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81.
Charlie Strange Felix JF Herth Kevin L Kovitz Geoffrey McLennan Armin Ernst Jonathan Goldin Marc Noppen Gerard J Criner Frank C Sciurba 《BMC pulmonary medicine》2007,7(1):1-12
Background
Lung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently, less invasive bronchoscopic approaches have been designed to utilize these principles while avoiding the associated perioperative risks. The Endobronchial Valve for Emphysema PalliatioN Trial (VENT) posits that occlusion of a single pulmonary lobe through bronchoscopically placed Zephyr® endobronchial valves will effect significant improvements in lung function and exercise tolerance with an acceptable risk profile in advanced emphysema.Methods
The trial design posted on Clinical trials.gov, on August 10, 2005 proposed an enrollment of 270 subjects. Inclusion criteria included: diagnosis of emphysema with forced expiratory volume in one second (FEV1) < 45% of predicted, hyperinflation (total lung capacity measured by body plethysmography > 100%; residual volume > 150% predicted), and heterogeneous emphysema defined using a quantitative chest computed tomography algorithm. Following standardized pulmonary rehabilitation, patients were randomized 2:1 to receive unilateral lobar placement of endobronchial valves plus optimal medical management or optimal medical management alone. The co-primary endpoint was the mean percent change in FEV1 and six minute walk distance at 180 days. Secondary end-points included mean percent change in St. George's Respiratory Questionnaire score and the mean absolute changes in the maximal work load measured by cycle ergometry, dyspnea (mMRC) score, and total oxygen use per day. Per patient response rates in clinically significant improvement/maintenance of FEV1 and six minute walk distance and technical success rates of valve placement were recorded. Apriori response predictors based on quantitative CT and lung physiology were defined.Conclusion
If endobronchial valves improve FEV1 and health status with an acceptable safety profile in advanced emphysema, they would offer a novel intervention for this progressive and debilitating disease.Trial Registration
ClinicalTrials.gov: NCT00129584 相似文献82.
Effects of salinity on survival,daily food intake and growth of juvenile round goby Neogobius melanostomus (Pallas, 1814) from a brackish water system
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The growth response of juvenile round gobies was tested in various salinities to assess the potential performance of the species in widely differing salinities in the Baltic Sea and adjacent waters. An experimental approach analysed the survival, daily food intake and growth of juvenile Neogobius melanostomus from the brackish water region of the Kiel Canal, Germany. Round gobies (TL = 61.5 ±5.3 mm; n = 40) were fed ad libitum (diet = mysid shrimp; energy content = 4.7 cal per mg dry weight) at salinity levels of 0.1, 7.5, 15 and 30 over 12 weeks. Two replicate tanks (125 × 30 × 30 cm; 100 L) were maintained for each salinity level, each holding five specimens at a mean temperature of 19.90°C (±0.64°C; n = 136). Survival at all levels was 100%, except for 0.1 with 90%. Mean daily food intake (% of body weight) increased from salinity level 0.1 to 15 (from 17.76% to 19.95%); specimens at level 30 showed a more diversified and lower mean food intake (18.44%). Mean cumulative body weight gain appeared greatest at a level of 7.5 (224.52%), closely followed by 0.1 (206.57%) and 15 (191.92%). In contrast, fish growth was significantly lower at a salinity level of 30 (100.57%). Results of the experiment indicate that salinity tolerance estimates of the round goby made by other authors are too low regarding specimens that stem from brackish habitats. Growth patterns of some specimens, even in the salinity 30 treatment, show that a further spread of this species into regions with higher salinities is quite possible. 相似文献
83.
84.
Pfefferle S Schöpf J Kögl M Friedel CC Müller MA Carbajo-Lozoya J Stellberger T von Dall'Armi E Herzog P Kallies S Niemeyer D Ditt V Kuri T Züst R Pumpor K Hilgenfeld R Schwarz F Zimmer R Steffen I Weber F Thiel V Herrler G Thiel HJ Schwegmann-Wessels C Pöhlmann S Haas J Drosten C von Brunn A 《PLoS pathogens》2011,7(10):e1002331
Coronaviruses (CoVs) are important human and animal pathogens that induce fatal respiratory, gastrointestinal and neurological disease. The outbreak of the severe acute respiratory syndrome (SARS) in 2002/2003 has demonstrated human vulnerability to (Coronavirus) CoV epidemics. Neither vaccines nor therapeutics are available against human and animal CoVs. Knowledge of host cell proteins that take part in pivotal virus-host interactions could define broad-spectrum antiviral targets. In this study, we used a systems biology approach employing a genome-wide yeast-two hybrid interaction screen to identify immunopilins (PPIA, PPIB, PPIH, PPIG, FKBP1A, FKBP1B) as interaction partners of the CoV non-structural protein 1 (Nsp1). These molecules modulate the Calcineurin/NFAT pathway that plays an important role in immune cell activation. Overexpression of NSP1 and infection with live SARS-CoV strongly increased signalling through the Calcineurin/NFAT pathway and enhanced the induction of interleukin 2, compatible with late-stage immunopathogenicity and long-term cytokine dysregulation as observed in severe SARS cases. Conversely, inhibition of cyclophilins by cyclosporine A (CspA) blocked the replication of CoVs of all genera, including SARS-CoV, human CoV-229E and -NL-63, feline CoV, as well as avian infectious bronchitis virus. Non-immunosuppressive derivatives of CspA might serve as broad-range CoV inhibitors applicable against emerging CoVs as well as ubiquitous pathogens of humans and livestock. 相似文献
85.
Wahl M Link H Alexandridis N Thomason JC Cifuentes M Costello MJ da Gama BA Hillock K Hobday AJ Kaufmann MJ Keller S Kraufvelin P Krüger I Lauterbach L Antunes BL Molis M Nakaoka M Nyström J bin Radzi Z Stockhausen B Thiel M Vance T Weseloh A Whittle M Wiesmann L Wunderer L Yamakita T Lenz M 《PloS one》2011,6(5):e19514
Species richness is the most commonly used but controversial biodiversity metric in studies on aspects of community stability such as structural composition or productivity. The apparent ambiguity of theoretical and experimental findings may in part be due to experimental shortcomings and/or heterogeneity of scales and methods in earlier studies. This has led to an urgent call for improved and more realistic experiments. In a series of experiments replicated at a global scale we translocated several hundred marine hard bottom communities to new environments simulating a rapid but moderate environmental change. Subsequently, we measured their rate of compositional change (re-structuring) which in the great majority of cases represented a compositional convergence towards local communities. Re-structuring is driven by mortality of community components (original species) and establishment of new species in the changed environmental context. The rate of this re-structuring was then related to various system properties. We show that availability of free substratum relates negatively while taxon richness relates positively to structural persistence (i.e., no or slow re-structuring). Thus, when faced with environmental change, taxon-rich communities retain their original composition longer than taxon-poor communities. The effect of taxon richness, however, interacts with another aspect of diversity, functional richness. Indeed, taxon richness relates positively to persistence in functionally depauperate communities, but not in functionally diverse communities. The interaction between taxonomic and functional diversity with regard to the behaviour of communities exposed to environmental stress may help understand some of the seemingly contrasting findings of past research. 相似文献
86.
87.
Ytting H Christensen IJ Jensenius JC Thiel S Nielsen HJ 《Cancer immunology, immunotherapy : CII》2005,54(3):265-272
Purpose: Deficiency of the mannan-binding lectin (MBL) pathway of innate immunity is associated with increased susceptibility to infections. In patients with colorectal cancer (CRC), postoperative infection is associated with poor prognosis. The aim of the present study was to evaluate (1) the relation between the MBL pathway and postoperative infectious complications and survival of patients resected for CRC, and (2) the role of MBL in acute phase response compared to C-reactive protein (CRP). Methods: Preoperative MBL concentration, MBL-associated serine protease (MBL/MASP) activity and CRP were determined in serum from 611 patients and 150 healthy controls. The patients were observed for 8 years. Postoperative infections, recurrence and survival were recorded. Results: The MBL pathway components were increased in the patients compared with the healthy controls (p<0.0001). Low MBL levels were predictive of pneumonia (p=0.01), and pneumonia (n=87) was associated with poor survival (p=0.003; HR=1.5; 95% CI, 1.1 to 1.9). MBL and MBL/MASP activity showed no correlation with CRP (Spearmans =0.02; 95% CI, –0.06 to 0.10). Conclusion: Low preoperative MBL levels are predictive of pneumonia, which is associated with poorer survival. MBL concentration and MBL/MASP activity was not predictive of other postoperative infections or long-term prognosis, and showed no correlation with CRP. 相似文献
88.
