Effect of elastic loading on ventilatory pattern during progressive exercise

Ventilatory responses to progressive exercise, with and without an inspiratory elastic load (14.0 cmH2O/l), were measured in eight healthy subjects. Mean values for unloaded ventilatory responses were 24.41 +/- 1.35 (SE) l/l CO2 and 22.17 +/- 1.07 l/l O2 and for loaded responses were 24.15 +/- 1.93 l/l CO2 and 20.41 +/- 1.66 l/l O2 (P greater than 0.10, loaded vs. unloaded). At levels of exercise up to 80% of maximum O2 consumption (VO2max), minute ventilation (VE) during inspiratory elastic loading was associated with smaller tidal volume (mean change = 0.74 +/- 0.06 ml; P less than 0.05) and higher breathing frequency (mean increase = 10.2 +/- 0.98 breaths/min; P less than 0.05). At levels of exercise greater than 80% of VO2max and at exhaustion, VE was decreased significantly by the elastic load (P less than 0.05). Increases in respiratory rate at these levels of exercise were inadequate to maintain VE at control levels. The reduction in VE at exhaustion was accompanied by significant decreases in O2 consumption and CO2 production. The changes in ventilatory pattern during extrinsic elastic loading support the notion that, in patients with fibrotic lung disease, mechanical factors may play a role in determining ventilatory pattern.     

Phage display selection of hairpin loop soyacystatin variants that mediate high affinity inhibition of a cysteine proteinase

Two hairpin-loop domains in cystatin family proteinase inhibitors form an interface surface region that slots into the active site cleft of papain-like cysteine proteinases, and determine binding affinity. The slot region surface architecture of the soybean cysteine proteinase inhibitor (soyacystatin N, scN) was engineered using techniques of in vitro molecular evolution to define residues that facilitate interaction with the proteinase cleft and modulate inhibitor affinity and function. Combinatorial phage display libraries of scN variants that contain mutations in the essential motifs of the first (QVVAG) and second (EW) hairpin-loop regions were constructed. Approximately 1010-1011 phages expressing recombinant scN proteins were subjected to biopanning selection based on binding affinity to immobilized papain. The QVVAG motif in the first hairpin loop was invariant in all functional scN proteins. All selected variants (30) had W79 in the second hairpin-loop motif, but there was diversity for hydrophobic and basic amino acids in residue 78. Kinetic analysis of isolated scN variants identified a novel scN isoform scN(LW) with higher papain affinity than the wild-type molecule. The variant contained an E78L substitution and had a twofold lower Ki (2.1 pM) than parental scN, due to its increased association rate constant (2.6 +/- 0.09 x 107 M-1sec-1). These results define residues in the first and second hairpin-loop regions which are essential for optimal interaction between phytocystatins and papain, a prototypical cysteine proteinase. Furthermore, the isolated variants are a biochemical platform for further integration of mutations to optimize cystatin affinity for specific biological targets.     

Tissue-specific activation of the osmotin gene by ABA,C2H4 and NaCl involves the same promoter region

The gene encoding the antifungal protein osmotin is induced by several hormonal and environmental signals. In this study, tissue-specific and inducer-mediated expression of the reporter gene -glucuronidase (uidA) fused to different fragment lengths of the osmotin promoter was evaluated in transgenic tobacco (Nicotiana tabacum). The region of the promoter between –248 to –108 (Fragment A) was found to be essential and sufficient for inducer (abscisic acid (ABA), C₂H₄ and NaCl)-mediated expression of the reporter gene. Expression of the reporter gene was developmentally regulated and increased with maturity of leaves, stem and flowers. Expression also was tissue-specific being most highly expressed in epidermis and vascular parenchyma of the stem. The regulators ABA, C₂H₄ and NaCl exhibited tissue-specific induction of this promoter. The promoter was specifically responsive to C₂H₄ in flowers at virtually all stages of development, but not responsive in these tissues to ABA or NaCl. Conversely, ABA and NaCl were able to induce reporter gene activity using promoter Fragment A in specific tissues of root where C₂H₄ was unable to induce activity. Further dissection of the promoter Fragment A into fragments containing either the conserved GCC element (PR); PR/AT; or G/AT sequences, and subsequent testing of these fragments fused to GUS in transgenic plants was performed. These experiments revealed that the promoter fragment containing PR element alone, although required, was barely able to allow responsiveness to C₂H₄. However, significant C₂H₄-induced activity was obtained with a promoter fragment containing the AT and PR elements together.     

