Medicine and Health Sciences Commons^™

Unraveling The Impact Of Primary Immunodeficiency Disorders On The Microbiota Of Dental Caries In Children Through 16s Rrna Gene-Based Metagenomic Analysis, Bushra Al-Kebsi̇, Gökhan Kars, Hazal Özer, Şükrü Nai̇l Güner

Turkish Journal of Medical Sciences

Background/aim: Dental caries is a frequently occurring and multifactorial chronic disease in children resulting from the interaction of cariogenic bacteria and host susceptibility. The aim of this study was to elucidate the impacts of primary immunodeficiency disorders (PIDs) on microbiota of dental caries in children by 16S rRNA gene-based metagenomic analysis. Materials and methods: Enrolled in this study were 15 children with primary PID with caries (PID group) and 15 healthy children with caries as a control (CG). The DMFT index, saliva flow rate, and buffering capacity of each participant were assessed before the metagenomic analyses were conducted. For taxonomic …

Comparison Of The Effect Of Postweaning Social Isolation, Enriched Environment, And Exercise Training On Learning And Memory Functions In Rats, Hati̇ce Eki̇nalan Kayhan, Ni̇lsel Okudan, Muaz Belvi̇ranli

Turkish Journal of Medical Sciences

Background/aim: To assess the effects of postweaning social isolation, an enriched environment, and exercise training on learning and memory functions in rats, as well as their relation with the brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) concentrations in the hippocampus. Materials and methods: Randomly assigned into 4 groups were 35 female postweaning rats (25 day old), as the control (C), social isolation (SI), enriched environment (EE), and exercise training (E) groups. The SI and the EE groups were housed under their specific conditions and the E and the C groups were housed under standard conditions for 6 weeks. …

The Validity And Reliability Of The Diabetic Foot Scale-Short Form (Dfs-Sf) In The Turkish Population: A Methodological Study, Meryem Kiliç, Ayi̇şe Karadağ, Neşe Koçakgöl

Turkish Journal of Medical Sciences

Background/aim: Diabetic foot ulcers (DFUs) cause decreased quality of life due to prolonged hospital stay, loss of workforce, disabilities, psychological trauma, and increased healthcare costs. This study aims to assess the validity and reliability of the Diabetic Foot ScaleShort Form (DFS-SF) for Turkish-speaking individuals with DFUs. Materials and methods: This was a methodological study conducted with 174 Turkish patients with DFUs from March 2020 to December 2020. Translation?back translation was performed for language equivalence and expert opinions were obtained for content validity. The scale?s construct validity was tested with confirmatory factor analysis, exploratory factor analysis, and known-group validity. Cronbach?s alpha …

Correlation Of Metal Ions With Specific Brain Region Volumes In Neurodegenerative Diseases, İsmet Murat Melek, Berna Kuş, Zülal Kaptan, Emi̇ne Petekkaya

Turkish Journal of Medical Sciences

Background/aim: There are reports stating that deteriorations in metal homeostasis in neurodegenerative diseases promote abnormal protein accumulation. In this study, the serum metal levels in Alzheimer?s disease (AD) and Parkinson?s disease (PD) and its relationship with the cortical regions of the brain were investigated. Materials and methods: The patients were divided into 3 groups consisting of the AD group, PD group, and healthy control group (n = 15 for each). The volumes of specific brain regions were measured over the participants? 3-dimensional magnetic resonance images, and they were compared across the groups. Copper, zinc, iron, and ferritin levels in the …

The Press-Fit Technique Without Screws And Bone Graft Can Be Used As An Alternative Method In Crowe Type Ii And Iii Hip Dysplasia, Azi̇z Çataltepe, Yusuf İyeti̇n

Turkish Journal of Medical Sciences

Background/aim: Developmental dysplasia of the hip (DDH) is the most common cause of secondary hip arthrosis. The primary purpose of this study was to assess the results of an oversized hemispherical cup via the press-fit technique used for Crowe type II and III DDH without screws and to determine if adequate medialization and initial stability of the acetabular component would allow us to avoid screw and graft use. Materials and methods: Between February 2012 and May 2020, the current study analyzed 43 hips with Crowe type II and III DDH treated with a porous-coated cup by placing the press-fit technique …

