High HbA1c levels correlate with reduced plaque regression during statin treatment in patients with stable coronary artery disease: Results of the coronary atherosclerosis study measuring effects of rosuvastatin using intravascular ultrasound in Japanese subjects (COSMOS)

ABSTRACT: BACKGROUND: The incidence of cardiac events is higher in patients with diabetes than in people without diabetes. The Coronary Atherosclerosis Study Measuring Effects of Rosuvastatin Using Intravascular Ultrasound in Japanese Subjects (COSMOS) demonstrated significant plaque regression in Japanese patients with chronic coronary disease after 76?weeks of rosuvastatin (2.5?mg once daily, up-titrated to a maximum of 20?mg/day to achieve LDL cholesterol <80?mg/dl). METHODS: In this subanalysis of COSMOS, we examined the association between HbA1c and plaque regression in 40 patients with HbA1c ≥6.5% (high group) and 86 patients with HbA1c <6.5% (low group). RESULTS: In multivariate analyses, HbA1c and plaque volume at baseline were major determinants of plaque regression. LDL cholesterol decreased by 37% and 39% in the high and low groups, respectively, while HDL cholesterol increased by 16% and 22%, respectively. The reduction in plaque volume was significantly (p?=?0.04) greater in the low group (from 71.0?±?39.9 to 64.7?±?34.7?mm3) than in the high group (from 74.3?±?34.2 to 71.4?±?32.3?mm3). Vessel volume increased in the high group but not in the low group (change from baseline: +4.2% vs -0.8%, p?=?0.02). Change in plaque volume was significantly correlated with baseline HbA1c. CONCLUSIONS: Despite similar improvements in lipid levels, plaque regression was less pronounced in patients with high HbA1c levels compared with those with low levels. Tight glucose control during statin therapy may enhance plaque regression in patients with stable coronary disease. TRIAL REGISTRATION: ClinicalTrials.gov, Identifier NCT00329160.     

Abstracts of the 1991 Symposium of the Czechoslovak Society of Histochemistry and Cytochemistry Palacky University School of Medicine, Olomonc, Czecholslovakia, 8–11 September, 1991

In memory of Professor MU Dr M. Obrunník.     

水貂病毒性肠炎的防制研究——Ⅰ.病毒的分离和鉴定

从山东和青海省的水貂肠炎流行区采集的64份病料中,用幼猫肾次代细胞分离到6株水貂肠炎病毒(MEV)。经电镜、理化学和血清学试验证实为水貂细小病毒(Mink Parvovirus)。     

Allergen-Specific IL-5 Responses in Early Childhood Predict Asthma at Age Eight

Background

The pattern of development of allergen-specific T cell cytokine responses in early childhood and their relation to later disease is poorly understood. Here we describe longitudinal changes in allergen-stimulated T cell cytokine responses and their relation to asthma and allergic disease during the first 8 years of life.

Methods

Subjects with a family history of asthma, who were enrolled antenatally in the Childhood Asthma Prevention Study (public trials registration number ACTRN12605000042640), had skin prick tests, clinical evaluation for asthma and eczema, and in vitro assessment of T cell cytokine responses to HDM extract performed at ages 18 months (n = 281), 3 years (n = 349), 5 years (n = 370) and 8 years (n = 275). We measured interleukin (IL-) 13 at 3, 5 and 8 years, and IL-5, IL-10, and interferon-γ (IFN-γ), at 18 months, 3, 5 and 8 years by ELISA. A cohort analysis was undertaken. Independent effects of cytokine responses at each age on the risk of asthma and allergic outcomes at age 8 years were estimated by multivariable logistic regression.

Results

HDM-specific IL-5 responses increased with age. HDM-specific IL-13 and IL-10 responses peaked at age 5 years. HDM-specific IL-5 responses at 3 years, 5 years and 8 years were significantly associated with the presence of asthma and atopy at 8 years. IL-13 responses at 3 years, 5 years and 8 years were significantly associated with atopy at 8 years, but this association was not independent of the effect of IL-5. Other HDM-specific cytokine responses were not independently related to asthma or eczema at 8 years.

Conclusion

HDM-specific IL-5 responses at age 3 years or later are the best measure of T cell function for predicting asthma at age 8 years.     

Quantitative Detection of Epstein-Barr Virus DNA in Cerebrospinal Fluid and Blood Samples of Patients with Relapsing-Remitting Multiple Sclerosis

The presence of Epstein-Barr Virus (EBV) DNA in cerebrospinal fluid (CSF) and peripheral blood (PB) samples collected from 55 patients with clinical and radiologically-active relapsing-remitting MS (RRMS) and 51 subjects with other neurological diseases was determined using standardized commercially available kits for viral nucleic acid extraction and quantitative EBV DNA detection. Both cell-free and cell-associated CSF and PB fractions were analyzed, to distinguish latent from lytic EBV infection. EBV DNA was detected in 5.5% and 18.2% of cell-free and cell-associated CSF fractions of patients with RRMS as compared to 7.8% and 7.8% of controls; plasma and peripheral blood mononuclear cells (PBMC) positivity rates were 7.3% and 47.3% versus 5.8% and 31.4%, respectively. No significant difference in median EBV viral loads of positive samples was found between RRMS and control patients in all tested samples. Absence of statistically significant differences in EBV positivity rates between RRMS and control patients, despite the use of highly sensitive standardized methods, points to the lack of association between EBV and MS disease activity.     

