Well-Known and Novel Serum Biomarkers for Risk Stratification of Patients with Non-ischemic Dilated Cardiomyopathy

Non-ischemic dilated cardiomyopathy encompasses a wide spectrum of myocardial disorders, characterized by left ventricular dilatation with systolic impairment and increased risk of sudden cardiac death. In spite of all the therapeutic progress that has been made in recent years, dilated cardiomyopathy continues to be an important cause of cardiac transplant, being associated with an enormous cost burden for health care systems worldwide. Predicting the prognosis of patients with dilated cardiomyopathy is essential to individualize treatment. Late gadolinium enhancement-cardiac magnetic resonance imaging, microvolt T-wave alternans, and genetic testing have emerged as powerful tools in predicting sudden cardiac death occurrence and maximizing patient’s selection. Despite all these new diagnostic modalities, additional tests to complement or replace current tools are required for better risk stratification. Therefore, biomarkers are an easy and important tool that can help to detect patients at risk of adverse cardiovascular events. Additionally, identifying potential biomarkers involved in dilated cardiomyopathy can provide us important information regarding the diagnostic, prognostic, risk stratification, and response to treatment for these patients. Many potential biomarkers have been studied in patients with dilated cardiomyopathy, but only a few have been adopted in current practice. Therefore, the aim of our review is to provide the clinicians with an update on the well-known and novel biomarkers that can be useful for risk stratification of patients with non-ischemic dilated cardiomyopathy.     

On the performance of distributed space-time coding systems with one and two non-regenerative relays

Spatial diversity can be induced by using wireless relay stations, which cooperate by amplifying and retransmitting the information received from a source to a destination station. In this context we propose a distributed space-time coding (DSTC) system based on the Alamouti codes. We characterize the symbol error rate of systems with one and two non-regenerative relays using bounds and high signal-to-noise ratio (SNR) approximations. The asymptotic (high SNR) symbol error probability formulas are used to optimize the power allocation in the DSTC system. Furthermore, using the asymptotic symbol error probability formulas we argue that the DSTC system has at least 1.5 times the diversity achieved by point-to-point transmissions with the same bandwidth. Simulations show not only that the DSTC outperforms the amplify-and-forward cooperative system with orthogonal transmissions, but also convolutional encoded one-hop transmissions with the same information rate as the DSTC system. Assuming full channel knowledge at the source and the relays, we find an optimum cooperative system by minimizing the bit error rate of the DSTC system with one and two non-regenerative relays subject to fixed transmit energy constraints at each radio. Numerical results show that the DSTC system with two relays performs very close to the optimum cooperative system.     

New method for threshold voltage extraction of high-voltage MOSFETs based on gate-to-drain capacitance measurement

This letter reports on the extraction of the threshold voltage of laterally diffused MOS transistors. A clear analysis of the device physics is performed, highlighting the correlation between the change of the electron charge distribution along the channel and the device capacitance variations when the gate voltage is swept. Using numerical simulations, it is shown that the peak of the gate-to-drain capacitance is related to the transition of the surface from weak to moderate inversion in the intrinsic MOS transistor at the location of the maximum doping concentration, which corresponds to the threshold voltage of the device according to the MOS theory. Comparison between conventional I/sub D///spl radic/g/sub m/ extraction and the new proposed capacitance peak method is performed on both technology computer-aided design simulations and measurements in order to confirm the new experimental technique and related theory.     

Synthesis and testing of cellulose acetate nicotinate as adsorbent for rhodamine B dye

The esterification of cellulose hydroxyl groups with natural carboxylic acids in mild conditions represents an adequate pathway in obtaining cellulose derivatives with different useful properties. In this article, authors report the synthesis of new mixed ester of cellulose and cellulose acetate nicotinate (CAN) , in a homogenous medium using DMF as solvent, cellulose acetate (CA) as starting cellulosic material, and nicotinic acid as an esterification agent in the presence of p-toluenesulfonyl chloride and pyridine. FTIR and NMR techniques were used to prove the binding of nicotinoyl group at free hydroxyl groups of CA. The obtained CAN was electrospun by electrospinning technique to obtain adsorbent ultrafine fibers, evidenced by SEM images, with high specific surface area. Monolayer Langmuir and empirical Leundrich isotherms were used to assess the adsorption capacity for rhodamine B dye of electrospun CAN in comparison with that of electrospun CA used as starting material. Langmuir isotherm led to a better assessment of experimental data suggesting that the adsorption is mainly determined by hydrogen bonds formed between carboxylic OH hydrogen bonding donor and pyridine N hydrogen bonding acceptor. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019 , 136, 47772.     

