Publications by authors named "Pedram Peesh"

As we age, cerebral endothelial cells (CECs) are less efficient in maintaining genome integrity and accumulate DNA damage. DNA damage in the brain endothelium can lead to the impairment of the blood-brain barrier (BBB), which is a major factor in brain dysfunction and dementia. Thus, identifying factors that regulate DNA repair in the brain endothelium can prevent brain dysfunction associated with aging.

View Article and Find Full Text PDF

Background: Given the low haemorrhagic risk of intracranial low-grade dural arteriovenous fistulas (dAVFs), the benefits of routine intervention remain controversial. This study compares patient outcomes treated with stereotactic radiosurgery (SRS) versus conservative management.

Method: Multicentre retrospective analysis of the Consortium for Dural Arteriovenous Fistula Outcomes Research and the International Radiosurgery Research Foundation data.

View Article and Find Full Text PDF

Background And Purpose: Intravenous administration of indocyanine green (ICG) has been approved in brain surgeries for decades, yet concerns about neurotoxicity prevent its direct administration into the cerebrospinal fluid (CSF). Armed with prior animal studies demonstrating the feasibility of using ICG microdosing into the CSF, we sought to evaluate its nonclinical safety profile and obtain surrogate measures in adults prior to its use in human neonates.

Methods: Evaluation of ICG toxicity was conducted in mixed primary CNS cell cultures and in an extended safety study of juvenile rat pups deploying intraventricular injections of saline (as control) or ICG.

View Article and Find Full Text PDF

Recent studies have highlighted the crucial role of microglia (MG) and their interactions with the gut microbiome in post-stroke neuroinflammation. The activation of immunoregulatory pathways, including the aryl hydrocarbon receptor (AHR) pathway, is influenced by a dynamic balance of ligands derived from both the host and microbiota. This study aimed to investigate the association between stroke-induced dysbiosis and the resultant imbalance in AHR ligand sources (loss of microbiota-derived [indole-based] and increase of host-derived [kynurenine-based]) after stroke.

View Article and Find Full Text PDF
Article Synopsis
  • Alzheimer's disease (AD) is more prevalent in women than in men, with factors beyond longevity, like metabolic changes, influencing this increased risk.
  • A study conducted metabolomic profiling of blood samples from male and female patients with mild cognitive impairment (MCI), revealing significant metabolic differences related to sex, particularly in lipid and peptide energy metabolism pathways.
  • The research identified specific metabolites unique to each sex, such as higher levels of 1-palmitoleoyl glycerol in females, suggesting these could be potential biomarkers to enhance our understanding of MCI and AD prevention strategies.
View Article and Find Full Text PDF

Alzheimer's disease (AD) affects more women than men. Although women live longer than men, it is not longevity alone, but other factors, including metabolic changes, that contribute to the higher risk of AD in women. Metabolic pathways have been implicated in AD progression, but studies to date examined targeted pathways, leaving many metabolites unmeasured.

View Article and Find Full Text PDF
Article Synopsis
  • Neutrophils play a harmful role after subarachnoid hemorrhage (SAH) by contributing to delayed cerebral ischemia (DCI) through the formation of neutrophil extracellular traps (NETs).
  • In a study using mice with induced SAH, therapies targeting neutrophils, such as depletion and PAD4 inhibition, significantly improved cerebral blood flow and neurological outcomes by reducing the formation of NETs.
  • Human patients with SAH who experienced DCI had higher levels of NET markers in their blood, indicating that targeting neutrophils and NETosis could be a potential therapeutic strategy.
View Article and Find Full Text PDF
Article Synopsis
  • The gut plays a key role in neuroinflammation following brain injury, with colonic epithelial cells (ECs) regulating gut barrier function and immune responses via antimicrobial proteins (AMPs) and mucins.
  • The study observed sex-specific responses in colonic ECs after stroke: young males increased AMPs, while young females enhanced mucin production, which helps maintain separation from gut bacteria.
  • Ovariectomy reversed female EC responses to resemble male patterns, while estradiol treatment in aged females improved mucin gene expression and reduced neuronal hyperactivity in the brain, highlighting the influence of sex and hormones on gut defense mechanisms post-injury.
View Article and Find Full Text PDF
Article Synopsis
  • Stroke is a leading cause of long-term disability and poses a significant financial burden on global healthcare, with recovery largely influenced by ischemic injury and systemic inflammation.
  • The study tested the effects of cromolyn, a mast cell stabilizer, on neuroinflammation and stroke outcomes using a mouse model, leading to reduced mast cell numbers in the brain and improved functional outcomes despite no significant differences in infarct volume.
  • Results showed that cromolyn treatment decreased plasma histamine and IL-6 levels while also reducing gut mast cell numbers, suggesting that mast cell activity and trafficking are important factors in stroke recovery.
View Article and Find Full Text PDF
Article Synopsis
  • Stroke is a significant health issue, especially for older adults, with limited treatments currently available; however, research suggests that the gut microbiome might influence inflammation in the brain after a stroke through the aryl hydrocarbon receptor (AHR) pathway.
  • Microglia, the brain's immune cells, play a crucial role in managing post-stroke inflammation, and the activation of AHR by different ligands from the body or microbiome can have opposing effects on recovery.
  • The study aims to understand how stroke changes gut bacteria and the impact of these changes on AHR ligands, hypothesizing that restoring the balance between harmful and beneficial ligands could improve outcomes after a stroke.
View Article and Find Full Text PDF