Compensatory Effect between Aortic Stiffening and Remodelling during Ageing

The arterial tree exhibits a complex spatio-temporal wave pattern, whose healthy behaviour depends on a subtle balance between mechanical and geometrical properties. Several clinical studies demonstrated that such a balance progressively breaks down during ageing, when the aorta stiffens and remodels by increasing its diameter. These two degenerative processes however, have different impacts on the arterial wave pattern. They both tend to compensate for each other, thus reducing the detrimental effect they would have had if they had arisen individually. This remarkable compensatory mechanism is investigated by a validated multi-scale model, with the aim to elucidate how aortic stiffening and remodelling quantitatively impact the complex interplay between forward and reflected backward waves in the arterial network. We focus on the aorta and on the pressure at the ventricular-aortic interface, which epidemiological studies demonstrate to play a key role in cardiovascular diseases.     

Remodelling of the intestinal ecosystem during caloric restriction and fasting

Benefits of fasting and caloric restriction on host metabolic health are well established, but less is known about the effects on the gut microbiome and how this impacts renewal of the intestinal mucosa. What has been repeatedly shown during fasting, however, is that bacteria utilising host-derived substrates proliferate at the expense of those relying on dietary substrates. Considering the increased recognition of the gut microbiome’s role in maintaining host (metabolic) health, disentangling host–microbe interactions and establishing their physiological relevance in the context of fasting and caloric restriction is crucial. Such insights could aid in moving away from associations of gut bacterial signatures with metabolic diseases consistently reported in observational studies to potentially establishing causality. Therefore, this review aims to summarise what is currently known or still controversial about the interplay between fasting and caloric restriction, the gut microbiome and intestinal tissue physiology.     

Remodelling during the development of nematocysts in a siphonophore

Remodelling of a smoothly tapering internal tubule to form the enlarged shaft of microbasic mastigophores of the siphonophore Rosacea takes place very late in development. It occurs after deployment of the nematocyst in its final position, and after the pleats of the internal tubule have been completely obliterated in the shaft region by the growth of spine material. The optical and mechanical properties of the internal tubule at the earlier (bedspring) stage give no hint that a shaft will develop. The possible ways in which remodelling might occur inside the capsule and remote from the cytoplasm are discussed.     

Remodelling of the endoplasmic reticulum during store-operated calcium entry

SOCE (store-operated calcium entry) is a ubiquitous cellular mechanism linking the calcium depletion of the ER (endoplasmic reticulum) to the activation of PM (plasma membrane) Ca2+-permeable channels. The activation of SOCE channels favours the entry of extracellular Ca2+ into the cytosol, thereby promoting the refilling of the depleted ER Ca2+ stores as well as the generation of long-lasting calcium signals. The molecules that govern SOCE activation comprise ER Ca2+ sensors [STIM1 (stromal interaction molecule 1) and STIM2], PM Ca2+-permeable channels {Orai and TRPC [TRP (transient receptor potential) canonical]} and regulatory Ca2+-sensitive cytosolic proteins {CRACR2 [CRAC (Ca2+ release-activated Ca2+ current) regulator 2]}. Upon Ca2+ depletion of the ER, STIM molecules move towards the PM to bind and activate Orai or TRPC channels, initiating calcium entry and store refilling. This molecular rearrangement is accompanied by the formation of specialized compartments derived from the ER, the pre-cER (cortical ER) and cER. The pre-cER appears on the electron microscope as thin ER tubules enriched in STIM1 that extend along microtubules and that are devoid of contacts with the PM. The cER is located in immediate proximity to the PM and comprises thinner sections enriched in STIM1 and devoid of chaperones that might be dedicated to calcium signalling. Here, we review the molecular interactions and the morphological changes in ER structure that occur during the SOCE process.     

氨氯地平联合美托洛尔治疗原发性高血压的临床疗效观察

目的：观察氨氯地平联合美托洛尔治疗高血压的临床效果及安全性。方法：对2012年4月至2012年11月期间在我科住院治疗的102例患者随机分成两组,对照组接受氨氯地平治疗,治疗组在对照组的基础上使用美托洛尔治疗,分析比较两组的疗效。结果：治疗组和对照组的血压以及心率较治疗前明显降低,差异有统计学意义（P〈0．01）;治疗组治疗后的舒张压与对照组治疗后的舒张压相比,差异有统计学意思（P〈0．01）;治疗组的总有效率高于对照组（P〈0．05）;治疗组的副反应低于对照组（P〈0．05）。结论：氨氯地平联合美托洛尔治疗高血压效果显著,优于单纯应用氨氯地平。     

