Association between occupational exposure to mineral oil and rheumatoid arthritis: results from the Swedish EIRA case-control study

The aim of the present study was to investigate the association between exposure to mineral oil and the risk of developing rheumatoid arthritis (RA), and in addition to perform a separate analysis on the major subphenotypes for the disease; namely, rheumatoid factor (RF)-positive RA, RF-negative RA, anticitrulline-positive RA and anticitrulline-negative RA, respectively. A population-based case-control study of incident cases of RA was performed among the population aged 18-70 years in a defined area of Sweden during May 1996-December 2003. A case was defined as an individual from the study base who for the first time received a diagnosis of RA according to the American College of Rheumatology criteria of 1987. Controls were randomly selected from the study base with consideration taken for age, gender and residential area. Cases (n = 1,419) and controls (n = 1,674) answered an extensive questionnaire regarding lifestyle factors and occupational exposures, including different types of mineral oils. Sera from cases and controls were investigated for RF and anticitrulline antibodies. Among men, exposure to any mineral oil was associated with a 30% increased relative risk of developing RA (relative risk = 1.3, 95% confidence interval = 1.0-1.7). When cases were subdivided into RF-positive RA and RF-negative RA, an increased risk was only observed for RF-positive RA (relative risk = 1.4, 95% confidence interval 1.0-2.0). When RA cases were subdivided according to the presence of anticitrulline antibodies, an increased risk associated with exposure to any mineral oil was observed only for anticitrulline-positive RA (relative risk = 1.6, 95% confidence interval = 1.1-2.2). Analysis of the interaction between oil exposure and the presence of HLA-DR shared epitope genes regarding the incidence of RA indicated that the increased risk associated with exposure to mineral oil was not related to the presence of shared epitope genotypes. In conclusion, our study shows that exposure to mineral oil is associated with an increased risk to develop RF-positive RA and anticitrulline-positive RA, respectively. The findings are of particular interest since the same mineral oils can induce polyarthritis in rats.     

Role of chronic infection and inflammation in the gastrointestinal tract in the etiology and pathogenesis of idiopathic parkinsonism. Part 2: response of facets of clinical idiopathic parkinsonism to Helicobacter pylori eradication. A randomized, double-blind, placebo-controlled efficacy study

BACKGROUND: Links between etiology/pathogenesis of neuropsychiatric disease and infection are increasingly recognized. AIM: Proof-of-principle that infection contributes to idiopathic parkinsonism. METHODS: Randomized, double-blind, placebo-controlled efficacy study of proven Helicobacter pylori eradication on the time course of facets of parkinsonism. Intervention was 1 week's triple eradication therapy/placebos. Routine deblinding at 1 year (those still infected received open-active), with follow-up to 5 years post-eradication. Primary outcome was mean stride length at free-walking speed, sample size 56 for a difference, active vs. placebo, of 3/4 (between-subject standard deviation). Recruitment of subjects with idiopathic parkinsonism and H. pylori infection was stopped at 31, because of marked deterioration with eradication failure. Interim analysis was made in the 20 who had reached deblinding, seven of whom were receiving antiparkinsonian medication (long-t(1/2), evenly spaced) which remained unchanged. RESULTS: Improvement in stride-length, on active (n = 9) vs. placebo (11), exceeded size of effect on which the sample size was calculated when analyzed on intention-to-treat basis (p = .02), and on protocol analysis of six weekly assessments, including (p = .02) and excluding (p = .05) those on antiparkinsonian medication. Active eradication (blind or open) failed in 4/20, in whom B-lymphocyte count was lower. Their mean time course was: for stride-length, -243 (95% CI -427, -60) vs. 45 (-10, 100) mm/year in the remainder (p = .001); for the ratio, torque to extend to flex relaxed arm, 349 (146, 718) vs. 58 (27, 96)%/ year (p < .001); and for independently rated, visual-analog scale of stance-walk videos (worst-best per individual identical with 0-100 mm), -64 vs. -3 mm from anterior and -50 vs. 11 lateral (p = .004 and .02). CONCLUSIONS: Interim analysis points to a direct or surrogate (not necessarily unique) role of a particular infection in the pathogenesis of parkinsonism. With eradication failure, bolus release of antigen from killed bacteria could aggravate an effect of ongoing infection.     

