Febuxostat improves endothelial function in hemodialysis patients with hyperuricemia: A randomized controlled study

Endothelial dysfunction is often found in both hyperuricemia and hemodialysis patients. Recent studies have shown that treating hyperuricemia with allopurinol improves endothelial dysfunction. This study is performed to assess the effect of febuxostat on endothelial dysfunction in hemodialysis patients with hyperuricemia. We randomly assigned 53 hemodialysis patients with hyperuricemia to a febuxostat (10 mg daily) group and a control group and measured flow‐mediated dilation, serum uric acid (UA) levels, systolic and diastolic blood pressure, malondialdehyde‐modified low‐density lipoprotein (MDA‐LDL), and highly sensitive C‐reactive protein (hsCRP) at baseline and at the end of a 4‐week study period. Flow‐mediated dilation increased from 5.3% ± 2.4% to 8.9% ± 3.6% in the febuxostat group but did not change significantly in the control group. Treatment with febuxostat resulted in a significant decrease in serum UA level and a significant decrease in MDA‐LDL compared with baseline, but no significant difference was observed in hsCRP level or blood pressure. No significant differences were observed in the control group. Febuxostat improved endothelial dysfunction and reduced serum UA levels and oxidative stress in hemodialysis patients with hyperuricemia.     

Automated flow quantification for spin labeling MR imaging

Objective

The Time-Spatial Labeling Inversion Pulse (Time-SLIP) technique enables tracing of regional fluid flows without the use of contrast medium. The objective of this study is to quantify automatically slow and complex fluid flows using the Time-SLIP technique.

Materials and methods

Series images were acquired with a 1.5-T MRI scanner using the Time-SLIP technique with half-Fourier fast spin-echo (FSE) and balanced steady-state free precession (bSSFP) sequences. In this method, labeled fluid regions in images were automatically detected based on image processing techniques for a given point. The flow velocity of the labeled fluid region was calculated using regression fitting for the region’s position. To evaluate our method, constant and non-constant laminar flows in a water phantom were studied. In addition, volunteer experiments were conducted to quantify the flow of cerebrospinal fluid.

Results

In the constant flow experiments the correlation factor r ² between the flow velocity calculated from our method and the laminar peak velocity calculated from the volumetric flow rate was 0.9992 for the FSE sequence and 0.9982 for the bSSFP sequence. In the non-constant flow study, the flow velocity was calculated accurately for any period inversion time even when the flow velocity was changed, and the quantification error was negligible. In the volunteer experiments, r ² between the flow velocity calculated by the proposed method and that obtained by manual annotation was 0.9383.

Conclusion

The experimental results showed that our proposed method can quickly and accurately provide information on flow velocities especially for slower and complex flows. Our method is, therefore, expected to be useful in diagnostic support systems.     

Detection of unexpected recombinant DNA in maize grain

PCR detection of genetically modified (GM) line-specific recombinant DNA was carried out on Bt 11, Event 176 and Non-GM maize grain harvested in 1999. Of 100 grains of Bt 11 line, Event 176 specific DNA was detected in 11 grains. Of 30 grains of Event 176 line, Mon 810 or Bt 11 specific DNA was detected in 5 grains. In addition, Bt 11 or Event 176 specific DNA was detected in 4 of 30 Non-GM grains. These data suggest that maize grains (not seed) often contain DNAs of different lines from what they were expected to contain. Furthermore, quantitative PCR was performed to estimate the genotype of the Event 176 grains described above. The results showed that the genotype of all the grains containing different recombinant DNA is heterozygous. Therefore, it was considered that the grains containing the unintended recombinant DNA were not accidental contaminants, but that airborne pollination had introduced the recombinant DNA into the grains.     

Blood compatibility of gas plasma-treated diamond-like carbon surface—Effect of physicochemical properties of DLC surface on blood compatibility

From the knowledge that zwitterion-type polymers show good blood compatibility, the introduction of both cationic and anionic functional groups onto diamond-like carbon (DLC) surface is expected to improve blood compatibility. Thus, DLC films were treated with oxygen and ammonia gas plasmas. The surfaces were characterized in terms of chemical composition by XPS, contact angle, and zeta potential. XPS analysis showed the introductions of a carboxyl group by oxygen plasma treatment and nitrogen atoms by ammonia plasma treatment. The evaluation of blood compatibility for the DLC surfaces was carried out in terms of platelets and the coagulation system. Excellent improvement of platelet compatibility was observed by the treatment with the gas plasmas, regardless of the plasma species. As for the compatibility with the coagulation system, DLC surfaces with a high concentration of carboxyl groups (COOH) markedly activated the system via the intrinsic pathway. However, the surfaces treated with ammonia plasma did not activate the system even though they had high COOH concentration. Measurement of the zeta potential revealed that the ammonia plasma treatment raised the potential from a negative value to a positive one. Though the introduction of amino groups to the surface was not detected directly, the treatment of ammonia plasma changed the electrical state of the DLC surface having COOH group, causing a difference in blood compatibility among the DLCs obtained by various plasma conditions.     

Carrier transport properties in highly ordered smectic liquid crystal phase

We have designed and synthesized a new liquid crystalline phenylbenzothienobenzothiphene derivative, Ph‐BTBT‐4S‐3, in order to investigate the carrier transport properties in highly ordered smectic liquid crystal phase at a wide temperature range lower than room temperature enough to analyze them. Ph‐BTBT‐4S‐3 exhibits smectic E (SmE) phase, which is the one of highly ordered smectic liquid crystal phases, at the wide temperature range from 200°C to under ?130°C. Thanks to its wide temperature range of SmE phase, we could reveal the carrier transport properties in the low temperature range, which were well explained on the basis of Gaussian disorder model having a Gaussian width, σ, of 87 meV, which was larger than those of typical nonpolar liquid crystals of 40?60 meV and was attributed to additional dipole of a thioether group in the side chain.     

Influence of tissue preparation on the high-frequency acoustic properties of normal kidney tissue

The influence of various tissue preparations on the acoustic properties of normal kidney tissue at high frequencies was investigated. Eight surgically excised normal kidney tissue specimens were classified into three groups: (i) fresh, frozen section, (ii) formalin-fixed, frozen section and (iii) formalin-fixed, paraffin section. Scanning acoustic microscopy operating in the frequency range of 100-200 MHz was used to display the two-dimensional distribution of attenuation constant and sound speed. Our results indicate that (i) there is no significant variation in both acoustic parameters between the three tissue groups, (ii) fixation by 10% formalin produces no significant change in the acoustic parameters, (iii) in fat-free tissue regions, the acoustic parameters are independent of preparation method and (iv) frozen sections must be used to assess the acoustic parameters in fat-rich tissues.     

Large right ventricular myxoma in a 79-year-old male

A 79-year-old male, admitted because of severe dyspnea on exertion, showed echocardiographic findings of a large tumor in the dilated right ventricle. The right ventricular outflow tract was nearly occluded by the tumor mass, and the mass was attached to the interventricular septum by a pedicle. The tumor removal operation was successful. The size of the tumor was 40 mm x 90 mm, and the weight 70 g. Microscopic findings showed typical myxomatous tissue with high cellularity, and no malignancy was observed. This is the oldest reported patient with right ventricular myxoma which was cured by operation.