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Abdallah LE, Abusubha A, Lee BH, Badami A, Abood G, Knab LM, Jr WS, Refaat T. Treatment Outcomes and Toxicity Profile of MRI-Guided Gated-Real Time Online Adaptive Stereotactic Body Radiotherapy to Patients with Pancreatic Tumors. Int J Radiat Oncol Biol Phys 2023; 117:e281. [PMID: 37785052 DOI: 10.1016/j.ijrobp.2023.06.1263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Stereotactic body radiation therapy (SBRT) to patients with inoperable pancreas cancer has shown promising outcomes. Dose escalation is challenging given the associated risks to nearby organs at risk and requires treatment plan adaptation and motion management. This study reports the treatment related adverse events and treatment outcomes of MRI-guided SBRT utilizing gated-real time online adaptive radiotherapy to patients with pancreatic tumors. MATERIALS/METHODS This is a single institution retrospective IRB approved study and included patients with pancreatic tumors who were treated with MRI-guided SBRT utilizing gated-real time online adaptive radiotherapy, consecutively between 2019 and 2022. All patients were treated with 0.35T MRI linear accelerator. All patients' charts and radiation plans were reviewed for this study. RESULTS The study included 25 patients treated consecutively to 125 radiation fractions with MRI-guided SBRT. The study included 15 females and 10 males, 19 white, 2 Asians, 1 Latin American and 2 African Americans. The median age was 74, and all patients had pancreatic adenocarcinoma (92%) except two patients who had biopsy proven renal cell carcinoma metastatic to the pancreas without evidence of disease elsewhere. Most patients (68%) received chemotherapy (FOLFIRINOX or Gemcitabine / Protein-bound paclitaxel) prior to SBRT. The median dose to gross target volume (GTV) was 50 Gy, and to planning target volume (PTV) was 35 Gy. All patients were treated in 5 radiation fractions. Thirteen patients (52%) received elective nodal irradiation (ENI). All patients had at least a single real-time online adaptive replanning (median 3 fractions, range 1-5 fractions). All treatment fractions were gated (100%) with MRI guidance. The 1-, 2-, & 3- year local-regional control (LRC) were 81%, 57%, & 57% respectively (Median 16 months). The 1-, 2-, & 3- year Distant Control (DC) were 81%, 74%, & 56% respectively (Median 14 months). The 1-, 2-, 3-year overall survival (OS) were 77%, 35%, & 24% (Median 21 months). Planning Target Volume (PTV) dose ≥40Gy was significantly associated with improved local-regional control (p = 0.02). Gross Target Volume (GTV) dose <50Gy was significantly associated with lower DC (p = 0.03). ENI showed a trend towards improved local-regional control but was not statistically significant (p = 0.1). None of the patients experienced ≥ grade 3 toxicities. Most common adverse event were grades 1 or 2 fatigue (24%), nausea (16%), and abdominal discomfort (12%). CONCLUSION In this cohort, MRI-guided SBRT utilizing gated-real time online adaptive radiotherapy was a safe and effective approach for patients with pancreatic tumors who are not surgical candidates. In this study, dose escalation was significantly associated with improved local-regional (PTV ≥40 Gy) and distant control (GTV ≥50Gy). None of the patients experienced grade ≥3 radiation induced adverse events.
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Affiliation(s)
- L E Abdallah
- Loyola University Medical Center, Department of Radiation Oncology, Maywood, IL
| | - A Abusubha
- Loyola University Medical Center, Department of Radiation Oncology, Maywood, IL
| | - B H Lee
- Loyola University Chicago, Stritch School of Medicine, Department of Radiation Oncology, Cardinal Bernardin Cancer Center, Maywood, IL
| | - A Badami
- Department of Hematology Oncology, Stritch School of Medicine, Loyola University Chicago, Maywood, IL
| | - G Abood
- Department of Surgical Oncology, Stritch School of Medicine, Loyola University Chicago, Maywood, IL
| | - L M Knab
- Loyola University Chicago, Stritch School of Medicine, Department of Surgery, Cardinal Bernardin Cancer Center, Maywood, IL
| | - W Small Jr
- Department of Radiation Oncology, Stritch School of Medicine, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, IL
| | - T Refaat
- Loyola University Chicago, Stritch School of Medicine, Department of Radiation Oncology, Cardinal Bernardin Cancer Center, Maywood, IL
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Wang X, Leng S, Lu Z, Huang S, Lee BH, Baskaran L, Yew MS, Teo L, Chan MY, Ngiam KY, Lee HK, Zhong L, Huang W. Context-aware deep network for coronary artery stenosis classification in coronary CT angiography. Annu Int Conf IEEE Eng Med Biol Soc 2023; 2023:1-4. [PMID: 38083399 DOI: 10.1109/embc40787.2023.10340650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Automatic coronary artery stenosis grading plays an important role in the diagnosis of coronary artery disease. Due to the difficulty of learning the informative features from varying grades of stenosis, it is still a challenging task to identify coronary artery stenosis from coronary CT angiography (CCTA). In this paper, we propose a context-aware deep network (CADN) for coronary artery stenosis classification. The proposed method integrates 3D CNN with Transformer to improve the feature representation of coronary artery stenosis in CCTA. We evaluate the proposed method on a multicenter dataset (APOLLO study with NCT05509010). Experimental results show that our proposed method can achieve the accuracy of 0.84, 0.83, and 0.86 for stenosis diagnosis on the lesion, artery, and patient levels, respectively.
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Lee SB, Park Y, Kim DW, Kwon JW, Ha JW, Yang JH, Lee BH, Suk KS, Moon SH, Kim HS, Lee HM. Association between mortality risk and the number, location, and sequence of subsequent fractures in the elderly. Osteoporos Int 2021; 32:233-241. [PMID: 32820370 DOI: 10.1007/s00198-020-05602-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 08/13/2020] [Indexed: 12/16/2022]
Abstract
UNLABELLED The mortality risk showed a positive correlation as the number of subsequent fractures increased. Hip fracture showed the greatest association with mortality risk, followed by vertebral fracture. For the combination of hip and vertebral fracture, a hip fracture after a vertebral fracture showed the highest mortality risk. INTRODUCTION It is unclear whether subsequent fractures or a certain location and sequence of subsequent fractures are associated with mortality risk in the elderly. We aimed to investigate the relationship between subsequent fractures and mortality risk. METHODS Using the Korean National Health Insurance Research Database, we analyzed the cohort data of 24,756 patients aged > 60 years who sustained fractures between 2002 and 2013. Cox regression was used to assess the mortality risk associated with the number, locations, and sequences of subsequent fractures. RESULTS Mortality hazard ratios (HRs) for women and men were shown to be associated with the number of subsequent fractures (one, 1.63 (95% confidence interval [CI], 1.48-1.80) and 1.42 (95% CI, 1.28-1.58); two, 1.75 (95% CI, 1.47-2.08) and 2.03 (95% CI, 1.69-2.43); three or more, 2.46(95% CI, 1.92-3.15) and 1.92 (95% CI, 1.34-2.74), respectively). For women, the mortality risk was high when hip (HR, 2.49; 95% CI, 1.80-3.44) or vertebral (HR, 1.40; 95% CI, 1.03-1.90) fracture occurred as a second fracture. Compared with a single hip fracture, there was a high mortality risk in the group with hip fracture after the first vertebral fracture (HR, 2.90; 95% CI, 1.86-4.54), followed by vertebral fracture after the first hip fracture (HR, 1.90; 95% CI, 1.12-3.22). CONCLUSION The mortality risk showed a positive correlation as the number of subsequent fractures increased. Hip fracture showed the greatest association with mortality risk, followed by vertebral fracture. For the combination of hip and vertebral fracture, a hip fracture after a vertebral fracture showed the highest mortality risk.
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Affiliation(s)
- S-B Lee
- Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Republic of Korea
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Y Park
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
- Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, 10444, Republic of Korea.
| | - D-W Kim
- Research Analysis Team, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea
| | - J-W Kwon
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, 10444, Republic of Korea
| | - J-W Ha
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, 10444, Republic of Korea
| | - J-H Yang
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - B H Lee
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - K-S Suk
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - S-H Moon
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - H-S Kim
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - H-M Lee
- Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea
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Jayaram P, Liu C, Dawson B, Ketkar S, Patel SJ, Lee BH, Grol MW. Leukocyte-dependent effects of platelet-rich plasma on cartilage loss and thermal hyperalgesia in a mouse model of post-traumatic osteoarthritis. Osteoarthritis Cartilage 2020; 28:1385-1393. [PMID: 32629163 PMCID: PMC7787501 DOI: 10.1016/j.joca.2020.06.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 06/14/2020] [Accepted: 06/22/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Platelet-rich plasma (PRP) is an emerging therapeutic strategy for treatment of osteoarthritis (OA); however, there is a lack of preclinical and clinical evidence for its efficacy and its mechanism of action is unclear. In the current study, we utilized leukocyte poor-PRP (LP-PRP) and leukocyte rich-PRP (LR-PRP) to mimic clinical point of care formulations and assessed their potential to alter disease progression in a mouse model of post-traumatic OA. METHOD Three-month-old wild-type male FVB/N mice received destabilization of the medial meniscus (DMM) surgery to induce OA. To assess the efficacy of LP-PRP and LR-PRP, mice were given intraarticular injections at 2-, 7- and 28-days post-surgery. Mice were then assessed at 5-, 9-, and 13-weeks post-surgery for changes in chronic pain using the hot plate nociceptive assay. At 14-weeks, OA pathogenesis was evaluated using histology and phase-contrast μCT. RESULTS Treatment with LP-PRP and to a lesser extent LR-PRP preserved cartilage volume and surface area compared to phosphate-buffered saline (PBS) as measured by phase-contrast μCT. However, both treatments had higher Osteoarthritis Research Society International (OARSI) and synovitis scores compared to sham, and neither substantially improved scores compared to PBS controls. With respect to thermal hyperalgesia, PBS-treated mice displayed reduced latency to response compared to sham, and LR-PRP but not LP-PRP improved latency to response at 5-, 9- and 13-weeks post-surgery compared to PBS. CONCLUSION The results of this study suggest that effects of PRP therapy on OA progression and disease-induced hyperalgesia may be leukocyte-dependent. And while LP-PRP and to a lesser extent LR-PRP protect from volume and surface loss, significant pathology is still seen within OA joints. Future work is needed to understand how the different components of PRP effect OA pathogenesis and pain, and how these could be modified to achieve greater therapeutic efficacy.
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Affiliation(s)
- P Jayaram
- H. Ben Taub Department of Physical Medicine & Rehabilitation, Baylor College of Medicine, Houston, TX, USA; Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA
| | - C Liu
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
| | - B Dawson
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
| | - S Ketkar
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
| | - S J Patel
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
| | - B H Lee
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
| | - M W Grol
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
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Lee Y, Lee BH, Yip W, Chou P, Yip BS. Neurofilament Proteins as Prognostic Biomarkers in Neurological Disorders. Curr Pharm Des 2020; 25:4560-4569. [PMID: 31820696 DOI: 10.2174/1381612825666191210154535] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 12/07/2019] [Indexed: 12/13/2022]
Abstract
Neurofilaments: light, medium, and heavy (abbreviated as NF-L, NF-M, and NF-H, respectively), which belong to Type IV intermediate filament family (IF), are neuron-specific cytoskeletal components. Neurofilaments are axonal structural components and integral components of synapses, which are important for neuronal electric signal transmissions along the axons and post-translational modification. Abnormal assembly of neurofilaments is found in several human neurodegenerative diseases such as amyotrophic lateral sclerosis (ALS), infantile spinal muscular atrophy (SMA), and hereditary sensory-motor neuropathy (HSMN). In addition, those pathological neurofilament accumulations are known in α-synuclein in Parkinson's disease (PD), Aβ and tau in Alzheimer's disease (AD), polyglutamine in CAG trinucleotide repeat disorders, superoxide dismutase 1 (SOD1), TAR DNA-binding protein 43 (TDP43), neuronal FUS proteins, optineurin (OPTN), ubiquilin 2 (UBQLN2), and dipeptide repeat protein (DRP) in amyotrophic lateral sclerosis (ALS). When axon damage occurs in central nervous disorders, neurofilament proteins are released and delivered into cerebrospinal fluid (CSF), which are then circulated into blood. New quantitative analyses and assay techniques are well-developed for the detection of neurofilament proteins, particularly NF-L and the phosphorylated NF-H (pNF-H) in CSF and serum. This review discusses the potential of using peripheral blood NF quantities and evaluating the severity of damage in the nervous system. Intermediate filaments could be promising biomarkers for evaluating disease progression in different nervous system disorders.
