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Σάββατο 4 Φεβρουαρίου 2017

The IGF axis in HPV associated cancers

Publication date: Available online 4 February 2017
Source:Mutation Research/Reviews in Mutation Research
Author(s): Adam Pickard, Julia Durzynska, Dennis J. McCance, Elisabeth R. Barton
Human papillomaviruses (HPV) infect and replicate in stratified epithelium at cutaneous and mucosal surfaces. The proliferation and maintenance of keratinocytes, the cells which make up this epithelium, is controlled by a number of growth factor receptors such as the keratinocyte growth factor receptor (KGFR, also called fibroblast growth factor receptor 2b (FGFR2b)), the epithelial growth factor receptor (EGFR) and the insulin-like growth factor receptors 1 and 2 (IGF1R and IGF2R). In this review, we will delineate the mutation, gene transcription, translation and processing of the IGF axis within HPV associated cancers. The IGFs are key for developmental and postnatal growth of almost all tissues; we explore whether this crucial axis been hijacked by HPV.



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EEG synchronization measures are early outcome predictors in comatose patients after cardiac arrest

Publication date: Available online 5 February 2017
Source:Clinical Neurophysiology
Author(s): Frédéric Zubler, Andreas Steimer, Rebekka Kurmann, Mojtaba Bandarabadi, Jan Novy, Heidemarie Gast, Mauro Oddo, Kaspar Schindler, Andrea O. Rossetti
ObjectiveOutcome prognostication in comatose patients after cardiac arrest (CA) remains a major challenge. Here we investigated the prognostic value of combinations of linear and non-linear bivariate EEG synchronization measures.Methods94 comatose patients with EEG within 24h after CA were included. Clinical outcome was assessed at 3 months using the Cerebral Performance Categories (CPC). EEG synchronization between the left and right parasagittal, and between the frontal and parietal brain regions was assessed with 4 different quantitative measures (delta power asymmetry, cross-correlation, mutual information, and transfer entropy). 2/3 of patients were used to assess the predictive power of all possible combinations of these eight features (4 measures x 2 directions) using cross-validation. The predictive power of the best combination was tested on the remaining 1/3 of patients.ResultsThe best combination for prognostication consisted of 4 of the 8 features, and contained linear and non-linear measures. Predictive power for poor outcome (CPC 3-5), measured with the area under the ROC curve, was 0.84 during cross-validation, and 0.81 on the test set. At specificity of 1.0 the sensitivity was 0.54, and the accuracy 0.81.ConclusionCombinations of EEG synchronization measures can contribute to early prognostication after CA. In particular, combining linear and non-linear measures is important for good predictive power.Significancequantitative methods might increase the prognostic yield of currently used multi-modal approaches.



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The generator site in acquired autoimmune neuromyotonia

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Publication date: Available online 5 February 2017
Source:Clinical Neurophysiology
Author(s): Miguel Oliveira Santos, Michael Swash, Mamede de Carvalho
ObjectiveTo investigate the origin of ectopic activity in neuromyotonia (NMT).MethodsWe studied two patients. In addition to routine studies, we tested synchronicity of spontaneous discharges in different motor units in simultaneous recordings made with two needle electrodes in the first dorsal interosseus muscle. Time-locked fasciculations in these double recordings would represent abnormal ectopic activity initiated in a nerve trunk with ephaptic stimulation of a nearby axon. In patient 1, this research protocol was applied once, 15 years after regular intravenous immunoglobulin (IvIg) treatment. Patient 2 was investigated before and 1 year after IvIg.ResultsBoth patients improved after IVIg, mirrored by a striking decrease in the amount of spontaneous activity on electromyography. Moreover, our technique did not detect synchronous spontaneous activity (time-locked fasciculations) on the second assessment, although this was predominant before treatment in patient 2.ConclusionsIn NMT, abnormal discharges originate both in distal axonal branches and in more proximal segments. It appears that IvIg is more effective in blocking antibody activity in proximal axonal segments, perhaps related to factors such as blood-nerve barrier, temperature or differing ion channel distributions.SignificanceTreatment effects can shed light on the origin of abnormal activity in NMT.



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Redefining Periodic Patterns on Electroencephalograms of Patients with Sporadic Creutzfeldt–Jakob Disease

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Publication date: Available online 5 February 2017
Source:Clinical Neurophysiology
Author(s): Jung-Won Shin, Byeongsoo Yim, Seung Hun Oh, Nam Keun Kim, Sang kun Lee, Ok-Joon Kim
ObjectiveWe aimed to redefine various periodic patterns (PPs) observed on electroencephalography (EEG) in patients with sporadic Creutzfeldt–Jakob disease (sCJD) using the American Clinical Neurophysiology Society's (ACNS) Criteria.MethodsWe analyzed EEG data of 23 patients with sCJD were admitted to two university hospitals between August 2005 and September 2015.ResultsWe classified PPs on EEG data into three types: irregular periodic discharges (PDs) with superimposed rhythmic activities, appearing at a median of 8 weeks after onset (w.a.o.); rhythmic sharp-and-wave, at a median of 11 w.a.o.; and PDs with biphasic or triphasic morphology, at a median of 17 w.a.o. Of 16 patients presenting with PPs, 14 had widespread lesions in both cortical and subcortical areas with clinical stage III at admission, and shorter time intervals for admission to hospital from disease onset than patients without PPs (Patients with PP, 11.6 ± 12.2 weeks; without PP, 18.2 ± 8.3 weeks; p = 0.033).ConclusionsPPs largely presented as three types at different stages of disease progression, and patients who had PPs had more wide spread lesions and rapid disease progression.SignificanceOur redefinition of PPs demonstrated on EEG using the ACNS criteria may contribute to further understanding of the pathological mechanisms of sCJD, and PPs might be a predictive factor of a rapid sCJD progression.



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Vitamin D Deficiency in Mothers, Neonates and Children

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Publication date: Available online 5 February 2017
Source:The Journal of Steroid Biochemistry and Molecular Biology
Author(s): Deena H. Elsori, Majeda S. Hammoud
Vitamin D is produced in response to the exposure of skin to sunlight through UV-B synthesis. It can also be obtained from diet and dietary supplements. Vitamin D is essential for strong bones as it helps to absorb calcium from diet. Vitamin D deficiency mainly occurs if strict vegetarian diet is followed as mostly the source of vitamin D is animal based; therefore, exposure to sunlight is restricted or having dark skin color. Low vitamin D levels results in increased possibility of gestational diabetes among pregnant women, low birth weight and pre-eclampsia in infants, and mothers may suffer bone impairment, osteoporosis, hypocalcaemia, and hypertension. Vitamin D deficiency is directly linked with severe complication in mothers and neonates, causing rickets, poor fetal growth and infantile eczema in neonates. Higher prevalence rate of vitamin D deficiency has led professionals to emphasize on development of relevant precautionary measures.



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Changing Mutational and Adaptive Landscapes and the Genesis of Cancer

Publication date: Available online 4 February 2017
Source:Biochimica et Biophysica Acta (BBA) - Reviews on Cancer
Author(s): L. Alexander Liggett, James DeGregori
By the time the process of oncogenesis has produced an advanced cancer, tumor cells have undergone extensive evolution. The cellular phenotypes resulting from this evolution have been well studied, and include accelerated growth rates, apoptosis resistance, immortality, invasiveness, and immune evasion. Yet with all of our current knowledge of tumor biology, the details of early oncogenesis have been difficult to observe and understand. Where different oncogenic mutations may work together to enhance the survival of a tumor cell, in isolation they are often pro-apoptotic, pro-differentiative or pro-senescent, and therefore often, somewhat paradoxically, disadvantageous to a cell. It is also becoming clear that somatic mutations, including those in known oncogenic drivers, are common in tissues starting at a young age. These observations raise the question: how do we largely avoid cancer for most of our lives? Here we propose that evolutionary forces can help explain this paradox. As humans and other organisms age or experience external insults such as radiation or smoking, the structure and function of tissues progressively degrade, resulting in altered stem cell niche microenvironments. As tissue integrity declines, it becomes less capable of supporting and maintaining resident stem cells. These stem cells then find themselves in a microenvironment to which they are poorly adapted, providing a competitive advantage to those cells that can restore their functionality and fitness through mutations or epigenetic changes. The resulting oncogenic clonal expansions then increase the odds of further cancer progression. Understanding how the causes of cancer, such as aging or smoking, affect tissue microenvironments to control the impact of mutations on somatic cell fitness can help reconcile the discrepancy between marked mutation accumulation starting early in life and the somatic evolution that leads to cancer at advanced ages or following carcinogenic insults. This article is part of a Special Issue entitled: Evolutionary principles - heterogeneity in cancer?, edited by Dr. Robert A. Gatenby.



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Forkhead box-P3+ regulatory T cells and toll-like receptor 2 co-expression in oral squamous cell carcinoma

Publication date: Available online 4 February 2017
Source:Acta Histochemica
Author(s): H.M. Hussaini, V.P.B. Parachuru, G.J. Seymour, A.M. Rich
BackgroundThe function of forkhead box-P3 (FoxP3) regulatory T cells (Treg) and toll-like receptor (TLR)2 protein in the oral cancer microenvironment is not fully understood, but evidence from other malignancies suggests it is likely they are involved with tumour development and progression. The aim of this study was to investigate the distribution of FoxP3+cells, TLR2+ cells and double-labelled FoxP3+TLR2+ immune cells in oral squamous cell carcinoma (OSCC), using immunohistochemistry (IHC) and immunofluorescence (IF).Methods25 archival cases of OSCC were immunostained with anti-FoxP3 and anti-TLR2 antibodies. Inflamed hyperplastic oral mucosal tissues were used as controls. The proportion of single-labelled, double-labelled and negative cells was determined.ResultsA higher frequency of double-labelled FoxP3+TLR2+ Tregs was observed within the immune cells of OSCC compared to inflamed controls using IHC (p<0.05). Cell-to-cell contact between single-stained TLR2+ cells and FoxP3+ cells was noted. Double IF studies validated demonstration of co-expression of FoxP3+/TLR2+ immune cells in OSCC.ConclusionThe presence of FoxP3+TLR2+ cells within the OSCC microenvironment may represent a dendritic cell-dependent pathway capable of inhibiting Treg suppressive activity, potentially enhancing the anti-tumour response. Modulation of TLR2-Treg interactions should be further explored to determine if they have a role in the therapeutic management of OSCC.



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Immunoreactivity pattern of calretinin in the developing human cerebellar cortex

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Publication date: Available online 4 February 2017
Source:Acta Histochemica
Author(s): Valeria Pibiri, Clara Gerosa, Laura Vinci, Gavino Faa, Rossano Ambu
The immunohistochemical expression of the calcium-binding protein calretinin during human cerebellar development has been investigated in this study. Human cerebellum samples, obtained from 7 fetuses and newborns ranging from 11 to 38 weeks of gestation, were 10% formalin-fixed, routinely processed and paraffin-embedded. 3μm-tick sections were immunostained with an anti-calretinin antibody. Our study evidenced a different immunoreactivity for calretinin in Purkinje cells and in several cerebellar interneurons at different intrauterine developmental stages. Whereas at 11 weeks of gestation calretinin immunoreactivity was not detected in the developing cerebellum, from the 18th to the 24th week, calretinin expression was found in Purkinje cells migrating from the ventricular neuroepithelium and in migrating cerebellar interneurons. From the 30th to the 38th week, calretinin was expressed by most of Purkinje cells and by migrating cerebellar interneurons. Furthermore, granule cells in the internal granular layer were also immunoreactive for calretinin. Our data show that calretinin, other than for developing Purkinje cells, is a useful marker also for migrating cerebellar interneurons and for some neuronal elements related to the granular layer. Moreover, given the critical role of calcium in a great variety of neuronal processes in the central nervous system, our findings suggest that calretinin may play a pivotal role in the regulation of neuronal excitability during intrauterine cerebellar development.



