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1.
Article in English | MEDLINE | ID: mdl-38561566

ABSTRACT

Rapamycin is a potent immunosuppressive drug that has been recently proposed for a wide range of applications beyond its current clinical use. For some of these proposed applications, encapsulation in nanoparticles is key to ensure therapeutic efficacy and safety. In this work, we evaluate the effect of pore size on mesoporous silica nanoparticles (MSN) as rapamycin nanocarriers. The successful preparation of MSN with 4 different pore sizes was confirmed by dynamic light scattering, zeta potential, transmission electron microscopy and N2 adsorption. In these materials, rapamycin loading was pore size-dependent, with smaller pore MSN exhibiting greater loading capacity. Release studies showed sustained drug release from all MSN types, with larger pore MSN presenting faster release kinetics. In vitro experiments using the murine dendritic cell (DC) line model DC2.4 showed that pore size influenced the biological performance of MSN. MSN with smaller pore sizes presented larger nanoparticle uptake by DC2.4 cells, but were also associated with slightly larger cytotoxicity. Further evaluation of DC2.4 cells incubated with rapamycin-loaded MSN also demonstrated a significant effect of MSN pore size on their immunological response. Notably, the combination of rapamycin-loaded MSN with an inflammatory stimulus (lipopolysaccharide, LPS) led to changes in the expression of DC activation markers (CD40 and CD83) and in the production of the proinflammatory cytokine TNF-α compared to LPS-treated DC without nanoparticles. Smaller-pored MSN induced more substantial reductions in CD40 expression while eliciting increased CD83 expression, indicating potential immunomodulatory effects. These findings highlight the critical role of MSN pore size in modulating rapamycin loading, release kinetics, cellular uptake, and subsequent immunomodulatory responses.

2.
Microorganisms ; 12(3)2024 Mar 06.
Article in English | MEDLINE | ID: mdl-38543581

ABSTRACT

In this study, bacterial isolates C1-4-7, D2-4-6, and M1-4-11 from Antarctic soil were phenotypically and genotypically characterized, and their antibacterial spectrum and that of cell-free culture supernatant were investigated. Finally, the effect of temperature and culture medium on the production of antimicrobial compounds was investigated. The three bacteria were identified as different strains of the genus Pseudomonas. The three bacteria were multi-drug resistant to antibiotics. They exhibited different patterns of growth inhibition of pathogenic bacteria. M1-4-11 was remarkable for inhibiting the entire set of pathogenic bacteria tested. All three bacteria demonstrated optimal production of antimicrobial compounds at 15 °C and 18 °C. Among the culture media studied, Nutrient broth would be the most suitable to promote the production of antimicrobial compounds. The thermostability exhibited by the antimicrobial molecules secreted, their size of less than 10 kDa, and their protein nature would indicate that these molecules are bacteriocin-like compounds.

3.
Sci Transl Med ; 16(733): eadi0673, 2024 Feb 07.
Article in English | MEDLINE | ID: mdl-38324641

ABSTRACT

Food allergy is caused by allergen-specific immunoglobulin E (IgE) antibodies, but little is known about the B cell memory of persistent IgE responses. Here, we describe, in human pediatric peanut allergy, a population of CD23+IgG1+ memory B cells arising in type 2 immune responses that contain high-affinity peanut-specific clones and generate IgE-producing cells upon activation. The frequency of CD23+IgG1+ memory B cells correlated with circulating concentrations of IgE in children with peanut allergy. A corresponding population of "type 2-marked" IgG1+ memory B cells was identified in single-cell RNA sequencing experiments. These cells differentially expressed interleukin-4 (IL-4)- and IL-13-regulated genes, such as FCER2/CD23+, IL4R, and germline IGHE, and carried highly mutated B cell receptors (BCRs). In children with high concentrations of serum peanut-specific IgE, high-affinity B cells that bind the main peanut allergen Ara h 2 mapped to the population of "type 2-marked" IgG1+ memory B cells and included clones with convergent BCRs across different individuals. Our findings indicate that CD23+IgG1+ memory B cells transcribing germline IGHE are a unique memory population containing precursors of high-affinity pathogenic IgE-producing cells that are likely to be involved in the long-term persistence of peanut allergy.