Clinical Parameters Of Laminoplasty And Laminectomy With Fusion In The Treatment Of Cervical Spondylosis And Analysis Of Postoperative Sagittal Balance, Mehmet Yi̇ği̇t Akgün, Özkan Ateş, Mehmet Ali̇ Tepebaşili, Caner Günerbüyük, Ali̇ Fahi̇r Özer

Turkish Journal of Medical Sciences

Background/aim: Cervical spondylosis is a progressive disease that causes degenerative changes affecting the spine, intervertebral discs, facets, and ligaments. With anterior and posterior surgical interventions, effective treatments can be applied in cervical spondylotic myelopathy (CSM). The relationship between regional and global spinal alignment and functional and pain outcomes was examined and it was revealed that these parameters play a significant role in obtaining good results. The aim of this study was to compare the perioperative and follow-up results of patients with CSM who underwent laminoplasty or laminectomy with fusion. Materials and method: CSM patients who were operated on between 2015 …

Acetone Extracts Of Berberis Vulgaris And Cornus Mas L. Induce Apoptosis In Mcf-7 Breast Cancer Cells, Burcu Uslu, Mustafa Yaman, Tuba Özdemi̇r Sanci, Mustafa Güngörmüş, Çağla Zübeyde Köprü, Fatma Esra Güneş

Turkish Journal of Medical Sciences

Background/aim: This study aimed to determine the proliferation and apoptotic effects of extracts from Cornus mas L. and Berberis vulgaris fruits on human breast cancer cells (MCF-7). Materials and methods: The Cornus mas L. and Berberis vulgaris fruits, which constitute the herbal material of the study, were turned into 80% acetone extract after washing. The total phenolic content in Berberis vulgaris fruit extracts was determined calorimetrically using Folin-Ciocalteu reagent. The spectrophotometric method was used to determine the total flavonoid amount of the extracts. In order to measure the antioxidant capacity of Cornus mas L. and Berberis vulgaris fruits and extracts, …

Evaluation Of Chronic Pruritus And Associated Skin Findings In Patients With Diabetes Mellitus, Fatma Avci Merdi̇n, Ahmet Taha Aydemi̇r, Fatma Nur Korkmaz, Fatma Tuğçe Şah Ünal, Asena Gökçay Canpolat, Ayşe Öktem, Özgür Demi̇r, Mustafa Şahi̇n, Rifat Emral, Murat Fai̇k Erdoğan, Sevi̇m Güllü, Aydin Vedi̇a Gedi̇k, Peli̇n Koçyi̇ği̇t, Demet Çorapçioğlu

Turkish Journal of Medical Sciences

Background/aim: To explore the dermatological lesions associated with chronic pruritus in patients who were followed up at our clinic for type 1 and type 2 diabetes mellitus (DM). Materials and methods: The study population consisted of 249 patients with DM, who presented to the endocrinology clinic at Ankara University Faculty of Medicine between January 2022, and March 2022, regardless of whether they had reported experiencing pruritus symptoms. The visual analog scale and 5-D itch scale were used to determine the severity of itching in patients. Dermatological examination findings were also evaluated. Results: Of the 249 patients with DM, mean duration …

Noninvasive Point Of Care Device For Assessing Cardiac Response To Acute Volume Changes, Harry A. Silber, Nisha A. Gilotra, Thomas L. Miller

Department of Pediatrics Faculty Papers

Purpose: The change in the amplitude of a peripheral pulse in response to a Valsalva maneuver has diagnostic utility for assessing volume status at the bedside. We have developed a device to automatically quantify the Valsalva pulse response (VPR) to a standardized Valsalva maneuver that the device guides a user to perform. In this study, we sought to determine whether VPR by the device, Indicor, is sensitive enough to detect the acute increase in central pressure and volume load that occurs with a passive leg raise (PLR) in healthy volunteers.

Methods: Healthy volunteers were tested semirecumbently at 45 degrees, then …

Levetiracetam Ameliorates Epileptogenesis By Modulating The Adenosinergic Pathway In A Kindling Model Of Epilepsy In Mice, Muhammad Jamal, Muhammad Azam, Salman Ali Khan, Zaheer Ul-Haq, Shabana Usman Simjee