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Effect of dietary zinc on morphological characteristics and apoptosis related gene expression in the small intestine of Bama miniature pigs

Publication date: Available online 4 February 2017
Source:Acta Histochemica
Author(s): Xin Zhou, Yansen Li, Zhaojian Li, Yun Cao, Fei Wang, ChunMei Li
To investigate the effects of dietary zinc (Zn) on small intestinal mucosal epithelium, 6-month-old male Bama miniature pigs were randomly allocated into three groups and treated with three levels of Zn (Control, T1, and T2 diet supplemented with 0, 50, and 1500mg/kg Zn, respectively, as zinc sulfate) for 38days. The samples of small intestine tissues, serum, and feces were collected. The results showed that Zn concentrations of small intestine in the T2 group were higher than those in the control and T1 groups (p<0.05). In the T2 group, the pharmacological dose of dietary Zn treatment caused marked damage to the small intestinal epithelium. The expression of Bax, cleaved caspase-3, and caspase-8 were increased in the duodenum and the jejunum of the T2 group (p<0.05). The mRNA transcript levels of BAX, CYCS and CASP3 genes were upregulated in the duodenum and the jejunum of the T2 group. We concluded that a diet with a pharmacological dose of Zn increased the accumulation of Zn and the expression of Bax, cleaved caspase-3, and caspase-8, which might activate the apoptosis and lead to the marked injury of porcine small intestinal epithelium.

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Ceramic strengthening by tuning the elastic moduli of resin-based luting agents

Publication date: Available online 4 February 2017
Source:Dental Materials
Author(s): Aloísio O. Spazzin, Ataís Bacchi, Rodrigo Alessandretti, Mateus B. Santos, Gabriela R. Basso, Jason Griggs, Rafael R. Moraes
ObjectiveResin-based luting agents (RBLAs) with tuned elastic moduli (E) were prepared and their influence on the strengthening, reliability, and mode of failure of luted feldspar ceramic was investigated.MethodsRBLAs with low E (2.6GPa), intermediate E (6.6GPa), and high E (13.3GPa) were prepared and used to coat acid-etched ceramic disks. Positive (untreated ceramic) and negative (acid-etched ceramic) control groups were tested. The response variables (n=30) were biaxial flexural strength (σbf, MPa), characteristic strength (σ0, MPa), and Weibull modulus at the ceramic surface (z=0) and luting agent surface (z=−t2). A 3D finite element analysis simulated the biaxial flexural test. Fractographic analysis and morphology of the bonded interfaces were analyzed using scanning electron microscopy.ResultsThe RBLAs improved σbf and σ0 at z=0, particularly those with intermediate and high E, whereas the mechanical reliability was only affected in the negative control. At z=−t2, differences between all RBLAs were observed but the structural reliability was independent of the RBLA tested. Increasing E of the RBLA was associated with increased stress concentration at the RBLA and reduced stresses reaching the ceramic. Failures originated on the ceramic surface at the ceramic-cement interface. In the high E group, failure sometimes originated from the RBLA free surface. All RBLAs completely filled the ceramic irregularities.SignificanceIncreased E of the RBLA reduced the variability of strength, the stress reaching the ceramic structure, and sometimes altered the origin of failure. The use of high E RBLAs seems beneficial for luting feldspar ceramics.



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Setting characteristics and mechanical properties of self-adhesive resin luting agents

Publication date: Available online 4 February 2017
Source:Dental Materials
Author(s): Raphael Pilo, Dimitris Papadogiannis, Spiros Zinelis, George Eliades
ObjectiveTo evaluate the degree of conversion (DC%), salt yield and mechanical properties of self-adhesive luting agents (SAA) set under dual-cure (E) and self-cure (NE) modes.MethodsThree SAA (GC LinkAce/GCLA, MaxCem Elite/MXEL, Rely-X Unicem 2/RXUN) and an adhesive resin luting agent (Rely-X Ultimate/RXUL-control) were used. The properties tested under E and NE modes were a) DC% and phosphate salt yield after 10min, 1h (h) and 3 weeks (w) storage, by infrared spectroscopy; and b) the mechanical properties of 3w-stored specimens by instrumented indentation testing (Martens hardness/HM, Elastic modulus/EIT, Elastic index/ηIT) and microscopic Vickers hardness/VH. Statistical analysis was performed by 3-way ANOVA (DC%), 2-way ANOVA (salt yield) and 1-way ANOVA (mechanical properties) at an a=0.05.ResultsSignificantly higher DC% was found in E, except from the 3w groups of GCLA and MXEL. Within E, no significant differences were found, but within NE, there were differences in the 3 w groups of GCLA (vs 10 min) and MXEL (vs 1h). All materials demonstrated increased salt yield in NE, with the highest values found in RXUL and RXUN. GCLA, RXUL showed the lowest HM in E and MXEL the highest in NE. The rankings of the significant differences in EIT were MXEL>GCLA,RXUN,RXUL (E) and RXUL,MXEL>GCLA,RXUN (NE), whereas for ηIT RXUL,RXUN>GCLA,MXEL (E) and GCLA>RXUL>MXEL,RXUN (NE). The results of VH measurements showed an overestimation ranging from 13% up to 38% in comparison with HM.SignificanceThere are significant differences in the properties tested, which may anticipate variations in the chemical, mechanical and biological performance of the products.



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Comparative analysis of the mechanical properties of fiber and stainless steel multistranded wires used for lingual fixed retention

Publication date: Available online 4 February 2017
Source:Dental Materials
Author(s): O. Annousaki, S. Zinelis, G. Eliades, T. Eliades
ObjectiveTo evaluate the effect of different resins used for the co-polymerization of EverStick fiber-reinforced fixed orthodontic retainer on its mechanical properties and to compare the mechanical properties of these configurations to commonly used multistrand wires.Materials and methodsTen 0.0175-in. WildCat (WC175), ten 0.0215-in. WildCat (WC215) three-strand twisted wires and thirty EverStick fibers were tested in this study. The EverStcik fibers were equally shared in three groups (n=10). The samples of first group (ESRE) were polymerized employing Stickresin (Light cure enamel adhesives), the second one (ESFT) employing Flow Tain (Light cured composite), whilst the specimens for the third group (ES) were not combined with resin. All samples were loaded in tensile up to fracture in a universal tensile testing machine and the modulus of elasticity, tensile strength and strain after fracture were recorded. The same groups were also tested employing Instrumented Indentation Testing (IIT) and Martens Hardness (HM), Indentation Modulus (EIT) and elastic index (ηIT) were determined. The results of tensile testing and IIT were statistically analyzed employing one way Anova and the Student Newman Keuls test (SNK) at a=0.05 level of significance.ResultsWC175 and WC215 showed higher modulus of elasticity and tensile strength but lower strain after fracture compared to Everstic groups. IIT illustrated significantly higher values for HM, EIT, and ηIT for WC groups compared to ESRE, ESFT and ES. ESFT showed higher HM and elastic index compared to ESRE and ES, a finding which is attributed to the fact the FlowTain is a filler-reinforce composite with higher hardness compared to unfilled resins.SignificanceMultistrand wires demonstrated higher values in mechanical properties compared to EverStick ones. The co-polymerization with difference resins does not affect the tensile properties of Everstic, however the use of a light cured composite has a beneficial effect on hardness.



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The therapeutic contribution of nanomedicine to treat neurodegenerative diseases via neural stem cell differentiation

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): Dario Carradori, Joel Eyer, Patrick Saulnier, Véronique Préat, Anne des Rieux
The discovery of adult neurogenesis drastically changed the therapeutic approaches of central nervous system regenerative medicine. The stimulation of this physiologic process can increase memory and motor performances in patients affected by neurodegenerative diseases. Neural stem cells contribute to the neurogenesis process through their differentiation into specialized neuronal cells. In this review, we describe the most important methods developed to restore neurological functions via neural stem cell differentiation. In particular, we focused on the role of nanomedicine. The application of nanostructured scaffolds, nanoparticulate drug delivery systems, and nanotechnology-based real-time imaging has significantly improved the safety and the efficacy of neural stem cell-based treatments. This review provides a comprehensive background on the contribution of nanomedicine to the modulation of neurogenesis via neural stem cell differentiation.

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Biodegradable scaffolds promote tissue remodeling and functional improvement in non-human primates with acute spinal cord injury

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): Jonathan R. Slotkin, Christopher D. Pritchard, Brian Luque, Janice Ye, Richard T. Layer, Mathew S. Lawrence, Timothy M. O'Shea, Roland R. Roy, Hui Zhong, Isabel Vollenweider, V. Reggie Edgerton, Grégoire Courtine, Eric J. Woodard, Robert Langer
Tissue loss significantly reduces the potential for functional recovery after spinal cord injury. We previously showed that implantation of porous scaffolds composed of a biodegradable and biocompatible block copolymer of Poly-lactic-co-glycolic acid and Poly-l-lysine improves functional recovery and reduces spinal cord tissue injury after spinal cord hemisection injury in rats. Here, we evaluated the safety and efficacy of porous scaffolds in non-human Old-World primates (Chlorocebus sabaeus) after a partial and complete lateral hemisection of the thoracic spinal cord. Detailed analyses of kinematics and muscle activity revealed that by twelve weeks after injury fully hemisected monkeys implanted with scaffolds exhibited significantly improved recovery of locomotion compared to non-implanted control animals. Twelve weeks after injury, histological analysis demonstrated that the spinal cords of monkeys with a hemisection injury implanted with scaffolds underwent appositional healing characterized by a significant increase in remodeled tissue in the region of the hemisection compared to non-implanted controls. The number of glial fibrillary acidic protein immunopositive astrocytes was diminished within the inner regions of the remodeled tissue layer in treated animals. Activated macrophage and microglia were present diffusely throughout the remodeled tissue and concentrated at the interface between the preserved spinal cord tissue and the remodeled tissue layer. Numerous unphosphorylated neurofilament H and neuronal growth associated protein positive fibers and myelin basic protein positive cells may indicate neural sprouting inside the remodeled tissue layer of treated monkeys. These results support the safety and efficacy of polymer scaffolds in a primate model of acute spinal cord injury. A device substantially similar to the device described here is the subject of an ongoing human clinical trial.



