Atrial natriuretic peptide, a regulator of nuclear factor-kappaB activation in vivo

Natriuretic peptides (NPs) comprise a family of vasoactive hormones that play important roles in the regulation of cardiovascular and renal homeostasis. Along this line, atrial NP (ANP) (international non-proprietary name: carperitide, HANP) is an approved drug for the treatment of acute heart failure. In recent years, evidence has been given that the NP system possesses a far broader biological spectrum than the regulation of blood pressure and volume homeostasis. In fact, a substantial amount of in vitro work indicates that ANP affects important inflammatory processes and signaling pathways. Quite surprisingly, however, no information exists on the in vivo antiinflammatory potential and signaling of ANP. We show here that pretreatment of lipopolysaccharide (Salmonella abortus equi, 2.5 mg/kg)-challenged mice with ANP (5 microg/kg iv, 15 min) rapidly inhibits nuclear factor-kappaB activation via inhibition of phosphorylation and degradation of the IkappaB-alpha protein. ANP also reduces Akt activation upon lipopolysaccharide injection. In ANP-pretreated mice, the increase of TNF-alpha serum concentration is markedly prevented; most importantly, the survival of these animals improved. These findings demonstrate both in vitro and in vivo an antiinflammatory profile of ANP that deserves to be further investigated in a therapeutic perspective.

Orthorhombic sphere packings. I. Invariant and univariant lattice complexes

All homogeneous sphere packings and all interpenetrating sphere packings were derived that refer to the 6 invariant and the 11 univariant lattice complexes belonging to the orthorhombic crystal system. In total, sphere packings of 38 types have been found. Only for 17 types is the maximal inherent symmetry of their sphere packings orthorhombic. By means of a number of examples, the applicability of sphere packings for the comparison and description of simple crystal structures is demonstrated.

Pretreatment social functioning predicts 1-year outcome in early onset psychosis

OBJECTIVE

The aim was to investigate the association of pretreatment social functioning (12 months before initial presentation) with symptom dimensions and social functioning at 1-year follow-up.

METHOD

Fifty-six adolescents, age 14-18, first admitted for early onset psychosis, were evaluated at baseline and 1-year follow-up assessing psychopathology (PANSS), social functioning (Strauss and Carpenter Prognostic Scale), and duration of untreated psychosis (DUP).

RESULTS

Adolescents with low pretreatment social functioning were at risk of more severe negative symptoms and lower social functioning at follow-up. Negative symptoms at baseline were less predictive and DUP was not predictive in this sample.

CONCLUSION

Results of this study suggest a strong longitudinal inter-relatedness between social functioning and negative symptoms in this age group. An integrative treatment approach including family interventions, social skills training, long-term specialized work/school rehabilitation, and adequate antipsychotic treatment is warranted to improve both, social functioning and negative symptoms.

Hexagonal and trigonal sphere packings. IV. Trivariant lattice complexes of trigonal space groups

The 13 trivariant lattice complexes with trigonal symmetry are compatible with 218 types of homogeneous sphere packings, 7 types of interpenetrating sphere packings and one type of interpenetrating layers of spheres. Altogether, the lattice complexes with trigonal characteristic space group (with 0, 1, 2 or 3 degrees of freedom) give rise to 225 types of sphere packing. 110 of these types are compatible exclusively with one of the 13 trivariant lattice complexes, 31 in addition with some of the invariant, univariant or bivariant lattice complexes, whereas 6 types occur solely in such a lattice complex. 65 types encompass special sphere packings that can also be generated with hexagonal symmetry [Sowa, Koch & Fischer (2003). Acta Cryst. A59, 317-326; Sowa & Koch (2004). Acta Cryst. A60, 158-166; Sowa & Koch (2005). Acta Cryst. A61, 331-342]; cubic inherent symmetry occurs for certain sphere packings [Fischer (2004). Acta Cryst. A60, 246-249] belonging to 13 types. The maximal inherent symmetry is trigonal for 147 of the 225 types. The sphere packings of 61 types can be subdivided into connected layer-like subunits, those of 86 types into connected rod-like subunits. Such subunits may be used to construct some kind of ;descriptive symbols' that reflect certain properties of the sphere packings. Interpenetrating sphere packings with cubic inherent symmetry belong to one of the 7 types. All interpenetrating sphere layers that belong to the only type occurring in the trigonal crystal system show hexagonal inherent symmetry. Some examples depict crystal structures that can be described by means of sphere packings.

