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1.
Environ Int ; 178: 108065, 2023 08.
Article in English | MEDLINE | ID: mdl-37562341

ABSTRACT

The mobilisation of potentially harmful chemical constituents in wildfire ash can be a major consequence of wildfires, posing widespread societal risks. Knowledge of wildfire ash chemical composition is crucial to anticipate and mitigate these risks. Here we present a comprehensive dataset on the chemical characteristics of a wide range of wildfire ashes (42 types and a total of 148 samples) from wildfires across the globe and examine their potential societal and environmental implications. An extensive review of studies analysing chemical composition in ash was also performed to complement and compare our ash dataset. Most ashes in our dataset had an alkaline reaction (mean pH 8.8, ranging between 6 and 11.2). Important constituents of wildfire ash were organic carbon (mean: 204 g kg-1), calcium, aluminium, and iron (mean: 47.9, 17.9 and 17.1 g kg-1). Mean nitrogen and phosphorus ranged between 1 and 25 g kg-1, and between 0.2 and 9.9 g kg-1, respectively. The largest concentrations of metals of concern for human and ecosystem health were observed for manganese (mean: 1488 mg kg-1; three ecosystems > 1000 mg kg-1), zinc (mean: 181 mg kg-1; two ecosystems > 500 mg kg-1) and lead (mean: 66.9 mg kg-1; two ecosystems > 200 mg kg-1). Burn severity and sampling timing were key factors influencing ash chemical characteristics like pH, carbon and nitrogen concentrations. The highest readily dissolvable fractions (as a % of ash dry weight) in water were observed for sodium (18 %) and magnesium (11.4 %). Although concentrations of elements of concern were very close to, or exceeded international contamination standards in some ashes, the actual effect of ash will depend on factors like ash loads and the dilution into environmental matrices such as water, soil and sediment. Our approach can serve as an initial methodological standardisation of wildfire ash sampling and chemical analysis protocols.


Subject(s)
Wildfires , Humans , Ecosystem , Water/analysis , Magnesium/analysis , Carbon/analysis , Nitrogen , Socioeconomic Factors
2.
Mult Scler Relat Disord ; 49: 102743, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33486399

ABSTRACT

BACKGROUND: Reliably monitoring changes in fatigue is an ongoing concern. OBJECTIVE: Evaluate reliable change using the Modified Fatigue Impact Scale 5-item version (MFIS-5) in people with MS (PwMS). METHODS: The MFIS-5 was administered at three time points in 157 PwMS. Test-retest reliability and reliable change scores were calculated at the 0.70, 0.80, 0.90, and 0.95 confidence intervals. RESULTS: Difference scores of 3, 4, 5, and 6 represent statistically meaningful change at the 0.70, 0.80, 0.90, and 0.95 confidence intervals, respectively. CONCLUSION: Cut points derived from this study and prior work can help reliably assess changes in fatigue over time.


Subject(s)
Multiple Sclerosis , Fatigue/diagnosis , Humans , Reproducibility of Results
3.
Mol Ecol ; 23(22): 5480-95, 2014 11.
Article in English | MEDLINE | ID: mdl-25294029

ABSTRACT

Patterns of population structure and historical genetic demography of blacknose sharks in the western North Atlantic Ocean were assessed using variation in nuclear-encoded microsatellites and sequences of mitochondrial (mt)DNA. Significant heterogeneity and/or inferred barriers to gene flow, based on microsatellites and/or mtDNA, revealed the occurrence of five genetic populations localized to five geographic regions: the southeastern U.S Atlantic coast, the eastern Gulf of Mexico, the western Gulf of Mexico, Bay of Campeche in the southern Gulf of Mexico and the Bahamas. Pairwise estimates of genetic divergence between sharks in the Bahamas and those in all other localities were more than an order of magnitude higher than between pairwise comparisons involving the other localities. Demographic modelling indicated that sharks in all five regions diverged after the last glacial maximum and, except for the Bahamas, experienced post-glacial, population expansion. The patterns of genetic variation also suggest that the southern Gulf of Mexico may have served as a glacial refuge and source for the expansion. Results of the study demonstrate that barriers to gene flow and historical genetic demography contributed to contemporary patterns of population structure in a coastal migratory species living in an otherwise continuous marine habitat. The results also indicate that for many marine species, failure to properly characterize barriers in terms of levels of contemporary gene flow could in part be due to inferences based solely on equilibrium assumptions. This could lead to erroneous conclusions regarding levels of connectivity in species of conservation concern.