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Silk-based anisotropical 3D biotextiles for bone regeneration

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): Viviana P. Ribeiro, Joana Silva-Correia, Ana I. Nascimento, Alain da Silva Morais, Alexandra P. Marques, Ana S. Ribeiro, Carla J. Silva, Graça Bonifácio, Rui A. Sousa, Joaquim M. Oliveira, Ana L. Oliveira, Rui L. Reis
Bone loss in the craniofacial complex can been treated using several conventional therapeutic strategies that face many obstacles and limitations. In this work, novel three-dimensional (3D) biotextile architectures were developed as a possible strategy for flat bone regeneration applications. As a fully automated processing route, this strategy as potential to be easily industrialized. Silk fibroin (SF) yarns were processed into weft-knitted fabrics spaced by a monofilament of polyethylene terephthalate (PET). A comparative study with a similar 3D structure made entirely of PET was established. Highly porous scaffolds with homogeneous pore distribution were observed using micro-computed tomography analysis. The wet state dynamic mechanical analysis revealed a storage modulus In the frequency range tested, the storage modulus values obtained for SF-PET scaffolds were higher than for the PET scaffolds. Human adipose-derived stem cells (hASCs) cultured on the SF-PET spacer structures showed the typical pattern for ALP activity under osteogenic culture conditions. Osteogenic differentiation of hASCs on SF-PET and PET constructs was also observed by extracellular matrix mineralization and expression of osteogenic-related markers (osteocalcin, osteopontin and collagen type I) after 28 days of osteogenic culture, in comparison to the control basal medium. The quantification of convergent macroscopic blood vessels toward the scaffolds by a chick chorioallantoic membrane assay, showed higher angiogenic response induced by the SF-PET textile scaffolds than PET structures and gelatin sponge controls. Subcutaneous implantation in CD-1 mice revealed tissue ingrowth's accompanied by blood vessels infiltration in both spacer constructs. The structural adaptability of textile structures combined to the structural similarities of the 3D knitted spacer fabrics to craniofacial bone tissue and achieved biological performance, make these scaffolds a possible solution for tissue engineering approaches in this area.



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Perivascular extracellular matrix hydrogels mimic native matrix microarchitecture and promote angiogenesis via basic fibroblast growth factor

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): George R. Fercana, Saigopalakrishna Yerneni, Marie Billaud, Jennifer C. Hill, Paul VanRyzin, Tara D. Richards, Brian M. Sicari, Scott A. Johnson, Stephen F. Badylak, Phil G. Campbell, Thomas G. Gleason, Julie A. Phillippi
Extracellular matrix (ECM)-derived bioscaffolds have been shown to elicit tissue repair through retention of bioactive signals. Given that the adventitia of large blood vessels is a richly vascularized microenvironment, we hypothesized that perivascular ECM contains bioactive signals that influence cells of blood vessel lineages. ECM bioscaffolds were derived from decellularized human and porcine aortic adventitia (hAdv and pAdv, respectively) and then shown have minimal DNA content and retain elastin and collagen proteins. Hydrogel formulations of hAdv and pAdv ECM bioscaffolds exhibited gelation kinetics similar to ECM hydrogels derived from porcine small intestinal submucosa (pSIS). hAdv and pAdv ECM hydrogels displayed thinner, less undulated, and fibrous microarchitecture reminiscent of native adventitia, with slight differences in ultrastructure visible in comparison to pSIS ECM hydrogels. Pepsin-digested pAdv and pSIS ECM bioscaffolds increased proliferation of human adventitia-derived endothelial cells and this effect was mediated in part by basic fibroblast growth factor (FGF2). Human endothelial cells cultured on Matrigel substrates formed more numerous and longer tube-like structures when supplemented with pAdv ECM bioscaffolds, and FGF2 mediated this matrix signaling. ECM bioscaffolds derived from pAdv promoted FGF2-dependent in vivo angiogenesis in the chick chorioallantoic membrane model. Using an angiogenesis-focused protein array, we detected 55 angiogenesis-related proteins, including FGF2 in hAdv, pAdv and pSIS ECMs. Interestingly, 19 of these factors were less abundant in ECMs bioscaffolds derived from aneurysmal specimens of human aorta when compared with non-aneurysmal (normal) specimens. This study reveals that Adv ECM hydrogels recapitulate matrix fiber microarchitecture of native adventitia, and retain angiogenesis-related actors and bioactive properties such as FGF2 signaling capable of influencing processes important for angiogenesis. This work supports the use of Adv ECM bioscaffolds for both discovery biology and potential translation towards microvascular regeneration in clinical applications.



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Engineering of a hybrid nanoparticle-based nicotine nanovaccine as a next-generation immunotherapeutic strategy against nicotine addiction: A focus on hapten density

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): Zongmin Zhao, Kristen Powers, Yun Hu, Michael Raleigh, Paul Pentel, Chenming Zhang
Although vaccination is a promising way to combat nicotine addiction, most traditional hapten-protein conjugate nicotine vaccines only show limited efficacy due to their poor recognition and uptake by immune cells. This study aimed to develop a hybrid nanoparticle-based nicotine vaccine with improved efficacy. The focus was to study the impact of hapten density on the immunological efficacy of the proposed hybrid nanovaccine. It was shown that the nanovaccine nanoparticles were taken up by the dendritic cells more efficiently than the conjugate vaccine, regardless of the hapten density on the nanoparticles. At a similar hapten density, the nanovaccine induced a significantly stronger immune response against nicotine than the conjugate vaccine in mice. Moreover, the high- and medium-density nanovaccines resulted in significantly higher anti-nicotine antibody titers than their low-density counterpart. Specifically, the high-density nanovaccine exhibited better immunogenic efficacy, resulting in higher anti-nicotine antibody titers and lower anti-carrier protein antibody titers than the medium- and low-density versions. The high-density nanovaccine also had the best ability to retain nicotine in serum and to block nicotine from entering the brain. These results suggest that the hybrid nanoparticle-based nicotine vaccine can elicit strong immunogenicity by modulating the hapten density, thereby providing a promising next-generation immunotherapeutic strategy against nicotine addiction.

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Investigation and Diagnosis of an Immediate Allergy to Amide Local Anaesthetic in a Paediatric Dental Patient

Abstract

Local anaesthetics remain the most common prescription medication utilised in dental practice. Adverse reactions following administration of local anaesthetic are somewhat common and are frequently reported as 'allergies'. However, of these events, it is estimated that only 1% are confirmed allergies to the local anaesthetic. This case presents the process of referral for investigation and testing to confirm an amide local anaesthetic allergy in a paediatric patient. Testing for a safe alternative was also completed to identify local anaesthetic agents also of the amide variety that can be utilised safely on this individual. Following skin testing of alternative agents intraoral challenges were completed. Finally, restorative dental treatment was provided safely for the patient with the use of an alternative amide local anaesthetic on a number of occasions with no further adverse outcomes.

This article is protected by copyright. All rights reserved.



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Biophysical characterization of Acacia caesia- fabricated silver nanoparticles: effectiveness on mosquito vectors of public health relevance and impact on non-target aquatic biocontrol agents

Abstract

Mosquito-borne diseases lead to serious public health concerns in tropical and sub-tropical countries worldwide, due to development of mosquito resistance to synthetic pesticides, non-target effects of pesticides, and socioeconomic reasons. Currently, green nanotechnology is a promising research field, showing a wide range of potential applications in vector control programs. The employ of natural products as reducing agents to fabricate insecticidal nanocomposites is gaining research attention worldwide, due to low costs and high effectiveness. Interestingly, biophysical features of green-synthesized nanoparticles strongly differ when different botanicals are employed for nanosynthesis. In this study, a cheap Acacia caesia leaf extract was employed to fabricate silver nanoparticles (Ag NPs) with ovicidal, larvicidal, and adulticidal toxicity against three mosquito vectors, Anopheles subpictus, Aedes albopictus, and Culex tritaeniorhynchus. Ag NPs were analyzed by various biophysical methods, including spectroscopy (UV-visible spectrophotometry, XRD, FTIR, EDX) and microscopy (SEM, TEM, AFM) techniques. High acute larvicidal potential was observed against larvae of An. subpictus (LC50 = 10.33 μg/ml), Ae. albopictus (LC50 = 11.32 μg/ml), and Cx. tritaeniorhynchus (LC50 = 12.35 μg/ml). Ag NPs completely inhibited egg hatchability on three vectors at 60, 75, and 90 μg/ml, respectively. In adulticidal assays, LD50 values were 18.66, 20.94, and 22.63 μg/ml. If compared to mosquito larvae, Ag NPs were safer to three non-target aquatic biocontrol agents, with LC50 ranging from 684 to 2245 μg/ml. Overall, our study highlights the potential of A. caesia as an abundant and cheap bioresource to fabricate biogenic Ag NPs effective against mosquito young instars and adults, with moderate impact on non-target aquatic biocontrol agents.



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Hyper-cell-permeable micelles as a drug delivery carrier for effective cancer therapy

Publication date: April 2017
Source:Biomaterials, Volume 123
Author(s): Phei Er Saw, Mikyung Yu, Minsuk Choi, Eunbeol Lee, Sangyong Jon, Omid C. Farokhzad
Although PEGylated liposomes (PEG-LS) have been intensively studied as drug-delivery vehicles, the rigidity and the hydrophilic PEG corona of liposomal membranes often limits cellular uptake, resulting in insufficient drug delivery to target cells. Thus, it is necessary to develop a new type of lipid-based self-assembled nanoparticles capable of enhanced cellular uptake, tissue penetration, and drug release than conventional PEGylated liposomes. Herein, we describe a simple modification of bicellar formulation in which the addition of a PEGylated phospholipid produced a dramatic physicochemical change in morphology, i.e., the disc-shaped bicelle became a uniformly distributed ultra-small (∼12 nm) spherical micelle. The transformed lipid-based nanoparticles, which we termed hyper-cell-permeable micelles (HCPMi), demonstrated not only prolonged stability in serum but also superior cellular and tumoral uptake compared to a conventional PEGylated liposomal system (PEG-LS). In addition, HCPMi showed rapid cellular uptake and subsequent cargo release into the cytoplasm of cancer cells. Cells treated with HCPMi loaded with docetaxel (DTX) had an IC50 value of 0.16 μM, compared with 0.78 μM with PEG-LS loaded with DTX, a nearly five-fold decrease in cell viability, indicating excellent efficiency in HCPMi uptake and release. In vivo tumor imaging analysis indicated that HCPMi penetrated deep into the tumor core and achieved greater uptake than PEG-LS. Results of HCPMi (DTX) treatment of allograft and xenograft mice in vivo showed high tumoral uptake and appreciable tumor retardation, with ∼70% tumor weight reduction in the SCC-7 allograft model. Taken together, these findings indicate that HCPMi could be developed further as a highly competent lipid-based drug-delivery system.

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Increased ratio of high sensitivity C-reactive protein to interleukin-10 as a potential peripheral biomarker of schizophrenia and aggression

Publication date: Available online 4 February 2017
Source:International Journal of Psychophysiology
Author(s): Qinting Zhang, Wu Hong, Haozhe Li, Fanglan Peng, Fan Wang, Ningning Li, Hui Xiang, Zongfeng Zhang, Yousong Su, Yueqi Huang, Shengyu Zhang, Guoqin Zhao, Rubai Zhou, Ling Mao, Zhiguang Lin, Weixiong Cai, Yiru Fang, Bin Xie, Min Zhao
BackgroundMany studies have indicated that immune dysfunction might be involved in the physiopathology of schizophrenia and aggression. This study aimed to investigate the correlation between high-sensitivity C-reactive protein (hsCRP), interleukin (IL)-10 and clinical characteristics, especially aggression, and to explore the potential role of hsCRP and IL-10 as plasma biomarkers of schizophrenia.MethodsForty-one patients with schizophrenia and forty healthy individuals were enrolled. Psychopathological severity and aggression were assessed using the Positive and Negative Syndrome Scale (PANSS) and Modified Overt Aggression Scale (MOAS). Plasma concentrations of hsCRP and IL-10 were assessed by enzyme-linked immunosorbent assay (ELISA).Results(1) Higher levels of hsCRP (p<0.001), lower levels of logIL-10 (p<0.001) and higher ratio of hsCRP to IL-10 (p<0.001) were observed in the plasma of patients with schizophrenia, compared to healthy controls; (2) ROC (receiver operating characteristic) curve analysis revealed that ratio of hsCRP/IL-10 (predictive value: 0.783, p<0.01; sensitivity: 85.4%; specificity: 67.5%) was more applicable as a biomarker to distinguish patients with schizophrenia from the control group than hsCRP and IL-10 alone (predictive value: 0.718, p<0.01; 0.275, p<0.001, respectively); (3) we found positive correlations between hsCRP and the total score and verbal aggression score of MOAS (r=0.654, p<0.01; r=0.678, p<0.05), and between hsCRP/IL-10 and the total score of MOAS (r=0.636, p<0.01).ConclusionsOur results suggest the possible function of hsCRP and IL-10 in the pathogenesis of schizophrenia and the possible value of hsCRP/IL-10 as a potential peripheral biomarker of schizophrenia. This finding also suggests a relationship between hsCRP, IL-10 and their ratio with aggression in patients with schizophrenia.



