A qualitative analysis of Black men's attitudes toward obesity and bariatric surgery.

BACKGROUND: Metabolic and bariatric surgery (MBS) is a safe and highly effective treatment for morbid obesity and related co-morbidities. While MBS access and insurance coverage have greatly improved, sex and racial disparities remain in utilization of MBS. OBJECTIVE: To identify novel intrinsic factors that may explain Black underutilization of surgical treatments for weight management. SETTING: This study was conducted in metropolitan communities of Western New York. METHODS: We conducted semistructured face-to-face interviews with 27 adult Black men with a history of obesity and at least 2 obesity-related conditions (diabetes, hypertension, and/or chronic kidney disease [CKD]), about their attitudes, beliefs, behaviors, and habits related to obesity and obesity management. Interview transcripts were reviewed using thematic analysis for patterns and themes. RESULTS: Most participants did not perceive obesity as a serious health condition and those who had weight-loss goals did not aim for a healthy body mass index (BMI). Trust and respectful communication with physician were very important in making healthcare decisions. MBS was perceived as extreme and dangerous option for weight loss, and only participants with severe symptoms such as chronic pain were open to discussing MBS with their providers. Participants acknowledged lack of role models of similar background who had successfully undergone MBS for obesity. CONCLUSIONS: This study identified misinformation about risks and benefits of MBS and lack of community role models as important factors contributing to Black men's unwillingness to consider MBS. Further research is needed to facilitate patient-provider communication about weight and improve provider's ability and motivation for weight management in primary care settings.

Secondary Degeneration of Oligodendrocyte Precursor Cells Occurs as Early as 24 h after Optic Nerve Injury in Rats.

Optic nerve injury causes secondary degeneration, a sequela that spreads damage from the primary injury to adjacent tissue, through mechanisms such as oxidative stress, apoptosis, and blood-brain barrier (BBB) dysfunction. Oligodendrocyte precursor cells (OPCs), a key component of the BBB and oligodendrogenesis, are vulnerable to oxidative deoxyribonucleic acid (DNA) damage by 3 days post-injury. However, it is unclear whether oxidative damage in OPCs occurs earlier at 1 day post-injury, or whether a critical 'window-of-opportunity' exists for therapeutic intervention. Here, a partial optic nerve transection rat model of secondary degeneration was used with immunohistochemistry to assess BBB dysfunction, oxidative stress, and proliferation in OPCs vulnerable to secondary degeneration. At 1 day post-injury, BBB breach and oxidative DNA damage were observed, alongside increased density of DNA-damaged proliferating cells. DNA-damaged cells underwent apoptosis (cleaved caspase3+), and apoptosis was associated with BBB breach. OPCs experienced DNA damage and apoptosis and were the major proliferating cell type with DNA damage. However, the majority of caspase3+ cells were not OPCs. These results provide novel insights into acute secondary degeneration mechanisms in the optic nerve, highlighting the need to consider early oxidative damage to OPCs in therapeutic efforts to limit degeneration following optic nerve injury.

Cuprizone feed formulation influences the extent of demyelinating disease pathology.

Cuprizone is a copper-chelating agent that induces pathology similar to that within some multiple sclerosis (MS) lesions. The reliability and reproducibility of cuprizone for inducing demyelinating disease pathology depends on the animals ingesting consistent doses of cuprizone. Cuprizone-containing pelleted feed is a convenient way of delivering cuprizone, but the efficacy of these pellets at inducing demyelination has been questioned. This study compared the degree of demyelinating disease pathology between mice fed cuprizone delivered in pellets to mice fed a powdered cuprizone formulation at an early 3 week demyelinating timepoint. Within rostral corpus callosum, cuprizone pellets were more effective than cuprizone powder at increasing astrogliosis, microglial activation, DNA damage, and decreasing the density of mature oligodendrocytes. However, cuprizone powder demonstrated greater protein nitration relative to controls. Furthermore, mice fed control powder had significantly fewer mature oligodendrocytes than those fed control pellets. In caudal corpus callosum, cuprizone pellets performed better than cuprizone powder relative to controls at increasing astrogliosis, microglial activation, protein nitration, DNA damage, tissue swelling, and reducing the density of mature oligodendrocytes. Importantly, only cuprizone pellets induced detectable demyelination compared to controls. The two feeds had similar effects on oligodendrocyte precursor cell (OPC) dynamics. Taken together, these data suggest that demyelinating disease pathology is modelled more effectively with cuprizone pellets than powder at 3 weeks. Combined with the added convenience, cuprizone pellets are a suitable choice for inducing early demyelinating disease pathology.

Damage Mechanisms to Oligodendrocytes and White Matter in Central Nervous System Injury: The Australian Context.

Traumatic brain injury (TBI) and spinal cord injury (SCI) present a significant contribution to the global disease burden. White matter tracts are susceptible to both the physical forces of trauma and cascades of pathological secondary degeneration. Oligodendrocytes, the myelinating cells of the central nervous system (CNS), and their precursors are particularly vulnerable cell populations and their disruption results in a loss of white matter, dysmyelination, and poor myelin repair. White matter aberrations in TBI and SCI can be visualized in vivo using a number of magnetic resonance imaging (MRI)-based modalities. Recent advances in diffusion MRI allow researchers to investigate subtle abnormalities in white matter microstructure and connectivity, resting state networks, and metabolic perturbations associated with injury. Damage to oligodendroglia underlies white matter aberrations and occurs as a result of glutamate excitotoxicity, intracellular calcium ion (Ca2+) overload, and oxidative damage to lipids, proteins, and DNA. Structural changes to myelin include myelin decompaction, loosening of myelin lamellae, and disruption to the node of Ranvier complex. Neuronal and functional loss accompany dysmyelination together with an increase in astro- and microgliosis. Remyelination is often partial, and more work is needed to understand deficits in remyelination post-injury to develop strategies to both protect and repair myelin and thereby preserve function. This review covers disruptions to oligodendrocyte function and white matter tract structure in the context of TBI and SCI, with an emphasis on Australian contributions in recognition of the International Neurotrauma Symposium held in Melbourne, Australia in 2020.

Swell and Destroy: A Metal-Organic Framework-Containing Polymer Sponge That Immobilizes and Catalytically Degrades Nerve Agents.

Organophosphorus chemical warfare agents function as potent neurotoxins. Whilst the destruction of nerve agents is most readily achieved by hydrolysis, their storage and transport are hazardous and lethal in milligram doses, with any spillage resulting in fatalities. Furthermore, current decontamination and remediation measures are limited by a need for stoichiometric reagents, solvents, and buffered solutions, complicating the process for the treatment of bulk contaminants. Herein, we report a composite polymer material capable of rendering bulk VX unusable by immobilization within a porous polymer until a metal-organic framework (MOF) catalyst fully hydrolyzes the neurotoxin. This is an all-in-one capability that minimizes the use of multiple reagents, facilitated by a porous high internal phase emulsion-based polystyrene monolith housing an active zirconia MOF catalyst (MOF-808); the porous polymer absorbs and immobilizes the liquid agents, while the MOF enables hydrolysis. The dichotomous hierarchy of porous materials facilitates the containment and rapid hydrolysis of VX (>80% degradation in 8 h) in the presence of excess H2O. This composite can further enable the hydrolysis of neat VX with reliance on ambient humidity (>95% in 11 days). Potentially, 4.5 kg of the composite can absorb, immobilize, and degrade the contents of a standard chemical drum/barrel (208 L, 55 gal) of the chemical warfare agent (CWA). We believe that this composite is the first example of what will be the go-to approach for CWA immobilization and degradation in the future. Furthermore, we believe that this demonstration of a catalytically reusable absorbent sponge provides a signpost for the development of similar materials where immobilization of a substrate in a catalytically active environment is desirable.

Poly High Internal Phase Emulsion for the Immobilization of Chemical Warfare Agents.

We report a facile method for the absorption (characterized by the weight/weight swelling degree, Q) of a variety of chemical warfare agents (CWAs); including sulfur mustard (HD) (Q = 40) and V-series (VM, VX, i-Bu-VX, n-Bu-VX) of nerve agents (Q ≥ 45) and a simulant, methyl benzoate (Q = 55), through the use of a poly(styrene-co-vinyl benzyl chloride-co-divinylbenzene) lightly cross-linked poly high internal phase emulsion (polyHIPE). By varying the vinyl benzyl chloride (VBC) content and the volume of the internal phase of the precursor emulsion it is demonstrated that absorption is facilitated both by the swelling of the polymer and the uptake of liquid in the pores. In particular the sample prepared from a 95% internal emulsion water content showed rapid swelling (<5 min to total absorption) and the ability to swell both from a monolithic state and from a compressed state, making these systems ideal practical candidates for the rapid immobilization of CWAs.

Fish kairomones induce spine elongation and reduce predation in marine crab larvae.

Specialized defense strategies are induced in zooplankton upon detection of predator chemical cues or kairomones. These defenses are well-described for freshwater zooplankters, with morphological defenses being particularly striking, but few studies have reported kairomone-induced morphological defenses in marine zooplankton. Here, we compare morphological responses to kairomones in the larvae of two marine crab species, estuarine mud crabs (Rhithropanopeus harrisii) and Asian shore crabs (Hemigrapsus sanguineus). When reared in the presence of fish kairomones, spine length increased by 2-3% in larval R. harrisii, while no morphological changes were identified in H. sanguineus. In subsequent feeding assays with a co-occurring fish predator (Atlantic silversides, Menidia menidia), consumption of R. harrisii was lower on larvae that had been reared with kairomones. In addition, we found that broods with smaller larvae are more likely to exhibit increases in spine length after kairomone exposure. Hence, the observed morphological response is likely influenced by larval size.