Large quantities of recombinant PR-5 proteins from the extracellular matrix of tobacco: Rapid production of microbial-recalcitrant proteins

A procedure for the extraction of large quantities of PR-5 proteins that have been recalcitrant to microbial-based expression systems is described. Targeting of the recombinant proteins to the extracellular matrix allowed efficient protein extraction by a vacuum infiltration/centrifugation system. Approximately 1 kg of fresh leaves from transgenic tobacco plants overexpressing either truncated osmotin (Liu et al., 1996) or A9 fromAtriplex nummularia L. (Casas et al., 1991) yielded between 3 and 5 mg of purified proteins that fully retained their antifungal activity. The entire system of overexpression, extraction, and purification could be easily scaled up for the production of several grams of protein.     

Loss of Halophytism by Interference with SOS1 Expression

The contribution of SOS1 (for Salt Overly Sensitive 1), encoding a sodium/proton antiporter, to plant salinity tolerance was analyzed in wild-type and RNA interference (RNAi) lines of the halophytic Arabidopsis (Arabidopsis thaliana)-relative Thellungiella salsuginea. Under all conditions, SOS1 mRNA abundance was higher in Thellungiella than in Arabidopsis. Ectopic expression of the Thellungiella homolog ThSOS1 suppressed the salt-sensitive phenotype of a Saccharomyces cerevisiae strain lacking sodium ion (Na⁺) efflux transporters and increased salt tolerance of wild-type Arabidopsis. thsos1-RNAi lines of Thellungiella were highly salt sensitive. A representative line, thsos1-4, showed faster Na⁺ accumulation, more severe water loss in shoots under salt stress, and slower removal of Na⁺ from the root after removal of stress compared with the wild type. thsos1-4 showed drastically higher sodium-specific fluorescence visualized by CoroNa-Green, a sodium-specific fluorophore, than the wild type, inhibition of endocytosis in root tip cells, and cell death in the adjacent elongation zone. After prolonged stress, Na⁺ accumulated inside the pericycle in thsos1-4, while sodium was confined in vacuoles of epidermis and cortex cells in the wild type. RNAi-based interference of SOS1 caused cell death in the root elongation zone, accompanied by fragmentation of vacuoles, inhibition of endocytosis, and apoplastic sodium influx into the stele and hence the shoot. Reduction in SOS1 expression changed Thellungiella that normally can grow in seawater-strength sodium chloride solutions into a plant as sensitive to Na⁺ as Arabidopsis.Accompanying the production and accumulation of osmolytes and other protective molecules, an important aspect of plant responses leading to salt stress tolerance is the regulation of uptake, reexport, and control over the distribution of sodium ions (Na⁺; Hasegawa et al., 2000; Tester and Davenport, 2003). Na⁺ appear to enter the root by several pathways (Essah et al., 2003; Pardo et al., 2006), although the nature of participating genes and their interaction in pathways require further investigation. Once Na⁺ has entered the root endodermis, a tissue that represents a barrier to ions (Peng et al., 2004), it is generally assumed that the ion enters the xylem following the movement of water to aerial parts of the plant. Despite substantial efflux of Na⁺ across the plasma membrane of root cells, the net flux of Na⁺ is unidirectional from soil to roots and then to the shoot, except for possible recirculation via the phloem (Tester and Davenport, 2003). In a range of species, the severity of damaging symptoms is positively correlated with the content of Na⁺ reaching photosynthetic tissues (Davenport et al., 2005; Ren et al., 2005; Munns et al., 2006). However, halophytic species can accumulate very high amounts of Na⁺ in vacuoles, such that Na⁺ may account for most of the total cellular osmotic potential (Tester and Davenport, 2003), and the presence of Na⁺ accelerates growth in euhalophytes to some degree (Adams et al., 1998). Emerging as the major advantage of halophytes appears to be their exceptional