The circadian rhythm of heart rate variability

Purpose: In recent years, the measurement of heart rate variability (HRV) has gained ground even outside research settings in everyday clinical and outpatient practice and in health promotion. Methods: Using the search terms “heart rate variability”, “hrv” and “circadian”, a systematic review was carried out in the PubMed database to find original work that analysed the course of HRV parameters over a 24-h period. Results: A total of 26 original studies were found. Almost all the studies detected a circadian rhythm for the HRV parameters analysed. HRV increased during the night in particular and a nighttime peak during the second half of the night was identified. Conclusions: HRV follows a circadian rhythm. But until today, there isn′t any possibility to make quantitative statements about changes over the course of the day for planning short-term measurements. More qualitative studies must be carried in order to close this knowledge gaps.     

Methodological Underestimation of Oceanic Nitrogen Fixation Rates

The two commonly applied methods to assess dinitrogen (N₂) fixation rates are the ¹⁵N₂-tracer addition and the acetylene reduction assay (ARA). Discrepancies between the two methods as well as inconsistencies between N₂ fixation rates and biomass/growth rates in culture experiments have been attributed to variable excretion of recently fixed N₂. Here we demonstrate that the ¹⁵N₂-tracer addition method underestimates N₂ fixation rates significantly when the ¹⁵N₂ tracer is introduced as a gas bubble. The injected ¹⁵N₂ gas bubble does not attain equilibrium with the surrounding water leading to a ¹⁵N₂ concentration lower than assumed by the method used to calculate ¹⁵N₂-fixation rates. The resulting magnitude of underestimation varies with the incubation time, to a lesser extent on the amount of injected gas and is sensitive to the timing of the bubble injection relative to diel N₂ fixation patterns. Here, we propose and test a modified ¹⁵N₂ tracer method based on the addition of ¹⁵N₂-enriched seawater that provides an instantaneous, constant enrichment and allows more accurate calculation of N₂ fixation rates for both field and laboratory studies. We hypothesise that application of N₂ fixation measurements using this modified method will significantly reduce the apparent imbalances in the oceanic fixed-nitrogen budget.     

Natural Killer Cells Mediate Protection against Yersinia pseudotuberculosis in the Mesenteric Lymph Nodes

Natural killer cells play a crucial role in the initial defense against bacterial pathogens. The crosstalk between host cells infected with intracellular pathogens and NK cells has been studied intensively, but not much attention has been given to characterize the role of NK cells in the response to extracellular bacterial pathogens such as yersiniae. In this study we used antibody-mediated NK cell depletion to address the importance of this immune cell type in controlling a Y. pseudotuberculosis infection. Analysis of the bacterial counts was used to follow the infection and flow cytometry was performed to characterize the composition and dynamic of immune cells. Depletion of NK cells led to higher bacterial loads within the mesenteric lymph nodes. We further show that in particular CD11b⁺ CD27⁺ NK cells which express higher levels of the activation marker CD69 increase within the mesenteric lymph nodes during a Y. pseudotuberculosis infection. Moreover, in response to the activation NK cells secrete higher levels of IFNy, which in turn triggers the production of the proinflammatory cytokine TNFα. These results suggest, that NK cells aid in the clearance of Y. pseudotuberculosis infections mainly by triggering the expression of proinflammatory cytokines manipulating the host immune response.     

Patient Preferences for Biologicals in Psoriasis: Top Priority of Safety for Cardiovascular Patients

