Short-Term Outcomes After Multisystem Inflammatory Syndrome in Children Treatment

This is a retrospective chart review of 20 patients treated with a consensus-driven treatment algorithm in multisystem inflammatory syndrome in children patients across a wide clinical spectrum. Their treatments and clinical status are described as well as their favorable return to functional baseline by 30 days post presentation.

CD8+ cell lines isolated from HIV-1-infected children have potent soluble HIV-1 inhibitory activity that differs from beta-chemokines

CD8+ cells from human immunodeficiency virus type 1 (HIV-1) infected individuals have been shown to suppress HIV-1 replication both through a major histocompatibility complex (MHC)-restricted cytolytic pathway as well as through a noncytolytic pathway mediated through soluble factors. To characterize this soluble activity and its potential role in disease progression further, we studied the HIV-1 inhibition by supernatants derived from herpesvirus saimiri-transformed CD8+ cells isolated from infected children. Three of the six CD8+ cell lines derived had a phenotype consistent with an unusual natural killer (NK) cells phenotype with low CD3, high CD56, and low CD16. Supernatants from some of the cell lines derived from children with rapid progression as well as long-term nonprogressors exhibited broad HIV-1-inhibitory activity in primary CD4+ cells as well as in primary macrophages. In contrast to a cocktail of beta-chemokines, the supernatants inhibited T-tropic as well as M-tropic viruses, efficiently inhibited infection in primary macrophages, and inhibited HIV-1 activation in the chronically infected U1 cell line. The HIV-1-inhibitory activity was heat stable and active over a broad pH range. Fractionation of the supernatant by size and ion exchange chromatography demonstrated activity in the complete absence of RANTES as well as interferons-alpha, beta, and gamma and in a size range of less than 10 kD and greater than 3 kD. CD8+ cell supernatants contain additional unidentified factors that have anti-HIV activity to account for this broad phenomenon.

Perception of acoustic correlates of major phrasal units by young infants

How might young learners parse speech into linguistically relevant units? Sensitivity to prosodic markers of these segments is one possibility. Seven experiments examined infants' sensitivity to acoustic correlates of phrasal units in English. The results suggest that: (a) 9 month olds, but not 6 month olds, are attuned to cues that differentially mark speech that is artificially segmented at linguistically COINCIDENT as opposed to NONCOINCIDENT boundaries (Experiments 1 and 2); (b) the pattern holds across both subject phrases and predicate phrases and across samples of both Child- and Adult-directed speech (Experiments 3, 4, and 7); and (c) both 9 month olds and adults show the sensitivity even when most phonetic information is removed by low-pass filtering (Experiments 5 and (6). Acoustic analyses suggest that pitch changes and in some cases durational changes are potential cues that infants might be using to make their discriminations. These findings are discussed with respect to their implications for theories of language acquisition.