control over Na⁺ influx combined with export mechanisms, the ability to coordinate its distribution to various tissues, and efficient sequestration of Na⁺ into vacuoles. These characteristics are of particular advantage when plants are subjected to a sudden increase of Na⁺ salts in their environment (Hasegawa et al., 2000), whereas gradual increases in Na⁺ may be tolerated even by plants that are not halophytic in nature.Na⁺-ATPases, major Na⁺ export systems in organisms such as fungi and the moss Physcomitrella patens, have not been found in higher plants (Lunde et al., 2007). In Arabidopsis (Arabidopsis thaliana), transporters of monovalent (alkali) cations, such as HKT1 (Berthomieu et al., 2003; Rus et al., 2004), members of the NHX family (Yamaguchi et al., 2005; Pardo et al., 2006), and SOS1 (for Salt Overly Sensitive 1; Shi et al., 2000, 2002, 2003), have been shown to play roles in the movement and distribution of Na⁺ ions. Studies have shown the involvement of nonselective ion channels with roles in the transport of Na⁺ ions, but the genes encoding such function(s) have not been identified (Demidchik and Maathuis, 2007). SOS1, whose deletion resulted in a strong salt-sensitivity phenotype in Arabidopsis, encodes a plasma membrane Na⁺/H⁺ antiporter involved in removing Na⁺ ions from cells (Shi et al., 2000). This efflux strategy, which may be sufficient for the survival of unicellular organisms, must be accompanied by other means of Na⁺ confinement to avoid carryover of Na⁺ between cells in futile cycles. Hence, the physiological role of a plasma membrane Na⁺/H⁺ antiporter must be embedded in the context of tissue, organ, and whole plant distribution of ions and their transporters. A recent discovery on cell layer-specific differential responses to the salt stress of root cells supported this notion (Dinneny et al., 2008).In Arabidopsis, the SOS1 gene is most strongly expressed in the epidermis of the root tip region and in cells adjacent to vascular tissues (Shi et al., 2002). Based on the salt concentration in shoot, root, and xylem sap of wild-type Arabidopsis and its sos1 knockout mutants, the SOS1 antiporter is assumed to function in Na⁺ export under severe salt stress conditions (Shi et al., 2002). However, detailed knowledge about how a Na⁺ excluder achieves salt tolerance in a multicellular eukaryote is still missing. Significantly also, even though SOS1 has been an intensely studied component of the ion homeostasis mechanism, its involvement in the exceptional salt tolerance of halophytes is not known.Thellungiella salsuginea (salt cress), which had before been called T. halophila by us, is a close relative of Arabidopsis, which has become a model to study the genetic basis of this plant''s extreme tolerance to a variety of abiotic stress factors, including salinity (Inan et al., 2004; Gong et al., 2005; Vera-Estrella et al., 2005; Volkov and Amtmann, 2006; Amtmann, 2009). Thellungiella lacks specialized morphological structures, such as salt glands or large sodium storage cells found in other halophytes, making it a useful model for studying stress tolerance mechanisms that could be applicable to further understanding or to embark on engineering of conventional crops (Inan et al., 2004). Recently, it has been reported that Thellungiella had lower net Na⁺ uptake compared with Arabidopsis. The unidirectional influx of Na⁺ ions to roots appeared to be more restricted and/or tightly controlled in Thellungiella than in Arabidopsis. To compensate for greater influx, Arabidopsis roots showed higher Na⁺ efflux (Wang et al., 2006).Here, we wished to explore the role(s) by which ThSOS1, the SOS1 homolog in Thellungiella, could be involved in shaping the halophytic character of the species using ectopic expression of the gene in yeast and in Arabidopsis and Thellungiella SOS1-RNA interference (RNAi) lines. The results identified ThSOS1 as a genetic element whose activity limits Na⁺ accumulation and affects the distribution of Na⁺ ions at high concentration, thus acting as a major tolerance determinant.     

