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- Asgardoon, MH, et al.
(författare)
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Monogenic Primary Immunodeficiency Disorder Associated with Common Variable Immunodeficiency and Autoimmunity
- 2020
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Ingår i: International archives of allergy and immunology. - : S. Karger AG. - 1423-0097 .- 1018-2438. ; 181:9, s. 706-714
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Tidskriftsartikel (refereegranskat)abstract
- <b><i>Background:</i></b> Common variable immunodeficiency (CVID) is the most frequent primary immunodeficiency disorder mainly characterized by recurrent bacterial infections besides other immunological defects including loss of or dysfunction of B cells and decreased immunoglobulin levels. In this study, our aim is to evaluate clinical, immunological, and molecular data of patients with a primary clinical diagnosis of CVID and autoimmune phenotype with a confirmed genetic diagnosis. <b><i>Methods:</i></b> Among 297 patients with CVID, who were registered in the Iranian Primary Immunodeficiency Registry at Children’s Medical Center Hospital in Iran, 83 patients have been genetically examined and 27 patients with autoimmunity and confirmed genetic mutations were selected for analysis. Whole-exome sequencing and confirmatory Sanger sequencing methods were used for the study population. A questionnaire was retrospectively filled for all patients to evaluate demographic, laboratory, clinical, and genetic data. <b><i>Results:</i></b> In the 27 studied patients, 11 different genetic defects were identified, and the most common mutated gene was <i>LRBA</i>, reported in 17 (63.0%) patients. Two patients (7.7%) showed autoimmune complications as the first presentation of immunodeficiency. Eleven patients (40.7%) developed one type of autoimmunity, and 16 patients (59.3%) progressed to poly-autoimmunity. Most of the patients with mono-autoimmunity (<i>n</i> = 9, 90.0%) primarily developed infectious complications, while in patients with poly-autoimmunity, the most common first presentation was enteropathy (<i>n</i> = 6, 37.6%). In 13 patients (61.9%), the diagnosis of autoimmune disorders preceded the diagnosis of primary immunodeficiency. The most frequent autoimmune manifestations were hematologic (40.7%), gastrointestinal (48.1%), rheumatologic (25.9%), and dermatologic (22.2%) disorders. Patients with poly-autoimmunity had lower regulatory T cells than patients with mono-autoimmunity. <b><i>Conclusion:</i></b> In our cohort, the diagnosis of autoimmune disorders preceded the diagnosis of primary immunodeficiency in most patients. This association highlights the fact that patients referring with autoimmune manifestations should be evaluated for humoral immunity.
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- Mohsenzadeh, A., et al.
(författare)
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Alkali pretreatment of softwood spruce and hardwood birch by NaOH/thiourea, NaOH/urea, NaOH/urea/thiourea, and NaOH/PEG for improve of ethanol and biogas production
- 2012
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Ingår i: Journal of chemical technology and biotechnology (1986). - : John Wiley & Sons Ltd.. - 0268-2575 .- 1097-4660. ; 87:8, s. 1209-1214
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Tidskriftsartikel (refereegranskat)abstract
- Alkali-dissolution pretreatment of softwood spruce and hardwood birch to improve ethanol and biogas production was investigated. The pretreatments were carried out at different temperatures between − 15 and 80 °C with NaOH/thiourea (7/5.5 wt%), NaOH/urea (7/12 wt%), NaOH/urea/thiourea (7/8/6.5 wt%), and NaOH/PEG (7/1 wt%) aqueous solutions. The pretreated materials were then subjected to enzymatic hydrolysis for 72 h. The pretreatments by NaOH/thiourea at − 15 °C improved the hydrolysis yields of spruce from 11.7% to 57% of theoretical yield, and for birch from 23.1% to 83% of theoretical yield. The enzymatic hydrolysis and fermentation of these pretreated materials by NaOH/thiourea with baker's yeast resulted in 54.0% of theoretical yield compared with 10.9% for untreated spruce and 80.9% of theoretical yield compared with 12.9% for untreated birch. Furthermore, anaerobic digestion of pretreated materials resulted in 0.36 L g−1 VS methane compared with 0.23 L g−1 VS for untreated birch, and 0.21 L g−1 VS compared with 0.03 L g−1 VS for untreated spruce.
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