Subject(s)
Gene Flow , Genetics, Population , Sharks/genetics , Animal Migration , Animals , Atlantic Ocean , Bayes Theorem , Conservation of Natural Resources , DNA, Mitochondrial/genetics , Female , Genetic Variation , Genotype , Geography , Haplotypes , Male , Microsatellite Repeats , Molecular Sequence Data , Sequence Analysis, DNA
4.
Rev Sci Instrum ; 83(10): 10D505, 2012 Oct.
Article in English | MEDLINE | ID: mdl-23130789

ABSTRACT

An in-vessel calibration light source (ICLS) has been implemented for remote use during extended shutdown periods of the Joint European Torus (JET). The ICLS facilitated the in situ calibration of optical diagnostics, which previously were performed when the diagnostics were removed from JET. Since the ICLS is used to calibrate diagnostics over the entire, exact optical path as used when plasma discharge data are measured, the ICLS calibration implicitly accounts for any vignetting losses in the JET vessel viewports in addition to the vacuum window transmission. At least ten diagnostic systems have benefited from the ICLS during the extended ITER-like wall shutdown of 2009-2011. Examples of the use of the ICLS in JET are given.


Subject(s)
Light , Magnetic Phenomena , Physics/instrumentation , Calibration , Plasma Gases/chemistry
5.
Equine Vet J Suppl ; (41): 69-75, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22594030

ABSTRACT

REASON FOR PERFORMING STUDY: The repeatability of various echocardiographic measurements is unknown. OBJECTIVES: To determine the intraoperator, intraobserver and interoperator variability of echocardiographic measures in healthy foals. METHODS: Echocardiographic examinations were carried out on 6 healthy foals by 3 experienced echocardiographers. Intraoperator variability was determined by having a single echocardiographer obtain and measure images from 6 foals scanned on 3 consecutive days. Interoperator and intraobserver variability were determined by having 3 echocardiographers each obtain images from an additional 6 sedated foals. Within-day interoperator variability was determined by having each echocardiographer measure their own images. Intraobserver variability was determined by having a single echocardiographer measure images obtained by all 3 echocardiographers. The coefficient of variation (CV) and standard error were calculated for each measure. RESULTS: The variability for most measurements was either very low (CV < 5%) or low (CV = 5-15%). Measurements of right ventricular internal diameter (RVID) in systole and E-point to septal separation (EPSS) showed moderate (CV 15-25%) to high variability (CV > 25%) in all 3 categories. Measurements of the left ventricular ejection time (LVET) and velocity time integral from the right parasternal long axis view of right outflow tract in the fourth intercostal space showed moderate intraoperator variability. Measurements of the LVET, RVID in diastole and left atrial appendage (LAA) showed moderate interoperator variability and measurements of the RVID in diastole and acceleration time from the short axis view of the right outflow tract in the right third intercostal space showed moderate interobserver variability. CONCLUSION: The intraoperator, intraobserver and interoperatorvariabilities for most echocardiographic measurements in foals are low. POTENTIAL RELEVANCE: Most standard transthoracic echocardiographic measurements in foals have a low enough variability to warrant their use in serial clinical evaluations or experimental studies. Repeated measurements of RVID, EPSS, LVET and LAA should be interpreted with caution.


Subject(s)
Echocardiography/veterinary , Heart/anatomy & histology , Horses/anatomy & histology , Animals , Female , Male , Observer Variation , Reproducibility of Results
6.
Avian Pathol ; 40(2): 207-11, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21500041

ABSTRACT

Disseminated histoplasmosis caused by Histoplasma capsulatum, a zoonotic fungal organism, is an important disease in animals and humans, particularly those with compromised immune systems. Reports of disseminated histoplasmosis in an avian species are not available within the current literature. Candida albicans, another fungal agent with zoonotic importance, is a commensal of the avian digestive tract that is often associated with opportunistic infections particularly in young or immunocompromised birds. This report describes a case of concomitant histoplasmosis and candidiasis in an Eclectus parrot (Eclectus roratus) characterized by severe granulomatous glossitis, blepharitis and osteomyelitis with numerous intrahistiocytic and extracellular yeasts (H. capsulatum) as well as intralesional hyphae, pseudohyphae and conidia (C. albicans). To our knowledge, co-infection with H. capsulatum and C. albicans has not been reported in an avian species.


Subject(s)
Bird Diseases/microbiology , Candidiasis, Oral/veterinary , Histoplasmosis/veterinary , Parrots/microbiology , Animals , Bird Diseases/pathology , Blepharitis/microbiology , Blepharitis/pathology , Blepharitis/veterinary , Candida albicans/pathogenicity , Candidiasis, Oral/complications , Candidiasis, Oral/microbiology , Candidiasis, Oral/pathology , Euthanasia, Animal , Eyelids/microbiology , Eyelids/pathology , Fatal Outcome , Female , Glossitis/microbiology , Glossitis/pathology , Glossitis/veterinary , Histoplasma/pathogenicity , Histoplasmosis/complications , Histoplasmosis/microbiology , Histoplasmosis/pathology , Humans , Immunocompromised Host , Osteomyelitis/microbiology , Osteomyelitis/pathology , Osteomyelitis/veterinary , Tongue/microbiology , Tongue/pathology , Zoonoses/microbiology
7.
Curr Mol Med ; 10(1): 82-94, 2010 Feb.
Article in English | MEDLINE | ID: mdl-20205681

ABSTRACT

Cystic Fibrosis (CF) is an autosomal recessive disorder caused by mutations in the gene encoding the CF transmembrane conductance regulator (CFTR) that regulates epithelial surface fluid secretion in respiratory and gastrointestinal tracts. The deletion of phenylalanine at position 508 (DeltaF508) in CFTR is the most common mutation that results in a temperature sensitive folding defect, retention of the protein in the endoplasmic reticulum (ER), and subsequent degradation by the proteasome. ER associated degradation (ERAD) is a major quality control pathway of the cell. The majority (99%) of the protein folding, DeltaF508-, mutant of CFTR is known to be degraded by this pathway to cause CF. Recent studies have revealed that inhibition of DeltaF508-CFTR ubiquitination and proteasomal degradation can increase its cell surface expression and may provide an approach to treat CF. The finely tuned balance of ER membrane interactions determine the cytosolic fate of newly synthesized CFTR. These ER membrane interactions induce ubiquitination and proteasomal targeting of DeltaF508- over wild type- CFTR. We discuss here challenges and therapeutic strategies targeting protein processing of DeltaF508-CFTR with the goal of rescuing functional DeltaF508-CFTR to the cell surface. It is evident from recent studies that CFTR plays a critical role in inflammatory response in addition to its well-described ion transport function. Previous studies in CF have focused only on improving chloride efflux as a marker for promising treatment. We propose that methods quantifying the therapeutic efficacy and recovery from CF should not include only changes in chloride efflux, but also recovery of the chronic inflammatory signaling, as evidenced by positive changes in inflammatory markers (in vitro and ex vivo), lung function (pulmonary function tests, PFT), and chronic lung disease (state of the art molecular imaging, in vivo). This will provide novel therapeutics with greater opportunities of potentially attenuating the progression of the chronic CF lung disease.


Subject(s)
Cystic Fibrosis/genetics , Cystic Fibrosis/metabolism , Inflammation/etiology , Protein Processing, Post-Translational , Signal Transduction , Animals , Cystic Fibrosis/immunology , Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Humans , Inflammation/pathology
8.
Science ; 321(5893): 1197-200, 2008 Aug 29.
Article in English | MEDLINE | ID: mdl-18755974

ABSTRACT

Several studies have attempted to determine the lower limit of atmospheric oxygen under which combustion can occur; however, none have been conducted within a fully controlled and realistic atmospheric environment. We performed experimental burns (using pine wood, moss, matches, paper, and a candle) at 20 degrees C in O2 concentrations ranging from 9 to 21% and at ambient and high CO2 (2000 parts per million) in a controlled environment room, which was equipped with a thermal imaging system and full atmospheric, temperature, and humidity control. Our data reveal that the lower O2 limit for combustion should be increased from 12 to 15%. These results, coupled with a record of Mesozoic paleowildfires, are incompatible with the prediction of prolonged intervals of low atmospheric O2 levels (10 to 12%) in the Mesozoic.


Subject(s)
Atmosphere , Fires , Oxygen , Animals , Bryophyta , Extinction, Biological , Paper , Temperature , Time , Wood
10.
Proc Natl Acad Sci U S A ; 97(25): 13847-52, 2000 Dec 05.
Article in English | MEDLINE | ID: mdl-11087813

ABSTRACT

Bordetella pertussis, the causative agent of whooping cough, has many well-studied virulence factors and a characteristic clinical presentation. Despite this information, it is not clear how B. pertussis interaction with host cells leads to disease. In this study, we examined the interaction of B. pertussis with a human bronchial epithelial cell line (BEAS-2B) and measured host transcriptional profiles by using high-density DNA microarrays. The early transcriptional response to this pathogen is dominated by altered expression of cytokines, DNA-binding proteins, and NFkappaB-regulated genes. This previously unrecognized response to B. pertussis was modified in similar but nonidentical fashions by the antiinflammatory agents dexamethasone and sodium salicylate. Cytokine protein expression was confirmed, as was neutrophil chemoattraction. We show that B. pertussis induces mucin gene transcription by BEAS-2B cells then counters this defense by using mucin as a binding substrate. A set of genes is described for which the catalytic activity of pertussis toxin is both necessary and sufficient to regulate transcription. Host genomic transcriptional profiling, in combination with functional assays to evaluate subsequent biological events, provides insight into the complex interaction of host and pathogen.


Subject(s)
Bordetella pertussis/physiology , Respiratory System/microbiology , Transcription, Genetic , Bordetella pertussis/pathogenicity , Cell Line , Chemokines/biosynthesis , Epithelial Cells/metabolism , Epithelial Cells/microbiology , Humans , Mucins/metabolism , NF-kappa B/metabolism , Oligonucleotide Array Sequence Analysis , Pertussis Toxin , Poly(ADP-ribose) Polymerases/metabolism , Respiratory System/metabolism , Virulence Factors, Bordetella/metabolism , Whooping Cough/pathology
11.
Ann Rheum Dis ; 58(7): 441-5, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10381489

ABSTRACT

OBJECTIVES: To determine concentrations of chondroitin sulphate (CS) disaccharides in knee synovial fluid (SF) from normal subjects and patients with osteoarthritis (OA) or rheumatoid arthritis (RA), to test whether these variables differ between different diseases and subsets of OA. METHODS: OA was subdivided into large joint OA (LJOA), nodal generalised OA (NGOA), and OA with calcium pyrophosphate crystal deposition (CPA), with 25, 9, and 11 people in each subset respectively. The SF of 13 normal subjects was also volunteered for analysis along with 15 RA patients. Clinical assessment of inflammation (0-6) was undertaken on OA and RA knees. Concentrations of unsaturated CS disaccharides Deltadi6S and Deltadi4S were measured by capillary zone electrophoresis. RESULTS: Concentrations of Deltadi6S were lower in RA (5.90 ng/ml) and OA (13.24 ng/ml) fluids compared with normal (21.0 ng/ml) but no significant differences were seen between disease and normal fluids for Deltadi4S (about 4-6 ng/ml). The ratio of Deltadi6S:Deltadi4S were RA

