Health Sciences – Page 9 – UROP Spring Symposium 2021

Health Sciences

Multimodal Retinal Imaging of Usher Syndrome Animal Model of Photoreceptor Degeneration

Ashley Brown Pronouns: she/her/hers Research Mentor(s): Yannis Paulus, Assistant Professor, Tenure Track Research Mentor School/College/Department: Ophthalmology and Visual Sciences, Michigan Medicine Presentation Date: Thursday, April 22, 2021 Session: Session 5 (3pm-3:50pm) Breakout Room: Room 12 Presenter: 5 Event Link Abstract For privacy concerns this abstract cannot be published at this time. Authors: Ashley Brown, Emilie […]

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Multimodal Retinal Imaging of Usher Syndrome Animal Model of Photoreceptor Degeneration

Emilie Gilligan Pronouns: she/her Research Mentor(s): Yannis Paulus, Assistant Professor, Tenure Track Research Mentor School/College/Department: Ophthalmology and Visual Sciences, Michigan Medicine Presentation Date: Thursday, April 22, 2021 Session: Session 5 (3pm-3:50pm) Breakout Room: Room 12 Presenter: 5 Event Link Abstract For privacy concerns this abstract cannot be published at this time. Authors: Emilie Gilligan, Ashley

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THE ASSOCIATION OF VISION, DISABILITY, AND WELLBEING TRAJECTORIES IN OLDER US ADULTS

The National Health and Aging Trends Study (NHATS) is an ongoing national study of the elderly population in the U.S. and is focused on vision impairment (VI) and blindness disability and allows researchers to study the variety of the key disadvantageous consequences linked with VI in older adults. This assessment of VI through NHATS to done through a series of survey questions that require binary responses and past studies to construct a binary indicator of VI an approach that may restrict the precision of the data measurements. To address this, a 6-level measurement of VI was created to validate each of the vision-related questions in the survey. It is expected that there will be a more rapid deterioration experience in the vision of older adults leading to a decline in function and wellbeing when contrasted to those with healthier vision. This study examines the association of vision with changes in injury and wellbeing directions in the elderly. The hypothesis is that a higher level of VI will be strongly connected with declining disability and wellbeing trajectories. Further, we anticipate that the impact of VI on disability and wellbeing will be greater among minority groups such as Black and Hispanic subjects compared to White participants. The results of this study will inform future targeted interventional research to optimize health, wellbeing, and independence for the growing number of older adults with VI.

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Stakeholder perspectives on using patient-reported outcomes: a qualitative study

Stakeholder perspectives on using patient-reported outcomes: a qualitative study Authors: Adam Chalak, Yomei Shaw, Faith Reger, Neda Kortam, Yujia Li, Dinesh Khanna Background/objectives: Patient-reported outcome measures (PROs) are questionnaires that provide patients coping with disease a medium that essentially places them at the forefront of the decision-making and treatment process. The questions aim to measure patient perceptions of symptoms and health status. Quite recently, we have seen a surge in literature based on this healthcare tool in rheumatology. Although reviewing PRO results helps patients and health care providers communicate about impacts of disease on wellbeing, we see a significant lack of clinical implementation in rheumatology. This qualitative study serves as the pilot study for an upcoming clinical trial of strategies to promote PRO use in rheumatology. We conducted interviews with stakeholders to assess the acceptability of study procedures and materials to rheumatology health care providers and patients. Methods: Semistructured interviews were conducted with healthcare providers and patients in rheumatology over video or phone call. Interview transcripts were transcribed and were subsequently analyzed by qualitative coding through NVIVO software. Results: Eight health care providers, two patients, and three research team members participated in the interviews. Based on comments extracted from the interviews, we see that many HCPs and patients find great significance and relevance in the utilization of PRO data in treatment and patient-self management. However, many clinicians note various logistics issues (such as time management, patient motivation, data interpretation, question difficulty) that hinder implementation. Conclusion: This study provides insight on how PRO measures can be integrated more effectively in the clinical setting while also revealing misconceptions on the tool by HCPs.

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Integrating patient-reported outcomes into rheumatology practice

Background: Many patients with rheumatic diseases have symptoms like pain and fatigue in spite of their treatment [1,2]. Patients also often disagree with their health care providers (HCPs) in their perceptions about their disease [3]. One method that helps facilitate better patient-provider communication about symptoms is the use of patient reported outcomes (PROs). PROs are a patient’s self report of their health status or symptoms. Many HCPs in the Division of Rheumatology do not use PROs in their clinical practice. Objectives: The aim of this study is to assess the impacts, barriers, and facilitators of incorporating PROMIS measures for pain, physical function, and sleep disturbance into clinical rheumatology practice.

