David Chakhunashvili

Dr. David Chakhunashvili

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Research Focus & Metrics

Academic Career Length

17Years (2010-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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26 March 2018 in Hepatology
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ZKZurab Kakabadze
Zurab Kakabadze
AKAnne Kakabadze
Anne Kakabadze
DCDavid Chakhunashvili
David Chakhunashvili
LKLika Karalashvili
Lika Karalashvili
Ekaterine BERISHVILIEkaterine BERISHVILI
Ekaterine BERISHVILI
SGSanjeev Gupta
Sanjeev Gupta

6 July 2020 in Oncology Reviews
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MKMariam Z. Kakabadze
Mariam Z. Kakabadze
TPTeona Paresishvili
Teona Paresishvili
LKLia Karalashvili
Lia Karalashvili
DCDavid Chakhunashvili
David Chakhunashvili
ZKZurab Kakabadze
Zurab Kakabadze
In this review, we draw attention and discuss the risk factors and causes of the development of oral squamous cell carcinoma (OSCC) focusing on oral microbiota. Recently, a breakthrough in the study of cancer has been the discovery of the relationship between the presence of certain types of bacteria and the development of cancer in the human body. Studies have shown that, Porphyromonas gingivalis (P. gingivalis) bacteria that is responsible for the destructive processes in the oral cavity, could play an important role in the development of OSCC. In our continuing search for bacteria that causes oral squamous cell carcinoma, we came across the Pseudomona aeruginosa, which due to its metabolite properties, may play important role in carcinogenesis of oral cancer. One possible mechanism is the ability of Pseudomonas to synthesize nitric oxide (NO) that modulates different cancer-related appearances such as apoptosis, cell cycle, angiogenesis, invasion, and metastasis. We think that P. aeruginosa increases the concentration of NO by converting salivary nitrite to nitric oxide, and this is how it contributes to NO-related carcinogenesis. Early diagnosis and treatment of periodontitis are very important not only for patients’ oral health, but also for the prevention of OSCC development. Screening test for OSCC based on determination of salivary NO levels could be appealing and may prove to be useful assay for diagnosis and early detection of disease progression in oral cancer.

25 January 2017 in Oncology Letters
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AKAnn Kakabadze
Ann Kakabadze
KMKonstantine Mardaleishvili
Konstantine Mardaleishvili
GLGeorge Loladze
George Loladze
LKLia Karalashvili
Lia Karalashvili
GCGocha Chutkerashvili
Gocha Chutkerashvili
ZKZurab Kakabadze
Zurab Kakabadze
The gold standard following segmental mandibulectomy is vascularized autologous bone graft in the form of the fibula flap. However, in bone reconstruction the use of autogenous bone does not always guarantee a successful outcome. The aim of the present investigation was to develop a novel biologically active bone (BAB) graft, and to use it for the reconstruction of large size defects of the mandible bone following tumor resection. In the first part of the present study, biologically active bone graft was developed by using human freeze‑dried bone marrow stem cells (BMSCs) paracrine factors and three‑dimensional bone scaffold derived from cancellous bovine bone following decellularization. In the second part of the research, one male and three female patients with primary tumors of the mandible underwent hemimandibulectomy. The mandibular bone defects following tumor resection were reconstructed with autogenous rib grafts in three patients and BAB graft was used in one patient. The graft‑host interfaces were covered with decellularized human amnion/chorion membrane graft. All patients were followed‑up every five months following the reconstruction of the mandible, with no complications observed. Preliminary clinical investigations demonstrated that a BAB graft containing freeze‑dried BMSC paracrine factors may be used for the reconstruction of large mandibular bone defects following tumor resection.

1 January 2016 in Stem Cells International
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ZKZurab Kakabadze
Zurab Kakabadze
NKNicholas Kipshidze
Nicholas Kipshidze
KMKonstantine Mardaleishvili
Konstantine Mardaleishvili
GCGocha Chutkerashvili
Gocha Chutkerashvili
ICIrakli Chelishvili
Irakli Chelishvili
KCKonstantine Chutkerashvili
Konstantine Chutkerashvili
Introduction. A total of 18 patients, with complete motor deficits and paraplegia caused by thoracic and lumbar spine trauma without muscle atrophy or psychiatric problems, were included into this study. Materials and Methods. The bone marrow was aspirated from the anterior iliac crest under local anesthesia and the mononuclear fraction was isolated by density gradient method. At least 750 million mononuclear‐enriched cells, suspended in 2 mL of saline, were infused intrathecally. Results and Discussion. The study reports demonstrated improvement of motor and sensory functions of various degrees observed in 9 of the 18 (50%) cases after bone marrow stem cell transplantation. Measured by the American Spinal Injury Association (ASIA) scale, 7 (78%) out of the 9 patients observed an improvement by one grade, while two cases (22%) saw an improvement by two grades. However, there were no cases in which the condition was improved by three grades. Conclusions. Analysis of subsequent treatment results indicated that the transplantation of mononuclear‐enriched autologous BMSCs is a feasible and safe technique. However, successful application of the BMSCs in the clinical practice is associated with the necessity of executing more detailed examinations to evaluate the effect of BMSCs on the patients with spinal cord injury.