Subject(s)
Chondroitin Sulfates/chemistry , Disaccharides/analysis , Osteoarthritis/metabolism , Synovial Fluid/chemistry , Adult , Aged , Aged, 80 and over , Case-Control Studies , Chondroitin/metabolism , Chondroitin Sulfates/metabolism , Disaccharides/metabolism , Electrophoresis, Capillary , Female , Humans , Knee Joint , Male , Middle Aged , Synovial Fluid/metabolism
12.
J Virol Methods ; 74(1): 21-9, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9763125

ABSTRACT

The development of a nested polymerase chain reaction (PCR) assay is described to detect low concentrations of monodon baculovirus (MBV) DNA from total Penaeus monodon postlarval DNA. A modified DNA extraction procedure was also developed to circumvent problems associated with co-purification of PCR inhibitors in total DNA extracted from whole postlarvae. This method involved mechanical disruption of frozen prawn material immediately followed by phenol extraction at high temperature. An assessment of the sensitivity of the assay demonstrated detection down to eight viral genome equivalents. The PCR was shown to be specific for MBV DNA by not amplifying prawn DNA or DNA preparations of Baculovirus penaei (BP), white spot baculovirus (WSBV), bennettae baculovirus and insect Autographica californica nuclear polyhedrosis virus (NPV). A colourimetric method of PCR product detection was used to simplify final analysis.


Subject(s)
Baculoviridae/isolation & purification , Penaeidae/virology , Polymerase Chain Reaction/methods , Animals , Baculoviridae/genetics , Base Sequence , Colorimetry , DNA Primers , DNA, Viral/analysis , Larva , Molecular Sequence Data , Sensitivity and Specificity
13.
Ann Rheum Dis ; 56(5): 299-307, 1997 May.
Article in English | MEDLINE | ID: mdl-9175930

ABSTRACT

OBJECTIVES: To determine concentrations of chondroitin sulphate (CS) and keratan sulphate (KS) epitopes, glycosaminoglycans (GAGs) and hyaluronan (HA) in knee synovial fluid (SF) from normal subjects and patients with osteoarthritis (OA) or rheumatoid arthritis (RA), to test whether these variables may be used as markers of the OA process. METHODS: OA was subdivided into large joint OA (LJOA), nodal generalised OA (NGOA), and OA with calcium pyrophosphate crystal deposition (CPA). Clinical assessment of inflammation (0-6) was undertaken on OA and RA knees. Knee SF was examined by enzyme linked immunosorbent assay for: CS epitopes, using monoclonal antibodies 3-B-3 and 7-D-4; KS epitope using monoclonal antibody 5-D-4; and HA, using biotinylated HA binding region of cartilage proteoglycan. Total sulphated GAGs were measured by dye binding with 1:9 dimethylmethylene blue. RESULTS: Increased SF 3-B-3 concentrations and 3-B-3/GAG ratio were found in OA, compared with RA or normal knees, with higher 3-B-3 and 3-B-3/GAG in LJOA and NGOA than in CPA. SF 7-D-4 and 7-D-4/GAG were reduced in RA, compared with normal and OA; SF 5-D-4 was reduced in OA compared with normal. GAG and HA concentrations were decreased in both OA and RA. No correlations with radiographic scores were observed, but SF 7-D-4 was lower in 'inflamed' compared with 'non-inflamed' RA and OA knees. In patients with bilateral samples there were strong correlations between right and left knees for all SF variables. CONCLUSIONS: Changed concentrations of SF CS and KS can be detected in OA with a profile that differs from that seen in RA. Clinical subgrouping and local joint inflammation may influence these measures, supporting different pathogenesis within OA subgroups and requirement for careful patient characterisation in SF studies.