Use of catheters with the AgION antimicrobial system in kidney transplant recipients to reduce infection risk

Microbial blood infection represents a high risk for immuno-suppressed patients. Of all catheter-related infections in the bloodstream, 90% result from the use of central venous catheters, the main cause being microbial colonization at the catheter's insertion point or the catheter hub. Between January 2003 and December 2004, 102 patients received a renal transplant including 57 who received a triple-lumen central venous catheter (CVC) during the procedure. Two catheters were used: a standard polyurethane catheter placed in the jugular veina or the subclavian veina for group I, and polyurethane catheters with the AgION antimicrobial system always placed in the subclavian veina for group II. Care and maintenance of the CVCs was standardized in both groups. After catheter removal, the tips were analyzed microbiologically. Of 57 (43.9%) CVCs, 25 were found to be contaminated. In the first group 24 out of 41 CVCs (58.5%) showed bacterial growth, whereas in group II only one catheter (6.6%) had a biofilm. The most common contaminant (18 out of 25, 72%) was Staphylococcus epidermidis. In group II, two patients had positive blood cultures yet a microbiologically sterile CVC. None of the catheters with the AgION antimicrobial system had to be removed owing to local infection or intolerance. The continuous release of silver ions increases the protection against bacteria and fungi during the entire time of catheterization. Use of catheters with the AgION antimicrobial system lead to a marked reduction in catheter-associated infections of the bloodstream.

Electron-phonon interaction and antiferromagnetic correlations

We study effects of the Coulomb repulsion on the electron-phonon interaction (EPI) in the Holstein-Hubbard model, using the antiferromagnetic (AF) dynamical mean-field approximation. AF correlations strongly enhance EPI effects on the electron Green's function with respect to the paramagnetic correlated system, but the net effect of the Coulomb interaction is a moderate suppression of the EPI. Doping leads to additional suppression. In contrast, the Coulomb interaction strongly suppresses EPI effects on phonons, but the suppression weakens with doping.

Interpenetration of homogeneous sphere packings and of two-periodic layers of spheres

All systems of interpenetrating sphere packings that occur with highest symmetry in the cubic, hexagonal or tetragonal crystal family are tabulated. Homogeneous sphere packings belonging to 49 different types may be intertwined to systems of interpenetrating sphere packings belonging to 74 types. For all compatible lattice complexes, the coordinate and lattice parameters are given. The corresponding patterns of interpenetration are analysed. For the interpenetration of two, three, four, five and eight sphere packings, eleven, three, five, one and two different patterns, respectively, are distinguished. In addition, four types of interpenetrating layers of spheres were found. Each such sphere configuration splits into two or three subsets of parallel sphere layers with an angle of 90 degrees or of 120 degrees , respectively, between the directions of the normals of the layers. A single sphere layer corresponds either to a honeycomb net or to a net built up from quadrangles and octagons.

