Maternal Serum C-Reactive Protein in Women with Preterm Prelabor Rupture of Membranes

Objective

This study evaluated maternal C-reactive protein (CRP) as a predictor of microbial invasion of the amniotic cavity (MIAC) and histological chorioamnionitis (HCA) in women with preterm prelabor rupture of the membranes (PPROM) before and after 32 weeks of gestation.

Methods

This study was a prospective observational cohort study of 386 women. Maternal serum CRP concentrations were evaluated, and amniotic fluid samples were obtained via transabdominal amniocentesis at the time of admission. Placentas underwent histopathological examination after delivery. MIAC was defined based on a positive PCR for Ureaplasma species, Mycoplasma hominis and Chlamydia trachomatis and/or positive 16S rRNA gene amplification. HCA was defined based on the Salafia classification.

Results

Maternal CRP was significantly higher in women with MIAC and HCA (median 9.0 mg/l) than in women with HCA alone (median 6.9 mg/l), MIAC alone (median 7.4 mg/l) and without MIAC or HCA (median 4.5 mg/l) (p<0.0001). CRP was a weak predictor of the occurrence of MIAC and HCA before and after 32 weeks of gestation. Only the 95^th percentile of CRP and PPROM before 32 weeks exhibited a false-positive rate of 1%, a positive predictive value of 90% and a positive likelihood ratio of 13.2 to predict MIAC and HCA. However, the low sensitivity of 15% limits the clinical utility of this detection.

Conclusion

CRP is a poor predictor of the occurrence of MIAC and HCA, even at early gestational ages.     

Mesenchymal Stem Cell Seeding of Porcine Small Intestinal Submucosal Extracellular Matrix for Cardiovascular Applications

In this study, we investigate the translational potential of a novel combined construct using an FDA-approved decellularized porcine small intestinal submucosa extracellular matrix (SIS-ECM) seeded with human or porcine mesenchymal stem cells (MSCs) for cardiovascular indications. With the emerging success of individual component in various clinical applications, the combination of SIS-ECM with MSCs could provide additional therapeutic potential compared to individual components alone for cardiovascular repair. We tested the in vitro effects of MSC-seeding on SIS-ECM on resultant construct structure/function properties and MSC phenotypes. Additionally, we evaluated the ability of porcine MSCs to modulate recipient graft-specific response towards SIS-ECM in a porcine cardiac patch in vivo model. Specifically, we determined: 1) in vitro loading-capacity of human MSCs on SIS-ECM, 2) effect of cell seeding on SIS-ECM structure, compositions and mechanical properties, 3) effect of SIS-ECM seeding on human MSC phenotypes and differentiation potential, and 4) optimal orientation and dose of porcine MSCs seeded SIS-ECM for an in vivo cardiac application. In this study, histological structure, biochemical compositions and mechanical properties of the FDA-approved SIS-ECM biomaterial were retained following MSCs repopulation in vitro. Similarly, the cellular phenotypes and differentiation potential of MSCs were preserved following seeding on SIS-ECM. In a porcine in vivo patch study, the presence of porcine MSCs on SIS-ECM significantly reduced adaptive T cell response regardless of cell dose and orientation compared to SIS-ECM alone. These findings substantiate the clinical translational potential of combined SIS-ECM seeded with MSCs as a promising therapeutic candidate for cardiac applications.     

Estimation of the diversity between DNA calorimetric profiles,differential melting curves and corresponding melting temperatures

The Poland–Fixman–Freire formalism was adapted for modeling of calorimetric DNA melting profiles, and applied to plasmid pBR 322 and long random sequences. We studied the influence of the difference (H_GC?H_AT) between the helix‐coil transition enthalpies of AT and GC base pairs on the calorimetric melting profile and on normalized calorimetric melting profile. A strong alteration of DNA calorimetrical profile with H_GC?H_AT was demonstrated. In contrast, there is a relatively slight change in the normalized profiles and in corresponding ordinary (optical) normalized differential melting curves (DMCs). For fixed H_GC?H_AT, the average relative deviation (S) between DMC and normalized calorimetric profile, and the difference between their melting temperatures (T_cal?T_m) are weakly dependent on peculiarities of the multipeak fine structure of DMCs. At the same time, both the deviation S and difference (T_cal?T_m) enlarge with the temperature melting range of the helix‐coil transition. It is shown that the local deviation between DMC and normalized calorimetric profile increases in regions of narrow peaks distant from the melting temperature.     

