Apparent ruminal synthesis of B vitamins in lactating dairy cows fed diets with different forage-to-concentrate ratios.

Effects of the forage-to-concentrate ratio on apparent ruminal synthesis of thiamine, riboflavin, niacin, vitamin B6, folates, and vitamin B12 were evaluated in an experiment using 14 ruminally and duodenally cannulated Holstein cows. The experiment was a crossover design with two 15-d treatment periods and a 14-d preliminary period in which cows were fed a diet intermediate in composition between the treatment diets. Treatments were diets containing low-forage (44.8% forage, 32.8% starch, 24.4% neutral detergent fiber) or high-forage (61.4% forage, 22.5% starch, 30.7% neutral detergent fiber) concentrations. Both diets were formulated with different proportions of the same ingredients. Concentrations of B vitamins were analyzed in feed and duodenal digesta. Apparent ruminal synthesis of each B vitamin was calculated as the duodenal flow minus the intake. The high-forage diet had the highest concentrations of riboflavin, niacin, vitamin B6, and folates, whereas the low-forage diet had the highest thiamine concentration. Vitamin B12 in the diets was under the level of detection. Consequently, despite a reduction in dry matter intake when the cows were fed the high-forage diet, increasing dietary forage concentration increased or tended to increase intakes of riboflavin, niacin, and vitamin B6 but reduced thiamine and folate intakes. Increasing dietary forage concentration reduced apparent ruminal degradation of thiamine and apparent ruminal synthesis of riboflavin, niacin, and folates and increased ruminal degradation of vitamin B6, but had no effect on ruminal synthesis of vitamin B12. As a consequence, increasing the forage-to-concentrate ratio had no effect on the amounts of thiamine, riboflavin, and vitamin B12 reaching the small intestine but decreased the amounts of niacin, vitamin B6, and folates available for absorption. Apparent ruminal syntheses of riboflavin, niacin, folates, and vitamin B12 were correlated positively with the amount of starch digested in the rumen and duodenal flow of microbial N, whereas these correlations were negative for thiamine. Apparent ruminal syntheses of thiamine and vitamin B6 were negatively correlated with their respective intakes, whereas folate intake was positively correlated with its synthesis in the rumen.

Association of alcohol consumption pattern with risk of hypertension in Korean adults based on the 2010-2012 KNHANES.

We examined the association between alcohol-drinking pattern and hypertension in Korean adults. This cross-sectional study included 15,052 participants (7054 men and 7998 women) who were included in the 2010-2012 Korean National Health and Nutrition Examination Survey (KNHANES). We categorized alcohol-drinking patterns into three groups based on the Alcohol Use Disorders Identification Test (AUDIT) score: low-risk (score: 0-7), intermediate-risk (score: 8-14), and high-risk (score: ≥15). Hypertension was defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or current use of anti-hypertensive medications. In the study population, 25.2% of men and 4.6% of women were high-risk drinkers. Hypertension prevalence was 30.8% in men and 20.6% in women. Of the total population, 13.8% of men and 13.6% of women were using anti-hypertensive drugs. Age-adjusted hypertension prevalence was 30.8, 40.9, and 45.3% in men, and 24.6, 27.0, and 32.3% in women in the low-, intermediate-, and high-risk drinking group, respectively. Compared to the low-risk drinking group, the prevalence ratio (95% confidence interval [CI]) for hypertension was 1.664 (1.4331.933) and 2.070 (1.772-2.418) for men and 1.012 (0.774-1.323) and 1.650 (1.080-2.522) for women in the intermediate- and high-risk drinking group, respectively, after adjusting for age and other confounding factors. In conclusion, our study suggests high-risk drinking appears to be associated with a higher risk of hypertension in men and women.

The impact of low-volume uterine lavage on endometrial biopsy classification.

