22 statements
· 1 topic
· summaries given as host listed separately
Featured statements
▶Ep 32 · 0:40
Congenital diaphragmatic hernia, CDH is characterized by a diaphragmatic defect and abnormal lung development with varying degrees of pulmonary hypoplasia and hypertension.
Dr. Marietta Jank - Best of the Best in Pediatric Surgery 2025
▶Ep 32 · 0:28
epidemiologicalApproximately 25% of CDH patients have concurrent cardiac anomalies.↗
▶Ep 32 · 0:40
quoteCongenital diaphragmatic hernia, CDH is characterized by a diaphragmatic defect and abnormal lung development with varying degrees of pulmonary hypoplasia and hypertension.↗
▶Ep 32 · 1:10
clinicalCITED2 is a transcriptional modulator that can be induced by hypoxia, interleukins, interferon gamma, TNF alpha and LPS.↗
▶Ep 32 · 1:10
quoteCited 2 is a transcriptional modulator and can be induced by hypoxia, interlukins, interferon gamma, TNF alpha and LPS.↗
▶Ep 32 · 1:30
clinicalCITED2 binds with high affinity to coactivators regulating transactivation of multiple transcription factors including HIF-1 alpha, NF-kappa-B, PPAR gamma, and SMAD 2 and 3.↗
▶Ep 32 · 1:45
clinicalCITED2 null mutant mice and rats are embryonic and perinatal lethal, or in the case of rats die within the first few hours after birth, exhibiting lung and cardiac anomalies.↗
▶Ep 32 · 2:00
clinicalCITED2 is required for lung maturation and is detected in the septum transversum of the developing diaphragm.↗
▶Ep 32 · 2:10
quoteCited 2, therefore, is critical for the development of heart, lung, and diaphragm, and therefore an interesting candidate in the pathogenesis of CDH.↗
▶Ep 32 · 2:40
clinicalAt embryonic day 15 in the nitrofen rat model, there was no difference in CITED2 expression between CDH and control lungs.↗
▶Ep 32 · 2:55
clinicalAt embryonic day 18, there was a decreased expression of CITED2 in nitrofen-induced CDH lungs, which was significant in in situ hybridization staining.↗
▶Ep 32 · 3:10
clinicalAt embryonic stage 21, there was an increased expression of CITED2 in both in situ hybridization and on QPCR level in nitrofen-induced lungs.↗
▶Ep 32 · 3:25
clinicalIncreased CITED2 staining was confirmed on a protein level in the epithelial layer of nitrofen-induced lungs.↗
▶Ep 32 · 4:00
clinicalHuman fetal CDH lungs at late gestation showed a significantly increased abundance of CITED2 compared to controls, similar to the nitrofen model pattern.↗
▶Ep 32 · 4:15
clinicalGenomic sequencing of isolated CDH patients found a hotspot at the chromosomal coordinates for CITED2 on chromosome 6 compared to controls.↗
▶Ep 32 · 4:40
opinionCITED2 may play a minor role in early lung development.↗
▶Ep 32 · 5:05
opinionAt E18, CITED2 may promote pulmonary maturation.↗
▶Ep 32 · 5:25
opinionCITED2 orchestrates the inflammatory response in nitrofen-induced abnormal lung development at late gestation.↗
▶Ep 32 · 5:25
quoteSo we hypothesize that cited 2 orchestrates the inflammatory response in nitrofen induced abnormal lung development.↗
▶Ep 32 · 5:40
clinicalProteomic data showed altered inflammatory pathways at E21 nitrofen lungs with increased abundance of CBP, NF-kappa-B and STAT3, which are all interacting factors of CITED2.↗
▶Ep 32 · 5:55
quoteSo we put forward that cited 2 may be induced by NF Kappa B signaling and acts as a negative feedback regulation of NF Kappa B in the nucleus.↗
▶Ep 32 · 5:55
opinionCITED2 may be induced by NF-kappa-B signaling and acts as a negative feedback regulation of NF-kappa-B in the nucleus.↗
▶Ep 32 · 7:10
clinicalThe research team is collaborating with Kansas University for a CRISPR-Cas9 CITED2 mutant rat to investigate lung morphology throughout development.↗
Summaries Marietta gave as host
· 5 summaries
Recaps of other experts' statements, not Marietta's own clinical position.
Summaries Marietta gave as host · Congenital Diaphragmatic Hernia5 summaries
Dr. Marietta Jank - Best of the Best in Pediatric Surgery 2025
▶Ep 32 · 4:45
host summaryMarietta Jank summarizing the discussion: CITED2 expression is low at early lung development according to literature.↗
▶Ep 32 · 4:55
host summaryMarietta Jank summarizing the discussion: CITED2 deficient mice showed no difference in lung phenotype compared to controls at embryonic day 16.5.↗
▶Ep 32 · 5:05
host summaryMarietta Jank summarizing the discussion: CITED2 null mutant mice embryos at E17.5 and 18.5 showed signs of pulmonary immaturity with smaller lobe size, increased percentage of tissue and loss of air space.↗
▶Ep 32 · 5:20
host summaryMarietta Jank summarizing the discussion: CITED2 mutant rats showed arrest at canalicular stage.↗
▶Ep 32 · 5:25
host summaryMarietta Jank summarizing the discussion: CITED2 itself is induced by proinflammatory stimuli like LPS, interleukins, interferon gamma and TNF alpha according to current literature.↗