pH and heat-induced structural changes of bovine apo-α-lactalbumin

The effects of pH and thermal treatments on conformation and association state of Ca²⁺-depleted bovine α-lactalbumin (apo-α-LA) have been studied by fluorescence spectroscopy, and molecular modelling. The experimental results demonstrate a third-state model for heat-induced unfolding of apo-α-LA, at pH 2.0, and an all-or-none transition of apo-α-LA, at pH 4.5 and 7.0, respectively. The heat-induced changes in the secondary and tertiary structure of α-LA were outlined after running molecular dynamics simulations at 25 °C and 80 °C, at neutral pH, therefore supporting the experimental observations. Our data provides insight into the mechanism of pH- and heat-dependent structural changes and oligomerization of α-LA, and will be helpful in understanding the ability of this protein to interact with certain compounds of biological interest.     

Unconventional method used in synthesis of polyphosphoesters

Polyphosphonates, polyphosphates, polyarylazophosphonates and polyarylazophosphates were synthesized by a new alternative to the classical phase transfer catalysis, respectively, the modified inverse phase transfer catalysis (IPTC) polycondensation of various phenylphosphonic (phosphoric) dichlorides (phenylphosphonic dichloride, phenylphosphoric dichloride, p-chlorophenylphosphoric dichloride) with bisphenols: bisphenol A, tetrabromobisphenol A, bis-(4-hydroxyphenyl)methane (bisphenol F), 4,4′-dihydroxyazobenzene. The polymers were characterized by infrared spectroscopy and magnetic resonance (¹H-NMR, ³¹P-NMR, ¹³C-NMR) spectroscopy. Yields in the range of 63.5–85% and molecular weights (M _w) of ~2,000–8,200 g mol^?1 were obtained. Polyphosphonates were stable up 210–270 °C and polyphosphates up 190–220 °C in air atmosphere. For a correct estimation of the thermal behavior of similar compounds, a kinetic analysis using a modified version of Non Parametric Kinetic method for representative polyphosphonate and polyphosphate was realized. The studies made on the hydrolytic degradation of the synthesized polyphosphates show that the most stable polymer under alkali-catalyzed degradation is the polyphosphate obtained by IPTC of phenylphosphoric dichloride and bisphenol A.     

Melanocytes Affect Nodal Expression and Signaling in Melanoma Cells: A Lesson from Pediatric Large Congenital Melanocytic Nevi

Expression of Nodal, a Transforming Growth Factor-beta (TGF-β) related growth factor, is associated with aggressive melanoma. Nodal expression in adult dysplastic nevi may predict the development of aggressive melanoma in some patients. A subset of pediatric patients diagnosed with giant or large congenital melanocytic nevi (LCMN) has shown increased risk for development of melanoma. Here, we investigate whether Nodal expression can help identify the rare cases of LCMN that develop melanoma and shed light on why the majority of these patients do not. Immunohistochemistry (IHC) staining results show varying degree of Nodal expression in pediatric dysplastic nevi and LCMN. Moreover, median scores from Nodal IHC expression analysis were not significantly different between these two groups. Additionally, none of the LCMN patients in this study developed melanoma, regardless of Nodal IHC levels. Co-culture experiments revealed reduced tumor growth and lower levels of Nodal and its signaling molecules P-SMAD2 and P-ERK1/2 when melanoma cells were grown in vivo or in vitro with normal melanocytes. The same was observed in melanoma cells cultured with melanocyte conditioned media containing pigmented melanocyte derived melanosomes (MDM). Since MDM contain molecules capable of inactivating radical oxygen species, to investigate potential anti-oxidant effect of MDM on Nodal expression and signaling in melanoma, melanoma cells were treated with either N-acetyl-l-cysteine (NAC), a component of the anti-oxidant glutathione or synthetic melanin, which in addition to providing pigmentation can also exert free radical scavenging activity. Melanoma cells treated with NAC or synthetic melanin showed reduced levels of Nodal, P-SMAD2 and P-ERK1/2 compared to untreated melanoma cells. Thus, the potential role for Nodal in melanoma development in LCMN is less evident than in adult dysplastic nevi possibly due to melanocyte cross-talk in LCMN capable of offsetting or delaying the pro-melanoma effects of Nodal via anti-oxidant effects of MDM.