Beyond TGFß--novel ways to target airway and parenchymal fibrosis.

Within the lungs, fibrosis can affect both the parenchyma and the airways. Fibrosis is a hallmark pathological change in the parenchyma in patients with idiopathic pulmonary fibrosis (IPF), whilst in asthma or chronic obstructive pulmonary disease (COPD) fibrosis is a component of the remodelling of the airways. In the past decade, significant advances have been made in understanding the disease behaviour and pathogenesis of parenchymal and airway fibrosis and as a result a variety of novel therapeutic targets for slowing or preventing progression of these fibrotic changes have been identified. This review highlights a number of these targets and discusses the potential for treating parenchymal or airway fibrosis through these mediators/pathways in the future.

Interactive navigation of segmented MR angiograms using simultaneous curved planar and volume visualizations.

PURPOSE: Interactive visualization is required to inspect and monitor the automatic segmentation of vessels derived from contrast-enhanced magnetic resonance angiography (CE-MRA). A dual-view visualization scheme consisting of curved planar reformation (CPR) and direct volume rendering (DVR) was developed for this purpose and tested. METHODS: A dual view visualization scheme was developed using the vessel pathline for both camera position and rotation in 3D, greatly reducing the degrees of freedom (DOF) required for navigation. Pathline-based navigation facilitates coupling of the CPR and DVR views, as local position and orientation can be matched precisely. The new technique was compared to traditional techniques in a user study. Layperson users were required to perform a visual search task that involves checking for (minor) errors in segmentations of MRA data from a software phantom. The task requires the user to examine both views. RESULTS: Pathline-based navigation and coupling of CPR and DVR provide user speed performance improvements in a vessel inspection task. Interactive MRA visualization with this method, where rotational degrees of freedom were reduced, had no negative effect. CONCLUSIONS: The DOF reduction achieved by the new navigation technique is beneficial to user performance. The technique is promising and merits comprehensive evaluation in a realistic clinical setting.

Psychosexual functioning of childhood cancer survivors.

PURPOSE: The objective of the study is to explore psychosexual functioning and its relationship with quality of life in survivors of cancer in childhood. METHODS: Sixty childhood cancer survivors completed two questionnaires: psychosexual and social functioning questionnaire and MOS-SF-36. RESULTS: Psychosexual problems were frequent. About 20% of the survivors felt a limitation in their sexual life due to their illness. Older survivors (> or =25 years) had significantly less experience with sexual intercourse than their age-matched peers in the Dutch population (p = 0.010). Survivors treated in adolescence had a delay in achieving psychosexual milestones compared with those treated in childhood: dating (p<0.025), touching under clothes (p<0.025), masturbation (female) (p<0.05) and sexual intercourse (p<0.025). No differences were found for sexual fantasies, kissing, masturbation (male) and oral sex. The total survivor group appraised their quality of life as less positive than their Dutch peers for the subscales of general and mental health (both p<0.001), physical and social functioning (p<0.01; p<0.001), bodily pain and vitality (both p<0.001). However, quality of life was not more affected adversely in survivors with psychosexual problems compared with survivors without these problems. CONCLUSION: In this cohort of childhood cancer survivors, psychosexual problems were frequent. Treatment in adolescence is a risk factor for a delay in psychosexual development.

Single-molecule pump-probe experiments reveal variations in ultrafast energy redistribution.

Single-molecule pump probe (SM2P) is a novel, fluorescence-based technique that allows the study of ultrafast processes on the single-molecule level. Exploiting SM2P we have observed large variations (from 1 ps to below 100 fs) in the energy redistribution times of chemically identical molecules in the same sample. Embedding the molecules in a different matrix or changing the excitation wavelength does not lead to significant changes in the average redistribution time. However, chemically different molecules exhibit different characteristic redistribution times. We therefore conclude that the process measured with the SM2P technique is dominated by intramolecular energy redistribution and not intermolecular transfer to the surrounding matrix. The matrix though is responsible for inducing conformational changes in the molecule, which affect the coupling between electronic and vibrational modes. These conformational changes are the main origin of the observed broad distribution of redistribution times.