Abundance, activity, and community structure of pelagic methane-oxidizing bacteria in temperate lakes

The abundance and activity of methane-oxidizing bacteria (MOB) in the water column were investigated in three lakes with different contents of nutrients and humic substances. The abundance of MOB was determined by analysis of group-specific phospholipid fatty acids from type I and type II MOB, and in situ activity was measured with a 14CH4 transformation method. The fatty acid analyses indicated that type I MOB most similar to species of Methylomonas, Methylomicrobium, and Methylosarcina made a substantial contribution (up to 41%) to the total bacterial biomass, whereas fatty acids from type II MOB generally had very low concentrations. The MOB biomass and oxidation activity were positively correlated and were highest in the hypo- and metalimnion during summer stratification, whereas under ice during winter, maxima occurred close to the sediments. The methanotroph biomass-specific oxidation rate (V) ranged from 0.001 to 2.77 mg CH4-C mg(-1) C day(-1) and was positively correlated with methane concentration, suggesting that methane supply largely determined the activity and biomass distribution of MOB. Our results demonstrate that type I MOB often are a large component of pelagic bacterial communities in temperate lakes. They represent a potentially important pathway for reentry of carbon and energy into pelagic food webs that would otherwise be lost as evasion of CH4.     

Effect of acute hyperketonemia on the cerebral uptake of ketone bodies in nondiabetic subjects and IDDM patients

Using R-beta-[1-(11)C]hydroxybutyrate and positron emission tomography, we studied the effect of acute hyperketonemia (range 0.7-1.7 micromol/ml) on cerebral ketone body utilization in six nondiabetic subjects and six insulin-dependent diabetes mellitus (IDDM) patients with average metabolic control (HbA(1c) = 8.1 +/- 1.7%). An infusion of unlabeled R-beta-hydroxybutyrate was started 1 h before the bolus injection of R-beta-[1-(11)C]hydroxybutyrate. The time course of the radioactivity in the brain was measured during 10 min. For both groups, the utilization rate of ketone bodies was found to increase nearly proportionally with the plasma concentration of ketone bodies (1.0 +/- 0.3 micromol/ml for nondiabetic subjects and 1.3 +/- 0.3 micromol/ml for IDDM patients). No transport of ketone bodies from the brain could be detected. This result, together with a recent study of the tissue concentration of R-beta-hydroxybutyrate in the brain by magnetic resonance spectroscopy, indicate that, also at acute hyperketonemia, the rate-limiting step for ketone body utilization is the transport into the brain. No significant difference in transport and utilization of ketone bodies could be detected between the nondiabetic subjects and the IDDM patients.     

In vivo biodistribution and pharmacokinetics of (18)F-labeled human C-peptide: evaluation in monkeys using positron emission tomography

The recently observed beneficial effects exerted by C-peptide in insulin-dependent diabetes patients (IDDM) have instigated research into the mechanisms of C-peptide action as well as the location for it. Here we report in vivo biodistribution studies performed in monkeys using positron emission tomography (PET) and C-peptide labeled in the N-terminal with fluorine-18. Following iv injection of the radiotracer, dynamic decay data were collected over the chest and/or abdomens of the monkeys. The radioactivity distributed mainly to the kidneys, less to the heart and to some extent to the liver. Excretion of radioactivity into the urinary bladder was observed. Brain uptake was not detected in a static emission scan of the head performed at late times. Accumulation of radioactivity in the skeleton as a result of in vivo defluorination was not observed. Pharmacokinetic modeling of the regional concentrations of radioactivity over time resulted, for most organs, in two-compartment models. The organs with the highest radioactivity concentrations have been identified, enabling dose estimations for studies in humans with low or no C-peptide.     

Characterization of phytoplankton extracellular products (PDOC) and their subsequent uptake by heterotrophic organisms in a mesotrophic forest lake

The magnitude of phytoplankton release of photosyntheticallyproduced dissolved organic carbon (PDOC), the size distributionand chemical nature of the released substances, and the quantityand composition of PDOC that were immediately assimilated byheterotrophic bacteria were investigated in a meso- to oligotrophic,mesohumic forest lake by means of the ¹⁴CO₂ technique. The percentageextracellular release (PER) was comparatively high (up to {smalltilde}40%). The bulk of the released substances was of highmol. wt (>5000 dalton), with a minor contribution from lowmol. wt (<1000 dalton) compounds. Heterotrophic bacteriapreferentially assimilated the high molecular weight componentsof PDOC, and a polysaccharide of {small tilde}6000 dalton witha very short turnover time was a key substance in the carbonflow from autotrophic phytoplankton to heterotrophic bacteria.The shortcomings of the ¹⁴CO₂ method to assess phytoplanktonrelease of PDOC is critically evaluated and discussed.     