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Affiliation(s)
- Yichen Lee
- Department of Neurology, National Taiwan University Hospital, Hsinchu Branch, Hsinchu, Taiwan, China
| | - Bo H Lee
- Department of Geriatrics, Northern Beaches Hospital, Frenchs Forest New South Wales, Australia
| | - William Yip
- Department of Pathology and Laboratory Medicine, University of British Columbia, Vacover, BC V6T1Z4, Canada
| | - Pingchen Chou
- Department of Neurology, National Taiwan University Hospital, Hsinchu Branch, Hsinchu, Taiwan, China
| | - Bak-Sau Yip
- Department of Neurology, National Taiwan University Hospital, Hsinchu Branch, Hsinchu, Taiwan, China.,Institute of Biomedical Engineering, National Chiao Tung University, Hsinchu, Taiwan, China
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Lee BH, Massa AT, Taylor KR. Accessory Tragus: A Rare Congenital Anomaly in a Dog. J Comp Pathol 2020; 179:79-82. [PMID: 32958153 DOI: 10.1016/j.jcpa.2020.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 07/20/2020] [Indexed: 10/23/2022]
Abstract
Accessory tragus is a congenital malformation of part of the external ear, commonly reported in humans. Clinically, it is a benign, cutaneous mass located anywhere between the tragus of the ear and the angle of the mouth, along the migratory path of the first branchial arch. An accessory tragus was diagnosed in an otherwise healthy six-month-old male castrated American pit bull terrier that had a haired, pedunculated cutaneous mass on the left maxillary region from birth. Histologically, the mass was a polypoid extension of histologically normal haired skin with a central core of subcutaneous adipose tissue and well-differentiated elastic cartilage. To the authors' knowledge, this is the first report of this lesion in a non-human species. Retrospective examination of records from 2008 to 2018 at the Washington Animal Disease Diagnostic Laboratory failed to identify any other case. As accessory tragus in humans is commonly linked with other congenital anomalies and syndromes, recognition of this lesion in animals may aid in early discovery of other congenital defects and inform adequate excision of the lesion to prevent chondrodermatitis.
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Affiliation(s)
- B H Lee
- Washington Animal Disease Diagnostic Laboratory and Department of Veterinary Microbiology and Pathology, Washington State University College of Veterinary Medicine, Pullman, Washington, USA.
| | - A T Massa
- Washington Animal Disease Diagnostic Laboratory and Department of Veterinary Microbiology and Pathology, Washington State University College of Veterinary Medicine, Pullman, Washington, USA
| | - K R Taylor
- Washington Animal Disease Diagnostic Laboratory and Department of Veterinary Microbiology and Pathology, Washington State University College of Veterinary Medicine, Pullman, Washington, USA
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Kim JO, Lee J, Lee BH. Effect of Scapular Stabilization Exercise during Standing on Upper Limb Function and Gait Ability of Stroke Patients. J Neurosci Rural Pract 2019; 8:540-544. [PMID: 29204011 PMCID: PMC5709874 DOI: 10.4103/jnrp.jnrp_464_16] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background The purpose of this study was to determine the effect of scapular stabilization exercise during standing on a paretic side on upper limb function and gait ability of stroke patients. Methods This study was a hospital-based, randomized controlled trial with a blinded assessor. A total of 17 patients with hemiplegic diagnosis after stroke were divided into two groups (9 patients in a study group and 8 patients in a control group). The study group received physical therapy and scapular stabilization exercise on a paretic side. Participants were subjected to initial evaluation before the treatment. Subjects were subsequently re-evaluated 4 and 8 weeks later to compare the changes. Measurements of hand function and gait ability were performed. Results Based on multivariate analysis of variance for repeated-measures, there was a significant time effect for Timed Up and Go test (TUG) (F = 13.816, P = 0.000), Functional Gait Assessment (FGA) (F = 18.613, P = 0.000), and manual function test (MFT) (F = 16.777, P = 0.000). The group × time interaction effect was also significant for FGA (F = 4.966, P = 0.024) and MFT (F = 6.946, P = 0.003), but not for TUG test (F = 3.343, P = 0.069). Conclusion Results of the present study indicated that scapular stabilization exercise during standing on a paretic side for 8 weeks had an effect on hand function and gait ability of hemiplegic patients after stroke. Further studies are needed to find the most proper exercise for stroke patients who have gait disability and upper limb dysfunction.
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Affiliation(s)
- J O Kim
- Department of Physical Therapy, Graduate School of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
| | - J Lee
- Department of Physical Therapy, Graduate School of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
| | - B H Lee
- Department of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
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Abstract
Surgical fixation of hip fractures in patients with below knee amputation is challenging due to the difficulty in obtaining optimal traction for reduction of the fracture. Surgeons may face difficulty in positioning such patients on the traction table due to the absence of the foot and distal lower limb. There are several techniques described to overcome this technical difficulty. In this case report, we present a case of a 64-year old gentleman with bilateral below knee amputation presenting with a comminuted right intertrochanteric fracture. We highlight a simple and effective method of applying skin traction to obtain adequate reduction for hip fracture fixation.
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Affiliation(s)
- B H Lee
- Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
| | - S W Ho
- Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
| | - C Y Kau
- Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
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Ghassemi Nejad J, Sung KI, Lee BH, Peng JL, Kim JY, Chemere B, Oh SM, Kim MJ, Kim SC, Kim BW. 3 Comparison of hair cortisol levels and body temperature response prior to and post heat stress and water deprivation in Holstein dairy cows. J Anim Sci 2018. [DOI: 10.1093/jas/sky073.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- J Ghassemi Nejad
- Institute of Animal Resources, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - K I Sung
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - B H Lee
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - J L Peng
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - J Y Kim
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - B Chemere
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - S M Oh
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - M J Kim
- Institute of Animal Resources, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - S C Kim
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
| | - B W Kim
- College of Animal Life Sciences, Kangwon National University, Chuncheon, Korea, Republic of (South)
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Park HC, Kim MJ, Lee BH. Randomized clinical trial of antibiotic therapy for uncomplicated appendicitis. Br J Surg 2017; 104:1785-1790. [DOI: 10.1002/bjs.10660] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Revised: 06/19/2017] [Accepted: 06/30/2017] [Indexed: 11/05/2022]
Abstract
Abstract
Background
Uncomplicated appendicitis may resolve spontaneously or require treatment with antibiotics or appendicectomy. The aim of this randomized trial was to compare the outcome of a non-antibiotic management strategy with that of antibiotic therapy in uncomplicated appendicitis.
Methods
Patients presenting to a university teaching hospital with CT-verified uncomplicated simple appendicitis (appendiceal diameter no larger than 11 mm and without any signs of perforation) were randomized to management with a no-antibiotic regimen with supportive care (intravenous fluids, analgesia and antipyretics as necessary) or a 4-day course of antibiotics with supportive care. The primary endpoint was rate of total treatment failure, defined as initial treatment failure within 1 month and recurrence of appendicitis during the follow-up period.
Results
Some 245 patients were randomized within the trial, and followed up for a median of 19 months. The duration of hospital stay was shorter (mean 3·1 versus 3·7 days; P < 0·001) and the medical costs lower (€1181 versus 1348; P < 0·001) among those randomized to therapy without antibiotics. There was no difference in total treatment failure rate between the groups: 29 of 124 (23·4 per cent) in the no-antibiotic group and 25 of 121 (20·7 per cent) in the antibiotic group (P = 0·609). Eighteen patients (9 in each group) had initial treatment failure, 15 of whom underwent appendicectomy and three received additional antibiotics. Thirty-six patients (20 in the no-antibiotic group, 16 in the antibiotic group) experienced recurrence, of whom 30 underwent appendicectomy and six received further antibiotics.
Conclusion
Treatment failure rates in patients presenting with CT-confirmed uncomplicated appendicitis appeared similar among those receiving supportive care with either a no-antibiotic regimen or a 4-day course of antibiotics. Registration number: KCT0000124 (http://cris.nih.go.kr).
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Affiliation(s)
- H C Park
- Department of Surgery, Hallym University College of Medicine 170beon-gil 22, Gwanpyeongro, Dong An-Gu, Anyang, 14068, South Korea
| | - M J Kim
- Department of Surgery, Hallym University College of Medicine 170beon-gil 22, Gwanpyeongro, Dong An-Gu, Anyang, 14068, South Korea
| | - B H Lee
- Department of Surgery, Hallym University College of Medicine 170beon-gil 22, Gwanpyeongro, Dong An-Gu, Anyang, 14068, South Korea
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Elf S, Lin R, Xia S, Pan Y, Shan C, Wu S, Lonial S, Gaddh M, Arellano ML, Khoury HJ, Khuri FR, Lee BH, Boggon TJ, Fan J, Chen J. Targeting 6-phosphogluconate dehydrogenase in the oxidative PPP sensitizes leukemia cells to antimalarial agent dihydroartemisinin. Oncogene 2016; 36:254-262. [PMID: 27270429 PMCID: PMC5464402 DOI: 10.1038/onc.2016.196] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 04/19/2016] [Accepted: 04/24/2016] [Indexed: 12/13/2022]
Abstract
The oxidative pentose phosphate pathway (PPP) is crucial for cancer cell metabolism and tumor growth. We recently reported that targeting a key oxidative PPP enzyme, 6-phosphogluconate dehydrogenase (6PGD), using our novel small molecule 6PGD inhibitors Physcion and its derivative S3, shows anti-cancer effects. Notably, humans with genetic deficiency of either 6PGD or another oxidative PPP enzyme, glucose-6-phosphate dehydrogenase (G6PD), exhibit non-immune hemolytic anemia upon exposure to aspirin and various anti-malarial drugs. Inspired by these clinical observations, we examined the anti-cancer potential of combined treatment with 6PGD inhibitors and anti-malarial drugs. We found that stable knockdown of 6PGD sensitizes leukemia cells to anti-malarial agent dihydroartemisinin (DHA). Combined treatment with DHA and Physcion activates AMP-activated protein kinase, leading to synergistic inhibition of human leukemia cell viability. Moreover, our combined therapy synergistically attenuates tumor growth in xenograft nude mice injected with human K562 leukemia cells and cell viability of primary leukemia cells from human patients, but shows minimal toxicity to normal hematopoietic cells in mice as well as red blood cells and mononucleocytes from healthy human donors. Our findings reveal the potential for combined therapy using optimized doses of Physcion and DHA as a novel anti-leukemia treatment without inducing hemolysis.
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Affiliation(s)
- S Elf
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - R Lin
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - S Xia
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - Y Pan
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - C Shan
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - S Wu
- Department of Chemistry, Emory University School of Medicine, Atlanta, GA, USA
| | - S Lonial
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - M Gaddh
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - M L Arellano
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - H J Khoury
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - F R Khuri
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - B H Lee
- Novartis Institutes for BioMedical Research, Cambridge, MA, USA
| | - T J Boggon
- Department of Pharmacology, Yale University School of Medicine, New Haven, CT, USA
| | - J Fan
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
| | - J Chen
- Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory, Emory University School of Medicine, Atlanta, GA, USA
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12
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Lopez-Hilfiker FD, Mohr C, D'Ambro EL, Lutz A, Riedel TP, Gaston CJ, Iyer S, Zhang Z, Gold A, Surratt JD, Lee BH, Kurten T, Hu WW, Jimenez J, Hallquist M, Thornton JA. Molecular Composition and Volatility of Organic Aerosol in the Southeastern U.S.: Implications for IEPOX Derived SOA. Environ Sci Technol 2016; 50:2200-9. [PMID: 26811969 DOI: 10.1021/acs.est.5b04769] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
We present measurements as part of the Southern Oxidant and Aerosol Study (SOAS) during which atmospheric aerosol particles were comprehensively characterized. We present results utilizing a Filter Inlet for Gases and AEROsol coupled to a chemical ionization mass spectrometer (CIMS). We focus on the volatility and composition of isoprene derived organic aerosol tracers and of the bulk organic aerosol. By utilizing the online volatility and molecular composition information provided by the FIGAERO-CIMS, we show that the vast majority of commonly reported molecular tracers of isoprene epoxydiol (IEPOX) derived secondary organic aerosol (SOA) is derived from thermal decomposition of accretion products or other low volatility organics having effective saturation vapor concentrations <10(-3) μg m(-3). In addition, while accounting for up to 30% of total submicrometer organic aerosol mass, the IEPOX-derived SOA has a higher volatility than the remaining bulk. That IEPOX-SOA, and more generally bulk organic aerosol in the Southeastern U.S. is comprised of effectively nonvolatile material has important implications for modeling SOA derived from isoprene, and for mechanistic interpretations of molecular tracer measurements. Our results show that partitioning theory performs well for 2-methyltetrols, once accretion product decomposition is taken into account. No significant partitioning delays due to aerosol phase or viscosity are observed, and no partitioning to particle-phase water or other unexplained mechanisms are needed to explain our results.