Diagnostics and Therapy of Lymphoceles After Kidney Transplantation

Lymphocele incidence after kidney transplantation is as high as 18%. We retrospectively studied the therapy of 42 lymphoceles that occurred in our clinic between 1990 and 2005, focusing on possible predisposing factors for their formation and the results of several therapy variants: conservative, operative, percutaneous puncture, and laparoscopic or open marsupialization. There was no connection between lymphocele formation and the following parameters: the extent to which the iliac vessels had been prepared, the materials used for the preparation, or whether clips or ligatures were applied. Lymphoceles may originate either from the lymphatic system of the recipient or the transplanted kidney. The most sensible measures to prevent their occurrence therefore seems to be to restrict the transplant bed to the smallest permissible level with careful ligature of the lymphatic vessels in the area of the kidney hilus. Treatment for lymphoceles should start with minimally invasive measures. We use the following algorithm in our clinic: puncture to differentiate between urinoma/lymphocele and to test for bacterial infection, sclerotization (200 mg doxycyclin), and finally marsupialization if persistent. The choice of operative technique depends on the location. This algorithm resulted in a relapse rate of 9.5% during the postoperative observation period of up to 15 years.

Umfrage zur Überkreuznierentransplantation in Deutschland

Due to increasingly better long-term survival rates with dialysis the number of patients with renal failure constantly increases by 4% annually worldwide. Despite great progress in operative and perioperative management as well as improved immunosuppressive drugs, kidney transplantation still faces two major problems. First of all there is a huge deficit of donor organs and secondly the long-term results of the kidney grafts must be improved. One way to relieve this tense situation may be live kidney donation. In many countries not participating in Eurotransplant, especially the United States and Scandinavia, live kidney donation is performed more often than kidney transplantation from deceased donors. Germany implemented a transplantation law in December 1997. This law also regulates living donation, with exclusion of crossover transplantations. Cross-over transplantation is a special variation of live donation for couples who cannot donate/receive in their respective couple constellation. Therefore, the donor of the one couple donates his/her kidney to the recipient of the other couple and vice versa. According to German legislation this is illegal. We performed a study in order to evaluate the opinions of the German kidney transplant centers on crossover kidney transplantations. The majority of the German transplantation centers believe that crossover transplantation is acceptable with regard to ethical and medical concerns. To enable this kind of kidney transplantation the transplantation law would have to be changed. Nevertheless, nationwide polls show that live kidney donation represents only a very small portion of all transplantations taking place. Live kidney donation should be granted higher priority as dialysis triggers psychological and physical damage, especially in children. For many patients live kidney donation is the only chance for early transplantation with an excellent long-lasting kidney graft function.

On the density of homogeneous sphere packings

For some types of sphere packing with typical one- and two-dimensional parameter regions, the sphere-packing density as a function of the free parameters is discussed. In addition, some sphere-packing types with extraordinary density properties are presented. Until now, it was generally assumed that sphere packings with minimal density are also those of highest inherent symmetry. An example to prove the opposite is given.

Hexagonal and trigonal sphere packings. III. Trivariant lattice complexes of hexagonal space groups

All types of homogeneous sphere packing and interpenetrating sphere packings and layers were derived that correspond to point configurations of the 15 trivariant hexagonal lattice complexes. The respective sphere packings are assigned to 147 types. In total, sphere packings of 170 types can be realized with hexagonal symmetry. 103 types of sphere packing refer exclusively to trivariant hexagonal lattice complexes. For 23 of these types, the corresponding sphere packings can be generated only in hexagonal lattice complexes with less than three degrees of freedom or with trigonal or lower symmetry. In addition, seven types of interpenetrating sphere packings and two types of interpenetrating sphere layers were found. Interpenetrating 4.8(2) nets of spheres with 120 degrees angles between the nets were assumed to be not possible, so far. The sphere packings belonging to 85 of the 170 hexagonal types can be split up into parallel layers of spheres with mutual contact and can be characterized by symbols derived from those for the Shubnikov nets. The sphere packings of 135 hexagonal types may be subdivided into rod-like subsets of spheres with mutual contact. Such rods may be described by rolling up a plane net. Only 23 types of sphere packing cannot be symbolized on the basis of layers or rods of spheres with mutual contact. Examples are given for crystal structures that can be described by means of sphere packings.