Subject(s)
Food Hypersensitivity , Peanut Hypersensitivity , Humans , Child , Memory B Cells , Immunoglobulin G , Allergens , Immunoglobulin E
5.
Microbiol Spectr ; 11(6): e0265723, 2023 Dec 12.
Article in English | MEDLINE | ID: mdl-37819075

ABSTRACT

IMPORTANCE: In this work, we characterized the composition, structure, and functional potential for biofilm formation of Exiguobacterium strains isolated from the Salar de Huasco in Chile in the presence of arsenic, an abundant metalloid in the Salar that exists in different oxidation states. Our results showed that the Exiguobacterium strains tested exhibit a significant capacity to form biofilms when exposed to arsenic, which would contribute to their resistance to the metalloid. The results highlight the importance of biofilm formation and the presence of specific resistance mechanisms in the ability of microorganisms to survive and thrive under adverse conditions.


Subject(s)
Arsenic , Arsenic/toxicity , Exiguobacterium , Biofilms , Oxidation-Reduction , Chile
6.
Cancer Med ; 12(14): 15632-15649, 2023 07.
Article in English | MEDLINE | ID: mdl-37326348

ABSTRACT

INTRODUCTION: Patients with cervical cancer (CC) may experience local recurrence very often after treatment; when only clinical parameters are used, most cases are diagnosed in late stages, which decreases the chance of recovery. Molecular markers can improve the prediction of clinical outcome. Glycolysis is altered in 70% of CCs, so molecular markers of this pathway associated with the aggressiveness of CC can be identified. METHODS: The expression of 14 glycolytic genes was analyzed in 97 CC and 29 healthy cervical tissue (HCT) with microarray; only LDHA and PFKP were validated at the mRNA and protein levels in 36 of those CC samples and in 109 new CC samples, and 31 HCT samples by qRT-PCR, Western blotting, or immunohistochemistry. A replica analysis was performed on 295 CC from The Cancer Genome Atlas (TCGA) database. RESULTS: The protein expression of LDHA and PFKP was associated with poor overall survival [OS: LDHA HR = 4.0 (95% CI = 1.4-11.1); p = 8.0 × 10-3 ; PFKP HR = 3.3 (95% CI = 1.1-10.5); p = 4.0 × 10-2 ] and disease-free survival [DFS: LDHA HR = 4.5 (95% CI = 1.9-10.8); p = 1.0 × 10-3 ; PFKP HR = 3.2 (95% CI = 1.2-8.2); p = 1.8 × 10-2 ] independent of FIGO clinical stage, and the results for mRNA expression were similar. The risk of death was greater in patients with overexpression of both biomarkers than in patients with advanced FIGO stage [HR = 8.1 (95% CI = 2.6-26.1; p = 4.3 × 10-4 ) versus HR = 7 (95% CI 1.6-31.1, p = 1.0 × 10-2 )] and increased exponentially as the expression of LDHA and PFKP increased. CONCLUSIONS: LDHA and PFKP overexpression at the mRNA and protein levels was associated with poor OS and DFS and increased risk of death in CC patients regardless of FIGO stage. The measurement of these two markers could be very useful for evaluating clinical evolution and the risk of death from CC and could facilitate better treatment decision making.


Subject(s)
Phosphofructokinases , Uterine Cervical Neoplasms , Female , Humans , Biomarkers/metabolism , Glycolysis/genetics , L-Lactate Dehydrogenase/genetics , L-Lactate Dehydrogenase/metabolism , Lactate Dehydrogenase 5/metabolism , Phosphofructokinases/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Uterine Cervical Neoplasms/genetics
7.
Int Forum Allergy Rhinol ; 13(11): 2086-2091, 2023 Nov.
Article in English | MEDLINE | ID: mdl-37150905

ABSTRACT

KEY POINTS: Intranasal allergen exposure increases peripheral total Th2 and Th9 cells in patients with local allergic rhinitis (LAR). Peripheral T-cell response seems dominated by Th9 cells in patients with LAR, whereas Th2 responses prevail in patients with allergic rhinitis. Our results identify Th9 cells as potential therapeutic targets for patients with LAR.