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Cortical and cardiovascular responses to acute stressors and their relations with psychological distress

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Publication date: Available online 4 February 2017
Source:International Journal of Psychophysiology
Author(s): Agostino Brugnera, Cristina Zarbo, Roberta Adorni, Giorgio A. Tasca, Massimo Rabboni, Emi Bondi, Angelo Compare, Kaoru Sakatani
The purpose of this study was to assess the interrelation between cortical, cardiovascular, behavioural, and psychological responses to acute stressors in a large sample of healthy individuals. To date, there are only preliminary evidences for a significant association among these psychophysiological indexes during a stress task.65 participants completed psychological questionnaires (Beck Depression Inventory and State-Trait Anxiety Inventory) and underwent a psychosocial math stress task, consisting of a control and an experimental (i.e. stressful) condition. Prefrontal and autonomic activities were recorded using respectively a 2-channel near-infrared spectroscopy (NIRS) device and a portable ECG monitoring system.Results evidenced an increased activation of both frontal areas assessed by NIRS, and a positive association between the right NIRS channel and heart rate changes from baseline, during both control and experimental conditions. Subjective stress increased during the procedure, reaching its maximum during the experimental condition. Behavioural performances during the task (e.g. response time) did not correlate with anxiety or depression. Autonomic data evidenced, as expected, an overall reduction of vagal tone during the experimental condition. Finally, severity of depressive and anxious symptoms predicted an increase in parasympathetic activity both at rest and during the task, even when controlling for respiration rate.Results support the hypothesis of an integration between right sectors of frontopolar or dorsolateral PFC and cardiac regulation. Trait anxiety and depression predicted an increase in vagal tone during the entire procedure. The implication of these findings is discussed.



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Probing the confining effect of clay particles on an amorphous intercalated dendritic polyester

Publication date: 10 March 2017
Source:Polymer, Volume 112
Author(s): Kevin P. Meyers, Jeremy J. Decker, Brian G. Olson, Jun Lin, Alexander M. Jamieson, Sergei Nazarenko
The fourth generation of a hydroxylated dendritic hyperbranched polyester (HBP) was combined with sodium montmorillonite clay (Na+MMT) using water to generate a broad range of polymer clay nanocomposites from 0 to 100% wt/wt Na+MMT. Analysis with differential scanning calorimetry (DSC) showed a deviation in heat capacity, ΔCp, with clay content at the Tg from a two-phase trend which was attributed to the formation of an immobilized rigid amorphous fraction (RAF) in the interlayer spacing of the intercalated system. This deviation occurred in a step-like fashion which we attributed to 0.5 nm incremental changes in the interlayer spacing, previously observed through X-ray diffraction analysis. A simple series model was utilized to quantify these interlayer spacings based on the ΔCp values and showed good correspondence with the X-ray results. The RAF was quantified from changes in heat capacity with clay content and was verified by an alternative novel positron annihilation lifetime spectroscopy (PALS) approach. The PALS quantification of the RAF was possible through an analysis of changes in the hole size thermal expansivity of the nanocomposites as a function of clay composition. Results indicated that as much as 32% by weight of the system is made up of the RAF at its maximum.

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PLA with high elongation induced by multi-branched poly(ethylene imine) (mPEI) containing poly(l-lactic acid) (PLLA) terminals

Publication date: 10 March 2017
Source:Polymer, Volume 112
Author(s): Thammanoon Khamsarn, Raksit Supthanyakul, Masahiro Matsumoto, Suwabun Chirachanchai
The present work demonstrates the function of multi-branched poly(l-lactide) based on polyethylenimine cores (mPEI-PLLA) as an additive to drastically enhance the elongation of PLA resin. By simply applying mPEI as the core molecule with a catalytic amount of tin octoate, LLA ring-opening polymerization is accomplished to result in multi-branched PLLA, i.e. mPEI-PLLA. The blend of mPEI-PLLA with PLA in the film form represents the significant increase of elongation at break for as high as 280% without significant changes in Tg, indicating the role of branching PLLA to induce amorphous phase in the packing structure of PLA. The ease of mPEI-PLLA preparation and the superb elongation at break provided to PLA convince us that mPEI-PLLA is a practical miscible additive to solve the brittleness of PLA.

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Effect of cue timing and modality on gait initiation in Parkinson's disease with freezing of gait

Publication date: Available online 4 February 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Chiahao Lu, Sommer L. Amundsen Huffmaster, Paul J. Tuite, Jacqueline M. Vachon, Colum D. MacKinnon
ObjectiveTo examine the effects of cue timing, across three sensory modalities, on anticipatory postural adjustments (APAs) during gait initiation in people with Parkinson's disease (PD).DesignObservational study.SettingBiomechanics research laboratory.ParticipantsTwenty-five individuals with idiopathic PD (11 with freezing of gait, FOG) were studied in the off-levodopa state (12-hour overnight withdrawal).InterventionsGait initiation was tested without cueing (self-initiated) and with three cue timing protocols: fixed delay (3 s), random delay (4-12 s) and countdown (3-2-1-go, 1 s intervals) across three sensory modalities (acoustic, visual and vibrotactile).Main Outcome MeasuresThe incidence and spatiotemporal characteristics of APAs during gait initiation were analyzed, including vertical ground reaction forces and center of pressure.ResultsAll cue timings and modalities increased the incidence and amplitude of APAs compared to self-initiated stepping. Acoustic and visual cues, but not vibrotactile stimulation, improved the timing of APAs. Fixed delay or countdown timing protocols were more effective at decreasing APA durations compared to random delay cues. Cue-evoked improvements in APA timing, but not amplitude, correlated with the level of impairment during self-initiated gait. Cues did not improve the late push-off phase in the FOG group.ConclusionsExternal cueing improves gait initiation in PD regardless of cue timing, modality, or clinical phenotype (with and without FOG). Acoustic or visual cueing with predictive timing provided the greatest improvements in gait initiation thus these protocols may provide the best outcomes when applied by caregivers or devices.



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Unusual cause acute airway obstruction

Publication date: Available online 4 February 2017
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Author(s): R. Vengatesh, N. Sanjeevan, Nik Fariza Husna Nik Hassan
Upper airway obstruction is one the most feared condition in Otolaryngology.Acute upper airway obstruction usually requires prompt tracheostomy as a lifesaving act. Through assessment and appropriate diagnosis and management of underlying cause are mandatory and at times even can avoid tracheostomy and its potential complications. We describe a case of severe laryngopharyngeal reflux (LPR) in 63-year-old man, causing acute stridor and airway obstruction lead to emergency tracheostomy. According to our literature review this may be the first case of LPR implicated in acute airway obstruction.



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Over-Analysis of Minimal Data gives Misleading Conclusions: Response to Article by Benedetti-Pinto et al

Benedetti-Pinto et al have raised an interesting and current topic and report observations of possible associations between average h-indices of the editorial boards of plastic surgery journals and the impact factors of their journals1. However, whilst their analysis was valid, their conclusions were badly overstated, in light of the severe limitations of the data.

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Molecular Characterization and Functional Analyses of a Diapause Hormone Receptor-like Gene in Parthenogenetic Artemia

Publication date: Available online 4 February 2017
Source:Peptides
Author(s): Hui-Li Ye, Dong-Rui Li, Jin-Shu Yang, Dian-Fu Chen, Stephanie De Vos, Marnik Vuylsteke, Patrick Sorgeloos, Gilbert Van Stappen, Peter Bossier, Hiromichi Nagasawa, Wei-Jun Yang
In arthropods, mature females under certain conditions produce and release encysted gastrula embryos that enter diapause, a state of obligate dormancy. The process is presumably regulated by diapause hormone (DH) and diapause hormone receptor (DHR) that were identified in the silkworm, Bombyx mori and other insects. However, the molecular structure and function of DHR in crustaceans remains unknown. Here, a DHR-like gene from parthenogenetic Artemia (Ar-DHR) was isolated and sequenced. The cDNA sequence consists of 1410bp with a 1260-bp open reading frame encoding a protein consisting of 420 amino acid residues. The results of real-time PCR (qRT-PCR) and Western blot analysis showed that the mRNA and protein of Ar-DHR were mainly expressed at the diapause stage. Furthermore, we found that Ar-DHR was located on the cell membrane of the pre-diapause cyst but in the cytoplasm of the diapause cyst by analysis of immunofluorescence. In vivo knockdown of Ar-DHR by RNA interference (RNAi) and antiserum neutralization consistently inhibited diapause cysts formation. The results indicated that Ar-DHR plays an important role in the induction and maintenance of embryonic diapause in Artemia. Thus, our findings provide an insight into the regulation of diapause formation in Artemia and the function of Ar-DHR.



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Peripheral CD8 effector-memory type 1 T-cells correlate with outcome in ipilimumab-treated stage IV melanoma patients

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Publication date: March 2017
Source:European Journal of Cancer, Volume 73
Author(s): Kilian Wistuba-Hamprecht, Alexander Martens, Florian Heubach, Emanuela Romano, Marnix Geukes Foppen, Jianda Yuan, Michael Postow, Phillip Wong, Domenico Mallardo, Bastian Schilling, Anna Maria Di Giacomo, Amir Khammari, Brigitte Dreno, Michele Maio, Dirk Schadendorf, Paolo A. Ascierto, Jedd D. Wolchok, Christian U. Blank, Claus Garbe, Graham Pawelec, Benjamin Weide
The role of the assessment of peripheral T-cell phenotypes in predicting overall survival (OS) after ipilimumab treatment is unclear. Here, we analysed mononuclear cells in the blood before and at different time points during treatment with ipilimumab in 137 late-stage melanoma patients. The proportions of baseline naïve and memory T-cells were measured by flow cytometry and correlated with OS, with an emphasis on PD-1 expression. High frequencies (>13%) of CD8 effector-memory type 1 (EM1) T-cells at baseline correlated with longer OS (p = 0.029) and higher clinical response rates (p = 0.01). The frequency of these EM1 cells and the M category had independent impacts on OS (hazard ratio = 1.5, p = 0.033; and hazard ratio = 1.9, p = 0.007). In contrast, high baseline frequencies of late stage-differentiated effector memory CD8 cells (>23.8%) were negatively associated with OS (p = 0.034) but did not correlate with clinical response. Following treatment, a decrease of CD8 cells from baseline to the time of the second drug dose and at later time points was strongly and consistently correlated with a high clinical response rate. Our observations thus suggest an important predictive role of baseline CD8 EM1 cells and changes in CD8 cells for clinical response of ipilimumab. Further validation of these biomarker candidates is warranted.



