| 41. |
- Hull, Rodney, et al.
(författare)
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Microbiomics in Collusion with the Nervous System in Carcinogenesis : Diagnosis, Pathogenesis and Treatment
- 2021
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Ingår i: Microorganisms. - : MDPI. - 2076-2607. ; 9:10
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Forskningsöversikt (refereegranskat)abstract
- The influence of the naturally occurring population of microbes on various human diseases has been a topic of much recent interest. Not surprisingly, continuously growing attention is devoted to the existence of a gut brain axis, where the microbiota present in the gut can affect the nervous system through the release of metabolites, stimulation of the immune system, changing the permeability of the blood-brain barrier or activating the vagus nerves. Many of the methods that stimulate the nervous system can also lead to the development of cancer by manipulating pathways associated with the hallmarks of cancer. Moreover, neurogenesis or the creation of new nervous tissue, is associated with the development and progression of cancer in a similar manner as the blood and lymphatic systems. Finally, microbes can secrete neurotransmitters, which can stimulate cancer growth and development. In this review we discuss the latest evidence that support the importance of microbiota and peripheral nerves in cancer development and dissemination.
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| 42. |
- Iversen, Rune, et al.
(författare)
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Editorial
- 2023
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Ingår i: Danish Journal of Archaeology. - 2166-2282 .- 2166-2290. ; 12, s. 1-3
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 43. |
- Jensen, Gert, et al.
(författare)
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Treatment of iron deficiency in patients with chronic kidney disease : A prospective observational study of iron isomaltoside (NIMO Scandinavia)
- 2019
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Ingår i: Clinical Nephrology. - : DUSTRI-VERLAG DR KARL FEISTLE. - 0301-0430. ; 91:4, s. 246-253
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Iron deficiency is common in patients with chronic kidney disease (CKD). Appropriate iron substitution is critical and intravenous iron is an established therapy for these patients. The objective of this study was to assess treatment routine, effectiveness, and safety of iron isomaltoside (Monofer (R), Pharmacosmos A/S, Holbaek, Denmark) in CKD patients in clinical practice.Materials and methods: This was a prospective observational study conducted in predialysis CKD patients treated with iron isomaltoside according to the product label and to routine clinical care.Results: The study included 108 patients with predialysis CKD: 22 were in stage 2 - 3, 41 in stage 4, and 45 in stage 5. The mean (standard deviation) age was 67 (15) years, and 55% of patients were male. The majority of patients (65%) received one iron isomaltoside treatment In patients with a baseline Hb < 10 g/dL, the mean dose of iron isomaltoside in the study was lower than the estimated total iron requirement (567 mg versus 921 mg). A treatment response of Hb >= 1 g/dL was achieved in 16/28 (57%) of patients, and the mean post-treatment Hb level was 10.5 g/dL. The probability of retreatment did not correlate with dose, but no dose administered was > 1,000 mg. There were no serious adverse drug reactions. One nonserious adverse drug reaction - injection site discoloration - was reported, and the patient had an uneventful recovery.Conclusion: Iron isomaltoside shows a good effectiveness and safety profile in predialysis CKD patients. However, some patients did not receive adequate iron doses to allow for optimal correction of their iron deficiency anemia.
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| 44. |
- Jensen, Lasse, et al.
(författare)
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A multidisciplinary perspective on the complex interactions between sleep, circadian, and metabolic disruption in cancer patients
- 2021
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Ingår i: Cancer Metastasis Review. - : Springer. - 0167-7659 .- 1573-7233. ; 40, s. 1055-1071
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Forskningsöversikt (refereegranskat)abstract
- Sleep is a basic need that is frequently set aside in modern societies. This leads to profound but complex physiological maladaptations in the body commonly referred to as circadian disruption, which recently has been characterized as a carcinogenic factor and reason for poor treatment outcomes, shortened survival, and reduced quality of life in cancer patients. As sleep and circadian physiology in cancer patients spans several disciplines including nursing science, neurology, oncology, molecular biology and medical technology, there is a lack of comprehensive and integrated approaches to deal with this serious and growing issue and at best a fractionated understanding of only part of the problem among researchers within each of these segments. Here, we take a multidisciplinary approach to comprehensively review the diagnosis and impact of sleep and circadian disruption in cancer patients. We discuss recent discoveries on molecular regulation of the circadian clock in healthy and malignant cells, the neurological and endocrine pathways controlling sleep and circadian rhythmicity, and their inputs to and outputs from the organism. The benefits and drawbacks of the various technologies, devices, and instruments used to assess sleep and circadian function, as well as the known consequences of sleep disruption and how sleep can be corrected in cancer patients, will be analyzed. We will throughout the review highlight the extensive crosstalk between sleep, circadian rhythms, and metabolic pathways involved in malignancy and identify current knowledge gaps and barriers for addressing the issue of sleep and circadian disruption in cancer patients. By addressing these issues, we hope to provide a foundation for further research as well as better and more effective care for the patients in the future.