Inhibition of platelet activating factor (PAF)-induced aggregation of human thrombocytes by ginkgolides: considerations on possible bleeding complications after oral intake of Ginkgo biloba extracts

The special Ginkgo biloba leaf extract EGb 761 is marketed for more then two decades. During this time its therapeutic efficacy and favorable safety profile have been proven in numerous clinical trails as well as by postmarketing surveillance in accordance with German drug regulations. During recent years, however, several cases of hemorrhage have been reported to occur in coincidence with the use of Ginkgo products. Although a clear causality between Ginkgo intake and bleeding could not be established, these observations have generally been explained by the platelet-activating factor (PAF)-antagonistic action of ginkgolides, which represent characteristic constituents of Ginkgo extracts. PAF was originally characterized by inducing aggregation and secretion of serotonin and histamine from rabbit platelets. We now confirmed that induction of aggregation of human platelets by PAF requires at least 200 times higher concentration when compared to rabbit cells. Under the chosen experimental conditions, PAF-mediated aggregation of human platelets was half-maximally inhibited by ginkgolide B, A, C and J at concentrations of 2.5, 15.8, 29.8 and 43.5 microg/ml, respectively. These concentrations are generally more than 100 times higher as the peak plasma values measured after oral intake of EGb 761 at recommended doses between 120 and 240 mg. As PAF is a 'weak' platelet activator, which does not appear to be of importance for primary hemostasis, our results rise serious doubts that the PAF antagonistic effect of ginkgolides could be responsible for hemorrhage in patients taking EGb 761.

Downregulation of iNOS expression in rat mesangial cells by special extracts of Harpagophytum procumbens derives from harpagoside-dependent and independent effects

Special extracts from the roots of Harpagophytum procumbens (Devil's Claw) are used in the supportive treatment of inflammatory diseases, and the iridoid derivative harpagoside is thought to be the active principle. To investigate, whether Harpagophytum extracts may also be useful therapeutics in the treatment of inflammatory kidney diseases, we studied the effects of two different extracts containing 8.9% (extract 1) and 27% harpagoside (extract 2), respectively, on IL-1beta-induced nitric oxide (NO) formation as well as transcriptional regulation of inducible NO synthase (iNOS) in rat renal mesangial cells. We observed a concentration-dependent suppression of nitrite formation by about 80%, which was due to an inhibition of iNOS expression. Moreover, a reduction of iNOS promoter activity and nuclear NF-kappaB translocation was observed, indicating that the extracts interfere with the transcriptional activation of iNOS. Three further Harpagophytum extracts containing about 2% harpagoside did not inhibit NO formation suggesting, that only extracts with a high harpagoside content elicit iNOS inhibition. However, pure harpagoside was only inhibitory at concentrations between 0.3 and 1 mg/ml, which is much higher than the harpagoside content present in an effective concentration of the total extracts. Moreover, a harpagoside-free extract 1 also markedly inhibited iNOS expression, indicating that other extract constituents are involved in this effect. Extract 1 exerted a strong antioxidative effect, whereas no such effect could be demonstrated for harpagoside. Together, these data show that special Harpagophytum extracts may represent potential antiinflammatory drugs in the treatment of glomerular inflammatory diseases.

Intrahost distribution and transmission of a new species of cyclopoid copepod endosymbiotic to a freshwater snail, Pomacea canaliculata (Caenogastropoda, Ampullariidae), from Argentina

A new species of cyclopoid copepod, Ozmana huarpium, is described as a symbiont to Pomacea canaliculata (Lamarck 1822) (Caenogastropoda, Ampullariidae). Rather large numbers (about one hundred copepods per snail) were found, although there was no evidence of harm to the host. To our knowledge, O. haemophila (symbiont to P. maculata), and the currently described species, O. huarpium, are the only copepod species ever recorded as endosymbionts to freshwater invertebrates. While O. haemophila is restricted to the haemocoel of its host, O. huarpium predominate in the penis sheath, the ctenidium and the mantle cavity, figuring in these pallial organs 63-65% of total mature forms. The sex ratio of the symbiont is skewed to the female side in these organs, specially in male hosts. The hypothesis that a special female tropism for the male host's pallial organs might ensure interindividual transmission of the symbiont was tested, with indications that the symbiont is mainly transmitted during copulation.

