Publications by authors named "Timothy O'Sullivan"

Immune cells undergo rapid metabolic reprogramming to fuel effector responses. However, whether the metabolic pathways that supply these functions differ between human and mouse immune cells is poorly understood. Using a comparative metabolomics approach, here we show both conserved and species-distinct metabolite alterations in cytokine-activated primary human and mouse natural killer (NK) cells.

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Adipose tissue (AT) is a complex connective tissue with a high relative proportion of adipocytes, which are specialized cells with the ability to store lipids in large droplets. AT is found in multiple discrete depots throughout the body, where it serves as the primary repository for excess calories. In addition, AT has an important role in functions as diverse as insulation, immunity and regulation of metabolic homeostasis.

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The protozoan parasite Cryptosporidium is the etiological agent of cryptosporidiosis, a ubiquitous diarrheic disease affecting humans and animals. Treatment options are limited, highlighting an urgent need for novel therapeutics. Despite decades of research and a wide diversity of strategies to tackle parasite metabolic pathways, no completely effective drug has been identified to date.

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Article Synopsis
  • Lesion size (≥40mm) is a significant factor for recurrence after endoscopic mucosal resection, and post-resection margin thermal ablation (MTA) seems to reduce this risk.
  • A study analyzed outcomes across three phases from 2009 to 2023, revealing a notable decrease in recurrence rates after implementing standardized MTA, from 13.5% to 2.1%.
  • MTA effectively equalizes recurrence rates across all polyp sizes (20-39mm, 40-59mm, ≥60mm) when used, suggesting it could be an important strategy for managing larger colorectal polyps.
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Nonlifting large nonpedunculated colorectal polyps (NL-LNPCPs) account for 15% of LNPCPs and are effectively managed by endoscopic mucosal resection (EMR) with adjunctive cold-forceps avulsion with adjuvant snare-tip soft coagulation (CAST). Recurrence rates >10% at surveillance colonoscopy are however a significant limitation. We aimed to compare the outcomes of CAST plus margin thermal ablation (MTA) versus CAST alone for NL-LNPCPs.

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is an aerobic, Gram-negative bacterium that is responsible for many plant diseases. The bacterium is the causal agent of Pierce's disease in grapes and is also responsible for citrus variegated chlorosis, peach phony disease, olive quick decline syndrome and leaf scorches of various species. The production of biofilm is intrinsically linked with persistence and transmission in .

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Adipose tissue regulates energy homeostasis and metabolic function, but its adaptability is impaired in obesity. In this study, we investigate the impact of acute PPARγ agonist treatment in obese mice and find significant transcriptional remodeling of cells in the stromal vascular fraction (SVF). Using single-cell RNA sequencing, we profile the SVF of inguinal and epididymal adipose tissue of obese mice following rosiglitazone treatment and find an induction of ribosomal factors in both progenitor and preadipocyte populations, while expression of ribosomal factors is reduced with obesity.

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  • Colorectal cancer is a leading cause of cancer deaths in Australia, and colonoscopy and polypectomy are effective preventive measures.
  • The study examined risk factors, particularly focusing on metabolic conditions and BMI, in 357 individuals aged 20-85 referred for colonoscopy.
  • Findings indicate a significant link between elevated BMI and colorectal neoplasia, highlighting the need for public health initiatives targeting diet and weight management in an overweight population.
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Antimicrobial resistance poses a significant threat to global health, necessitating the development of novel therapeutic agents with unique mechanisms of action. Inosine 5'-monophosphate dehydrogenase (IMPDH), an essential enzyme in guanine nucleotide biosynthesis, is a promising target for the discovery of new antimicrobial agents. High-throughput screening studies have previously identified several urea-based leads as potential inhibitors, although many of these are characterised by reduced chemical stability.

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Background And Aims: The efficacy of colorectal endoscopic mucosal resection (EMR) is limited by recurrence and the necessity for conservative surveillance. Margin thermal ablation (MTA) after EMR has reduced the incidence of recurrence at the first surveillance colonoscopy at 6 months (SC1). Whether this effect is durable to second surveillance colonoscopy (SC2) is unknown.