In the mare, the low-volume uterine lavage technique allows for bacterial sampling of the entire uterine lumen and is usually performed after obtaining the traditional double-guarded endometrial swab for aerobic culture and cytology and before procurement of an endometrial biopsy sample during a breeding soundness examination. The purpose of this study was to explore the potential effects of the low-volume lavage on the endometrial biopsy classification and polymorphonuclear cell (PMNs) infiltration in the context of a breeding soundness examination. Fourteen light horse mares of mixed breed, age 7 to 21 years, with known reproductive history, were included in the study, matched by age and reproductive history, and then divided into treatment and control groups. Transrectal palpation and ultrasonography, endometrial swabbing, and the first endometrial biopsy were performed in all mares. Low-volume uterine lavage was performed in the treatment group but not the control group. After either the lavage or a 15-minute rest, a second endometrial biopsy was obtained from both the control and treatment groups. Endometrial swabs and effluent from the low-volume lavages were submitted for aerobic culture and sensitivity. Biopsy samples were fixed in Bouin's solution for 24 hours, processed, stained with hematoxylin and eosin, and then viewed under bright light microscopy. Additional staining with anti-neutrophil elastase antibody (ab68672) was performed for indirect immunohistochemistry. All samples were interpreted by a blinded observer. When the first (pre-uterine lavage) and second (post-uterine lavage) biopsies were compared using a mixed-effects logistic regression, there was no difference in endometrial biopsy classification (P = 0.74), presence of PMNs in blood vessels (P = 0.728), or infiltration of PMNs in the tissue (P = 0.934) between the treatment and control groups. In this study, the low-volume uterine lavage did not affect the endometrial biopsy classification.

Effects of forage family on apparent ruminal synthesis of B vitamins in lactating dairy cows.

Effects of forage family (legume vs. grass) on apparent ruminal synthesis (ARS) and postruminal supply of B vitamins were evaluated in 2 experiments. Diets containing either alfalfa (AL) or orchardgrass (OG) silages as the sole forage were offered to ruminally and duodenally cannulated lactating Holstein cows in crossover design experiments. Experiment 1 compared diets containing AL and OG [~23% forage neutral detergent fiber (NDF) and ~27% total NDF] offered to 8 cows in two 15-d treatment periods. Experiment 2 compared diets containing AL and OG (~25% forage NDF and ~30% total NDF) offered to 13 cows in two 18-d treatment periods. Thiamin, riboflavin, niacin, vitamin B6, folates, and vitamin B12 were analyzed in feeds and duodenal digesta. Apparent ruminal synthesis was calculated as the duodenal flow of each vitamin minus its intake. Forage family affected B vitamin intakes, duodenal flow, and ARS. In both experiments, AL diets increased vitamin B6 and decreased folate intakes. In experiment 1, riboflavin and niacin intakes were greater with the OG diet, whereas in experiment 2 thiamin intake was greater but riboflavin intake was smaller with the OG diet. In spite of the low contribution of either silage to the dietary folate content, folate intake was greater with OG diets than AL due to the difference in soybean meal contribution between diets. Niacin and folate ARS were not affected by the forage family. Duodenal microbial nitrogen flow was positively correlated with ARS of riboflavin, niacin, vitamin B6, folates, and vitamin B12, but tended to be negatively correlated with thiamin ARS. Apparent ruminal synthesis of folates and vitamin B12 appear to be related to microbial biomass activity. Changes in nutrient composition of the diets likely affected the microbial population in the rumen and their B vitamin metabolism.

Globus pallidus internus deep brain stimulation as rescue therapy for refractory dyskinesias following effective subthalamic nucleus stimulation.

BACKGROUND: Deep brain stimulation (DBS) at the subthalamic nucleus (STN) or globus pallidus internus (GPi) can effectively treat the motor symptoms of Parkinson's disease, but dual implantation is rare. We report the first cases of additional GPi stimulation as rescue therapy for disabling dyskinesias following successful STN stimulation. METHODS: Two patients, initially treated with bilateral STN DBS, underwent subsequent bilateral GPi DBS after the development of refractory dyskinesias within 1 and 6 years of STN surgery. Patients were evaluated with the Unified Parkinson's Disease Rating Scale (UPDRS) before and after surgeries for STN and GPi DBS. RESULTS: GPi DBS effectively suppressed dyskinesias in these patients and improved their quality of life, as demonstrated by their videos and UPDRS scores. CONCLUSIONS: Additional bilateral GPi DBS may be considered in the rare instance of patients who develop refractory dyskinesias early or late after bilateral STN DBS.

Reading nutrition labels is associated with a lower risk of metabolic syndrome in Korean adults: the 2007-2008 Korean NHANES.