Norepinephrine transporter（NET）is expressed in cardiac sympathetic ganglia of adult rat

INTRODUCTIONThe sympathetic nervous system (SNS) plays animportant role in regulating cardiac function in bothhealth and disease through releasing neurotransmit-ter norepinephrine (NE). 1n central nervous sys-tem (CNS), the neurotransmission of NE is terminated tbIough reuptaxe of released neurotransndt-ter by Na , Cl---dependent norepineplirine trans-porter (NET) on pre--synaPtic membrane[1, 2]. ALthough the NE uptake was well studied in heaxt, butthe molecular basis fOr that is s…     

内蒙古典型草原禾本科植硅体形态

运用地层中植硅体组合解释过去草原植被及气候变化的关键之一,是要了解研究区现代植硅体形态及表土植硅体组合与现代植被的关系。文中研究内蒙古典型草原禾本科植物根、茎、叶、芒以及种子等不同部位的植硅体,对其中的12种主要禾本科植物叶表皮短细胞硅酸体进行分类及统计。研究表明：内蒙古典型草原禾本科叶表皮短细胞硅酸体可分为8种特殊形态类型。C3植物早熟禾亚科的叶表皮短细胞硅酸体形态多样。几乎所有早熟禾亚科都能产生圆型硅酸体,以贝加尔针茅(85．5％)、大针茅(89．7％)、克氏针茅(90％)以及芨芨草(96．6％)中的圆型硅酸体含量最丰富。针茅哑铃型主要见于针茅植物叶表皮短细胞中,克氏针茅的针茅哑铃型含量相对较高。羊草中未见针茅哑铃型硅酸体。浴草、披缄草叶表皮短细胞硅酸体以齿型为主,分别含87．3％和57．2％,齿型在硬质早熟禾中也占一定比例。沙生冰草中的脊圆型占优势,含74．4％。C3植物早熟禾亚科的叶表皮短细胞产生的截锥型硅酸体含量较少。C4植物虎尾草亚科中的糙隐子草叶表皮短细胞硅酸体以黍哑铃型、简单哑铃型、鞍型为主;黍亚科狗尾草则以黍哑铃型占优势(82．9％)。     

Reduction of Oxidative Stress in Chronic Kidney Disease Does Not Increase Circulating α-Klotho Concentrations

The CKD-associated decline in soluble α-Klotho levels is considered detrimental. Some in vitro and in vivo animal studies have shown that anti-oxidant therapy can upregulate the expression of α-Klotho in the kidney. We examined the effect of anti-oxidant therapy on α-Klotho concentrations in a clinical cohort with mild tot moderate chronic kidney disease (CKD). We performed a post-hoc analysis of a prospective randomized trial involving 62 patients with mild to moderate CKD (the ATIC study), all using an angiotensin-converting enzyme inhibitor (ACEi) or angiotensin receptor blocker (ARB) for 12 months. On top of that, the intervention group received anti-oxidative therapy consisting of the combination of pravastatin (40 mg/d) and vitamin E (α-tocopherol acetate, 300 mg/d) while the placebo was not treated with anti-oxidants. α-Klotho concentrations were measured at baseline and after 12 months of anti-oxidant therapy. Data were analysed using T-tests and Generalized Estimating Equations, adjusting for potential confounders such as vitamin D, parathyroid hormone, fibroblast-growth-factor 23 (FGF23) and eGFR. The cohort existed of 62 patients with an eGFR (MDRD) of 35 ± 14 ml/min/1.72m², 34 were male and mean age was 53.0 ± 12.5 years old. Anti-oxidative therapy did successfully reduce oxLDL and LDL concentrations (P <0.001). α-Klotho concentrations did not change in patients receiving either anti-oxidative therapy (476.9 ± 124.3 to 492.7 ± 126.3 pg/mL, P = 0.23) nor in those receiving placebo 483.2 ± 142.5 to 489.6 ± 120.3 pg/mL, P = 0.62). Changes in α-Klotho concentrations were not different between both groups (p = 0.62). No evidence was found that anti-oxidative therapy affected α-Klotho concentrations in patients with mild-moderate CKD.     

青海省北祁连中三叠统孢粉组合及其沉积相意义

青海省祁连县俄博乡大擦汗沟、土圈沟、柯柯里等三叠系剖面的粉砂岩、砂质页岩、泥质页岩中首次发现较丰富的孢粉和疑源类化石,计57属98种。孢粉中的蕨类植物孢子占总组合的44.6%,裸子植物花粉占33.9%;疑源类有8属13种,占21.5%,称Verrucosisporites-Triadispora-Trematosp haeridium孢粉组合。该组合面貌与国内外中三叠世不同相区的孢粉组合特征基本相似并可对比。北祁连山南坡本组合及上下其它组合中海相疑源类的存在,表明该区在三叠纪受到海水影响,海水完全退出是在三叠纪之后。文章还初步探讨其沉积相意义。