Search for Daily Modulation of MeV Dark Matter Signals with DAMIC-M

Dark matter (DM) particles with sufficiently large cross sections may scatter as they travel through Earth's bulk. The corresponding changes in the DM flux give rise to a characteristic daily modulation signal in detectors sensitive to DM-electron interactions. Here, we report results obtained from the first underground operation of the DAMIC-M prototype detector searching for such a signal from DM with MeV-scale mass. A model-independent analysis finds no modulation in the rate of 1  e^{-} events with sidereal period, where a DM signal would appear. We then use these data to place exclusion limits on DM in the mass range [0.53,2.7]  MeV/c^{2} interacting with electrons via a dark photon mediator. Taking advantage of the time-dependent signal we improve by ∼2 orders of magnitude on our previous limit obtained from the total rate of 1  e^{-} events, using the same dataset. This daily modulation search represents the current strongest limit on DM-electron scattering via ultralight mediators for DM masses around 1  MeV/c^{2}.

First Constraints from DAMIC-M on Sub-GeV Dark-Matter Particles Interacting with Electrons

We report constraints on sub-GeV dark matter particles interacting with electrons from the first underground operation of DAMIC-M detectors. The search is performed with an integrated exposure of 85.23 g days, and exploits the subelectron charge resolution and low level of dark current of DAMIC-M charge-coupled devices (CCDs). Dark-matter-induced ionization signals above the detector dark current are searched for in CCD pixels with charge up to 7e^{-}. With this dataset we place limits on dark matter particles of mass between 0.53 and 1000  MeV/c^{2}, excluding unexplored regions of parameter space in the mass ranges [1.6,1000]  MeV/c^{2} and [1.5,15.1]  MeV/c^{2} for ultralight and heavy mediator interactions, respectively.

Biomass using tribal women exhibited respiratory symptoms, hypertensive risks and abnormal pulmonary function

In rural areas of developing countries, solid fuels are still widely used for cooking, heating, and lighting purposes. This study investigates the effects of household air pollutants (HAPs) exposure on the occurrence of respiratory symptoms, blood pressure, and lung function. In this study, we randomly selected 123 (83 biomass and 40 clean fuel user) subjects to assess the impact of smoke generated from solid biomass fuel by assessing their health status along with the ventilation pattern of the kitchens and living rooms. HAPs (PM10, PM2.5, and CO) and different health parameters were measured along with monitoring of self-reported health symptoms for a consecutive period of eight months. Results revealed that the concentration of CO, PM2.5, and PM10 were found highest in biomass using households. Higher odds of the upper respiratory symptoms, runny nose (OR: 4.08, 95% CI: 1.22-22.14, p < 0.03), nasal congestion (OR: 9.07, 95% CI: 1.39-97.89, p < 0.01) and the odds of the lower respiratory symptoms like wheezing (OR: 1.62, 95% CI: 1.23-10.94, p < 0.01), breathlessness (OR: 4.44, 95% CI: 1.3-14.75, p < 0.01), chest tightness (OR: 4.89, 95% CI: 1.23-22.14, p < 0.03) and dry cough (OR: 3.661, 95% CI: 1.05-12.25, p < 0.04) were significantly higher in biomass fuel user. Similarly higher systolic (+11.41 mmHg), higher diastolic pressure (+3.3 mmHg), higher pulse pressure (+8.11 mmHg), and a 6 mmHg higher mean arterial pressure among biomass fuel using tribal women. The risk of hypertension was significantly (p < 0.03) higher (OR: 3.04; 95% CI: 1.18-7.89) among solid biomass fuel users. The lung abnormality was recorded 28.91% (OR: 5.02, 95% CI: 1.50 to 16.56, p < 0.01) among biomass fuel user. Finally, it is suggested that the use of efficient cookstoves, increase in cross ventilation, and cleaner fuel are urgently needed to curb the pollution load.

