Self-assembled aggregates originated from the balance of hydrogen-bonding, electrostatic, and hydrophobic interactions

Rich phase behavior was observed in salt-free cationic and anionic (catanionic) mixtures of a double-tailed surfactant, di(2-ethylhexyl)phosphoric acid (abbreviated as DEHPA), and tetradecyldimethylamine oxide (C(14)DMAO) in water. At a fixed C(14)DMAO concentration, phase transition from L(1) phase to L(α) phase occurs with increasing amounts of DEHPA. Moreover, in the L(α) phase, with the increase in DEHPA concentration, a gradual transition process from vesicle phase (L(αv)) to stacked lamellar phase (L(αl)) was determined by cryo- and FF-TEM observations combining with (2)H NMR measurements. The rheological data show that the viscosity increases with DEHPA amounts for L(αv) phase samples because of the increase in vesicle density. At a certain molar ratio of DEHPA to C(14)DMAO, i.e., 80:250, the samples are with the highest viscoelasticity, indicating the existence of densely packed vesicles. While for L(αl) phase samples, with increasing DEHPA amount, a decrease of bilayer curvature was induced, leading to a decrease of viscosity obviously. Compared with general catanionic surfactant mxitures, in addition to the electrostatic interaction of ion pairs, the transition of the microstructures is also ascribed to the formation of the hydrogen bonding (-N(+)-O-H···O-N-) between C(14)DMAO molecules and protonated C(14)DMAOH(+), which induces the growth of aggregates and the decrease of aggregate curvatures.

Phase behaviors and self-assembly properties of two catanionic surfactant systems: C(8)F(17)COOH/TTAOH/H(2)O and C(8)H(17)COOH/TTAOH/H(2)O

Two fatty acids, perfluorononanoic acid (C(8)F(17)COOH) and nonanoic acid (C(8)H(17)COOH), were mixed with a cationic hydrocarbon surfactant, tetradecyltrimethylammonium hydroxide (TTAOH), in aqueous solutions for comparative investigation. Phase behaviors of the two systems are quite different because of the special properties of the fluorocarbon chains. For the C(8)H(17)COOH/TTAOH/H(2)O system, a single L(α) phase region with phase transition from planar lamellar phase (L(αl) phase) to vesicle phase (L(αv) phase) was observed. For the C(8)F(17)COOH/TTAOH/H(2)O system, two single phases consisting of vesicles were obtained at room temperature. One is a high viscoelastic gel phase consisting of vesicles with crystalline state bialyers at the C(8)F(17)COOH-rich side, which was confirmed by freeze-fracture transmission electron microscope (FF-TEM) and differential scanning calorimetry (DSC) measurements. With the increase of TTAOH proportion, another vesicle phase consisting of liquid state bilayers was observed after the two-phase region. The fluorosurfactant systems prefer to form vesicle bilayers than the corresponding hydrocarbon ones because of the rigid structure, the stronger hydrophobicity, and the larger volume of fluorocarbon chains.

Effect of hydrophilic groups of Ca surfactants and hydrophobic chains of C(n)DMAO on coordinated vesicle formation

The effects of hydrophilic headgroups of Ca surfactants, calcium dodecylsulfate (Ca(DS)(2)), calcium dodecylsulfonate (Ca(DSA)(2)), and calcium laurate (CaL(2)) and hydrophobic chains of alkyldimethylamine oxide (C(n)DMAO, n = 12, 14, 16) on the formation of Ca(2+)-ligand coordinated vesicles was investigated in detail. On the basis of phase behavior studies, rheological properties and freeze-fracture transmission electron microscope (FF-TEM) images were measured. Quite different phase behaviors were observed in different surfactant systems. For a Ca surfactant with a highly polar group, Ca(DS)(2), vesicles were observed in all Ca(DS)(2)/C(n)DMAO (n = 12, 14, and 16) systems, whereas for Ca surfactant with lower polar group, Ca(DSA)(2), vesicles can form in Ca(DSA)(2)/C(n)DMAO systems of n = 14 and 16 but not for n = 12. For CaL(2), the surfactant with the least polar group, vesicles form only in the CaL(2)/C(16)DMAO system. The results demonstrate that in the systems formed by Ca surfactants and C(n)DMAO, the formation of vesicles is driven not only by interaction between Ca(2+) and the N → O groups of C(n)DMAO but also by electrostatic and hydrophobic interactions. Vesicles prefer to form in Ca surfactants with highly polar headgroups and C(n)DMAO with long chain length.

Mg2+-induced vesicles of tetradecyldimethylamine oxide and magnesium dodecyl sulfate

A Mg2+-induced vesicle phase was prepared from a mixture of tetradecyldimethylamine oxide (C14DMAO) and magnesium dodecyl sulfate [Mg(DS)2] in aqueous solution. Study of the phase behavior shows that at the appropriate mixing ratios, Mg2+-ligand coordination between C14DMAO and Mg(DS)2 results in the formation of molecular bilayers, in which Mg2+ can firmly bind to the head groups of the two surfactants. The area of the head group can be reduced because of the complexation. In this case, no counterions exist in aqueous solution because of the fixation of Mg2+ ions to the bilayer membranes. Therefore, the charges of the bilayer membranes are not shielded by salts. The birefringent solutions of Mg(DS)2 and C14DMAO mixtures consist of vesicles which were determined by transmission electron microscopy (TEM) images and rheological measurements. Magnesium oxide (MgO) nanoplates were obtained via the decomposition of Mg(OH)2 which were synthesized in Mg2+-induced vesicle phase which was used as the microreactor under the existence of ammonia hydroxide. The morphologies and structures of the obtained MgO nanoplates have been characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). The results indicate that the crystal growth is along the (111) direction which can be affected by the presence of a vesicle phase having a fixation of Mg2+ ions to the bilayer membranes.