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Defining Surface Polysaccharide Diversity of Serratia marcescens

The Gram-negative bacterial species Serraita marcescens is an opportunistic pathogen capable of causing a variety of infections in humans, including bloodstream infections. S. marcescens produces multiple surface polysaccharides, macromolecules vital for mediating interactions between a bacterium and its environment. Three surface polysaccharides of interest are capsular polysaccharides (CPS), exopolysaccharides (EPS), and the O-antigen of lipopolysaccharide. Each of these surface polysaccharides plays a different role in mediating interactions with the infection environment. Previous work has identified two CPS genetic types highly associated with bloodstream infections. The goal of this study is to determine the level of genetic diversity within the EPS and O-antigen loci and correlate genetic types to sources of S. marcescens isolates. The EPS locus of 89 S. marcescens strains from infection and environmental sources were characterized using the NCBI Genome database and compared by multisequence alignment using MAFFT. The same process was repeated with the O-antigen locus of 90 S. marcescens strains. MAFFT alignments were used to construct a phylogenetic tree of the EPS, O-antigen, and CPS loci. The genetic clades established with the previous CPS analysis were only partially maintained in the EPS and O-antigen loci, suggesting that each surface polysaccharide locus is subjected to different selective pressures and that the three loci vary independently from each other. Strong correlations were also observed between clade structure and strain isolation source for all three loci. Understanding the level of genetic diversity within the CPS, EPS, and O-antigen loci has provided insight into the evolutionary relationships of these loci and may have implications for the interactions of S. marcescens with host cells during infection.

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Altered Kynurenine Pathway in Aortic Patients is Linked to CKD Atherosclerosis

Skyelar Herriman Pronouns: she/her/hers Research Mentor(s): Anna Mathew, Assistant Professor Research Mentor School/College/Department: Internal Medicine/ Nephrology, Michigan Medicine Presentation Date: Thursday, April 22, 2021 Session: Session 5 (3pm-3:50pm) Breakout Room: Room 11 Presenter: 5 Event Link Abstract For privacy concerns this abstract cannot be published at this time. Authors: Skyelar Herriman, Julian Meza, Biaoxin Chai,

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Restoring regulatory T cells in cigarette smoke-induced emphysema

Our research seeks to develop novel therapies to prevent chronic obstructive pulmonary disease progression (COPD), and associated mortality, through the demonstration that regulatory T cells, otherwise known as Tregs, reduce lung injury in a murine cigarette smoke exposure model. We hypothesize that by restoring regulatory T cells in subjects with COPD, natural killer cell (NK) cytotoxicity (percentage of cell death that occurs over the baseline) will be inhibited, therefore reducing the impact of natural killer cells on lung damage. Presently, our studies show that natural killer cell cytotoxicity positively correlates with epithelial cell apoptosis, indicating their relationship with tissue pathology. Additionally, we have shown that regulatory T cells are diminished in COPD, and that murine Tregs suppress NK cytotoxicity in vitro and in vivo following adoptive transfer. To further our murine exposure model, we utilize a Jaeger-Baumgartner Smoking Machine to expose the subjects to cigarette smoke for one hour per day for five days of the week to emulate the NK cytotoxicity observed in COPD subjects. These exposed mice will then be transferred nTreg, eTreg, mTreg, and Tconv or vehicle (negative controls) to later be euthanized and evaluated for Treg suppression of NKs, Treg phenotype stability, Treg migration and measurements of lung injury/inflammation, Treg suppression of T cell cytokine production, and Treg transcriptional signatures.Through sequencing, data processing and cell-type identification, power calculation and statistical analysis, and bioinformatic analysis for scRNA-sequences, we anticipate suppression of NK cytotoxicity with the transfer of mTregs, although we do expect for this suppression to decrease following sustained CS exposure. We also expect positive correlation between the stability of the Treg phenotype and the ability to inhibit natural killer cells.

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Restoring regulatory T cells in cigarette smoke-induced emphysema

Our research seeks to develop novel therapies to prevent chronic obstructive pulmonary disease progression (COPD), and associated mortality, through the demonstration that regulatory T cells, otherwise known as Tregs, reduce lung injury in a murine cigarette smoke exposure model. We hypothesize that by restoring regulatory T cells in subjects with COPD, natural killer cell (NK) cytotoxicity (percentage of cell death that occurs over the baseline) will be inhibited, therefore reducing the impact of natural killer cells on lung damage. Presently, our studies show that natural killer cell cytotoxicity positively correlates with epithelial cell apoptosis, indicating their relationship with tissue pathology. Additionally, we have shown that regulatory T cells are diminished in COPD, and that murine Tregs suppress NK cytotoxicity in vitro and in vivo following adoptive transfer. To further our murine exposure model, we utilize a Jaeger-Baumgartner Smoking Machine to expose the subjects to cigarette smoke for one hour per day for five days of the week to emulate the NK cytotoxicity observed in COPD subjects. These exposed mice will then be transferred nTreg, eTreg, mTreg, and Tconv or vehicle (negative controls) to later be euthanized and evaluated for Treg suppression of NKs, Treg phenotype stability, Treg migration and measurements of lung injury/inflammation, Treg suppression of T cell cytokine production, and Treg transcriptional signatures.Through sequencing, data processing and cell-type identification, power calculation and statistical analysis, and bioinformatic analysis for scRNA-sequences, we anticipate suppression of NK cytotoxicity with the transfer of mTregs, although we do expect for this suppression to decrease following sustained CS exposure. We also expect positive correlation between the stability of the Treg phenotype and the ability to inhibit natural killer cells.

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Hispanic Youth Nutritional Messaging Preferences in an mHealth Intervention

Background: There is a disparity in the prevalence of obesity for Black/African American and Hispanic/Latinx adolescents living in the United States compared to non-Hispanic White youth. One factor that influences this disparity is a lack of culturally relevant nutrition education for the Hispanic population. Previous studies have identified the need for more effective cultural tailoring and improved translations in order to overcome linguistic barriers and enhance the understanding of nutritional topics. Advances in technology, and obtaining messaging content preferences from Hispanic youth may provide a means of rectifying these cultural barriers and increase the efficacy of health behavior interventions.

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