Turkish Journal of Medical Sciences

Background: Levetiracetam (LEV) has been found to have an antihyperalgesic effect via acting on the adenosine system. However, the effects of LEV on the modulation of the adenosine system in the brain have not been elucidated in the prevention of seizures and epilepsy. The present study aimed to explore the possible LEV mechanisms of action in the adenosine signaling systems in an animal model of epilepsy. Methodology: A docking study was initially performed to determine the possible interaction of LEV with adenosine A1 receptors (A1Rs) and equilibrative nucleoside transporters-1 (ENT1). The experimental study was divided into an acute seizure test …

Dietary Inflammatory Index Score And Its Association With Body Mass Index, Body Fat Percentage, Body Fat Mass, And Lipid Profile In Patients With Multiple Sclerosis, Seda Kaya, Zeynep Uzdi̇l, Ni̇ti̇n Shi̇vappa, James R. Hebert, Pinar Sökülmez Kaya, Murat Terzi̇

Turkish Journal of Medical Sciences

Background/aim: Multiple sclerosis (MS) may cause modifications in body composition, particularly for body fat associated with obesity and some biochemical parameters such as lipid profiles. We investigated whether there is a link between the inflammatory contents of diets and body composition and lipid profiles in patients with MS. Materials and methods: This was a cross-sectional study that included 85 MS patients. The study data of the patients were collected in the Neurology Clinic of Ondokuz Mayıs University?s Health Practice and Research Center. The data included demographic characteristics; anthropometric measurements such as body weight, height, body mass index, waist circumference, hip …

Impact Of 24-Week Dapagliflozin Treatment On Body Weight, Body Composition, And Cardiac Risk Indicators Of Patients With Type-2 Diabetes Mellitus, Pinar Akhanli, Sema Hepşen, İsmai̇l Emre Arslan, Hakan Düğer, Hayri̇ Bostan, Muhammed Kizilgül, Beki̇r Uçan, Erman Çakal

Turkish Journal of Medical Sciences

Background/aim: To reveal the impacts of dapagliflozin, a sodium glucose transporter-2 inhibitor (SGLT-2i), on body weight and body composition, cardiovascular risk indices, and carotid intima-media thickness (CIMT). Materials and methods: The data of patients with type-2 diabetes mellitus (T2DM) who applied to Department of Endocrinology and Metabolic Disorders between September 2019 and 2020, and had started dapagliflozin treatment along with their current medications were recorded retrospectively. Body weights, body compositions measured through bioelectrical impedance, and CIMT with T2DM receiving SGLT-2i treatment and medication were measured at weeks 1, 12, and 24 of 42. The visceral adiposity index (VAI), lipid accumulation …

Effects Of Vitrification Solution Supplemented With Platelet-Rich Plasma In Rat Ovarian Tissue Cryopreservation, Ayli̇n Gökhan, Türker Çavuşoğlu, Kubi̇lay Doğan Kiliç, Cansin Şi̇ri̇n, Canberk Tomruk, Gürkan Yi̇ği̇ttürk, Oytun Erbaş, Eser Sözmen, Meral Baka

Turkish Journal of Medical Sciences

Background/aim: The subject of this study was to investigate the utility of platelet-rich plasma (PRP) in the cryopreservation process to reduce cryodamage and increase tissue viability. Materials and methods: Twenty-one female Wistar rats were randomly allocated to three groups. In Group 1 (G1), rats were not subjected to vitrification (n = 7). Group 2 (G2) was the vitrification group in which PRP was added to the basic vitrification solution (n = 7). Group 3 (G3) was the vitrification group in which fetal bovine serum was added to the basic vitrification solution (n = 7). Warmed tissues were evaluated with histochemical …

Evaluation Of Vitamin D Levels And Biochemical Markers In Infants Diagnosed With Laryngomalacia, Nagi̇han Bi̇lal, Ömer Faruk Çinar, Sevcan İpek, Muhammed Seyi̇thanoğlu, Adem Doğaner, Muhammed Gazi̇ Yildiz

Turkish Journal of Medical Sciences

Background/aim: The pathology of laryngomalacia is still not clear. The aim of this study was to investigate the relationship between vitamin D levels and laryngomalacia, and to evaluate vitamin D levels according to the classification of laryngomalacia. Materials and methods: This retrospective study was conducted in the Kahramanmaraş Sütçü İmam University Medicine Faculty?s Otorhinolaryngology Clinic between June 2014 and January 2021. Laryngomalacia was classified. Laboratory tests for all patients included calcium (Ca), phosphorus (P), parathormone (PTH), blood urea nitrogen (BUN), creatinine (Cre), alanine transaminase (ALT), and 25-hydroxy vitamin D (25-OH-D). Results: Evaluations were performed for 64 infants with laryngomalacia, including …

