Clinical features and predictors for disease natural progression in adults with Pompe disease: a nationwide prospective observational study

Background

Due partly to physicians’ unawareness, many adults with Pompe disease are diagnosed with great delay. Besides, it is not well known which factors influence the rate of disease progression, and thus disease outcome. We delineated the specific clinical features of Pompe disease in adults, and mapped out the distribution and severity of muscle weakness, and the sequence of involvement of the individual muscle groups. Furthermore, we defined the natural disease course and identified prognostic factors for disease progression.

Methods

We conducted a single-center, prospective, observational study. Muscle strength (manual muscle testing, and hand-held dynamometry), muscle function (quick motor function test), and pulmonary function (forced vital capacity in sitting and supine positions) were assessed every 3–6 months and analyzed using repeated-measures ANOVA.

Results

Between October 2004 and August 2009, 94 patients aged between 25 and 75 years were included in the study. Although skeletal muscle weakness was typically distributed in a limb-girdle pattern, many patients had unfamiliar features such as ptosis (23%), bulbar weakness (28%), and scapular winging (33%). During follow-up (average 1.6 years, range 0.5-4.2 years), skeletal muscle strength deteriorated significantly (mean declines of ?1.3% point/year for manual muscle testing and of ?2.6% points/year for hand-held dynamometry; both p<0.001). Longer disease duration (>15 years) and pulmonary involvement (forced vital capacity in sitting position <80%) at study entry predicted faster decline. On average, forced vital capacity in supine position deteriorated by 1.3% points per year (p=0.02). Decline in pulmonary function was consistent across subgroups. Ten percent of patients declined unexpectedly fast.

Conclusions

Recognizing patterns of common and less familiar characteristics in adults with Pompe disease facilitates timely diagnosis. Longer disease duration and reduced pulmonary function stand out as predictors of rapid disease progression, and aid in deciding whether to initiate enzyme replacement therapy, or when.

     

Influences of addition of different krilium in saline-sodic soil on the seed germination and growth of cabbage

China is one of the largest countries with huge amount of saline-sodic soil. How to ameliorate these lands is a hotspot in China. Through measurement of soil salinity, pH value and seed germination and growth status of cabbage seedlings, 17 kinds of krilium were added to experimented soil to evaluate their effects on amelioration of heavy saline-sodic soil. Firstly, among these 17 kinds of krilium, 11 (HPMA, gypsum, HEDP, T225, PAPEMP, MA-AA, ATMP, AA/AMPS, PAA, charcoal and BHMTPMPA) were effective agents and could effectively induce seed germination without any germination phenomena in the control saline-sodic soil. HPMA was the best one in ameliorating saline-sodic soil, which has been manifested by various indices of seed germination. Secondly, addition of gypsum together with other organic agents could strongly increase the ameliorative effectiveness if compared with relatively weak agents, while decrease seed germination if compared with the stronger agent of the 2 mixed agents, showing that the synergetic effect between gypsum and other kinds of tested krilium was not evident. Thirdly, optimum dosages for separate addition of HPMA and gypsum were 42.8 L m^?3 and 25 kg m^?3, while mixed-addition of these 2 agents at the same dosages did not cause plus effect in soil improvement. Finally, field application of HPMA could enhance the growth of cabbage seedlings at the first month, but began to wilt thereafter. Thus, instead of one-time addition, several-time addition of HPMA at the suitable dosage in field practice could strengthen the effectiveness of soil amelioration.     

Ginkgo biloba extract improves coronary blood flow in healthy elderly adults: Role of endothelium-dependent vasodilation

