Contribution of growth hormone and IGF-I to early diabetic nephropathy in type 1 diabetes

In children and adolescents with type 1 diabetes, we have reported an association between duration of puberty and the prevalence of nephromegaly and microalbuminuria (MA), which are early markers of diabetic nephropathy. Growth hormone (GH), IGF-I, testosterone, and prorenin are potential mediators of this effect. This study examined the relationship of these hormonal factors to kidney volume (KV) and MA in 155 subjects (78 males, age 13.2 +/- 3.5 years [mean +/- SD]) with similar diabetes duration (6.83 +/- 1.6 years) but varying pubertal experience (0-10 years). KV (by ultrasound), plasma IGF-I, testosterone, prorenin, and NaLi countertransport, and urinary albumin, urinary GH, and urinary IGF-I from three 24-h collections were measured. Multiple regression analysis showed that BSA (P < 0.0001) and urinary IGF-I (P = 0.001) were significantly associated with KV. MA subjects (albumin excretion rate 15-200 microg/min) had higher urinary IGF-I (P = 0.005) and urinary GH (P = 0.05) compared with normoalbuminuric subjects. Only 9% of the variance in urinary IGF-I could be attributed to plasma IGF-I (r = 0.30, P < 0.0001). Testosterone and prorenin were not associated with MA, but they were associated with KV in univariate analyses. The strong association of urinary IGF-I with KV, a marker for glomerular hypertrophy, and of both urinary IGF-I and urinary GH with MA suggests a role for these growth factors in the development of human diabetic nephropathy. Together, these data support animal studies that have shown that renal GH and IGF-I may contribute significantly to the pathogenesis of early diabetic nephropathy.     

Taking the V out of genes V environment

Tumor necrosis factor-alpha (TNF-alpha) is thought to be an important mediator in the pathogenesis of neonatal septicemia. To assess the role of TNF-alpha in neonatal sepsis, serum levels of TNF-alpha were measured in a group of neonates with septicemia and compared with the levels of gestational-postnatal, age-matched healthy controls. The relationships between severity of infection, the nature of causative microorganisms, and TNF-alpha levels were also investigated in this prospective study. A total of 49 infants (25 full-term, 24 preterm) with proven sepsis and 40 healthy infants (20 full-term, 20 preterm) were included. Serum TNF-alpha levels were measured using the TNF-alpha immunoradiometric assay. The median level of TNF-alpha was found to be significantly higher in infants suffering from sepsis (154 pg/mL) particularly in those with septic shock (242.5 pg/mL) as compared to healthy controls (61.5 pg/mL) (p < 0.001). No correlation was found between TNF-alpha and postnatal ages, gestational ages or birth weights of the infants. TNF-alpha levels were not different in surviving and terminal neonates. Although serum, TNF-alpha levels were found to be slightly higher in gram-negative septicemia, the difference was not significant. These findings suggest that TNF-alpha plays an important role in the pathophysiology of neonatal septicemia, but its importance as a prognostic factor is not yet clear.     

Cytokine messenger RNA expression by donor-specific cytotoxic T-cell clones after allogeneic heart transplantation

BACKGROUND: Aspergillosis is an uncommon yet serious opportunistic infection in patients with AIDS. It has been extensively reported in HIV-infected adult patients. To our knowledge there are no studies that describe the epidemiology, clinical manifestations and outcome of aspergillosis in a large HIV-infected pediatric population. METHODS: We reviewed the records of all 473 HIV-infected children followed in the Pediatric Branch of the National Cancer Institute for 9 years from 1987 through 1995 for the presence of Aspergillus infection. RESULTS: Seven (1.5%) patients developed invasive aspergillosis during the study period. All patients had low CD4 counts reflecting severe immunosuppression. Sustained neutropenia (> 7 days) or corticosteroid therapy as a predisposing factor for invasive aspergillosis was encountered in only two patients (28%). Invasive pulmonary aspergillosis developed in five patients and cutaneous aspergillosis in two. The most common presenting features in patients with pulmonary aspergillosis were fever, cough and dyspnea. Patients with cutaneous aspergillosis were diagnosed during life and successfully treated with amphotericin B and surgery, whereas diagnosis of pulmonary aspergillosis was made clinically in only one patient. CONCLUSIONS: Aspergillosis is an uncommon but highly lethal opportunistic infection in HIV-infected children. Invasive pulmonary aspergillosis should be considered in the differential diagnosis in febrile, HIV-infected children with persistent pulmonary infiltrates.     