Dual emission fluorescent silver nanoclusters for sensitive detection of the biological coenzyme NAD+/NADH

Fluorescent silver nanoclusters (Ag NCs) displaying dual-excitation and dual-emission properties have been developed for the specific detection of NAD⁺ (nicotinamide adenine dinucleotide, oxidized form). With the increase of NAD⁺ concentrations, the longer wavelength emission (with the peak at 550 nm) was gradually quenched due to the strong interactions between the NAD⁺ and Ag NCs, whereas the shorter wavelength emission (peaking at 395 nm) was linearly enhanced. More important, the dual-emission intensity ratio (I₃₉₅/I₅₅₀), fitting by a single-exponential decay function, can efficiently detect various NAD⁺ levels from 100 to 4000 μM, as well as label NAD⁺/NADH (reduced form of NAD) ratios in the range of 1–50.     

Elevated Temperature and CO2 Stimulate Late-Season Photosynthesis But Impair Cold Hardening in Pine

Rising global temperature and CO₂ levels may sustain late-season net photosynthesis of evergreen conifers but could also impair the development of cold hardiness. Our study investigated how elevated temperature, and the combination of elevated temperature with elevated CO₂, affected photosynthetic rates, leaf carbohydrates, freezing tolerance, and proteins involved in photosynthesis and cold hardening in Eastern white pine (Pinus strobus). We designed an experiment where control seedlings were acclimated to long photoperiod (day/night 14/10 h), warm temperature (22°C/15°C), and either ambient (400 μL L⁻¹) or elevated (800 μmol mol⁻¹) CO₂, and then shifted seedlings to growth conditions with short photoperiod (8/16 h) and low temperature/ambient CO₂ (LTAC), elevated temperature/ambient CO₂ (ETAC), or elevated temperature/elevated CO₂ (ETEC). Exposure to LTAC induced down-regulation of photosynthesis, development of sustained nonphotochemical quenching, accumulation of soluble carbohydrates, expression of a 16-kD dehydrin absent under long photoperiod, and increased freezing tolerance. In ETAC seedlings, photosynthesis was not down-regulated, while accumulation of soluble carbohydrates, dehydrin expression, and freezing tolerance were impaired. ETEC seedlings revealed increased photosynthesis and improved water use efficiency but impaired dehydrin expression and freezing tolerance similar to ETAC seedlings. Sixteen-kilodalton dehydrin expression strongly correlated with increases in freezing tolerance, suggesting its involvement in the development of cold hardiness in P. strobus. Our findings suggest that exposure to elevated temperature and CO₂ during autumn can delay down-regulation of photosynthesis and stimulate late-season net photosynthesis in P. strobus seedlings. However, this comes at the cost of impaired freezing tolerance. Elevated temperature and CO₂ also impaired freezing tolerance. However, unless the frequency and timing of extreme low-temperature events changes, this is unlikely to increase risk of freezing damage in P. strobus seedlings.Land surface temperature is increasing, particularly in the northern hemisphere (IPCC, 2014), which is dominated by boreal and temperate forests. At higher latitudes, trees rely on temperature and photoperiod cues to detect changing seasons and to trigger cessation of growth and cold hardening during the autumn (Ensminger et al., 2015). For boreal and temperate evergreen conifers, cold hardening involves changes in carbohydrate metabolism, down-regulation of photosynthesis, accumulation of cryoprotective metabolites, and development of freezing tolerance (Crosatti et al., 2013; Ensminger et al., 2015). These processes minimize freezing damage and enable conifers to endure winter stresses. However, rising temperatures result in asynchronous phasing of temperature and photoperiod characterized by delayed arrival of first frosts (McMahon et al., 2010), which may impact the onset and development of cold hardening during autumn.Short photoperiod induces the cessation of growth in many tree species (Downs and Borthwick, 1956; Heide, 1974; Repo et al., 2000; Böhlenius et al., 2006). As a consequence, carbon demand in sink tissue decreases toward the end of the growing season, and the bulk of photoassimilate is translocated from source tissues to storage tissues (Hansen and Beck, 1994; Oleksyn et al., 2000). In addition, cryoprotective soluble sugars, including sucrose, raffinose, and pinitol, accumulate in leaf tissues to enhance freezing tolerance (Strimbeck et al., 2008; Angelcheva et al., 2014). Thus, by winter, leaf