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Affiliation(s)
- F D Lopez-Hilfiker
- Department of Atmospheric Sciences, University of Washington , Seattle, Washington 98195, United States
| | - C Mohr
- Department of Atmospheric Sciences, University of Washington , Seattle, Washington 98195, United States
| | - E L D'Ambro
- Department of Chemistry, University of Washington , Seattle, Washington 98195, United States
| | - A Lutz
- Department of Chemistry and Molecular Biology, University of Gothenburg , 41296 Gothenburg, Sweden
| | - T P Riedel
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27516, United States
| | - C J Gaston
- Department of Atmospheric Sciences, University of Washington , Seattle, Washington 98195, United States
| | - S Iyer
- Department of Chemistry, University of Helsinki , Helsinki, Finland
| | - Z Zhang
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27516, United States
| | - A Gold
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27516, United States
| | - J D Surratt
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27516, United States
| | - B H Lee
- Department of Atmospheric Sciences, University of Washington , Seattle, Washington 98195, United States
| | - T Kurten
- Department of Chemistry, University of Helsinki , Helsinki, Finland
| | - W W Hu
- Department of Chemistry and Biochemistry, University of Colorado , Boulder, Colorado 80309, United States
- Cooperative Institute for Research in Environmental Sciences, University of Colorado , Boulder, Colorado 80309, United States
| | - J Jimenez
- Department of Chemistry and Biochemistry, University of Colorado , Boulder, Colorado 80309, United States
- Cooperative Institute for Research in Environmental Sciences, University of Colorado , Boulder, Colorado 80309, United States
| | - M Hallquist
- Department of Chemistry and Molecular Biology, University of Gothenburg , 41296 Gothenburg, Sweden
| | - J A Thornton
- Department of Atmospheric Sciences, University of Washington , Seattle, Washington 98195, United States
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13
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Wolfe GM, Kaiser J, Hanisco TF, Keutsch FN, de Gouw JA, Gilman JB, Graus M, Hatch CD, Holloway J, Horowitz LW, Lee BH, Lerner BM, Lopez-Hilifiker F, Mao J, Marvin MR, Peischl J, Pollack IB, Roberts JM, Ryerson TB, Thornton JA, Veres PR, Warneke C. Formaldehyde production from isoprene oxidation across NO x regimes. Atmos Chem Phys 2016. [PMID: 29619046 DOI: 10.5194/acp-16-2597-] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
The chemical link between isoprene and formaldehyde (HCHO) is a strong, non-linear function of NOx (= NO + NO2). This relationship is a linchpin for top-down isoprene emission inventory verification from orbital HCHO column observations. It is also a benchmark for overall photochemical mechanism performance with regard to VOC oxidation. Using a comprehensive suite of airborne in situ observations over the Southeast U.S., we quantify HCHO production across the urban-rural spectrum. Analysis of isoprene and its major first-generation oxidation products allows us to define both a "prompt" yield of HCHO (molecules of HCHO produced per molecule of freshly-emitted isoprene) and the background HCHO mixing ratio (from oxidation of longer-lived hydrocarbons). Over the range of observed NOx values (roughly 0.1 - 2 ppbv), the prompt yield increases by a factor of 3 (from 0.3 to 0.9 ppbv ppbv-1), while background HCHO increases by a factor of 2 (from 1.6 to 3.3 ppbv). We apply the same method to evaluate the performance of both a global chemical transport model (AM3) and a measurement-constrained 0-D steady state box model. Both models reproduce the NOx dependence of the prompt HCHO yield, illustrating that models with updated isoprene oxidation mechanisms can adequately capture the link between HCHO and recent isoprene emissions. On the other hand, both models under-estimate background HCHO mixing ratios, suggesting missing HCHO precursors, inadequate representation of later-generation isoprene degradation and/or under-estimated hydroxyl radical concentrations. Detailed process rates from the box model simulation demonstrate a 3-fold increase in HCHO production across the range of observed NOx values, driven by a 100% increase in OH and a 40% increase in branching of organic peroxy radical reactions to produce HCHO.
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Affiliation(s)
- G M Wolfe
- Joint Center for Earth Systems Technology, University of Maryland Baltimore County, Baltimore, MD, USA
- Atmospheric Chemistry and Dynamics Laboratory, NASA Goddard Space Flight Center, Greenbelt, MD, USA
| | - J Kaiser
- Department of Chemistry, University of Wisconsin-Madison, Madison, WI, USA
| | - T F Hanisco
- Atmospheric Chemistry and Dynamics Laboratory, NASA Goddard Space Flight Center, Greenbelt, MD, USA
| | - F N Keutsch
- School of Engineering and Applied Sciences and Department of Chemistry and Chemical Biology, Harvard University, Cambridge, MA, USA
| | - J A de Gouw
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - J B Gilman
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - M Graus
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - C D Hatch
- Department of Chemistry, Hendrix College, Conway, AR, USA
| | - J Holloway
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - L W Horowitz
- NOAA Geophysical Fluid Dynamics Laboratory, Princeton, NJ, USA
| | - B H Lee
- Department of Atmospheric Sciences, University of Washington, Seattle, WA, USA
| | - B M Lerner
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - F Lopez-Hilifiker
- Department of Atmospheric Sciences, University of Washington, Seattle, WA, USA
| | - J Mao
- NOAA Geophysical Fluid Dynamics Laboratory, Princeton, NJ, USA
- Program in Atmospheric and Oceanic Sciences, Princeton University, Princeton, NJ
| | - M R Marvin
- Department of Chemistry, University of Maryland, College Park, MD, USA
| | - J Peischl
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - I B Pollack
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - J M Roberts
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - T B Ryerson
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - J A Thornton
- Department of Atmospheric Sciences, University of Washington, Seattle, WA, USA
| | - P R Veres
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
| | - C Warneke
- Cooperative Institute for Research in Environmental Sciences, University of Colorado Boulder, Boulder, CO, USA
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO, USA
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14
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Warneke C, Trainer M, de Gouw JA, Parrish DD, Fahey DW, Ravishankara AR, Middlebrook AM, Brock CA, Roberts JM, Brown SS, Neuman JA, Lerner BM, Lack D, Law D, Hübler G, Pollack I, Sjostedt S, Ryerson TB, Gilman JB, Liao J, Holloway J, Peischl J, Nowak JB, Aikin K, Min KE, Washenfelder RA, Graus MG, Richardson M, Markovic MZ, Wagner NL, Welti A, Veres PR, Edwards P, Schwarz JP, Gordon T, Dube WP, McKeen S, Brioude J, Ahmadov R, Bougiatioti A, Lin JJ, Nenes A, Wolfe GM, Hanisco TF, Lee BH, Lopez-Hilfiker FD, Thornton JA, Keutsch FN, Kaiser J, Mao J, Hatch C. Instrumentation and Measurement Strategy for the NOAA SENEX Aircraft Campaign as Part of the Southeast Atmosphere Study 2013. Atmos Meas Tech 2016. [PMID: 29619117 DOI: 10.5194/amt-2015-388] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Natural emissions of ozone-and-aerosol-precursor gases such as isoprene and monoterpenes are high in the southeast of the US. In addition, anthropogenic emissions are significant in the Southeast US and summertime photochemistry is rapid. The NOAA-led SENEX (Southeast Nexus) aircraft campaign was one of the major components of the Southeast Atmosphere Study (SAS) and was focused on studying the interactions between biogenic and anthropogenic emissions to form secondary pollutants. During SENEX, the NOAA WP-3D aircraft conducted 20 research flights between 27 May and 10 July 2013 based out of Smyrna, TN. Here we describe the experimental approach, the science goals and early results of the NOAA SENEX campaign. The aircraft, its capabilities and standard measurements are described. The instrument payload is summarized including detection limits, accuracy, precision and time resolutions for all gas-and-aerosol phase instruments. The inter-comparisons of compounds measured with multiple instruments on the NOAA WP-3D are presented and were all within the stated uncertainties, except two of the three NO2 measurements. The SENEX flights included day- and nighttime flights in the Southeast as well as flights over areas with intense shale gas extraction (Marcellus, Fayetteville and Haynesville shale). We present one example flight on 16 June 2013, which was a daytime flight over the Atlanta region, where several crosswind transects of plumes from the city and nearby point sources, such as power plants, paper mills and landfills, were flown. The area around Atlanta has large biogenic isoprene emissions, which provided an excellent case for studying the interactions between biogenic and anthropogenic emissions. In this example flight, chemistry in and outside the Atlanta plumes was observed for several hours after emission. The analysis of this flight showcases the strategies implemented to answer some of the main SENEX science questions.
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Affiliation(s)
- C Warneke
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Trainer
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J A de Gouw
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D D Parrish
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D W Fahey
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A R Ravishankara
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A M Middlebrook
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - C A Brock
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J M Roberts
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S S Brown
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J A Neuman
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - B M Lerner
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D Lack
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D Law
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - G Hübler
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - I Pollack
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S Sjostedt
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - T B Ryerson
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J B Gilman
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Liao
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Holloway
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Peischl
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J B Nowak
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - K Aikin
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - K-E Min
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - R A Washenfelder
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M G Graus
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Richardson
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Z Markovic
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - N L Wagner
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A Welti
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - P R Veres
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - P Edwards
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J P Schwarz
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - T Gordon
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - W P Dube
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S McKeen
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Brioude
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - R Ahmadov
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | | | - J J Lin
- Georgia Institute of Technology, Atlanta, GA
| | - A Nenes
- Georgia Institute of Technology, Atlanta, GA
- Foundation for Research and Technology Hellas, Greece
- National Observatory of Athens, Greece
| | - G M Wolfe
- NASA Goddard Space Flight Center, Greenbelt, MD
- University of Maryland Baltimore County
| | - T F Hanisco
- NASA Goddard Space Flight Center, Greenbelt, MD
| | - B H Lee
- University of Washington, Madison, WI
| | | | | | - F N Keutsch
- University of Wisconsin-Madison, Madison, WI
| | - J Kaiser
- University of Wisconsin-Madison, Madison, WI
| | - J Mao
- Geophysical Fluid Dynamics Laboratory, NOAA, Princeton, NJ
- Princeton University
| | - C Hatch
- Department of Chemistry, Hendrix College, 1600 Washington Ave., Conway, AR, USA
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15
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Warneke C, Trainer M, de Gouw JA, Parrish DD, Fahey DW, Ravishankara AR, Middlebrook AM, Brock CA, Roberts JM, Brown SS, Neuman JA, Lerner BM, Lack D, Law D, Hübler G, Pollack I, Sjostedt S, Ryerson TB, Gilman JB, Liao J, Holloway J, Peischl J, Nowak JB, Aikin K, Min KE, Washenfelder RA, Graus MG, Richardson M, Markovic MZ, Wagner NL, Welti A, Veres PR, Edwards P, Schwarz JP, Gordon T, Dube WP, McKeen S, Brioude J, Ahmadov R, Bougiatioti A, Lin JJ, Nenes A, Wolfe GM, Hanisco TF, Lee BH, Lopez-Hilfiker FD, Thornton JA, Keutsch FN, Kaiser J, Mao J, Hatch C. Instrumentation and Measurement Strategy for the NOAA SENEX Aircraft Campaign as Part of the Southeast Atmosphere Study 2013. Atmos Meas Tech 2016; 9:3063-3093. [PMID: 29619117 PMCID: PMC5880326 DOI: 10.5194/amt-9-3063-2016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Natural emissions of ozone-and-aerosol-precursor gases such as isoprene and monoterpenes are high in the southeast of the US. In addition, anthropogenic emissions are significant in the Southeast US and summertime photochemistry is rapid. The NOAA-led SENEX (Southeast Nexus) aircraft campaign was one of the major components of the Southeast Atmosphere Study (SAS) and was focused on studying the interactions between biogenic and anthropogenic emissions to form secondary pollutants. During SENEX, the NOAA WP-3D aircraft conducted 20 research flights between 27 May and 10 July 2013 based out of Smyrna, TN. Here we describe the experimental approach, the science goals and early results of the NOAA SENEX campaign. The aircraft, its capabilities and standard measurements are described. The instrument payload is summarized including detection limits, accuracy, precision and time resolutions for all gas-and-aerosol phase instruments. The inter-comparisons of compounds measured with multiple instruments on the NOAA WP-3D are presented and were all within the stated uncertainties, except two of the three NO2 measurements. The SENEX flights included day- and nighttime flights in the Southeast as well as flights over areas with intense shale gas extraction (Marcellus, Fayetteville and Haynesville shale). We present one example flight on 16 June 2013, which was a daytime flight over the Atlanta region, where several crosswind transects of plumes from the city and nearby point sources, such as power plants, paper mills and landfills, were flown. The area around Atlanta has large biogenic isoprene emissions, which provided an excellent case for studying the interactions between biogenic and anthropogenic emissions. In this example flight, chemistry in and outside the Atlanta plumes was observed for several hours after emission. The analysis of this flight showcases the strategies implemented to answer some of the main SENEX science questions.