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Exploratory efficacy endpoints in the Community-Acquired Pneumonia Immunization Trial in Adults (CAPiTA)

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Publication date: Available online 4 February 2017
Source:Vaccine
Author(s): Chris Webber, Michael Patton, Scott Patterson, Beate Schmoele-Thoma, Susanne M. Huijts, Marc J.M. Bonten
BackgroundThe Community-Acquired Pneumonia Immunization Trial in Adults (CAPiTA) assessed vaccine-type community-acquired pneumonia (VT-CAP) and vaccine-type invasive pneumococcal disease (VT-IPD) prevention with 13-valent pneumococcal conjugate vaccine (PCV13) in adults aged ⩾65years. We report vaccine efficacy (VE) of PCV13 for the remaining 23 exploratory endpoints and serotype distributions for pneumococcal CAP and IPD.MethodsThis was a parallel-group, randomised, placebo-controlled, double-blind trial comparing single-dose PCV13 with placebo. Exploratory CAP endpoints included first episode of confirmed non-VT (NVT) pneumococcal CAP; all confirmed episodes of NVT pneumococcal CAP, pneumococcal CAP, nonbacteraemic/noninvasive (NB/NI) VT pneumococcal CAP, and NB/NI pneumococcal CAP; and first and all episodes of culture-confirmed VT pneumococcal CAP, culture-confirmed pneumococcal CAP, culture-confirmed NVT pneumococcal CAP, probable VT pneumococcal CAP, probable NVT pneumococcal CAP, and probable and possible pneumococcal CAP. Exploratory IPD endpoints included all episodes of VT-IPD and IPD, and first and all episodes of NVT-IPD. The per-protocol and modified intent-to-treat (mITT) populations were evaluated.ResultsIn total, 84,496 participants were enrolled. Eight of 23 exploratory CAP and IPD endpoints were statistically significant in both populations. In the per-protocol population, these included VE of 29% for all episodes of confirmed pneumococcal CAP, 43% for all NB/NI episodes of VT pneumococcal CAP, 52% for all episodes of culture-confirmed pneumococcal CAP, and 53% for all episodes of IPD. Comparable VE estimates were observed in the mITT population. The most common VT serotypes were 1 (10 first episodes of confirmed pneumococcal CAP; 2 first episodes of IPD) and 7F (22; 7) among PCV13 and placebo recipients, respectively.ConclusionsThe results of this analysis yielded statistically significant PCV13 VE for all episodes of confirmed pneumococcal CAP (including NB/NI and culture-confirmed episodes) and for all episodes of IPD in adults aged ⩾65years. These findings are consistent with the primary efficacy analysis. ClinicalTrials.gov identifier: NCT00744263.



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Oxidized and degraded mitochondrial polynucleotides (DeMPs), especially RNA, are potent immunogenic regulators in primary mouse macrophages

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Publication date: Available online 4 February 2017
Source:Free Radical Biology and Medicine
Author(s): Abhinav R Saxena, Linda Y Gao, Shachi Srivatsa, Elizabeth Z Bobersky, Sivakumar Periasamy, Danielle T Hunt, Kyle E Altman, Dana R. Crawford
Certain mitochondrial components can act as damage-associated molecular patterns (DAMPs) or danger signals, triggering a proinflammatory response in target (usually immune) cells. We previously reported the selective degradation of mitochondrial DNA and RNA in response to cellular oxidative stress, and the immunogenic effect of this DNA in primary mouse astrocytes. Here, we extend these studies to assess the immunogenic role of both mitochondrial DNA and RNA isolated from hydrogen peroxide (HP) treated HA1 cells (designated "DeMPs" for degraded mitochondrial polynucleotides) using mouse bone marrow derived macrophages (BMDMs), a conventional immune cell type. DeMPs and control mitochondrial DNA (cont mtDNA) and RNA (cont mtRNA) were transfected into BMDMs and cell-free media analyzed for the presence of proinflammatory cytokines (IL-6, MCP-1, and TNFα) and Type I interferon (IFN-α and IFN-β). Cont mtDNA induced IL-6 and MCP-1 production, and this effect was even greater with DeMP DNA. A similar response was observed for Type I interferons. An even stronger induction of proinflammatory cytokine and type 1 interferons was observed for cont mtRNA. However, contrary to DeMP DNA, DeMP RNA attenuated rather than potentiated the cont mtRNA cytokine inductions. This attenuation effect was not accompanied by an IL-10 or TGFβ anti-inflammatory response. All DeMP effects were observed at multiple oxidant concentrations. Finally, DeMP production and immunogenicity overlaps with cellular adaptive response and so may contribute to cellular oxidant protection. These results provide new insight into the immunogenicity of mitochondrial polynucleotides, and identify new roles and selective consequences of cellular oxidation.



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Mechanisms of defense against products of cysteine catabolism in the nematode Caenorhabditis elegans

Publication date: Available online 4 February 2017
Source:Free Radical Biology and Medicine
Author(s): Leonid Livshits, Arijit Kumar Chatterjee, Netanel Karbian, Rachel Abergel, Zohar Abergel, Einav Gross
Cysteine catabolism presents cells with a double-edged sword. On the one hand, cysteine degradation provides cells with essential molecules such as taurine and sulfide. The formation of sulfide in cells is thought to regulate important and diverse physiological processes including blood circulation, synaptic activity and inflammation. On the other hand, the catabolism of cysteine by gut microbiota can release high levels of sulfide that may underlie the development or relapse of ulcerative colitis, an inflammatory bowel disease affecting millions of people worldwide. Here, we have used the nematode C. elegans to explore how cells tolerate high levels of sulfide produced by cysteine degradation in bacteria. We have identified mutations in genes coding for thioredoxin family proteins, mitochondrial proteins, and collagens that confer tolerance to sulfide toxicity. Exposure to sulfide induces the unfolded protein response in the endoplasmic reticulum and mitochondria. Moreover, our results suggest that sulfide toxicity is mediated by reactive oxygen species (ROS). Indeed, pre-treatment of worms with antioxidants increases their tolerance to sulfide toxicity. Intriguingly, sub-toxic levels of the superoxide generator paraquat can also increase the tolerance of worms to sulfide. Therefore, it appears that activation of ROS detoxification pathway prior to the exposure to sulfide, can increase the tolerance to sulfide toxicity. Our results suggest that these detoxification pathways are mediated by the hypoxia inducible factor HIF-1. Finally, we show that sulfide resistance varies among wild C. elegans and other nematode species, suggesting that tolerance to sulfide was naturally selected in certain habitats.

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Role of the oxidized form of XRCC1 in protection against extreme oxidative stress

Publication date: Available online 4 February 2017
Source:Free Radical Biology and Medicine
Author(s): Julie K. Horton, Hannah J. Seddon, Ming-Lang Zhao, Natalie R. Gassman, Agnes K. Janoshazi, Donna F. Stefanick, Samuel H. Wilson
The multi-domain protein XRCC1 is without catalytic activity, but can interact with a number of known repair proteins. The interaction between the N-terminal domain (NTD) of XRCC1 and DNA polymerase β (pol β) is critical for recruitment of pol β to sites of DNA damage and repair. Crystallographic and NMR approaches have identified oxidized and reduced forms of the XRCC1 NTD, and the corresponding forms of XRCC1 have been identified in cultured mouse fibroblast cells. Both forms of NTD interact with pol β, but the interaction is much stronger with the oxidized form. The potential for formation of the C12-C20 oxidized conformation can be removed by alanine substitution at C12 (C12A) leading to stabilized reduced XRCC1 with a lower pol β binding affinity. Here, we compare cells expressing C12A XRCC1 (XRE8) with those expressing wild-type XRCC1 (XC5). Reduced C12A XRCC1 is detected at sites of micro-irradiation DNA damage, but provides slower recruitment of pol β. Expression of reduced XRCC1 does not affect sensitivity to MMS or H2O2. In contrast, further oxidative stress imposed by glutathione depletion results in increased sensitization of reduced XRCC1-expressing cells to H2O2 compared with wild-type XRCC1-expressing cells. There is no indication of enhanced H2O2-generated free radicals or DNA strand breaks in XRE8 cells. However, elevated cellular PAR is found following H2O2 exposure, suggesting BER deficiency of H2O2-induced damage in the C12A expressing cells.



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Glucose-6-phosphate dehydrogenase and Trypanothione reductase interaction protects Leishmania donovani from metalloid mediated oxidative stress

Publication date: Available online 4 February 2017
Source:Free Radical Biology and Medicine
Author(s): Ayan Kumar Ghosh, Savita Saini, Sushmita Das, Abhishek Mandal, Abul Hasan Sardar, Md. Yousuf Ansari, Kumar Abhishek, Ajay Kumar, Ruby Singh, Sudha Verma, Asif Equbal, Vahab Ali, Pradeep Das
Exploration of metabolons as viable drug target is rare in kinetoplastid biology. Here we present a novel protein-protein interaction among Glucose-6-phosphate dehydrogenase (LdG6PDH) and Trypanothione reductase (LdTryR) of Leishmania donovani displaying interconnection between central glucose metabolism and thiol metabolism of this parasite. Digitonin fractionation patterns observed through immunoblotting indicated localisation of both LdG6PDH and LdTryR in cytosol. In-silico and in-vitro interaction observed by size exclusion chromatography, co-purification, pull-down assay and spectrofluorimetric analysis revealed LdG6PDH and LdTryR physically interact with each other in a NADPH dependent manner. Coupled enzymatic assay displayed that NADPH generation was severely impaired by addition of SbIII, AsIII and TeIV extraneously, which hint towards metalloid driven structural changes of the interacting proteins. Co-purification patterns and pull-down assays also depicted that metalloids (SbIII, AsIII and TeIV) hinder the in-vitro interaction of these two enzymes. Surprisingly, metalloids at sub-lethal concentrations induced the in-vivo interaction of LdG6PDH and LdTryR, as analysed by pull-down assays and fluorescence microscopy signifying protection against metalloid mediated ROS. Inhibition of LdTryR by thioridazine in LdG6PDH-/- parasites resulted in metalloid induced apoptotic death of the parasites due to abrupt fall in reduced thiol content, disrupted NADPH/NADP+ homeostasis and lethal oxidative stress. Interestingly, clinical isolates of L.donovani resistant to SAG exhibited enhanced interaction between LdG6PDH and LdTryR and showed cross resistivity towards AsIII and TeIV. Thus, our findings propose the metabolon of LdG6PDH and LdTryR as an alternate therapeutic target and provide mechanistic insight about metalloid resistance in Visceral Leishmaniasis.

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Aspirin is Associated with Improved Survival in Severely Thrombocytopenic Cancer Patients with Acute Myocardial Infarction

Background.

Patients with hematologic malignancies are at risk for severe thrombocytopenia (sTP). The risk and benefit of aspirin are not known in thrombocytopenic cancer patients experiencing acute myocardial infarction (AMI).

Materials and Methods

Medical records of patients with hematologic malignancies diagnosed with AMI at Memorial Sloan Kettering Cancer Center during 2005–2014 were reviewed. sTP was defined as a platelet count <50,000 cells per µL within 7 days of AMI.

Results.