Determining the DUF55-domain structure of human thymocyte nuclear protein 1 from crystals partially twinned by tetartohedry

Human thymocyte nuclear protein 1 contains a unique DUF55 domain consisting of 167 residues (55-221), but its cellular function remains unclear. Crystals of DUF55 belonged to the trigonal space group P3(1), but twinning caused the data to approach apparent 622 symmetry. Two data sets were collected to 2.3 A resolution. Statistical analysis confirmed that both data sets were partially twinned by tetartohedry. Tetartohedral twin fractions were estimated. After the structure had been determined, only one twofold axis of rotational pseudosymmetry was found in the crystal structure. Using the DALI program, a YTH domain, which is a potential RNA-binding domain from human YTH-domain-containing protein 2, was identified as having the most similar three-dimensional fold to that of DUF55. It is thus implied that DUF55 might be a potential RNA-related domain.

Efficacy of a long-term antibiotic treatment in patients with a chronic Tick Associated Poly-organic Syndrome (TAPOS)

SETTINGS

Despite a now codified antibiotic treatment for Lyme disease, a significant proportion of patients treated according to recommendations complain of persistent signs and symptoms. The pathophysiological mechanisms which underlie this syndrome of post-treatment chronic systemic illness remain unclear. For some physicians post-treatment symptoms indicate a persistent infection requiring prolonged antibiotic therapy. For others, there is no benefit from antimicrobial therapy. The difficulty of assessment encountered in studies is significant because many symptoms are subjective. We think that the term "chronic Lyme disease" is not appropriate and should be replaced by chronic "tick associated poly-organic syndrome" (TAPOS).

OBJECTIVE

This open-label prospective study was made on a group of 100 patients having followed a medical treatment for a chronic TAPOS and to evaluate their evolution under prolonged antibiotic treatment.

RESULTS

The medical management was found to be effective for symptoms, especially for patients with a high probability of chronic TAPOS (NEJM score). Patients with post tick-bite symptoms, which often worsens their quality of life, deserve particular attention.

CONCLUSION

This study had methodological limitations but could help in terms of feasibility, choice of inclusion criteria, and design of follow-up for a future randomized, double blind study to test for an optimal management of TAPOS.

Vesicles of a New Salt-Free Cat-anionic Fluoro/Hydrocarbon Surfactant System

Weakly basic tetradecyldimethylaminoxide (C14DMAO) molecules can be protonated to form a cationic surfactant, C14DMAOH+, by an acidic fluorocarbon surfactant, an 8-2-fluorotelomer unsaturated acid (C7F15CF==CHCOOH), to form a salt-free cationic and anionic (cat-anionic) fluoro/hydrocarbon surfactant system in aqueous solution. The high Krafft point of C7F15CF==CHCOOH was largely reduced as a result of being mixed with a C14DMAO micelle solution. A study of the phase behavior of the new salt-free cat-anionic fluoro/hydrocarbon surfactant system clearly indicates the existence of a birefringent Lalpha-phase region at (25.0+/-0.1) degrees C. The birefringent Lalpha phase consists of vesicles, which include uni- and multilamellar vesicles with one to dozens of shells, and oligovesicular vesicles, as demonstrated by freeze-fracture and cryo-transmission electron microscopy (FF- and cryo-TEM) images. The size distribution and structural transitions in the salt-free cat-anionic fluoro/hydrocarbon surfactant system were studied by dynamic light scattering (DLS) and 1H and 19F NMR spectroscopy. The formation of a salt-free cat-anionic vesicle phase could be induced by the strong electrostatic interaction between the cationic hydrocarbon C14DMAOH+ and the anionic fluorocarbon C7F15CF==CHCOO-, which provided evidence that the electrostatic interaction between the cationic and anionic surfactants is larger than the nonsynergistic interaction between the stiff fluorocarbon and the soft hydrocarbon chains of the surfactants.

Trends and predictors of HIV-positive community attachment among PLWHA

Communities most affected by HIV/AIDS have been instrumental in shaping Australia's responses to the threat of the epidemic. There are recent signs that levels of engagement in communities based around HIV-positivity have changed: a diminished sense of an AIDS crisis, the relative success of highly active antiretroviral therapy (HAART), and an increasing individualization of the HIV experience may be contributing to changes in the way HIV-community is experienced. In this paper, we explore levels of engagement in HIV-positive community among a cohort of people living with HIV/AIDS (PLWHA) and seek to explain why some PLWHA engage in an HIV-positive community while others do not. Using multivariate logistic regression, we found that three factors were independently related to feeling part of an HIV-positive community: having been diagnosed with HIV prior to the advent of HAART; having more recently taken Bactrim or Septrin for PCP; and finding it easier to take 'pills' on time. Taken together, these results suggest that both historical effects, such as the introduction of HAART, and effects related to living with HIV, such as the experience of an AIDS-related illness, help explain HIV-positive community engagement among PLWHA.

Steroid-induced ptosis: case studies and histopathologic analysis

PURPOSE

The purpose of this study was to review patients who developed ptosis after subtenon's steroid injection and to study the mechanism of steroid-induced ptosis in an animal model.

