An inter-laboratory collaborative study by the Non-Genotoxic Carcinogen Study Group in Japan, on a cell transformation assay for tumour promoters using Bhas 42 cells

The Bhas promotion assay is a cell culture transformation assay designed as a sensitive and economical method for detecting the tumour-promoting activities of chemicals. In order to validate the transferability and applicability of this assay, an inter-laboratory collaborative study was conducted with the participation of 14 laboratories. After confirmation that these laboratories could obtain positive results with two tumour promoters, 12-O-tetradecanoylphorbol-13-acetate (TPA) and lithocholic acid (LCA), 12 coded chemicals were assayed. Each chemical was tested in four laboratories. For eight chemicals, all four laboratories obtained consistent results, and for two of the other four chemicals, only one of the four laboratories showed inconsistent results. Thus, the rate of consistency was high. During the study, several issues were raised, each of which were analysed step-by-step, leading to revision of the protocol of the original assay. Among these issues were the importance of careful maintenance of mother cultures and the adoption of test concentrations for toxic chemicals. In addition, it is suggested that three different types of chemicals show positive promoting activity in the assay. Those designated as T-type induced extreme growth enhancement, and included TPA, mezerein, PDD and insulin. LCA and okadaic acid belonged to the L-type category, in which transformed foci were induced at concentrations showing growth-inhibition. In contrast, M-type chemicals, progesterone, catechol and sodium saccharin, induced foci at concentrations with little or slight growth inhibition. The fact that different types of chemicals similarly induce transformed foci in the Bhas promotion assay may provide clues for elucidating mechanisms of tumour promotion.     

Sequential analysis of surfactant,lung function and inflammation in cystic fibrosis patients

Background

In a cross-sectional analysis of cystic fibrosis (CF) patients with mild lung disease, reduced surfactant activity was correlated to increased neutrophilic airway inflammation, but not to lung function. So far, longitudinal measurements of surfactant function in CF patients are lacking and it remains unclear how these alterations relate to the progression of airway inflammation as well as decline in pulmonary function over time.

Methods

As part of the BEAT trial, a longitudinal study to assess the course of airway inflammation in CF, we studied lung function, surfactant function and endobronchial inflammation using bronchoalveolar lavage fluid from 20 CF patients with normal pulmonary function (median FEV₁ 94% of predicted) at three times over a three year period.

Results

There was a progressive loss of surfactant function, assessed as minimal surface tension. The decline in surfactant function was negatively correlated to an increase in neutrophilic inflammation and a decrease in lung function, assessed by FEV₁, MEF_75/25%VC, and MEF_25%VC. The concentrations of the surfactant specific proteins A, C and D did not change, whereas SP-B increased during this time period.

Conclusion

Our findings suggest a link between loss of surfactant function driven by progressive airway inflammation and loss of small airway function in CF patients with limited lung disease.     

半滑舌鳎早期形态及发育特征

半滑舌鳎卵子为分离的球形浮性卵 ,卵径 1 18-1 3 1mm。卵膜薄、光滑、透明 ,具弹性。多油球 ,一般为 97-12 5个 ,多数在 10 0个左右 ,油球径 0 0 4-0 11mm。在培养水温为 2 0 5-2 2 8℃的条件下 ,卵子授精后 3 7h仔鱼孵出 ,3 0min后仔鱼全部孵出。初孵仔鱼全长 2 56-2 68mm。 1日龄仔鱼 ,出现胸鳍芽。 1 5日龄仔鱼 ,巡游模式基本建立。 2日龄仔鱼 ,逐渐建立外源性摄食关系。 3日龄仔鱼 ,出现鳔泡 ,个体发育进入后期仔鱼期。 18日龄 ,个体发育进入稚鱼期。 2 5日龄稚鱼 ,右眼开始向上移动。 2 7日龄稚鱼 ,右眼已转到头顶。 2 9日龄稚鱼 ,右眼完全转到左侧 ,胸鳍退化 ,各鳍鳍条发育完全。 57日龄 ,个体发育进入幼鱼期。 79日龄幼鱼 ,鳔退化、鳞片发育完全 ,侧线 3条。研究结果表明 :前期仔鱼培育期间 ,除了严格控制适宜的培养水温外 ,仔鱼开口后就应及时投喂一定密度的适口饵料 ,这是苗种培育中不可忽视的重要环节和技术措施之一 ;稚鱼变态期间加强鲜活饵料的投喂是提高稚鱼变态成活率的关键所在。仔鱼孵化后出现的管状感觉器官以及背、臀鳍膜上的泡状结构在早期发育阶段的生态和生理作用尚不清楚。半滑舌鳎成鱼无鳔和无胸鳍 ,而在早期发育期间具有鳔泡和胸鳍 ,这是生物个体发育史中祖先特征的重演     