Assessment of household air pollution exposure of tribal women

There is a growing evidence that the burning of unprocessed biomass fuels is associated with adverse health impacts. This study estimated the gaseous pollutants (CO, CO₂, O_3, SO₂, and NO₂) and particulate matters (PM_2.5 and PM₁₀) during the burning of biomass and liquefied petroleum gas (LPG) fuels and their impacts on the health of tribal women. The results revealed that the tribal women mainly used six types of unprocessed biomass fuels (dry leaves, cow dung cake, dry woods, twigs, rice straw, and agricultural residues) along with five types of traditional earthen stoves. The concentration of gaseous and PM was recorded as in the order of CO₂ > SO₂ > CO > O₃ and total suspended particulate matter (TSPM) > PM₁₀ > PM_2.5, respectively. The pollutant concentration inside the kitchen room for biomass users was significantly (p < 0.001) higher than LPG users. The biomass using tribal women might be suffering from higher cardiovascular risk than LPG users. The lung function study results also indicated that the mean values of forced expiratory volume in 1 s (FEV₁), forced vital capacity (FVC), and FEV₁/FVC were lower among biomass users than LPG users. The correlation study shows that tribal women who were exposed to biomass smoke were in a more vulnerable position than those who used LPG. Moreover, the toxicological risk among tribal biomass users was observed high (3.52) compared to LPG users (0.39). On the other hand, the Monte Carlo probabilistic simulation model for uncertainty analysis revealed that the mean value of Hazard Quotient (HQ) for PM_2.5 in kitchen room was observed as 4.31E-00 and 9.40E-01 for biomass and LPG users, respectively. Modelling study also revealed that exposure of duration and cooking time are extremely important for toxicological risk assessment. However, further long-term comprehensive studies are extremely important.

The Relationship of Lightning Radio Pulse Amplitudes and Source Altitudes as Observed by LOFAR

When a lightning flash is propagating in the atmosphere it is known that especially the negative leaders emit a large number of very high frequency (VHF) radio pulses. It is thought that this is due to streamer activity at the tip of the growing negative leader. In this work, we have investigated the dependence of the strength of this VHF emission on the altitude of such emission for two lightning flashes as observed by the Low Frequency ARray (LOFAR) radio telescope. We find for these two flashes that the extracted amplitude distributions are consistent with a power-law, and that the amplitude of the radio emissions decreases very strongly with source altitude, by more than a factor of 2 from 1 km altitude up to 5 km altitude. In addition, we do not find any dependence on the extracted power-law with altitude, and that the extracted power-law slope has an average around 3, for both flashes.

Timing Calibration and Windowing Technique Comparison for Lightning Mapping Arrays

Since their introduction 22 years ago, lightning mapping arrays (LMA) have played a central role in the investigation of lightning physics. Even in recent years with the proliferation of digital interferometers and the introduction of the LOw Frequency ARray (LOFAR) radio telescope, LMAs still play an important role in lightning science. LMA networks use a simple windowing technique that records the highest pulse in either 80 μs or 10 μs fixed windows in order to apply a time-of-arrival location technique. In this work, we develop an LMA-emulator that uses lightning data recorded by LOFAR to simulate an LMA, and we use it to test three new styles of pulse windowing. We show that they produce very similar results as the more traditional LMA windowing, implying that LMA lightning mapping results are relatively independent of windowing technique. In addition, each LMA station has its GPS-conditioned clock. While the timing accuracy of GPS receivers has improved significantly over the years, they still significantly limit the timing measurements of the LMA. Recently, new time-of-arrival techniques have been introduced that can be used to self-calibrate systematic offsets between different receiving stations. Applying this calibration technique to a set of data with 32 ns uncertainty, observed by the Colorado LMA, improves the timing uncertainty to 19 ns. This technique is not limited to LMAs and could be used to help calibrate future multi-station lightning interferometers.