METHODS

Part 1. Twenty-two patients with uveitis who had received posterior subtenon's triamcinolone acetonide injections were retrospectively reviewed. Demographics, type of uveitis, type and number of surgeries, pre and postoperative marginal reflex distance (MRD1), and clinical outcomes were evaluated. Part 2. Study of rabbit levator muscle and aponeurosis histopathology after subtenon's triamcinolone injection was performed.

RESULTS

Part 1. The average age was 44.6 years (range: 14-85 years) with a mean follow-up of 14 months. The most common causes of uveitis included uveitis after cataract extraction (five), pars planitis (three), multifocal choroiditis (three), and juvenile rheumatoid arthritis (three). The average time to documented onset of ptosis was 13.9 months (range: 0-49 months). In patients who received only one steroid injection, the average time to ptosis recorded was 2.7 months (range: 0-6 months). Seventeen patients underwent ptosis repair. Part 2. No ptosis was noted in the experimental and control groups. Histopathologic analysis of levator tissues revealed no significant difference in atrophy or degree of inflammation between experimental and control groups.

CONCLUSIONS

Ptosis following subtenon's steroid injection ranged from mild to moderate and occurred a few months after steroid injection. Prior studies of muscles and periocular tissues exposed to corticosteroids demonstrated degenerative muscle changes; our studies revealed no histopathologic changes in the levator muscle or aponeurosis.

Ca2+– and Ba2+–Ligand Coordinated Unilamellar, Multilamellar, and Oligovesicular Vesicles

Ca(2+)- and Ba(2+)-coordinated vesicle phases were prepared in mixed aqueous solutions of tetradecyldimethylamine oxide (C(14)DMAO) and calcium oleate (Ca(OA)(2)) or barium oleate (Ba(OA)(2)). At the right mixing ratios, metal-ligand coordination between Ca(OA)(2) or Ba(OA)(2) and C(14)DMAO results in the formation of molecular bilayers due to the reduction in area per head group. Ca(2+) and Ba(2+) tightly associate to the head groups of surfactants and in this system the bilayer membranes are not shielded by excess salts. The structures of the birefringent samples of the Ca(OA)(2)/C(14)DMAO/H(2)O and Ba(OA)(2)/C(14)DMAO/H(2)O systems were determined by freeze-fracture transmission electron microscopy (FF-TEM), small-angle X-ray scattering (SAXS), and rheological measurements to consist of unilamellar, multilamellar, and oligovesicular vesicles. The coordination between C(14)DMAO and Ba(OA)(2) or Ca(OA)(2) plays an important role in the formation of the vesicles, which was easily confirmed by studying the phase behavior of the KOA/C(14)DMAO/H(2)O system in which only the L(1) phase forms, due to the absence of coordination between KOA and C(14)DMAO. A mechanism is proposed that accounts for the formation of these new metal-ligand coordinated vesicles.

Self-Assembled Structure in Room-Temperature Ionic Liquids

Self-assembled vesicles, structurally equivalent to some hydrotropes, have been obtained from a Zn2+-fluorous surfactant or in the mixture of Zn2+-fluorous surfactant/zwitterionic surfactant in room-temperature ionic liquids (RTILs). The existence of bilayers arranged in vesicles in RTILs would be very exciting, open several new possibilities as reaction media, and increase our understanding of the physical and chemical factors for self-assembling systems in RTILs.

Two Routes to Vesicle Formation: Metal−Ligand Complexation and Ionic Interactions

Two routes to vesicle formation were designed to prepare uni- and multilamellar vesicles in salt-free aqueous solutions of surfactants. The formation of a surfactant complex between a double-chain anionic surfactant with a divalent-metal ion as the counterion and a single-chain zwitterionic surfactant with the polar group of amine-oxide group is described for the first time as a powerful driving force for vesicle-phases constructed from salt-free mixtures of aqueous surfactant solutions. As a typical example, a Zn(2+)-induced charged complex fluid, vesicle-phase has been studied in aqueous mixtures of tetradecyldimethylamine oxide (C(14)DMAO) and zinc 2,2-dihydroperfluorooctanoate [Zn(OOCCH(2)C(6)F(13))(2)]. This ionically charged vesicle-phase formed due to surfactant complexation has interesting rheological properties and is not shielded by excess salts because there are no counterions in the solution. Such a vesicle-phase of surfactant complex is important for many applications; for example, the vesicle-phase was further used to produce in situ the vesicle-phase of the salt-free cationic/anionic (catanionic) surfactants, C(14)DMAOH(+)-(-)OOCCH(2)C(6)F(13). The salt-free catanionic vesicle-phase could be produced through injecting H(2)S gas into the C(14)DMAO/Zn(OOCCH(2)C(6)F(13))(2) vesicle-phase, because the zwitterionic surfactant C(14)DMAO can be charged by the H(+) released from H(2)S to become a cationic surfactant and Zn(2+) was precipitated as ZnS. After the ZnS precipitates were removed from C(14)DMAO/Zn(OOCCH(2)C(6)F(13))(2) solutions, the final mixed solution does not contain excess salts as do other cationic/anionic surfactant systems. Both the C(14)DMAO-Zn(OOCCH(2)C(6)F(13))(2) complex and the resulting catanionic C(14)DMAOH(+)-(-)OOCCH(2)C(6)F(13) solution are birefringent Lalpha-phase solutions that consist of uni- and multilamellar vesicles. Ring-shaped semiconductor ZnS materials with encapsulated ZnS precipitates and regular spherical ZnS particles were prepared, which resulted in a transition from vesicles composed of metal-ligand complexes to vesicles held together by ionic interactions in the salt-free aqueous systems. This strategy should provide a new method to prepare inorganic materials. The present routes to form vesicles solve a problem: how to prepare nanomaterials using surfactant self-assembly, with structure controlled not by the growing material, but by the phase behavior of the surfactants.