Postauricular Linear Basal Cell Carcinomas Related To Medical Mask Cords: A Possible Association, Bengü Ni̇sa Akay, Di̇lan Kizilirmak, Aylin Heper

Turkish Journal of Medical Sciences

Linear basal cell carcinoma (BCC) is a distinct clinical morphological variant of BCC. Although it has been speculated that trauma and the Koebner phenomenon may be linked to linear BCC, the pathophysiology has not yet been shown. Herein, 5 cases of BCC were presented that developed in the postauricular region as a result of trauma caused by the cords of the medical face masks worn during the COVID-19 pandemic.

Postoperative Discharge Destination Impacts 30-Day Outcomes: A National Surgical Quality Improvement Program Multi-Specialty Surgical Cohort Analysis, Carlos Riveros, Sanjana Ranganathan, Yash Shah, Emily Huang, Jiaqiong Xu, Michael Geng, Zachary Melchiode, Siqi Hu, Brian Miles, Nestor Esnaola, Dharam Kaushik, Angela Jerath, Christopher Wallis, Raj Satkunasivam

Student Papers, Posters & Projects

Surgical patients can be discharged to a variety of facilities which vary widely in intensity of care. Postoperative readmissions have been found to be more strongly associated with post-discharge events than pre-discharge complications, indicating the importance of discharge destination. We sought to evaluate the association between discharge destination and 30-day outcomes. A retrospective cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Patients were dichotomized based on discharge destination: home versus non-home. The main outcome of interest was 30-day unplanned readmission. The secondary outcomes included post-discharge pulmonary, infectious, thromboembolic, and bleeding complications, …

Improving 10-Year Cardiovascular Risk Prediction In Apparently Healthy People: Flexible Addition Of Risk Modifiers On Top Of Score2, Steven H J Hageman, Carmen Petitjaen, Lisa Pennells, Stephen Kaptoge, Romin Pajouheshnia, Taavi Tillmann, Michael J Blaha, Robyn L Mcclelland, Kunihiro Matsushita, Vijay Nambi, Olaf H Klungel, Patrick C Souverein, Yvonne T Van Der Schouw, W M Monique Verschuren, Nils Lehmann, Raimund Erbel, Karl-Heinz Jöckel, Emanuele Di Angelantonio, Frank L J Visseren, Jannick A N Dorresteijn

Faculty, Staff and Students Publications

Aims: In clinical practice, factors associated with cardiovascular disease (CVD) like albuminuria, education level, or coronary artery calcium (CAC) are often known, but not incorporated in cardiovascular risk prediction models. The aims of the current study were to evaluate a methodology for the flexible addition of risk modifying characteristics on top of SCORE2 and to quantify the added value of several clinically relevant risk modifying characteristics.

Methods and results: Individuals without previous CVD or DM were included from the UK Biobank; Atherosclerosis Risk in Communities (ARIC); Multi-Ethnic Study of Atherosclerosis (MESA); European Prospective Investigation into Cancer, The Netherlands (EPIC-NL); and …

Rna-Based Translation Activators For Targeted Gene Upregulation, Yang Cao, Huachun Liu, Shannon S Lu, Krysten A Jones, Anitha P Govind, Okunola Jeyifous, Christine Q Simmons, Negar Tabatabaei, William N Green, Jimmy L Holder, Soroush Tahmasebi, Alfred L George, Bryan C Dickinson

Duncan NRI Faculty and Staff Publications

Technologies capable of programmable translation activation offer strategies to develop therapeutics for diseases caused by insufficient gene expression. Here, we present "translation-activating RNAs" (taRNAs), a bifunctional RNA-based molecular technology that binds to a specific mRNA of interest and directly upregulates its translation. taRNAs are constructed from a variety of viral or mammalian RNA internal ribosome entry sites (IRESs) and upregulate translation for a suite of target mRNAs. We minimize the taRNA scaffold to 94 nucleotides, identify two translation initiation factor proteins responsible for taRNA activity, and validate the technology by amplifying SYNGAP1 expression, a haploinsufficiency disease target, in patient-derived cells. …

A Disordered Region Controls Cbaf Activity Via Condensation And Partner Recruitment, Ajinkya Patil, Amy R Strom, Joao A Paulo, Clayton K Collings, Kiersten M Ruff, Min Kyung Shinn, Akshay Sankar, Kasey S Cervantes, Tobias Wauer, Jessica D St Laurent, Grace Xu, Lindsay A Becker, Steven P Gygi, Rohit V Pappu, Clifford P Brangwynne, Cigall Kadoch

2020-Current year OA Pubs

Intrinsically disordered regions (IDRs) represent a large percentage of overall nuclear protein content. The prevailing dogma is that IDRs engage in non-specific interactions because they are poorly constrained by evolutionary selection. Here, we demonstrate that condensate formation and heterotypic interactions are distinct and separable features of an IDR within the ARID1A/B subunits of the mSWI/SNF chromatin remodeler, cBAF, and establish distinct "sequence grammars" underlying each contribution. Condensation is driven by uniformly distributed tyrosine residues, and partner interactions are mediated by non-random blocks rich in alanine, glycine, and glutamine residues. These features concentrate a specific cBAF protein-protein interaction network and are …

Use Of Best Practices In Exam Item Creation, Analysis, And Revision: Nursing Faculty’S Knowledge, Use, And Implementation Barriers And Facilitators, Julie Anne De Haan

Day of Scholarship

The ultimate goal of nursing education is to prepare graduates to provide excellent, safe patient care. The implementation of exam item best practices can significantly contribute to this process. This study examined nursing faculty’s use of best practices for exam item creation, analysis, and revision and best practice barriers and facilitators. Through a quantitative, cross-sectional, descriptive correlational research study, the research demonstrated that faculty inconsistently use exam item best practices. Faculty research participants identified ways to enhance the use of best practices and suggestions to nursing leadership were developed based on the data. With faculty development and an outlined support …

Telemedicine For Prenatal Care During The Covid-19 Pandemic, Katrina Wu

Day of Scholarship

In the United States, 24.4% or approximately 1 million pregnant individuals, do not receive early or sufficient prenatal care each year. Due to its widespread adoption during the pandemic, understanding how it was implemented and insights from user experiences can inform the utilization of telemedicine as a potential long-term strategy to improve access to prenatal care. For this national, convergent mixed methods study, researchers surveyed 196 perinatal providers and 749 pregnant patients during the COVID-19 pandemic. Findings indicated mild to moderate satisfaction across six telehealth usability domains. While the majority of participants reported they did not use blood pressure cuffs …

Holistic Review: Application To Post-Baccalaureate Nursing Education, Kristi Gustafson

Day of Scholarship

Literature review/survey of best practices; tools and measures to consider experiences, attributes, and metrics of applicants; considerations for the student and cohort experience; addressing healthcare workforce needs and needs of the nursing profession; application to post-baccalaureate (second-degree) nursing admission processes

Physician Assistants/Associates With Doctoral Degrees: Where Are They Now?, Alicia Klein

Day of Scholarship

Original Research: The impact of holding a doctoral credential by clinically practicing physician assistants (PAs) remains unknown. The purpose of this study was to investigate practice patterns and describe demographic characteristics of PAs who have terminal doctoral degrees. This was a secondary analysis, using descriptive bivariate statistics and chi-square tests, with data obtained from the 2021 Salary Survey of the American Academy of PAs. There were statistically significant differences in practice patterns and demographic factors between PAs with and without doctoral degrees. Taken together, holding a doctoral credential may improve upward mobility at workplaces. This study was among the first …

Patient Centered Care Coordination: The Impact Of A Non-Acute Care Clinical Curricular Module On Nursing Student Learning Outcomes, Ann Holland

Day of Scholarship

This poster reports on the results of a study that investigated the impact of a clinical curricular module for teaching patient-centered care coordination on BSN student learning outcomes. Prior to the development of the clinical curricular module, the junior-level curriculum in the Bethel nursing program contained disparate student learning experiences in non-acute care settings. The module brought these existing and new learning experiences together into a cohesive curriculum using the Chronic Care Model as a conceptual framework. The quasi-experimental study was one of the first nursing education research studies conducted about the important and emerging professional nursing role of care …

Evaluation Of A Unique Care Coordination And Transition Management Clinical Module, Debbie Solomon, Beth Anderson, Ann Holland