Advancing age decreases endothelial function; accordingly, it alters the physiological regulation of coronary blood flow. Ginkgo biloba extract (GBE) has well-documented anti-ageing effects. However, little is yet known about the pharmacological actions of GBE on endothelial dysfunction and coronary blood flow in healthy elderly adults. We designed the study to test the effects of GBE on distal left anterior descending coronary artery (LAD) blood flow and endothelium-dependent brachial artery flow-mediated dilation (FMD) in healthy elderly adults.Sixty healthy elderly adults were randomly assigned to either GBE or control groups. LAD blood flow and brachial artery FMD were measured non-invasively using high-resolution ultrasound before and after intravenous administration of GBE or saline. GBE significantly increased LAD blood flow in maximal diastolic peak velocity (MDPV), maximal systolic peak velocity (MSPV) and diastolic time velocity integral (DTVI) compared with the placebo group (19.16±13.91% vs. 0.30±2.55%, 17.76±14.56% vs. 0.53±2.32%, and 21.73±16.13% vs. 0.81±2.33%, MDPV, MSPV, and DTVI improvement from baseline, respectively, p<0.01). Brachial artery FMD was also increased by 56.03% (from 7.21±2.52% to 11.28±3.95%, p<0.01). A linear correlation was found between the percentage change in MDPV, MSPV, or DTVI of LAD blood flow and the percentage change in brachial artery FMD following treatment with GBE (r=0.538, 0.366, or 0.573, respectively, p<0.01, p<0.05, or p<0.01). Our data demonstrate that GBE treatment in healthy elderly adults leads to the increase of LAD blood flow in MDPV, MSPV and DTVI, and the increased response might relate to the improved endothelium-dependent vasodilatory capacity. This study implies an important future therapeutic strategy of using GBE to counteract the detrimental effects of ageing.     

Use of the EM algorithm to detect QTL affecting multiple-traits in an across half-sib family analysis

QTL detection experiments in livestock species commonly use the half-sib design. Each male is mated to a number of females, each female producing a limited number of progeny. Analysis consists of attempting to detect associations between phenotype and genotype measured on the progeny. When family sizes are limiting experimenters may wish to incorporate as much information as possible into a single analysis. However, combining information across sires is problematic because of incomplete linkage disequilibrium between the markers and the QTL in the population. This study describes formulæ for obtaining MLEs via the expectation maximization (EM) algorithm for use in a multiple-trait, multiple-family analysis. A model specifying a QTL with only two alleles, and a common within sire error variance is assumed. Compared to single-family analyses, power can be improved up to fourfold with multi-family analyses. The accuracy and precision of QTL location estimates are also substantially improved. With small family sizes, the multi-family, multi-trait analyses reduce substantially, but not totally remove, biases in QTL effect estimates. In situations where multiple QTL alleles are segregating the multi-family analysis will average out the effects of the different QTL alleles.     

不同杂种优势类群玉米幼胚愈伤组织的诱导及植株再生特性的评价

以Reid、唐四平头和其他种质等3个杂种优势类群共30份玉米自交系为实验材料,以玉米幼胚作为外植体,研究基因型、培养基、激素、继代培养次数对玉米幼胚愈伤组织诱导及植株再生的影响.研究结果表明供试材料均能进行愈伤组织诱导,但是只有部分自交系能再生植株.通过对不同杂种优势类群自交系玉米幼胚培养特性的分析,从Reid、唐四平头和其他种质类群的供试自交系中,筛选出了胚性愈伤组织诱导频率和绿苗分化率均较高、适合于遗传转化的受体材料,如黄野四/京24//C108/黄野四选系、黄早四/先早17//吉853选系、R43//黄野四/711选系、京7、京7黄、3189/4380选系、4380/陕综5选系、8103、先早17、18-599红、501、178和冀53.     

细胞色素P450scc在人早期胎盘中的表达（简报）

人妊娠期间,胎盘合成大量的类固醇激素,与妊娠的启动、维持、分娩以及胎儿的发育均存在密切的关系。阐明胎盘类固醇激素特别是孕酮合成与分泌的调节机制对于寻找理想的生育调控技术和生殖保健方法具有重要的意义。因此,胎盘类固醇激素合成与分泌的调节向来是生殖生物学与妇产科学领域所关注的焦点问题之一,     

水稻条纹病毒RNA4基因间隔区的分子变异

应用反转录－聚合酶链式反应（RT－PCR）和单链构象多态性（single-strand conformation polymorphism,SSCP)技术快速检测我国水稻条纹病毒（RSV）RNA4基因间隔区（intergenic region,IR)的分子变异,结果表明,我国RSV RNA4 IR存在分子变异。供试的7个分离物共有4种泳动带型,其中YL、BS、JD、LY分离物完全一致,而YL、BS、YL及JD4个分离物序列完全一致;JN、PJ、SQ3个分离各不一样,序列之间的同源性均在92％－94％之间.IR序列内部具有两个重要的结构特征：（1）有两处反向重复序列,可形成两个明显的发夹结构,其中一个序列比较保守,形成的发夹结构稳定;但中一个发夹结构由于碱基变异导致其稳定性在各个分离物中差异较大;（2）具有插入序列,相对于日本M分离物,我国7个分离物都有一段长19bp的插入序列,这段插入序列比较保守,各分离物之间仅有1－2个碱基的差异。     

The cell polarity protein ASIP/PAR-3 directly associates with junctional adhesion molecule (JAM).