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Affiliation(s)
- C Warneke
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Trainer
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J A de Gouw
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D D Parrish
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D W Fahey
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A R Ravishankara
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A M Middlebrook
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - C A Brock
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J M Roberts
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S S Brown
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J A Neuman
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - B M Lerner
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D Lack
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - D Law
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - G Hübler
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - I Pollack
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S Sjostedt
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - T B Ryerson
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J B Gilman
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Liao
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Holloway
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Peischl
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J B Nowak
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - K Aikin
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - K-E Min
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - R A Washenfelder
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M G Graus
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Richardson
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - M Z Markovic
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - N L Wagner
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - A Welti
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - P R Veres
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - P Edwards
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J P Schwarz
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - T Gordon
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - W P Dube
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - S McKeen
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - J Brioude
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | - R Ahmadov
- Cooperative Institute for Research in Environmental Sciences, Univ. of Colorado, Boulder
- Chemical Sciences Division, NOAA Earth System Research Laboratory, Boulder, CO
| | | | - J J Lin
- Georgia Institute of Technology, Atlanta, GA
| | - A Nenes
- Georgia Institute of Technology, Atlanta, GA
- Foundation for Research and Technology Hellas, Greece
- National Observatory of Athens, Greece
| | - G M Wolfe
- NASA Goddard Space Flight Center, Greenbelt, MD
- University of Maryland Baltimore County
| | - T F Hanisco
- NASA Goddard Space Flight Center, Greenbelt, MD
| | - B H Lee
- University of Washington, Madison, WI
| | | | | | - F N Keutsch
- University of Wisconsin-Madison, Madison, WI
| | - J Kaiser
- University of Wisconsin-Madison, Madison, WI
| | - J Mao
- Geophysical Fluid Dynamics Laboratory, NOAA, Princeton, NJ
- Princeton University
| | - C Hatch
- Department of Chemistry, Hendrix College, 1600 Washington Ave., Conway, AR, USA
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16
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Oh KS, Lee JH, Yi KY, Lim CJ, Lee S, Park CH, Seo HW, Lee BH. The orally active urotensin receptor antagonist, KR36676, attenuates cellular and cardiac hypertrophy. Br J Pharmacol 2015; 172:2618-33. [PMID: 25597918 DOI: 10.1111/bph.13082] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Revised: 12/11/2014] [Accepted: 01/13/2015] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND AND PURPOSE Blockade of the actions of urotensin-II (U-II) mediated by the urotensin (UT) receptor should improve cardiac function and prevent cardiac remodelling in cardiovascular disease. Here, we have evaluated the pharmacological properties of the recently identified UT receptor antagonist, 2-(6,7-dichloro-3-oxo-2H-benzo[b][1,4]oxazin-4(3H)-yl)-N-methyl-N-(2-(pyrrolidin-1-yl)-1-(4-(thiophen-3-yl)phenyl) ethyl)acetamide (KR36676). EXPERIMENTAL APPROACH Pharmacological properties of KR36676 were studied in a range of in vitro assays (receptor binding, calcium mobilization, stress fibre formation, cellular hypertrophy) and in vivo animal models such as cardiac hypertrophy induced by transverse aortic constriction (TAC) or myocardial infarction (MI). KEY RESULTS KR36676 displayed high binding affinity for the UT receptor (Ki : 0.7 nM), similar to that of U-II (0.4 nM), and was a potent antagonist at that receptor (IC50 : 4.0 nM). U-II-induced stress fibre formation and cellular hypertrophy were significantly inhibited with low concentrations of KR36676 (≥0.01 μM). Oral administration of KR36676 (30 mg·kg(-1) ) in a TAC model in mice attenuated cardiac hypertrophy and myocardial fibrosis. Moreover, KR36676 restored cardiac function and myocyte size in rats with MI-induced cardiac hypertrophy. CONCLUSIONS AND IMPLICATIONS A highly potent UT receptor antagonist exerted anti-hypertrophic effects not only in infarcted rat hearts but also in pressure-overloaded mouse hearts. KR36676 could be a valuable pharmacological tool in elucidating the complicated physiological role of U-II and UT receptors in cardiac hypertrophy.
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Affiliation(s)
- K S Oh
- Research Center for Drug Discovery Technology, Korea Research Institute of Chemical Technology, Daejeon, Korea; Department of Medicinal and Pharmaceutical Chemistry, University of Science and Technology, Daejeon, Korea
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17
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Halder D, Mandal C, Lee BH, Lee JS, Choi MR, Chai JC, Lee YS, Jung KH, Chai YG. PCDHB14- and GABRB1-like nervous system developmental genes are altered during early neuronal differentiation of NCCIT cells treated with ethanol. Hum Exp Toxicol 2015; 34:1017-27. [PMID: 25566775 DOI: 10.1177/0960327114566827] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Ethanol (EtOH) exposure during embryonic development causes dysfunction of the central nervous system (CNS). Here, we examined the effects of chronic EtOH on gene expression during early stages of neuronal differentiation. Human embryonic carcinoma (NCCIT) cells were differentiated into neuronal precursors/lineages in the presence or absence of EtOH and folic acid. Gene expression profiling and pathway analysis demonstrated that EtOH deregulates many genes and pathways that are involved in early brain development. EtOH exposure downregulated several important genes, such as PCDHB14, GABRB1, CTNND2, NAV3, RALDH1, and OPN5, which are involved in CNS development, synapse assembly, synaptic transmission, and neurotransmitter receptor activity. GeneGo pathway analysis revealed that the deregulated genes mapped to disease pathways that were relevant to fetal alcohol spectrum disorders (FASD, such as neurotic disorders, epilepsy, and alcohol-related disorders). In conclusion, these findings suggest that the impairment of the neurological system or suboptimal synapse formation resulting from EtOH exposure could underlie the neurodevelopmental disorders in individuals with FASD.
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Affiliation(s)
- D Halder
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea
| | - C Mandal
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea
| | - B H Lee
- Department of Psychiatry, Gangnam Eulji Hospital, Eulji University, Seoul, Republic of Korea KARF Hospital, the Korean Alcohol Research Foundation, Goyang, Republic of Korea
| | - J S Lee
- KARF Hospital, the Korean Alcohol Research Foundation, Goyang, Republic of Korea
| | - M R Choi
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea
| | - J C Chai
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea
| | - Y S Lee
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea
| | - K H Jung
- Institute of Natural Science and Technology, Hanyang University, Ansan, Republic of Korea
| | - Y G Chai
- Department of Molecular and Life Sciences, Hanyang University, Ansan, Republic of Korea Department of Nanobiotechnology, Hanyang University, Seoul, Republic of Korea
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Abstract
BACKGROUND The biomechanical interaction between the median nerve and the flexor tendons is an important consideration in Carpal tunnel syndrome (CTS). We aim to quantify the displacement and compressive deformation pattern of the median nerve in various stages of finger flexion in the normal population at the inlet of the carpal tunnel. METHODS Transverse ultrasounds images were taken at the carpal tunnel inlet during full-extension, mid-flexion and full flexion. The displacement, distance, Feret's diameter, and perimeter of the median nerve were calculated and compared between each position. RESULTS Biphasic median nerve motion was observed, with a displacement of 2.84 ± 3.49 mm in the ulnar direction from full-extension to mid-flexion (Phase I) and a further 0.93 ± 3.04 mm from mid-flexion to full flexion (Phase II). Of 49 hands, 37 (75.5%) exhibited ulnar displacement in Phase I while 12 (24.5%) exhibited radial displacement. Feret's diameter (5.95 ± 1.08 mm) and perimeter (13.28 ± 2.09) of the median nerve were greatest in the mid-flexed position. CONCLUSION In a healthy Asian population, the median nerve has a biphasic motion during finger flexion, with maximal deformation in the mid-flexed position.
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Affiliation(s)
- C H Goh
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore 523230, Singapore
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Nejad JG, Hosseindoust A, Shoae A, Ghorbani B, Lee BH, Oskoueian E, Hajilari D, Amouzmehr A, Lohakare JD, Sung KI. Effects of feeding levels of starter on weaning age, performance, nutrient digestibility and health parameters in holstein dairy calves. Asian-Australas J Anim Sci 2014; 26:827-30. [PMID: 25049856 PMCID: PMC4093240 DOI: 10.5713/ajas.2012.12704] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 03/15/2013] [Accepted: 02/24/2013] [Indexed: 11/27/2022]
Abstract
To evaluate the effects of feeding four different levels of starter in male Holstein dairy calves, a completely randomized study was conducted, using 28 calves with initial body weight of 40.5±2.4 kg. The animals were fed iso-nitrogenous starter and were weaned when they consumed 350, 500, 650 and 800 g/d of starter for 3 d consecutively. Starter and water were available ad-libitum throughout the experiment. Body weight at pre-weaning (less than 5 wk) and post-weaning (8 wk) was lower in calves that received 350 g/d of starter than in the other treatments (p<0.05). Feed conversion ratio (FCR) was the highest among all treatments in pre-weaning period (p<0.05). Dry matter intake (DMI) at weaning and total DMI was higher in that calves received 800 g/d of starter compared with other treatments (p<0.05). Calves fed 350 and 500 g/d of starter were weaned earlier (p<0.05) and showed lower milk consumption (kg, DM) compared with other treatments whereas no significant difference was observed between calves fed 350 and 500 g/d of starter (p>0.05). Dry matter, organic matter and crude protein digestibilities were lower in calves that received 350 g/d of starter compared with other treatments (p<0.05). No differences were observed in acid detergent and neutral detergent fiber digestibility among all treatments (p>0.05).Treatments had no significant effect on time of starting rumination, respiratory score, and days of drug administration for pneumonia. There were no meaningful differences in feces, fecal odor scores, body temperature, and days of drug administration for diarrhea among all treatments (p>0.05). Total dry matter intake at the end of experiment showed no significant difference among calves fed 600 and 800 g/d of starter, but calves fed 350 and 500 g/d of starter showed more dry matter (DM) intake than calves in the 600 and 800 g/d groups (p<0.05).