Double-strand hydrolysis of DNA by a magnesium(II) complex with diethylenetriamine

The development of artificial nucleases that hydrolyze DNA or RNA is of great interest in molecular biology, biotechnology, and medicine. We now report that a magnesium(II) complex of diethylenetriamine (Mg-dien) can effectively promote the double-stranded cleavage of plasmid DNA and the dideoxynucleotide dApdA under physiological conditions of pH and temperature. Experiments performed in the presence of hydrogen peroxide, radical scavengers, or under rigorously anaerobic conditions indicate that DNA cleavage mediated by Mg-dien occurs via a hydrolytic path. Mg-dien efficiently hydrolyzes supercoiled pBR322 DNA and the pseudo-first-order rate constant at 37 degrees C and pH 8.0 is estimated to be 1.60 h(-1). The dinucleotide dApdA hydrolysis, with Mg-dien at 170 microM, shows a rate enhancement factor of ca. 5 x 10(8). 1H and 31P(1H) NMR studies show that Mg-dien effectively hydrolyzes 5'-dAMP to give deoxyadenosine and inorganic phosphate. While Mg2+ has been found at the catalytic sites of many natural nucleases, Mg-dien appears to be the first synthetic Mg2+-containing system capable of hydrolyzing dideoxynucleotides and DNA and thus may provide a simple model system to assist mechanistic studies of naturally occurring nucleases.

Colonic motility diagnosis based on colonic pressure

Manometry of the alimentary tract is a valuable and widely used means to evaluate and diagnose the function of the alimentary tract. However, the measurement can be inconvenient due to the invasive method used, and the many factors affecting results. Research on colonic pressure data is even more insufficient. This paper deals with colonic pressure data via an improved method ensuring that pressure data of the whole colon is available. The data is analysed based on the learning vector quantization (LVQ) method. Testing results show that this method distinguishes the normal data and the abnormal data, consistently with the original diagnoses. This method can serve as an assistant diagnosis of colonic motility and contributes to further research on colonic motility based on pressure data.

The LN54 radiation hybrid map of zebrafish expressed sequences

To increase the density of a gene map of the zebrafish, Danio rerio, we have placed 3119 expressed sequence tags (ESTs) and cDNA sequences on the LN54 radiation hybrid (RH) panel. The ESTs and genes mapped here join 748 SSLp markers and 459 previously mapped genes and ESTs, bringing the total number of markers on the LN54 RH panel to 4226. Addition of these new markers brings the total LN54 map size to 14,372 cR, with 118 kb/cR. The distribution of ESTs according to linkage groups shows relatively little variation (minimum, 73; maximum, 201). This observation, combined with a relatively uniform size for zebrafish chromosomes, as previously indicated by karyotyping, indicates that there are no especially gene-rich or gene-poor chromosomes in this species. We developed an algorithm to provide a semiautomatic method for the selection of additional framework markers for the LN54 map. This algorithm increased the total number of framework markers to 1150 and permitted the mapping of a high percentage of sequences that could not be placed on a previous version of the LN54 map. The increased concentration of expressed sequences on the LN54 map of the zebrafish genome will facilitate the molecular characterization of mutations in this species.

Functional activation of the extensor carpi radialis muscles in humans

OBJECTIVES

To assess activity of radial wrist extensors caused by isometric radial deviation and extension by using magnetic resonance imaging (MRI) and to assess measures that might be used to normalize T2-weighted data.

DESIGN

Two-way analysis of variance (ANOVA) design.

SETTING

Laboratory and children's hospital.

PARTICIPANTS

Three healthy volunteers.

INTERVENTIONS

Ten repetitions of 10-second randomly ordered 30% or 60% of maximum voluntary isometric contractions toward wrist extension or radial deviation.

MAIN OUTCOME MEASURES

Average T2 values from T2-weighted MR images of the extensor carpi radialis brevis (ECRB) and the extensor carpi radialis longus (ECRL), flexor digitorum profundus (FDP), and radius marrow were determined across 7 sections and 4 exercise bouts and a preexercise condition.

RESULTS

Significant differences across task and across sections were determined. Post hoc analysis revealed differences in activity between proximal and distal ECRB and ECRL during an exercise and differential activation of the same muscle across the 2 exercise tasks. Bone marrow and FDP did not show task-related changes. The range of average T2 values of bone marrow across sections was greater than a muscle (FDP) that was not the target of the exercise protocol. However, FDP did show small but significant differences across sections.

CONCLUSIONS

T2-weighted MR images can be used to study muscle activation at 30% and 60% of maximum voluntary contractions. The use of inactive muscle and bone marrow for normalizing data requires further investigation.

Mutual information analysis as a tool to assess the role of aneuploidy in the generation of cancer-associated differential gene expression patterns

Most human tumors are characterized by: (1) an aberrant set of chromosomes, a state termed aneuploidy; (2) an aberrant gene expression pattern; and (3) an aberrant phenotype of uncontrolled growth. One of the goals of cancer research is to establish causative relationships between these three important characteristics. In this paper we were searching for evidence that aneuploidy is a major cause of differential gene expression. We describe how mutual information analysis of cancer-associated gene expression patterns could be exploited to answer this question. In addition to providing general guidelines, we have applied the proposed analysis to a recently published breast cancer-associated gene expression matrix. The results derived from this particular data set provided preliminary evidence that mutual information analysis may become a useful tool to investigate the link between differential gene expression and aneuploidy.