21 January 2016 in Journal of Surgical Oncology
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ZKZurab Kakabadze
Zurab Kakabadze
KMKonstantine Mardaleishvili
Konstantine Mardaleishvili
GLGeorge Loladze
George Loladze
IJIvane Javakhishvili
Ivane Javakhishvili
KCKonstantine Chakhunasvili
Konstantine Chakhunasvili
DCDavid Chakhunashvili
David Chakhunashvili
Background and Objectives: Squamous cell carcinoma is the most common pathological type among the cancers of the larynx. Standard treatment for squamous cell carcinoma of the larynx is the combination of chemotherapy, radiotherapy, and laryngectomy. Pharyngocutaneous fistula is a common complication of laryngectomy. We hypothesized that decellularized and lyophilized human amnion/chorion membrane can be an effective, non‐invasive method of treating pharyngocutaneous fistula.Methods: A total of 67 patients with laryngeal squamous cell carcinoma were retrospectively analyzed after treatment in a prospective trial. After preoperative chemotherapy, radiotherapy, and total or extended laryngectomy, primary wound healing occurred in 42 (62.7%) patients. Pharyngocutaneous fistula developed in 8 (11.9%) patients. Decellularized and lyophilized human amnion/chorion membrane grafts were used to reconstruct the fistulas.Results: The average time for the full healing of the wound in all patients after transplantation of these grafts was 18 days.Conclusion: The advantages of using these grafts over other existing methods of pharyngocutaneous fistula treatment are that they are non‐invasive, prevent donor morbidity, and enable management of the wound without using classical wound gauze. J. Surg. Oncol. 2016;113:538–543. © 2016 The Authors. Journal of Surgical Oncology Published by Wiley Periodicals, Inc.

22 June 2022 in Stem Cells International
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ZKZurab Kakabadze
Zurab Kakabadze
NKNicholas Kipshidze
Nicholas Kipshidze
TPTeona Paresishvili
Teona Paresishvili
NKNodar Kipshidze
Nodar Kipshidze
ZVZurab Vadachkoria
Zurab Vadachkoria
DCDavid Chakhunashvili
David Chakhunashvili
The acute respiratory distress syndrome (ARDS) is one of the main causes of high mortality in patients with coronavirus (COVID-19). In recent years, due to the coronavirus pandemic, the number of patients with ARDS has increased significantly. Unfortunately, until now, there are no effective treatments for ARDS caused by COVID-19. Many drugs are either ineffective or have a low effect. Currently, there have been reports of efficient use of mesenchymal stem cells (MSCs) for the treatment of ARDS caused by COVID-19. We investigated the influence of freeze-dried human placenta-derived mesenchymal stem cells (HPMSCs) in ARDS rat model. All animals have received intratracheal injection of 6mg/kg of lipopolysaccharide (LPS). The rats were randomly divided into five groups: I: LPS, II: LPS+dexamethasone, III: LPS+HPMSCs, IV: HPMSC, and V: saline. ARDS observation time was short-term and amounted to 168 hours. The study has shown that HPMSCs are able to migrate and attach to damaged lung tissue, contributing to the resolution of pathology, restoration of function, and tissue repair in the alveolar space. Studies have also shown that the administration of HPMSCs in animals with ARDS model significantly reduced the levels of key cytokines such as IL-1β, IL-6, and TNF-α. Freeze-dried placental stem cell is a very promising biomaterial for the treatment of ARDS. The human placenta can be easily obtained because it is considered as a medical waste. At the same time, a huge number of MSCs can be obtained from the placental tissue, and there is no ethical controversy around their use. The freeze-dried MSCs from human placental tissue can be stored sterile at room temperature for a long time before use.