BACKGROUND AND AIMS: Several studies demonstrated that reading nutrition labels was associated with healthier food choices, despite some controversy. This study investigated the association between the use of nutrition labels and metabolic syndrome (MetS) in Korean adults. METHODS AND RESULTS: This cross-sectional study included 7756 individuals who participated in the 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES). A self-reported questionnaire was used to determine participant's awareness of nutrition labels. Modified Asian criteria based on a harmonizing definition of MetS were adopted. Individuals in the group that read nutrition labels (the Reading Group) were youngest and leanest, but their daily caloric intake fell between that of the group that did not read nutrition labels (the Non-Reading Group) and the group that did not know about them (the Not-Knowing Group). The prevalence of MetS was 16.8% in the Reading Group, 27.2% in the Non-Reading Group, and 47.3% in the Not-Knowing Group. In comparison to participants in the Reading Group, the odds ratios (95% confidence interval) for MetS in the participants in the Non-Reading Group and Not-Knowing Group were 1.85 (1.60-2.14) and 4.44 (3.79-5.20), respectively, when not adjusted. The relationship between the use of nutrition labels and MetS remained statistically significant even after adjusting for covariates such as age, sex and socioeconomic status including household income and education level [1.27 (1.05-1.53) in the Non-Reading Group and 1.34 (1.05-1.70) in the Not-Knowing Group]. CONCLUSION: Reading nutrition labels appeared to be associated with a lower prevalence of MetS in a nationally representative sample of Korean adults.

Antimicrobial use in horses undergoing colic surgery.

BACKGROUND: Recommendations for antimicrobial prophylaxis for surgery are well-described in human medicine, but information is limited for veterinary practice. OBJECTIVE: To characterize antimicrobial use in horses undergoing emergency colic surgery. ANIMALS: A total of 761 horses undergoing emergency colic surgery (2001-2007). METHODS: Retrospective case review. Antimicrobial dose and timing, surgical description, and duration of treatment were collected from medical records. Associations between antimicrobial use and the occurrence of fever, incisional inflammation or infection, catheter-associated complications, or Salmonella shedding during hospitalization were analyzed using rank-sum methods and logistic regression. RESULTS: A total of 511 (67.2%) horses received an inappropriate amount of drug preoperatively. Median time from preoperative dose to incision was 70 (IQR 55-90) minutes; median total surgery time was 110 (IQR 80-160) minutes. Seventy-three horses were euthanized under anesthesia because of poor prognosis. Of 688 horses, 438 should have been redosed intraoperatively based on the duration of surgery. Only 8 (1.8%) horses were redosed correctly. Horses remained on perioperative antimicrobials a median of 3 (IQR 2-4.5) days. Antimicrobial therapy was reinstituted in 193 (28.9%) horses, and median days of total treatment were 3.8 (IQR 2-6). Signs that led to reinstituting therapy were fever (OR 3.13, P = .001) and incisional inflammation/infection (OR 2.95, P = .001). Horses in which treatment was reinstituted had 2.3 greater odds of shedding Salmonella (P = .003). Increased surgical time was associated with longer duration of antimicrobial therapy (OR 1.02, P = .001). CONCLUSIONS AND CLINICAL RELEVANCE: Despite published recommendations regarding antimicrobial prophylaxis, compliance is poor; improvement might reduce postoperative complications.

The association between the ratio of triglyceride to HDL-C and insulin resistance according to waist circumference in a rural Korean population.

BACKGROUND AND AIMS: This study aimed to examine the association between an increased ratio of triglyceride (TG) to high-density lipoprotein cholesterol (HDL-C) and insulin resistance as well as to investigate the interactive effect of TG/HDL-C and waist circumference on insulin resistance in a rural Korean population. METHODS AND RESULTS: This study, employing a cross-sectional design, included 8411 participants from the Korean Genomic Rural Cohort Study. Levels of fasting insulin, lipid profiles and anthropometric data were assessed for all participants. Insulin resistance was defined as a value greater than the 75th percentile on the homeostasis model assessment of insulin resistance (HOMA-IR). The TG/HDL-C ratio was positively correlated with waist circumference, total cholesterol, low-density lipoprotein cholesterol (LDL-C), TG and HOMA-IR, and negatively correlated with HDL-C when the calculations were controlled for gender. In comparison with the lowest quartile group of TG/HDL-C (≤1.92 in men, ≤1.63 in women), the odds ratios (ORs) (95% confidence interval) for insulin resistance in the highest quartile group of TG/HDL-C (>4.90 in men, >3.93 in women) were 2.33 (1.72-3.16) in men and 2.16 (1.73-2.71) in women, after adjusting for multiple covariates including waist circumference. Following stratification of waist circumference into quartiles, the effect of TG/HDL-C on insulin resistance remained significant irrespective of the waist circumference quartile. CONCLUSION: The TG/HDL-C ratio was linearly associated with insulin resistance in a rural Korean cohort independently of waist circumference in both genders, albeit not interactive.