Results on Low-Mass Weakly Interacting Massive Particles from an 11 kg d Target Exposure of DAMIC at SNOLAB

We present constraints on the existence of weakly interacting massive particles (WIMPs) from an 11 kg d target exposure of the DAMIC experiment at the SNOLAB underground laboratory. The observed energy spectrum and spatial distribution of ionization events with electron-equivalent energies >200  eV_{ee} in the DAMIC CCDs are consistent with backgrounds from natural radioactivity. An excess of ionization events is observed above the analysis threshold of 50  eV_{ee}. While the origin of this low-energy excess requires further investigation, our data exclude spin-independent WIMP-nucleon scattering cross sections σ_{χ-n} as low as 3×10^{-41}  cm^{2} for WIMPs with masses m_{χ} from 7 to 10  GeV c^{-2}. These results are the strongest constraints from a silicon target on the existence of WIMPs with m_{χ}<9  GeV c^{-2} and are directly relevant to any dark matter interpretation of the excess of nuclear-recoil events observed by the CDMS silicon experiment in 2013.

Determining Electric Fields in Thunderclouds With the Radiotelescope LOFAR

An analysis is presented of electric fields in thunderclouds using a recently proposed method based on measuring radio emission from extensive air shower events during thunderstorm conditions. This method can be regarded as a tomography of thunderclouds using cosmic rays as probes. The data cover the period from December 2011 till August 2014. We have developed an improved fitting procedure to be able to analyze the data. Our measurements show evidence for the main negative-charge layer near the -10° isotherm. This we have seen for a winter as well as for a summer cloud where multiple events pass through the same cloud and also the vertical component of the electric field could be reconstructed. On the day of measurement of some cosmic-ray events showing evidence for strong fields, no lightning activity was detected within 100 km distance. For the winter events, the top heights were between 5 and 6 km, while in the summer, typical top heights of 9 km were seen. Large horizontal components in excess of 70 kV/m of the electric fields are observed in the middle and top layers.

Radio Emission Reveals Inner Meter-Scale Structure of Negative Lightning Leader Steps

We use the Low Frequency Array (LOFAR) to probe the dynamics of the stepping process of negatively charged plasma channels (negative leaders) in a lightning discharge. We observe that at each step of a leader, multiple pulses of vhf (30-80 MHz) radiation are emitted in short-duration bursts (<10  μs). This is evidence for streamer formation during corona flashes that occur with each leader step, which has not been observed before in natural lightning and it could help explain x-ray emission from lightning leaders, as x rays from laboratory leaders tend to be associated with corona flashes. Surprisingly, we find that the stepping length is very similar to what was observed near the ground, however with a stepping time that is considerably larger, which as yet is not understood. These results will help to improve lightning propagation models, and eventually lightning protection models.

Constraints on Light Dark Matter Particles Interacting with Electrons from DAMIC at SNOLAB

We report direct-detection constraints on light dark matter particles interacting with electrons. The results are based on a method that exploits the extremely low levels of leakage current of the DAMIC detector at SNOLAB of 2-6×10^{-22}  A cm^{-2}. We evaluate the charge distribution of pixels that collect <10e^{-} for contributions beyond the leakage current that may be attributed to dark matter interactions. Constraints are placed on so-far unexplored parameter space for dark matter masses between 0.6 and 100  MeV c^{-2}. We also present new constraints on hidden-photon dark matter with masses in the range 1.2-30  eV c^{-2}.