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  • Colorectal cancer is a major health issue globally, and removing polyps can significantly lower its incidence and mortality rates.
  • Endoscopists have various resection techniques available for different types of polyps, each requiring specific skills and with unique pros and cons.
  • An evidence-based algorithm approach is essential for effectively strategizing colorectal resections, taking into account factors like polyp size, location, and characteristics.
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  • Endoscopic submucosal dissection (ESD) is being considered for treating large nonpedunculated colorectal polyps (LNPCPs) to manage potential low-risk cancers, but its effectiveness in the right colon is unclear.
  • A study analyzed over 3,000 cases, finding that only 2.6% of patients who underwent endoscopic resection (ER) had cancers, with just 0.78% being classified as low-risk.
  • The results suggest that a universal ESD approach for right colon LNPCPs may not significantly improve patient outcomes due to the low prevalence of treatable low-risk cancers.
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  • The study discusses the importance of completely removing upper gastrointestinal subepithelial lesions (U-SELs) to ensure accurate diagnosis and eliminate the need for follow-up surveillance.
  • It details a SAFE resection algorithm applied to 106 U-SELs over 115 months, where various methods like endoscopic submucosal dissection (ESD) and submucosal tunneling endoscopic resection (STER) were used depending on the lesion's characteristics.
  • The results showed high success rates for these procedures, with no major complications, suggesting that endoscopic resection is a safe and effective treatment approach for U-SELs.
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Background And Aims: Conventional hot snare endoscopic mucosal resection (H-EMR) is effective for the management of large (≥20 mm) non-pedunculated colon polyps (LNPCPs) however, electrocautery-related complications may incur significant morbidity. With a superior safety profile, cold snare EMR (C-EMR) of LNPCPs is an attractive alternative however evidence is lacking. We conducted a randomised trial to compare the efficacy and safety of C-EMR to H-EMR.

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A method to precisely determine which cells respond to chemokines in vivo is currently lacking. A novel class of dual fluorescence reporter mice could help identify cells that produce and/or sense a given chemokine in vitro and in vivo (Rodrigo et al. 2024.

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Natural killer (NK) cells are a critical first line of defense against viral infection. Rare mutations in a small subset of transcription factors can result in decreased NK cell numbers and function in humans, with an associated increased susceptibility to viral infection. However, our understanding of the specific transcription factors governing mature human NK cell function is limited.

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Background And Aims: Endoscopic submucosal dissection (ESD) is effective in treating early gastric cancer (EGC). Its role in patients with comorbidities along with more advanced disease is unknown. We sought to evaluate this in a large Western cohort.

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Background: Recognition of submucosal invasive cancer (SMIC) in large (≥20 mm) nonpedunculated colonic polyps (LNPCPs) informs selection of the optimal resection strategy. LNPCP location, morphology, and size influence the risk of SMIC; however, currently no meaningful application of this information has simplified the process to make it accessible and broadly applicable. We developed a decision-making algorithm to simplify the identification of LNPCP subtypes with increased risk of potential SMIC.

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NK cells are short-lived innate lymphocytes that can mediate antigen-independent responses to infection and cancer. However, studies from the past two decades have shown that NK cells can acquire transcriptional and epigenetic modifications during inflammation that result in increased survival and lifespan. These findings blur the lines between the innate and adaptive arms of the immune system, and suggest that the homeostatic mechanisms that govern the persistence of innate immune cells are malleable.

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Article Synopsis
  • * The study finds that specific receptors (SFRs), particularly CD48 on NK cells and its counterpart 2B4 on macrophages, are crucial for the expansion of these adaptive NK cells post-infection.
  • * The interaction between 2B4 and CD48 helps prevent the phagocytosis (cell engulfing) of Ly49H NK cells by activating macrophages, suggesting that enhancing this pathway could improve NK cell responses in therapies.
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Background: Non-achalasia esophageal motility disorders (NAEMDs), encompassing distal esophageal spasm (DES) and hypercontractile esophagus (HCE), are rare conditions. Peroral endoscopic myotomy (POEM) is a promising treatment option. In NAEMDs, unlike with achalasia, the lower esophageal sphincter (LES) functions normally, suggesting the potential of LES preservation during POEM.

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Obesity is associated with chronic low-grade white adipose tissue (WAT) inflammation that can contribute to the development of insulin resistance in mammals. Previous studies have identified interleukin (IL)-12 as a critical upstream regulator of WAT inflammation and metabolic dysfunction during obesity. However, the cell types and mechanisms that initiate WAT IL-12 production remain unclear.

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Background And Aims: Although conventional hot snare resection (CR) of laterally spreading lesions of the major papilla (LSL-Ps) is effective, it can be associated with delayed bleeding in upward of 25% of cases. Given the excellent safety profile of cold snare polypectomy in the colorectum, we investigated the efficacy and safety of a novel hybrid resection (HR) technique for LSL-P management, consisting of hot snare papillectomy plus cold snare resection of the laterally spreading component.

Methods: A prospective cohort of patients underwent HR in a tertiary referral center over 60 months until December 2022.

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