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Affiliation(s)
- J Ghassemi Nejad
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - A Hosseindoust
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - A Shoae
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - B Ghorbani
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - B H Lee
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - E Oskoueian
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - D Hajilari
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - A Amouzmehr
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - J D Lohakare
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
| | - K I Sung
- College of Animal Life Sciences, Kangwon National University, Chuncheon, 200-701, Korea
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Patel RM, Nagamani SCS, Cuthbertson D, Campeau PM, Krischer JP, Shapiro JR, Steiner RD, Smith PA, Bober MB, Byers PH, Pepin M, Durigova M, Glorieux FH, Rauch F, Lee BH, Hart T, Sutton VR. A cross-sectional multicenter study of osteogenesis imperfecta in North America - results from the linked clinical research centers. Clin Genet 2014; 87:133-40. [PMID: 24754836 DOI: 10.1111/cge.12409] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Revised: 04/08/2014] [Accepted: 04/19/2014] [Indexed: 02/06/2023]
Abstract
Osteogenesis imperfecta (OI) is the most common skeletal dysplasia that predisposes to recurrent fractures and bone deformities. In spite of significant advances in understanding the genetic basis of OI, there have been no large-scale natural history studies. To better understand the natural history and improve the care of patients, a network of Linked Clinical Research Centers (LCRC) was established. Subjects with OI were enrolled in a longitudinal study, and in this report, we present cross-sectional data on the largest cohort of OI subjects (n = 544). OI type III subjects had higher prevalence of dentinogenesis imperfecta, severe scoliosis, and long bone deformities as compared to those with OI types I and IV. Whereas the mean lumbar spine area bone mineral density (LS aBMD) was low across all OI subtypes, those with more severe forms had lower bone mass. Molecular testing may help predict the subtype in type I collagen-related OI. Analysis of such well-collected and unbiased data in OI can not only help answering questions that are relevant to patient care but also foster hypothesis-driven research, especially in the context of 'phenotypic expansion' driven by next-generation sequencing.
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Affiliation(s)
- R M Patel
- Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA
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Rosen MA, Sampson JB, Jackson EV, Koka R, Chima AM, Ogbuagu OU, Marx MK, Koroma M, Lee BH. Failure mode and effects analysis of the universal anaesthesia machine in two tertiary care hospitals in Sierra Leone. Br J Anaesth 2014; 113:410-5. [PMID: 24833727 PMCID: PMC4136424 DOI: 10.1093/bja/aeu096] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Anaesthesia care in developed countries involves sophisticated technology and experienced providers. However, advanced machines may be inoperable or fail frequently when placed into the austere medical environment of a developing country. Failure mode and effects analysis (FMEA) is a method for engaging local staff in identifying real or potential breakdowns in processes or work systems and to develop strategies to mitigate risks. Methods Nurse anaesthetists from the two tertiary care hospitals in Freetown, Sierra Leone, participated in three sessions moderated by a human factors specialist and an anaesthesiologist. Sessions were audio recorded, and group discussion graphically mapped by the session facilitator for analysis and commentary. These sessions sought to identify potential barriers to implementing an anaesthesia machine designed for austere medical environments—the universal anaesthesia machine (UAM)—and also engaging local nurse anaesthetists in identifying potential solutions to these barriers. Results Participating Sierra Leonean clinicians identified five main categories of failure modes (resource availability, environmental issues, staff knowledge and attitudes, and workload and staffing issues) and four categories of mitigation strategies (resource management plans, engaging and educating stakeholders, peer support for new machine use, and collectively advocating for needed resources). Conclusions We identified factors that may limit the impact of a UAM and devised likely effective strategies for mitigating those risks.
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Affiliation(s)
- M A Rosen
- Armstrong Institute of Patient Safety and Quality, JHUSOM, Baltimore, MD, USA Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - J B Sampson
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - E V Jackson
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA Value Institute, Christiana Care Health System, Newark, DE, USA
| | - R Koka
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - A M Chima
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - O U Ogbuagu
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - M K Marx
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
| | - M Koroma
- Department of Surgery, Connaught Hospital, Freetown, Sierra Leone
| | - B H Lee
- Anaesthesia and Critical Care Medicine, Johns Hopkins School of Medicine (JHUSOM), Baltimore, MD, USA
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22
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Cho SY, Yoon YA, Ki CS, Huh HJ, Yoo HW, Lee BH, Kim GH, Yoo JH, Kim SY, Kim SJ, Sohn YB, Park SW, Huh R, Chang MS, Lee J, Kwun Y, Maeng SH, Jin DK. Clinical characterization and molecular classification of 12 Korean patients with pseudohypoparathyroidism and pseudopseudohypoparathyroidism. Exp Clin Endocrinol Diabetes 2013; 121:539-45. [PMID: 24127307 DOI: 10.1055/s-0033-1349867] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
CONTEXT Pseudohypoparathyroidism (PHP) is defined as resistance toward parathyroid hormones. PHP and pseudopseudohypoparathyroidism (PPHP) are rare disorders resulting from genetic and epigenetic aberrations within or upstream of the GNAS locus. This study investigated the clinical characteristics and performed a molecular analysis of PHP and PPHP. METHODS A total of 12 patients with (P)PHP from 11 unrelated families (4 with PHP-Ia, 6 with PHP-Ib, and 2 with PPHP) were characterized using both clinical and molecular methods. Clinical features included the presenting symptoms, Albright hereditary osteodystrophy features, and resistance to hormones. Comprehensive analysis of the GNAS and STX16 loci was undertaken to investigate the molecular defects underlying (P)PHP. RESULTS All PHP-Ib patients displayed hypocalcemic symptoms. All PHP-Ia patients showed resistance toward TSH, in addition to PTH. In most patients with PHP, when the diagnosis of PHP was first established, hypocalcemia and hyperphosphatemia were associated with a significant increase in serum PTH levels. One patient with PHP-Ia was diagnosed with growth hormone deficiency and showed a good response to human recombinant growth hormone therapy. 6 patients with PHP-Ia and PPHP showed 5 different mutations in the GNAS gene. 5 patients with PHP-Ib displayed a loss of differentially methylated region (DMR) imprints of the maternal GNAS. One PHP-Ib patient showed a de novo microdeletion in STX16 and a loss of methylation of exon A/B on the maternal allele. No patients revealed paternal disomy among 4 patients with PHP-Ib. CONCLUSIONS Identification of the molecular causes of PHP and PPHP explains their distinctive clinical features and enables confirmation of the diagnosis and exact genetic counseling.
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Affiliation(s)
- S Y Cho
- Department of Pediatrics, Hanyang University Guri Hopistal, Hanyang University College of Medicine, Guri, Republic of Korea
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Kim MT, Rhee KY, Lee BH, Kim CJ. Effect of carbon nanotube addition on the wear behavior of basalt/epoxy woven composites. J Nanosci Nanotechnol 2013; 13:5631-5635. [PMID: 23882807 DOI: 10.1166/jnn.2013.7037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The effect of acid-treated carbon nanotube (CNT) addition on the wear and dynamic mechanical thermal properties of basalt/epoxy woven composites was investigated in this study. Basalt/CNT/epoxy composites were fabricated by impregnating woven basalt fibers into epoxy resin mixed with 1 wt% CNTs which were acid-treated. Wear and DMA (dynamic mechanical analyzer) tests were performed on basalt/epoxy composites and basalt/CNT/epoxy composites. The results showed that the addition of the acid-treated CNTs improved the wear properties of basalt/epoxy woven composites. Specifically, the friction coefficient of the basalt/epoxy composite was stabilized in the range of 0.5-0.6 while it fell in the range of 0.3-0.4 for basalt/CNT/epoxy composites. The wear volume loss of the basalt/CNT/epoxy composites was approximately 68% lower than that of the basalt/epoxy composites. The results also showed that the glass transition temperature of basalt/CNT/epoxy composites was higher than that of basalt/epoxy composites. The improvement of wear properties of basalt/epoxy composites by the addition of acid-treated CNTs was caused by the homogeneous load transfer between basalt fibers and epoxy matrix due to the reinforcement of CNTs.
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Affiliation(s)
- M T Kim
- Department of R&D, Gumi Electronics and Information Technology Research Institute, Gumi 730-853, Korea
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24
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Sule G, Campeau PM, Zhang VW, Nagamani SCS, Dawson BC, Grover M, Bacino CA, Sutton VR, Brunetti-Pierri N, Lu JT, Lemire E, Gibbs RA, Cohn DH, Cui H, Wong LJ, Lee BH. Next-generation sequencing for disorders of low and high bone mineral density. Osteoporos Int 2013; 24:2253-9. [PMID: 23443412 PMCID: PMC3709009 DOI: 10.1007/s00198-013-2290-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2012] [Accepted: 01/03/2013] [Indexed: 10/27/2022]
Abstract
UNLABELLED To achieve an efficient molecular diagnosis of osteogenesis imperfecta (OI), Ehlers-Danlos syndrome (EDS), and osteopetrosis (OPT), we designed a next-generation sequencing (NGS) platform to sequence 34 genes. We validated this platform on known cases and have successfully identified the causative mutation in most patients without a prior molecular diagnosis. INTRODUCTION Osteogenesis imperfecta, Ehlers-Danlos syndrome, and osteopetrosis are collectively common inherited skeletal diseases. Evaluation of subjects with these conditions often includes molecular testing which has important counseling and therapeutic and sometimes legal implications. Since several different genes have been implicated in these conditions, Sanger sequencing of each gene can be a prohibitively expensive and time-consuming way to reach a molecular diagnosis. METHODS In order to circumvent these problems, we have designed and tested a NGS platform that would allow simultaneous sequencing on a single diagnostic platform of different genes implicated in OI, OPT, EDS, and other inherited conditions, leading to low or high bone mineral density. We used a liquid-phase probe library that captures 602 exons (~100 kb) of 34 selected genes and have applied it to test clinical samples from patients with bone disorders. RESULTS NGS of the captured exons by Illumina HiSeq 2000 resulted in an average coverage of over 900X. The platform was successfully validated by identifying mutations in six patients with known mutations. Moreover, in four patients with OI or OPT without a prior molecular diagnosis, the assay was able to detect the causative mutations. CONCLUSIONS In conclusion, our NGS panel provides a fast and accurate method to arrive at a molecular diagnosis in most patients with inherited high or low bone mineral density disorders.
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Affiliation(s)
- G Sule
- Department of Molecular and Human Genetics, Baylor College of Medicine, One Baylor Plaza, R814, MS225, Houston, TX 77030, USA
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Shin YS, Song SJ, Kang SU, Hwang HS, Choi JW, Lee BH, Jung YS, Kim CH. A novel synthetic compound, 3-amino-3-(4-fluoro-phenyl)-1H-quinoline-2,4-dione, inhibits cisplatin-induced hearing loss by the suppression of reactive oxygen species: in vitro and in vivo study. Neuroscience 2012; 232:1-12. [PMID: 23246618 DOI: 10.1016/j.neuroscience.2012.12.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2012] [Revised: 12/05/2012] [Accepted: 12/06/2012] [Indexed: 12/20/2022]
Abstract
Cisplatin, a chemotherapeutic agent for treating various solid tumors, produces hearing loss in approximately half a million cancer patients annually in the United States. In the course of developing a new protective agent against cisplatin-induced ototoxicity, we have been interested in a novel synthetic compound, 3-amino-3-(4-fluoro-phenyl)-1H-quinoline-2,4-dione (KR-22332). The effect of KR-22332 on cisplatin-induced cytotoxicity was analyzed in vitro in an organ of Corti-derived cell line (HEI-OC1), and in vivo in a zebrafish and rat model. Cisplatin-induced apoptosis, reactive oxygen species (ROS) generation and altered mitochondrial membrane potential (MMP) in HEI-OC1 cells were observed. KR-22332 significantly inhibited cisplatin-induced apoptosis, change of MMP, and intracellular ROS generation. KR-22332 markedly attenuated the cisplatin-induced loss and changes of auditory neuromasts in the zebrafish. Transtympanic administration of KR-22332 in a rat model was protective against cisplatin-induced hearing loss, as determined by click-evoked auditory brainstem response (p<0.01). Tissue terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling of rat cochlea demonstrated that KR-22332 blocked cisplatin-induced apoptosis. In addition, transtympanic administration of KR-22332 inhibited cisplatin-induced nicotinamide adenine dinucleotide phosphate-oxidase 3 (NOX3) overexpression in the rat cochlea. KR-22332 significantly reduced the expression of p-53, mitogen-activated protein kinases, caspase 3, and tumor necrosis factor-α compared to their significant increase after cisplatin treatment. The results of this study suggest that KR-22332 may prevent ototoxicity caused by the administration of cisplatin through the inhibition of mitochondrial dysfunction and the suppression of ROS generation. These novel findings implicate KR-22332 as a potential candidate for protective agent against cisplatin-induced ototoxicity.
