Lipoprotein(a) as a risk predictor for cardiac mortality in patients with acute coronary syndromes

AIMS: Raised lipoprotein(a) concentrations are considered to be a risk factor for atherothrombotic diseases. We examined whether baseline concentrations were a risk factor for an adverse outcome in patients admitted with acute coronary syndromes. METHODS AND RESULTS: Five hundred and nineteen patients admitted with suspected acute coronary syndromes were studied and followed prospectively for a median of 3 years. The prognostic significance of a baseline lipoprotein(a) concentration of > or = 30 mg x dl(-1) or lower for subsequent cardiac death was assessed in patients with myocardial infarction (266) and unstable angina (197) and compared with other variables in regression models. In patients with myocardial infarction, a baseline lipoprotein(a) concentration of > or =30 mg x dl(-1) was associated with a 62% increase in subsequent cardiac death compared to the lower concentration group (29.8% vs 18.6%, Log rank P=0.04). In a multivariate regression model a baseline lipoprotein(a) concentration of > or = 30 mg x dl(-1) retained its significance as an independent predictor of cardiac death (P=0.037). In patients with unstable angina, baseline concentrations of > or = 7.9 mg x dl(-1) were found to be significant predictors of cardiac death in univariate (P=0.021) and multivariate (P=0.035) regression models. CONCLUSION: Baseline lipoprotein(a) concentrations in patients admitted with acute coronary syndromes are associated with an increased risk of cardiac death. For patients with myocardial infarction a concentration of > or = 30 mg x dl(-1) appears appropriate as a risk discriminator; for patients admitted with unstable angina, however, much lower concentrations of lipoprotein(a) appear to be prognostically important.     

Electrogenerated chemiluminescence of tris (2,2'-bipyridyl)ruthenium(II) ion-exchanged in nafion-silica composite films

The voltammetry and electrogenerated chemiluminescence (ECL) of tris(2,2'-bipyridyl)ruthenium(II) (Ru(bpy)3 2+) ion-exchanged in Nafion and Nafion-silica composite materials have been investigated. The major goal of this work was to investigate and develop new materials and immobilization approaches for the fabrication of ECL-based sensors with improved reactivity and long-term stability. Nation-silica composite materials with varying contents of Nation (53-100 wt% relative to silica) were prepared via the two-step acid/base hydrolysis and condensation of tetramethoxysilane. The Nafion doped sols were spin cast on glassy carbon electrodes, dried, and then ion-exchanged with Ru(bpy)3 2+. The shapes of the cyclic voltammetric curves and the amount of Ru(bpy)3 2+ exchanged into the films strongly depends on the amount of Nafion incorporated into the hybrid sol. Nafion-silica films with a low content of Nafion ion-exchanged less Ru(bpy)3 2+ and exhibited tail-shaped voltammetry at 100 mV/s. The ECL of immobilized Ru(bpy)3 2+ in the presence of either tripropylamine or sodium oxalate in pH 5 acetate buffer was also strongly dependent on the amount of Nafion introduced into the composite with greater ECL observed for the Nafion-silica films relative to pure Nafion.     

Refolding of Escherichia coli produced membrane protein inclusion bodies immobilised by nickel chelating chromatography

Two distinctly different membrane proteins, which produced inclusion bodies in Escherichia coli, have been refolded to reconstitute properties appropriate to their native counterparts. The method employed utilises nickel chelating chromatography, where the solubilised inclusion bodies bind, refold and elute. Our aims were to release a large pool of membrane protein for functional, mutational and crystallisation screening studies. It is hoped that the methods described here will have a general application for other membrane proteins which have formed inclusion bodies.     

