Ex vivo gene therapy prevents chronic graft vascular disease in cardiac allografts

There continues to be considerable effort towards the construction of compound libraries targeted for the inhibition of protease enzymes. New tag-encoding methods for library deconvolution have been applied to this problem and there has been particular interest in novel solid-phase linkers for the introduction of key pharmacophore groups required for protease inhibition. Recent reports have tended to focus on nonpeptidic libraries, and, notably, structure-based design methods are now being applied to direct library design.     

Regulation of gene expression: how can molecules make the right ventricle distinct from the left?

The site of Ahl al Oughlam near Casablanca, Morocco, dated to ca. 2.5 Ma, has yielded a good sample of Theropithecus atlanticus (Thomas, 1884), a North African late Pliocene species previously known only by its holotype, a lower molar from Algeria. Theropithecus atlanticus, which can now be much better defined, is clearly distinct from other species of the genus, which is thus more diverse than previously thought. The mandible of T. atlanticus has a very characteristic deep and long post-molar sulcus and a deep and well excavated supra-lateral triangular depression of the ramus, with a sharp postero-inferior ridge. The upper and lower canines are rather large but low. The male P3 is very wide, with well developed posterior crests; the P4 is rounded, with a large talonid and weak notches and clefts. Median lingual notches of the lower molars form an acute angle. Although our incomplete knowledge of T. atlanticus precludes a detailed phylogenetic analysis, we suggest that it arose by cladogenesis from the T. darti-T. oswaldi lineage; it is replaced by the latter species in the Pleistocene.     

Regeneration of a transplanted liver after right hepatic lobectomy

Liver regeneration has been described after heterotopic liver transplantation, small-for-size orthotopic liver transplantation and reduced-size liver transplantation. In this report, we document the regenerative response of a whole liver transplant to major resection for the first time. A right hepatic lobectomy for liver ischemia was performed in a 30-year-old female after transplantation for autoimmune disease of the liver. Volumetric analysis of computed tomography (CT) scans revealed a preoperative liver volume of 1,961 mL, whereas analysis of the 6-week posthepatectomy CT scan showed a volume of 1,820 mL. Factors influencing regeneration in the setting of a liver transplant include rejection, ischemia/thrombosis, infection, or cyclosporine hepatotrophic/hepatotoxic effects. These factors, balanced with the intrinsic ability of hepatocytes to achieve a standard liver volume, determine the extent of regeneration.     

The FGF receptor-1 tyrosine kinase domain regulates myogenesis but is not sufficient to stimulate proliferation

STUDY OBJECTIVES: The aims of this study were: to evaluate the performance of a novel arterial biopsy catheter in obtaining pulmonary endovascular samples in hypertensive dogs; to compare the results of pulmonary endoarterial biopsy in hypertensive vs normotensive dogs; and to assess the histologic changes in the hypertensive model. DESIGN AND INTERVENTIONS: Thirty-four dogs (27 with normal pulmonary arterial pressures and seven with pulmonary hypertension) were catheterized through an external jugular vein to obtain endovascular biopsy samples from distal pulmonary arteries 2 to 3 mm in luminal diameter. To induce pulmonary hypertension, seven dogs were given repeated infusions of 0.6- to 0.9-mm ceramic microspheres into the superior vena cava. Endoarterial samples were obtained at pulmonary systolic arterial pressures ranging from 10 to 110 mm Hg. MEASUREMENTS AND RESULTS: Sixty-two biopsy catheterization procedures were performed in the 34 dogs. After 12 initial procedures of technique refinement, endoarterial samples were obtained in each of the last 50 procedures (21 in normotensive dogs and 29 in hypertensive dogs). The average number of endovascular biopsy samples retrieved was 7.1 (range, 2 to 12) from a mean of 8.6 (range, 2 to 15) biopsy attempts per catheterization (success rate=83%). The average biopsy piece measured 1.13 mm in length, 0.33 mm in depth, and up to 1.0 mm in width. The biopsy success rates and endoarterial sample sizes were similar in normotensive and hypertensive dogs. Smooth muscle cells and endothelial cells were grown from the biopsy samples. There were no significant procedural complications, except for one self-limited hemorrhage. Histologically, samples obtained from dogs with pulmonary hypertension showed characteristic changes when compared with biopsies from normotensive dogs. CONCLUSION: This new endoarterial biopsy catheter was safe and effective when used to obtain pulmonary endoarterial samples in dogs with normal and experimentally elevated pulmonary arterial pressures. The quality and quantity of the biopsy samples allowed identification of pathologic changes.     

The relationship between the delayed improvement in ankle-brachial pressure index and changes in limb volume following balloon angioplasty for leg ischaemia

Occupational contact dermatitis to individual wood species from foreign countries, such as Asia, Africa, Central America, and South America, has been described. This report concerns the case of a domestic woodworker who developed allergic contact dermatitis shortly after beginning to work with multiple exotic woods. Patch testing with domestic and exotic wood fresh sawdust samples, 1% and 10% in petrolatum, yielded strong positive reactions to six exotic woods: zericote, pao ferro, cocobolo, becote, macassar ebony, and padauk. Later testing confirmed sensitivity to the allergenic quinonoid constituents in pao ferro (R-3,4-dimethoxydalbergione), cocobolo (obtusaquinone), and macassar ebony (macassar quinone).     

MRI of the liver. A pictorial essay

Magnetic resonance imaging (MRI) is an extremely useful modality for evaluation of the complex pathophysiology of the liver. The high degree of soft tissue contrast afforded by MRI accurately detects and characterizes both focal and diffuse abnormalities of the liver. In this article we present a pictorial review of MRI of the liver.