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Affiliation(s)
- Y S Shin
- Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Republic of Korea; Center for Cell Death Regulating Biodrug, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - S J Song
- Bio-organic Science Division, Korea Research Institute of Chemical Technology, Yuseong, Daejeon, Republic of Korea
| | - S U Kang
- Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Republic of Korea; Center for Cell Death Regulating Biodrug, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - H S Hwang
- Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Republic of Korea; Center for Cell Death Regulating Biodrug, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - J W Choi
- Department of Molecular Science & Technology, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - B H Lee
- Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Republic of Korea; Center for Cell Death Regulating Biodrug, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - Y-S Jung
- Bio-organic Science Division, Korea Research Institute of Chemical Technology, Yuseong, Daejeon, Republic of Korea
| | - C-H Kim
- Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Republic of Korea; Center for Cell Death Regulating Biodrug, School of Medicine, Ajou University, Suwon, Republic of Korea.
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Kim JH, Choi JS, Lee BH. PI3K/Akt and MAPK pathways evoke activation of FoxO transcription factor to undergo neuronal apoptosis in brain of the silkworm Bombyx mori (Lepidoptera: Bombycidae). Cell Mol Biol (Noisy-le-grand) 2012; Suppl.58:OL1780-OL1785. [PMID: 23046871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2012] [Accepted: 09/27/2012] [Indexed: 06/01/2023]
Abstract
The Forkhead box O (FoxO) transcription factors, including FoxO1, FoxO3a, FoxO4, and FoxO6, are implicated in the regulation of cell apoptosis and survival. Here, we examined the role of FoxO transcription factors and the involvement of the PI3K/Akt and mitogen-activated protein kinase (MAPK) pathways in neuronal apoptosis in the brain of the silkworm Bombyx mori following starvation. Starvation inhibited cell proliferation and induced apoptosis through caspase-3 activation. The level of phosphorylated kinase Akt increased when the animals ceased feeding. Starvation conditions reduced extracellular-signal-regulated kinase phosphorylation but increased both c-Jun N-terminal kinase and p38 (MAPK) phosphorylation. FoxO1 and FoxO3a were simultaneously localized in the nuclei. These results provide new insights into the process of apoptosis of brain neurons through the involvement of FoxO transcription factors following starvation of insect species.
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Affiliation(s)
- J H Kim
- School of Life Sciences and Biotechnology, Korea University, Seoul 136-701, Korea
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Jeon K, Choi WI, An JS, Lim SY, Kim WJ, Park GM, Park SS, Choi HS, Lee BH, Choi JC, Na MJ, Park J, Kim JY. Paradoxical response in HIV-negative patients with pleural tuberculosis: a retrospective multicentre study. Int J Tuberc Lung Dis 2012; 16:846-51. [PMID: 22507441 DOI: 10.5588/ijtld.11.0642] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To evaluate the incidence, clinical characteristics and predicting factors for the development of paradoxical response in human immunodeficiency virus negative patients with isolated pleural tuberculosis (TB). DESIGN A multicentre, retrospective cohort study including 458 patients who were diagnosed and treated with isolated pleural TB between March 2005 and February 2010. RESULTS Paradoxical response developed in 72 patients (16%) with isolated pleural TB. The mean time to development of paradoxical response was 8.8 ± 6.4 weeks after initiation of anti-tuberculosis treatment. The main presentation of paradoxical response was aggravation of pre-existing pleural effusion in 58 patients (81%). However, the majority of the patients who developed paradoxical response had no associated symptoms (n = 49, 68%). In multiple logistic regression analysis, development of paradoxical response was independently associated with the proportion of eosinophils (adjusted OR 1.293, 95%CI 1.077-1.553) and protein concentrations (adjusted OR 0.590, 95%CI 0.397-0.878) in the pleural fluid at the time of diagnosis. CONCLUSION Paradoxical response developed in 16% of the patients approximately 2 months after initiation of anti-tuberculosis treatment, presenting with aggravation of pre-existing pleural effusion. Development of paradoxical response was associated with the proportion of eosinophils and protein concentrations in the pleural fluid at the time of diagnosis.
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Affiliation(s)
- K Jeon
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
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Hwang YJ, Sohn MJ, Lee BH, Kim SY, Seo JW, Han YH, Lee JY, Cha SJ, Kim YH. Radiosurgery for metastatic spinal tumors: follow-up MR findings. AJNR Am J Neuroradiol 2011; 33:382-7. [PMID: 22033723 DOI: 10.3174/ajnr.a2760] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE MR imaging is the primary tool for evaluation and monitoring of spinal tumors. We retrospectively analyzed the MR imaging findings before and after SRS for metastatic spinal tumors. MATERIALS AND METHODS We reviewed MR imaging findings on 79 metastatic spinal tumor lesions in 44 patients (29 male and 15 female)who had undergone radiosurgery between November 2003 and April 2008. Posttreatment MR imaging was evaluated retrospectively for 3 aspects: 1) changes in tumor volume; 2) changes in T2 signal intensity;and 3) changes in contrast enhancement patterns. RESULTS With regard to tumor volume on MR images, 32 lesions(40.5%) decreased in volume (group 1), 39 (49.4%) showed no change (group 2), and 8 (10.1%) increased in volume (group 3). T2 signal intensities were unchanged in 4 lesions (type 1), homogeneously increased in 3 (type 2), and changed to a homogeneously dark signal in 4 (type 4). The T2 signal intensity was increased and inter mixed with dark signal intensity (type 3) in 68 lesions. A decrease in contrast enhancement with or without non-enhancing foci was seen in 73 lesions. A persistent homogeneous enhancement pattern was seen in all 4 of the type 1 lesions, in 1 of the 3 type 2 lesions, and in 1 of the 68 type 3 lesions. CONCLUSIONS Main MR imaging features of locally controlled metastatic spinal tumors included no increase in tumor volume, increased T2 signal intensity with intermixed T2 dark signal intensity,and decreased contrast enhancement. Follow-up MR imaging also provided several patterns of tumor recurrence [corrected].
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Affiliation(s)
- Y J Hwang
- Department of Radiology, Inje University Ilsan Paik Hospital, College of Medicine, Goyang-si, Gyenggi-do, Republic of Korea.
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Lee BH, Hwang HJ, Cho CH, Lim SK, Lee SY, Hwang H. Nano-electromechanical switch-CMOS hybrid technology and its applications. J Nanosci Nanotechnol 2011; 11:256-261. [PMID: 21446436 DOI: 10.1166/jnn.2011.3154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Si-based CMOS technology is facing a serious challenge in terms of power consumption and variability. The increasing costs associated with physical scaling have motivated a search for alternative approaches. Hybridization of nano-electromechanical (NEM)-switch and Si-based CMOS devices has shown a theoretical feasibility for power management, but a huge technical gap must be bridged before a nanoscale NEM switch can be realized due to insufficient material development and the limited understanding of its reliability characteristics. These authors propose the use of a multilayer graphene as a nanoscale cantilever material for a nanoscale NEM switchwith dimensions comparable to those of the state-of-the-art Si-based CMOS devices. The optimal thickness for the multilayer graphene (about five layers) is suggested based on an analytical model. Multilayer graphene can provide the highest Young's modulus among the known electrode materials and a yielding strength that allows more than 15% bending. Further research on material screening and device integration is needed, however, to realize the promises of the hybridization of NEM-switch and Si-based CMOS devices.
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Affiliation(s)
- B H Lee
- Department of Nanobio Materials and Electronics, Gwangju Institute of Science and Technology, Oryong-dong 1, Buk-gu, Gwangju, Korea 500-712
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Wong DK, Liu J, Tan NM, Yin F, Lee BH, Wong TY. Learning-based approach for the automatic detection of the optic disc in digital retinal fundus photographs. Annu Int Conf IEEE Eng Med Biol Soc 2010; 2010:5355-8. [PMID: 21096259 DOI: 10.1109/iembs.2010.5626466] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The optic disc is an important feature in the retina. We propose a method for the detection of the optic disc based on a supervised learning scheme. The method employs pixel and local neighbourhood features extracted from the ROI of a digital retinal fundus photograph. A support vector machine based classification mechanism is used to classify each image point as belonging to the cup and retina. The proposed method is evaluated on a sample image set of 68 retinal fundus images. The results show a high correlation (r>0.9) with the ground truth segmentation, with an overlap error of 6.02%, and found to be comparable to the inter-observer variability based on an independent second observer segmentation of the same data set.
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Affiliation(s)
- D K Wong
- Institute for Infocomm Research, A*STAR, Singapore.
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Abstract
Strain M7, a thermophilic, anaerobic, terminally sporing bacterium (0.6 by 4.0 mum) was isolated from manure. It degraded filter paper in 1 to 2 days at 60 C in a minimal cellulose medium but was stimulated by yeast extract. It fermented a wide variety of sugars but produced cellulase only in cellulose or carboxymethyl-cellulose media. Cellulase synthesis not only was probably repressed by 0.4% glucose and 0.3% cellobiose, but also cellulase activity appeared to be inhibited by these sugars at these concentrations. Both C(1) cellulase (degrades native cellulose) and C(x) cellulase (beta-1,4-glucanase) activities in strain M7 cultures were assayed by measuring the liberation of reducing sugars with dinitrosalicylic acid. Both activities had optima at pH 6.5 and 67 C. One milliliter of a 48-h culture of strain M7 hydrolyzed 0.044-meq of glucose per min from cotton fibers. The cellulase(s) from strain M7 was extracellular, produced during exponential growth, but was not free in the growth medium until approximately 30% of the cellulose was hydrolyzed. Glucose and cellobiose were the major soluble products liberated from cellulose by the cellulase. ZnCl(2) precipitation appeared initially to be a good method for the concentration of cellulase activity, but subsequent purification was not successful. Isoelectric focusing indicated the presence of four C(x) cellulases (pI 4.5, 6.3, 6.8, and 8.7). The rapid production and high activity of cellulases from this organism strongly support the basic premise that increased hydrolysis of native cellulose is possible at elevated temperature.
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Affiliation(s)
- B H Lee
- Department of Microbiology, The University of British Columbia, Vancouver, British Columbia, Canada
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Kang HG, Paik KH, Cho HY, Lee BH, Ha IS, Choi Y, Cheong HI. Transcriptome analysis of the response of cultured murine podocytes to puromycin aminonucleoside. Nephron Clin Pract 2010; 115:e1-8. [PMID: 20185935 DOI: 10.1159/000286518] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2009] [Accepted: 08/20/2009] [Indexed: 11/19/2022] Open
Abstract
AIMS Idiopathic nephrotic syndrome is known as a disease of the renal glomerular epithelial cells (podocytes). Recent advances in podocyte biology showed that podocytopathy is the culprit of nephrotic syndrome. To obtain comprehensive information about the response of podocytes to injury, we investigated the gene expression profile of podocytes in response to puromycin aminonucleoside (PAN)-induced injury. METHODS Differentiated mouse podocyte cell line (MPC5) cells were treated with 25 microg/ml PAN for 24, 48, or 72 h. Gene expression profiles of these cells were analyzed. Real time PCR analysis was used to confirm the findings of microarray. RESULTS Expression levels of 23 genes (differentially expressed genes, DEGs), including laminin alpha(1) and MMP3, were significantly different between PAN-treated podocytes and untreated cells. Gene ontology of DEGs indicated that their functional categories were cell adhesion, extracellular matrix (ECM) formation, and ECM degradation. Real-time PCR and indirect immunohistochemistry of PAN-treated and untreated podocytes confirmed the differential expression of DEGs. CONCLUSION Using unbiased global gene expression profiling, we found that podocytes respond to PAN-induced injury by down-regulating the expression of genes involved in cell adhesion and extracellular matrix.
