Evaluation of the efficacy and safety of rivaroxaban using a computer model for blood coagulation

Rivaroxaban is an oral, direct Factor Xa inhibitor approved in the European Union and several other countries for the prevention of venous thromboembolism in adult patients undergoing elective hip or knee replacement surgery and is in advanced clinical development for the treatment of thromboembolic disorders. Its mechanism of action is antithrombin independent and differs from that of other anticoagulants, such as warfarin (a vitamin K antagonist), enoxaparin (an indirect thrombin/Factor Xa inhibitor) and dabigatran (a direct thrombin inhibitor). A blood coagulation computer model has been developed, based on several published models and preclinical and clinical data. Unlike previous models, the current model takes into account both the intrinsic and extrinsic pathways of the coagulation cascade, and possesses some unique features, including a blood flow component and a portfolio of drug action mechanisms. This study aimed to use the model to compare the mechanism of action of rivaroxaban with that of warfarin, and to evaluate the efficacy and safety of different rivaroxaban doses with other anticoagulants included in the model. Rather than reproducing known standard clinical measurements, such as the prothrombin time and activated partial thromboplastin time clotting tests, the anticoagulant benchmarking was based on a simulation of physiologically plausible clotting scenarios. Compared with warfarin, rivaroxaban showed a favourable sensitivity for tissue factor concentration inducing clotting, and a steep concentration-effect relationship, rapidly flattening towards higher inhibitor concentrations, both suggesting a broad therapeutic window. The predicted dosing window is highly accordant with the final dose recommendation based upon extensive clinical studies.     

Does Intraspecific Size Variation in a Predator Affect Its Diet Diversity and Top-Down Control of Prey?

It has long been known that intraspecific variation impacts evolutionary processes, but only recently have its potential ecological effects received much attention. Theoretical models predict that genetic or phenotypic variance within species can alter interspecific interactions, and experiments have shown that genotypic diversity in clonal species can impact a wide range of ecological processes. To extend these studies to quantitative trait variation within populations, we experimentally manipulated the variance in body size of threespine stickleback in enclosures in a natural lake environment. We found that body size of stickleback in the lake is correlated with prey size and (to a lesser extent) composition, and that stickleback can exert top-down control on their benthic prey in enclosures. However, a six-fold contrast in body size variance had no effect on the degree of diet variation among individuals, or on the abundance or composition of benthic or pelagic prey. Interestingly, post-hoc analyses revealed suggestive correlations between the degree of diet variation and the strength of top-down control by stickleback. Our negative results indicate that, unless the correlation between morphology and diet is very strong, ecological variation among individuals may be largely decoupled from morphological variance. Consequently we should be cautious in our interpretation both of theoretical models that assume perfect correlations between morphology and diet, and of empirical studies that use morphological variation as a proxy for resource use diversity.     

Involvement of the Sieve Element Cytoskeleton in Electrical Responses to Cold Shocks

