Intracellular Disposition of Fludarabine Triphosphate in Human Natural Killer Cells

Purpose. Fludarabine is a key component of several reduced-intensity conditioning regimens for hematopoietic cell transplantation (HCT). Shortly after reduced-intensity conditioning, the percent of donor natural killer (NK) cells has been associated with progression-free survival. Insufficient suppression of the recipient’s NK cells by fludarabine may lead to lower donor chimerism; however, the effect of fludarabine upon NK cells is poorly understood. Thus, in purified human NK cells we evaluated the uptake and activation of fludarabine to its active metabolite, fludarabine triphosphate (F-ara-ATP), and assessed the degree of interindividual variability in F-ara-ATP accumulation. Methods. Intracellular F-ara-ATP was measured in purified NK cells isolated from healthy volunteers (n = 6) after ex vivo exposure to fludarabine. Gene expression levels of the relevant transporters and enzymes involved in fludarabine uptake and activation were also measured in these cells. Results. F-ara-ATP accumulation (mean ± s.d.) was 6.00 ± 3.67 pmol/1x106 cells/4 hours, comparable to average levels previously observed in CD4+ and CD8+ T-lymphocytes. We observed considerable variability in F-ara-ATP accumulation and mRNA expression of transporters and enzymes relevant to F-ara-ATP accumulation in NK cells from different healthy volunteers. Conclusions. Human NK cells have the ability to form F-ara-ATP intracellularly and large interindividual variability was observed in healthy volunteers. Further studies are needed to evaluate whether F-ara-ATP accumulation in NK cells are associated with apoptosis and clinical outcomes

The complex Y-chromosomal history of gorillas

Studies of the evolutionary relationships among gorilla populations using autosomal and mitochondrial sequences suggest that male-mediated gene flow may have been important in the past, but data on the Y-chromosomal relationships among the gorilla subspecies are limited. Here, we genotyped blood and noninvasively collected fecal samples from 12 captives and 257 wild male gorillas of known origin representing all four subspecies (Gorilla gorilla gorilla, G. g. diehli, G. beringei beringei, and G. b. graueri) at 10 Y-linked microsatellite loci resulting in 102 unique Y-haplotypes for 224 individuals. We found that western lowland gorilla (G. g. gorilla) haplotypes were consistently more diverse than any other subspecies for all measures of diversity and comprised several genetically distinct groups. However, these did not correspond to geographical proximity and some closely related haplotypes were found several hundred kilometers apart. Similarly, our broad sampling of eastern gorillas revealed that mountain (G. b. beringei) and Grauer's (G. b. graueri) gorilla Y-chromosomal haplotypes did not form distinct clusters. These observations suggest structure in the ancestral population with subsequent mixing of differentiated haplotypes by male dispersal for western lowland gorillas, and postisolation migration or incomplete lineage sorting due to short divergence times for eastern gorillas

How do I get my results?

"Team Members: Susan Vollrath, Jackie Mitchell, Ashley Lawrence, Susan Rippey, Sarah Jones, Steve Johnson, Becca Scheets, Tim Brown, Kathy Brady, Kitt Graves, Jenny Fangmann, Tucker Bounds, Mike Wright, Eric Yount, Denise Harlan, Penny Westfall, Donctella Williams""By documenting patients preferred method of obtaining test results and making phone calls or sending result letters beginning Dec 2017, will increase the PR of the NRC question on 'test results received' by 25 points."--Aim statement

Cardiac testing-patient satisfaction

"Team Members: Ashley Lawrence, Derick Beanland, Jacqueline Mitchell, Kathy Brady, Michael Yount, Sarah Jones, Stephen Johnson, Susan Rippey, Susan Vollrath, Timothy Brown, Tucker Bounds""We aim to increase patient satisfaction from percentile rank 68 to 85 (25 percent increase) in Cardiac Testing by March 2016 by developing scripting."--Aim statement

Observations of Oxygen Ion Behavior in the Lithium-Based Electrolytic Reduction of Uranium Oxide

Parametric studies were performed on a lithium-based electrolytic reduction process at bench-scale to investigate the behavior of oxygen ions in the reduction of uranium oxide for various electrochemical cell configurations. Specifically, a series of eight electrolytic reduction runs was performed in a common salt bath of LiCl – 1 wt% Li2O. The variable parameters included fuel basket containment material (i.e., stainless steel wire mesh and sintered stainless steel) and applied electrical charge (i.e., 75 – 150% of the theoretical charge for complete reduction of uranium oxide in a basket to uranium metal). Samples of the molten salt electrolyte were taken at regular intervals throughout each run and analyzed to produce a time plot of Li2O concentrations in the bulk salt over the course of the runs. Following each run, the fuel basket was sectioned and the fuel was removed. Samples of the fuel were analyzed for the extent of uranium oxide reduction to metal and for the concentration of salt constituents, i.e., LiCl and Li2O. Extents of uranium oxide reduction ranged from 43 – 70% in stainless steel wire mesh baskets and 8 – 33 % in sintered stainless steel baskets. The concentrations of Li2O in the salt phase of the fuel product from the stainless steel wire mesh baskets ranged from 6.2 – 9.2 wt%, while those for the sintered stainless steel baskets ranged from 26 – 46 wt%. Another series of tests was performed to investigate the dissolution of Li2O in LiCl at 650 °C across various cathode containment materials (i.e., stainless steel wire mesh, sintered stainless steel and porous magnesia) and configurations (i.e., stationary and rotating cylindrical baskets). Dissolution of identical loadings of Li2O particulate reached equilibrium within one hour for stationary stainless steel wire mesh baskets, while the same took several hours for sintered stainless steel and porous magnesia baskets. Rotation of an annular cylindrical basket of stainless steel wire mesh accelerated the Li2O dissolution rate by more than a factor of six

Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada

This prospective cohort study, performed during the 2009 influenza A(H1N1) pandemic, was aimed to determine whether adults working in acute care hospitals were at higher risk than other working adults for influenza and to assess risk factors for influenza among health care workers (HCWs). We assessed the risk for influenza among 563 HCWs and 169 non-HCWs using PCR to test nasal swab samples collected during acute respiratory illness; results for 13 (2.2%) HCWs and 7 (4.1%) non-HCWs were positive for influenza. Influenza infection was associated with contact with family members who had acute respiratory illnesses (adjusted odds ratio [AOR]: 6.9, 95% CI 2.2-21.8); performing aerosol-generating medical procedures (AOR 2.0, 95% CI 1.1-3.5); and low self-reported adherence to hand hygiene recommendations (AOR 0.9, 95% CI 0.7-1.0). Contact with persons with acute respiratory illness, rather than workplace, was associated with influenza infection. Adherence to infection control recommendations may prevent influenza among HCWs

Kinetics of engraftment in patients with hematologic malignancies given allogeneic hematopoietic cell transplantation after nonmyeloablative conditioning.

We analyzed the kinetics of donor engraftment among various peripheral blood cell subpopulations and their relationship to outcomes among 120 patients with hematologic malignancies given hematopoietic cell transplantation (HCT) after nonmyeloablative conditioning consisting of 2 Gy total body irradiation (TBI) with or without added fludarabine. While patients rapidly developed high degrees of donor engraftment, most remained mixed donor/host chimeras for up to 180 days after HCT. Patients given preceding chemotherapies and those given granulocyte colony-stimulating factor-mobilized peripheral blood mononuclear cell (G-PBMC) grafts had the highest degrees of donor chimerism. Low donor T-cell (P = .003) and natural killer (NK) cell (P = .004) chimerism levels on day 14 were associated with increased probabilities of graft rejection. High T-cell chimerism on day 28 was associated with an increased probability of acute graft-versus-host disease (GVHD) (P = .02). Of 93 patients with measurable malignant disease at transplantation, 41 achieved complete remissions a median of 199 days after HCT; 19 of the 41 were mixed T-cell chimeras when complete remissions were achieved. Earlier establishment of donor NK-cell chimerism was associated with improved progression-free survival (P = .02). Measuring the levels of peripheral blood cell subset donor chimerisms provided useful information on HCT outcomes and might allow early therapeutic interventions to prevent graft rejection or disease progression

Potentiometric Sensor for Real-Time Monitoring of Multivalent Ion Concentrations in Molten Salt

Electrorefining of spent metallic nuclear fuel in high temperature molten salt systems is a core technology in pyroprocessing, which in turn plays a critical role in the development of advanced fuel cycle technologies. In electrorefining, spent nuclear fuel is treated electrochemically in order to effect separations between uranium, noble metals, and active metals, which include the transuranics. The accumulation of active metals in a lithium chloride-potassium chloride (LiCl-KCl) eutectic molten salt electrolyte occurs at the expense of the UCl3-oxidant concentration in the electrolyte, which must be periodically replenished. Our interests lie with the accumulation of active metals in the molten salt electrolyte. The real-time monitoring of actinide concentrations in the molten salt electrolyte is highly desirable for controlling electrochemical operations and assuring materials control and accountancy. However, real-time monitoring is not possible with current methods for sampling and chemical analysis. A new solid-state electrochemical sensor is being developed for real-time monitoring of actinide ion concentrations in a molten salt electrorefiner. The ultimate function of the sensor is to monitor plutonium concentrations during electrorefining operations, but in this work gadolinium was employed as a surrogate material for plutonium. In a parametric study, polycrystalline sodium beta double-prime alumina (Na-ß?-alumina) discs and tubes were subject to vapor-phase exchange with gadolinium ions (Gd3+) using a gadolinium chloride salt (GdCl3) as a precursor to produce gadolinium beta double-prime alumina (Gd-ß?-alumina) samples. Electrochemical impedance spectroscopy and microstructural analysis were performed on the ion-exchanged discs to determine the relationship between ion exchange and Gd3+ ion conductivity. The ion-exchanged tubes were configured as potentiometric sensors in order to monitor real-time Gd3+ ion concentrations in mixtures of gadolinium chloride (GdCl3) in LiCl-KCl eutectic molten salts through measurement of the potential difference between a reference and working electrode