Patients with psoriasis are often affected by comorbidities, which largely influence treatment decisions. Here we performed conjoint analysis to assess the impact of comorbidities on preferences of patients with moderate-to-severe psoriasis for outcome (probability of 50% and 90% improvement, time until response, sustainability of success, probability of mild and severe adverse events (AE), probability of ACR 20 response) and process attributes (treatment location, frequency, duration and delivery method) of biologicals. The influence of comorbidities on Relative Importance Scores (RIS) was determined with analysis of variance and multivariate regression. Among the 200 participants completing the study, 22.5% suffered from psoriatic arthritis, 31.5% from arterial hypertension, 15% from cardiovascular disease (myocardial infarction, stroke, coronary artery disease, and/or arterial occlusive disease), 14.5% from diabetes, 11% from hyperlipidemia, 26% from chronic bronchitis or asthma and 12.5% from depression. Participants with psoriatic arthritis attached greater importance to ACR 20 response (RIS = 10.3 vs. 5.0, p<0.001; β = 0.278, p<0.001) and sustainability (RIS = 5.8 vs. 5.0, p = 0.032) but less value to time until response (RIS = 3.4 vs. 4.8, p = 0.045) than those without arthritis. Participants with arterial hypertension were particularly interested in a low risk of mild AE (RIS 9.7 vs. 12.1; p = 0.033) and a short treatment duration (RIS = 8.0 vs. 9.6, p = 0.002). Those with cardiovascular disease worried more about mild AE (RIS = 12.8 vs. 10, p = 0.027; β = 0.170, p = 0.027) and severe AE (RIS = 23.2 vs. 16.2, p = 0.001; β = 0.203, p = 0.007) but cared less about time until response (β = -0.189, p = 0.013), treatment location (β = -0.153, p = 0.049), frequency (β = -0.20, p = 0.008) and delivery method (β = -0.175, p = 0.023) than others. Patients’ concerns should be addressed in-depth when prescribing biologicals to comorbid patients, keeping in mind that TNF antagonists may favourably influence cardiovascular risk.     

Visualization of initial bacterial colonization on dentine and enamel in situ

Bacterial colonization of dentine is of high relevance in cariology, endodontology and periodontology. The aim of the present in situ study was to establish recent methods for visualization and quantification of initial bacterial adherence to dentine in comparison to enamel. For this purpose, bovine enamel and dentine slabs were fixed on buccal sites of individual upper jaw splints worn by 6 subjects for 30 min, 120 min and 360 min, respectively. Adherent bacteria on the slabs were visualized and quantified with DAPI-staining (4′,6-diamidino-2-phenylindole) and fluorescence in situ hybridization (FISH) of streptococci and eubacteria using the CLSM (confocal laser scanning microscopy) as well as an epifluorescence microscope. In addition, the number of colony forming units was quantified after desorption. Representative samples were processed for SEM (scanning electron microscopy) and TEM (transmission electron microscopy). All methods clearly indicated that a significantly higher number of bacteria adhered to dentine than to enamel. Furthermore, the amount of bacteria on the dentine increased with increasing oral exposure time, but remained rather constant on the enamel. The CLSM allowed visualization of bacteria in the dentinal tubules. Bacteria were found preferentially at the openings of the dentine tubules, but were distributed randomly on the enamel.In conclusion, the adopted methods are suitable for visualization and quantification of bacterial adhesion to dentine. Even the initial bacterial colonization of dentine is much more pronounced than bacterial adherence to the enamel.     

Comparison of scores for bimodality of gene expression distributions and genome-wide evaluation of the prognostic relevance of high-scoring genes

Background  

A major goal of the analysis of high-dimensional RNA expression data from tumor tissue is to identify prognostic signatures for discriminating patient subgroups. For this purpose genome-wide identification of bimodally expressed genes from gene array data is relevant because distinguishability of high and low expression groups is easier compared to genes with unimodal expression distributions.     

Mutations in the M112/M113-Coding Region Facilitate Murine Cytomegalovirus Replication in Human Cells

