F
- Belibagli Zo
- Bell A
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- Bellinato M
- Bellio G
- BeltrĂĄn de Heredia J
- Bemand Tp
- Bemelman Wa
- Benevento A
- Benli S
- Berends F
- Bergara T
- Bernstein I
- Bertelli Puche Jl
- Besısık Hm
- Bethell Gs
- Beyatli S
- Bhanderi S
- Bhangu A
- Bhaskaran G
- Bhatt N
- Bhatti M
- Bhome R
- Bhudia R
- Bianchini S
- Bianco F
- Bilgin S
- Bilicen G
- Bilici O
- Binbuga M
- Bingham G
- Birgin Bz
- Blanco Antona F
- Blanco-Colino R
- Blege Hk
- Blessed R
- Blonk L
- Bloomer J
- Bloomfield T
- Blore Cd
- Bober Dn
- Bodur S
- Boersma Am
- Bokkerink G
- Bolat Ab
- Bolton L
- Bolton W
- Bonouvrie D
- Bonsu S
- Bookless Lr
- Boom Ms
- Borrellas A
- Bos K
- Boschetti Me
- Bose R
- Botchey S
- Botrugno Em
- Bottini C
- Boulton Aj
- Boxall N
- Boyle J
- Bozkurt Gk
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- Brzyska K
- Buakuma P
- Buchan Am
- Buckle Rt
- Bucko Am
- Bulley F
- Bullman Lm
- Bullock Np
- Burger Bhcm
- Burgess A
- Burke D
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- Burke J
- Burney Lj
- Buyukkarabacak Y
- Buyukkasap C
- Caballero Rodriguez E
- Caballero L
- Cakaloglu Hc
- Cakir E
- Cakir Sg
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- Cantelo J
- Cantimer E
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- Cardwell Ae
- Carlson S
- Caro Gonzalez Mp
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- Carter D
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- Cartwright E
- Casagranda B
- Castiglione F
- Catalano M
- Caudullo G
- Cautiero R
- Cazzola Fe
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- Cengiz U
- Cetin Sk
- Cetinkaya M
- Ceylan C
- Chamberlain M
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- Chandan N
- Chapman Sj
- Charalambos Ma
- Charalambous G
- Charania A
- Charavanamuttu V
- Chaudhary M
- Chaudhry Fi
- Chaudhry Ww
- Checa Guillen M
- Checcacci P
- Cheema H
- Cheema J
- Chen Jh
- Chen M
- Chen X
- Cheng K
- Chervenkoff J
- Cheskes L
- Chetta N
- Cheung F
- Chew L
- Chew Ls
- Chhabra A
- Chhina C
- Chilima Cp
- Chillarge G
- Chilvers Nj
- Chin H
- Chin R
- Chisholm Eg
- Chitnis Ar
- Chiu Sm
- Choi J
- Choi Pj
- Chong Bf
- Chong J
- Choo Kp
- Chrastek D
- Chua Ey
- Chung A
- Cianchi F
- Ciano P
- Ciccioli E
- Ciciliot M
- Ciftci E
- Cin S
- Cinar S
- Cise S
- Cisternino G
- Ciurleo C
- Claireaux Ha
- Claramonte Bellmunt O
- Clark Ij
- Clarke Ak
- Cleere J
- Clement Kd
- Clerico G
- Clesham K
- Clifford T
- Coates A
- Coco C
- Cody A
- Cody N
- Coffey Cj
- Coffey D
- Coffin J
- Cok H
- Cole Sj
- Collier H
- Collins A
- Collins D
- Collins P
- Collinson S
- Colombo Em
- Colombo F
- Consten Ecj
- Cooper D
- Cooper Ge
- Copley Hc
- Copley Pc
- Cornish E
- Corte M
- Coskun O
- Costa A
- Costa-Navarro D
- Cotton A
- Coughlan G
- Coulson R
- Cox Se
- Coyne P
- Craig Ar
- Craig E
- Craig-McQuaide A
- Craven K
- Cremers D
- Crewdson Ja
- Croall A
- Crozier L
- Cruciani C
- Cruz Reyes Ja
- Cuckow L
- Cullen C
- Cullen S
- Culleton G
- Cumber E
- Cumber Em
- Cumen Ec
- Cumming S
- Cundy Oj
- Cunha P
- Curletti G
- Curran A
- Cuthbert G
- Cymes W
- CĂłrdoba-DĂaz de Laspra E
- Dalci K
- Danalıoglu An
- Daoub A
- Darr S
- Das M
- Datta U
- Davies J
- Davies Je
- Davies K
- Davies N
- Davies Sc
- Davis-Hall M
- Dawar R
- Dawson Pm
- de Andres Olabarria U
- de Bernier Gl
- de Boer Dv
- De Boni D
- de Bruin M
- de Castro Smm
- de Gooyer Jm
- de Groof Ej
- de Groof J
- de Guerre Levm
- de Hingh I
- de Jesus Rodriguez Perdomo M
- de la Portilla de Juan F
- de la Rosa-Estadella M
- De la Torre Conde C
- De Luca E
- De Manzini N
- de Mees T
- De Nardi P
- de Roy van Zuidewijn D
- De Serra Tejada I
- de Vos Tot Nederveen Cappel Rj
- de Wilt H
- de Zeeuw S
- Deall C
- Dean R
- Dean S
- Dean W
- Dear K
- Deas G
- Debenham R
- Decorato A
- Deekonda P
- Del Coco F
- Del Mar LĂłpez-Cuevas M
- Delf J
- Delgado At
- Deliktas Ts
- Delport A
- Demetri Am
- Demir F
- Demirci A
- Demirci K
- Demirci Zs
- Demirtas B
- Dennis R
- Dennis Yf
- Derbyshire L
- Detmers Blom Fpn
- Devabalan Y
- Devlin E
- Dewdney Cj
- Dhanji A
- Dhar M
- Dhutia Aj
- Di Benedetto L
- Di Girolami L
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- Publication venue
- 'Wiley'
- Publication date
- 01/01/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien\u2013Dindo Grades III\u2013V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49\u20132.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46\u20130.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease
Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis
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- Publication venue
- Publication date
- 01/08/2018
- Field of study
Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (ClavienâDindo Grades IIIâV). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49â2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46â0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease