The Dipeptidyl Peptidase-4 Inhibitor Linagliptin Ameliorates Endothelial Inflammation and Microvascular Thrombosis in a Sepsis Mouse Model

The pathophysiology of sepsis involves inflammation and hypercoagulability, which lead to microvascular thrombosis and compromised organ perfusion. Dipeptidyl peptidase (DPP)-4 inhibitors, e.g., linagliptin, are commonly used anti-diabetic drugs known to exert anti-inflammatory effects. However, whether these drugs confer an anti-thrombotic effect that preserves organ perfusion in sepsis remains to be investigated. In the present study, human umbilical vein endothelial cells (HUVECs) were treated with linagliptin to examine its anti-inflammatory and anti-thrombotic effects under tumor necrosis factor (TNF)-α treatment. To validate findings from in vitro experiments and provide in vivo evidence for the identified mechanism, a mouse model of lipopolysaccharide (LPS)-induced systemic inflammatory response syndrome was used, and pulmonary microcirculatory thrombosis was measured. In TNF-α-treated HUVECs and LPS-injected mice, linagliptin suppressed expressions of interleukin-1β (IL-1β) and intercellular adhesion molecule 1 (ICAM-1) via a nuclear factor-κB (NF-κB)–dependent pathway. Linagliptin attenuated tissue factor expression via the Akt/endothelial nitric oxide synthase pathway. In LPS-injected mice, linagliptin pretreatment significantly reduced thrombosis in the pulmonary microcirculation. These anti-inflammatory and anti-thrombotic effects were independent of blood glucose level. Together the present results suggest that linagliptin exerts protective effects against endothelial inflammation and microvascular thrombosis in a mouse model of sepsis.     

Source-detector calibration in three-dimensional Bayesian optical diffusion tomography

Optical diffusion tomography is a method for reconstructing three-dimensional optical properties from light that passes through a highly scattering medium. Computing reconstructions from such data requires the solution of a nonlinear inverse problem. The situation is further complicated by the fact that while reconstruction algorithms typically assume exact knowledge of the optical source and detector coupling coefficients, these coupling coefficients are generally not available in practical measurement systems. A new method for estimating these unknown coupling coefficients in the three-dimensional reconstruction process is described. The joint problem of coefficient estimation and three-dimensional reconstruction is formulated in a Bayesian framework, and the resulting estimates are computed by using a variation of iterative coordinate descent optimization that is adapted for this problem. Simulations show that this approach is an accurate and efficient method for simultaneous reconstruction of absorption and diffusion coefficients as well as the coupling coefficients. A simple experimental result validates the approach.     

Maternal and fetal plasma concentrations of endothelin, lipidhydroperoxides, glutathione peroxidase and fibronectin in relation to abnormal umbilical artery velocimetry

The topoisomerase II alpha (topo II alpha) enzyme is the target for several chemotherapeutic agents, including etoposide, teniposide, mitoxantrone, and doxorubicin (topo II poisons). The enzyme also is a marker of cell proliferation. Most cases of Hodgkin's disease (HD) are responsive to combination chemotherapy regimes that include topo II poisons such as doxorubicin. Immunoperoxidase methods for detection of the topo II alpha isoenzyme are now available for use in formalin-fixed, paraffin-embedded tissues, which may provide information about the proliferative capacity and possible sensitivity of tumors to drugs that target topo II. We used a specific antibody to analyze subsets of HD for topo II alpha staining patterns. Formalin-fixed blocks from 49 cases of HD, including 20 nodular sclerosis (NS), 14 mixed-cellularity (MC), and 15 lymphocyte-predominant (LP) subtypes, were analyzed by dual staining for topo II in combination with monoclonal antibodies against Reed-Sternberg (RS) cells consisting of CD15 for the NS and MC subtypes and CD20 for LP lymphocytic and histiocytic (L & H) cells. The number of morphologically appropriate cells coexpressing the RS or L & H marker and topo II alpha was quantitated. Positive nuclear staining for topo II alpha in RS or L & H cells was seen in 100% of cases, irrespective of subtype. Coexpression of CD15 and topo II alpha was seen in 58.4% of the RS cells or mononuclear variants in NSHD cases and 68.4% in MCHD cases. No significant difference in the percentage of neoplastic cells expressing topo II alpha was found between NS and MC subtypes. Cases of LPHD showed coexpression of CD20 and topo II alpha in 84.4% of the L & H cells, a significant increase over the level of tumor cell coexpression seen in NSHD and MCHD (P < .001). Only one case was found to have a low (< 25% of tumor cell coexpression) level of topo II alpha expression. Immunohistochemical detection of a high level of topo II alpha expression in HD, irrespective of subtype, suggests a molecular explanation for the excellent response of most HD to standard combination chemotherapy, which can include topo II poisons. The LP subtype has a higher expression of topo II alpha in the neoplastic cell population than do NS or MC subtypes, perhaps indicating increased sensitivity of these tumors to topo II poisons. It may be possible to identify subsets of HD that are more or less sensitive to conventional chemotherapeutic regimes, which would help in the selection of appropriate treatment.     

