Publications by authors named "Javad Khanali"

Regulation of extracellular matrix (ECM) dynamics is mediated by matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs). While their involvement in many processes is well recognized, their specific impression on regenerative medicine remains an area of active investigation. This review highlighted the impact of MMPs in six fundamental phenomena-tissue remodelling, angiogenesis, cell migration, cell proliferation and growth, immunogenicity, and apoptosis -emphasizing their significance in regenerative medicine.

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Multiple factors challenge PCR test results for COVID-19 infection, and only symptomatic cases have been tested. Thus, a population-based seroprevalence study was necessary to determine the extent of missed cases. The objective of this study was to achieve a realistic infection rate in Iran and probe into some explanations behind being infected or not.

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Background: Despite various strategies aimed at preventing postoperative tissue adhesions, none of them could prevent adhesion formation consistently and completely. In this study, the effect of simvastatin and amnion jellies on preventing intra-abdominal adhesions has been investigated in the rat model.

Methods: Amnion jelly, simvastatin jelly, or normal saline was applied intraperitoneally after laparotomy in the study groups.

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Along with a paradigm shift in looking at soft tissue fillers from space-filling to bioactive materials, decellularized extracellular matrix (DEM) fillers have gained more attention considering their superior bioactivity. However, the complex mechanisms that govern the interaction between host tissues and DEMs have been partially understood. This review first covers the mechanisms that determine immunogenicity, angiogenesis and vasculogenesis, and recellularization and remodeling after DEM implantation into host tissue, with a particular focus on related findings from filler materials.

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  • - The study compares the quality of care and healthcare inequities for cervical and ovarian cancers using the Quality of Care Index (QCI), revealing disparities in treatment performance across different regions and income levels worldwide.
  • - Data from 1990 to 2019 indicates that while cervical cancer incidence has decreased, ovarian cancer cases have risen, yet mortality rates for both have reduced, with QCI values increasing for both types of cancer over this period.
  • - The results highlight that higher-income countries generally provide better care, but age and socio-demographic factors contribute to inequities in care quality, stressing the urgent need for targeted improvements and further research to address these disparities.
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Background: Recent evidence suggests that B cells and autoantibodies have a substantial role in the pathogenesis of Multiple sclerosis. T cells could be engineered to express chimeric autoantibody receptors (CAARs), which have an epitope of autoantigens in their extracellular domain acting as bait for trapping autoreactive B cells. This study aims to assess the function of designed CAAR T cells against B cell clones reactive to the myelin basic protein (MBP) autoantigen.

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  • - The study focused on estimating lipid abnormalities in Iranian adults by analyzing demographic data, geographic differences, and risk factors from the 2021 STEPs survey, involving over 18,000 participants aged 25 and older.
  • - The results showed a high prevalence of dyslipidemia (81.0%), with specific lipid abnormalities like hypertriglyceridemia at 39.7% and low HDL-C at 68.4%, affecting men and women differently.
  • - Factors influencing dyslipidemia included obesity, urban residency, inadequate physical activity, and medical history, with significant variation in prevalence across provinces, particularly high in East Azarbaijan at 85.3%.
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  • Lip, oral, and pharyngeal cancers pose significant global health challenges, making it essential to analyze their burden for effective health policies.
  • The study utilized data from the 2019 Global Burden of Diseases, Injuries, and Risk Factors Study to assess cancer incidence, mortality, and life years lost across 204 countries, linking these to socio-demographic factors.
  • Findings revealed approximately 370,000 cases and 199,000 deaths for lip and oral cavity cancer, and 167,000 cases and 114,000 deaths for other pharyngeal cancers in 2019, with smoking being the leading risk factor for these cancers, especially in low and middle SDI regions.
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  • This study examines trends in exposure and health burden from four major metabolic risk factors—high systolic blood pressure (SBP), high fasting plasma glucose (FPG), high body-mass index (BMI), and high low-density lipoprotein (LDL) cholesterol in North Africa and the Middle East from 1990 to 2019.
  • Findings reveal a decrease in the mortality rates associated with high LDL and high SBP, but an increase in the rates for high BMI and high FPG over the same period.
  • Overall, exposure to all four risk factors rose significantly, highlighting the need for targeted public health strategies at various levels to combat these growing health issues in the region.
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Background: Implementing bibliometric indicators is the most prominent way to quantify the current status of research performance. This study aimed to map out the research performance of Iranian medical academics and universities in 2020 and determine its progress from 2016.

Methods: Data were extracted from the Iranian scientometric information database and universities' scientometric information database.

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  • The study introduces the Quality of Care Index (QCI) to assess healthcare quality and accessibility for gallbladder and biliary tract cancer (GBBTC) across 195 countries and various demographic groups.
  • By analyzing data from the Global Burden of Disease (GBD) 2017, researchers calculated a combined QCI score encompassing four healthcare quality indicators, with scores ranging from 0 to 100.
  • Results indicate a global QCI score of 33.5 in 2017, revealing significant gender disparities favoring men and highlighting variances in care quality tied to a country's development status, with the highest score in North America and the lowest in Eastern Sub-Saharan Africa.
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Despite significant efforts, there are currently no approved treatments for COVID-19. However, biotechnological approaches appear to be promising in the treatment of the disease. Accordingly, nucleic acid-based treatments including aptamers and siRNAs are candidates that might be effective in COVID-19 treatment.

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Background: Cancer is an increasing public health concern, and detailed knowledge of the cancer incidence is required for developing effective cancer control plans. The objective of this study is to present the cancer incidence of 22 cancer groups in Iran and all 31 provinces of the country from 2000 to 2016, for both sexes across different age groups.

Method: To study the national and provincial cancer incidence in Iran, we extracted data from the Cancer Project, which collects the Iranian cancer registry data and visualizes it in the VIZIT data visualization system.

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Recent advances in cancer immunotherapy have attracted great interest due to the natural capacity of the immune system to fight cancer. This field has been revolutionized by the advent of chimeric antigen receptor (CAR) T cell therapy that is utilizing an antigen recognition domain to redirect patients' T cells to selectively attack cancer cells. CAR T cells are designed with antigen-binding moieties fused to signaling and co-stimulatory intracellular domains.

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Background: The onset of the SARS-CoV-2 pandemic has resulted in ever-increasing casualties worldwide, and after 15 months, standard therapeutic regimens are yet to be discovered.

Main Body: Due to the regenerative and immunomodulatory function of MSCs, they can serve as a suitable therapeutic option in alleviating major COVID-19 complications like acute respiratory distress syndrome. However, the superior properties of their cognate exosomes as a cell-free product make them preferable in the clinic.

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Background: When a new or re-emergent pathogen, such as SARS-CoV-2, causes a major outbreak, rapid access to pertinent research findings is crucial for planning strategies and decision making. We researched whether the speed of sharing research results in the COVID-19 epidemic was higher than the SARS and Ebola epidemics. We also researched whether there is any difference in the most frequent topics investigated before and after the COVID-19, SARS, and Ebola epidemics started.

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The clustered regularly interspaced short palindromic repeats system has demonstrated considerable advantages over other nuclease-based genome editing tools due to its high accuracy, efficiency, and strong specificity. Given that cancer is caused by an excessive accumulation of mutations that lead to the activation of oncogenes and inactivation of tumor suppressor genes, the CRISPR/Cas9 system is a therapy of choice for tumor genome editing and treatment. In defining its superior use, we have reviewed the novel applications of the CRISPR genome editing tool in discovering, sorting, and prioritizing targets for subsequent interventions, and passing different hurdles of cancer treatment such as epigenetic alterations and drug resistance.

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