Raised CRP levels in obese patients: symptoms of depression have an independent positive association

Background: Depression and obesity, the two common ailments of modern society, are associated with increased risk of coronary artery disease and raised C‐reactive protein (CRP) levels. Are the effects of depression and obesity related or do they influence CRP levels independently? Objective: In 493 consecutive patients presenting for obesity surgery, we explored the relationship between symptoms of depression and raised CRP levels after controlling for confounding factors. Methods and Procedures: Depression was measured using the Beck Depression Inventory (BDI). Confounding variables were age, gender, BMI, waist and hip measures, smoking and alcohol habits, medications, biochemical measures of the metabolic syndrome, and indirect measures of insulin resistance. General linear regression sought variables independently associated with CRP levels. Results: These patients had a BMI range from 31 to 91 kg/m², participants age ranged from 14 to 71 years, and 76% were women. The median CRP concentration was 7.7 mg/l (interquartile range: 3.9–14), 40% had an abnormally raised concentration (>10 mg/l). The mean BDI score was 17.0 ± 9.0, indicating symptoms of moderate depression. We found five independent factors associated with raised CRP levels. In order of strength of association, these were: higher BMI (β = 0.36, P < 0.001), female gender (β = ?0.19, P < 0.001), estrogen therapy (β = 0.18, P < 0.001), higher BDI score (β = 0.11, P = 0.01), and insulin resistance index (β = 0.11, P = 0.01), and with a combined R ² = 0.24, (P < 0.001). Discussion: In obese patients, symptoms of depression were associated with raised CRP levels after controlling for confounding variables. Obese women on estrogen therapy are at risk of high CRP levels.     

Mild autonomic dysfunction in primary Sj?gren's syndrome: a controlled study

Introduction  

The aim of this study was to compare cardiovascular autonomic nervous system function in patients with primary Sj?gren's syndrome (pSS) with that in control individuals, and to correlate the findings with autonomic symptoms and the presence of exocrine secretory dysfunction.     

Have Native Coho Salmon (Oncorhynchus Kisutch) Persisted in the Nooksack and Samish rivers Despite Continuous Hatchery Production Throughout the Past Century?

For over a century, Washington State Department of Fish and Wildlife has implemented hatchery programs as a means to boost salmon abundance. Concerns have developed that native populations may be replaced by hatchery strains, decreasing the genetic diversity required to respond to environmental changes. We report a comparison of microsatellite DNA variation in wild-spawning and hatchery-strain coho salmon from the Nooksack and Samish rivers in northern Puget Sound. Significant heterogeneity in genotype frequencies was detected between wild-spawning coho salmon from the upper North Fork (NF) Nooksack River and hatchery-strain coho salmon from the Nooksack River (descendants of primarily Nooksack River broodstock). Little difference in genotype frequencies was detected between wild-spawning coho salmon from the Samish River and hatchery-strain coho salmon from the Nooksack River. The 13-locus suite provided high resolution: in assignment tests over 85% of wild-spawning coho salmon from the upper NF Nooksack River were assigned to source. Wild-spawning coho salmon collected below hatcheries in the Nooksack River and 50% of wild-spawning Samish River coho salmon were assigned to hatchery collections. The genetic divergence of wild-spawning coho salmon in the upper NF Nooksack River is remarkable given the extensive stocking history and proximity of a hatchery. We suggest that these upper river fish are native coho salmon and that wild spawners in the lower Nooksack and Samish River are descendants of hatchery productions. We attribute divergence to earlier run timing in upper NF Nooksack River wild spawners, availability of extensive spawning and rearing habitat upstream of a hatchery in the upper NF Nooksack River, and a longer stocking history in the Samish River.     

Aryl-indolyl maleimides as inhibitors of CaMKIIdelta. Part 2: SAR of the amine tether

A family of aryl-substituted maleimides was prepared and studied for their activity against calmodulin-dependant kinase. Inhibitory activities against the enzyme ranged from 34nM to >20microM and were dependant upon both the nature of the aryl group and the tether joining the basic amine to the indolyl maleimide core. Key interactions with the kinase ATP site and hinge region, predicted by homology modeling, were confirmed.     

Functional impact of high protein intake on healthy elderly people

Decline in muscle mass, protein synthesis, and mitochondrial function occurs with age, and amino acids are reported to enhance both muscle protein synthesis and mitochondrial function. It is unclear whether increasing dietary protein intake corrects postabsorptive muscle changes in aging. We determined whether a 10-day diet of high [HP; 3.0 g protein x kg fat-free mass (FFM)(-1) x day(-1)] vs. usual protein intake (UP; 1.5 g protein x kg FFM(-1) x day(-1)) favorably affects mitochondrial function, protein metabolism, and nitrogen balance or adversely affects insulin sensitivity and glomerular filtration rate (GFR) in 10 healthy younger (24+/-1 yr) and 9 older (70+/-2 yr) participants in a randomized crossover study. Net daily nitrogen balance increased equally in young and older participants, but postabsorptive catabolic state also increased, as indicated by higher whole body protein turnover and leucine oxidation with no change in protein synthesis. Maximal muscle mitochondrial ATP production rate was lower in older people, with no change occurring in diet. GFR was lower in older people, and response to HP was significantly different between the two groups, with a significant increase occurring only in younger people, thus widening the differences in GFR between the young and older participants. In conclusion, a short-term high-protein diet increased net daily nitrogen balance but increased the postabsorptive use of protein as a fuel. HP did not enhance protein synthesis or muscle mitochondrial function in either young or older participants. Additionally, widening differences in GFR between young and older patients is a potential cause of concern in using HP diet in older people.     