Complement C6 and C2 biosynthesis in syngeneic PVG/c- and PVG/c+ rat strains

A PVG rat with total deficiency of C6 and partial deficiency of C2 (PVG/c-), and a syngeneic control strain (PVG/c+), were used to study the production of extrahepatically synthesized complement. Livers of complement deficient rats were transplanted in sufficient rats (Tx-L). The C6 and C2 levels in Tx-L rats declined within 2 days to 25% and 30%, respectively, and remained stable for more than 6 weeks. To investigate the contribution of C6 synthesis by the liver, C6 sufficient livers were grafted in deficient rats (Tx + 1). After an initial increase, with maximum C6 levels of 119% at 10 days following transplantation, the C6 levels decreased gradually and C6 was no longer detectable 28 days after transplantation. This decline in C6 levels was dependent on antibody production against C6. No significant change in the C3, C4, factor H and factor B levels was observed. Expression of C6 mRNA in the grafted PVG/c+ sufficient liver was comparable to the expression of C6 mRNA in control PVG/c+ livers while C6 mRNA expression in the transplanted PVG/ c- liver and the control PVG/c- liver was lower. In conclusion, it was demonstrated in vivo that not only C6 but also C2 is synthesized extrahepatically in PVG/c rats.     

Effect of calcium carbonate on the compliance of an apatitic calcium phosphate bone cement

Clinical requirements for calcium phosphate bone cements were formulated in terms of the initial setting time, the final setting time, the cohesion time and the ultimate compressive strength. Three cement formulations were tested. The previously developed Biocement H was made of a powder containing alpha-tertiary calcium phosphate and precipitated hydroxyapatite. Biocement B2 powder was made by adding some CaCO3 to Biocement H, whereas Biocement B1 was made by adding some CaCO3 but with simultaneous adjustment of the amount of precipitated hydroxyapatite.The liquid/ powder ratio of the cement paste and the accelerator concentrations (percentage Na2HPO4) in cement liquid were varied. For Biocement H there was no combination of L/P ratio and percentage Na2HPO4 for which all clinical requirements were satisfied. However, there was an area of full compliance for Biocements B1 and B2, of which that for B1 was the largest. Therefore, Biocement B1 may be applied in clinical situations as those in orthopaedics, plastic and reconstructive surgery and oral and maxillofacial surgery, even when early contact with blood is inevitable.     

Cytomorphological changes in the rabbit oviductal epithelium after human chorionic gonadotropin treatment

Progenitor cells were isolated from the developing human central nervous system (CNS), induced to divide using a combination of epidermal growth factor and fibroblast growth factor-2, and then transplanted into the striatum of adult rats with unilateral dopaminergic lesions. Large grafts were found at 2 weeks survival which contained many undifferentiated cells, some of which were migrating into the host striatum. However, by 20 weeks survival, only a thin strip of cells remained at the graft core while a large number of migrating astrocytes labeled with a human-specific antibody could be seen throughout the striatum. Fully differentiated graft-derived neurons, also labeled with a human-specific antibody, were seen close to the transplant site in some animals. A number of these neurons expressed tyrosine hydroxylase and were sufficient to partially ameliorate lesion-induced behavioral deficits in two animals. These results show that expanded populations of human CNS progenitor cells maintained in a proliferative state in culture can migrate and differentiate into both neurons and astrocytes following intracerebral grafting. As such these cells may have potential for development as an alternative source of tissue for neural transplantation in degenerative diseases.     