9.
PLoS Comput Biol ; 19(4): e1010998, 2023 04.
Article in English | MEDLINE | ID: mdl-37014908

ABSTRACT

The increase in microbial sequenced genomes from pure cultures and metagenomic samples reflects the current attainability of whole-genome and shotgun sequencing methods. However, software for genome visualization still lacks automation, integration of different analyses, and customizable options for non-experienced users. In this study, we introduce GenoVi, a Python command-line tool able to create custom circular genome representations for the analysis and visualization of microbial genomes and sequence elements. It is designed to work with complete or draft genomes, featuring customizable options including 25 different built-in color palettes (including 5 color-blind safe palettes), text formatting options, and automatic scaling for complete genomes or sequence elements with more than one replicon/sequence. Using a Genbank format file as the input file or multiple files within a directory, GenoVi (i) visualizes genomic features from the GenBank annotation file, (ii) integrates a Cluster of Orthologs Group (COG) categories analysis using DeepNOG, (iii) automatically scales the visualization of each replicon of complete genomes or multiple sequence elements, (iv) and generates COG histograms, COG frequency heatmaps and output tables including general stats of each replicon or contig processed. GenoVi's potential was assessed by analyzing single and multiple genomes of Bacteria and Archaea. Paraburkholderia genomes were analyzed to obtain a fast classification of replicons in large multipartite genomes. GenoVi works as an easy-to-use command-line tool and provides customizable options to automatically generate genomic maps for scientific publications, educational resources, and outreach activities. GenoVi is freely available and can be downloaded from https://github.com/robotoD/GenoVi.


Subject(s)
Archaea , Bacteria , Archaea/genetics , Bacteria/genetics , Genomics/methods , Software , Genome, Microbial
10.
Article in English | MEDLINE | ID: mdl-36901123

ABSTRACT

Sports commitment is a psychological construct that has been studied since the 1990s and that has been used in the educational field. The main objective of this study is to analyze the suitability of AirBadminton to acquired sports commitment and the classroom climate generated through the practice of AirBadminton. It was also proposed to analyze the physical, technical and temporal characteristics of AirBadminton. The research was developed with 1298 students between 13 and 15 years of age (mean ± standard deviation; body height: 1.61 ± 7.08 m; body mass 59.68 ± 7.11 kg); one group developed an AirBadminton didactic unit forming the experimental group, and a second group carried out other net games, being the control group. The following instruments were used: the Sports Commitment Questionnaire-2 CCD-2, the Brief Class Climate Scale EBCC, the analysis software LongoMatch version 1.10.1, the heart rate (HR) and the distance traveled of some participants were monitored with different Polar brand sensors (Polar H10 and Verity Sense) and two SPI-Elite GPS devices from the GPSports brand. Results show that sports commitment was increased in the experimental group. AirBadminton shows aspects that are directly and positively related to intrinsic motivation and adherence to sports practice; it improves the classroom climate and increases the desire to excel of the participants.


Subject(s)
COVID-19 , Humans , Exercise , Motivation , Students/psychology , Surveys and Questionnaires
11.
bioRxiv ; 2023 Jan 25.
Article in English | MEDLINE | ID: mdl-36747707

ABSTRACT

Food allergy is caused by allergen-specific IgE antibodies but little is known about the B cell memory of persistent IgE responses. Here we describe in human pediatric peanut allergy CD23 + IgG1 + memory B cells arising in type 2 responses that contain peanut specific clones and generate IgE cells on activation. These 'type2-marked' IgG1 + memory B cells differentially express IL-4/IL-13 regulated genes FCER2 / CD23, IL4R , and germline IGHE and carry highly mutated B cell receptors (BCRs). Further, high affinity memory B cells specific for the main peanut allergen Ara h 2 mapped to the population of 'type2-marked' IgG1 + memory B cells and included convergent BCRs across different individuals. Our findings indicate that CD23 + IgG1 + memory B cells transcribing germline IGHE are a unique memory population containing precursors of pathogenic IgE. One-Sentence Summary: We describe a unique population of IgG + memory B cells poised to switch to IgE that contains high affinity allergen-specific clones in peanut allergy.