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| 45. |
- Jensen, Lasse Dahl, et al.
(författare)
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Circadian angiogenesis
- 2014
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Ingår i: Biomolecular concepts. - : Walter de Gruyter GmbH. - 1868-503X .- 1868-5021. ; 5:3, s. 245-56
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Tidskriftsartikel (refereegranskat)abstract
- Daily rhythms of light/darkness, activity/rest and feeding/fasting are important in human physiology and their disruption (for example by frequent changes between day and night shifts) increases the risk of disease. Many of the diseases found to be associated with such disrupted circadian lifestyles, including cancer, cardiovascular diseases, metabolic disorders and neurological diseases, depend on pathological de-regulation of angiogenesis, suggesting that disrupting the circadian clock will impair the physiological regulation of angiogenesis leading to development and progression of these diseases. Today there is little known regarding circadian regulation of pathological angiogenesis but there is some evidence that supports both direct and indirect regulation of angiogenic factors by the cellular circadian clock machinery, as well as by circulating circadian factors, important for coordinating circadian rhythms in the organism. Through highlighting recent advances both in pre-clinical and clinical research on various diseases including cancer, cardiovascular disorders and obesity, we will here present an overview of the available knowledge on the importance of circadian regulation of angiogenesis and discuss how the circadian clock may provide alternative targets for pro- or anti-angiogenic therapy in the future.
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| 46. |
- Jensen, Lasse Dahl, et al.
(författare)
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Clock controls angiogenesis
- 2013
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Ingår i: Cell Cycle. - : Landes Bioscience. - 1538-4101 .- 1551-4005. ; 12:3, s. 405-408
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Tidskriftsartikel (refereegranskat)abstract
- Circadian rhythms control multiple physiological and pathological processes, including embryonic development in mammals and development of various human diseases. We have recently, in a developing zebrafish embryonic model, discovered that the circadian oscillation controls developmental angiogenesis. Disruption of crucial circadian regulatory genes, including Bmal1 and Period2, results in marked impairment or enhancement of vascular development in zebrafish. At the molecular level, we show that the circadian regulator Bmal1 directly targets the promoter region of the vegf gene in zebrafish, leading to an elevated expression of VEGF. These findings can reasonably be extended to developmental angiogenesis in mammals and even pathological angiogenesis in humans. Thus, our findings, for the first time, shed new light on mechanisms that underlie circadian clock-regulated angiogenesis.
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| 47. |
- Jensen, Lasse Dahl Ejby
(författare)
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Mechanisms of malignant and non-malignant angiogenesis using zebrafish models
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Pathological angiogenesis significantly contribute to the onset, development and progression of most common and severe human diseases including cancer, metastatic disease, cardiovascular disease, age-related macular degeneration, diabetic retinopathy and retinopathy of prematurity. Under these pathological conditions, tissue hypoxia often acts as a trigger to switch on angiogenesis. However, there has been lacking non-invasive and clinically relevant animal models that allow us to study mechanisms of human diseases. Zebrafish, as a complementary animal model to mice, is a highly genetically and pharmacologically tractable vertebrate which is easily visualized during development. Zebrafish offers a unique opportunity to study angiogenesis under hypoxia. This thesis describes development and characterization of four novel zebrafish models in relation to hypoxia-induced angiogenesis, vascular and tumor pathology. Using these models, we demonstrate that hypoxia plays a causal role in development of retinopathy and cancer cell metastasis and thus provide important insights needed for the development of therapeutic approaches aimed at interfering with these processes. In paper I, we showed that hypoxia could induce neovascular retinopathy in zebrafish and this model is highly relevant to clinical retinopathy caused by diabetes. This zebrafish retinopathy model also allows us study the therapeutic potential of various antiangiogenic agents. In paper II, we demonstrate a novel principle that regulates blood perfusion in lymphatics as an effective defense against tissue hypoxia in zebrafish and kryptopterus bicirrhis. The arterial-lymphatic shunt is controlled by nitric oxide and the implication of this work is that NO-induced lymphatic perfusion might facilitate tumor cell spread from the blood stream into the lymphatic system. In paper III, we take advantage of the transparent nature of zebrafish embryos and availability of the transgenic strain fli1:EGFP to develop a zebrafish metastasis model. Using this model, we are the first to study the role of hypoxia in relation to angiogenesis in facilitating tumor cell dissemination, invasion and metastasis. To the best of our knowledge, this is the first animal model that allows scientists to study the early events of metastasis at a single cell level. In paper IV, We show that PI3 kinase is a key signaling component that mediates angiogenesis in the developing embryonic retina and in the regenerating adult fins. In conclusion, development of these zebrafish disease models have paved new avenues for studying mechanisms of pathological angiogenesis in malignant and non malignant diseases and offers unique opportunities for assessment of therapeutic potentials of known and novel drugs against these most common and lethal diseases.
