Live Event Content · Kasra Khalaj, MSc, PhD - Best of the Best in Pediatric Surgery 2024
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Video7 min·Published Feb 2024Older

Kasra Khalaj, MSc, PhD - Best of the Best in Pediatric Surgery 2024

With Dr. Kasra Khalaj
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What the experts said20 expert statements
Lungs of babies with pulmonary hypoplasia secondary to congenital diaphragmatic hernia have an impaired triad of factors: impaired fetal lung growth, maturation, and vascularization.
ClinicalKasra Khalaj
Prenatal therapies administered to treat pulmonary hypoplasia have not been able to fully rescue lung development.
ClinicalKasra Khalaj
Extracellular vesicles are particles responsible for paracrine signaling.
ClinicalKasra Khalaj
RAC1 is a Rho GTPase that modulates lung branching morphogenesis.
ClinicalKasra Khalaj
RAC1 expression is down-regulated in CDH autopsy specimens compared to age-matched controls.
ClinicalKasra Khalaj
Fetal lungs treated with RAC1 inhibitor display histological features resembling those of pulmonary hypoplasia.
ClinicalKasra Khalaj
Human AFSCEVs restore airspace density with decreased parenchyma in hypoplastic fetal lungs.
ClinicalKasra Khalaj
Human AFSCEVs restore branching morphogenesis marker FGF10 in hypoplastic fetal lungs.
ClinicalKasra Khalaj
Human AFSCEVs restore key markers responsible for fetal lung maturation: surfactant protein C and podoplanin.
ClinicalKasra Khalaj
Human AFSCEV-treated explants had reduced medial wall thickness and restored vascular density.
ClinicalKasra Khalaj
A unique epithelial cell cluster termed 'stressed AT1/AT2' had high representation in hypoplastic lungs and was down-regulated after AFSCEV administration.
ClinicalKasra Khalaj
The stressed AT1/AT2 cluster had up-regulated signaling pathways involved in cellular stress, death, and inflammation.
ClinicalKasra Khalaj
A cluster termed 'developing AT1/AT2 cells' had the highest proportion in hypoplastic lungs treated with AFSCEVs and showed high TGF-beta and VEGF signaling.
ClinicalKasra Khalaj
Human AFSCEV administration reduces the number of myofibroblasts in hypoplastic fetal lungs.
ClinicalKasra Khalaj
Human AFSCEV administration restores vascular endothelial cluster nuclei numbers back to control levels.
ClinicalKasra Khalaj
The restored vascular endothelial cluster had increased VEGF signaling, which is a primary pathway involved in angiogenesis.
ClinicalKasra Khalaj
This is the first study to describe that human AFSCEV administration promotes the triad of fetal lung growth, maturation, and vascularization in fetal hypoplastic lungs.
ClinicalKasra Khalaj
Investigators have tested various routes of AFSCEV administration including intratracheal and maternal IV in animal models.
ClinicalKasra Khalaj
Intra-amniotic injection has shown promising results for AFSCEV administration.
ClinicalKasra Khalaj
In the lamb CDH model, AFSCEVs are being administered in combination with fetal endoscopic tracheal occlusion (FETO).
ClinicalKasra Khalaj