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Institution

Boston Children's Hospital

HealthcareBoston, Massachusetts, United States
About: Boston Children's Hospital is a healthcare organization based out in Boston, Massachusetts, United States. It is known for research contribution in the topics: Population & Transplantation. The organization has 165409 authors who have published 215589 publications receiving 6885627 citations.


Papers
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Journal ArticleDOI
TL;DR: In children undergoing the Norwood procedure, transplantation-free survival at 12 months was better with the RVPA shunt than with the MBT shunt, and the rate of nonfatal serious adverse events at the age of 12 months were similar in the two groups.
Abstract: Background The Norwood procedure with a modified Blalock–Taussig (MBT) shunt, the first palliative stage for single-ventricle lesions with systemic outflow obstruction, is associated with high mortality. The right ventricle–pulmonary artery (RVPA) shunt may improve coronary flow but requires a ventriculotomy. We compared the two shunts in infants with hypoplastic heart syndrome or related anomalies. Methods Infants undergoing the Norwood procedure were randomly assigned to the MBT shunt (275 infants) or the RVPA shunt (274 infants) at 15 North American centers. The primary outcome was death or cardiac transplantation 12 months after randomization. Secondary outcomes included unintended cardiovascular interventions and right ventricular size and function at 14 months and transplantation-free survival until the last subject reached 14 months of age. Results Transplantation-free survival 12 months after randomization was higher with the RVPA shunt than with the MBT shunt (74% vs. 64%, P=0.01). However, the R...

751 citations

Journal ArticleDOI
TL;DR: Parental report is a better indicator of obesity than teen report of weight status, but parental and teen reports are both poor predictors of adolescent obesity.
Abstract: Objectives. Adolescent obesity is becoming an increasing public health problem. This study determines: 1) differences in teen and parental report of obesity, 2) amount of misclassification using body mass index (BMI) from self-reported versus measured height and weight as an indicator of obesity, and 3) whether misclassification varies by gender and socioeconomic status. Design. Weighted data from 15 483 baseline (T1) youth and parental interviews from the National Longitudinal Study of Adolescent Health were used. Seventy-four percent of teens were reinterviewed 1 year later (T2). Parents reported socioeconomic status indicators and whether their teen was obese. Teens reported height, weight, and weight perception. BMI was calculated from both self-reported height and weight at T1 and T2 and from measured height and weight at T2. Those with a BMI ≥95% corrected for age and gender were considered obese. Results. At T1, nearly one half of teens (47%) reporting they were very overweight were not obese by BMI. For teens obese by BMI, 19.6% were reported to be obese by both parent and teen, 6.4% by teen only, 29.9% by parent only, and 44.2% by neither teen nor parent. For those with persistent obesity, teen and/or parental report failed to identify more than one third (34%) as obese; 23.4% were identified by both teen and parent report, 5.4% by teen report only, and 37.2% by parent only. At T2, the correlation between BMI calculated from self-reported versus measured height and weight for the overall population was very strong (r = .92). Specificity of obesity status based on self-reported BMI, compared with obesity status based on measured BMI was .996; sensitivity, .722; positive predictive value, .860; and negative predictive value, .978. Overall, 3.8% of teens were misclassified using self-report measures. Girls were no more likely than boys to be misclassified as obese using BMI from self-reported height and weight. Conclusions. Parental report is a better indicator of obesity than teen report of weight status, but parental and teen reports are both poor predictors of adolescent obesity. Using BMI based on self-reported height and weight correctly classified 96% as to obesity status. Thus, studies can use self-reported height and weight to understand teen obesity and its correlates/sequelae.

750 citations

Journal ArticleDOI
TL;DR: This review concludes that there have been substantial advances in the knowledge of the clinical manifestations, pathogenesis, and treatment of herpes simplex virus infections in the 12 years since the last review.
Abstract: IN the 12 years since the last review of herpes simplex virus (HSV) infections in these pages,1 there have been substantial advances in our knowledge of the clinical manifestations, pathogenesis, a...

