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Edwards, D. J.

Publications and source records attributed to Edwards, D. J..

6 recordsLinked to original sources

Genetic or transcranial magnetic stimulation of B-RAF-MEK signaling promotes CST axon sprouting and functional regeneration

Facilitating axon regeneration in the injured central nervous system remains a challenging task. RAF-MEK signaling plays an important role in axon elongation during nervous system development. Here we show that activation of B-RAF in mature corticospinal neurons elicited the expression of a discrete set of transcription factors previously implicated in the regeneration of zebrafish optic nerve axons. Genetic activation of B-RAF-MEK signaling promoted robust regeneration and sprouting of corticospinal tract axons after injury. Newly sprouting axon collaterals formed synaptic connections with spinal interneurons, correlating with the recovery of skilled motor function. Seeking a non-invasive way to stimulate axon regeneration, we found that suprathreshold high-frequency repetitive transcranial magnetic stimulation activates the B-RAF canonical effectors MEK1/2 and requires MEK1/2 activity to promote corticospinal axon regeneration and sprouting after injury. These data demonstrate a central role of neuron-intrinsic RAF-MEK signaling in enhancing the growth capacity of mature corticospinal neurons and propose HF-rTMS as a potential therapy for spinal cord injury. One Sentence SummaryGenetic or HF-rTMS-mediated activation of B-RAF- MEK signaling promotes CST axon sprouting and functional regeneration after a spinal cord injury.

neuroscience↗

The Vaginal Microbiome in Women of Reproductive Age with Healthy Weight versus Overweight/Obesity

ObjectiveEvaluate differences between the vaginal microbiome of reproductive-aged women with overweight and obesity (Ow/Ob) compared with healthy weight (HW). MethodsA cohort of 367 non-pregnant women (18-40 years) with Ow/Ob (body mass index [BMI] [≥]25 kg/m2) was case-matched with 367 women with HW (BMI 18.0-24.9 kg/m2). The study was a secondary analysis of 16S rRNA vaginal microbiome surveys through the Vaginal Human Microbiome Study (VaHMP). Groups were matched on age, race/ethnicity, income, and nulliparity status. ResultsMean age and BMI of Ow/Ob and HW groups were 26.8 versus 26.7 years and 37.0 versus 22.1 kg/m2, respectively. The overall vaginal microbiome composition differed between groups (PERMANOVA, p=0.035). Women with Ow/Ob had higher alpha-diversity compared with women with HW (Wilcoxon test, Shannon index p=0.025; Inverse Simpson index p=0.026). Lactobacillus dominance ([≥]30% proportional abundance) was observed in a greater proportion of women with HW (48.7%) compared with Ow/Ob (40.1%; p=0.026). ConclusionsThe vaginal microbiome differs in reproductive-aged women with Ow/Ob compared with women with HW, with increased alpha-diversity and decreased predominance of Lactobacillus. Observed differences in vaginal microbiome may partially explain differences in preterm birth and bacterial vaginosis risk between these populations.

microbiology↗

Unique roles of vaginal Megasphaera phylotypes in reproductive health

The composition of the human vaginal microbiome has been extensively studied and is known to influence reproductive health. However, the functional roles of individual taxa and their contributions to negative health outcomes have yet to be well characterized. Here, we examine two vaginal bacterial taxa grouped within the genus Megasphaera that have been previously associated with bacterial vaginosis (BV) and pregnancy complications. Phylogenetic analyses support the classification of these taxa as two distinct species. These two phylotypes, Megasphaera phylotype 1 (MP1) and Megasphaera phylotype 2 (MP2), differ in genomic structure and metabolic potential, suggestive of differential roles within the vaginal environment. Further, these vaginal taxa show evidence of genome reduction and changes in DNA base composition, which may be common features of host dependence and/or adaptation to the vaginal environment. In a cohort of 3,870 women, we observed that MP1 has a stronger positive association with bacterial vaginosis whereas MP2 was positively associated with trichomoniasis. MP1, in contrast to MP2 and other common BV-associated organisms, was not significantly excluded in pregnancy. In a cohort of 52 pregnant women, MP1 was both present and transcriptionally active in 75.4% of vaginal samples. Conversely, MP2 was largely absent in the pregnant cohort. This study provides insight into the evolutionary history, genomic potential and predicted functional role of two clinically relevant vaginal microbial taxa.