Exceptional properties of some sphere packings in the general position ofP6222

Three types of sphere packing are described which show properties that have never been observed before: a certain set of generating symmetry operations corresponds to a parameter range in P6(2)22 that is not simply connected, but disintegrates into two disjoint non-congruent regions; the minimal sphere-packing density is different for these two regions; two sphere packings from different regions cannot be deformed into each other without opening sphere contacts although their sphere-packing graphs are isomorphic in the graph-theoretical sense. Two heterogeneous crystal nets with different symmetry described by Delgado-Friedrichs & O'Keeffe [Acta Cryst. (2003), A59, 351-360] show a similar behaviour. They are related to a type of tetragonal sphere packing with likewise unusual properties.

Hexagonal and trigonal sphere packings. II. Bivariant lattice complexes

All homogeneous sphere packings were derived which correspond to point configurations of the 26 bivariant lattice complexes belonging to the hexagonal crystal family. They may be assigned to 109 sphere-packing types. Among these, there is a type of sphere packing with contact number 10 that was not described before. For seven of the 109 types, the inherent symmetry of the sphere packings with minimal density is cubic. In addition, three types of interpenetrating sphere packings were found and one type of interpenetrating 6(3) sphere layers. Such an arrangement was unknown so far. Some frequently occurring structure types that can be related to sphere packings are described as examples.

Odour intensity and hedonic tone--important parameters to describe odour annoyance to residents?

The Guideline on Odour in Ambient Air has been in use for many years for odour regulation in Germany. The main parameter that the odour regulation authority has to take into account is the odour frequency expressed as odour hours per year. In the guideline, limit values are given for the maximum odour frequency per year. These limit values are based on field investigations in which significant relationships between odour impact and odour annoyance was found. In these investigations, odour intensity did not yield a better description of the degree of annoyance caused to the residents. The hedonic tone was not mentioned. In a new research project finished in 2003, the influence of odour intensity and hedonic tone, in addition to odour frequency, has been assessed. Two installations emitting pleasant odours, two emitting neutral and two emitting unpleasant odours, have been selected. In each case grid field measurements by a panel were carried out, and the annoyance of the residents was assessed using a special questionnaire. The results of this project are: (1) A new method to measure odour intensity and hedonic tone in the field with data record forms was developed and validated. With this method, reliable and reproducible results are obtained. (2) The parameter odour frequency based on the system of "odour hours" is suitable and sufficient to predict the odour annoyance caused by unpleasant/neutral odours. (3) In the case of pleasant odours, hedonic tone has an abundantly clear effect on the dose-response relationship between odour frequency and annoyance. Pleasant odours have a significant lower annoyance potential than unpleasant/neutral odours. (4) The odour intensity has no additional influence on this relationship. If odours are recognisable then they can cause annoyance.

[Expressed emotion and the outcome of child and adolescent psychiatric disorders]

OBJECTIVE

The review discusses empirical research on the association of "Expressed Emotion" (EE) and the outcome of child and adolescent psychiatric disorders.

METHOD

A comprehensive search in the databases Medline, PsycINFO and PSYNDEX was performed. Moreover, publications cited in the reference sections were taken into consideration.

RESULTS

Empirical data suggest that EE is a predictor of the outcome of depressive and eating disorders in childhood and adolescence, but not of behavioural disorders and ADHD. There are no studies on EE and its influence on anxiety disorders and - surprisingly - only two case studies on EE and schizophrenia in childhood and adolescence. Across psychiatric groups there is an association between behavioural disturbances of the child and parental criticism and an association of child anxiety and parental emotional over involvement. Data suggest that EE is not a stable variable. There is some evidence that a high-EE-status of parents transforms from a state into a trait variable.