COCCOID EUKARYOTIC MARINE ULTRAPLANKTERS WITH FOUR DIFFERENT HPLC PIGMENT SIGNATURES1

Pigment compositions of 16 coccoid eukaryotic ultraplanktonic clones isolated from coastal and oceanic waters were investigated by high-performance liquid chromatography (HPLC). Four distinct pigment signatures were observed, and clones were classified into subgroups based on the presence or absence and relative abundances of selected chlorphylls and carotenoids. The first subgroup (5 clones) was pigmented like chlorophyll b-containing higher plants and resembled true chlorophycean algae. The second subgroup (3 clones) contained chlorophyll b and relatively high levels of prasinoxanthin, a carotenoid characteristic of certain members of the Prasinophyceae (sometimes grouped as the Micromonadophyceae). The third subgroup (5 clones) was pigmented in a similar fashion but had a twofold lower prasinoxanthin-to-chlorophyll a ratio and an unidentified carotenoid. The fourth subgroup (3 clones) lacked chlorophyll b and was pigmented like certain members of the Chrysophyceae (e. g. 19′-butanoyloxyfucoxanthin-containing Pelagococcus subviridis Norris) Online diode array spectral analysis of selected clonal extracts revealed the presence of Mg 2,4-divinylphaeoporphyrin a₅ monomethyl ester-like and chlorophyll c-like pigments in representatives of the prasinophyte-like and chrysophyte like clones, respectively. These findings plus the occurrence of chlorophyll b, prasinoxanthin and 19′-butanoyloxyfucoxanthin in the North Atlantic Ocean suggest that chrysophyte- and prasinophyte-like organisms can be important biomass components of marine phytoplankton.     

The mannose receptor fails to enhance processing and presentation of a glycoprotein antigen in transfected fibroblasts

One function proposed for the mannose receptor found on dendritic cells as well as on macrophages and hepatic endothelial cells is in enhancing uptake and processing of glycoprotein antigens for presentation by major histocompatibility complex (MHC) class II molecules. In this study, a direct assessment of the possible role of the mannose receptor in this process was made in the absence of other endocytic receptors that can internalize glycoproteins. Presentation of RNase A and B peptides was compared in transfected fibroblasts coexpressing the mannose receptor and MHC class II molecules. RNase B bears a high-mannose oligosaccharide and is a ligand for the mannose receptor, whereas RNase A is not glycosylated and is taken up by pinocytosis. Incubation of RNase A or B with the transfected cells resulted in identical stimulation of ribonuclease-specific T cells, indicating that endocytosis of the glycosylated protein by the mannose receptor does not enhance presentation of this antigen. The postulated role of the mannose receptor in presentation of glycoprotein-derived antigen is reevaluated in light of these results.     

Monoclonal antibodies to adhesive cell coat glycoproteins secreted by zoospores of the green alga Enteromorpha

Zoospores of Enteromorpha compressa (L.) Grev. secrete an adhesive cell coat which is involved in their attachment to various substrata. Two monoclonal antibodies (mAbs), designated Ent 1 and Ent 6, were raised against settled zoospores displaying secreted adhesive. Both antibodies labelled specifically the anterior region of the cell containing putative adhesive vesicles. During settlement the antigens recognised by both mAbs were secreted but whereas Ent 6 recognised a fibrillar material released within a few minutes of settlement, Ent 1 recognised components which were associated predominantly with the developing cell wall at later time points. Both mAbs also labelled a Golgi-rich region of settled spores, suggesting that these antigens are also synthesised after settlement. Both mAbs labelled the cell walls of vegetative tissue. Competitive enzyme-linked immunosorbent assay indicated that the two antibodies recognise separate, but overlapping epitopes. In spore settlement assays the Ent 6 immunoglobulin strongly reduced initial adhesion at low concentration whereas the inhibitory effects of Ent 1 occurred at later time points. On analysis by sodium dodecyl sulfate-polyacrylamide gel electrophoresis, (SDS-PAGE) both MAbs recognised a major buffer- and SDS-soluble, polydisperse 110-kDa antigen. The 110-kDa component was present in extracts of zoospores and sporulating tissue, but absent, in soluble form, from vegetative tissue. Deglycosylation of zoospore extract with anhydrous HF and peptide N-glycosidase digestion, showed that the major 110-kDa antigen is an N-linked glycan, and that the epitope is borne by the protein component. Time-course experiments showed that the Ent 6 antigen became progressively insoluble after zoospore attachment. Taken together, the data indicate that the two antibodies recognise separate but closely related antigens which have distinctive roles in adhesion and cell wall development. Received: 8 February 1999 / Accepted: 26 July 1999