Of 118 patients with hematologic malignancies who had AMI, 58 (49%) had sTP. Twenty-five patients (43%) with sTP received aspirin as a treatment for AMI. Compared with patients without sTP with AMI, patients with sTP with AMI were less likely to receive aspirin (83% vs. 43%; p = .0001) and thienopyridine treatment (27% vs. 3%; p = .0005). During median follow-up of 3.7 years after AMI, survival was lower in patients with sTP than in those with no sTP (23% vs. 50% at 1 year; log rank p = .003). Patients with sTP who received aspirin for AMI had improved survival compared with those who did not (92% vs. 70% at 7 days, 72% vs. 33% at 30 days, and 32% vs. 13% at 1 year; log rank p = .008). In multivariate regression models, aspirin use was associated with improved 30-day survival both in the overall patient cohort and in sTP patients. No fatal bleeding events occurred. Major bleeding was not associated with sTP or aspirin use.

Conclusion.

Treatment of AMI with aspirin in patients with hematologic malignancies and sTP is associated with improved survival without increase in major bleeding. The Oncologist 2017;22:000–000

Implications for Practice: In patients with hematologic malignancies and acute myocardial infarction with severe thrombocytopenia (platelet count < 50,000 cells/µL), guideline-recommended medical therapy is often withheld because of the fear of major bleeding. In this study, aspirin therapy was associated with improved survival without an increase in major bleeding in this high-risk patient cohort.



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The synergistic effect of radiotherapy and immunotherapy: A promising but not simple partnership

Publication date: Available online 4 February 2017
Source:Critical Reviews in Oncology/Hematology
Author(s): Enrique Chajon, Joël Castelli, Hugo Marsiglia, Renaud de Crevoisier
Radiotherapy (RT) is one of the main components in the treatment of cancer. The better understanding of the immune mechanisms associated with tumor establishment and how RT affects inflammation and immunity has led to the development of novel treatment strategies. Several preclinical studies support the use of RT in combination with immunotherapy obtaining better local and systemic tumor control. Current ongoing studies will provide information about the optimal RT approach, but the development of reliable predictors of the response from the preclinical and the early phases of clinical studies is necessary to avoid discarding treatment strategies with significant clinical benefit. This review summarize the current concepts of the synergism between RT and immunotherapy, the molecular effects of RT in the tumor microenvironment, their impact on immune activation and its potential clinical applications in trials exploring this important therapeutic opportunity. Finally, the potential predictors of clinical response are discussed.



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Epigenetic control of gene expression: Potential implications for cancer treatment

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Publication date: Available online 4 February 2017
Source:Critical Reviews in Oncology/Hematology
Author(s): F. Perri, F. Longo, M. Giuliano, F. Sabbatino, G. Favia, F. Ionna, R. Addeo, G. Della Vittoria Scarpati, G. Di Lorenzo, S. Pisconti S
Epigenetic changes are defined as inherited modifications that are not present in DNA sequence. Gene expression is regulated at various levels and not only in response to DNA modifications. Examples of epigenetic control are: DNA methylation, histone deacetylation and mi-RNA expression. Methylation of several tumor suppressor gene promoters is responsible for their silencing and thus potentially sustain cancerogenesis. Similarly, histone deacetylation can lead to oncogene activation. Mi-RNA are small (18-20 nucleotides) non-coding RNA fragments capable of inhibiting other m-RNA, ultimately altering the balance in oncogene and tumor suppressor gene expression. It has been shown that growth of several tumor types can be stimulated by epigenetic changes in various phases of cancerogenesis, and drugs able to interfere with these mechanisms can have a positive impact on tumor progression. As matter of fact, epigenetic changes are dynamic and can be reversed by epigenetic inhibitors. Recently, methyltransferase and histone deacetylase inhibitors have attracted the attention of researchers and clinicians as they potentially provide alternative therapeutic options in some cancers. Drugs that inhibit DNA methylation or histone deacetylation have been studied for the reactivation of tumor suppressor genes and repression of cancer cell growth. Epigenetic inhibitors work alone or in combination with other therapeutic agents. To date, a number of epigenetic inhibitors have been approved for cancer treatment. The main challenge in the field of epigenetic inhibitors is their lack of specificity. In this review article we describe their mechanisms of action and potential in cancer treatment.



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Multimodal treatment of resectable pancreatic ductal adenocarcinoma

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Publication date: Available online 4 February 2017
Source:Critical Reviews in Oncology/Hematology
Author(s): Nicola Silvestris, Oronzo Brunetti, Enrico Vasile, Francesco Cellini, Ivana Cataldo, Valeria Pusceddu, Monica Cattaneo, Stefano Partelli, Mario Scartozzi, Giuseppe Aprile, Andrea Casadei Gardini, Alessio Giuseppe Morganti, Vincenzo Valentini, Aldo Scarpa, Massimo Falconi, Angela Calabrese, Vito Lorusso, Michele Reni, Stefano Cascinu
After a timing preoperative staging, treatment of resectable pancreatic adenocarcinoma (PDAC) includes surgery and adjuvant therapies, the former representing the initial therapeutic option and the latter aiming to reduce the incidence of both distant metastases (chemotherapy) and locoregional failures (chemoradiotherapy). Herein, we provide a critical overview on the role of multimodal treatment in PDAC and on new opportunities related to current more active poli-chemotherapy regimens, targeted therapies, and the more recent immunotherapy approaches. Moreover, an analysis of pathological markers and clinical features able to help clinicians in the selection of the best therapeutic strategy will be discussed. Lastly, the role of neoadjuvant treatment of initially resectable disease will be considered mostly in patients whose malignancy shows morphological but not clinical or biological criteria of resectability. Depending on the results of these investigational studies, today a multidisciplinary approach can offer the best address therapy for these patients.



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Phosphate and ammonium adsorption of the modified biochar based on Phragmites australis after phytoremediation

Abstract

To effectively remove N and P from eutrophic water, the Phragmites australis after phytoremediation was harvested for preparation of modified biochar. The MgCl2-modified biochar (MPB) was successfully synthesized at 600 °C under N2 circumstance. The physiochemical characteristics, the adsorption capacity for N and P in the simulated solution, and their adsorption mechanism of MPB were then determined, followed by the treatment of eutrophic water of Tai lake and its inflow river from agricultural source. The results demonstrated that the MPB presented high adsorption capacity to both simulated NH4-N and PO4-P with the maximum adsorption capacity exceeding 30 and 100 mg g−1, respectively. The entire ammonium adsorption process could be described by a pseudo-second-order kinetic model whereas the phosphate adsorption process could be divided into three phases, as described by both intra-particle diffusion model and the pseudo-first-order kinetic. It was further found that the dominant mechanism for ammonium adsorption was Mg2+ exchange instead of functional groups and surface areas and the Mg-P precipitation was the main mechanism for phosphate adsorption. The MPB also showed high removal ratio of practical TP which reached nearly 90% for both the water in Tai lake and its agricultural source. It suggested that MPB based on harvested P. australis was a promising composite for eutrophic water treatment and it could deliver multiple benefits.

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Loss of precuneus dendritic spines immunopositive for spinophilin is related to cognitive impairment in early Alzheimer’s disease

Publication date: Available online 4 February 2017
Source:Neurobiology of Aging
Author(s): Zhiping Mi, Eric E. Abrahamson, Angela Y. Ryu, Kenneth N. Fish, Robert A. Sweet, Elliott J. Mufson, Milos D. Ikonomovic
Precuneus (PreC) cortex is affected with amyloid plaques early in Alzheimer's disease (AD), and this pathology may be associated with alterations in PreC synapses and cognitive impairment. We quantified spinophilin-immunoreactive (ir) dendritic spine density and intensity of spinophilin immunofluorescence, the latter as a measure of relative protein levels of spinophilin, in PreC lamina III from 33 subjects with clinical diagnoses of no cognitive impairment (NCI), mild cognitive impairment (MCI), mild-moderate AD (mAD), or severe AD (sAD). Both measures of spinophilin were lower in mAD and sAD compared to NCI. The MCI group had higher relative protein levels of spinophilin compared to mAD and sAD, and higher spinophilin-ir dendritic spine density compared to sAD. Lower spinophilin-ir dendritic spine density and relative protein levels of spinophilin were associated with greater Aβ plaque burden, detected with a derivative of Pittsburgh compound-B (6-CN-PiB), and worse cognitive performance. Clinical onset of AD is marked by loss of PreC spinophilin-ir dendritic spines that is related to Aβ pathology and may contribute to cognitive symptoms early in the disease.



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Two hemocyte sub-populations of kuruma shrimp Marsupenaeus japonicus

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Publication date: May 2017
Source:Molecular Immunology, Volume 85
Author(s): Keiichiro Koiwai, Rod Russel R. Alenton, Reina Shiomi, Reiko Nozaki, Hidehiro Kondo, Ikuo Hirono
Hemocytes in the circulating hemolymph play important roles for immune responses in shrimp. Previous studies on immune responses by hemocytes in penaeid shrimp were based on gene expression analyses of the entire population of hemocytes and thus may have missed different immune responses of different hemocyte sub-populations. In this study, we separated hemocytes into two sub-populations by Percoll gradient centrifugation, morphological characteristics of each population were then analyzed by May–Giemsa staining, flow cytometry, and FACSCalibur. Results showed hemocytes were divided into an upper layer basophilic, and lower layer of eosinophilic hemocytes. Basophilic hemocytes were larger in size compared to eosinophilic hemocytes, which were more granulated than the basophilic hemocytes. Transcriptome analysis was then conducted through RNA-seq analysis by Miseq, which revealed 16 differentially-expressed transcripts between the two sub-populations. In the upper-layer, the highly expressed transcripts that were homologous to immune-related genes that suggest hemocytes from this layer may play as the regulator of immune system and control the action of other cells to eliminate pathogen. On the other hand, transcripts that were highly expressed in the lower-layer were homologous to the antimicrobial peptide (AMP) crustin, which supports that hemocytes on this layer have granules as crustins are normally secreted from hemocyte granules. The high expression of crustin in the lower-layer also provides insight on the mechanism of the anti-microbial function, where hemocytes produce and store AMPs in its granules. These differentially expressed genes are potential hemocyte molecular markers, and among them we identified one of the highly expressed genes in the hemocytes from the upper-layer (c11736_g1) to be a promising candidate molecular marker predicted to be a surface molecule, which is a common characteristic for molecular markers.



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Regulation and functions of NLRP3 inflammasome during influenza virus infection

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Publication date: Available online 4 February 2017
Source:Molecular Immunology
Author(s): Teneema Kuriakose, Thirumala-Devi Kanneganti
The NLRP3 inflammasome constitutes a major antiviral host defense mechanism during influenza virus infection. Inflammasome assembly in virus-infected cells facilitates autocatalytic processing of pro-caspase-1 and subsequent cleavage and secretion of proinflammatory cytokines IL-1β and IL-18. The NLRP3 inflammasome is critical for induction of both innate and adaptive immune responses during influenza virus infection. Inflammasome-dependent antiviral responses also regulate immunopathology and tissue repair in the infected lungs. The regulation of NLRP3 inflammasome assembly is an area of active research and recent studies have unraveled multiple cellular and viral factors involved in inflammasome assembly. Emerging studies have also identified the cross talk between inflammasome activation and programmed cell death pathways in influenza virus-infected cells. Here, we review the current literature regarding regulation and functions of NLRP3 inflammasome during influenza virus infection.



