Cluster analysis of obesity and asthma phenotypes

Background: Asthma is a heterogeneous disease with variability among patients in characteristics such as lung function, symptoms and control, body weight, markers of inflammation, and responsiveness to glucocorticoids (GC). Cluster analysis of well-charac

Effect of Obesity on Acute Ozone-Induced Changes in Airway Function, Reactivity, and Inflammation in Adult Females

We previously observed greater ozone-induced lung function decrements in obese than non-obese women. Animal models suggest that obesity enhances ozone-induced airway reactivity and inflammation. In a controlled exposure study, we compared the acute effect of randomized 0.4ppm ozone and air exposures (2 h with intermittent light exercise) in obese (N = 20) (30<BMI<40Kg/m2) vs. non-obese (N = 20) (BMI<25Kg/m2) non-smoking 18–35 year old women. We measured spirometry and bronchial reactivity to inhaled methacholine (3h post-exposure). Inflammation and obesity markers were assessed in the blood (pre, 4h post, and 20h post exposures) and induced-sputum (4h post-exposures and on 24h pre-exposure training day, no exercise): measures of C reactive protein (CRP) (blood only), leptin (blood only), adiponectin, interleukins IL-6, IL-1b, and IL-8, and tumor necrosis factor alpha, and sputum cell differential cell counts. The pre- to post-exposure decrease in forced vital capacity after ozone (adjusted for the change after air exposure) was significantly greater in the obese group (12.5+/-7.5 vs. 8.0+/-5.8%, p<0.05). Post ozone exposure, 6 obese and 6 non-obese subjects responded to methacholine at ≤ 10mg/ml (the maximum dose); the degree of hyperresponsiveness was similar for the two groups. Both BMI groups showed similar and significant ozone-induced increases in sputum neutrophils. Plasma IL-6 was increased by exercise (4 hr post air exposure vs. pre) only in the obese but returned to pre-air exposure levels at 20hr post-exposure. Plasma IL-6 was significantly increased at 4hr post ozone exposure in both groups and returned to pre-exposure levels by 20h post-exposure. These results confirm our previous findings of greater post-ozone spirometric decrements in obese young women. However, acute ozone-induced airway reactivity to methacholine and airway inflammation did not differ by obesity at the exposure and exercise levels used

Uptake of ammonium and soluble reactive phosphorus in forested streams: influence of dissolved organic matter composition

Many microbes responsible for inorganic nutrient uptake and transformation utilize dissolved organic matter (DOM) as a nutrient or energy source, but little is known about whether DOM composition is an important driver of nutrient uptake in streams. Our goal was to determine whether incorporating DOM composition metrics with other more commonly considered biological, physical, and chemical variables improved our ability to explain patterns of ammonium ( NH+4 –N) and soluble reactive phosphorus (SRP) uptake across 11 Lake Superior tributaries. Nutrient uptake velocities (Vf) ranged from undetectable to 14.6 mm min−1 for NH+4 –N and undetectable to 7.2 mm min−1 for SRP. Logistic regressions suggested that DOM composition was a useful predictor of where SRP uptake occurred (4/11 sites) and NH+4 –N concentration was a useful predictor of where NH+4 –N uptake occurred (9/11 sites). Multiple regression analysis revealed that the best models included temperature, specific discharge, and canopy cover, and DOM composition as significant predictors of NH+4 –N Vf. Partial least squares revealed fluorescence index (describing the source of aquatic fulvic acids), specific ultraviolet absorbance at 254 nm (an indicator of DOM aromaticity), temperature, and conductivity were highly influential predictors of NH+4 –N Vf. Therefore, streams with higher temperatures, lower solute concentrations, more terrestrial DOM signal and greater aromaticity had greater NH+4NH4+ –N Vf. Our results suggest that DOM composition may be an important, yet often overlooked, predictor of NH+4 –N and SRP uptake in deciduous forest streams that should be considered along with commonly measured predictors