HoraniLab

@horanilab.bsky.social

Physician Scientist, interested in motile cilia, airway biology, and everything science.

Today I was deeply touched. Riley, chose to forgo her birthday gifts and instead ran a fundraiser to support #PCD research to help her brothers, Mavrick and Conard, and thousands more like them. I turly appreciate their generous donation to the @horaniLab for PCD research.

BildBild

I am proud of Ahmed Elgamal, a clinical postdoc in our lab for receiving the American Thoracic Society Abstract Scholarship Award, sponsored by the PCD Foundation. Congrats Ahmed ❤️

Bild

Hard at work deciphering cilia! I am really proud of Nicholas Hadas for being accepted to the PhD program in Bioinformatics at the Francis Crick Institute in the UK.

Bild

Merry Christmas to all my colleagues. I am thrilled to spend the holiday with a very very dear friend of mine, Dr Kareem Azab, from UT Southwestern. Drinking coffee as only a scientists might understand 😊

Bild

I was invited to give talks to 4 separate meetings the past 2 months. However, I am particularly excited to be invited by my former Chief, Tom Ferkol, to present at U of North Carolina. Together with my research mentor, now collaborator, Steven Brody, he is a main reason I work in cilia and PCD.

I would like to share a Guideline-in-Focus episode that summarizes the recently published ERS/ATS PCD diagnosis guidelines. These guidelines are an important step in standardizing our approach to #PCD diagnosis across the world. channel.ersnet.org/channel-38-g...

Guidelines in Focus - ERS Respiratory Channel

Guidelines in Focus is a video interview series. Each new episode accompanies the release of an ERS or collaborative clinical guideline, statement or technical standard.

channel.ersnet.org

I am excited to share the new PCD diagnostic guidelines. A great collaboration with PCD experts from all over the world. publications.ersnet.org/content/erj/...

European Respiratory Society and American Thoracic Society guidelines for the diagnosis of Primary Ciliary Dyskinesia

Primary ciliary dyskinesia (PCD) is caused by pathogenetic variants in >55 genes. PCD is associated with early-onset chronic wet cough and rhinosinusitis, laterality defects, middle ear disease, and reduced fertility. The clinical presentation is heterogeneous, and diagnosis often relies on multiple tests. The American Thoracic Society (ATS) and European Respiratory Society (ERS) have previously developed separate guidelines for diagnosis. Here, ERS and ATS members systematically reviewed the literature on diagnostic tools used in practice and developed unified evidence-based guidelines for PCD diagnosis using GRADE (Grading of Recommendations, Assessment, Development and Evaluations) methodology, and a transparent process of decision-making using Evidence-to-Decision (EtD) frameworks. The Task Force panel formulated three PICO (Patients, Intervention, Comparison, Outcomes) questions and three narrative questions. The accuracies of high-speed video microscopy (HSVM), immunofluorescence (IF), and nasal nitric oxide (nNO) were compared to a reference test of transmission electron microscopy (TEM) and/or genetics. The panel gives strong recommendation for use of HSVM, IF, and nNO as adjunct tests to TEM and/or genetics for PCD diagnosis. However, no adjunct test is suitable as a standalone test to diagnose PCD and no single adjunct or reference test is suitable to exclude PCD. Pursuing a genetic diagnosis is encouraged due to the implication on management. The panel emphasizes that tests should meet a minimum standard and proposes evaluation of patients at a referral centre experienced in diagnosis. The pretest probability based on symptoms should be considered when interpreting results.

publications.ersnet.org

It is bitter sweet to say goodbye to my patients. Last week was tough for the WASHU PCD and Rare lung team, as we saw 4 patients graduate to the adult side. I had the privilege to care for some for almost 15 years. I am glad to share their journey and be part of their lives.

Bild

Incredibly powerful patient panel to counter narrative that PCD is mild- importance of advocacy for care for their own health in a system where PCD is under appreciated. Burden of airway clearance & toll of school, family & work. Trade-offs choice of nebs, commitments & health trade-offs. #OTM2025

Bild

Despite the uncertainties over science and research's future now adays, life needs to continue. The WASHU ciliopathy Research group and PCD and Rare lung disease center @washu Medicine is heading to a medical outreach mission to see PCD patients. #PCD #cilia

BildBildBild