Complementary Effects of Carbamylated and Citrullinated LL37 in Autoimmunity and Inflammation in Systemic Lupus Erythematosus

LL37 acts as T-cell/B-cell autoantigen in Systemic lupus erythematosus (SLE) and psoriatic disease. Moreover, when bound to “self” nucleic acids, LL37 acts as “danger signal,” leading to type I interferon (IFN-I)/pro-inflammatory factors production. T-cell epitopes derived from citrullinated-LL37 act as better antigens than unmodified LL37 epitopes in SLE, at least in selected HLA-backgrounds, included the SLE-associated HLA-DRB1*1501/HLA-DRB5*0101 backgrounds. Remarkably, while “fully-citrullinated” LL37 acts as better T-cell-stimulator, it loses DNA-binding ability and the associated “adjuvant-like” properties. Since LL37 undergoes a further irreversible post-translational modification, carbamylation and antibodies to carbamylated self-proteins other than LL37 are present in SLE, here we addressed the involvement of carbamylated-LL37 in autoimmunity and inflammation in SLE. We detected carbamylated-LL37 in SLE-affected tissues. Most importantly, carbamylated-LL37-specific antibodies and CD4 T-cells circulate in SLE and both correlate with disease activity. In contrast to “fully citrullinated-LL37,” “fully carbamylated-LL37” maintains both innate and adaptive immune-cells’ stimulatory abilities: in complex with DNA, carbamylated-LL37 stimulates plasmacytoid dendritic cell IFN-α production and B-cell maturation into plasma cells. Thus, we report a further example of how different post-translational modifications of a self-antigen exert complementary effects that sustain autoimmunity and inflammation, respectively. These data also show that T/B-cell responses to carbamylated-LL37 represent novel SLE disease biomarkers.     

Mössbauer studies of illites and heat-treated illite as related to coal-conversion processes

Mossbauer spectra of iron species in the following illites were studied: Grundite, Fithian, Minerva, and New Albany. Spectra of samples of Fithian illite heated at temperatures of 225, 700, and 1000 °C were also obtained. Analyses of these spectra provide Mössbauer parameter values of iron species in the illites and heat-transformed illite for comparison with similar species found in coals containing illites and in coal process residues derived from them. The illites contain both ferric and ferrous species. Mössbauer parameters for one of the ferric species, designated M(2), are virtually the same as those of pyrite. The two species are therefore difficult to distinguish from one another. Values of the concentration of pyrite in coals and shales may be inflated if the pyrite concentration is measured by Mössbauer spectroscopy. Mössbauer spectra of the heat-treated illite samples reveal changes in iron distribution, principally at the 700 and 1000 °C levels, where there are found three and six different iron species respectively. These changes are accompanied by reduction of ferric to ferrous iron. This process should be integrated into any assessment of the iron chemistry which accompanies coal-conversion processes.     

Compressibility of fine-grained soils subjected to closed-system freezing and thaw consolidation

In order to investigate the effects of freezing and thawing on the compressibility of fine-grained soils, freezing and thawing tests and subsequent compression tests with fine-grained soils in an oedometer were carried out. During the freezing, a part of the soils is loosened and another part is over-consolidated under the freezing pressure ?E. The compression curves after the freezing and thaw consolidation are neither different from the normal consolidation curve nor from the rebound curve of an unfrozen soil, until the consolidation pressure ?z = ?E is arrived. Based on the experimental results, a theoretical model has been developed to predict the frost heaves, the thaw-settlements and the compressive deformations of fine-grained soils after the thaw consolidation. The theoretical results are very close to the experimental results.     

Three-year outcome after balloon aortic valvuloplasty. Insights into prognosis of valvular aortic stenosis

BACKGROUND: To identify predictors of long-term outcome after balloon aortic valvuloplasty, we analyzed data on 674 adults (mean age, 78 +/- 9 years; 56% were women) undergoing this procedure at 24 clinical centers who had a mean initial increase in aortic valve area of 0.3 cm2. METHODS AND RESULTS: Baseline data included clinical, echocardiographic, and catheterization variables. Follow-up data included mortality, cause of death, rehospitalization, 6-month echocardiography, and functional status. Kaplan-Meier curves and log-rank tests were used to evaluate survival in subgroups. Multivariate Cox regression models were used to identify independent predictors of survival. Overall survival was 55% at 1 year, 35% at 2 years, and 23% at 3 years, with the majority of deaths (70%) classified as cardiac by an independent review committee. Rehospitalization was common (64%), although 61% of survivors at 2 years reported improved symptoms. Echocardiography at 6 months (n = 115) showed restenosis from the postprocedural valve area of 0.78 +/- 0.31 cm2 to 0.65 +/- 0.25 cm2 (P < .0001). With stepwise multivariate analysis, sequentially adding clinical, echocardiographic, and catheterization variables, the overall model identified independent predictors of survival as baseline functional status, baseline cardiac output, renal function, cachexia, female gender, left ventricular systolic function, and mitral regurgitation. Baseline and postprocedural variables were examined to identify which subgroup of patients has the best outcome after aortic valvuloplasty. A "lower-risk" subgroup (28% of the study population), defined by normal left ventricular systolic function and mild clinical functional limitation, had a 3-year survival of 36% compared with 17% in the remainder of the study group. CONCLUSIONS: Long-term survival after balloon aortic valvuloplasty is poor with 1- and 3-year survival rates of 55% and 23%, respectively. Although survivors report fewer symptoms, early restenosis and recurrent hospitalization are common.     