免疫细胞治疗联合化疗治疗晚期卵巢癌的疗效及对血清CCL-18 水平的影响

目的:观察免疫细胞治疗联合化疗治疗晚期卵巢癌的疗效,及该疗法对血清趋化因子配体18(CCL-18)的影响。方法:收集2013年1月-2014年6月我院收治的Ⅳ期卵巢癌患者180例,根据随机数字表法将患者分为对照组和治疗组,各90例,对照组采用单纯化疗,治疗组在化疗基础上联合免疫细胞治疗,观察两组患者的治疗疗效,用酶联免疫吸附实验(ELISA)检测两组治疗前后血清CCL-18水平。结果:治疗组总有效率(ORR)为65.56%,显著高于对照组的41.11%,差异有统计学意义(P=0.001);与治疗前比较,两组患者治疗后血清CCL-18均降低,且治疗组下降更明显(P=0.000)。结论:免疫细胞治疗联合化疗治疗晚期卵巢癌的疗效确切显著,能显著降低患者血清CCL-18的水平,值得临床推广使用。     

Remodelling of the nuclear periphery during muscle cell differentiation in vitro

We have examined the composition and ultrastructure of the nuclear periphery during in vitro myogenesis of the rat myoblast cell line, L6E9. Immunofluorescence labelling and immunoblotting showed that lamins A/C and B were all present in undifferentiated cells, but that they increased significantly before extensive cell fusion had occurred, with lamins A/C increasing proportionately more. Electron microscopic observations were consistent with these results, showing an increase in the prominence of the lamina during differentiation. On the other hand, immunofluorescence labelling suggested that the P1 antigen began to disappear from the nuclear periphery as the cells were fusing, after the increase in lamin quantity, and was no longer detectable in multinucleated cells. Unexpectedly, however, P1 was readily detected in isolated nuclei, whether prepared from myoblast or differentiated cultures, as well as in both myoblast and myotube nuclear matrices. It appears probable, therefore, that the fading of P1 labelling is due to masking of the epitope by a soluble factor recruited to the nuclear periphery as cells differentiate. These data, together with evidence that the genome is substantially rearranged during L6E9 myogenesis [Chaly and Munro, 1996], suggest that L6E9 cells are a useful model system in which to study the interrelationship of nuclear envelope organization, chromatin spatial order, and nuclear function. © 1996 Wiley-Liss, Inc.     

Remodelling of the vertebral axis during metamorphic shrinkage in the pearlfish

Body shortening was observed in the pearlfish Carapus homei during metamorphosis. The tenuis larva at first possessed a suite of osseous vertebral bodies of similar length. The reduction in both the number and size of vertebrae followed increasing decalcification, degeneration of organic tissue and shortening. This involved a complete degradation and disappearance of the caudal tip vertebrae, and there was a reduction in the size of most of the remaining vertebrae. The further development of the vertebrae began with ossification of the neural and haemal arches before that of the vertebral body. This second part of the development followed a gradient: a gradual decreases towards the caudal tip in the size of the vertebrae and their completeness.     

Biofilm Formation and its Impact on Antifungal Therapy

Fungi can protect themselves from host defences and antifungal drugs by the production of an extracellular hydrophobic matrix. Candida biofilms exhibit resistance to antifungal agents from all classes including the azoles, echinocandins, amphotericin B complex, and flucytosine. Although demonstrated on polystyrene and bronchial epithelia cells, until today, only indirect evidence for A. fumigatus biofilms in patients is available. The antifungals with the most activity against biofilms are the liposomal formulation of amphotericin B and agents in the echinocandin drug class. Importantly, echinocandins show excellent anti-biofilm activity against C. albicans at therapeutic concentrations. However, other biofilms formed by moulds, including A. fumigatus, are relatively resistant to echinocandins. Multiple mechanisms contribute to the intrinsic and acquired antifungal resistance during the different stages of fungal biofilm development. During the growth phase of the early biofilm various factors account for biofilm resistance. Combinational and sequential antifungal therapy as well as combination with enhancers can improve the effect of a single drug. Further studies are warranted to develop new therapeutic strategies targeting fungal biofilm-specific resistance mechanisms.     