Cytomegaloviruses, representatives of the Betaherpesvirinae, cause opportunistic infections in immunocompromised hosts. They infect various cells and tissues in their natural host but are highly species specific. For instance, human cytomegalovirus (HCMV) does not replicate in mouse cells, and human cells are not permissive for murine cytomegalovirus (MCMV) infection. However, the underlying molecular mechanisms are so far poorly understood. In the present study we isolated and characterized a spontaneously occurring MCMV mutant that has gained the capacity to replicate rapidly and to high titers in human cells. Compared to the parental wild-type (wt) virus, this mutant formed larger nuclear replication compartments and replicated viral DNA more efficiently. It also disrupted promyelocytic leukemia (PML) protein nuclear domains with greater efficiency but caused less apoptosis than did wt MCMV. Sequence analysis of the mutant virus genome revealed mutations in the M112/M113-coding region. This region is homologous to the HCMV UL112-113 region and encodes the viral early 1 (E1) proteins, which are known to play an important role in viral DNA replication. By introducing the M112/M113 mutations into wt MCMV, we demonstrated that they are sufficient to facilitate MCMV replication in human cells and are, at least in part, responsible for the efficient replication capability of the spontaneously adapted virus. However, additional mutations probably contribute as well. These results reveal a previously unrecognized role of the viral E1 proteins in regulating viral replication in different cells and provide new insights into the mechanisms of the species specificity of cytomegaloviruses.Cytomegaloviruses (CMVs) are prototypes of the β subfamily of the Herpesviridae. Representatives of this subfamily have been identified in various animal species, and these viruses cause similar symptoms in their respective hosts (36). HCMV is an opportunistic pathogen that causes generally mild infections in people with a fully functional immune system. However, this virus is also responsible for serious medical problems, particularly in newborns and immunocompromised patients (39).Since their first isolation in cell culture, CMVs have been recognized as highly species specific (57). They replicate only in cells of their own or a closely related species. For instance, simian CMV can replicate in human fibroblasts (32), and HCMV can replicate in chimpanzee skin fibroblasts (41). Similarly, murine cytomegalovirus (MCMV) productively infects rat cells (7, 46), but a rat cytomegalovirus did not replicate in murine fibroblasts (7). However, cells of other more distantly related species are usually nonpermissive to infection. Several studies have shown that CMVs can enter cells of other species and express a subset of viral genes (19, 20, 29, 32). This finding has led to the conclusion that the restriction to CMV replication in nonpermissive cells is associated with a postpenetration block to viral gene expression and DNA replication but not due to a failure to enter the cell (36).Recently, we picked up on this topic and tried to gain new insights into the molecular mechanisms underlying the species specificity of CMVs. We showed that CMVs of mice and rats induce apoptosis when they infect human fibroblasts or retinal epithelial cells (26). The induction of apoptosis prevented a sustained replication of these viruses in human cells and reduced progeny production to insignificant levels. When apoptosis was inhibited by the overexpression of Bcl-2 or a functionally similar protein, MCMV was able to replicate to substantial titers in human cells. These results indicated that the induction of apoptosis is an important limitation to cytomegalovirus cross-species infections (26). However, the fact that MCMV replication in human cells in the presence of apoptosis inhibition was somewhat delayed and less efficient than that in murine cells indicated that other limiting factors likely exist. Another study suggested that MCMV can replicate to low levels in human cells with the help of HCMV immediate-early 1 (IE1) and HCMV tegument proteins (50).In the present study, we describe the isolation and characterization of a mutant MCMV that has spontaneously acquired the ability to replicate rapidly and to high titers in human retinal pigment epithelial (RPE-1) cells. We show that this virus induces less apoptosis and replicates its DNA faster than the parental wild-type (wt) MCMV. Moreover, the mutant virus disrupts intranuclear sites of intrinsic antiviral defense more efficiently than the wt virus. Sequence analysis of the human cell-adapted MCMV strain revealed several alterations, including mutations in the M112/M113-coding region. By targeted mutagenesis we showed that mutations in M112/M113 are sufficient to facilitate MCMV replication in human cells. However, additional mutations most likely contribute to the remarkably efficient replication of the adapted strain.     

Listeria monocytogenes activated p38 MAPK and induced IL-8 secretion in a nucleotide-binding oligomerization domain 1-dependent manner in endothelial cells

Nucleotide-binding oligomerization domain (Nod) proteins serve as intracellular pattern recognition molecules recognizing peptidoglycans. To further examine intracellular immune recognition, we used Listeria monocytogenes as an organism particularly amenable for studying innate immunity to intracellular pathogens. In contrast to wild-type L. monocytogenes, the nonpathogenic Listeria innocua, or L. monocytogenes mutants lacking internalin B or listeriolysin O, poorly invaded host cells and escaped into host cell cytoplasm, respectively, and were therefore used as controls. In this study, we show that only the invasive wild-type L. monocytogenes, but not the listeriolysin O- or internalin B-negative L. monocytogenes mutants or L. innocua, substantially induced IL-8 production in HUVEC. RNA interference and Nod1-overexpression experiments demonstrated that Nod1 is critically involved in chemokine secretion and NF-kappaB activation initiated by L. monocytogenes in human endothelial cells. Moreover, we show for the first time that Nod1 mediated activation of p38 MAPK signaling induced by L. monocytogenes. Finally, L. monocytogenes- and Nod1-induced IL-8 production was blocked by a specific p38 inhibitor. In conclusion, L. monocytogenes induced a Nod1-dependent activation of p38 MAPK signaling and NF-kappaB which resulted in IL-8 production in endothelial cells. Thus, Nod1 is an important component of a cytoplasmic surveillance pathway.