Electromyographic and neuromuscular variables in post-polio subjects

OBJECTIVE: Post-polio subjects experience functional deterioration many years after developing acute poliomyelitis and have been shown previously to have a deficit in strength recovery after isometric activity. This study characterized the size and stability of the motor units in a group of post-polio subjects with macro and single fiber electromyography (EMG) and correlated these variables with isometric strength, endurance, "work capacity," and strength recovery after fatiguing isometric exercise. DESIGN: A cohort of 12 post-polio subjects was tested for neuromuscular function. Electromyographic variables were determined on a separate day. SETTING: Volunteers were recruited from the community and tested in our neuromuscular research laboratory. SUBJECTS: A volunteer sample was obtained from advertisements. All subjects acknowledged post-polio syndrome symptoms. MAIN OUTCOME MEASURES: Neuromuscular variables were isometric knee extension peak torque, endurance (time to exhaustion) at 40% of maximal torque, tension time index, and recovery of torque at 10 minutes. Electromyographic variables were macro EMG and single fiber EMG (percent blocking and jitter). RESULTS: Macro EMG amplitude was ninefold the control value, and both jitter and blocking were greatly increased in comparison to control values. Isometric strength significantly (p < .05) correlated negatively with macro EMG amplitude. CONCLUSIONS: The weakest subjects had the greatest number of muscle fibers within the motor unit (as measured by macro EMG amplitude). Jitter and blocking did not correlate with neuromuscular function.     

Management of cancer pain

Primary care clinicians treat patients with cancer and cancer pain. It is essential that physicians know how to effectively manage pain including assessment and pharmacologic and nonpharmacologic treatment modalities. Barriers to adequate assessment of pain must be recognized and overcome. Pharmacologic regimens are based on the World Health Organization's "ladder of analgesia," beginning with nonopioid medications and adding the opioid narcotics and adjuvant medications as necessary. Inclusion of nonpharmacologic treatments, physical and psychological are important for effective management.     

Insulin depletion leads to adipose-specific cell death in obese but not lean mice

Mutation of the obese gene produces obesity, hyperinsulinemia, and compensatory "overexpression" of the defective gene. As insulin activates obese gene expression, it seemed possible that hyperinsulinemia might be responsible for overexpression of the gene. To address this question we rapidly neutralized circulating insulin by injection of an insulin antibody. Unexpectedly, insulin depletion in obese (ob/ob or db/db) mice caused massive adipose RNA degradation confirmed by histological analysis to result from adipocyte cell death by a largely necrotic mechanism. This effect was not observed in lean littermates and was completely corrected by coadministration of insulin. Comparison of multiple tissues demonstrated that the effect was restricted to adipose tissue. Insulin depletion in obese mice by administration of streptozotocin also led to cell death, but this death was less extensive and appeared to be apoptotic in mechanism. Thus insulin may promote the survival side of the physiological balance between adipocyte survival and death.     

Visual quality assessment algorithms: what does the future hold?

Creating algorithms capable of predicting the perceived quality of a visual stimulus defines the field of objective visual quality assessment (QA). The field of objective QA has received tremendous attention in the recent past, with many successful algorithms being proposed for this purpose. Our concern here is not with the past however; in this paper we discuss our vision for the future of visual quality assessment research. We first introduce the area of quality assessment and state its relevance. We describe current standards for gauging algorithmic performance and define terms that we will use through this paper. We then journey through 2D image and video quality assessment. We summarize recent approaches to these problems and discuss in detail our vision for future research on the problems of full-reference and no-reference 2D image and video quality assessment. From there, we move on to the currently popular area of 3D QA. We discuss recent databases, algorithms and 3D quality of experience. This yet-nascent technology provides for tremendous scope in terms of research activities and we summarize each of them. We then move on to more esoteric topics such as algorithmic assessment of aesthetics in natural images and in art. We discuss current research and hypothesize about possible paths to tread. Towards the end of this article, we discuss some other areas of interest including high-definition (HD) quality assessment, immersive environments and so on before summarizing interesting avenues for future work in multimedia (i.e., audio-visual) quality assessment.     

Symbolic computation with finite biquandles

A method of computing a basis for the second Yang–Baxter cohomology of a finite biquandle with coefficients in Q$\mathbb{Q}$ and _Zp${\mathbb{Z}}_p$ from a matrix presentation of the finite biquandle is described. We also describe a method for computing the Yang–Baxter cocycle invariants of an oriented knot or link represented as a signed Gauss code. We provide a URL for our Maple implementations of these algorithms.     

Variants of fractionation of irradiation in intracavitary gamma-therapy

Under study was the efficacy of three schedules of dose fractionation in intracavitary gamma-therapy in cervical cancer patients treated on the machine "AGAT-B". Single doses were 1000, 700 and 500 rad, while total dosage at point A depending on the stage of the disease was within the range of 4000-5000 rad. The survival during the first, second and third years following termination of the radiotherapy was found to be identical for patients of all the groups under examination. No differences were noted in them also in the character of early radiation reactions on the part of the adjacent organs. The frequency and severity of late radiation injuries of the urinary bladder, rectum and vagina were related to the dose fractionation regimen.