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| 48. |
- Jensen, Lasse Dahl, et al.
(författare)
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In vivo angiogenesis and lymphangiogenesis models
- 2009
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Ingår i: Current molecular medicine. - : Bentham Science Publishers. - 1566-5240 .- 1875-5666. ; 9:8, s. 982-991
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Tidskriftsartikel (refereegranskat)abstract
- Angiogenesis research has become one of the most important areas in biomedical research. At the time of writing this review, there were approximately 3536 articles published in the year of 2008 alone on the topic of angiogenesis. The fast expansion of this research field demands development of rigorous, reliable, stable, convenient, and clinically relevant assay systems for disease diagnosis, prognosis, therapeutic evaluation, drug discovery, and mechanistic studies at the molecular level. Here, we discuss several commonly used in vivo angiogenesis models by systematically analyzing and pointing out pitfalls of each assay. Owing to existence of numerous assays and the limitation of text, it is impossible to discuss all these assays in this article. Here we select several most commonly used angiogenesis assays performed in various species including mice, chicks and zebrafish for further in-depth discussion. We hope this information will be valuable for improving current angiogenesis research.
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| 49. |
- Jensen, Lasse Dahl, et al.
(författare)
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Nitric oxide permits hypoxia-induced lymphatic perfusion by controlling arterial-lymphatic conduits in zebrafish and glass catfish
- 2009
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Ingår i: Proceedings of the National Academy of Sciences of the United States of America. - : National Academy of Sciences. - 0027-8424 .- 1091-6490. ; 106:43, s. 18408-18413
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Tidskriftsartikel (refereegranskat)abstract
- The blood and lymphatic vasculatures are structurally and functionally coupled in controlling tissue perfusion, extracellular interstitial fluids, and immune surveillance. Little is known, however, about the molecular mechanisms that underlie the regulation of bloodlymphatic vessel connections and lymphatic perfusion. Here we show in the adult zebrafish and glass catfish (Kryptopterus bicirrhis) that blood-lymphatic conduits directly connect arterial vessels to the lymphatic system. Under hypoxic conditions, arterial-lymphatic conduits (ALCs) became highly dilated and linearized by NO-induced vascular relaxation, which led to blood perfusion into the lymphatic system. NO blockage almost completely abrogated hypoxia-induced ALC relaxation and lymphatic perfusion. These findings uncover mechanisms underlying hypoxia-induced oxygen compensation by perfusion of existing lymphatics in fish. Our results might also imply that the hypoxia-induced NO pathway contributes to development of progression of pathologies, including promotion of lymphatic metastasis by modulating arterial-lymphatic conduits, in the mammalian system.
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| 50. |
- Jensen, Lasse Dahl, et al.
(författare)
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Regulation of endothelial cell migration by amphiphiles - are changes in cell membrane physical properties involved?
- 2007
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Ingår i: Angiogenesis. - : Kluwer Academic Publishers. - 0969-6970 .- 1573-7209. ; 10:1, s. 13-22
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Tidskriftsartikel (refereegranskat)abstract
- Endothelial cell (EC) migration is an integral part of angiogenesis and a prerequisite for malignant tumor growth. Recent studies suggest that amphiphilic compounds can regulate migration of bovine aortic ECs by altering the physical properties of the cell membrane lipid bilayers. A number of structurally different amphiphiles thus regulate the migration in quantitative correlation with their effects on the plasma membrane microviscosity. Many amphiphiles that affect EC migration and angiogenesis alter the physical properties of lipid bilayers, suggesting that such a regulatory mechanism may be of general importance. To investigate this notion, we studied the effects of lysophospholipids that inhibit migration of bovine aortic ECs and decrease cell membrane microviscosity, and of other amphiphiles that decrease membrane microviscosity (Triton X-100, octyl-beta-glucoside, arachidonic acid, docosahexaenoic acid, ETYA, capsaicin) on the migration of porcine aortic ECs. We further studied whether the enzyme secretory phospholipase A(2) (sPLA(2)) would affect migration in accordance with the changes in membrane microviscosity induced by its hydrolysis products lysophospholipids and polyunsaturated fatty acids. Arachidonic acid, at low concentrations, promoted cell migration by a mechanism involving metabolic products of this compound. Apart from this effect, all the amphiphiles, as well as sPLA(2), inhibited cell migration. A semi-quantitative analysis found a similar correlation between the effects on migration and on lipid bilayer stiffness measured using gramicidin channels as molecular force transducers. These results suggest that changes in cell membrane physical properties may generally contribute to the effects of amphiphiles on EC migration.
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