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Affiliation(s)
- H G Kang
- Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea
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Abstract
Callosal disconnection signs are closely related to asymmetric hemispheric specialization of cognitive functions. Although extinction is more commonly associated with the right parietotemporal lesion, it may occur following lesions of the corpus callosum. After an infarction involving the left splenium, a 58-year-old right-handed man had no disconnection symptoms that had been reported earlier, but showed visual extinction with left or right visual hemifield dominant stimuli. Our results suggest that dominance specific visual extinction might be another disconnection sign associated with splenial lesion.
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Affiliation(s)
- J I Lee
- Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Kangnam-gu, Seoul, South Korea
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Abstract
OBJECTIVE Although a few reviews have been conducted, nonoperative management may be the mainstay of therapy for uncomplicated right colonic diverticulitis. With increasing use of radiological evaluation for diverticulitis, the status of the disease is becoming more accessible. In this study, clinical outcomes of nonoperative management for right colonic diverticulitis were assessed according to disease status using radiological evaluation. METHOD From April 2000 to March 2007, 296 patients were admitted for acute right colonic diverticulitis upon first attack and were treated with nonoperative management. The status of diverticulitis was classified using ultrasonography and/or computed tomography as inflamed diverticulum or phlegmon in 276 patients or pericolic abscess in 20 patients. Uncomplicated diverticulitis was defined as inflamed diverticulum or phlegmon. Length of hospital stay, antibiotic use, failure of initial therapy and the incidence of recurrence after nonoperative management were assessed. RESULTS The mean length of hospital stay and antibiotic use were 6 and 4.7 days respectively. All patients were successfully treated with the initial medical therapy and their hospital stays were uneventful. Of the 276 patients with an uncomplicated diverticulitis, two patients (1%) had a recurrence during follow-up that could be managed nonoperatively. Of the 20 patients with pericolic abscesses, four patients (20%) had a recurrence. One patient underwent laparoscopic ileocolic resection and the other patients were treated nonoperatively. CONCLUSION Nonoperative management may be the treatment of choice for right colonic diverticulitis with inflamed diverticulum or phlegmon. Diverticulitis with pericolic abscess should be treated with additional care.
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Affiliation(s)
- H-C Park
- Department of Surgery, Hallym University College of Medicine, Anyang, Korea
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Park JS, Ha Y, Kwon B, Cho KD, Lee BH, Chae C. Detection of porcine circovirus 2 in mammary and other tissues from experimentally infected sows. J Comp Pathol 2009; 140:208-11. [PMID: 19124134 DOI: 10.1016/j.jcpa.2008.11.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2008] [Revised: 11/07/2008] [Accepted: 11/13/2008] [Indexed: 11/28/2022]
Abstract
The aim of this study was to determine whether porcine circovirus 2 (PCV2) may infect the mammary gland of sows and be shed in the milk. Six pregnant sows were inoculated intranasally with PCV2 three weeks before their expected farrowing date and two further sows acted as uninfected controls. The animals remained clinically healthy and farrowed normally. Milk samples were collected from all sows on the first, second and third days of lactation. PCV2 DNA was detected in the milk of infected sows from day 1 of lactation but not in the milk of uninfected controls. PCV2 antigen and DNA were detected in the mammary gland and other tissues by immunohistochemistry and in-situ hybridization, respectively. Simultaneous detection of viral protein and DNA provided molecular evidence of PCV2 infection and replication within these tissues.
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Affiliation(s)
- J-S Park
- Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National University, San 56-1, Shillim-dong, Gwanak-gu, Seoul 151-742, Republic of Korea
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Lee BH, Shin HS. Interaction of nitric oxide and renin angiotensin system in pulmonary arterial circulation of RHR. Arch Pharm Res 2008; 20:389-95. [PMID: 18982478 DOI: 10.1007/bf02973928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/1997] [Indexed: 11/29/2022]
Abstract
We investigated the interaction between nitric oxide and the renin angiotensin system in regulating isolated pulmonary arterial tension and pulmonary arterial pressure (PAP) in renal hypertensive rats (RHR) made by complete ligation of left renal artery. Losartan induced a depressor response that was smaller in RHR than in normotensive rats (NR) (3.3 and 7.0 mmHg, respectively, at 3.0 mg/kg, p<0.05), and the response was significantly reduced by N(G)-nitro-L-arginine methyl ester (L-NAME). Angiotensin II elevated the PAP (7.6 and 10.8 mmHg at 0.1 mug/kg; 20.3 and 23.6 mmHg at 1.0 mug/kg, respectively) and contracted the isolated pulmonary artery (pD(2): 8.79 and 8.71, respectively) from both NR and RHR with similar magnitude, and these effects were significantly enhanced by L-NAME in NR, but not in HRR. Acetylcholine lowered the PAP slightly less effectively in RHR than in NR (3.8 and 6.0 mmHg at 10 mug/kg, respectively) and relaxed the pulmonary artery precontracted with norepinephrine in both rats with similar magnitude (E(max): 60.8 and 63.6%, respectively), and the effect being completely abolished after pretreatment with L-NAME or removal of endothelial cells. These results suggest that nitric oxide interacts with renin angiotensin system to control the pulmonary vascular tension and pulmonary arterial circulation of RHR.
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Affiliation(s)
- B H Lee
- Screening and Toxicology Research Center, Korea Research Institute of Chemical Technology, #100, Jangdong, Yusong, 305-343, Taejon, Korea
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Moon SY, Lee BH, Seo SW, Kang SJ, Na DL. Slow vertical saccades in the frontotemporal dementia with motor neuron disease. J Neurol 2008; 255:1337-43. [PMID: 18825435 DOI: 10.1007/s00415-008-0890-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2007] [Revised: 12/10/2007] [Accepted: 02/01/2008] [Indexed: 02/02/2023]
Abstract
BACKGROUND Ocular motor abnormalities play an important role in differential diagnoses of Pick complex diseases. OBJECTIVES We evaluated how frequently supranuclear vertical saccadic impairment was observed in patients with frontotemporal dementia with motor neuron disease (FTD-MND). In addition, we tried to characterize their vertical saccadic abnormalities. MATERIALS AND METHODS Eleven patients with FTD-MND were recruited. Supranuclear vertical saccadic impairment on gross examination was defined as slow saccades with or without reduction in the final amplitude of the movement accompanied by intact oculocephalic reflex. We also recorded their saccades in 6 out of 11 patients using 2-dimensional videooculography (VOG). We measured the amplitude and peak velocity of each saccade. RESULTS On bedside examination, supranuclear vertical saccadic impairment was observed in 9 of 11 patients. One of the two remaining patients could not be evaluated due to poor cooperation and the other showed normal saccades. Five of nine patients with ocular abnormalities and one patient with normal saccade on gross examination underwent the VOG studies. The results showed that all the five patients with gross ocular abnormalities, compared with age-matched controls, had slowing of vertical saccades. Three out of five patients also showed slowing even in the large horizontal saccades. CONCLUSIONS Our results showed that slow vertical saccades are common in FTDMND. FTD-MND could be another disease that affects vertical gaze among Pick complex disease. Future pathologic studies are needed to confirm the involvement of the burst neurons in the dorsal midbrain in patients with FTDMND.
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Affiliation(s)
- S Y Moon
- Dept. of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul, 135-710, Korea
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Lee YH, Ha Y, Ahn KK, Cho KD, Lee BH, Kim SH, Chae C. Comparison of a new synthetic, peptide-derived, polyclonal antibody-based, immunohistochemical test with in situ hybridisation for the detection of swine hepatitis E virus in formalin-fixed, paraffin-embedded tissues. Vet J 2008; 182:131-5. [PMID: 18701328 DOI: 10.1016/j.tvjl.2008.05.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2007] [Revised: 05/10/2008] [Accepted: 05/13/2008] [Indexed: 10/21/2022]
Abstract
A synthetic, peptide-derived, polyclonal antibody-based, immunohistochemical test was developed to detect swine hepatitis E virus (HEV) and was compared with in situ hybridisation for the detection of HEV in formalin-fixed, paraffin-embedded tissues from experimentally infected pigs. Solid-phase peptide synthesis was used to generate peptides from swine HEV open reading frame 2, and the purified peptides were injected into rabbits to produce polyclonal antibodies. The specificity and sensitivity of the test were both 100%. Liver was most consistently positive for swine HEV antigen and RNA by immunohistochemistry and in situ hybridisation, respectively, but both were detected much less frequently in extrahepatic tissues such as lymph node, tonsil, spleen, and intestine. Swine HEV antigen and RNA showed a similar distribution in virus-infected hepatocytes in serial sections. The novel test developed in this study is suitable for consistently detecting swine HEV antigen in formalin-fixed, paraffin-embedded tissues.
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Affiliation(s)
- Y-H Lee
- Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National University, San 56-1, Shillim-dong, Gwanak-gu, Seoul 151-742, Republic of Korea
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Ha Y, Ahn KK, Kim B, Cho KD, Lee BH, Oh YS, Kim SH, Chae C. Evidence of shedding of porcine circovirus type 2 in milk from experimentally infected sows. Res Vet Sci 2008; 86:108-10. [PMID: 18555501 DOI: 10.1016/j.rvsc.2008.04.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2007] [Revised: 04/16/2008] [Accepted: 04/22/2008] [Indexed: 11/30/2022]
Abstract
Detection of porcine circovirus type 2 (PCV2) was to evaluate the milk from experimentally infected sows using polymerase chain reaction (PCR) and virus isolation. Six pregnant sows were inoculated intranasally with PCV2 at 93 days of gestation, and milk samples were collected from all sows at 1, 3, 6, 9, 12, 15, 18, 21, 24, and 27 days of lactation. PCV2 was detected in milk as early as day 1 of lactation in all six sows. Thereafter, all infected sows remained positive by PCR for PCV2 in milk until 27 days of lactation. In addition, PCV2 itself was isolated from milk collected from a virus-infected sows. These results suggest that PCV2 may be shed in milk following infection of pregnant sows by the virus.
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Affiliation(s)
- Y Ha
- Department of Veterinary Pathology, College of Veterinary Medicine, Seoul National University, San 56-1, Shillim-dong, Gwanak-gu, Seoul 151-742, Republic of Korea
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Ko JA, Lee BH, Lee JS, Park HJ. Effect of UV-B exposure on the concentration of vitamin D2 in sliced shiitake mushroom (Lentinus edodes) and white button mushroom (Agaricus bisporus). J Agric Food Chem 2008; 56:3671-4. [PMID: 18442245 DOI: 10.1021/jf073398s] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
The aim of this study was to investigate the effect of UV-B on vitamin D 2 concentration in shiitake mushrooms and in white button mushrooms. After the exposure to UV-B, at a dose of 25 kJ/m(2), the concentration of vitamin D(2) was increased to 36.7 +/- 1.4, 68.6 +/- 4.9, and 106.4 +/- 14.7 microg/g (dry weight) for pileus, middle, and gill parts of shiitake mushroom, respectively. The gill side of whole shiitake mushrooms exposed to 0, 25, 50, and 75 kJ/m(2) increased to 2.8 +/- 0.2, 13.8 +/- 1.9, 40.7 +/- 4.4, and 61.9 +/- 10.6 microg/g (dry weight) at 25 degrees C, respectively. Irradiating slices of white button mushroom was a more efficient way of increasing the vitamin D(2) content than irradiating the gill or pileus of whole mushrooms, due to the larger exposure area. As the irradiation doses increased, the vitamin D(2) concentration also increased for both types of mushrooms. In conclusion, exposure to ultraviolet light offers an effective way of increasing the concentration of vitamin D(2) in mushrooms.
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Affiliation(s)
- J A Ko
- School of Life Sciences and Biotechnology, Korea University, Seoul 136-701, Korea.