12.
Allergy ; 78(3): 752-766, 2023 03.
Article in English | MEDLINE | ID: mdl-36445014

ABSTRACT

BACKGROUND: Atopic diseases are characterized by IgE antibody responses that are dependent on cognate CD4 T cell help and T cell-produced IL-4 and IL-13. Current models of IgE cell differentiation point to the role of IgG memory B cells as precursors of pathogenic IgE plasma cells. The goal of this work was to identify intrinsic features of memory B cells that are associated with IgE production in atopic diseases. METHODS: Peripheral blood B lymphocytes were collected from individuals with physician diagnosed asthma or atopic dermatitis (AD) and from non-atopic individuals. These samples were analyzed by spectral flow cytometry, single cell RNA sequencing (scRNAseq), and in vitro activation assays. RESULTS: We identified a novel population of IgG memory B cells characterized by the expression of IL-4/IL-13 regulated genes FCER2/CD23, IL4R, IL13RA1, and IGHE, denoting a history of differentiation during type 2 immune responses. CD23+ IL4R+ IgG+ memory B cells had increased occurrence in individuals with atopic disease. Importantly, the frequency of CD23+ IL4R+ IgG+ memory B cells correlated with levels of circulating IgE. Consistently, in vitro stimulated B cells from atopic individuals generated more IgE+ cells than B cells from non-atopic subjects. CONCLUSIONS: These findings suggest that CD23+ IL4R+ IgG+ memory B cells transcribing IGHE are potential precursors of IgE plasma cells and are linked to pathogenic IgE production.


Subject(s)
Memory B Cells , Receptors, IgE , Humans , Receptors, IgE/metabolism , Interleukin-13 , Interleukin-4 , Immunoglobulin E , Immunoglobulin G , Interleukin-4 Receptor alpha Subunit , Lectins, C-Type
13.
Allergy ; 78(3): 697-713, 2023 03.
Article in English | MEDLINE | ID: mdl-36089900

ABSTRACT

Type 2 allergen-specific T cells are essential for the induction and maintenance of allergies to foods, and Tregs specific for these allergens are assumed to be involved in their resolution. However, it has not been convincingly demonstrated whether allergen-specific Treg responses are responsible for the generation of oral tolerance in humans. We observed that sustained food allergen exposure in the form of oral immunotherapy resulted in increased frequency of Tregs only in individuals with lasting clinical tolerance. We sought to identify regulatory components of the CD4+ T-cell response to food allergens by studying their functional activation over time in vitro and in vivo. Two subsets of Tregs expressing CD137 or CD25/OX40 were identified with a delayed kinetics of activation compared with clonally enriched pathogenic effector Th2 cells. Treg activation was dependent on IL-2 derived from effector T cells. In vivo exposure to peanut in the form of an oral food challenge of allergic subjects induced a delayed and persistent activation of Tregs after initiation of the allergen-specific Th2 response. The novel finding of our work is that a sustained wave of Treg activation is induced by the release of IL-2 from Th2 effector cells, with the implication that therapeutic administration of IL-2 could improve current OIT approaches.


Subject(s)
Food Hypersensitivity , T-Lymphocytes, Regulatory , Humans , Allergens , Th2 Cells , Interleukin-2
14.
Genes (Basel) ; 13(7)2022 06 23.
Article in English | MEDLINE | ID: mdl-35885909

ABSTRACT

Promoter identification is a fundamental step in understanding bacterial gene regulation mechanisms. However, accurate and fast classification of bacterial promoters continues to be challenging. New methods based on deep convolutional networks have been applied to identify and classify bacterial promoters recognized by sigma (σ) factors and RNA polymerase subunits which increase affinity to specific DNA sequences to modulate transcription and respond to nutritional or environmental changes. This work presents a new multiclass promoter prediction model by using convolutional neural networks (CNNs), denoted as PromoterLCNN, which classifies Escherichia coli promoters into subclasses σ70, σ24, σ32, σ38, σ28, and σ54. We present a light, fast, and simple two-stage multiclass CNN architecture for promoter identification and classification. Training and testing were performed on a benchmark dataset, part of RegulonDB. Comparative performance of PromoterLCNN against other CNN-based classifiers using four parameters (Acc, Sn, Sp, MCC) resulted in similar or better performance than those that commonly use cascade architecture, reducing time by approximately 30-90% for training, prediction, and hyperparameter optimization without compromising classification quality.


