Preliminary Evidence for Cell Membrane Amelioration in Children with Cystic Fibrosis by 5-MTHF and Vitamin B12 Supplementation: A Single Arm Trial

Cystic fibrosis (CF) is one of the most common fatal autosomal recessive disorders in the Caucasian population caused by mutations of gene for the cystic fibrosis transmembrane conductance regulator (CFTR). New experimental therapeutic strategies for CF propose a diet supplementation to affect the plasma membrane fluidity and to modulate amplified inflammatory response. The objective of this study was to evaluate the efficacy of 5-methyltetrahydrofolate (5-MTHF) and vitamin B12 supplementation for ameliorating cell plasma membrane features in pediatric patients with cystic fibrosis.A single arm trial was conducted from April 2004 to March 2006 in an Italian CF care centre. 31 children with CF aged from 3 to 8 years old were enrolled. Exclusion criteria were diabetes, chronic infections of the airways and regular antibiotics intake. Children with CF were supplemented for 24 weeks with 5-methyltetrahydrofolate (5-MTHF, 7.5 mg /day) and vitamin B12 (0.5 mg/day). Red blood cells (RBCs) were used to investigate plasma membrane, since RBCs share lipid, protein composition and organization with other cell types. We evaluated RBCs membrane lipid composition, membrane protein oxidative damage, cation content, cation transport pathways, plasma and RBCs folate levels and plasma homocysteine levels at baseline and after 24 weeks of 5-MTHF and vitamin B12 supplementation. In CF children, 5-MTHF and vitamin B12 supplementation (i) increased plasma and RBC folate levels; (ii) decreased plasma homocysteine levels; (iii) modified RBC membrane phospholipid fatty acid composition; (iv) increased RBC K(+) content; (v) reduced RBC membrane oxidative damage and HSP70 membrane association.5-MTHF and vitamin B12 supplementation might ameliorate RBC membrane features of children with CF.ClinicalTrials.gov NCT00730509

Efficient Discrete Element Modeling of Particle Dampers

Particle dampers’ dissipative characteristics can be difficult to predict because of their highly non-linear behavior. The application of such devices in deformable vibrating systems can require extensive experimental and numerical analyses; therefore, improving the efficiency when simulating particle dampers would help in this regard. Two techniques often proposed to speed up the simulation, namely the adoption of a simplified frictional moment and the reduction of the contact stiffness, are considered; their effect on the simulation run-time, on the ability of the particle bed to sustain shear deformation, and on the prediction of the dissipation performance is investigated for different numerical case studies. The reduction in contact stiffness is studied in relation to the maximum overlap between particles, as well as the contacts’ duration. These numerical simulations are carried out over a wide range of motion regimes, frequencies, and amplitude levels. Experimental results are considered as well. All the simulations are performed using a GPU-based discrete element simulation tool coupled with the multi-body code MBDyn; the results and execution time are compared with those of other solvers