Serine protease inhibitor causes F-actin redistribution and inhibition of calcium-mediated secretion in pancreatic acini

BACKGROUND & AIMS

The present study was undertaken to evaluate the role of serine proteases in regulating digestive enzyme secretion in pancreatic acinar cells.

METHODS

Isolated acini were stimulated by various secretagogues in the presence or absence of cell-permeant serine protease inhibitors 4-(2-aminoethyl)-benzenesulfonyl fluoride and N(alpha)-p-tosyl-L-phenylalanine chloromethyl ketone. F-actin distribution was studied after staining with rhodamine phalloidin.

RESULTS

Both cell-permeant serine protease inhibitors blocked amylase secretion in response to secretagogues that use calcium as a second messenger (e.g., cerulein, carbamylcholine, and bombesin) but not to those that use adenosine 3',5'-cyclic monophosphate (cAMP) as a second messenger (e.g., secretin and vasoactive intestinal polypeptide). Incubation of the acini with these inhibitors also resulted in a dramatic redistribution of the F-actin cytoskeleton. This redistribution was energy dependent. Similar redistribution of F-actin from the apical to the basolateral region was also observed when acini were incubated with a supramaximally stimulating concentration of cerulein, which is known to inhibit secretion.

CONCLUSIONS

These results suggest that a serine protease activity is essential for maintaining the normal apical F-actin distribution; its inhibition redistributes F-actin from the apical to the basolateral region and blocks secretion induced by secretagogues that act via calcium. cAMP reverses the F-actin redistribution and hence cAMP-mediated secretion is not affected.

Pseudomonas aeruginosa in vitro corneal isolate sensitivity to ofloxacin, ciprofloxacin, and trovafloxacin: a comparative study

PURPOSE

To compare sensitivity of Pseudomonas aeruginosa corneal isolates to ofloxacin, ciprofloxacin, and trovafloxacin.

METHODS

Sensitivities of P. aeruginosa corneal isolates to each antibiotic from the periods 1985 to 1987 (n = 32) and 1995 to 1999 (n = 85) were evaluated in vitro with E tests (AB Biodisk; Remel, Lenexa, Kansas).

RESULTS

Overall, the percent of P. aeruginosa corneal isolates sensitive in vitro to ofloxacin (106/117, 90.6%) was significantly less than to ciprofloxacin (113/117, 96.6%, P =.016) and trovafloxacin (113/117, 96.6%, P =.016). We observed trends of decreasing sensitivity to ciprofloxacin and trovafloxacin, which were not statistically significant. Sensitivity to ofloxacin remained unchanged; however, sensitivity to ofloxacin was always less than sensitivity to ciprofloxacin and trovafloxacin.

CONCLUSION

Although in vitro susceptibilities may not correlate with in vivo efficacy, our data suggest that ciprofloxacin and trovafloxacin are superior to ofloxacin in the treatment of P. aeruginosa keratitis.

Organization of regions with amphiphilic alpha-helical potential within the three-dimensional structure of beta-sheet proteins

The observation that strong amphiphilic alpha-helical potential exists in all proteins, including beta-sheet proteins, has given rise to the idea that alpha-helical intermediates may be critical to the folding paths of all proteins. Here we report that regions with amphiphilic alpha-helical potential in beta-sheet proteins are regularly spaced within the native structure of the proteins at an average interval of about 13 A. This regular spacing did not occur when the location of amphiphilic regions was randomly assigned (p = 0.0056), suggesting some degree of organization with respect to the native fold. However, in the native structure of various non-homologous proteins that contain the same fold, the location of the regions with amphiphilic alpha-helical potential was not conserved. Further, there was no apparent association of amphiphilic alpha-helical potential with any particular type of secondary structure, confirming that this potential is not involved in maintenance of native structure and suggesting that it may be associated with a highly adaptable process.

Economic and outcomes assessment of magnetic resonance imaging in the evaluation of headache

We sought to evaluate the economic impact and diagnostic utility of magnetic resonance imaging (MRI) in the management of patients with headache and nonfocal physical examinations. Computerized medical records were retrospectively reviewed of 1,233 patients presenting for MRI of headache at our institution over a 3-year period (1992-1995). Patients with focal findings at physical examination, prior brain surgery, head trauma, or immunocompromise were excluded. A model was developed to assess the cost associated with the MR test results, and actual average institutional costs of performing an examination applied. Correlative statistical analysis of referring specialties and positive tests was also performed. Three hundred twenty-eight patients who met the above criteria were retained in the sample. One hundred sixty-three patients (50%) had negative MR test results. Of the 50% of patients with positive studies, only 5 (1.5%) had clinically significant MR results. The average cost of an MR examination was 517 dollars (1998 dollars). The cost per clinically significant managed case detected was 34,535 dollars. No statistically significant difference was found among referring specialties and clinically significant MR results. Our results indicate that MRI of nonfocal headache yields a low percentage of positive clinically significant results and has limited cost-effectiveness. Referring specialty had no significant bearing on these outcomes, regardless of specialist experience.