Interaction of lanthanide and actinide with BaHfO3 perovskite: A case study with cerium and uranium

Speciation of actinide (An) and lanthanide (Ln) in technologically important ceramics is very important from both fundamental as well as technological aspects. The intrinsic structural flexibility of perovskite containing AO₆ and BO₁₂ polyhedra makes them suitable and rich hosts for An and Ln. In this work, emphasis was given to deciphering information such as oxidation state, local dopant site, charge compensating defects, excited state kinetics, and so forth in BaHfO₃ (BHO) related to dopant uranium (BHO-U) and cerium (BHO-Ce). Several spectroscopic techniques namely, time-resolved photoluminescence (TRPL), positron annihilation lifetime spectra (PALS), and thermoluminescence (TL) spectroscopy coupled with density functional theory (DFT) were employed to probe the same. Ce and U though are distributed at both Ba and Hf sites, Ce prefers the former, while U prefers the latter site. Uranium on the other hand stabilizes as U⁶⁺ in the form of octahedral uranate ion giving green emission. PALS suggested the formation of defects in BHO-Ce and BHO-U with oxygen vacancies predominating in the former whereas BHO-U perovskites are loaded with cation vacancies and vacancy clusters. These cation vacancies are responsible for lower TL output in BHO-U. TL measurements also suggested cerium doping leads to a higher density of deeper traps in BHO-Ce compared to uranium doping in BHO-U which is in concurrence with DFT results and may have implications in designing afterglow phosphors based on perovskite. We believe this work would have a long-term impact on exploring the potential of perovskite for nuclear waste host and afterglow phosphors applications.     

High Temperature Structural,Dielectric, and Ion Conduction Properties of Orthorhombic InVO4

Orthorhombic InVO₄ was prepared by solid‐state reaction method and characterized by powder X‐ray diffraction and scanning electron microscopy. The frequency‐dependent dielectric and conductivity properties were studied from 300 to 973 K by impedance spectroscopy. A significantly enhanced conductivity was observed at higher temperature whereas almost no conduction was observed below 723 K. Appreciable grain boundary conductivity was observed at higher temperature. The activation energies for grain and grain boundary conductivities are 0.87 and 1.28 eV, respectively. The relative permittivity of ~35 was observed in a wider range of frequencies and temperatures. The frequency dispersion dielectric studies indicated thermally activated hopping conduction process. The high temperature structural studies revealed no significant change in structural parameters except a gradual increasing trend in the unit cell parameters and amplitude of isotropic thermal parameters with increasing temperature.     

Hybrid polymer networks of unsaturated polyester–urethane as composite matrices for jute reinforcement

Reactions of unsaturated polyester resin and 4,4′ diphenyl methane diisocyanate were carried out at different NCO/OH ratios in presence of catalysts to form the hybrid polymer networks. Chain extender (1,4 butanediol) added in the hybrid network (NCO/OH ratio: 0.76) was optimized at a level of ～ 3 wt % only of the polyester resin. The curing of these networks was studied by a rigid body pendulum type (RPT) method in terms of reduced damping ratio and increased frequency. Lack of multiple glass transition temperatures, sharp Tan delta peak, and particulate composite type morphology clearly demonstrated the formation of phase mixed domains in the hybrid networks. The storage modulus and loss modulus master curves obtained by dynamic mechanical analysis indicate that hybrid polymer networks retained higher modulus at lower and intermediate frequencies over the polyester resin showing their superior time‐dependent response. Efficacy of these hybrid network resins was examined as matrices in the jute composites and compared with those of polyester resin and unsaturated polyester–polyurethane interpenetrating network matrices. It is found that the hybrid polymer network matrix composites exhibited superior physicomechanical properties under both dry and boiling water age test. Fractographic evidences such as fiber–matrix adhesion, hackle markings, and fiber breakage also supported their superior behavior over other composite matrices. © 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2011