nonstructural carbohydrates are mainly comprised of mono- and oligosaccharides, and only minimal levels of starch remain (Hansen and Beck, 1994; Strimbeck et al., 2008). The concurrent decrease of photoassimilate and demand for metabolites that occur during the cessation of growth also impacts the citric acid cycle that mediates between photosynthesis, respiration, and protein synthesis. The citric acid cycle generates NADH to fuel ATP synthesis via mitochondrial electron transport, as well as amino acid precursors (Shi et al., 2015). In C3 plants, the enzyme phosphoenolpyruvate carboxylase (PEPC) converts phosphoenolpyruvate to oxaloacetic acid in order to supplement the flow of metabolites to the citric acid cycle and thus controls the regulation of respiration and photosynthate partitioning (O’Leary et al., 2011).Cessation of growth, low temperature, and presumably short photoperiod decrease the metabolic sink for photoassimilates, resulting in harmful excess light energy (Öquist and Huner, 2003; Ensminger et al., 2006) and increased generation of reactive oxygen species (Adams et al., 2004). During autumn and the development of cold hardiness, conifers reconfigure the photosynthetic apparatus in order to avoid formation of excess light and reactive oxygen species. This involves a decrease in chlorophylls and PSII reaction center core protein D1 (Ottander et al., 1995; Ensminger et al., 2004; Verhoeven et al., 2009), as well as aggregation of light-harvesting complex proteins (Ottander et al., 1995; Busch et al., 2007). Additionally, photoprotective carotenoid pigments accumulate in leaves, especially the xanthophylls, zeaxanthin, and lutein that contribute to nonphotochemical quenching (NPQ) via thermal dissipation of excess light energy (Busch et al., 2007; Verhoeven et al., 2009; Demmig-Adams et al., 2012). Prolonged exposure to low temperature induces sustained nonphotochemical quenching (NPQ_S), where zeaxanthin constitutively dissipates excess light energy (Ensminger et al., 2004; Demmig-Adams et al., 2012; Fréchette et al., 2015).In conifers, freezing tolerance is initiated during early autumn in response to decreasing photoperiod (Rostad et al., 2006; Chang et al., 2015) and continues to develop through late autumn in response to the combination of short photoperiod and low temperature (Strimbeck and Schaberg, 2009; Chang et al., 2015). In addition to changes in carbohydrate content, freezing tolerance also involves the expression of specific dehydrins (Close, 1997; Kjellsen et al., 2013). Members of the dehydrin protein family are involved in responses to osmotic, salt, and freezing stress (Close, 1996). Dehydrins have been associated with improved freezing tolerance in many species including spinach (Kaye et al., 1998), strawberry (Houde et al., 2004), cucumber (Yin et al., 2006), peach (Wisniewski et al., 1999), birch (Puhakainen et al., 2004), and spruce (Kjellsen et al., 2013). In angiosperms, a characteristic Lys-rich dehydrin motif known as the K-segment interacts with lipids to facilitate membrane binding (Koag et al., 2003; Eriksson et al., 2011). Several in vitro studies have demonstrated dehydrin functions including prevention of aggregation and unfolding of enzymes (using Vitis riparia; Hughes and Graether, 2011), radical scavenging (using Citrus unshiu; Hara et al., 2004), and suppression of ice crystal formation (using Prunus persica; Wisniewski et al., 1999). To date, dehydrin functions have not been demonstrated in planta.Rising temperatures since the mid-twentieth century have delayed the onset of autumn dormancy and increased length of the growing season in forests across the northern hemisphere (Boisvenue and Running, 2006; Piao et al., 2007; McMahon et al., 2010). Studies have shown that elevated temperatures ranging from +4°C to +20°C above ambient can delay down-regulation of photosynthesis in several evergreen conifers. Consistent findings were apparent among climate-controlled chamber studies exposing Pinus strobus seedlings to a sudden shift in temperature and/or photoperiod (Fréchette et al., 2016), as well as chamber studies exposing Picea abies seedlings to simulated autumn conditions using a gradient of decreasing temperature and photoperiod (Stinziano et al., 2015). Similar findings were also demonstrated in open-top chamber experiments exposing mature Pinus sylvestris to a gradient of decreasing temperature and natural photoperiod (Wang, 1996). Elevated temperature (+4°C above ambient) also impaired cold hardening in Pseudotsuga menziesii