Transcriptional regulation of RANTES expression in T lymphocytes

We first identified the RANTES chemokine as part of a search for genes expressed by T lymphocytes "late", 3-5 days, after T-cell activation. The kinetics of expression of RANTES and a small number of other genes are unusual and the mechanism of such delayed expression is unknown. In order to uncover a mechanism for such "late" expression, we identified and characterized the RANTES promoter and a novel transcription factor regulating RANTES expression in T lymphocytes. RANTES factor of late activated T lymphocytes (RFLAT)-1 is a member of the Krüppel-like family of transcription factors. Like RANTES, RFLAT-1 expression is "late" after T-cell activation. But, unlike RANTES, regulation of RFLAT-1 expression appears to be translational rather than transcriptional.

MR imaging of pentalogy of Cantrell variant with an intact diaphragm and pericardium

We present a case of a neonate with the stigmata for pentalogy of Cantrell with the exception of diaphragmatic and pericardial defects. Diagnosing most of the anomalies in this rare syndrome can be accomplished using conventional modalities in radiology, but difficulties may arise determining diaphragmatic continuity. Accurate, early diagnosis of components of this syndrome is vital for surgical planning and assessing prognostic factors.

Photodynamic action of amino substituted hypocrellins: EPR studies on the photogenerations of active oxygen and free radical species

A novel method has been employed to prepare 2-butylamino-2-demethoxy hypocrellin A (BADMHA) and 2-butylamino-2-demethoxy hypocrellin B (BADMHB). Both compounds exhibit stronger absorption at the phototherapeutic window (600-900 nm). The spin trapping and spin counteraction studies have shown that they are both efficient generators of the active oxygen (1O2, O2*-) in the aerobic condition. Under the anaerobic condition they generate non-oxygen free radical (semiquinone radical anion), and the active oxygen mechanism of photosensitization can be converted into non-oxygen free radical mechanism with the depletion of oxygen. The quantum yields of 1O2 generation of BADMHA and BADMHB are 0.46 and 0.44, respectively. Both are lower than those of their parent compounds HA and HB. But the productions of superoxide anion are enhanced significantly compared with HA and HB, indicating they are both favorable Type I phototherapeutic agents.

Development of the rat phrenic nucleus and its connections with brainstem respiratory nuclei

The development of phrenic motoneurons and descending bulbospinal projections to the cervical spinal cord have been examined in prenatal and early postnatal rats with the aid of the carbocyanine dyes DiI and DiA. Phrenic motoneurons could be identified by retrograde labelling as early as E13, while aggregation of phrenic motoneurons into a column and the formation of dendritic bundles became apparent from E16. The initial phrenic motoneuron dendritic bundles were oriented in the dorsolateral and ventromedial directions, while ventrolaterally directed bundles entering the marginal zone appeared by E16, and rostrocaudal bundles were clearly visible by E21. The column of phrenic motoneurons extended rostrocaudally from C2 to C6 at E13 and E14, but this became confined to the C3-5 segments by E21. Two-way tracing of connections between putative brainstem respiratory centres and cervical spinal cord with the carbocyanine dyes, DiI and DiA, indicated that brainstem bulbospinal neurons in the position of the adult ventral respiratory group (VRG) and medial parabrachial (MPB) nuclei appeared to project to the cervical cord white matter as early as E15 and may contribute axons to the grey matter of the cervical cord as early as E17 These findings are consistent with electrophysiological studies of respiratory function development in the fetal rat, which found relatively regular rhythmic phrenic discharge by E20 to 21. In summary, our findings indicate that the structural differentiation of phrenic motoneurons is well-advanced prior to birth and that the descending pathways involved in the control of respiratory function are in place several days before birth.

New potential photodynamic therapeutic anti-cancer agents: synthesis and characterization of demethoxy amino-substituted hypocrellins

A novel method was used to obtain demethoxy amino-substituted hypocrellin derivatives. The reaction condition was mild and amino substitution occurred at position 2 or 11 of hypocrellins with high yield. The photophysical and photochemical properties of the amino-substituted hypocrellins derivatives were investigated, and their significantly enhanced red absorptivities and strong active oxygen-generating functions qualified them as promising photodynamic therapeutic anti-cancer agents.

Reduced inflammatory response to plasmid DNA vectors by elimination and inhibition of immunostimulatory CpG motifs

An inflammatory response is invariably associated with administration of gene transfer complexes composed of cationic lipids and plasmid DNA (pDNA). In the lung, an influx of neutrophils and elevated levels of several proinflammatory cytokines such as TNF-alpha, IFN-gamma, IL-6, and IL-12 characterize this dose-dependent response. The induction of these cytokines was shown previously to be due in part to the presence of unmethylated CpG dinucleotides in the bacterially derived pDNA. We have eliminated 270 of 526 CpG dinucleotides in a reporter plasmid (pCFA-CAT) and tested the inflammatory response to cationic lipid:pDNA complexes containing the modified vector (pGZA-CAT) after intravenous (i.v.) or intranasal (i.n.) delivery into BALB/c mice. Compared to the unmodified vector, the CpG-reduced pGZA-CAT was found to be significantly less immunostimulatory, as the levels of IL-12, IFN-gamma, and IL-6 in the serum 24 h after i.v. delivery were reduced by 40 to 75%. Similar reductions in cytokine levels were also observed in the bronchoalveolar lavage fluids (BALF) after i.n. administration, while the levels of reporter gene expression were not affected by the modifications. We have also investigated known inhibitors of the CpG signaling pathways in order to decrease the inflammatory response. Two such inhibitors, chloroquine and quinacrine, greatly reduced the induction of IL-12 from mouse spleen cells in vitro and inhibited cytokine production in the lung by approximately 50% without affecting gene expression. These results illustrate that use of a less immunostimulatory pDNA vector or inhibitors of CpG immunostimulation can reduce significantly the toxicity associated with cationic lipid:pDNA complexes thereby increasing the therapeutic index of this synthetic gene transfer vector.