Needle-like structures discovered on positively charged lightning branches

Lightning is a dangerous yet poorly understood natural phenomenon. Lightning forms a network of plasma channels propagating away from the initiation point with both positively and negatively charged ends-called positive and negative leaders¹. Negative leaders propagate in discrete steps, emitting copious radio pulses in the 30-300-megahertz frequency band^2-8 that can be remotely sensed and imaged with high spatial and temporal resolution^9-11. Positive leaders propagate more continuously and thus emit very little high-frequency radiation¹². Radio emission from positive leaders has nevertheless been mapped^13-15, and exhibits a pattern that is different from that of negative leaders^11-13,16,17. Furthermore, it has been inferred that positive leaders can become transiently disconnected from negative leaders^{9,12,16,18-20}, which may lead to current pulses that both reconnect positive leaders to negative leaders^{11,16,17,20-22} and cause multiple cloud-to-ground lightning events¹. The disconnection process is thought to be due to negative differential resistance¹⁸, but this does not explain why the disconnections form primarily on positive leaders²², or why the current in cloud-to-ground lightning never goes to zero²³. Indeed, it is still not understood how positive leaders emit radio-frequency radiation or why they behave differently from negative leaders. Here we report three-dimensional radio interferometric observations of lightning over the Netherlands with unprecedented spatiotemporal resolution. We find small plasma structures-which we call 'needles'-that are the dominant source of radio emission from the positive leaders. These structures appear to drain charge from the leader, and are probably the reason why positive leaders disconnect from negative ones, and why cloud-to-ground lightning connects to the ground multiple times.

A Clinicopathological and Immunofluorescence Study of Intraepidermal Immunobullous Diseases

Context:

Autoimmune blistering diseases (AIBDs) are characterized by autoantibodies directed against antigens of skin. Direct immunofluorescence (DIF) study helps in confirming the diagnosis where histopathology alone is noncontributory.

Aims:

This study aimed to evaluate the clinicopathological and DIF features of intraepidermal AIBD and to assess their relative diagnostic significance.

Materials and Methods:

It was an institution-based observational study. A total of 34 patients were studied over a period of 1½ years in the Department of Pathology in collaboration with the Department of Dermatology of a tertiary care hospital. The clinical, pathological, and DIF features were evaluated and documented.

Statistical Analysis:

Data were analyzed by statistical tests using GraphPad InStat.

Results:

Pemphigus vulgaris (PV) was the predominant type with 18 (53%) cases followed by 15 (44%) cases of pemphigus foliaceus (PF) and a single case of pemphigus erythematosus (PE). The age of the patients ranged from 17 to 85 years. Overall, there was a female preponderance in the study group. The most common presenting feature was pruritus (58.82%). Tzanck smear showed the presence of acantholytic cells in thirty (88.24%) patients. Characteristic histopathological features were present in all the cases of PV and PF except one case of PF which was found to be a case of PE. DIF study showed intraepidermal deposition of intercellular immunoglobulin G (IgG) and C3 both in PV and PF. The case of PE showed epidermal “antinuclear antibody” staining with IgG.

Conclusion:

Immunofluorescence study may be used as an additional tool for confirmation of diagnosis where histopathology alone is inconclusive.

A new parametrization for the radio emission of air showers applied to LOFAR data

The energy and mass composition of cosmic rays influence how the energy density of the radio emission of air showers is distributed on the ground. A precise description of the radio profiles can, therefore, be used to reconstruct the properties of the primary cosmic rays. Here, such a description is presented, using a separate treatment of the two radio-emission mechanisms, the geomagnetic effect and the charge excess effect. The model is parametrized as a function that depends only on the shower parameters, allowing for a precise reconstruction of the properties of the primary cosmic rays. This model is applied to cosmic-ray events measured with LOFAR and it is capable of reconstructing the properties of air showers correctly.

Properties of the Lunar Detection Mode for ZeV-Scale Particles with LOFAR

The steep decrease of the flux of ultra-high energy cosmic rays (UHECR) provides a challenge to answer the long standing question about their origin and nature. A significant increase in detector volume may be achieved byemploying Earth’s moon as a detector that is read out using existing Earth-bound radio telescopes by searching for the radio pulses emitted by the particle shower in the lunar rock. In this contribution we will report on the properties of a corresponding detection mode currently under development for the LOFAR Radio telescope.

