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131.
Janneke Anink Charlotte M Nusman Lisette WA van Suijlekom-Smit Rick R van Rijn Mario Maas Marion AJ van Rossum 《Arthritis research & therapy》2014,16(4)
Introduction
Chronic inflammation combined with glucocorticoid treatment and immobilization puts juvenile idiopathic arthritis (JIA) patients at risk of impaired growth and reduced bone mineral density (BMD). Conventional methods for evaluating bone age and BMD are time-consuming or come with additional costs and radiation exposure. In addition, an automated measurement of bone age and BMD is likely to be more consistent than visual evaluation. In this study, we aimed to evaluate the feasibility of an automated method for determination of bone age and (cortical) bone mineral density (cBMD) in severely affected JIA patients. A secondary objective was to describe bone age and cBMD in this specific JIA population eligible for biologic treatment.Methods
In total, 69 patients with standard hand radiographs at the start of etanercept treatment and of calendar age within the reliability ranges (2.5 to 17 years for boys and 2 to 15 years for girls) were extracted from the Dutch Arthritis and Biologicals in Children register. Radiographs were analyzed using the BoneXpert method, thus automatically determining bone age and cBMD expressed as bone health index (BHI). Agreement between measurements of the left- and right-hand radiographs and a repeated measurement of the left hand were assessed with the intraclass correlation coefficient (ICC). Regression analysis was used to identify variables associated with Z-scores of bone age and BHI.Results
The BoneXpert method was reliable in the evaluation of radiographs of 67 patients (radiographs of 2 patients were rejected because of poor image quality). Agreement between left- and right-hand radiographs (ICC = 0.838 to 0.996) and repeated measurements (ICC = 0.999 to 1.000) was good. Mean Z-scores of bone age (−0.36, P = 0.051) and BHI (−0.85, P < 0.001) were lower compared to the healthy population. Glucocorticoid use was associated with delayed bone age (0.79 standard deviation (SD), P = 0.028), and male gender was associated with a lower Z-score of BHI (0.65 SD, P = 0.021).Conclusions
BoneXpert is an easy-to-use method for assessing bone age and cBMD in patients with JIA, provided that radiographs are of reasonable quality and patients’ bone age lies within the age ranges of the program. The population investigated had delayed bone maturation and lower cBMD than healthy children.Electronic supplementary material
The online version of this article (doi:10.1186/s13075-014-0424-1) contains supplementary material, which is available to authorized users. 相似文献132.
Phosphoglucose isomerase (PGI) allozymes were isolated from the wing-
polymorphic water strider, Limnoporus canaliculatus, and were characterized
biochemically with respect to temperature-dependent kinetic and
thermostability properties. At higher temperatures, the allozymes exhibited
significant differences in Michaelis constant (Km) values for substrates of
both the forward and reverse reaction directions. Results were consistent
with expectations of adaptive kinetic differentiation based on the
latitudinal variation of PGI allele frequencies. PGI genotypes also
differed with regard to maximal velocity (Vmax)/Km ratios at higher
temperatures. These differences were due primarily, if not exclusively, to
allozyme-dependent variation in Km values. The allozymes also exhibited
dramatic differences in thermostability. However, no thermostability
differences were observed when the substrate analogue 6-phosphogluconate
was present in the incubation medium. The data from this study, together
with data from Mytilus edulis and Metridium senile on temperature-dependent
kinetic variation among PGI allozymes, form a consistent picture of natural
selection influencing the clinal variation of alleles at this locus in
these three phylogenetically distant organisms. More definitive support of
this hypothesis, however, must await additional studies on the
physiological effects of the allozymic variation as well as direct
measurements of fitness differences among the enzyme genotypes.
相似文献
133.
134.
Antony PB Black Hansha Bhayani Clive AJ Ryder Janet MM Gardner-Medwin Taunton R Southwood 《Arthritis research & therapy》2001,4(3):177
A study was done to determine if the differentiation and activation phenotype of T cells in synovial fluid (SF) from patients with juvenile idiopathic arthritis (JIA) is associated with T-cell proliferation in situ. Mononuclear cells were isolated from 44 paired samples of peripheral blood and SF. Differentiation and activation markers were determined on CD4 and CD8 T cells by flow cytometry. Cell-cycle analysis was performed by propidium iodide staining, and surface-marker expression was also assessed after culture of the T cells under conditions similar to those found in the synovial compartment. The majority of the T cells in the SF were CD45RO+CD45RBdull. There was greater expression of the activation markers CD69, HLA-DR, CD25 and CD71 on T cells from SF than on those from peripheral blood. Actively dividing cells accounted for less than 1% of the total T-cell population in SF. The presence or absence of IL-16 in T-cell cultures with SF or in a hypoxic environment did not affect the expression of markers of T-cell activation. T cells from the SF of patients with JIA were highly differentiated and expressed early and late markers of activation with little evidence of in situ proliferation. This observation refines and extends previous reports of the SF T-cell phenotype in JIA and may have important implications for our understanding of chronic inflammation. 相似文献
135.