Time constraints and vigilance: Breeding season diet of the Dotterel (Charadrius morinellus)

Summary The diet of breeding Dotterels in S Norway is described from faecal samples (plus a few stomachs) and foraging behaviour. Adult insects made up 38 to 89 % of the diet, Coleoptera (notably Carabidae and Curculionidae) and Tipulidae being most important. Diptera larvae (especiallyTipula) ranked second in importance (0–45 %), but may have been somewhat underestimated. Berries ofEmpetrum hermaphroditum were taken in moderate quantities. The paternal care system of the Dotterel puts time constraints on the males in the incubation period and vigilance constraints after hatching. In comparison with females in the corresponding time periods, the male diet was skewed towards less tipulid larvae and more adults of Coleoptera and tipulids during incubation and chick rearing. This is interpreted as resulting from constraints on foraging males, leading to higher proportion of easily detectable but less profitable prey in their diet, in accordance with predictions from optimal foraging theory. The chick diet was very similar to that of attending males, but contained less larvae than that of flocking females from the same time period.

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Zeitbegrenzung und Wachdienst: Die Nahrung des Mornellregenpfeifers in der Brutzeit

Zusammenfassung Die brutzeitliche Nahrung des Mornellregenpfeifers in S-Norwegen wird an Hand von Kotproben (und einigen Magenproben) sowie durch Beobachtung der Nahrungsaufnahme beschrieben. Adulte Insekten machten 38–89 % aus. Coleoptera (besonders Carabidae und Curculionidae) und Tipulidae waren die wichtigsten Insekten. Dipteralarven (besondersTipula) stellten eine weitere wichtige Nahrungskomponente (0–5 %), sind aber möglicherweise etwas unterrepräsentiert. Beeren vonEmpetrum hermaphroditum wurden in kleineren Mengen genommen. Das paternale System der Brutpflege begrenzt die Zeit der Nahrungsaufnahme für die in der Brutperiode; nach dem Schlüpfen der Jungen führt Wachdienst zu Begrenzungen im Zeitbudget. In diesen Perioden nahmen weniger Tipulidenlarven und mehr adulte Insekten auf als . Nahrungssuchende werden wahrscheinlich gezwungen, eine größere Menge leicht entdeckbarer und minder günstiger Insekten zu fressen. Dieses Verhalten stimmt mit Voraussagen der Theorie der optimalen Nahrungsnutzung überein. Die Nahrung der Jungen war jener der führenden sehr ähnlich; sie enthielt weniger Larven als die der in derselben Periode.

     

Screening for mutations of the apolipoprotein B gene causing hypocholesterolemia

In this study we have performed analyses of apolipoprotein (apo) B at both the protein and gene level to search for mutations of the apoB gene causing hypocholesterolemia among 71 Norwegian subjects. None of the subjects possessed apoB of abnormal molecular weight as determined by SDS-polyacrylamide gel electrophoresis of lipoproteins in the 1.025 g/ml–1.063 g/ml density range. Screening for mutations in exon 26 of the apoB gene by analysis of single-strand conformation polymorphisms followed by DNA sequencing, revealed seven point mutations of which one is a novel mutation. Five of the mutations were missense mutations and two were sense mutations. A group of 143 hypercholesterolemic, nonfamilial hypercholesterolemia subjects served as a control group for comparisons of gene frequencies. The only statistically significant finding was that mutation 8344T at codon 2712 was more common among those with hypocholesterolemia. This finding is in accord with previous reports. Received: 20 January 1997 / Accepted: 25 September 1997     

Chemical composition of reindeer forage plants in Svalbard and Norway

Several of the most important reindeer forage plants in Svalbard were analysed for content of minerals (Na, K, P, Ca, Mg, S, Cl, Fe, Cu, Mn, Zn, Mo and Co) and for content of ash, crude protein, crude fiber, ether extracts and nitrogen free extracts. Some forage plants were also examined in in vitro digestibility trials. The results were compared with results from similar analyses of alpine mountain plants from southern Norway. Also freshly voided fecal samples were analysed for the same components as the forage plants.
The Svalbard vegetation had a higher content of Na, Ca, Mg, Cl, Fe and Co, than similar plants from Southern Norway. The content of other elements examined seemed to be more equal in Norway and on Svalbard. Within the Svalbard area plants growing in limestone areas had the highest content of calcium and magnesium. Also plants growing on manured soil below bird cliffs appeared to have high nutritional value. It is furthermore concluded that the closeness to the sea as well as the occurrence of several plants with high mineral content, gave the Svalbard reindeer the possibility to further improve their mineral balance compared with continental reindeer. Also the dietary shift from lichens as a major dietary component in Norway, to mosses on Svalbard, may increase mineral intake, but may also have an inferior effect on digestibility.
Although balance experiments and carcass analyses of minerals in Svalbard reindeer are missing, it is concluded that Svalbard reindeer apparently had adequate intake of most mineral elements. In spite of low standing biomass of reindeer forage plants, the quality of the vegetation seemed to compare favourably with continental reindeer pasture.