Clustered components analysis for functional MRI

A common method of increasing hemodynamic response (SNR) in functional magnetic resonance imaging (fMRI) is to average signal timecourses across voxels. This technique is potentially problematic because the hemodynamic response may vary across the brain. Such averaging may destroy significant features in the temporal evolution of the fMRI response that stem from either differences in vascular coupling to neural tissue or actual differences in the neural response between two averaged voxels. Two novel techniques are presented in this paper in order to aid in an improved SNR estimate of the hemodynamic response while preserving statistically significant voxel-wise differences. The first technique is signal subspace estimation for periodic stimulus paradigms that involves a simple thresholding method. This increases SNR via dimensionality reduction. The second technique that we call clustered components analysis is a novel amplitude-independent clustering method based upon an explicit statistical data model. It includes an unsupervised method for estimating the number of clusters. Our methods are applied to simulated data for verification and comparison to other techniques. A human experiment was also designed to stimulate different functional cortices. Our methods separated hemodynamic response signals into clusters that tended to be classified according to tissue characteristics.     

Remote sensing of phytoplankton functional types

The principal goal in early missions of satellite-borne visible spectral radiometry (ocean colour) was to create synoptic fields of phytoplankton biomass indexed as concentration of chlorophyll-a. In the context of climate change, a major application of the results has been in the modelling of primary production and the ocean carbon cycle. It is now recognised that a partition of the marine autotrophic pool into a suite of phytoplankton functional types, each type having a characteristic role in the biogeochemical cycle of the ocean, would increase our understanding of the role of phytoplankton in the global carbon cycle. At the same time, new methods have been emerging that use visible spectral radiometry to map some of the phytoplankton functional types. Here, we assess the state of the art, and suggest paths for future work.     

Psychiatric aspects of temporal arteritis: a case report and review of the literature

Temporal arteritis may present with atypical manifestations that can hamper its diagnosis. We report a case presenting with predominantly psychiatric symptoms including psychotic features and affective symptoms both on a background of cognitive impairment. Such clear-cut psychotic symptoms have not been described previously in the literature. Corticosteroid treatment was followed by full remission of psychotic and affective symptoms; treatment with antipsychotic medication was unnecessary. Temporal arteritis should be considered in the differential diagnosis of psychosis and affective disorder in the elderly. The erythrocyte sedimentation rate is a valuable parameter in the assessment of old-age psychiatry patients presenting both with functional and neurologic disorders.     

A generalized Gaussian image model for edge-preserving MAPestimation

The authors present a Markov random field model which allows realistic edge modeling while providing stable maximum a posterior (MAP) solutions. The model, referred to as a generalized Gaussian Markov random field (GGMRF), is named for its similarity to the generalized Gaussian distribution used in robust detection and estimation. The model satisfies several desirable analytical and computational properties for map estimation, including continuous dependence of the estimate on the data, invariance of the character of solutions to scaling of data, and a solution which lies at the unique global minimum of the a posteriori log-likelihood function. The GGMRF is demonstrated to be useful for image reconstruction in low-dosage transmission tomography.     

Cytokine filtration and adsorption during pre- and postdilution hemofiltration in four different membranes

The arterial wall reaction to phosphorylcholine-coated metal stents was examined in rabbits and pigs. Compared to non-coated stents, no significant difference was found by angiography and histology. We conclude that although phosphorylcholine-coating does not provoke arterial neointima formation or decrease luminal diameter compared to stainless steel stents, the coating does not seem to reduce restenosis.