This study dealt with the visualization of the sieve element (SE) cytoskeleton and its involvement in electrical responses to local cold shocks, exemplifying the role of the cytoskeleton in Ca²⁺-triggered signal cascades in SEs. High-affinity fluorescent phalloidin as well as immunocytochemistry using anti-actin antibodies demonstrated a fully developed parietal actin meshwork in SEs. The involvement of the cytoskeleton in electrical responses and forisome conformation changes as indicators of Ca²⁺ influx was investigated by the application of cold shocks in the presence of diverse actin disruptors (latrunculin A and cytochalasin D). Under control conditions, cold shocks elicited a graded initial voltage transient, ΔV₁, reduced by external La³⁺ in keeping with the involvement of Ca²⁺ channels, and a second voltage transient, ΔV₂. Cytochalasin D had no effect on ΔV₁, while ΔV₁ was significantly reduced with 500 nm latrunculin A. Forisome dispersion was triggered by cold shocks of 4°C or greater, which was indicative of an all-or-none behavior. Forisome dispersion was suppressed by incubation with latrunculin A. In conclusion, the cytoskeleton controls cold shock-induced Ca²⁺ influx into SEs, leading to forisome dispersion and sieve plate occlusion in fava bean (Vicia faba).It has been argued for a long time that sieve elements (SEs) are devoid of a cytoskeleton (Parthasarathy and Pesacreta, 1980; Thorsch and Esau, 1981; Evert, 1990), but more recent biochemical and cytological studies favor the opposite view. Actin as well as profilin were detected in phloem exudates of various monocot and dicot species (Schobert et al., 1998, 2000), while immunocytochemical tests showed the presence of actin and tubulin in phloem exudates of pumpkin (Cucurbita maxima; Kulikova and Puryaseva, 2002). Proteome analyses gave further credence to the occurrence of microfilaments in SEs in castor bean (Ricinus communis; profilin; Barnes et al., 2004), pumpkin (actin; Walz et al., 2004), canola (Brassica napus; actin, profilin1 and profilin2, actin-depolymerizing factor4; Giavalisco et al., 2006), and rice (Oryza sativa; actin1, actin-depolymerizing factor2, actin depolymerizing-factor3, and actin-depolymerizing factor6; Aki et al., 2008). Moreover, cytological evidence suggests residues of a cytoskeleton in SEs; fluorescent immunolabeling identified an actin/myosin system at the sieve plates (Chaffey and Barlow, 2002).Theoretical considerations also call for the presence of a cytoskeleton in SEs. Turnover and addressing of macromolecules (Fisher et al., 1992; Leineweber et al., 2000) requires a local distribution network in SEs. This function was attributed to an endoplasmic reticulum (ER) continuous to the ER strands running through pore plasmodesma units (Blackman et al., 1998) into the companion cells. Although such a mechanism is essentially conceivable, an interaction between the ER and cytoskeleton would provide a more conventional mode of intracellular distribution (Hepler et al., 1990; Boevink et al., 1998; Ueda et al., 2010; Yokota et al., 2011; Chen et al., 2012). Moreover, macromolecular trafficking through pore plasmodesma units (Lucas et al., 2001) was proposed to be executed by actin and myosin (Oparka, 2004), implying the presence of a cytoskeleton in SEs. Despite the massive circumstantial evidence, however, a complete cytoskeleton network and its spatial distribution in SEs have not been visually documented thus far.The existence of an SE cytoskeleton would raise questions regarding its task(s) in this highly specialized cell type. In other plant cells, the cytoskeleton was proposed to be engaged, among others, in ion channel operation and intracellular signaling (Trewavas and Malho, 1997; Mazars et al., 1997, and refs. therein; Thuleau et al., 1998; Örvar et al., 2000; Sangwan et al., 2001; Drøbak et al., 2004; Davies and Stankovic, 2006), as in animal cells (Janmey, 1998; Lange and Gartzke, 2006). For instance, K⁺ fluxes are regulated by actin dynamics (Hwang et al., 1997; Liu and Luan, 1998; Chérel, 2004), while Ca²⁺ influx into the cytoplasm appears to be mediated by voltage-dependent Ca²⁺-permeable channels associated with microtubules (Mazars et al., 1997; Thion et al., 1998) or by mechanosensitive channels possibly associated with microfilaments (Wang et al., 2004; Zhang et al., 2007).Both types of Ca²⁺-permeable channels probably reside in the SE plasma membrane (Knoblauch et al., 2001; Hafke et al., 2007, 2009; Furch et al., 2009), where they are likely involved in Ca²⁺-dependent systemic signaling (Furch et al., 2009; Hafke et al., 2009; van Bel et al., 2011; Hafke and van Bel, 2013). These channels are also putative initiators of Ca²⁺-induced signal transduction in SEs, leading to sieve-plate occlusion in response to local cold shocks (Thorpe et al., 2010). In fava bean (Vicia faba), Ca²⁺-dependent sieve tube occlusion by dispersion of special phloem-specific proteins (P-proteins) known as forisomes has been studied intensely (Knoblauch et al., 2001; Furch et al., 2007, 2009; Thorpe et al., 2010). Thus, apart from its distributive tasks, a cytoskeleton may be of major importance for intracellular signaling cascades in the highly specialized, sparsely equipped SEs.Our objective was to investigate the existence and spatial distribution of an SE cytoskeleton and its engagement in local signaling through Ca²⁺ influx brought about by cold shocks. This study dealt with the visualization of cytoskeletal components in intact sieve tubes using microinjection of fluorescent phalloidin and immunocytochemistry. Confocal laser-scanning micrography (CLSM) and transmission electron microscopy unequivocally showed a parietally located cylindrical actin meshwork. We demonstrated the engagement of the network in local cold shock-induced electrical responses and its association with Ca²⁺ influx, since we found effects of the Ca²⁺ channel blocker La³⁺ and of the cytoskeleton disruptor latrunculin A (LatA) on electrical signatures triggered by cold shocks and, by consequence, on forisome conformation changes.     

