Blood Metabolomics May Discriminate a Sub-Group of Patients with First Demyelinating Episode in the Context of RRMS with Increased Disability and MRI Characteristics Indicative of Poor Prognosis

Biomarker research across the health-to-disease continuum is being increasingly applied. We applied blood-based metabolomics in order to identify patient clusters with a first demyelinating episode, and explored the prognostic potential of the method by thoroughly characterizing each cluster in terms of clinical, laboratory and MRI markers of established prognostic potential for Multiple Sclerosis (MS). Recruitment consisted of 11 patients with Clinically Isolated Syndrome (CIS), 37 patients with a first demyelinating episode in the context of Relapsing-Remitting MS (RRMS) and 11 control participants. Blood-based metabolomics and hierarchical clustering analysis (HCL) were applied. Constructed OPLS-DA models illustrated a discrimination between patients with CIS and the controls (p = 0.0014), as well as between patients with RRMS and the controls (p = 1 × 10⁻⁵). Hierarchical clustering analysis (HCL) for patients with RRMS identified three clusters. RRMS-patients-cluster-3 exhibited higher mean cell numbers in the Cerebro-spinal Fluid (CSF) compared to patients with CIS (18.17 ± 6.3 vs. 1.09 ± 0.41, p = 0.004). Mean glucose CSF/serum ratio and infratentorial lesion burden significantly differed across CIS- and HCL-derived RRMS-patient clusters (F = 14.95, p < 0.001 and F = 6.087, p = 0.002, respectively), mainly due to increased mean values for patients with RRMS-cluster-3. HCL discriminated a cluster of patients with a first demyelinating episode in the context of RRMS with increased disability, laboratory findings linked with increased pathology burden and MRI markers of poor prognosis.     

Identification of myocardial diffuse fibrosis by 11 heartbeat MOLLI <Emphasis Type="Italic">T</Emphasis><Subscript>1</Subscript> mapping: averaging to improve precision and correlation with collagen volume fraction

Objectives

Our objectives involved identifying whether repeated averaging in basal and mid left ventricular myocardial levels improves precision and correlation with collagen volume fraction for 11 heartbeat MOLLI T ₁ mapping versus assessment at a single ventricular level.

Materials and methods

For assessment of T ₁ mapping precision, a cohort of 15 healthy volunteers underwent two CMR scans on separate days using an 11 heartbeat MOLLI with a 5(3)3 beat scheme to measure native T ₁ and a 4(1)3(1)2 beat post-contrast scheme to measure post-contrast T ₁, allowing calculation of partition coefficient and ECV. To assess correlation of T ₁ mapping with collagen volume fraction, a separate cohort of ten aortic stenosis patients scheduled to undergo surgery underwent one CMR scan with this 11 heartbeat MOLLI scheme, followed by intraoperative tru-cut myocardial biopsy. Six models of myocardial diffuse fibrosis assessment were established with incremental inclusion of imaging by averaging of the basal and mid-myocardial left ventricular levels, and each model was assessed for precision and correlation with collagen volume fraction.

Results

A model using 11 heart beat MOLLI imaging of two basal and two mid ventricular level averaged T ₁ maps provided improved precision (Intraclass correlation 0.93 vs 0.84) and correlation with histology (R ² = 0.83 vs 0.36) for diffuse fibrosis compared to a single mid-ventricular level alone. ECV was more precise and correlated better than native T ₁ mapping.

Conclusion

T ₁ mapping sequences with repeated averaging could be considered for applications of 11 heartbeat MOLLI, especially when small changes in native T ₁/ECV might affect clinical management.

     

Role of the Myokine Irisin on Bone Homeostasis: Review of the Current Evidence

Bone is a highly dynamic tissue that is constantly adapting to micro-changes to facilitate movement. When the balance between bone building and resorption shifts more towards bone resorption, the result is reduced bone density and mineralization, as seen in osteoporosis or osteopenia. Current treatment strategies aimed to improve bone homeostasis and turnover are lacking in efficacy, resulting in the search for new preventative and nutraceutical treatment options. The myokine irisin, since its discovery in 2012, has been shown to play an important role in many tissues including muscle, adipose, and bone. Evidence indicate that irisin is associated with increased bone formation and decreased bone resorption, leading to reduced risk of osteoporosis in post-menopausal women. In addition, low serum irisin levels have been found in individuals with osteoporosis and osteopenia. Irisin targets key signaling proteins, promoting osteoblastogenesis and reducing osteoclastogenesis. The present review summarizes the existing evidence regarding the effects of irisin on bone homeostasis.     