seedlings (Guak et al., 1998) and mature P. sylvestris (Repo et al., 1996) exposed to a decreasing gradient of temperature and natural photoperiod using open-top chambers. In contrast, a recent study showed that smaller temperature increments (+1.5°C to +3°C) applied using infrared heaters did not delay down-regulation of photosynthesis or impair freezing tolerance in field-grown P. strobus seedlings that were acclimated to larger diurnal and seasonal temperature variations (Chang et al., 2015). For many tree species, photoperiod determines cessation of growth (Tanino et al., 2010; Petterle et al., 2013), length of the growing season (Bauerle et al., 2012), and development of cold hardiness (Welling et al., 1997; Li et al., 2003; Rostad et al., 2006). However, the effects of climate warming on tree phenology are complex and can be unpredictable due to species- and provenance-specific differences in sensitivity to photoperiod and temperature cues (Körner and Basler, 2010; Basler and Körner, 2012; Basler and Körner, 2014).The effect of elevated CO₂ further increases uncertainties in the response of trees to warmer climate. Similar to warmer temperature, elevated CO₂ may also delay the down-regulation of photosynthesis in evergreens and extend the length of the growing season, as demonstrated in mature P. sylvestris (Wang, 1996). Elevated CO₂ increases carbon assimilation (Curtis and Wang, 1998; Ainsworth and Long, 2005) and biomass production (Ainsworth and Long, 2005) during the growing season. The effects could continue during the autumn if dormancy or growth cessation is delayed, which suggests that elevated CO₂ may increase annual carbon uptake. However, long-term exposure to elevated CO₂ can also down-regulate photosynthesis during the growing season (Ainsworth and Long, 2005). Prior studies that have attempted to determine the impact of a combination of elevated CO₂ and/or temperature on cold hardening in evergreens have largely focused on freezing tolerance, with contrasting results. Open-top chamber experiments showed that a combination of elevated temperature and CO₂ both delayed and impaired freezing tolerance of P. menziesii seedlings (Guak et al., 1998) and evergreen broadleaf Eucalyptus pauciflora seedlings (Loveys et al., 2006) but did not affect freezing tolerance of mature P. sylvestris (Repo et al., 1996). A recent field experiment examining mature trees revealed that Larix decidua, but not Pinus mugo, exhibited enhanced freezing damage following six years of exposure to combined soil warming and elevated CO₂ (Rixen et al., 2012). In contrast, a climate-controlled study showed that exposure to elevated CO₂ advanced the date of bud set and improved freezing tolerance in Picea mariana seedlings (Bigras and Bertrand, 2006). In a second study on similar seedlings conducted by the same authors, exposure of trees to elevated CO₂ also enhanced freezing tolerance but impaired the accumulation of sucrose and raffinose (Bertrand and Bigras, 2006). These previous experiments used experimental conditions where temperature and photoperiod gradually decreased. While this approach aims to mimic natural conditions, it is difficult to distinguish specific responses to either photoperiod or temperature. Because of the contrasting findings from previous studies, we designed an experiment aiming to separate the effects of photoperiod, temperature, and CO₂ on a wide range of parameters that are involved in cold hardening in conifers.Our study aimed to determine (1) how induction and development of the cold hardening process is affected by a shift from long to short photoperiod under warm conditions and (2) how the combination of warm air temperature and elevated CO₂ affects photoperiod-induced cold hardening processes in Eastern white pine (P. strobus). To assess the development of cold hardening, we measured photosynthetic rates, changes in leaf carbohydrates, freezing tolerance, and proteins involved in photosynthesis and cold hardening over 36 d. Assuming that both low temperature and short photoperiod cues are required to induce cold hardening in conifers, we hypothesized that warm temperature and the combination of warm temperature and elevated CO₂ would prevent seedlings growing under autumn photoperiod from down-regulating photosynthesis. We further hypothesized that warm temperature and the combination of warm temperature and elevated CO₂ would impair the development of freezing tolerance, due to a lack of adequate phasing of the low temperature and short photoperiod signals.