Mindfulness-Based Interventions in Recurrent Ovarian Cancer: A Mixed-Methods Feasibility Study.

A recurrence of cancer is a traumatic and stressful experience, and a number of approaches have been proposed to manage or treat the associated psychological distress. Meditative techniques such as mindfulness may be able to improve an individual's ability to cope with stressful life events such as cancer diagnosis or treatment. This single-arm mixed-methods study primarily aimed to determine the feasibility of using a mindfulness-based intervention in managing psychosocial distress in recurrent ovarian cancer. Twenty-eight participants took part in a mindfulness-based program, involving six group sessions, each lasting 1.5 hours and delivered at weekly intervals. The study found that the mindfulness-based intervention was acceptable to women with recurrent ovarian cancer and feasible to deliver within a standard cancer care pathway in a UK hospital setting. The results suggested a positive impact on symptoms of depression and anxiety, but further study is needed to explore the effectiveness of the intervention.

The localisation of the heparin binding sites of human and murine interleukin-12 within the carboxyterminal domain of the P40 subunit.

We have previously shown that the heterodimeric cytokine interleukin-12, and the homodimer of its larger subunit p40, both bind to heparin and heparan sulfate with relatively high affinity. In the present study we characterised these interactions using a series of chemically modified heparins as competitive inhibitors. Human interleukin-12 and p40 homodimer show indistinguishable binding profiles with a panel of heparin derivatives, but that of murine interleukin-12 is distinct. Heparin markedly protects the human and murine p40 subunits, but not the p35 subunits, from cleavage by the bacterial endoprotease LysC, further implicating the larger subunit as the location of the heparin binding site. Moreover the essential role of the carboxyterminal D3 domain in heparin binding is established by the failure of a truncated construct of the p40 subunit lacking this domain to bind. Predictive docking calculations indicate that a cluster of basic residues at the tip of the exposed C'D' loop within D3 is important in heparin binding. However since the human and murine C'D' loops differ considerably in length, the mode and three dimensional orientation of heparin binding are likely to differ substantially between the human and murine p40s. Thus overall the binding of IL-12 via its p40 subunit to heparin-related polysaccharides of the extracellular matrix appears to be functionally important since it has been conserved across mammalian species despite this structural divergence.

In vivo release of lectins from the green alga Ulva fasciata.

The green alga Ulva fasciata Delile (Ulvaceae), after thawing from storage at -20 degrees C, has been used to study the in vivo biosynthesis and release of lectins. The alga was made to resume viable growth by immersion in a PBS buffer, pH 7.4, containing 0.01% w/v sodium azide and irradiating with a halophosphate lamp. The growing alga readily took up 14C leucine, when this was added to the buffer, as seen by a decrease in a sample count rate of approximately 8000 cpm over a period of twenty minutes. The transfer of the radioactivity fed algae into fresh PBS buffer resulted in 14C labeled proteins being subsequently released into solution. As well as observing changes in levels of radioactivity, the release of proteins was also monitored by UV absorption at 280 nm. Both techniques indicated an initial steady release over the first twelve hours, followed by a slower approach to a plateau value. Transfer of the algae that had undergone an initial period of protein release into a subsequent second and third volume of fresh PBS buffer produced similar UV absorption profiles, but the total quantities of material released were reduced. Identification of the released proteins was obtained from their ability to agglutinate red blood cells, which was inhibited by L-fucose, and their electrophoretic mobilities when compared with earlier isolated samples of the U. fasciata lectin. The reference lectin was obtained by affinity chromatography, following the selective precipitation of the water soluble algal proteins with ammonium sulfate. We postulate that the observed release profiles support the previously suggested concept that lectins have the ability to function as protection agents for living marine algae.

A role for chondroitin sulphate B in the activity of interleukin 12 in stimulating gamma-interferon secretion.

We show, using a murine NK cell line which responds quantitatively to rmIL-12, that treatment with ChABCase, but not other GAGases, results in substantial reductions in the secretion of gamma-IFN. Likewise, treatment of the cells with a beta-D-xyloside inhibitor of proteoglycan biosynthesis inhibits this cytokine response. In both treatments, the addition of soluble, exogenous GAGs does not relieve the inhibition of gamma-IFN secretion. We also demonstrate by ELISA that rmIL-12 binds to CS B. Overall, our studies on this in vitro cellular model of the initiation of Th1 immune responses indicate a major role for cell-surface, iduronate-rich, CS proteoglycan in the biological activity of IL-12.