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Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

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Nội dung chi tiết: Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency of The Akt1-Mtorc1 Axis Alters Venous Remodeling To Improve Arteriovenous Fistula PatencyArash FereydooniFollow this and additional works at: https://

elischolar.library.yale.edu/ymtdlRecommended CitationFereydooni, Arash, 'Inhibition Of The Akt1-Mtorc1 Axis Alters Venous Remodeling To Improve Arteri Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

ovenous Fistula Patency’ (2019). Yale Medicine Thesis Digital Library. 3899.https://elischolar.library.yale.edu/ymtdl/3899This Open Access Thesis is b

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

rought to you for free and open access by the School of Medicine at EliScholar - A Digital Platform for Scholarly Publishing at Yale. It has been acce

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency at Yale. For more information, please contact elischoiar@yale edu.Inhibition of the Aktl-mTORCl Axis Alters VenousRemodeling to Improve Arteriovenous

Fistula PatencyA Thesis Submitted to theYale University School of Medicinein Partial Fulfillment of the Requirements for theDegree of Doctor of Medici Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

ne andMaster of Health SciencesByArash Fereydooni2020AbstractArteriovenous fistulae (AVF) are the most common access created for hemodialysis, but up

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

to 60% do not sustain dialysis within a year, suggesting a need to improve AVF maturation and patency. In a mouse AVF model, Aktl regulates fistula wa

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency eal injections of raparnycin reduced AVF wall thickness with no change in diameter. Rapamycin decreased smooth muscle cell (SMC) and macrophage prolif

eration; rapamycin also reduced both Ml and M2 type macrophages. AVF in mice treated with rapamycin had reduced Aktl and mTORCl but not mT0RC2 phospho Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

rylation. Depletion of macrophages with clodronate-containing liposomes was also associated with reduced AVF wall thickness and both Ml- and M2-type m

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

acrophages; however, AVF patency was reduced. Rapamycin was associated with improved long-term patency, enhanced early AVF remodeling and sustained re

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency uating the Aktl-mTORCl signaling pathway in SMC and macrophages. Macrophages arc associated with AVF wall thickening and M2-type macrophages may play

a mechanistic role in AVF maturation. Rapamycin is a potentialtranslational strategy to improve AVF patency.https://khothuvien.cori!AcknowledgementsI Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

am eternally indebted to my incredible mentor. Professor Alan Dardik, for his constant support and insight; he has served as an inspiring role model a

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

nd showed me what it means to be a successful surgeon-scientist. He has invested in my career and given me opportunities I did not deserve. I am grate

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency d.I would like to also thank my clinical mentors, Dr. Cassius Ochoa Chaar and Dr. Naiem Nassiri, for showing me what it means to be excellent academic

surgeons, to deliver the best comprehensive care to our patients, and not to be afraid to push the envelope and advance the field of vascular surgery Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

. Drs. Julia Chen, Christine Deyholos, Anand Brahmandam, Robert Botta, Jason Chin and Kristine Orion, I sincerely appreciate your teaching, mentorship

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

and friendship. Dr. Raul Guzman, thank you for your leadership, support and encouragement.I would like to thank the Howard Hughes Medical Institute,

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency udent Research for their support with my research endeavors throughout medical school.Most importantly, my journey to become a surgeon-scientist would

not be possible without the sacrifices of my parents, Alireza and Naimeh, who unrooted their lives and immigrated to the United States ten years ago Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

to provide my sisters and mewith better educational opportunities. This work is dedicated to them.Table of Contents1Introduction......................

Luận văn thạc sĩ inhibition of the akt1 mtorc1 axis alters venous remodeling to improve arteriovenous fistula patency

...........................................11.1.Poor Clinical Outcomes in Arteriovenous Fistulae utilization........11.2.Mechanisms of Fistula Maturat

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

Yale UniversityEliScholar - A Digital Platform for Scholarly Publishing at YaleYale Medicine Thesis Digital LibrarySchool of Medicine43466Inhibition o

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