Subject(s)
DNA-Directed RNA Polymerases , Sigma Factor , DNA-Directed RNA Polymerases/genetics , Escherichia coli/genetics , Escherichia coli/metabolism , Gene Expression Regulation, Bacterial , Promoter Regions, Genetic , Sigma Factor/genetics , Sigma Factor/metabolism
16.
Bone ; 157: 116324, 2022 04.
Article in English | MEDLINE | ID: mdl-34998981

ABSTRACT

Tissue injury leads to the well-orchestrated mobilization of systemic and local innate and adaptive immune cells. During aging, immune cell recruitment is dysregulated, resulting in an aberrant inflammatory response that is detrimental for successful healing. Here, we precisely define the systemic and local immune cell response after femur fracture in young and aging mice and identify increased toll-like receptor signaling as a potential culprit for the abnormal immune cell recruitment observed in aging animals. Myd88, an upstream regulator of TLR-signaling lies at the core of this aging phenotype, and local treatment of femur fractures with a Myd88 antagonist in middle-aged mice reverses the aging phenotype of impaired fracture healing, thus offering a promising therapeutic target that could overcome the negative impact of aging on bone regeneration.


Subject(s)
Fractures, Bone , Myeloid Differentiation Factor 88 , Adaptive Immunity , Aging , Animals , Bone Regeneration , Fracture Healing , Immunity, Innate , Mice , Myeloid Differentiation Factor 88/genetics
17.
Microorganisms ; 9(12)2021 Nov 24.
Article in English | MEDLINE | ID: mdl-34946021

ABSTRACT

Carotenoids are highly important in pigmentation, and its content in farmed crustaceans and fish correlates to their market value. These pigments also have a nutritional role in aquaculture where they are routinely added as a marine animal food supplement to ensure fish development and health. However, there is little information about carotenoids obtained from Antarctic bacteria and its use for pigmentation improvement and flesh quality in aquaculture. This study identified carotenoids produced by Antarctic soil bacteria. The pigmented strain (CN7) was isolated on modified Luria-Bertani (LB) media and incubated at 4 °C. This Gram-negative bacillus was identified by 16S rRNA analysis as Flavobacterium segetis. Pigment extract characterization was performed through high-performance liquid chromatography (HPLC) and identification with liquid chromatography-mass spectrometry (LC-MS). HPLC analyses revealed that this bacterium produces several pigments in the carotenoid absorption range (six peaks). LC-MS confirms the presence of one main peak corresponding to lutein or zeaxanthin (an isomer of lutein) and several other carotenoid pigments and intermediaries in a lower quantity. Therefore, we propose CN7 strain as an alternative model to produce beneficial carotenoid pigments with potential nutritional applications in aquaculture.

18.
J Hum Kinet ; 80: 39-47, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34868415

ABSTRACT

The objective of this study was to analyze the relationship between isometric force produced in different joints and its effects on the power kick serve speed in beach volleyball as a predictive aspect to improve sports performance. Seven athletes competing at national and international levels (mean ± standard deviation; age: 21.6 ± 3.20 years; body height: 1.87 ± 0.08 cm; body mass 80.18 ± 7.11 kg) were evaluated using maximum isometric force contractions (i.e., spinal and knee extension, grip by a hand dynamometer (handgrip), internal shoulder rotation, shoulder flexion, elbow flexion and extension, and wrist flexion). Speed of the ball was recorded with a pistol radar and force was measured with a strain gauge. Results showed a relationship between isometric force developed in the internal rotation of the shoulder and speed of the ball (r = 0.76*; p < 0.05). In the remaining isometric exercises, positive low to moderate correlations were found in the spine and knee extension (r = 0.56; p = 0.200) and elbow flexion (r = 0.41; p = 0.375). On the other hand, the remaining isometric exercises obtained weak or non-significant correlations. Force developed in the internal rotation of the shoulder highly correlated with the speed of the power kick, explaining, together with the elbow flexion and the extension of the knee and back, much of the variability of the power kick of beach volleyball athletes.

19.
Am J Physiol Gastrointest Liver Physiol ; 321(6): G705-G718, 2021 12 01.
Article in English | MEDLINE | ID: mdl-34669484