Suitability of live and fire-killed small-diameter ponderosa and lodgepole pine trees for manufacturing a new structural wood composite.

Finding alternative uses for raw material from small-diameter trees is a critical problem throughout the United States. In western states, a lack of markets for small-diameter ponderosa pine (Pinus ponderosa) and lodgepole pine (Pinus contorta) can contribute to problems associated with overstocking. To test the feasibility of producing structural composite lumber (SCL) beams from these two western species, we used a new technology called steam-pressed scrim lumber (SPSL) based on scrimming technology developed in Australia. Both standing green and fire-killed ponderosa and lodgepole pine logs were used in an initial test. Fire-killed logs of both species were found to be unsuitable for producing SPSL but green logs were suitable for producing SPSL. For SPSL from green material, ponderosa pine had significantly higher modulus of rupture and work-to-maximum load values than did SPSL from lodgepole pine. Modulus of elasticity was higher for lodgepole pine. The presence of blows was greater with lodgepole pine than with ponderosa. Blows had a negative effect on the mechanical properties of ponderosa pine but no significant effect on the mechanical properties of SPSL from lodgepole pine. An evaluation of non-destructive testing methods showed that X-ray could be used to determine low density areas in parent beams. The use of a sonic compression wave tester for NDE evaluation of modulus of rupture showed some promise with SPSL but requires further research.

Genome sequence of the emerging pathogen Helicobacter canadensis.

We determined the genome sequence of the type strain of Helicobacter canadensis, an emerging human pathogen with diverse animal reservoirs. Potential virulence determinants carried by the genome include systems for N-linked glycosylation and capsular export. A protein-based phylogenetic analysis places H. canadensis close to Wolinella succinogenes.

Nutrient demand interacts with forage family to affect nitrogen digestion and utilization responses in dairy cows.

The effect of preliminary feed intake on responses to diets containing alfalfa silage or orchardgrass silage was evaluated using 8 ruminally and duodenally cannulated Holstein cows in a crossover design experiment with a 14-d preliminary period and two 15-d treatment periods. Responses measured were intake, digestion, and utilization of N. Cows were 139 +/- 83 (mean +/- standard deviation) days in milk at the beginning of the preliminary period. During the 14-d preliminary period, 3.5% fat-corrected milk yield ranged from 23.9 to 47.6 kg/d (mean = 36.9 kg/d) and preliminary voluntary dry matter intake (pVDMI) ranged from 14.2 to 21.3 kg/d (mean = 18.6 kg/d). Treatments were a diet with alfalfa silage as the sole forage (AL) and a diet with orchardgrass silage as the sole forage (OG). Alfalfa silage contained 20.5% crude protein (CP; dry matter basis) and orchardgrass silage contained 20.4% CP; AL contained 18.3% CP and 5.6% estimated rumen-undegraded CP, and OG contained 18.8% CP and 6.3% estimated rumen-undegraded CP. Mean N intake was similar between treatments, ruminal N digestibility was greater for AL (30.4%) than for OG (17.7%), and whole-tract N digestibility did not differ between treatments. Intake and duodenal flow of N depended on a treatment x pVDMI interaction; both N intake and duodenal flow increased more for AL than for OG as pVDMI increased. Duodenal flow of microbial N and the efficiency of microbial N production from OM also depended on a treatment x pVDMI interaction in a manner similar to N intake and duodenal flow. However, treatment x pVDMI interactions also indicate that as pVDMI increased and N intake increased for AL compared with OG, a decreasing proportion of the additional N consumed from AL was digested and used for increased milk protein production or body tissue gain. Therefore, when feeding less-filling diets, such as those containing large proportions of legume forage, to high-producing cows, reducing dietary N concentration could increase the efficiency of N utilization and reduce the extent to which greater DMI leads to greater N excretion.