Physiological Factors Responsible for the Development of Osteopenia under Conditions of Mechanical Unloading

A summary of results of investigations by the author and a brief review of some literature data on human bone tissue deprived of mechanical loading (spaceflight, hypokinesia) is given. The direction and markedness of changes in bone mass—the bone mineral density and the bone mineral content—in different skeletal segments depend on their position relative to the gravity vector. A theoretically expected bone mass reduction was revealed in the trabecular structures of the bones of the lower part of the skeleton (local osteopenia). In the upper part of the skeleton, an increase in the bone mineral content is observed, which is considered as a secondary response and is due to redistribution of body fluids cephalad. The main cause of osteopenia is mechanical unloading. Arguments are presented that osteocyte osteolysis, delayed osteoblast histogenesis, and osteoclast resorption provoked by rearrangement in the hierarchy of the systems of volume regulation, ion regulation, and the endocrine regulation of calcium homeostasis are the main mechanisms of osteopenia.     

Remodelling during development of the Purkinje cell dendritic tree in the mouse

The development of the Purkinje cells in normal C57 mice was studied from 7-100 d post natum . The growth of the dendritic trees was analysed both metrically and topologically using the method of vertex analysis (Berry & Flinn 1983 a). Granule and PUrkinje cell counts were made so that Purkinje cell segment production could be correlated with the number of parallel fibres deposited. Both topological and metrical results indicate that from 7 to 30 d post natum the Purkinje cell dendritic trees expand massively; accounting for 87% of total segment elaboration, reaching their lateral boundaries by 12-15 d post natum and then advancing towards the pial surface. Continued lateral expansion is constrained by the proximity of dendrites from neighbouring trees. Growth proceeds upwards through the neuropil as a front of prolific random terminal branching with inhibitory forces acting at the edges of the growth corridor and behind the growth front to prevent overlapping of dendrites. By 30 d post natum all boundaries are reached and the size of the dendritic field is fixed. Trees averaged 711.2 segments +/- 21.45 with a mean distance from root to terminal segment of 133.5 +/- 2.9 micrometers. The Va/Vb vertex ratios and the levels of trichotomy during this period indicate that branching patterns deviate from pure random terminal additions in a dichotomous tree. There is opportunity for non-random growth at the areas of inhibitory action. Beyond 30 d post natum remodelling occurs within the arbor which involves segment loss in the subpial region (orders above 16) and segment elaboration within the tree (orders 8-16) causing increased density of dendrites and overlapping of segments. The frequencies of segments and terminals are restored to symmetrical distributions through the orders of the trees from the skewed distributions associated with the frontal advance in earlier growth. During remodelling the Va/Vb vertex ratios and percentage of trichotomous nodes are consistent with growth through dichotomous random terminal branching. Path lengths of 8 micrometers between each order are seen as regular increments throughout entire trees at 100 d post natum . The final tree produced is indistinguishable from a network grown entirely by random terminal dichotomous branching with some 6% trichotomy and a Va/Vb vertex ratios of 0.92. Granule cell number within the granular layer increases rapidly up to 15 d post natum after which cell death causes a decrease to stable levels beyond 30 d post natum .(ABSTRACT TRUNCATED AT 400 WORDS)     

The Impact of Prostate Cancer and Hormonal Therapy on Bone

Large-scale studies agree that the observed decline in prostate cancer mortality that began in the early 1990s, shortly after prostate-specific antigen testing was introduced in the United States, is most likely explained by more widespread treatment of prostate cancer, including hormonal therapy. Practitioners should be aware of the risk of the development of osteoporosis and of skeletal side effects related to hormonal therapy to optimize the care of men with prostate cancer.Key words: Hormone deprivation therapy, Androgen deprivation therapy, Bone destruction, Osteoporosis, OsteopeniaProstate cancer is the most commonly diagnosed cancer among men in the United States, with approximately 192,280 cases anticipated in 2009.¹ It also remains a common cause of cancer death, with 27,360 deaths anticipated in 2009. Moreover, the declining US death rates from cardiovascular and smoking-related disease coupled with the aging of the population associated with the Baby Boom generation may beget an anticipated increase in prostate cancer diagnoses in the coming years. It has been estimated that about 10% of the US population was over the age of 65 years in 2000 and that this proportion will approximately double by 2030.² As a condition of aging men, prostate cancer is apt to remain a significant, if not growing, public health problem.Current efforts to reduce the mortality burden of prostate cancer have included prostate-specific antigen (PSA)-based screening, but its effect on mortality as assessed in randomized trials, particularly during the first 10 years of follow-up, is controversial.^3,4 But these large-scale studies agree that the observed decline in prostate cancer mortality that began in the early 1990s, shortly after PSA testing was introduced in the United States, is most likely explained by more widespread treatment of prostate cancer, including hormonal therapy.⁵ Given these considerations, it is quite likely that hormone deprivation therapy will remain an important treatment for men with prostate cancer. Therefore, a thorough understanding of its long-term side effects is necessary if we are to optimize the care of men with prostate cancer.     