Comparison of glottic areas measured by acoustic reflections vs. computerized tomography

We compared measurements of glottic area obtained by acoustic reflection technique with anatomically equivalent area measured from computerized tomographic (CT) scans of the neck in 11 subjects with glottic pathology. Both measurements were performed in the supine position during tidal breathing at functional residual capacity. We found excellent agreement in glottic areas obtained by both methods: the mean (+/- SD) values were 1.8 +/- 0.8 cm2 for the acoustic method and 1.7 +/- 0.9 cm2 for the CT method. Linear regression analysis revealed the following relationship between the area measured by acoustic technique (AAC) and that measured by CT (ACT): AAC = 0.81.ACT + 0.36. There was a significant correlation between the two measurements of glottic area (r = 0.95, P less than 0.0001). We conclude that the acoustic reflection technique may be used reliably in clinical and physiological studies concerned with glottic geometry.     

Catalytic competence of the Ras-GEF domain of hSos1 requires intra-REM domain interactions mediated by phenylalanine 577

The Ras-specific guanine nucleotide exchange region of hSos1 consists of two consecutive domains: the catalytic core (residues 742-1024) contains all residues binding to Ras, including the catalytic hairpin, and an upstream REM domain (residues 553-741), so called because it contains an evolutionary conserved Ras Exchange Motif (REM). We functionally define the boundaries of the REM domain through a combination of in vivo and in vitro assays. We show that an intra-REM domain interaction, mediated by phenylalanine 577, is required to allow interaction of the REM domain with the catalytic core, constraining it in the active conformation.     

Efficacy and safety of once-daily NVA237 in patients with moderate-to-severe COPD: the GLOW1 trial

Background

NVA237 is a once-daily dry-powder formulation of the long-acting muscarinic antagonist glycopyrronium bromide in development for the treatment of chronic obstructive pulmonary disease (COPD). The glycopyrronium bromide in COPD airways clinical study 1 (GLOW1) evaluated the efficacy, safety and tolerability of NVA237 in patients with moderate-to-severe COPD.

Methods

Patients with COPD with a smoking history of ≥ 10 pack-years, post-bronchodilator forced expiratory volume in 1 second (FEV₁) < 80% and ≥ 30% predicted normal and FEV₁/forced vital capacity < 0.70 were enrolled. Patients were randomized to double-blind treatment with NVA237 50 μg once daily or placebo for 26 weeks with inhaled/intranasal corticosteroids or H₁ antagonists permitted in patients stabilized on them prior to study entry. The primary outcome measure was trough FEV₁ at Week 12.

Results

A total of 822 patients were randomized to NVA237 (n = 552) or placebo (n = 270). Least squares mean (± standard error) trough FEV₁ at Week 12 was significantly higher in patients receiving NVA237 (1.408 ± 0.0105 L), versus placebo (1.301 ± 0.0137 L; treatment difference 108 ± 14.8 mL, p < 0.001). Significant improvements in trough FEV₁ were apparent at the end of Day 1 and sustained through Week 26. FEV₁ was significantly improved in the NVA237 group versus placebo throughout the 24-hour periods on Day 1 and at Weeks 12 and 26, and at all other visits and timepoints. Transition dyspnoea index focal scores and St. George''s Respiratory Questionnaire scores were significantly improved with NVA237 versus placebo at Week 26, with treatment differences of 1.04 (p < 0.001) and-2.81 (p = 0.004), respectively. NVA237 significantly reduced the risk of first moderate/severe COPD exacerbation by 31% (p = 0.023) and use of rescue medication by 0.46 puffs per day (p = 0.005), versus placebo. NVA237 was well tolerated and had an acceptable safety profile, with a low frequency of cardiac and typical antimuscarinic adverse effects.

Conclusions

Once-daily NVA237 was safe and well tolerated and provided rapid, sustained improvements in lung function, improvements in dyspnoea, and health-related quality of life, and reduced the risk of exacerbations and the use of rescue medication.

Trial registration

ClinicalTrials.gov: NCT01005901