Development of the rat phrenic nerve and the terminal distribution of phrenic afferents in the cervical cord

The development of the right phrenic nerve and the distribution of phrenic nerve afferents to the spinal cord have been examined with the aid of electron microscopy and carbocyanine dye retrograde diffusion along the phrenic nerve, respectively. The formation of fascicles in the right phrenic nerve commenced at E15, while Schwann cells penetrated the nerve from E17 and myelination began at P0. The total number of axons in the right phrenic nerve decreased from E15 (943, 965 in two animals) to E19 (539, 582), remained steady until P0 (564, 594) before rising to almost adult values by P7 (689, 934). The postnatal rise in number of axons appears to be due to a large influx of unmyelinated axons. Carbocyanine dye tracing revealed that at E13, neurons in dorsal root ganglia C(2) to C(6) contributed peripheral processes to the phrenic nerve. Phrenic afferents arrived in the spinal cord by E13 and penetrated the dorsal horn at E14. Three terminal fields for phrenic afferents became apparent by E17. These were:(1) in the central parts of laminae I to V, (2) medially in laminae V to VII or adjacent area X near the central canal, (3) in laminae VIII and IX, around the differentiating phrenic motoneurons. Around the time of birth, some phrenic afferents in the second group were distributed across the midline and could be seen to approach the ventromedial dendritic bundle of phrenic motoneurons on the contralateral side, but these were no longer seen by P4. Just before birth (E21), afferents in the third group divided into two further subsets, supplying the dorsolateral and ventromedial groups of phrenic motoneuron dendritic bundles, respectively. Our findings strongly suggest that phrenic afferent differentiation is largely complete by birth.

Naturally occurring anti-alpha-galactosyl antibodies: relationship to xenoreactive anti-alpha-galactosyl antibodies

Antibodies produced by an individual without a known history of sensitization to the relevant antigen are called "natural" antibodies. Some natural antibodies, called xenoreactive antibodies, react with the cells of foreign species. Most xenoreactive antibodies in humans and higher primates bind to a nonreducing terminal galactose expressed by pigs and other lower mammals. Although human natural antibodies which bind to one or more of a variety of terminal alpha-galactosyl structures have been identified previously, the antigen recognized by anti-alpha-galactosyl antibodies on the cells of foreign species is thought to be exclusively Galalpha1-3Gal. Thus, anti-alpha-galactosyl antibodies which do not react with Galalpha1-3Gal are thought to be nonxenoreactive. Here, we identify natural antibodies in human serum which bind to Galalpha1-6Hexosepyrranosides but not Galalpha1-3Gal, indicating that these antibodies are not xenoreactive. Various lower mammals were found to have natural anti-Galalpha1-2Gal antibodies in their sera, suggesting that at least some anti-Galalpha1-2Gal antibodies might not be xenoreactive and indicating, surprisingly, that anti-alpha-galactosyl antibodies are much more phylogenetically disperse than previously known. Also surprising was the finding that some natural antibodies which bind to Galalpha1-3Gal in vitro do not bind to porcine xenografts. These studies show that naturally occurring anti-alpha-galactosyl antibodies in mammalian serum include antibodies with a greater variety of reactivities than previously thought, only some of which would bind to a porcine xenograft. Further, these studies show that the methods used to detect anti-alpha-galactosyl antibodies of relevance in xenotransplantation must be carefully evaluated to avoid detection of anti-alpha-galactosyl antibodies which would not bind to a porcine organ and which therefore are not involved in xenograft rejection.

RFLAT-1: a new zinc finger transcription factor that activates RANTES gene expression in T lymphocytes

RANTES (Regulated upon Activation, Normal T cell Expressed and Secreted) is a chemoattractant cytokine (chemokine) important in the generation of inflammatory infiltrate and human immunodeficiency virus entry into immune cells. RANTES is expressed late (3-5 days) after activation in T lymphocytes. Using expression cloning, we identified the first "late" T lymphocyte associated transcription factor and named it "RANTES Factor of Late Activated T Lymphocytes-1" (RFLAT-1). RFLAT-1 is a novel, phosphorylated, zinc finger transcription factor that is expressed in T cells 3 days after activation, coincident with RANTES expression. While Rel proteins play the dominant role in RANTES gene expression in fibroblasts, RFLAT-1 is a strong transactivator for RANTES in T cells.

Echocardiographic evaluation of patients with a left ventricular device

Limited donor heart availability is primarily responsible for the renewal of interest in mechanical left ventricular assist devices (LVADs) as a bridge to transplantation. Donor availability is unlikely to increase significantly in the near future. Experience to date has shown that many patients can be maintained long enough to undergo transplantation, and LVADs may be acceptable as alternate therapy in some who may not be candidates for transplantation. However, criteria for noninvasive evaluation of patients on LVADs have not been developed. In a prospective study using serial echocardiography, we found that aortic valve opening, aortic forward flow, nonlaminar flow in the left ventricle, and mismatch of Doppler derived cardiac output at the pulmonic valve and device output are associated with device malfunction. Echocardiography was diagnostic in five of six patients with clinical instability unrelated to the device. These findings suggest that echocardiography is helpful in the routine evaluation of patients on LVADs.