儿童慢性鼻窦炎的综合治疗

目的探讨儿童慢性鼻窦炎的有效治疗方法。方法回顾分析2001年1月～2004年10月在大连大学附属中山医院治疗的113例儿童慢性鼻窦炎的临床资料,分析5种治疗方法的疗效。结果根据患儿的病情,分别采取5种治疗方法,按1997年海口会议标准评定疗效,总有效率为88．5％。结论儿童慢性鼻窦炎的治疗要根据病情及伴随的相关疾病采取相应的治疗方法,才能提高疗效。     

Asymmetric Effect of Mechanical Stress on the Forward and Reverse Reaction Catalyzed by an Enzyme

The concept of modulating enzymatic activity by exerting a mechanical stress on the enzyme has been established in previous work. Mechanical perturbation is also a tool for probing conformational motion accompanying the enzymatic cycle. Here we report measurements of the forward and reverse kinetics of the enzyme Guanylate Kinase from yeast (Saccharomyces cerevisiae). The enzyme is held in a state of stress using the DNA spring method. The observation that mechanical stress has different effects on the forward and reverse reaction kinetics suggests that forward and reverse reactions follow different paths, on average, in the enzyme''s conformational space. Comparing the kinetics of the stressed and unstressed enzyme we also show that the maximum speed of the enzyme is comparable to the predictions of the relaxation model of enzyme action, where we use the independently determined dissipation coefficient for the enzyme''s conformational motion. The present experiments provide a mean to explore enzyme kinetics beyond the static energy landscape picture of transition state theory.     

The Impact of Antiretroviral Therapy on Mortality in HIV Positive People during Tuberculosis Treatment: A Systematic Review and Meta-Analysis

Objective

To quantify the impact of antiretroviral therapy (ART) on mortality in HIV-positive people during tuberculosis (TB) treatment.

Design

We conducted a systematic literature review and meta-analysis. Studies published from 1996 through February 15, 2013, were identified by searching electronic resources (Pubmed and Embase) and conference books, manual searches of references, and expert consultation. Pooled estimates for the outcome of interest were acquired using random effects meta-analysis.

Subjects

The study population included individuals receiving ART before or during TB treatment.

Main Outcome Measures

Main outcome measures were: (i) TB-case fatality ratio (CFR), defined as the proportion of individuals dying during TB treatment and, if mortality in HIV-positive people not on ART was also reported, (ii) the relative risk of death during TB treatment by ART status.

Results

Twenty-one studies were included in the systematic review. Random effects pooled meta-analysis estimated the CFR between 8% and 14% (pooled estimate 11%). Among HIV-positive TB cases, those receiving ART had a reduction in mortality during TB treatment of between 44% and 71% (RR = 0.42, 95%CI: 0.29–0.56).

Conclusion

Starting ART before or during TB therapy reduces the risk of death during TB treatment by around three-fifths in clinical settings. National programmes should continue to expand coverage of ART for HIV positive in order to control the dual epidemic.     

JNK Signalling Controls Remodelling of the Segment Boundary through Cell Reprogramming during Drosophila Morphogenesis

Segments are fundamental units in animal development which are made of distinct cell lineages separated by boundaries. Although boundaries show limited plasticity during their formation for sharpening, cell lineages make compartments that become tightly restricted as development goes on. Here, we characterize a unique case of breaking of the segment boundary in late drosophila embryos. During dorsal closure, specific cells from anterior compartments cross the segment boundary and enter the adjacent posterior compartments. This cell mixing behaviour is driven by an anterior-to-posterior reprogramming mechanism involving de novo expression of the homeodomain protein Engrailed. Mixing is accompanied by stereotyped local cell intercalation, converting the segment boundary into a relaxation compartment important for tension-release during morphogenesis. This process of lineage switching and cell remodelling is controlled by JNK signalling. Our results reveal plasticity of segment boundaries during late morphogenesis and a role for JNK-dependent developmental reprogramming in this process.