放牧对小叶锦鸡儿种子产量的影响

锡林河流域草地灌木化表现为小叶锦鸡儿（Caragana microphylla）种群的扩张。为了研究放牧与小叶锦鸡儿种群扩张的关系, 从小叶锦鸡儿的种子产量和萌发入手, 分析放牧对小叶锦鸡儿生殖的直接影响（即放牧的直接影响）以及不同放牧处理下昆虫种群对小叶锦鸡儿生殖造成的影响（即放牧的间接影响）。通过比较不同处理下小叶锦鸡儿果荚的数量、种子产量以及昆虫对种子的取食, 发现放牧产生的直接影响和间接影响性质不同, 放牧的直接影响是不利于小叶锦鸡儿的繁殖,而其间接影响却对小叶锦鸡儿的繁殖有利, 且这两种影响在很大程度上会互相抵消。根据所得的研究结果可知在停止放牧之后的一段时间内, 小叶锦鸡儿种群扩张的可能性会增加, 因此在草地生态系统管理中应该注意这个问题。     

不同剂量^137Cs-γ辐射对毛竹幼苗叶片叶绿素荧光参数的影响

利用不同剂量的137Cs-γ射线对毛竹（Phyllostachys heterocycla ‘Pubescens’）种子进行辐射, 测定实生苗叶片中的光合色素含量和叶绿素荧光参数等指标, 探讨辐射对毛竹幼苗生长的影响, 为筛选有利的突变单株奠定良好基础。结果表明：30或60 Gy的137Cs-γ射线辐射后, 毛竹幼苗的光合色素含量以及最大荧光强度（Fm）、可变荧光强度（Fv）、PSII最大光化学效率（Fv/Fm）、PSII的潜在活性（Fv/Fo）、PSII实际光化学效率（Yield）和表观光合电子传递速率（ETR）等荧光参数值均高于90 Gy辐射处理, 说明较低剂量辐射后PSII反应中心的能量捕获效率高, 且具有较强的光合能力; 而90 Gy的137Cs-γ射线辐射对毛竹的影响则与之相反。不同处理剂量之间叶片光能耗散程度以及表观光合电子传递速率-光合有效辐射（ETR-PAR）响应曲线的分析结果也进一步证实了以上结论。     

Reliability of FEV1/FEV6 to Diagnose Airflow Obstruction Compared with FEV1/FVC: The PLATINO Longitudinal Study

QUESTION

A 6-second spirometry test is easier than full exhalations. We compared the reliability of the ratio of the Forced expiratory volume in 1 second/Forced expiratory volume in 6 seconds (FEV₁/FEV₆) to the ratio of the FEV₁/Forced vital capacity (FEV₁/FVC) for the detection of airway obstruction.

METHODS

The PLATINO population-based survey in individuals aged 40 years and over designed to estimate the prevalence of post-Bronchodilator airway obstruction repeated for the same study participants after 5–9 years in three Latin-American cities.

RESULTS

Using the FEV₁/FVC<Lower limit of normal (LLN) index, COPD prevalence apparently changed from 9.8 to 13.2% in Montevideo, from 9.7 to 6.0% in São Paulo and from 8.5 to 6.6% in Santiago, despite only slight declines in smoking prevalence (from 30.8% to 24.3%). These changes were associated with differences in Forced expiratory time (FET) between the two surveys. In contrast, by using the FEV₁/FEV₆ to define airway obstruction, the changes in prevalence were smaller: 9.7 to 10.6% in Montevideo, 8.6 to 9.0% in São Paulo, and 7.5 to 7.9% in Santiago. Changes in the prevalence of COPD with criteria based on FEV₁/FVC correlated strongly with changes in the FET of the tests (R² 0.92) unlike the prevalence based on a low FEV₁/FEV₆ (R² = 0.40).

CONCLUSION

The FEV₁/FEV₆ is a more reliable index than FEV₁/FVC because FVC varies with the duration of the forced exhalation. Reporting FET and FEV₁/FEV₆<LLN helps to understand differences in prevalence of COPD obtained from FEV₁/FVC-derived indices.     

长江三峡地区上震旦统稳定同位素异常及地层意义

三峡地区广泛发育的上震旦统,及下伏的南沱组和古城组冰碛层,有良好的生物地层控制及全球对比意义。新秭归城附近的雾河剖面,自南沱组顶部到水井沱组下部出露有利于化学地层学研究的一系列碳酸盐岩沉积,对这一剖面的碳,氧,锶同位素研究发现：1）碳,锶和氧同位素在陡山沱组顶部到灯影组底部存在明显异常;2）碳同位素在寒武系-前寒武系界线附近有负异常;3）碳同位素和锶同位素在剖面上的演化具有全球对比意义;4）陡山沱组顶部到灯影组底部的碳,锶同位素异常,与可能存在末远古纪的冰期,即所谓的“后Marinoan冰期”有关。     

The effect of obesity management on body image in patients seeking treatment at medical centers