749 citations

Journal ArticleDOI
Paul A. Northcott1, Paul A. Northcott2, David Shih1, John Peacock1, Livia Garzia1, A. Sorana Morrissy1, Thomas Zichner, Adrian M. Stütz, Andrey Korshunov2, Jüri Reimand1, Steven E. Schumacher3, Rameen Beroukhim3, Rameen Beroukhim4, David W. Ellison, Christian R. Marshall1, Anath C. Lionel1, Stephen C. Mack1, Adrian M. Dubuc1, Yuan Yao1, Vijay Ramaswamy1, Betty Luu1, Adi Rolider1, Florence M.G. Cavalli1, Xin Wang1, Marc Remke1, Xiaochong Wu1, Readman Chiu5, Andy Chu5, Eric Chuah5, Richard Corbett5, Gemma Hoad5, Shaun D. Jackman5, Yisu Li5, Allan Lo5, Karen Mungall5, Ka Ming Nip5, Jenny Q. Qian5, Anthony Raymond5, Nina Thiessen5, Richard Varhol5, Inanc Birol5, Richard A. Moore5, Andrew J. Mungall5, Robert A. Holt5, Daisuke Kawauchi, Martine F. Roussel, Marcel Kool2, David T.W. Jones2, Hendrick Witt6, Africa Fernandez-L7, Anna Kenney8, Robert J. Wechsler-Reya9, Peter B. Dirks1, Tzvi Aviv1, Wiesława Grajkowska, Marta Perek-Polnik, Christine Haberler10, Olivier Delattre11, Stéphanie Reynaud11, François Doz11, Sarah S. Pernet-Fattet12, Byung Kyu Cho13, Seung-Ki Kim13, Kyu-Chang Wang13, Wolfram Scheurlen, Charles G. Eberhart14, Michelle Fèvre-Montange15, Anne Jouvet15, Ian F. Pollack16, Xing Fan17, Karin M. Muraszko17, G. Yancey Gillespie18, Concezio Di Rocco19, Luca Massimi19, Erna M.C. Michiels20, Nanne K. Kloosterhof20, Pim J. French20, Johan M. Kros20, James M. Olson21, Richard G. Ellenbogen22, Karel Zitterbart23, Leos Kren23, Reid C. Thompson8, Michael K. Cooper8, Boleslaw Lach24, Boleslaw Lach25, Roger E. McLendon26, Darell D. Bigner26, Adam M. Fontebasso27, Steffen Albrecht28, Steffen Albrecht27, Nada Jabado27, Janet C. Lindsey29, Simon Bailey29, Nalin Gupta30, William A. Weiss30, László Bognár31, Almos Klekner31, Timothy E. Van Meter, Toshihiro Kumabe32, Teiji Tominaga32, Samer K. Elbabaa33, Jeffrey R. Leonard34, Joshua B. Rubin34, Linda M. Liau35, Erwin G. Van Meir36, Maryam Fouladi37, Hideo Nakamura38, Giuseppe Cinalli, Miklós Garami39, Peter Hauser39, Ali G. Saad40, Achille Iolascon41, Shin Jung42, Carlos Gilberto Carlotti43, Rajeev Vibhakar44, Young Shin Ra45, Shenandoah Robinson, Massimo Zollo41, Claudia C. Faria1, Jennifer A. Chan46, Michael J. Levy21, Poul H. Sorensen5, Matthew Meyerson3, Scott L. Pomeroy3, Yoon Jae Cho47, Gary D. Bader1, Uri Tabori1, Cynthia Hawkins1, Eric Bouffet1, Stephen W. Scherer1, James T. Rutka1, David Malkin1, Steven C. Clifford29, Steven J.M. Jones5, Jan O. Korbel, Stefan M. Pfister2, Stefan M. Pfister6, Marco A. Marra5, Michael D. Taylor1 
02 Aug 2012-Nature
TL;DR: Somatic copy number aberrations (SCNAs) in 1,087 unique medulloblastomas are reported, including recurrent events targeting TGF-β signalling in Group 3, and NF-κB signalling in Groups 4, which suggest future avenues for rational, targeted therapy.
Abstract: Medulloblastoma, the most common malignant paediatric brain tumour, is currently treated with nonspecific cytotoxic therapies including surgery, whole-brain radiation, and aggressive chemotherapy. As medulloblastoma exhibits marked intertumoural heterogeneity, with at least four distinct molecular variants, previous attempts to identify targets for therapy have been underpowered because of small samples sizes. Here we report somatic copy number aberrations (SCNAs) in 1,087 unique medulloblastomas. SCNAs are common in medulloblastoma, and are predominantly subgroup-enriched. The most common region of focal copy number gain is a tandem duplication of SNCAIP, a gene associated with Parkinson's disease, which is exquisitely restricted to Group 4α. Recurrent translocations of PVT1, including PVT1-MYC and PVT1-NDRG1, that arise through chromothripsis are restricted to Group 3. Numerous targetable SCNAs, including recurrent events targeting TGF-β signalling in Group 3, and NF-κB signalling in Group 4, suggest future avenues for rational, targeted therapy.

749 citations

Journal ArticleDOI
TL;DR: It is reported for the first time that impaired but not abolished NF-κB signaling in humans results in two related syndromes that associate specific developmental and immunological defects.
Abstract: The molecular basis of X-linked recessive anhidrotic ectodermal dysplasia with immunodeficiency (EDA-ID) has remained elusive. Here we report hypomorphic mutations in the gene IKBKG in 12 males with EDA-ID from 8 kindreds, and 2 patients with a related and hitherto unrecognized syndrome of EDA-ID with osteopetrosis and lymphoedema (OL-EDA-ID). Mutations in the coding region of IKBKG are associated with EDA-ID, and stop codon mutations, with OL-EDA-ID. IKBKG encodes NEMO, the regulatory subunit of the IKK (IκB kinase) complex, which is essential for NF-κB signaling. Germline loss-of-function mutations in IKBKG are lethal in male fetuses. We show that IKBKG mutations causing OL-EDA-ID and EDA-ID impair but do not abolish NF-κB signaling. We also show that the ectodysplasin receptor, DL, triggers NF-κB through the NEMO protein, indicating that EDA results from impaired NF-κB signaling. Finally, we show that abnormal immunity in OL-EDA-ID patients results from impaired cell responses to lipopolysaccharide, interleukin (IL)-1β, IL-18, TNFα and CD154. We thus report for the first time that impaired but not abolished NF-κB signaling in humans results in two related syndromes that associate specific developmental and immunological defects.

748 citations


Authors

Showing all 165661 results

NameH-indexPapersCitations
Walter C. Willett3342399413322
Frederick E. Shelton3271485295883
Robert Langer2812324326306
Graham A. Colditz2611542256034
Frank B. Hu2501675253464
George M. Whitesides2401739269833
Eugene Braunwald2301711264576
Ralph B. D'Agostino2261287229636
Mark J. Daly204763304452
Eric B. Rimm196988147119
Virginia M.-Y. Lee194993148820
Bernard Rosner1901162147661
Stuart H. Orkin186715112182
Mark Hallett1861170123741
Ralph Weissleder1841160142508
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202380
2022442
202119,543
202016,558
201913,868
201812,020