The establishment and maintenance of cellular polarity are critical for the development of multicellular organisms. PAR (partitioning-defective) proteins were identified in Caenorhabditis elegans as determinants of asymmetric cell division and polarized cell growth. Recently, vertebrate orthologues of two of these proteins, ASIP/PAR-3 and PAR-6, were found to form a signalling complex with the small GTPases Cdc42/Rac1 and with atypical protein kinase C (PKC). Here we show that ASIP/PAR-3 associates with the tight-junction-associated protein junctional adhesion molecule (JAM) in vitro and in vivo. No binding was observed with claudin-1, -4 or -5. In fibroblasts and CHO cells overexpressing JAM, endogenous ASIP is recruited to JAM at sites of cell-cell contact. Over expression of truncated JAM lacking the extracellular part disrupts ASIP/PAR-3 localization at intercellular junctions and delays ASIP/PAR-3 recruitment to newly formed cell junctions. During junction formation, JAM appears early in primordial forms of junctions. Our data suggest that the ASIP/PAR-3-aPKC complex is tethered to tight junctions via its association with JAM, indicating a potential role for JAM in the generation of cell polarity in epithelial cells.     

笼养雌性果子狸同性数量对发情状态的影响及繁殖季节尿液雌激素浓度的变化

本研究试图揭示 (1)社会环境影响雌性果子狸 (Pagumalarvata)的交配日期 ,(2 )哺乳期母兽有雌二醇浓度升高的现象。通过检查是否排出交配栓并结合交配行为的发生与否确定开始交配的日期 ,使用放射免疫方法测定尿中雌二醇浓度。结果表明 (1)一雄两雌组中优势雌兽开始交配的日期显著早于劣势雌兽和单雌组雌兽 ,劣势雌兽和单雌组雌兽之间无差异 ;交配期优势雌兽尿液中雌二醇浓度明显高于劣势雌兽 ,而与单雌组中的雌兽无差异 ,但单雌组中雌兽尿液中雌二醇的浓度明显高于劣势雌兽雌二醇的浓度 ;(2 ) 5头母兽产后第二天雌二醇浓度开始上升 ,在第 5天时达到高峰 ,其中 4头母兽的雌二醇浓度共出现了两个峰值 ,其间隔为 16 75± 4 4 6 (4)天。上述结果说明 :(1)社会影响仅对优势雌性个体的繁殖有促进作用 ;(2 )哺乳期雌二醇水平的升高是季节性多次发情的基础。     

Expression and localization of P-glycoprotein in human heart: effects of cardiomyopathy.

ABC-type transport proteins, such as P-glycoprotein (P-gp), modify intracellular concentrations of many substrate compounds. They serve as functional barriers against entry of xenobiotics (e.g., in the gut or the blood-brain barrier) or contribute to drug excretion. Expression of transport proteins in the heart could be an important factor modifying cardiac concentrations of drugs known to be transported by P-gp (e.g., beta-blockers, cardiac glycosides, doxorubicin). We therefore investigated the expression and localization of P-gp in human heart. Samples from 15 human hearts (left ventricle; five non-failing, five dilated cardiomyopathy, and five ischemic cardiomyopathy) were analyzed for expression of P-gp using real-time RT-PCR, immunohistochemistry, and in situ hybridization. Immunohistochemistry revealed expression of P-gp in endothelium of both arterioles and capillaries of all heart samples. Although P-gp mRNA was detected in all samples, its expression level was significantly reduced in patients with dilated cardiomyopathy. We describe variable expression of P-gp in human heart and its localization in the endothelial wall. Thus, intracardiac concentrations of various compounds may be modified, depending on the individual P-gp level.