136.
The availability of genomic and proteomic data from across the tree of life has made it possible to infer features of the genome and proteome of the last universal common ancestor (LUCA). A number of studies have done so, all using a unique set of methods and bioinformatics databases. Here, we compare predictions across eight such studies and measure both their agreement with one another and with the consensus predictions among them. We find that some LUCA genome studies show a strong agreement with the consensus predictions of the others, but that no individual study shares a high or even moderate degree of similarity with any other individual study. From these observations, we conclude that the consensus among studies provides a more accurate depiction of the core proteome of the LUCA and its functional repertoire. The set of consensus LUCA protein family predictions between all of these studies portrays a LUCA genome that, at minimum, encoded functions related to protein synthesis, amino acid metabolism, nucleotide metabolism, and the use of common, nucleotide‐derived organic cofactors. 相似文献
137.
Robert A Clayton Colin AJ Dick Alison Mackenzie Michiaki Nagasawa Deirdre Galbraith Stuart F Hastings Simon J MacKenzie 《Respiratory research》2004,5(1):4
BackgroundThe anti-inflammatory effects of the selective phosphodiesterase (PDE) inhibitors cilostazol (PDE 3), RO 20-1724 (PDE 4) and sildenafil (PDE 5) were examined in a murine model of allergic asthma. These compounds were used alone and in combination to determine any potential synergism, with dexamethasone included as a positive control.MethodsControl and ovalbumin sensitised Balb/C mice were administered orally with each of the possible combinations of drugs at a dose of 3 mg/Kg for 10 days.ResultsWhen used alone, RO 20-1724 significantly reduced eosinophil influx into lungs and lowered tumour necrosis factor-α, interleukin-4 and interleukin-5 levels in the bronchoalveolar lavage fluid when compared to untreated mice. Treatment with cilostazol or sildenafil did not significantly inhibit any markers of inflammation measured. Combining any of these PDE inhibitors produced no additive or synergistic effects. Indeed, the anti-inflammatory effects of RO 20-1724 were attenuated by co-administration of either cilostazol or sildenafil.ConclusionsThese results suggest that concurrent treatment with a PDE 3 and/or PDE 5 inhibitor will reduce the anti-inflammatory effectiveness of a PDE 4 inhibitor. 相似文献
138.
MIKOAJ K. ZAPALSKI 《Palaeontology》2007,50(6):1375-1380
Abstract: Tube-like traces of organisms belonging to the ichnogenus Chaetosalpinx Sokolov have been considered in the literature as commensal endobiontic organisms of tabulate corals. Their position between the corallites (or sometimes within the septa), perforation of the host's skeleton and soft tissue, modification of its phenotype and a possible inhibition of its growth show that the relationship between these organisms and tabulate corals can best be interpreted as parasitism rather than commensalism, as previously suggested. Such an interpretation may be extended to the ichnogenera Helicosalpinx Oekentorp and Actinosalpinx Sokolov, which show identical placement within the host colony and similar features, such as the absence of their own wall. 相似文献
139.
140.
Synopsis A fluorescence histochemical technique for localizing catecholamines was applied to palatal tissue obtained from laboratory mice and from glycosuric and nonglycosuric Australian hopping mice. Specific catecholamine fluorescence related to blood vessels was demonstrated in all the tissue samples, though there was a tendency for this to be less marked in palates taken from the glycosuric animals.Although the presence of discrete areas of bright yellow fluorescence was noted in the tissue of the laboratory mice, these areas of yellow fluorescence (probably serotonin within mast cells) were virtually absent from the palates of the hopping mice despite the fact that there was little difference in the respective mast cell populations in the palatal tissues of the laboratory and hopping mice as determined by metachromatic staining procedures. 相似文献