Updated Calibration of the LOFAR Low-Band Antennas

The LOw-Frequency ARray (LOFAR) telescope measures radio emission from air showers. In order to interpret the data, an absolute, frequency dependent calibration is required. Due to a growing need for a better understanding of the measured frequency spectrum, we revisit the calibration of the LOFAR antennas in the range of 30—80 MHz. Using the galactic radio emission and a detailed model of the LOFAR signal chain, we find a calibration that provides an absolute energy scale and allows us to study frequency dependent features in measured air shower signals.

LOFAR Lightning Imaging: Mapping Lightning With Nanosecond Precision

Lightning mapping technology has proven instrumental in understanding lightning. In this work we present a pipeline that can use lightning observed by the LOw-Frequency ARray (LOFAR) radio telescope to construct a 3-D map of the flash. We show that LOFAR has unparalleled precision, on the order of meters, even for lightning flashes that are over 20 km outside the area enclosed by LOFAR antennas (∼3,200 km2), and can potentially locate over 10,000 sources per lightning flash. We also show that LOFAR is the first lightning mapping system that is sensitive to the spatial structure of the electrical current during individual lightning leader steps.

HgCdTe avalanche photodiode detectors for airborne and spaceborne lidar at infrared wavelengths

We report results from characterizing the HgCdTe avalanche photodiode (APD) arrays developed for lidar at infrared wavelengths by using the high density vertically integrated photodiodes (HDVIP^®) technique. The results show >90% quantum efficiencies between 0.8 μm and the cut-off wavelength, >600 APD gain, near unity excess noise factor, 6-10 MHz electrical bandwidth and <0.5 fW/Hz^1/2 noise equivalent power (NEP). The detectors provide linear analog output with a dynamic range of 2-3 orders of magnitude at a fixed APD gain without averaging, and over 5 orders of magnitude by adjusting the APD gain settings. They have been used successfully in airborne CO₂ and CH₄ integrated path differential absorption (IPDA) lidar as precursors for use in space lidar.

Dark Matter Search Results from the PICO-60 C_{3}F_{8} Bubble Chamber

New results are reported from the operation of the PICO-60 dark matter detector, a bubble chamber filled with 52 kg of C_{3}F_{8} located in the SNOLAB underground laboratory. As in previous PICO bubble chambers, PICO-60 C_{3}F_{8} exhibits excellent electron recoil and alpha decay rejection, and the observed multiple-scattering neutron rate indicates a single-scatter neutron background of less than one event per month. A blind analysis of an efficiency-corrected 1167-kg day exposure at a 3.3-keV thermodynamic threshold reveals no single-scattering nuclear recoil candidates, consistent with the predicted background. These results set the most stringent direct-detection constraint to date on the weakly interacting massive particle (WIMP)-proton spin-dependent cross section at 3.4×10^{-41}  cm^{2} for a 30-GeV c^{-2} WIMP, more than 1 order of magnitude improvement from previous PICO results.

Abstract P4-07-09: MYB is involved in the DNA damage response in human ER+ breast cancer cells

Aims:

Over 70% of human breast cancer cells are oestrogen receptor positive (ER+) and express MYB. MYB expression is necessary for the proliferation of ER+ breast cancer cells in vitro and for tumour development in vivo. Our previous studies found that shRNA-mediated MYB knock-down greatly sensitised breast cancer cells to chemically-induced apoptosis by down-regulating the BCL2 (a MYB target gene) (Drabsch et al., 2010). Furthermore, several published studies (Taha et al., 2004; Thomadaki et al., 2006) indicated that actinomycin D and etoposide treatment could induce DNA damage in human ER+ breast cancer (MCF-7) cells. Moreover, silencing MYB increased DNA damage-induced cell death in castration resistant prostate cancer cells by down-regulating DNA damage response genes (Li et al., 2014). However, there is very little information on MYB function in the DNA damage response of ER+ breast cancer cells. Therefore, the aim of this study was to investigate whether silencing MYB affected the DNA damage repair and resulting in cell death in MCF-7 cells.