Subject(s)
Glycosaminoglycans/analysis , Knee Joint , Osteoarthritis/metabolism , Synovial Fluid/chemistry , Adult , Aged , Arthritis, Rheumatoid/metabolism , Biomarkers/analysis , Chondroitin Sulfates/analysis , Chondroitin Sulfates/immunology , Enzyme-Linked Immunosorbent Assay , Epitopes/analysis , Female , Humans , Hyaluronic Acid/analysis , Keratan Sulfate/analysis , Keratan Sulfate/immunology , Male , Middle Aged
14.
Ann Rheum Dis ; 56(2): 119-22, 1997 Feb.
Article in English | MEDLINE | ID: mdl-9068285

ABSTRACT

OBJECTIVE: To determine if a single time point estimation of chondroitin sulphate (CS) or keratan sulphate (KS) epitopes, hyaluronan (HA), or total glycosaminoglycans (GAG) in knee synovial fluid at time of hospital referral can predict subsequent radiographic progression of knee osteoarthritis. METHODS: Two groups of hospital referred patients with knee osteoarthritis were compared: (1) a "progressive" group (n = 45), showing further reduction in radiographic joint space of at least one grade (0-3) in at least one compartment; and (2) a "non-progressive" group (n = 25) in whom radiographs showed no change during the mean follow up period of 2.3 years (median 2, range 1 to 5 years). Knee synovial fluid obtained at the first visit was examined by ELISA for: CS epitopes, using monoclonal antibodies 3B3 and 7D4; KS epitope, using monoclonal antibody 5D4; and HA, using biotinylated HA binding region of cartilage proteoglycan. Total sulphated GAG were measured by dye binding with 1:9 dimethylmethylene blue. RESULTS: In patients with bilateral synovial fluid data right and left knee values were closely correlated for all variables. There were no significant differences between CS and KS epitopes, HA, total sulphated GAG, or ratios of individual CS or KS epitopes to total GAG, between progressive and non-progressive groups. CONCLUSIONS: Single time point estimation of CS, KS, HA, or total GAG in synovial fluid does not distinguish radiographically progressive and non-progressive knee osteoarthritis patients followed for two years.


Subject(s)
Biomarkers/analysis , Knee Joint/chemistry , Osteoarthritis , Synovial Fluid/chemistry , Aged , Aged, 80 and over , Chondroitin Sulfates/analysis , Chondroitin Sulfates/immunology , Disease Progression , Epitopes/analysis , Female , Follow-Up Studies , Glycosaminoglycans/analysis , Humans , Hyaluronic Acid/analysis , Keratan Sulfate/analysis , Keratan Sulfate/immunology , Male , Middle Aged , Osteoarthritis/pathology
15.
Appl Environ Microbiol ; 63(1): 254-62, 1997 Jan.
Article in English | MEDLINE | ID: mdl-8979353

ABSTRACT

Bacteria phenotypically resembling members of the phylogenetically distinct planctomycete group of the domain Bacteria were isolated from postlarvae of the giant tiger prawn, Penaeus monodon. A selective medium designed in the light of planctomycete antibiotic resistance characteristics was used for this isolation. Planctomycetes were isolated from both healthy and monodon baculovirus-infected prawn postlarvae. The predominant colony type recovered from postlarvae regardless of viral infection status was nonpigmented. Other, less commonly observed types were pink or orange pigmented. A planctomycete-specific 16S rRNA-directed probe was designed and used to screen the isolates for their identity as planctomycetes prior to molecular phylogenetic characterization. 16S rRNA genes from nine prawn isolates together with two planctomycete reference strains (Planctomyces brasiliensis and Gemmata obscuriglobus) were sequenced and compared with reference sequences from the planctomycetes and other members of the domain Bacteria. Phylogenetic analyses and sequence signatures of the 16S rRNA genes demonstrated that the prawn isolates were members of the planctomycete group. Five representatives of the predominant nonpigmented colony type were members of the Pirellula group within the planctomycetes, as were three pink-pigmented colony type representatives. Homology values and tree topology indicated that representatives of the nonpigmented and pink-pigmented colony types formed two discrete clusters within the Pirellula group, not identical to any known Pirellula species. A sole representative of the orange colony type was a member of the Planctomyces group, virtually identical in 16S rDNA sequence to P. brasiliensis, and exhibited distinctive morphology.