Phosphorylation of nuclear MyoD is required for its rapid degradation

MyoD is a basic helix-loop-helix transcription factor involved in the activation of genes encoding skeletal muscle-specific proteins. Independent of its ability to transactivate muscle-specific genes, MyoD can also act as a cell cycle inhibitor. MyoD activity is regulated by transcriptional and posttranscriptional mechanisms. While MyoD can be found phosphorylated, the functional significance of this posttranslation modification has not been established. MyoD contains several consensus cyclin-dependent kinase (CDK) phosphorylation sites. In these studies, we examined whether a link could be established between MyoD activity and phosphorylation at putative CDK sites. Site-directed mutagenesis of potential CDK phosphorylation sites in MyoD revealed that S200 is required for MyoD hyperphosphorylation as well as the normally short half-life of the MyoD protein. Additionally, we determined that turnover of the MyoD protein requires the proteasome and Cdc34 ubiquitin-conjugating enzyme activity. Results of these studies demonstrate that hyperphosphorylated MyoD is targeted for rapid degradation by the ubiquitin pathway. The targeted degradation of MyoD following CDK phosphorylation identifies a mechanism through which MyoD activity can be regulated coordinately with the cell cycle machinery (CDK2 and CDK4) and/or coordinately with the cellular transcriptional machinery (CDK7, CDK8, and CDK9).

PLA2-independent induction of CSF-1 gene expression in growth-arrested fibroblasts

At the site of a wound or an infection, localized production of colony-stimulating factor-1 (CSF-1) by resident macrophages is chemotactic for circulating monocytes. Several intracellular signaling pathways, including those initiated in response to activation of phospholipase A2 (PLA2) have been proposed to play a role in the regulation of CSF-1 gene expression. The goal of these studies was to determine whether PLA2 is required for the initial increase in CSF-1 gene expression in serum- or IL-1 alpha-stimulated growth-arrested fibroblasts. IL-1 alpha- or serum-stimulation of growth-arrested fibroblasts had no effect on PLA2 enzyme activity and inhibitors of cytosolic or Ca(2+)-independent PLA2 activity had no effect on IL-1 alpha- or serum-mediated increases in CSF-1 mRNA levels. High concentrations of the PLA2 inhibitors, 4-bromophenacyl lactone and quinacrine, resulted in a generalized decrease in cellular mRNA levels. Our results, obtained in fibroblasts, suggest treatment with 4-bromophenacyl lactone or quinacrine, instead of inhibiting PLA2 activity specifically, results in a generalized depression of cellular mRNA levels. These data demonstrate that the initial increase in CSF-1 gene expression in growth-arrested fibroblasts treated with serum or IL-1 alpha occurs through a PLA2-independent mechanism.

Fate of antigen in xenotransplantation: implications for acute vascular rejection and accommodation

Antigen down-modulation plays a critical role in xenotransplants involving humoral responses against the Forssman antigen and may play a role in the long-term survival of ABO-incompatible allografts. The present study investigates the fate of porcine antigens in pig-to-primate xenotransplantation. Human antibodies bound to the glycocalyx of cultured porcine aortic endothelial cells as judged by electron microscopy and were shed from the cell surface in a complex with fibronectin, a glycoprotein that is found in the apical membrane glycocalyx of cultured cells. Antibody was shed in a metabolically dependent process with a t(1/2) of 2 to 3 hours. However, the amount of antigen on the cell surface did not change appreciably within 24 hours, suggesting that antigen modulation did not occur. Over the ensuing days, antigen expression decreased, although the change was always less than 50% of baseline. Changes in antigen expression were due for the most part to changes in expression of alpha-galactosyl residues. Consistent with results obtained in vitro, antigen expression in porcine organ transplants remained at approximately the baseline level as determined by immunofluorescence analysis of IgM binding to graft endothelium. If, as these results suggest, antigen is not down-modulated in pig-to-primate xenotransplantation, then therapies aimed at prolonged xenograft survival must focus on antibody or genetic manipulation of antigen expression.

High-performance fiber-optic pH microsensors for practical physiological measurements using a dual-emission sensitive dye

A fast and durable ratiometric pH microoptode that is highly accurate, precise, sensitive, reversible, and reproducible over the physiological ranges of pH, ionic strength, and temperature has been developed. The sensing site consists of 5 (and 6)-carboxynaphthofluorescein (CNF) entrapped in a polyacrylamide gel matrix via photopolymerization at the silanized end of an optical fiber with a diameter of 2 (pulled) or 125 microns (unpulled). The optode's precision for the pH 6.3-8.4 range in rat embryos, sera, or physiological (Earle's and Tyrode's) buffers was found to be better than +/- 0.03 pH unit. The pulled and unpulled optodes have respective upper limit response times of 1 and 400 ms for 1-pH-unit change. Over a 7-week period, they retain sensitivity for 600 and 10,000 measurements, respectively. Ratiometric measurements are made using a pH-sensitive emission peak on each side of an isosbestic point. The CNF microoptode is most suitable for biological applications because of its essentially linear response over the pH 7-8 range, its high sensitivity (slope about 2), and its almost perfect correlation with a pH macroelectrode. Furthermore, errors introduced by photobleaching, leaching, quenching, optode movement, and excitation source fluctuations are minimal.