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Multimodal treatment of resectable pancreatic ductal adenocarcinoma

Publication date: Available online 4 February 2017
Source:Critical Reviews in Oncology/Hematology
Author(s): Nicola Silvestris, Oronzo Brunetti, Enrico Vasile, Francesco Cellini, Ivana Cataldo, Valeria Pusceddu, Monica Cattaneo, Stefano Partelli, Mario Scartozzi, Giuseppe Aprile, Andrea Casadei Gardini, Alessio Giuseppe Morganti, Vincenzo Valentini, Aldo Scarpa, Massimo Falconi, Angela Calabrese, Vito Lorusso, Michele Reni, Stefano Cascinu
After a timing preoperative staging, treatment of resectable pancreatic adenocarcinoma (PDAC) includes surgery and adjuvant therapies, the former representing the initial therapeutic option and the latter aiming to reduce the incidence of both distant metastases (chemotherapy) and locoregional failures (chemoradiotherapy). Herein, we provide a critical overview on the role of multimodal treatment in PDAC and on new opportunities related to current more active poli-chemotherapy regimens, targeted therapies, and the more recent immunotherapy approaches. Moreover, an analysis of pathological markers and clinical features able to help clinicians in the selection of the best therapeutic strategy will be discussed. Lastly, the role of neoadjuvant treatment of initially resectable disease will be considered mostly in patients whose malignancy shows morphological but not clinical or biological criteria of resectability. Depending on the results of these investigational studies, today a multidisciplinary approach can offer the best address therapy for these patients.



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Human Immunodeficiency Viruses and Human T-Cell Lymphotropic Viruses.

This volume evaluates the carcinogenic risk to humans posed by infections with human immunodeficiency viruses types 1 and 2 (HIV-1 and HIV-2) and human T-cell lymphotropic viruses types I and II (HTLV-I and HTLV-II). Although emphasis is placed on carcinogenicity assessment, the monographs also provide richly detailed descriptions of the viruses' genetic and structural features, methods of detection, routes of transmission, geographical distribution of infection, clinical manifestations of non-neoplastic disorders, and currently available methods of treatment and prevention.

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Using nationwide ‘big data’ from linked electronic health records to help improve outcomes in cardiovascular diseases: 33 studies using methods from epidemiology, informatics, economics and social science in the ClinicAl disease research using LInked Bespoke studies and Electronic health Records (CALIBER) programme.

The CALIBER programme linked four sources of electronic health record data to create a research platform and used that to identify ways of improving care for people at risk of, or with, cardiovascular diseases.

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Cerebral Palsy in Under 25s: Assessment and Management.

Recognition of clinical risk and management for people with cerebral palsy changes throughout their lives. Understanding the aetiology of the condition, and so minimising the risk and early impact on the brain, may directly affect lifelong outcomes. Throughout growth and development, the assessment and management of complex comorbidities can change the trajectory of patient pathways. With increased longevity, there are now probably at least 3 times as many adults as children with cerebral palsy and as such it presents a considerable challenge for health and social services in the 21st century.

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Editorial Board

Publication date: January 2017
Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 1





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Significance of uterine corpus tumor invasion in early-stage cervical cancer

Publication date: Available online 3 February 2017
Source:European Journal of Surgical Oncology (EJSO)
Author(s): Koji Matsuo, Hiroko Machida, Erin A. Blake, Tsuyoshi Takiuchi, Mikio Mikami, Lynda D. Roman
ObjectiveTo examine characteristics and survival outcomes of women with surgically-treated cervical cancer exhibiting uterine corpus tumor invasion.MethodsWe utilized The Surveillance, Epidemiology, and End Results Program to identify cervical cancer patients who underwent hysterectomy between 1973-2003. Logistic regression models were used to identify risk factors for uterine corpus tumor invasion on multivariable analysis. Association of uterine corpus tumor invasion and cause-specific survival (CSS) from cervical cancer was examined with Cox proportional hazard regression models on multivariable analysis.ResultsWe identified 837 (4.9%) cases of uterine corpus invasion and 16,237 (95.1%) cases of non-invasion. Median follow-up time was 14.0 years. There were 1,642 deaths due to cervical cancer. Uterine corpus invasion was independently associated with older age, non-squamous histology, high-grade tumors, large tumor size, and nodal metastasis on multivariable analysis (all, P<0.001). On univariable analysis, uterine corpus tumor invasion was significantly associated with decreased CSS compared to the non-invasion (5-year rates, 79.0% versus 94.5%, P<0.001). After controlling for other significant prognostic factors, uterine corpus tumor invasion remained an independent prognostic factor for decreased CSS (adjusted-hazard ratio 1.45, 95% confidence interval 1.21-1.74). Among stage T1b cases (n=6,730), uterine corpus tumor invasion remained an independent prognostic factor for decreased CSS (adjusted-hazard ratio 1.95, 95%CI 1.47-2.60). Uterine corpus tumor invasion was significantly associated with decreased CSS in stage T1b1 disease (74.5% versus 90.7%, P<0.001) and in stage T1b2 disease (67.0% versus 79.5%, P=0.01).ConclusionUterine corpus tumor invasion is an independent prognostic factor for decreased survival of women with early-stage cervical cancer.



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K3MB5O10 (M=Zn and Cd) with d10 configuration: Efficient and reusable catalysts for dehalogenation of halophenols

Publication date: 5 June 2017
Source:Applied Catalysis B: Environmental, Volume 206
Author(s): Xiaoyun Fan, Jing Lau, Kangrong Lai, Chuanyi Wang
Two isostructural d10 configuration non-centrosymmetric materials: K3ZnB5O10 (KZBO) and K3CdB5O10 (KCBO) can act as efficient and reusable catalysts in the dehalogenation of halophenols. More than 90% of the 2, 4-DXP were degraded within 10min with the dehalogenation efficiency 2, 4-DBP>2, 4-DCP>2, 4-DFP, the dehalogenation efficiency is almost 10 times higher than that of commercial P25 TiO2 catalyst in the present reaction conditions. The internal electric field due to the distorted [MO4] tetrahedral and [BO3] units promote the charge separation in the initial process of photoexcitation and d10 configuration of Zn and Cd with large dispersion is useful for photoexcited electron transfers without recombination, thus enhance the photocatalytic activity. The dehalogenation pathways with KCBO outlined both oxidative and reductive dehalogenation. Our work is expected to offer new insight into photocatalytic theory for better understandings to photocatalytic reactions and rational design and synthesis of photocatalysts with high activity.

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Treatment for residual stones using flexible ureteroscopy and holmium laser lithotripsy after the management of complex calculi with single-tract percutaneous nephrolithotomy

Abstract

This study validated the effectiveness and safety of the treatment for residual stones using flexible ureteroscopy (fURS) and holmium laser (0.6–1.2 J, 20–30 Hz) lithotripsy via a fiber with a 200-μm core diameter and 0.22 numerical aperture (NA) after the management of complex calculi with single-tract percutaneous nephrolithotomy (PCNL). Between January 2014 and June 2016, 27 consecutive patients with complex calculi underwent fURS and holmium laser lithotripsy after a planned single-tract PCNL. Among the 27 patients with complex calculi, 9 had full staghorn calculi, 7 had partial staghorn calculi, and 11 had multiple calculi. After the first single-tract PCNL session, the mean stone size and mean stone surface area were 18.0 ± 10.7 mm and 181.9 ± 172.2 mm2, respectively. Treatment for residual stones with fURS and holmium laser lithotripsy was successfully completed and was performed without intraoperative complications. The mean operative time of the fURS procedure was 69.1 ± 23.6 min, and the mean hospital stay was 5.3 ± 2.4 days. The mean decrease in the hemoglobin level was 7.3 ± 6.5 g/l. After the fURS procedure, the overall stone-free rate was 88.9%. The overall postoperative complication rate was 14.8% (Clavien grade I 11.1%; Clavien grade II 3.7%). The current approach tested here combines the advantages of both PCNL and fURS and effectively manages complex calculi with a high stone-free rate (SFR) (88.9%). This approach also reduced the number of treatment sessions, the number of percutaneous access tracts, and the blood loss and potential morbidity associated with multiple tracts.



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Lupus nephritis and pregnancy outcome

Publication date: Available online 3 February 2017
Source:Autoimmunity Reviews
Author(s): Karen Schreiber, Ksenija Stach, Savino Sciascia




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The relationship between ethnicity, social deprivation and late presentation of colorectal cancer

Publication date: April 2017
Source:Cancer Epidemiology, Volume 47
Author(s): Alan Askari, Subramanian Nachiappan, Andrew Currie, Andrew Latchford, Justin Stebbing, Alex Bottle, Thanos Athanasiou, Omar Faiz
IntroductionTumour staging at time of presentation is an important factor in determining survival in colorectal cancer. The aim of this paper is to investigate the relationship between ethnicity and deprivation in late (Stage IV) presentation of colorectal cancer.MethodsData from the Thames Cancer Registry comprising 77,057 colorectal cancer patients between the years 2000 and 2012 were analysed.ResultsA total of 17,348 patients were identified with complete data, of which 53.9% were male. Patients from a Black Afro/Caribbean background were diagnosed with CRC at a much younger age than the White British group (median age 67 compared with 72, p<0.001). In multiple regression, ethnicity, deprivation and age were positive predictors of presenting with advanced tumour stage at time of diagnosis. Black patients were more likely to present with Stage IV tumours than white patients (OR 1.37, 95% CI 1.18–1.59, p<0.001). Social deprivation was also a predictor of Stage IV cancer presentation, with the most deprived group (Quintile 5) 1.26 times more likely to be diagnosed with Stage IV cancer compared with the most affluent group (CI 1.13–1.40, p<0.001). Sub-group analyses demonstrated that Black & Affluent patients were still at greater risk of Stage IV CRC than their White & Affluent counterparts (OR 1.24, 95% CI 1.11–1.45, p=0.023). Patients with rectal cancer were less likely to present with Stage IV CRC (OR 0.66, 95% CI 0.61–0.71, p<0.001).ConclusionRacial and age related disparities exist in tumour presentation in the United Kingdom. Patients from black and socially deprived backgrounds as well as the elderly are more likely to present with advanced tumours at time of diagnosis.



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Net-shaped pyramidal carbon-based ceramic materials designed for terahertz absorbers

Publication date: 15 April 2017
Source:Materials & Design, Volume 120
Author(s): Srisaran Venkatachalam, Guillaume Ducournau, Jean-François Lampin, Djamila Hourlier
This study on polymer-derived ceramic (PDC) materials is devoted to the fabrication of 3D structures with vertically aligned pyramids and their optical properties at terahertz frequencies. The materials have been prepared by thermal conversion of a crosslinked polydimethylsiloxane precursor. Pyrolysis of starting polymer in an inert atmosphere yields a ceramic nanocomposite constituted of excess carbon embedded into a Silicon oxycarbide matrix. The excess carbon, essentially composed of small stacked graphene layers, is beneficial to absorption of terahertz radiation. In the frequency domain 500–750GHz, a gradual variation in refractive index and absorption coefficient was obtained by the progressive thermal transition of the polymer. For samples heat-treated at 1500°C, a reflectivity of – 3dB was obtained for planar surfaces, whereas pyramidal surfaces exhibited a much lower value of – 22dB when measured at oblique incidence and receiving angle of 60°.For the first time, the proof-of-concept for PDC as the absorber element in microbolometers, specifically dedicated to the terahertz domain has been demonstrated. The microbolometer with 3D absorber element exhibited a responsivity of 0.76V/W at bias current of 1mA, time constant of 180ms, and noise equivalent power of 2nW/Hz.