Subject(s)
Bacteria/isolation & purification , Penaeidae/microbiology , Animals , Bacteria/classification , Bacteria/genetics , Base Sequence , DNA Primers/genetics , Microscopy, Electron , Molecular Sequence Data , Penaeidae/growth & development , Phenotype , Phylogeny , Pigmentation , RNA, Bacterial/genetics , RNA, Ribosomal, 16S/genetics
16.
Ann Rheum Dis ; 55(7): 432-6, 1996 Jul.
Article in English | MEDLINE | ID: mdl-8774160

ABSTRACT

OBJECTIVE: To test the hypothesis that high concentrations of extracellular inorganic pyrophosphate (PPi), which associate with increased cell synthesis and turnover in cartilage, may act as a marker for structural outcome in knee osteoarthritis (OA). METHOD: One hundred and thirty five consecutive patients referred to hospital with knee OA (59 men, 76 women; mean age 71 years, range 41-88) were followed prospectively for a median of 2.5 years (interquartile range 1.75-3.0). Synovial fluid (SF) aspirated at presentation (202 OA knees: 68 bilateral, 66 unilateral) was assessed for PPi content by radiometric assay. Knee radiographs at presentation and at final review were assessed for change in global (Kellgren) and individual features (narrowing, osteophyte, sclerosis, cyst, attrition) of OA. RESULTS: The median SF PPi level was 10.5 mumol (range 0.07-72.4). At baseline, high PPi was significantly associated with presence of calcium pyrophosphate crystals, chondrocalcinosis, and bone attrition. Radiographic change was observed in 164 knees. High PPi levels were negatively associated with change in Kellgren and Lawrence grade, further narrowing, and increase in osteophyte, but positively associated with development of attrition. In the 68 patients from whom bilateral data were obtained, there was correlation between right and left knees for PPi levels, all baseline radiographic scores, and changes in radiographic features. Multiple logistic regression analysis for PPi as a continuous variable (age, gender, and patient number included in model) showed a negative correlation with change in global Kellgren and Lawrence grade (odds ratio (OR) 0.97, 95% confidence interval (CI) 0.95 to 0.99) and a positive correlation with attrition (OR 1.04, 95% CI 1.02 to 1.07). CONCLUSION: High SF levels of PPi are associated with favourable radiographic outcome in terms of progressive change in Kellgren grade. Such elevated PPi levels, however, may inhibit new bone formation and remodelling in knee OA.


Subject(s)
Diphosphates/metabolism , Knee Joint/metabolism , Osteoarthritis/metabolism , Synovial Fluid/metabolism , Adult , Aged , Aged, 80 and over , Biomarkers , Cross-Sectional Studies , Female , Follow-Up Studies , Humans , Male , Middle Aged , Osteoarthritis/diagnostic imaging , Prognosis , Prospective Studies , Radiography , Sensitivity and Specificity
17.
Ann Rheum Dis ; 55(4): 230-6, 1996 Apr.
Article in English | MEDLINE | ID: mdl-8733439

ABSTRACT

OBJECTIVES: To establish baseline concentrations of plasminogen activators and their inhibitors in normal knee synovial fluids, and to compare them with well characterised osteoarthritis (OA) and rheumatoid arthritis (RA) knee fluids. METHODS: A total of 26 normal subjects, 71 patients with OA, and 17 patients with RA underwent knee aspiration. Patients with OA were subclassified according to presence of nodal generalised OA (NGOA) and synovial fluid calcium pyrophosphate crystals. Clinical assessment of inflammation (graded 0-6) was undertaken in OA and RA patients. Plasminogen activator (PA), plasminogen activator inhibitor (PAI), and urokinase-type PA receptor (uPAR) antigen concentrations were determined by enzyme linked immunosorbent assay. The species of PAs present were determined by sodium dodecyl sulphate-polyacrylamide gel electrophoresis. RESULTS: Concentrations of all antigens (uPA, tissue-type PA (tPA), uPAR, and PAI-1), were significantly greater in RA than OA; those in OA were significantly greater than normal. The concentrations showed no direct association with clinically assessed inflammation of the knee. In normal fluids, no associations with age were observed. Antigen concentrations (uPA, tPA, and uPAR) in NGOA differed from those in other subclasses of OA, but the species of PA present did not appear to vary between disease groups. The predominant PA appeared to have identity with uPA. CONCLUSION: Because of the greater concentrations of these antigens in OA compared with normal fluids, OA cannot be used as a surrogate normal control in studies of the PA/PAI system. Alteration of the PA/PAI system was confirmed in RA and OA knee fluids, with greater changes evident in RA. The finding of different concentrations of PA antigens in NGOA compared with other OA fluids further supports a different pathogenic mechanism in this subset.