An Examination of Adult Women’s Sleep Quality and Sleep Routines in Relation to Pet Ownership and Bedsharing

ABSTRACT

People in many parts of the world commonly share their beds not only with human partners but also with dogs and cats. Self-report and actigraphy data have shown that sleeping with an adult human partner has both positive and negative impacts on human sleep, but there has been little exploration of the impacts that pets have on human sleep quality. We collected survey data online from 962 adult women living in the United States to investigate relationships between pet ownership and human sleep. Fifty-five percent of participants shared their bed with at least one dog and 31% with at least one cat. In addition, 57% of participants shared their bed with a human partner. Our findings did not show a strong relationship between pet ownership status or bedsharing conditions and sleep quality as assessed by the Pittsburgh Sleep Quality Index (PSQI), although according to this measure, a high percentage of study participants did experience sleep quality deficits. It is possible that pet ownership contributed to the high global PSQI scores we observed, especially since all but 7% of participants resided with dogs and/or cats. Other measures included in this study indicate that dogs and cats, and where they sleep, may indeed affect sleep habits and perceptions of sleep quality. Dog owners had earlier bedtimes and wake times than individuals who had cats but no dogs. Compared with human bed partners, dogs who slept in the owner’s bed were perceived to disturb sleep less and were associated with stronger feelings of comfort and security. Conversely, cats who slept in their owner’s bed were reported to be equally as disruptive as human partners, and were associated with weaker feelings of comfort and security than both human and dog bed partners. Follow-up research is necessary to determine if pet owners’ perceptions of pets’ impacts on their sleep align with objective measures of sleep quality.     

Bone Marrow Cell Recruitment to the Brain in the Absence of Irradiation or Parabiosis Bias

The engraftment of bone marrow-derived cells has been described not only during diseases of the central nervous system (CNS) but also under healthy conditions. However, previous studies pointing to an ample bone marrow cell engraftment used irradiation-induced bone marrow chimeras that evoked severe alterations of the CNS micromilieu including disturbances of the blood brain barrier (BBB), damage of endothelial cells and local induction of proinflammatory cytokines. On the other hand, parabiosis experiments using temporarily joined circulatory systems generally yielded low levels of myeloid cell chimerism thereby potentially underestimating bone marrow cell turnover with the CNS. To avoid these drawbacks we established a protocol using the alkylating agent busulfan prior to allogenic bone marrow transplantation from CX₃CR1^GFP/+ donors. This regimen resulted in a stable and high peripheral myeloid chimerism, significantly reduced cytokine induction and preserved BBB integrity. Importantly, bone marrow cell recruitment to the CNS was strongly diminished under these conditions and only weakly enhanced during local neurodegeneration induced by facial nerve axotomy. These results underscore the requirement of local CNS conditioning for efficient recruitment of bone marrow cells, establish busulfan as an alternative treatment for studying bone marrow chimeras and suggest a critical re-evaluation of earlier chimeric studies involving irradiation or parabiosis regimens.     

Floating Ice-Algal Aggregates below Melting Arctic Sea Ice

During two consecutive cruises to the Eastern Central Arctic in late summer 2012, we observed floating algal aggregates in the melt-water layer below and between melting ice floes of first-year pack ice. The macroscopic (1-15 cm in diameter) aggregates had a mucous consistency and were dominated by typical ice-associated pennate diatoms embedded within the mucous matrix. Aggregates maintained buoyancy and accumulated just above a strong pycnocline that separated meltwater and seawater layers. We were able, for the first time, to obtain quantitative abundance and biomass estimates of these aggregates. Although their biomass and production on a square metre basis was small compared to ice-algal blooms, the floating ice-algal aggregates supported high levels of biological activity on the scale of the individual aggregate. In addition they constituted a food source for the ice-associated fauna as revealed by pigments indicative of zooplankton grazing, high abundance of naked ciliates, and ice amphipods associated with them. During the Arctic melt season, these floating aggregates likely play an important ecological role in an otherwise impoverished near-surface sea ice environment. Our findings provide important observations and measurements of a unique aggregate-based habitat during the 2012 record sea ice minimum year.