microbiology↗

Individual level reliability of PAS-induced neural plasticity

ObjectiveWe assessed the individual level reliability of neural plasticity changes induced by paired associative stimulation (PAS), which combines peripheral nerve stimulation with transcranial magnetic stimulation to induce short-term plastic changes in the brain.\n\nMethodsFor 5 consecutive weeks, motor evoked potentials (MEPs) of 8 healthy subjects were acquired every 10 minutes post-PAS intervention for a period of 60 minutes. The post-PAS MEPs were evaluated against base-line MEPs using permutation and Kolmogorov-Smirnov tests to determine whether the MEP magnitudes changed after PAS. Moreover, various sample sizes of the MEP data were used to deduce the minimum number of MEPs needed to reliably detect individual propensity to neural plasticity.\n\nResultsGroup analysis exhibited significant increase in post-PAS MEPs, confirming previous results. While high between-sessions variability was observed at individual level, data show that between 40 to 50 MEPs can reliably assess each subjects responsiveness to PAS. Subjects exhibited three different plasticity patterns: in the modulated hemisphere only, both hemispheres, or neither hemisphere.\n\nConclusionsPAS can reliably assess individual differences in neural plasticity.\n\nSignificanceA marker of individual plasticity may be useful to predict the effects of a motor rehabilitation, drug or other intervention to increase recovery of function after brain injury.\n\nHighlightsO_LIPaired associative stimulation (PAS) assesses neural plasticity non invasively.\nC_LIO_LIThe study shows how PAS can reliably determine individual differences in plasticity.\nC_LIO_LIPAS may be used to predict intervention outcome or individualize treatment dose.\nC_LI

neuroscience↗

Gastrointestinal carriage is a major reservoir of K. pneumoniae infection in intensive care patients

BackgroundKlebsiella pneumoniae is an opportunistic pathogen and a leading cause of hospital-associated (HA) infections. Patients in intensive care units (ICUs) are particularly at risk, and outbreaks are frequently reported in ICUs. K. pneumoniae is also part of the healthy human microbiome, providing a potential reservoir for HA infection. However, the frequency of K. pneumoniae gut colonization and its contribution to HA infections are not well characterized.\n\nMethodsWe conducted one-year prospective cohort study of ICU patients. Participants (n=498) were screened for rectal and throat carriage of K. pneumoniae shortly after admission, and clinical information was extracted from hospital records.K. pneumoniae isolated from screening swabs and clinical diagnostic samples were characterized using whole genome sequencing. Genomic and epidemiological data were combined to identify likely transmission events.\n\nResults and ConclusionsK. pneumoniae carriage frequencies were estimated at 6% (95% CI, 3%-8%) amongst ICU patients admitted direct from the community, and 19% (95% CI, 14% - 51%) amongst those who had recent contact with healthcare. Gut colonisation on admission was significantly associated with subsequent K. pneumoniae infection (infection risk 16% vs 3%, OR=6.9, p<0.001), and genome data indicated a match between carriage and infection isolates in most patients. Five likely transmission chains were identified, resulting in six infections (12% of K. pneumoniae infections in ICU). In contrast, 49% of K. pneumoniae infections were caused by a strain that was unique to the patient, and 48% of patients with K. pneumoniae infections who participated in screening were positive for prior colonisation. These data confirm K. pneumoniae colonisation is a significant risk factor for subsequent infection in ICU, and indicate that half of all K. pneumoniae infections result from patients own microbiota. Screening for colonisation on admission could limit risk of infection in the colonised patient and others.

microbiology↗

Genomic analysis of Mycobacterium tuberculosis reveals complex etiology of tuberculosis in Vietnam including frequent introduction and transmission of Beijing lineage and positive selection for EsxW Beijing variant

Introduction Introduction Accession codes AUTHOR CONTRIBUTIONS COMPETING FINANCIAL INTERESTS Online Methods References Tuberculosis (TB) is a leading cause of death from infectious disease and the global burden is now higher than at any point in history 1,2 Despite coordinated efforts to control TB transmission, the factors contributing to its successful spread remain poorly understood. Vietnam is identified as one of 30 high burden countries for TB and MDR-TB with an incidence of 137 TB cases per 100,000 individuals in 2015 2 Recent phylogenomic analyses of the causative agent Mycobacterium tuberculosis (Mtb) in other high-prevalence regions have provided insights into the complex processes underlying TB transmission ...

genomics↗