CONCLUSION

Further studies on the predictive validity of EE for the outcome of child adolescent psychiatric disorders are warranted, as well as studies on variables of the parents and their offspring, which are associated with EE and with the entrenchment of EE with the progress of the disorder. Child and adolescent psychiatrists may contribute to a large research area with studies on the early development of high-EE. The mutual goal is the development of effective early family interventions.

Exploring two methods for statistical downscaling of Central European phenological time series

In this study we set out to investigate the possibility of linking phenological phases throughout the vegetation cycle, as a local-scale biological phenomenon, directly with large-scale atmospheric variables via two different empirical downscaling techniques. In recent years a number of methods have been developed to transfer atmospheric information at coarse General Circulation Model's grid resolutions to local scales and individual points. Here multiple linear regression (MLR) and canonical correlation analysis (CCA) have been selected as downscaling methods. Different validation experiments (e.g. temporal cross-validation, split-sample tests) are used to test the performance of both approaches and compare them for time series of 17 phenological phases and air temperatures from Central Europe as microscale variables. A number of atmospheric variables over the North Atlantic and Europe are utilized as macroscale predictors. The period considered is 1951-1998. Temporal cross-validation reveals that the CCA model generally performs better than MLR, which explains 20%-50% of the phenological variances, whereas the CCA model shows a range from 40% to over 60% throughout most of the vegetation cycle. To show the validity of employing phenological observations for downscaling purposes both methods (MLR and CCA) are also applied to gridded local air temperature time series over Central Europe. In this case there is no obvious superiority of the CCA model over the MLR model. Both models show explained variances from 40% to over 70% in the temporal cross-validation experiment. The results of this study indicate that time series of phenological occurrence dates are very compatible with the needs of empirical downscaling originally developed of local-scale atmospheric variables.

Alpha-lipoic acid preconditioning reduces ischemia-reperfusion injury of the rat liver via the PI3-kinase/Akt pathway

In liver resection and transplantation ischemia-reperfusion injury (IRI) is one of the main causes of organ dys- or nonfunction. The aim of the present study was to determine whether alpha-lipoic acid (LA) is able to attenuate IRI. Rat livers were perfused with Krebs-Henseleit buffer with or without LA (+/-wortmannin), followed by ischemia (1 h, 37 degrees C) and reperfusion (90 min). Efflux of lactate dehydrogenase (LDH) and purine nucleoside phosphorylase (PNP) and hepatic ATP content were determined enzymatically. Activation of NF-kappaB and activating protein 1 (AP-1) was examined by EMSA, and protein phosphorylation was examined by Western blot. Caspase-3-like activity served as an indicator for apoptotic processes. Animals treated intravenously with 500 micromol LA were subjected to 90 min of partial no-flow ischemia followed by reperfusion for up to 7 days. Preconditioning with LA significantly reduced LDH and PNP efflux during reperfusion in isolated perfused rat livers. ATP content was significantly increased in LA-treated livers. Postischemic activation of NF-kappaB and AP-1 was significantly reduced in LA-pretreated organs. Preconditioning with LA significantly enhanced Akt phosphorylation. It showed neither effect on endothelial nitric oxide synthase nor on Bad phosphorylation. Importantly, simultaneous administration of wortmannin, an inhibitor of the phosphatidylinositol (PI)3-kinase/Akt pathway, blocked the protective effect of LA on IRI, demonstrating a causal relationship between Akt activation and hepatoprotection by LA. Interestingly, despite activation of Akt, LA did not reduce postischemic apoptotic cell death. The efficacy of LA treatment in vivo was shown by reduced GST plasma levels and improved liver histology of animals pretreated with LA. This study shows for the first time that the PI3-kinase/Akt pathway plays a central protective role in IRI of the rat liver and that LA administration attenuates IRI via this pathway.