Persistence of bovine viral diarrhea virus is determined by a cellular cofactor of a viral autoprotease
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Polyprotein processing control is a crucial step in the life cycle of positive-strand RNA viruses. Recently, a vital autoprotease generating an essential viral replication factor was identified in such a virus, namely, the pestivirus bovine viral diarrhea virus. Surprisingly, the activity of this protease, which resides in nonstructural protein 2 (NS2), diminishes early after infection, resulting in the limitation of viral RNA replication. Here, we describe that a cellular chaperone termed Jiv (J-domain protein interacting with viral protein) acts as a cofactor of the NS2 protease. Consumption of the intracellular Jiv pool is responsible for temporal regulation of protease activity: overexpression of Jiv interfered with regulation and correlated with increased accumulation of viral RNA; downregulation of the cellular Jiv level accelerated the decline of protease activity and reduced intracellular viral RNA levels and virion production. Accordingly, the amount of a cellular protein controls pestiviral replication by limiting the generation of active viral protease molecules and replication complexes. Importantly, this unique mechanism of replication control is essential for maintenance of the noncytopathogenic phenotype of the virus and thereby for its ability to establish persistent infections. These results add an entirely novel aspect to the understanding of the molecular basis of viral persistence. 相似文献
89.
Kadiiska MB Gladen BC Baird DD Germolec D Graham LB Parker CE Nyska A Wachsman JT Ames BN Basu S Brot N Fitzgerald GA Floyd RA George M Heinecke JW Hatch GE Hensley K Lawson JA Marnett LJ Morrow JD Murray DM Plastaras J Roberts LJ Rokach J Shigenaga MK Sohal RS Sun J Tice RR Van Thiel DH Wellner D Walter PB Tomer KB Mason RP Barrett JC 《Free radical biology & medicine》2005,38(6):698-710
Oxidation products of lipids, proteins, and DNA in the blood, plasma, and urine of rats were measured as part of a comprehensive, multilaboratory validation study searching for noninvasive biomarkers of oxidative stress. This article is the second report of the nationwide Biomarkers of Oxidative Stress Study using acute CCl4 poisoning as a rodent model for oxidative stress. The time-dependent (2, 7, and 16 h) and dose-dependent (120 and 1200 mg/kg i.p.) effects of CCl4 on concentrations of lipid hydroperoxides, TBARS, malondialdehyde (MDA), isoprostanes, protein carbonyls, methionine sulfoxidation, tyrosine products, 8-hydroxy-2'-deoxyguanosine (8-OHdG), leukocyte DNA-MDA adducts, and DNA-strand breaks were investigated to determine whether the oxidative effects of CCl4 would result in increased generation of these oxidation products. Plasma concentrations of MDA and isoprostanes (both measured by GC-MS) and urinary concentrations of isoprostanes (measured with an immunoassay or LC/MS/MS) were increased in both low-dose and high-dose CCl4-treated rats at more than one time point. The other urinary markers (MDA and 8-OHdG) showed significant elevations with treatment under three of the four conditions tested. It is concluded that measurements of MDA and isoprostanes in plasma and urine as well as 8-OHdG in urine are potential candidates for general biomarkers of oxidative stress. All other products were not changed by CCl4 or showed fewer significant effects. 相似文献
90.
Liliane?VenturaEmail author Gabriel?Torres?de Jesus Gunter?Camilo Dablas?de Oliveira Sidney?JF?Sousa 《Biomedical engineering online》2005,4(1):70