Single molecule photobleaching probes the exciton wave function in a multichromophoric system.

The exciton wave function of a trichromophoric system is investigated by means of single molecule spectroscopy at room temperature. Individual trimers exhibit superradiance and loss of vibronic structure in emission spectrum, features proving exciton delocalization. We identify two distinct photodegradation pathways for single trimers upon sequential photobleaching of the chromophores. The rate of each pathway is a measure for the contribution of the separate dyes to the collective excited state of the system, in this way probing the wave function of the delocalized exciton.

Phase mapping of ultrashort pulses in bimodal photonic structures: a window on local group velocity dispersion.

The amplitude and phase evolution of ultrashort pulses in a bimodal waveguide structure has been studied with a time-resolved photon scanning tunneling microscope (PSTM). When waveguide modes overlap in time intriguing phase patterns are observed. Phase singularities, arising from interference between different modes, are normally expected at equidistant intervals determined by the difference in effective index for the two modes. However, in the pulsed experiments the distance between individual singularities is found to change not only within one measurement frame, but even depends strongly on the reference time. To understand this observation it is necessary to take into account that the actual pulses generating the interference signal change shape upon propagation through a dispersive medium. This implies that the spatial distribution of phase singularities contains direct information on local dispersion characteristics. At the same time also the mode profiles, wave vectors, pulse lengths, and group velocities of all excited modes in the waveguide are directly measured. The combination of these parameters with an analytical model for the time-resolved PSTM measurements shows that the unique spatial phase information indeed gives a direct measure for the group velocity dispersion of individual modes. As a result interesting and useful effects, such as pulse compression, pulse spreading, and pulse reshaping become accessible in a local measurement.

Canine prostate carcinoma: epidemiological evidence of an increased risk in castrated dogs.

The present retrospective study investigated the frequency of prostate carcinoma (PCA) among prostate abnormalities in dogs and determined whether castration influences the incidence of PCA in dogs. During the years 1993-1998, 15,363 male dogs were admitted to the Utrecht University Clinic of Companion Animals, and of these dogs 225 were diagnosed with prostatic disease. In addition, another 206 male dogs were diagnosed as having prostatic disease based on cytologic examination of aspiration biopsies submitted by referring veterinarians. Benign prostatic hyperplasia was diagnosed in 246 dogs (57.1%), prostatitis in 83 dogs (19.3%), and PCA in 56 dogs (13%). Dogs with PCA were significantly older (mean age=9.9 years) than dogs with other prostatic diseases (mean age=8.4 years). The Bouvier des Flandres breed had an increased risk (odds ratio (OR)=8.44; 95% CI 4.38-16.1) of having PCA. Castration (26/56) increased the risk (OR=4.34; 95% CI 2.48-7.62) of PCA. The mean age at diagnosis of PCA in castrated dogs and in intact male dogs was not significantly different. The interval between castration and onset of prostatic problems was highly variable, suggesting that castration does not initiate the development of PCA in the dog, but it does favour tumor progression.

The nature of fluorescence emission in the red fluorescent protein DsRed, revealed by single-molecule detection.

Recent studies on the newly cloned red fluorescence protein DsRed from the Discosoma genus have shown its tremendous advantages: bright red fluorescence and high resistance against photobleaching. However, it has also become clear that the protein forms closely packed tetramers, and there is indication for incomplete protein maturation with unknown proportion of immature green species. We have applied single-molecule methodology to elucidate the nature of the fluorescence emission in the DsRed. Real-time fluorescence trajectories have been acquired with polarization sensitive detection. Our results indicate that energy transfer between identical monomers occurs efficiently with red emission arising equally likely from any of the chromophoric units. Photodissociation of one of the chromophores weakly quenches the emission of adjacent ones. Dual color excitation (at 488 and 568 nm) single-molecule microscopy has been performed to reveal the number and distribution of red vs. green species within each tetramer. We find that 86% of the DsRed contain at least one green species with a red-to-green ratio of 1.2-1.5. On the basis of our findings, oligomer suppression would not only be advantageous for protein fusion but will also increase the fluorescence emission of individual monomers.