Day of Scholarship

A two-year curriculum evaluation was undertaken to guide development of a unique clinical curricular module focused on care coordination and transition management. The module, in place in the junior curriculum since 2015, had been modified through the years in response to changes in faculty, clinical partners, and department resources. The COVID-19 pandemic significantly limited student field experiences, requiring development of existing and new on-campus simulated learning experiences. Three analytic processes were used to evaluate how teaching methods and resource utilization contributed to student achievement of learning outcomes. The results led faculty to reinitiate field experiences in home care and hospice …

Influence Of The Step Number Of The Approach Run On The Jumping Kinematics In Volleyball Spike Jumps, Saburo Nishimura, Yoshinori Kinomura, Yuji Oshima, Haruhi Kataoka, Shuhei Iida, Shohei Yokozawa

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 15, 2023. In volleyball, the approach run serves as a strategy to execute a spike from an elevated striking position. Nevertheless, the influence of the step number of the approach run on the jumping kinematics in spike jumps is unclear. Therefore, this investigation aims to clarify the impact of varying step numbers within the approach run on jumping kinematics. Seven female volleyball athletes were tasked with executing spike jumps, employing 2 and 3-step approach runs. These trials were recorded using high-speed cameras and digitized, and then the kinematics of …

An Investigation Of Mitigation Measures On The Spread Of Covid-19 In A College Classroom Using Agent-Based Modeling, Saharsh Talwar, Anne E. Yust

Spora: A Journal of Biomathematics

In this manuscript, we describe the process of using agent-based modeling in NetLogo to create a simulation of COVID-19 spread in a traditional college classroom. The model allows for an evaluation of different preventative measures implemented by the University of Pittsburgh, including the cohort classroom attendance model, mask and vaccine mandates, contact tracing, and classroom sanitation. Through the use of the model's interactive interface, the impact of adjusting specific measures by the institution could be visualized, providing a valuable tool for combating diseases that spread through droplet transmission.

Validation Of The Factor Structure Of The Health Professionals’ Attitudes Toward The Homeless Inventory (Hpathi), Susan Toth-Cohen, Maria Brucato, Kerry Dinardo, Richard Hass

JCIPE Posters

Background

- Considerable stigma exists toward persons experiencing homelessness (PEH)—a vulnerable population at greater risk for health disparities.^{1, 2}

- Many healthcare students begin their programs without interacting with PEH and with preconceived notions influenced by societal stigma.

- Interprofessional education programs, such as the Enhancing Services for People Experiencing Homelessness program below, have incorporated experiential learning into curricula to address student biases and develop understanding and compassion.

• Educating students to understand issues that PEH face can help mitigate healthcare disparities.

- Evaluating the effectiveness of these interprofessional educational experiences requires valid assessment of the attitudes, interest, and confidence …

2023 Celebration Of Scholarship, Creativity, And Engagement, Todd Bruns, Diane Highland

Programs

Annually, Eastern Illinois University honors faculty achievements in the areas of research, creativity, and engagement. This year, the list of faculty accomplishments is again truly impressive, reflective of an engaged faculty committed to excellence and the ongoing pursuit and creation of knowledge. A number of these accomplishments occurred in collaboration with our students, who serve as co-authors, research assistants and partners in bringing these activities to fruition. Indeed, in some cases these professional ambitions transpired over the course of many years, and are a testament to persistence and tenacity--ensuring that these works extend to a broader community of scholars that …

A Phase I Trial Of Sirolimus With "7&3" Induction Chemotherapy In Patients With Newly Diagnosed Acute Myeloid Leukemia, Neil Palmisiano, Grace Jeschke, Lindsay Wilde, Onder Alpdogan, Matthew Carabasi, Joanne Filicko-O'Hara, Dolores Grosso, Thomas Klumpp, Ubaldo Martinez, John L Wagner, Martin Carroll, Alexander Perl, Margaret Kasner

Department of Medicine Faculty Papers

Chemotherapy remains a primary treatment for younger AML patients, though many relapse. Data from our group have shown that highly phosphorylated S6 in blasts may predict response to sirolimus given with chemotherapy. We report the results of a phase I study of this combination in newly diagnosed AML and the pharmacodynamic analysis of pS6 before and after treatment. Subjects received sirolimus (12 mg on day 1, 4 mg daily, days 2-10), then idarubicin and cytarabine (days 4-10). Response was assessed at hematologic recovery or by day 42 using a modified IWG criteria. Fifty-five patients received sirolimus. Toxicity was similar to …