Optimal fluid control can normalize cardiovascular risk markers and limit left ventricular hypertrophy in thrice weekly dialysis patients

Increased hemodialysis frequency can make fluid overload easier to treat, although most patients are still treated thrice weekly. Chronic fluid overload is associated with left ventricular hypertrophy and elevated serum cardiac biomarkers, recognized as mortality risk factors. Serum cardiac troponin T (cTnT), N‐terminal prohormone brain natriuretic peptide (NT‐proBNP), left ventricular mass index by cardiac magnetic imaging, and ambulatory blood pressure was measured in 30 thrice weekly hemodiafiltration patients. Time‐averaged fluid overload (TAFO) was quantified by bioimpedance spectroscopy. In the study group, left ventricular hypertrophy was found to be 26% by cardiac magnetic resonance. Ambulatory blood pressure was 130 mmHg (112–151) requiring a low equivalent dose of medication of 0.25 units (0–1). Significantly, lower levels of left ventricular mass index (P < 0.05) were associated in those patients with TAFO <1 L or NT‐proBNP <1200 pg/mL or cTnT <0.1 ug/L. In the subgroups, 16 patients had normal cTnT (<0.03 ug/L), 16 patients had NT‐proBNP <400 pg/mL, and 20 patients had TAFO <1 L. Nine patients had both cTnT <0.03 ug/L and NT‐proBNP <400 pg/mL. Normally hydrated thrice‐weekly hemodiafiltration patients can have cardiac biomarker and TAFO levels indistinguishable from the normal healthy population. Obtaining TAFO by bioimpedance monitoring can offer a practical alternative to serum cardiac biomarkers.     

Escherichia coli biotransformation of daidzein fermentation products from soy‐based foods—relevance to food oestrogenicity‐based functionality

Oestrogenic isoflavones (e.g. daidzein) present in soy‐based foods are likely to be important in food functionality. Biotransformation of daidzein during fermentation‐based soy‐containing food manufacture forms three trihydroxy metabolites, 6‐ortho‐hydroxydaidzein (6‐OHD), 8‐ortho‐hydroxydaidzein (8‐OHD) and 3′‐ortho‐hydroxydaidzein (3′‐OHD) which alters the oestrogenicity of the final food product. We report that Escherichia coli (a key component of the gut microbiome) metabolism converts 8‐OHD to 6‐OHD with a likely concomitant increase in oestrogenicity. This means that the functionality of 8‐OHD‐containing soy‐based foods is altered by gut microbiome metabolism. This change in oestrogenicity‐based food functionality might have benefits for postmenopausal women, while being a feminising health risk for males and could add to the risk of oestrogen‐mediated precocious puberty in girls.     

Modifying the microstructure of low-fat yoghurt by microfluidisation of milk at different pressures to enhance rheological and sensory properties

The effects of microfluidisation of milk at different pressures, prior to heat treatment, on structural and sensory properties of low-fat stirred yoghurt, were investigated. Low-fat yoghurts prepared from microfluidised milk were compared with low-fat (1.5%) and full-fat (3.5%) control yoghurts made with homogenised (20/5 MPa) milk. The microstructure of low-fat yoghurts prepared with microfluidised milk consisted of smaller and more uniform fat globules, well incorporated into more interconnected fat-protein gel networks, compared with those of control yoghurts. This modification in microstructure caused significant changes in gel particle size, sensory profile and rheological behaviour. Microfluidisation increased the gel particle size, gel strength and viscosity; marked beneficial effects were found at higher pressures (50–150 MPa). Microfluidising milk at 50–150 MPa increased the gel strength by 171–195% and viscosity by 98–103%, creating low-fat yoghurts with creaminess and desirable texture properties similar to, or better than, full-fat conventional yoghurt.     

Synergy between synthetic aperture radar and other sensors for the remote sensing of the ocean

Over the last decades, satellite remote sensing has proved to be a valuable and effective tool for monitoring physical and biological ocean processes. However there are cases where data from one remote sensor alone cannot be interpreted unambiguously. In these situations the combination of data from different sensors can help to understand the observed processes due to the combined benefits of the various strengths and advantages of individual instruments. This paper illustrates the potential of synergy between synthetic aperture radar data and data from thermal and optical satellite sensors. Different aspects of oceanic and atmospheric fronts, eddies, upwelling, internal waves and surface films are imaged by the sensors and combined data give a broader picture of the physical processes involved. While the strengths of synergy are demonstrated in several examples, more frequent coincidence of data from existing and future sensors will be necessary before the benefits of synergy occur on an operational basis.     

Human AKR1C Isoforms Oxidize the Potent Proximate Carcinogen 7,12-DMBA-3,4-diol in the Human Lung A549 Carcinoma Cell Line

Aldo-keto reductases (AKRs) oxidize structurally diverse PAH trans -dihydrodiols to yield reactive and redox active o -quinones. This study examined the ability of AKR1C2 and AKR1C4 to oxidize PAH trans -dihydrodiols of the benz[ a ]anthracene series. The enzymes oxidized 100% of the racemic trans -dihydrodiols and the highest utilization ratios were observed for the more potent proximate carcinogens 7,12-dimethylbenz[ a ]anthracene-3,4-diol (DMBA-3,4-diol) and 7-methylbenz[ a ]anthracene-3,4-diol (7-MBA-3,4-diol). Human multiple tissue expression array analysis revealed high expression of AKR1C isoforms in the human lung carcinoma cell line A549. Both Western blot analysis using AKR1C9 antisera and enzymatic assays using 1-acenapthanol as substrate confirmed the presence of active AKR1C enzymes in A549 cells. To determine the importance of AKR1C-mediated trans -dihydrodiol oxidation in A549 cells, DMBA-3,4-diol was incubated with cell lysates in the presence of 2-mercaptoethanol. Liquid chromatography/mass spectrometric analysis identified peaks that corresponded to the synthetically prepared mono- and bis -thioether conjugates of DMBA-3,4-dione confirming the ability of these cells to oxidize DMBA-3,4-diol to the corresponding o -quinone. Together, these studies demonstrate the importance of human AKR1Cs in PAH activation and their possible role in lung cancer.