Subject(s)
Arthritis, Rheumatoid , Osteoarthritis , Plasminogen Activators/analysis , Plasminogen Inactivators/analysis , Synovial Fluid/chemistry , Adult , Age Factors , Aged , Aged, 80 and over , Arthritis, Rheumatoid/enzymology , Electrophoresis, Polyacrylamide Gel , Female , Humans , Knee Joint/chemistry , Male , Middle Aged , Osteoarthritis/enzymology , Reference Values , Synovial Fluid/enzymology
19.
J Heart Lung Transplant ; 13(2): 282-91, 1994.
Article in English | MEDLINE | ID: mdl-8031813

ABSTRACT

Between August 1982 and December 1992, 260 patients were accepted for heart and lung transplantation, of whom 139 patients underwent transplant surgery. One hundred twenty-one patients have not received transplants, of whom 80 have died, four were transferred to other lists, and 37 were still waiting for suitable organs at the close of the study. Median waiting time for those patients who underwent heart and lung transplantation was 7 months, whereas patients who died waiting spent a median of 5 months on the list. Recipients are matched to donor organs according to blood type, size (total lung capacity), and cytomegalovirus antibody status. These factors, along with age, gender, underlying diagnosis, and Toxoplasma antibody status, were studied to assess their influence on survival after acceptance and time to transplantation. The only characteristic that significantly influenced survival after acceptance was the underlying disease, with patients with Eisenmenger's syndrome having significantly longer survival than the other groups (relative risk = 0.21; p < 0.001). Patients with Eisenmenger's syndrome underwent transplantation at a slower rate than did other patients (relative risk = 0.51; p = 0.012). Patients who had a total lung capacity of more than 6 L underwent transplantation significantly more quickly than did smaller patients (relative risk = 1.98; p = 0.005). Male patients underwent heart and lung transplantation at a quicker rate than did female patients (relative risk = 1.86; p < 0.001), although this was related to size. Patients who had cytomegalovirus-positive antibodies underwent transplantation at almost twice the rate of patients who had cytomegalovirus-negative antibodies (relative risk = 1.92; p < 0.001). Age at acceptance, blood type, and Toxoplasma status did not significantly influence time to heart and lung transplantation. In summary, cytomegalovirus antibody status, patient size, and gender significantly affect the waiting time to heart and lung transplantation. Patients with Eisenmenger's syndrome wait longer than other patients as a result of the natural history of their disease.


Subject(s)
Heart Failure/surgery , Heart-Lung Transplantation/mortality , Lung Transplantation/mortality , Respiratory Insufficiency/surgery , Tissue and Organ Procurement/statistics & numerical data , Waiting Lists , Adolescent , Adult , Antibodies, Viral/analysis , Child , Child, Preschool , Cytomegalovirus/immunology , Female , Follow-Up Studies , Heart Failure/mortality , Histocompatibility Testing , Humans , Infant , Male , Middle Aged , Postoperative Complications/mortality , Respiratory Insufficiency/mortality , Risk Factors , Survival Analysis
20.
J Glaucoma ; 2(2): 114-8, 1993.
Article in English | MEDLINE | ID: mdl-19920498
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