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Abstract
AIMS To clone, sequence and characterize a new bile salt hydrolase from a bile tolerant strain of Bifidobacterium animalis ssp. lactis KL612, and further analysis of the bsh promoter and an operon-like structure containing the bsh gene in the genus Bifidobacterium. METHODS AND RESULTS A new type of bile salt hydrolase from a bile tolerant strain of Bifidobacterium was cloned, completely sequenced and characterized. The putative bsh promoter sequence was analysed by primer extension to determine the transcriptional start point by applying the genomic walking-PCR, an operon-like structure containing the bsh gene and two more open reading frames located within a complete set ranging from a promoter to a transcription terminator sequence is reported for the first time in the genus Bifidobacterium. The polycistronic bsh transcript was revealed by reverse transcriptase-PCR (RT-PCR) as well as by Northern hybridization. CONCLUSIONS Most of bile tolerant strains of bifidobacteria showed a similar genetic organization around the bsh gene. This finding suggests that bile tolerance of those strains is possibly because of the bile salt hydrolase and some transporter proteins, which are functionally related to each other to respond efficiently to the stress from bile salts. SIGNIFICANCE AND IMPACT OF THE STUDY Knowledge gained through BSH research would provide further insight into the survival of probiotics in the gastrointestinal tract and some physiological functions of this enzyme in relation to the host as well as the enzyme-producing bacteria.
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Affiliation(s)
- G-B Kim
- Department of Food Science and Agricultural Chemistry, McGill University, Montreal, Quebec, Canada
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Abstract
OBJECTIVE Unilateral temporoparietal injury may result in an attentional deficit for stimuli presented in contralesional space. Thus, bilateral temporoparietal degeneration associated with Alzheimer disease (AD) might result in a bilateral attentional disturbance. Tests for hemispatial neglect, however, primarily assess spatial attentional asymmetries, and a bilateral attentional disorder might not be detected with these tests. The goal of this study was to learn whether optokinetic stimulation (OKS) would perturb the balanced attentional deficits of AD patients and alter their spatial allocation of attention. METHODS In Experiment I, 10 AD patients with bilateral temporoparietal glucose hypometabolism on PET and 10 controls bisected lines in two conditions: stationary solid lines superimposed on a moving background and "striped lines" where the whole line was stationary but the stripes within the line moved. The background OKS or the stripes within the line moved leftward or rightward or were stationary. In Experiment II, to investigate whether the influence of background movements would increase with AD severity, we conducted a similar experiment in 56 patients with various stages of AD. RESULTS In Experiment I, the line bisection errors (LBEs) of AD subjects, but not of the controls, were markedly influenced by both background and within line stripe motions, deviations occurring in the same direction of movement. In Experiment II, LBEs also occurred in the same direction as background movement and increased with dementia severity. CONCLUSIONS These results demonstrate that patients with Alzheimer disease are spatially distracted by moving stimuli.
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Affiliation(s)
- E J Kim
- Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-gu, Seoul, Republic of Korea
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Jung Y, Lee BH, Yu JW, Oh K. Acousto-optic polarization-dependent mode coupling in a dual-mode hollow optical fiber. Opt Lett 2007; 32:1305-7. [PMID: 17440569 DOI: 10.1364/ol.32.001305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
We demonstrated unique polarization dependence in acousto-optic coupling in a two-mode hollow optical fiber (HOF). Local deformation of circular HOF induced by traveling acoustic wave resulted in highly birefringent optical transmission characteristics, which were experimentally analyzed for various central air-hole sizes. Potential applications for polarization-dependent devices such as polarization-dependent loss compensators and broadband polarization controllers are discussed.
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Affiliation(s)
- Y Jung
- Department of Information and Communications, Gwangju Institute of Science and Technology, Gwangju, Korea.
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Abstract
Motor impersistence occurs more frequently after right than left hemispheric lesions. Following a callosal lesion, motor impersistence may thus occur more frequently in the right (dominant) than left limb. After an infarction involving the right medial frontal lobe and corpus callosum, a 66-year-old right-handed man demonstrated right limb motor impersistence on bedside evaluation, which was substantiated experimentally. Results demonstrated hemispatial effects with greater impersistence in the neglected (right) space.
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Affiliation(s)
- S W Seo
- Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Kangnam-gu, Seoul, Korea
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Abstract
SBR process shows high nitrogen and phosphorus removal in countries where separated sewers are used. On the other hand, removal efficiency is low in countries where combined sewers are used though the same SBR is applied. This is because the organic concentration (as BOD), which is used as carbon source for denitrification, of combined sewers is much lower than that of separated sewers. Almost all sewers in Korea are combined, and their BOD is low by about 1/2 over the level needed for denitrification. In this study, a SBR process that can optimise organic usage by step feed and recycle is thus developed to increase the removal efficiency of nitrogen and phosphorus, and the results show that the removal rates of BOD, T-N and T-P are 95.4, 81.4 and 86.1%, respectively, though influent BOD is low.
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Affiliation(s)
- Y W Lee
- Department of Civil and Environmental Engineering, Chonnam National University, Gwangju 500-757, Korea
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Han GB, Lee JG, Lee BH, Lee YW. Development of soil-covered SBR process for small scale sewage treatment. Environ Technol 2006; 27:715-22. [PMID: 16894815 DOI: 10.1080/09593332708618684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Nitrogen and phosphorus compounds, mainly from the households in residential areas are responsible for eutrophication occurring in lakes or estuaries. In Korea, there is a growing trend for villages in the countryside, rest areas of express ways, military unit bases, etc. to use small scale sewage treatment plants (SSTPs). However, the technological developments have mainly focused on medium or large scale sewage treatment plants, leaving a gap in the development of technologies for SSTPs without a residing operator. In this study, a soil-covered sequencing batch reactor (SBR) process for SSTPs in combination with a natural purification technology is developed to remove nitrogen and phosphorus as well as organic contamination (BOD), and the results are as follows: (1) the removal rates of BOD, total nitrogen (T-N), total phosphorus (T-P) and suspended solids (SS) are 93%, 74%, 80% and 95%, respectively, (2) the soil-covered SBR process without the decanter used for effluent discharge is similar to other SBR processes in suspended solids removal rate, and (3) the performance of the field pilot plant was monitored by remote sensing system in real time, and the results show that this system can be applied to SSTPs with no residing operators.
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Affiliation(s)
- G B Han
- Department of Biosciences and Environmental Technology, The Catholic University of Korea, Buchon, Kyungki-do, Korea
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Cho ZH, Hwang SC, Wong EK, Son YD, Kang CK, Park TS, Bai SJ, Kim YB, Lee YB, Sung KK, Lee BH, Shepp LA, Min KT. Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand 2006; 113:370-7. [PMID: 16674603 DOI: 10.1111/j.1600-0404.2006.00600.x] [Citation(s) in RCA: 110] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVES Although acupuncture therapy has demonstrated itself to be effective in several clinical areas, the underlying mechanisms of acupuncture in general and the analgesic effect in particular are, however, still not clearly delineated. We, therefore, have studied acupuncture analgesic effect through fMRI and proposed a hypothesis, based on the obtained result, which will enlighten the central role of the brain in acupuncture therapy. METHODS The proposed model, termed as a broad sense hypothalamus-pituitary-adrenal (BS-HPA) axis, was based on our observed neuroimaging results. The model incorporates the stress-induced HPA axis model together with neuro-immune interaction including the cholinergic anti-inflammatory model. RESULTS The obtained results coupled with accumulating evidence suggest that the central nervous system is essential for the processing of these effects via its modulation of the autonomic nervous system, neuroimmune system and hormonal regulation. CONCLUSIONS Based on our fMRI study, it appears that understanding the effects of acupuncture within a neuroscience-based framework is vital. Further, we have proposed the broad sense-HPA axis hypothesis which incorporates the experimental results.
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Affiliation(s)
- Z H Cho
- Department of Radiological Sciences, University of California, Irvine, CA 92697, USA.
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Park KC, Lee BH, Kim EJ, Shin MH, Choi KM, Yoon SS, Kwon SU, Chung CS, Lee KH, Heilman KM, Na DL. Deafferentation-disconnection neglect induced by posterior cerebral artery infarction. Neurology 2006; 66:56-61. [PMID: 16401846 DOI: 10.1212/01.wnl.0000191306.67582.7a] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To investigate patients with posterior cerebral artery (PCA) infarctions to learn whether hemispatial neglect is more frequent and severe after right than left PCA infarction; whether visual field defects (VFDs) influence the presence or severity of hemispatial neglect; and the anatomic loci of lesions that are associated with hemispatial neglect. METHODS The authors recruited 45 patients with PCA infarction that involved only the occipital lobe or the occipital lobe plus other areas served by the PCA. All subjects received seven neglect tests within 2 months after onset. RESULTS Overall, the frequency of hemispatial neglect was 42.2%. The frequency did not significantly differ between the right (48.0%) and left (35.0%) PCA groups, but the severity of hemispatial neglect was significantly greater in the right group. VFD alone did not influence the frequency or severity of neglect after controlling other variables. Isolated occipital lesions were rarely associated with hemispatial neglect, and it was only the occipital plus splenial lesion that significantly influenced the frequency and severity of neglect. CONCLUSIONS This study suggests that after excluding such confounding factors as aphasia or hemiplegia, neglect frequency does not differ between the right and left posterior cerebral artery (PCA) groups, but the severity of neglect is greater after right PCA infarctions; even in the acute stage of PCA infarction; visual field defect from an isolated occipital lesion does not cause hemispatial neglect; and the injury to both the occipital lobe and the splenium of the corpus callosum is important for producing hemispatial neglect with PCA infarction.
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Affiliation(s)
- K C Park
- Department of Neurology, Kyung Hee University, School of Medicine, Korea
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Abstract
Poly(ADP-ribose) polymerase (PARP) plays a pivotal role in the repair of DNA strand breaks. However, excessive activation of PARP causes a rapid depletion of intracellular energy, leading to cell death. PARP inhibitors may have potential therapeutic benefit in the treatment of myocardial ischemia, stroke, and neurodegenerative disease. With these emerging medicinal interests, various screening programs have identified small molecules that inhibit PARP with reasonable potencies. However, the increasing numbers of diverse small molecules generated through combinatorial chemistry necessitate the use of robust assays with good sensitivity and specificity for use as a high-throughput screening (HTS) program. Here, we report the development and the validation of a nonisotopic PARP-1 assay suitable for HTS by converting a biotinylated NAD-based colorimetric assay to a miniaturized 384-well plate format. Comparing with the conventional methods, this miniaturized PARP-1 inhibition assay was equally sensitive with excellent reproducibility and cost-effectiveness. Because nonisotopic PARP-1 inhibition assays are widely used, the methodology described in this article can expand the feasibility of this assay as a high-throughput assay for screening of PARP-1 inhibitors from a random chemical library.
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Affiliation(s)
- S Lee
- Department of Biotechnology and Informatics, College of Engineering, Sangmyung University, Cheonan, Republic of Korea
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50
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Jung MY, Kim GB, Jang ES, Jung YK, Park SY, Lee BH. Technical Note: Improved Extraction Method with Hexane for Gas Chromatographic Analysis of Conjugated Linoleic Acids. J Dairy Sci 2006; 89:90-4. [PMID: 16357271 DOI: 10.3168/jds.s0022-0302(06)72072-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Extraction properties of different solvents (chloroform/methanol, hexane/isopropanol, and hexane) were studied for the gas chromatographic analysis of conjugated linoleic acids (CLA) from probiotic bacteria grown in de Man, Rogosa, and Sharpe medium. As compared with chloroform/methanol and hexane/isopropanol, hexane showed comparable extraction efficiency for CLA from unspent de Man, Rogosa, and Sharpe medium, but showed minimal extraction of oleic acid originated from the emulsifier in broth. The extraction efficiency of CLA by hexane was influenced by the broth pH, showing the optimal pH of 7.0. Repeated extraction with hexane increased the yield. Extraction with hexane showed excellent recovery of spiked CLA from the spent broth with up to 97.2% (standard deviation of 1.74%). This represents the highest recovery of CLA from culture broth ever reported. The sample size was also successfully reduced to 0.5 mL to analyze CLA from the broth without impairment of analytical data. This smaller sample size in the 1.5-mL microcentrifuge tube using a small bench-top centrifuge reduced analytical time significantly.
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Affiliation(s)
- M Y Jung
- Department of Food Science and Agricultural Chemistry, McGill University, Ste-Anne de-Bellevue, QC, H9X 3V9, Canada
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