Methods:

To achieve down-regulation of MYB expression in human ER+ breast cancer, we used doxycycline inducible shRNA lentiviral vectors (pLV711 (Drabsch et al., 2007; Brown et al., 2010)) in human MCF-7 breast cancer cells. We used PI staining plus FACS analysis for cell death assessment. We also used γ-H2AX protein expression and γ-H2AX foci counting to assess DNA damage.

Results:

We found that silencing MYB alone did not result in cell death, as reported previously (Drabsch et al., 2010). However, silencing MYB significantly increased actinomycin D-induced cell death. This similar result was also found on etoposide-induced cell death. Furthermore, we found that silencing MYB significantly increased actinomycin D or etoposide-induced γ-H2AX expression. Moreover, anti-apoptotic BCL2 expression, measured by western blotting, was dramatically reduced after the combination of MYB knock down and actinomycin D or etoposide, compared to wild type and nonsilencing controls.

Conclusions:

Silencing MYB significantly increased DNA damage-induced cell death and D???damage. This may result from down-regulation of BCL2 expression, an effect on DNA damage response genes, or both. This requires further investigation. For example, Rad51 and γ-H2AX colocalization and 53BP1 expression in response to DNA damage will be presented.

References:

Taha et al., 2004, J Biol Chem, 279, 20546-46.

Thomadaki et al., 2006, Biol. Chem., 387, 1081-1086.

Drabsch et al., 2007, Proc Natl Acad Sci U S A, 104, 13762-7.

Drabsch et al., 2010, Breast Cancer Res, 12:R55.

Brown et al., 2010, Hum Gene Ther, 21(8),1005-17.

Li et al., 2014, Science Signaling, 7(326).

Citation Format: Yang R-M, Dray E, Mitra P, Gonda TJ. MYB is involved in the DNA damage response in human ER+ breast cancer cells. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P4-07-09.

Rectovaginal Fistula of Different Etiologies: Clinical Case Reports

We report three cases of recto vaginal fistula (RVF) due to different etiologies. First case was due to sexual trauma (vaginal intercourse) which is not very common. The second case was due to obstetric trauma (the most common etiology of RVF) and the third case was caused by chronic lower genito-urinary infection in a HIV positive lady. We have included the successful surgical procedures of first two cases. But the repairing of the third case was failed hence planned to operate after six months. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11143   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 43-46

The energy transfer phenomena and colour tunability in Y2O2S:Eu3+/Dy3+ micro-fibers for white emission in solid state lighting applications

This paper reports on the structural, optical and photometric characterization of an Eu³⁺/Dy³⁺ doped yttrium oxysulfide phosphor (Y₂O₂S:Eu³⁺/Dy³⁺) for near white emission in solid state lighting.

Preparation of ZnO film on p-Si Substrate by Silar and Heterojunction Characteristics of p-Si/n-Zno

Zinc oxide (ZnO) thin films was deposited on p-silicon (Si) substrate from ammonium zincate bath following a chemical dipping technique called SILAR. Structural characterization by X-ray diffraction (XRD) indicates the formation of polycrystalline single phase ZnO with strong c-axis orientation. I-V characteristic of the p-Si/n-ZnO heterojunction was studied and rectification was observed. The maximum value of forward to reverse current ratio at room temperature was ~15 at 3.0 V. It increases to ~30 at 100oC.

Hypoxia-induced inflammatory cytokine secretion in human adipose tissue stromovascular cells

AIMS

Hypoxia has been implicated as a cause of adipose tissue inflammation in obesity, although the inflammatory response of human adipose tissue to hypoxia is not well understood. The goal of this study was to define in vitro inflammatory responses of human adipose tissue to hypoxia and identify molecular mechanisms of hypoxia-induced inflammation.