Objective: Body image dissatisfaction is common in treatment‐seeking patients with obesity. We aimed to investigate the effects of obesity management on body image in patients with obesity attending Italian medical centers for weight loss programs. Research Methods and Procedures: A total of 473 obese patients seeking treatment in 13 Italian medical centers (80% females; age, 45.9 ± standard deviation 11.0 years; BMI, 36.8 ± 5.7 kg/m²) were evaluated at baseline and after a 6‐month weight loss treatment. Body uneasiness, psychiatric distress, and binge eating were tested by Body Uneasiness Test (BUT, Part A), Symptom CheckList‐90 (SCL‐90), and Binge Eating Scale (BES), respectively. Results: At 6‐month follow‐up, the percentage weight loss was significantly higher in men (9.0 ± 6.3%) than in women (6.8 ± 7.3%; p = 0.010). Both men and women had a significant improvement in BUT Global Severity Index and in all of the BUT subscales with the exception of the Compulsive Self‐Monitoring subscale. Linear regression analysis selected baseline psychological and behavioral measures (global score of BUT and SCL‐90) and improved psychiatric distress and binge eating as independent predictors of changes in basal body dissatisfaction in females, whereas in males, changes were associated only with baseline BUT‐Global Severity Index score, binge eating, and its treatment‐associated improvement. Pre‐treatment BMI and BMI changes did not enter the regression. Discussion: Obesity treatment, even with a modest degree of weight loss, is associated with a significant improvement of body image, in both females and males. This effect depends mainly on psychological factors, not on the amount of weight loss.     

Is Clinical Practice Concordant with the Changes in Guidelines for Antiretroviral Therapy Initiation during Primary and Chronic HIV-1 Infection? The ANRS PRIMO and COPANA Cohorts

Objective

Guidelines for initiating HIV treatment are regularly revised. We explored how physicians in France have applied these evolving guidelines for ART initiation over the last decade in two different situations: chronic (CHI) and primary HIV-1 infection (PHI), since specific recommendations for PHI are also provided in France.

Methods

Data came from the ANRS PRIMO (1267 patients enrolled during PHI in 1996–2010) and COPANA (800 subjects enrolled at HIV diagnosis in 2004–2008) cohorts. We defined as guidelines-inconsistent during PHI and CHI, patients meeting criteria for ART initiation and not treated in the following month and during the next 6 months, respectively.

Results

ART initiation during PHI dramatically decreased from 91% of patients in 1996–99 to 22% in 2007 and increased to 60% in 2010, following changes in recommendations. In 2007, however, after the CD4 count threshold was raised to 350 cells/mm³ in 2006, only 55% of the patients with CD4≤350 were treated and 66% in 2008. During CHI, ART was more frequently initiated in patients who met the criteria at entry (96%) than during follow-up: 83% when recommendation to treat was 200 and 73% when it was 350 cells/mm³. Independent risk factors for not being treated during CHI despite meeting the criteria were lower viral load, lower educational level, and poorer living conditions.

Conclusion

HIV ART initiation guidelines are largely followed by practitioners in France. What can still be improved, however, is time to treat when CD4 cell counts reach the threshold to treat. Risk factors for lack of timely treatment highlight the need to understand better how patients’ living conditions and physicians’ perceptions influence the decision to initiate treatment.     

Decision-Making in Multiple Sclerosis Consultations in Italy: Third Observer and Patient Assessments

Objective

To assess decision-making in multiple sclerosis (MS) from third observer and patient perspectives.

Method

Audio recordings of first-ever consultations with a participating physician (88 outpatients, 10 physicians) at four tertiary MS care clinics in Italy, were rated by a third observer using the Observing Patient Involvement in Shared Decision Making (OPTION) and by patients using the Perceived Involvement in Care Scale (PICS).

Results

Mean patient age was 37.5, 66% were women, 72% had MS, and 28% had possible MS or other disease. Mean PICS subscale scores (range 0 poor, 100 best possible) were 71.9 (SD 24.3) for "physician facilitation" (PICS-F); 74.6 (SD 22.9) for "patient information exchange" (PICS-I); and only 22.5 (SD 16.2) for "patient decision making" (PICS-DM). Mean OPTION total score (0 poor, 100 best possible) was 29.6 (SD 10.3). Poorest OPTION scores were found for items assessing “preferred patient approach to receiving information” and “preferred patient level of involvement.” Highest scores were for “clinician drawing attention to identified problem”, “indicating need for decision making,” and “need to review the decision.” Consultation time, woman physician, patient-physician gender concordance and PICS-F were associated with higher OPTION total score; older physician and second opinion consultation were associated with lower OPTION score.

Conclusions

In line with findings in other settings, our third observer findings indicated limited patient involvement abilities of MS physicians during first consultations. Patient perceptions of physician skills were better than third observers’, although they correlated. Consultations with women physicians, and younger physicians, were associated with higher third observer and patient-based scores. Our findings reveal a need to empower Italian MS physicians with better communication and shared decision-making skills, and show in particular that attention to MS patient preferences for reception of information and involvement in health decisions, need to be improved.