Effects of aging on the thermomechanical properties of poly(lactic acid)

In this study, we examined the role of environmental parameters and physical structure in the aging process of poly(lactic acid) (PLA). The role of heating history on the aging behavior of the material was also investigated. PLA samples with a D ‐content of 4.25% were exposed to a relative humidity of 80% at three different temperatures, 20, 40, and 50°C (below the glass‐transition temperature of the material), at various aging periods of 30, 60, 80, 100, and 130 days. Selected samples were subjected to two consecutive heating runs. The stability of PLA was monitored by a number of techniques, including size exclusion chromatography, differential scanning calorimetry, dynamic mechanical analysis, and tensile measurements. The initial thermal processing (150°C) of the material resulted in an overall molecular weight reduction. A substantial lowering of properties was observed for PLA samples aged at 20°C for 30 days. No further loss of properties was observed for samples aged up to 40°C for several time intervals. A major portion (80–90%) of the induced changes in the tensile properties could be reversed after drying. At 50°C and 100 days of aging, a sharp decrease in the overall properties was noticed. The results seem to confirm the earlier finding that PLA degradation driven by hydrolysis needs a higher temperature (>50°C) in combination with ample time to take place. © 2010 Wiley Periodicals, Inc. J Appl Polym Sci, 2011     

Rust morphology characterization of polyurethane and acrylic-based marine antifouling paints after salt spray test on scribed specimens

A newly developed, polyurethane-based, marine antifouling coating, containing 2% immobilized Econea, was examined in terms of its anticorrosion performance. The novelty of the experimental formulation arises from the immobilization of the biocide which minimizes leaching and was accomplished via a newly developed functionalization method, based on reaction of the biocide with highly reactive isocyanate functionality. The painting system was applied on steel specimens, then scribed with a sharp cutter and examined for 12 weeks in cyclic salt spray exposure. Identification of the rust morphologies was performed with XRD, Raman spectroscopy, SEM, and EDS methods. The absence of paint deformation during the experiment led to the formation of compact corrosion products, firmly adherent to the substrate, allowing transformation to more protective forms, such as oxides (hematite, maghemite, magnetite) and the least harmful of the oxyhydroxides (goethite, feroxyhyte), found in the mixture, ensuring sufficient corrosion protection. The unscratched part of the paint served as a barrier to corrosion product expansion beyond the scribed areas. An acrylic-based antifouling system was also examined for reasons of comparison. The experimental formulation exhibited superior anticorrosion performance overall, since the acrylic system presented extended material loss, blistering, checking, and extensive substrate rust coverage beneath the multilayer coat, implying unsatisfactory corrosion protection.     

Assessment of the Validity and Reproducibility of a Novel Standardized Test Meal for the Study of Postprandial Triacylglycerol Concentrations

Lipotest^® is a standardized fat‐rich meal designed for use as a test meal during a fat tolerance test (FTT) for the study of postprandial triacylglycerol (TAG) concentrations. Herein we examined the precision and reproducibility of examination using Lipotest^® on postprandial TAG levels. A total of 26 healthy consenting subjects were examined twice after 8–10 h fasting with an interval of approximately 1 week apart. Blood samples were collected at baseline and 1, 2, 3, and 4 h after consumption of the test meal for measurement of plasma total TAG levels. We examined agreement, precision, and accuracy between the two visits using the Altman plots and correlation coefficient. Reproducibility was tested using the coefficient of variation (CV) and intraclass correlation coefficient (ICC). Moreover, the area under the curve (AUC) as a summary measure of the overall postprandial TAG levels was calculated. The agreement, precision (r ≥ 0.74, p < 0.001), and accuracy (≥0.99) between the measurements in plasma TAG during Lipotest^® testing in the two visits were high. In terms of reproducibility, the values of CV were 15.59–23.83% while those of ICC were ≥0.75. The values of the AUCs in the visits were not different (p = 0.87). A single measurement of plasma TAG levels at 4 h after Lipotest^® consumption depicted peak postprandial TAG concentration. A FTT using Lipotest^® as a standardized meal has good precision and reproducibility for the study of postprandial TAG levels in healthy individuals. A single determination of plasma TAG concentration at 4 h after Lipotest^® consumption captures peak postprandial TAG response.     

New N-(2-carboxybenzyl)chitosan composite scaffolds containing nanoTiO2 or bioactive glass with enhanced cell proliferation for bone-tissue engineering applications

In the present study N-(2-carboxbenzyl)chitosan (CBCS) 3D macroporous hybrid scaffolds with interconnected pore system, containing 0.5, 2.5, and 5?wt% TiO₂ nanoparticles (nTiO₂) and 2.5?wt% Bioglass 45S5 (BG) have been synthesized using freeze-drying technique. Compressive strength values verified that the modification of chitosan combined with the presence of inorganic fillers can attribute significant mechanical stiffness to the scaffold. The in vitro biomineralization test confirmed that all samples were bioinert as mineral deposits were detected with X-ray diffractometry after incubation in SBF. Cytotoxicity and biocompatibility of all scaffolds were tested by using and Wharton’s jelly–derived mesenchymal stem cells (WJ-MSCs) and human embryonic kidney 293 (HEK 293) cell line. Metabolic activity, proliferation, migration, and attachment to the scaffolds were examined. Cells appeared to attach around the superficial pores and migrate in them. Cells also maintained their morphology, proliferated, and migrated across the scaffolds and showed consistent and proved compatibility.     

Bayesian latent variable modelling of multivariate spatio-temporal variation in cancer mortality

In this article, three alternative Bayesian hierarchical latent factor models are described for spatially and temporally correlated multivariate health data. The fundamentals of factor analysis with ideas of space- time disease mapping to provide a flexible framework for the joint analysis of multiple-related diseases in space and time with a view to estimating common and disease-specific trends in cancer risk are combined. The models are applied to area-level mortality data on six diet-related cancers for Greece over the 20-year period from 1980 to 1999. The aim of this study is to uncover the spatial and temporal patterns of any latent factor(s) underlying the cancer data that could be interpreted as reflecting some aspects of the habitual diet of the Greek population.