METHODS

The inflammatory milieu and responses of visceral (VAT) and subcutaneous (SAT) adipose tissue explants and purified stromovascular cells (SVFs) from obese and lean humans were studied in an in vitro hypoxic culture system using quantitative real-time PCR, ELISA, western blotting, immunofluorescence microscopy, flow cytometry and immunohistochemistry.

RESULTS

Human adipose tissue in obesity demonstrates an increased leucocyte infiltrate that is greater in VAT than SAT and involves macrophages, T cells and natural killer (NK) cells. Hypoxic culture regulates inflammatory cytokine secretion and transcription of metabolic stress response genes in human adipose tissue SVF. Adipocyte diameter is increased and adipose tissue capillary density is decreased in obese participants. Inhibition of c-Jun terminal kinase (JNK) or p38 significantly attenuates hypoxia-induced SVF inflammatory responses. Hypoxia induces phosphorylation of p38 in adipose tissue.

CONCLUSIONS

Human adipose tissue in obesity is characterised by a depot-specific inflammatory cell infiltrate that involves not only macrophages, but also T cells and NK cells. Hypoxia induces inflammatory cytokine secretion by human adipose tissue SVF, the primary source of which is adipose tissue macrophages. These data implicate p38 in the regulation of hypoxia-induced inflammation and suggest that alterations in adipocyte diameter and adipose tissue capillary density may be potential underlying causes of adipose tissue hypoxia.

Impact of T-cell costimulation modulation in patients with undifferentiated inflammatory arthritis or very early rheumatoid arthritis: a clinical and imaging study of abatacept (the ADJUST trial)

Background

Several agents provide treatment for established rheumatoid arthritis (RA), but a crucial therapeutic goal is to delay/prevent progression of undifferentiated arthritis (UA) or very early RA.

Objective

To determine the impact of T-cell costimulation modulation in patients with UA or very early RA.

Methods

In this double-blind, phase II, placebocontrolled, 2-year study, anti-cyclic citrullinated peptide (CCP)2-positive patients with UA (not fulfilling the ACR criteria for RA) and clinical synovitis of two or more joints were randomised to abatacept (∼10 mg/kg) or placebo for 6 months; the study drug was then terminated. The primary end point was development of RA (by ACR criteria) at year 1. Patients were monitored by radiography, MRI, CCP2, rheumatoid factor and 28 joint count Disease Activity Score (DAS28) over 2 years.

Results

At year 1, 12/26 (46%) abatacept-treated versus 16/24 (67%) placebo-treated patients developed RA (difference (95% CI) −20.5% (−47.4% to 7.8%)). Adjusted mean changes from baseline to year 1 in Genant-modified Sharp radiographic scores for abatacepttreated versus placebo-treated patients, respectively, were 0 versus 1.1 for total score, and 0 versus 0.9 for erosion score. Mean changes from baseline to year 1 in MRI erosion, osteitis and synovitis scores were 0, 0.2 and 0.2, respectively, versus 5.0, 6.7 and 2.3 in the abatacept versus placebo groups. Safety was comparable between groups; serious adverse events occurred in one patient (3.6%) in each group.

Conclusion

Abatacept delayed progression of UA/very early RA in some patients. An impact on radiographic and MRI inhibition was seen, which was maintained for 6 months after treatment stopped. This suggests that it is possible to alter the progression of RA by modulating T-cell responses at a very early stage of disease.

Trial registration number

NCT00124449.

Fine-grained state counting for black holes in loop quantum gravity

A state of a black hole in loop quantum gravity is given by a distribution of spins on punctures on the horizon. The distribution is of the Boltzmann type, with the area playing the role of the energy. In investigations where the total area was kept approximately constant, there was a kind of thermal equilibrium between the spins which have the same analogue temperature and the entropy was proportional to the area. If the area is precisely fixed, however, multiple constraints appear, different spins have different analogue temperatures and the entropy is not strictly linear in the area, but is bounded by a linear rise.