Nutrient demand interacts with forage family to affect intake and digestion responses in dairy cows.

The effect of feed intake in the preliminary period on responses to diets containing alfalfa silage or orchardgrass silage was evaluated using 8 ruminally and duodenally cannulated Holstein cows in a crossover design experiment with a 14-d preliminary period and two 15-d treatment periods. Responses measured were DMI, rates of fiber digestion and passage, and milk production. Cows were 139 +/- 83 (mean +/- SD) d in milk at the beginning of the preliminary period. During the preliminary period, 3.5% fat-corrected milk yield ranged from 23.9 to 47.6 kg/d (mean = 36.9 kg/d) and preliminary voluntary DMI (pVDMI) ranged from 14.2 to 21.3 kg/d (mean = 18.6 kg/d). The 2 treatments were a diet containing alfalfa silage as the sole forage (AL) and a diet containing orchardgrass silage as the sole forage (OG). Alfalfa silage contained 43% neutral detergent fiber (NDF; dry-matter basis) and orchardgrass silage contained 48% NDF; diets contained approximately 23% forage NDF and 27% total NDF, so forage-to-concentrate ratio was 53:47 for AL and 48:52 for OG. Digestibility of NDF was lower for AL in the rumen and whole tract compared with OG, and milk fat concentration tended to be greater for OG than for AL. Mean 3.5% fat-corrected milk yield and DMI were not different between AL and OG. Response of DMI to forage family depended on pVDMI, as indicated by a significant interaction between treatment and pVDMI in predicting DMI. As pVDMI increased, DMI increased when cows were fed AL but not when they were fed OG. That is, as appetite increased, intake was more restricted for the more physically filling OG than for the less physically filling AL. This more positive DMI response to AL over OG among high-pVDMI cows is corroborated by interactions between treatments and pVDMI for both ruminal NDF turnover rate and indigestible NDF passage rate response. Therefore, the effects of alfalfa and orchardgrass forages on intake and fiber digestion depended on the extent to which fill limited feed intake of an individual cow.

Nutrient demand affects ruminal digestion responses to a change in dietary forage concentration.

Previous research in our laboratory has indicated that the physical filling effects of high-forage diets become increasingly dominant in determining feed intake and milk production as nutrient demand increases. This effect was tested further by using 14 ruminally and duodenally cannulated Holstein cows in a crossover design experiment with a 14-d preliminary period and two 15-d experimental periods. During the preliminary period, 3.5% fat-corrected milk yield was 15 to 60 kg/d (mean = 40 kg/d), and preliminary voluntary dry matter intake (pVDMI) was 20.6 to 30.5 kg/d (mean = 25.0 kg/ d). Treatments were a low-forage diet (LF), containing 20% (dry matter basis) forage neutral detergent fiber (NDF), and a high-forage diet (HF), containing 27% forage NDF. The ability of linear and quadratic factors of pVDMI to predict the difference in responses of individual cows to treatments (Y(LF) - Y(HF)) was tested by ANOVA, with treatment sequence as a covariate. In contrast to results of previous research, differences in dry matter intake and fat-corrected milk yield responses to LF and HF did not depend on pVDMI. This might be because of the combined physical fill and metabolic satiety effects of LF, especially in cows with the greatest pVDMI. Digestion or passage of NDF might have been inhibited on LF among high-pVDMI cows. As pVDMI increased, NDF turnover time increased more on LF than on HF. Among high-pVDMI cows, the NDF turnover time was unexpectedly greater on LF than on HF. With increasing pVDMI, the digestion rate of potentially digestible NDF decreased at a similar rate on both diets. Passage rates of potentially digestible NDF and indigestible NDF were not related to pVDMI, regardless of treatment. Greater starch fermentation (resulting from greater starch intake) for LF as pVDMI increased likely inhibited NDF digestion through pH-dependent and pH-independent effects. Inhibition of NDF digestion might cause LF and HF to have similar effects on dry matter intake, depending on the nutrient demand of individual cows.

Community-based public health interventions in North Korea: one non-governmental organization's experience with tuberculosis and hepatitis B.