Electrochemically deposited sol-gel-derived silicate films as a viable alternative in thin-film design

Sol-gel-derived silicate films were electrochemically deposited on conducting surfaces from a sol consisting of tetramethoxysilane (TMOS). In this method, a sufficiently negative potential is applied to the electrode surface to reduce oxygen to hydroxyl ions, which serves as the catalyst for the hydrolysis and condensation of TMOS. The electrodeposition process was followed by the electrochemical quartz crystal microbalance and cyclic voltammetry. The electrodeposited films were characterized for their surface morphology, porosity, and film thickness using atomic force microscopy, electrochemical probe techniques, surface area and pore size analysis, and profilometry. The electrodeposited films were found to have a completely different surface structure and to be significantly rougher relative to spin-coated films. This is likely due in part to the separation of the gelation and evaporation stages of film formation. The electrodeposited films were found to be permeable to simple redox molecules, such as ruthenium(III) hexaammine and ferrocene methanol. Film thickness can be easily varied from < 75 nm to > 15 microm by varying the electrode potential from -600 mV to more than -1000 mV, respectively. The electrodeposition process was further applied for the electroencapsulation of redox molecules and organic dyes within the silicate network. Cyclic voltammograms for the gel-entrapped ferrocene methanol (FcCH2OH) and ruthenium(II) tris(bipyridine) (Ru(bpy)3(2+)) exhibited the characteristic redox behavior of the molecules. The electroencapsulation of organic dyes in their "native" form proved to be more difficult because these species typically contain reducible functionalities that change the structure of the dye.     

Diffusion of redox probes in hydrated sol-gel-derived glasses. Effect of gel structure

The diffusion coefficients of redox probes entrapped in a silica matrix prepared by the sol-gel process were measured using a combination of cyclic voltammetry and chronoamperometry at an ultramicroelectrode. In this study, the porosities of the gels were varied to assess the importance of constrained environments vs intermolecular interactions on the translational mobility of guests entrapped in this solid host matrix. The average pore diameter of the gels was varied from 40 to 400 A by utilizing different catalysts (HCl, NH3, NaF) or different silicon precursors (tetramethoxysilane or Ludox colloidal silica). The diffusion coefficients of cobalt(II) tris(bipyridine), ferrocenemethyltrimethylammonium ion, and dicyanobis(phenanthroline)iron(II) and their rate of change as the gel dried were found to be nearly identical for gels prepared from TMOS and catalyzed with either HCl, NH3, or NaF. When trapped in gels prepared from Ludox, ferrocenemethanol and potassium ferricyanide diffused at rates identical to that measured in solution. In contrast, Dapp for ferrocenemethyl(trimethylammonium) dropped 1 order of magnitude over a 30-day drying period. These results attest to the importance of intermolecular interactions in governing diffusion in sol-gel-derived materials.     

Molecular motion in a copolymer of styrene and maleic anhydride

Dielectric and mechanical relaxation techniques have been applied to the study of the molecular motions exhibited by an alternating copolymer of styrene and maleic anhydride. Three major relaxations were detected by these techniques and shown to correspond to motions already defined in homopolymers of substituted maleimides. A fourth relaxation was detected but insufficient evidence for assignment was obtained. The α relaxation is attributed to gross main chain motion (T_g～475K), the β relaxation (activation energy 103kJ) to local motion about the backbone and the δ relaxation (activation energy 51kJ) to deformation of the substituted succinic anhydride ring.     

Piezoelectric generators for biomedical and dental applications: Effects of cyclic loading

This paper presents the results of a study of the effect of cyclic loading parameters on the performance of piezo crystals. The output power of the crystals was observed to increase with parameters such as the cyclic frequency and the dynamic load range. However, the output power also decreased with increasing mean load. The efficiency of the crystal was calculated based on the mechanical energy applied to the piezo crystal. The ratio of the electrical output to mechanical energy input was taken as the efficiency of the crystal. This ratio was seen to increase with the cycling frequency, and also with the dynamic load range. However, increasing mean load caused the efficiency to drop significantly. The implications of the results are discussed for possible applications implanted bioMEMS and microelectronics systems.