ABSTRACT

The glucocorticoid receptor NR3C1 is expressed in multiple cell types in the gut and elsewhere. Intestinal epithelial cells both produce and respond to glucocorticoids in different physiological and pathological contexts. In experimental colitis, glucocorticoids have been shown to exert a dual role, dampening inflammation while producing a deterioration in animal status, including death. Mice with tamoxifen-inducible, intestinal epithelial-specific deletion of NR3C1 (NR3C1ΔIEC mice) are protected against experimental colitis, suggesting glucocorticoid epithelial actions are deleterious. Since glucocorticoids modulate epithelial proliferation, it follows that they may affect the development of colon cancer. In this study, we set out to test this hypothesis using the dextran sulfate sodium-azoxymethane model of colitis-associated cancer. Knockout (KO) mice were found to exhibit a twofold higher tumor load but similar incidence and tumor size. Tumors had a higher trend to extend close to the submucosal layer (36% vs. 0%) in NR3C1ΔIEC mice, and overexpressed Lgr5, Egfr, and Myc, consistent with distinct expression of proliferative/stemness markers. Snai1 and Snai2 were upregulated specifically in tumors of NR3C1ΔIEC mice, suggesting enhanced epithelial to mesenchymal transition in the absence of the intestinal epithelial glucocorticoid (GC) receptor. We conclude that endogenous GC epithelial signaling is involved in colitis-associated cancer.NEW & NOTEWORTHY Mice carrying a tamoxifen-inducible deletion of the glucocorticoid receptor in intestinal epithelial cells (NR3C1ΔIEC mice) and their corresponding controls were subjected to the azoxymethane-dextran sulfate sodium model of colitis-associated cancer. KO mice exhibit a twofold higher tumor load, with a higher trend to extend close to the submucosal layer (36% vs. 0%), but with similar incidence and tumor size. Colonic tumors in NR3C1ΔIEC mice showed signs of increased neoplastic transformation and tumor-associated inflammation.


Subject(s)
Intestinal Neoplasms/metabolism , Receptors, Glucocorticoid/metabolism , Animals , Colitis, Ulcerative/complications , Epithelial-Mesenchymal Transition , ErbB Receptors/genetics , ErbB Receptors/metabolism , Gene Deletion , Intestinal Mucosa/metabolism , Intestinal Mucosa/pathology , Intestinal Neoplasms/etiology , Intestinal Neoplasms/genetics , Intestinal Neoplasms/pathology , Mice , Mice, Inbred C57BL , Proto-Oncogene Proteins c-myc/genetics , Proto-Oncogene Proteins c-myc/metabolism , Receptors, G-Protein-Coupled/genetics , Receptors, G-Protein-Coupled/metabolism , Receptors, Glucocorticoid/genetics , Tumor Burden
20.
Clin Respir J ; 15(9): 949-955, 2021 Sep.
Article in English | MEDLINE | ID: mdl-33960121

ABSTRACT

BACKGROUND: Recent studies seem to confirm the relationship between residual pulmonary obstruction (RPO) in pulmonary embolism (PE) and risk of recurrent thrombosis and chronic thromboembolic pulmonary hypertension (CTEPH). However, the prognostic factors associated with PE resolution on follow-up computed tomography angiography (CTA) are not clear. OBJECTIVES: To determine the prognostic factors of resolution of PE diagnosed and monitored by CTA and the impact of RPO on late complications. METHODS: We retrospectively analyzed 241 patients with PE who had undergone a 12-month follow-up and CT scan evaluation at 6 months. Factors related to resolution and the impact of RPO on the outcome were analyzed. RESULTS: Resolution was achieved in 74.3% of all cases after 6 months of treatment. Absence of chronic obstructive pulmonary disease (COPD) (OR, 3.22 [1.35-7.71]; p = 0.009), provoked PE (OR, 2.02 [1.08-3.79]; p = 0.028), early initiation of treatment (<7 days) (OR, 2.42 [1.22-4.78]; p = 0.011), and degree of obstruction caused by the initial PE as indicated by a Qanadli score lower than 16 (OR, 2.12 [1.03-4.37]; p = 0.043) were associated with complete resolution. RPO was associated with recurrent PE as well as the combined endpoint consisting of recurrent VTE and/or CTEPH (4.67 [95% CI, 1.26-17.26]; p = 0.02) and (OR 6.4 [95% CI, 1.9-21.2]; p < 0.005), respectively. CONCLUSIONS: Resolution of PE is associated with a lower risk of recurrent thrombosis. Earlier initiation of treatment improves prognosis as measured by resolution on follow-up CTA.


Subject(s)
Pulmonary Embolism , Thrombosis , Computed Tomography Angiography , Follow-Up Studies , Humans , Prognosis , Pulmonary Embolism/diagnostic imaging , Recurrence , Retrospective Studies , Risk Factors , Tomography, X-Ray Computed
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