BACKGROUND: The Democratic People's Republic of Korea, also known as North Korea, is the most isolated country in the world, and has been a source of interest, politically and socially, since the 1953 ceasefire of the Korean War. While in the past year, interest has focused on the nuclear dispute with the USA, over the past decade, most interest has revolved around the economic plight of the country, the lack of funds and resources for health care, and the subsequent public health declines. North Korea's present economic and public health problems began in the early 1990s due to the gradual loss of economic support from its communist allies (i.e. after the fall of the Soviet Union and the capitalization of China), combined with an inordinate number of natural disasters (floods, famine and drought) all occurring within the same time span. These simultaneous events initiated a 'snowball effect' of severe economic depression and a rapid deterioration of the overall public health infrastructure in the country. North Korea's continued isolation and reluctance to release health statistics has left the international community uncertain of the precise extent of the public health devastation. The uncertainty of the situation has been further complicated by disparate accounts of the public health declines. For instance, the North Korean Government has estimated that approximately 220,000 people died due to famine in the 1990s, while the World Health Organization (WHO) claims that this figure is closer to 2 million. In the past few years, the willingness of the North Korean Government to engage the outside world has increased. This is reflected by the growing number of foreign aid organizations or non-governmental organizations (NGOs) that have been permitted entry into the country. NGOs have not only served to improve various aspects of the public health system but also serve as a source of 'on-the-ground' information for the outside world. This role has proven critical not only for public health purposes but for facilitating improved international relations between countries.

Atopic dermatitis: review of immunopathogenesis and advances in immunosuppressive therapy.

This paper reviews the theories of the pathogenesis of atopic dermatitis (AD), with a particular emphasis on its immunopathogenesis. The contribution of predisposing factors, immunopathogenic factors and provoking factors in the pathogenesis of AD are considered. Predisposing factors explored in this article include genetics and the disturbance of skin function. Immunopathogenic factors reviewed include T cell dysfunction, biphasic cytokine expression and the role of immunoglobulin E. Provoking factors considered include microbial factors, psychosomatic interactions, contact allergens and irritants, inhalant allergens, food and climate. Immunosuppressive treatments reviewed include cyclosporin, azathioprine, methotrexate, tacrolimus, interferon-gamma, phosphodiesterase inhibitors and pimecrolimus (SDZ ASM 981).

Local structure of guest molecules in gas hydrates--a model study of Kr and Xe clathrates.

Gas hydrates constitute a class of solids in which small molecules occupy cavities inside an ice-like structure. There is enormous scientific and technological interest in understanding the structure, stability and formation mechanism of clathrates. We developed and constructed a variable temperature high-pressure cell for x-rays measurements, which allows in situ studies of clathrate formation or decomposition. We used XAFS and Diffraction techniques to study the evolution of the structure during formation and decomposition. We studied two clathrates structures, structure I (Xe) and structure II (Kr). We were able to identify the local structure around the guest atom. We identified the rare gas-water complexes that act as precursor to the formation of the crystalline phases. We observed the transformation of the clathrate from structure II to structure I when Xe is added to Kr clathrates.

Identification and characterization of a novel extracellular matrix protein nephronectin that is associated with integrin alpha8beta1 in the embryonic kidney.

The epithelial-mesenchymal interactions required for kidney organogenesis are disrupted in mice lacking the integrin alpha8beta1. None of this integrin's known ligands, however, appears to account for this phenotype. To identify a more relevant ligand, a soluble integrin alpha8beta1 heterodimer fused to alkaline phosphatase (AP) has been used to probe blots and cDNA libraries. In newborn mouse kidney extracts, alpha8beta1-AP detects a novel ligand of 70-90 kD. This protein, named nephronectin, is an extracellular matrix protein with five EGF-like repeats, a mucin region containing a RGD sequence, and a COOH-terminal MAM domain. Integrin alpha8beta1 and several additional RGD-binding integrins bind nephronectin. Nephronectin mRNA is expressed in the ureteric bud epithelium, whereas alpha8beta1 is expressed in the metanephric mesenchyme. Nephronectin is localized in the extracellular matrix in the same distribution as the ligand detected by alpha8beta1-AP and forms a complex with alpha8beta1 in vivo. Thus, these results strongly suggest that nephronectin is a relevant ligand mediating alpha8beta1 function in the kidney. Nephronectin is expressed at numerous sites outside the kidney, so it may also have wider roles in development. The approaches used here should be generally useful for characterizing the interactions of novel extracellular matrix proteins identified through genomic sequencing projects.