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Two-dimensional empirical mode decomposition of heavy metal spatial variation in agricultural soils, Southeast China

Abstract

The distribution of heavy metals in agricultural soils is affected by various anthropogenic activities and environmental factors occurring at different spatial scales. This paper introduced the two-dimensional empirical mode decomposition (2D-EMD) to separate the spatial variability in soil heavy metals into different scales. Geostatistics and multivariate analysis were also utilized to quantify their spatial structure and identify their potential influencing factors. The study was conducted in an arable land in southeastern China where 260 surface soil samples were collected and measured for total contents of cadmium (Cdtotal), mercury (Hgtotal), and sulfur (TS); pH; and soil organic carbon content (SOC). The results showed that both Cdtotal and Hgtotal had high coefficients of variation. The overall variation in all five soil variables was separated into three intrinsic mode functions (IMFs) and spatial residues. All three IMFs had short-range spatial correlations (1–8 km), while the spatial residues had moderate–large spatial ranges (13–39 km). IMF1 of Cdtotal was strongly correlated with IMF1 of SOC and TS, which was consistent with the principal component analysis. This indicated that IMF1 of Cdtotal represented local variations which were influenced by agricultural activities. IMFs of Hgtotal showed clustered distributions in the study area, with IMF1 and IMF2 of Hgtotal correlated in one principal component, and IMF3 of Hgtotal and IMF3 of soil pH in another component. This indicated that all three IMFs of Hgtotal might be influenced by different industrial activities or different pathways of the same industrial activities. The residues of Cdtotal and Hgtotal, representing the regional trends, only accounted for 26% of the total variance, whereas IMF1 contributed about half of the total variance. It can be concluded that agricultural activities and industrial activities were the dominant contributors of the overall variations in Cdtotal and Hgtotal in the study area, respectively.



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Effects of selenite and selenate application on distribution and transformation of selenium fractions in soil and its bioavailability for wheat ( Triticum aestivum L.)

Abstract

This study investigated the effect of selenate and selenite application on the distribution, transformation of selenium (Se) fractions in soil, as well as the accumulation and availability of Se in each part of wheat plants. A pot experiment was conducted using different concentrations of exogenous selenite or selenate (0.5, 1, 2.5, 5, and 10 mg Se kg−1 soil). Sequential extraction was used to determine the Se fractions in soil, and different models were used to study the behavior of Se in soil and its availability to wheat. Results showed that the distribution and availability of Se in soil and its accumulation in wheat affected both by Se concentrations and forms of exogenous Se. In selenite-treated soil, the proportion of exchangeable and carbonate-bound Se (EXC–Se) (21–42%) fraction increased compared to that in control (12%), while organic matter-bound Se (OM–Se) (23–33%) and Fe–Mn oxide-bound Se (FMO–Se) (11–15%) fractions decreased compare with those in control (37 and 32%, respectively). In selenate-treated soil, soluble-Se (SOL–Se) fraction (30–54%) increased and the OM–Se (9.8–20%) and FMO–Se (4.7–14.2%) fractions decreased compared with those in control. Residual Se (RES–Se) fraction was increased for selenite (7.4–13.4%) and selenate (12–20%) treatments compared with that in control (6.5%). In comparison with control, the available Se (SOL−Se + EXC−Se) fraction increased for both selenite (32–47%) or selenate (54–72%) treatments. Moreover, at the same rate of Se application, Se availability was higher in wheat grown in selenate-treated soils than that in selenite-treated soils. The redistribution index (U ts) of Se increased from 1 (in control) to 1.2–1.9 and 1.5–2 for selenite and selenate treatments, respectively; additionally, the mobility factor (MF) in selenate-treated soil was 40–90% higher than that in selenite-treated soil. Furthermore, relative bonding intensity (I R ) for both selenite (0.38–0.45) and selenate treatment (0.33–0.41) decreased compared with that in control (0.55). These differences indicated that selenite and selenate varied in terms of fixation capacities in soil, in transformation and distribution of Se in soil fractions, and in their availability to plants. The results of Michaelis–Menten equation demonstrated the high affinity of leaf to selenate, and the high affinity of roots and grains to selenite. Selenate was dominant in nearly all parts of wheat plants and in each application level. However, the affinity of selenite to wheat grains suggests that selenite is a useful Se fertilizer that must be considered in biofortification programs. In-depth studies at the pot and field scales by using different wheat varieties and application methods of Se in different ecological zones must be conducted to elucidate the mechanism and biochemical properties of Se in soil-plant system and ultimately produce Se-rich staple foods.



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Aryl hydrocarbon receptor (AhR) rs2066853 gene polymorphism association with infertile oligoasthenoteratozoospermic men and seminal oxidative stress

Abstract

This study aimed to assess the association between aryl hydrocarbon receptor (AhR) rs2066853 gene polymorphism with infertile oligoasthenoteratozoospermic (OAT) men and seminal oxidative stress (OS). A total of 170 Egyptian men were allocated according to their semen analysis into fertile normozoospermic controls (n = 50) and infertile OAT men (n = 120). They were subjected to history taking, clinical examination, semen analysis, estimation of seminal glutathione peroxidase (GPx), and malondialdehyde (MDA). AhR rs2066853 gene polymorphism was identified in the blood by PCR-RFLP. Comparing infertile OAT men with fertile controls, AhR rs2066853 genotypes showed decreased prevalence for wild homozygous genotype GG (35.8 vs 56%) and for heterozygous genotype GA (17.5 vs 30%) and an increased prevalence for homozygous genotype AA (46.7 vs 14%). Distribution of alleles of AhR rs2066853 among OAT men compared with fertile men showed decreased prevalence of G allele (44.6 vs 71%) and an increased prevalence of A allele (55.4 vs 29%). Seminal MDA demonstrated significant increase whereas seminal GPx demonstrated significant decrease in cases with AA and GA/AA genotypes compared to cases with GG genotype. It is concluded that there is a significant association between AhR rs2066853 genotype polymorphism with decreased sperm parameters as well as increased seminal oxidative stress in infertile OAT men.



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Phytantriol based smart nano-carriers for drug delivery applications

Publication date: 1 April 2017
Source:European Journal of Pharmaceutical Sciences, Volume 101
Author(s): Samina Akbar, Aneela Anwar, Abdullah Ayish, Joanne M Elliott, Adam M Squires
From the last couple of decades, lyotropic liquid crystals have garnered enormous attentions in medical and pharmaceutical sciences. Non-toxic, chemically stable, and biocompatible properties of these liquid crystal systems are contributing to their applications for drug delivery. Among a large variety of liquid crystal phases, inverse bicontinuous cubic and inverse hexagonal mesophases have been extensively investigated for their ability to encapsulate and controlled release of bioactive molecules of various sizes and polarity. The concept of changing the drug release rate in situ by simply changing the mesophase structure is much more fascinating. The encapsulation of bioactive compounds in mesophase systems of desirable features in sub-micron sized particles such as hexosomes and cubosomes, at ambient and high temperature is bringing innovation in the development of new drug applications. This review article outlines unique structural features of cubosomes and hexosomes, their methods of productions, factors affecting their formations and their potential utilization as smart nano-carriers for biopharmaceuticals in drug delivery applications.

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New nitrofurans amenable by isocyanide multicomponent chemistry are active against multidrug-resistant and poly-resistant Mycobacterium tuberculosis

Publication date: Available online 4 February 2017
Source:Bioorganic & Medicinal Chemistry
Author(s): Mikhail Krasavin, Vladislav Parchinsky, Grigory Kantin, Olga Manicheva, Marine Dogonadze, Tatiana Vinogradova, Bianka Karge, Mark Brönstrup
A set of structurally diverse N-amino δ-lactams decorated with a 5-nitro-2-furyl moiety was synthesized using isocyanide-based multicomponent chemistry and evaluated for antibacterial activity. Three compounds displayed a selective and potent (MIC 22-33 μM) inhibition of M. tuberculosis H37Rv strain growth, while other Gram-positive (MRSA and E. faecium) or Gram-negative (E. coli, P. aeruginosa, A. baumannii, K. pneumoniae) pathogens were not affected. The compounds also displayed moderate-low cytotoxicity, as demonstrated in cell line viability assays. Several multidrug- and poly-resistant patient-derived M. tuberculosis strains were found to be susceptible to treatment with these compounds. The three most potent compounds share a significant structural similarity which provides a basis for further scaffold-hopping analog design.

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Synthesis, biological evaluation and molecular docking analysis of 2-phenyl-benzofuran-3-carboxamide derivatives as potential inhibitors of Staphylococcus aureus Sortase A

Publication date: 15 February 2017
Source:Bioorganic & Medicinal Chemistry, Volume 25, Issue 4
Author(s): Wan He, Yong Zhang, Jian Bao, Xinxian Deng, Jennifer Batara, Shawn Casey, Qiuyuan Guo, Faqin Jiang, Lei Fu
In Gram-positive bacteria, Sortase A (Srt A) is a critical cysteine transpeptidase that is responsible for recognizing and assembling surface virulence proteins through the recognition of a LPXTG (leucine, proline, X, threonine, and glycine, where X is any amino acid) signal. Mutants lacking genes for Srt A attenuate infections without affecting microbial viability. Here a series of 2-phenyl-benzofuran-3-carboxamide derivatives were synthesized and identified as potent Srt A inhibitors. Activity assays revealed that multiple compounds exhibited excellent inhibitory activity against Srt A compared with known Sortase A inhibitor pHMB (IC50=130μM). Structural activity relationships (SARs) demonstrated that the amide group at 3-position was essential for inhibitory activity. Replacement of the hydroxyl group at the 2-phenyl position of benzofuran with other substitutions such as a methoxyl, halogen or nitro group reduced the enzyme inhibitory activity in most cases. The compound Ia-22 was found to be the most potent inhibitor against the enzyme with an IC50 value of 30.8μM. Molecular docking studies showed Ia-22 shared similar binding pattern with substrate LPXTG in the binding pocket of Srt A (PDB: 2KID) including i-butyl stretching, L-shape pattern kinking, and H-bond interaction with Srt A functional site residues Cys184, Trp194 and Arg197.

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Editorial board

Publication date: 15 February 2017
Source:Bioorganic & Medicinal Chemistry, Volume 25, Issue 4





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Synthesis, anticholinesterase activity and molecular modeling study of novel carbamate-substituted thymol/carvacrol derivatives

Publication date: 15 February 2017
Source:Bioorganic & Medicinal Chemistry, Volume 25, Issue 4
Author(s): Belma Zengin Kurt, Isil Gazioglu, Aydan Dag, Ramin Ekhteiari Salmas, Gülru Kayık, Serdar Durdagi, Fatih Sonmez
New thymol and carvacrol derivatives with the carbamate moiety were synthesized and their inhibitory effects on acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) were evaluated. 5-isopropyl-2-methylphenyl(3-fluorophenyl)carbamate (29) was found to be the most potent AChE inhibitor with IC50 values of 2.22μM, and 5-isopropyl-2-methylphenyl (4-fluorophenyl)carbamate (30) exhibited the strongest inhibition against BuChE with IC50 value of 0.02μM. Additionally, the result of H4IIE hepatoma cell toxicity assay for compounds 18, 20, 29, 30 and 35 showed negligible cell death at 0.07–10μM. Moreover in order to better understand the inhibitory profiles of these molecules, molecular modeling studies were applied. Binding poses of studied compounds at the binding pockets of AChE and BuChE targets were determined. Predicted binding energies of these compounds as well as structural and dynamical profiles of molecules at the target sites were estimated using induced fit docking (IFD) algorithms and post-processing molecular dynamics (MD) simulations methods (i.e., Molecular mechanics Poisson–Boltzmann surface area (MM-PBSA) approaches).

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