Interaction of inflammatory cytokines and erythropoeitin in iron metabolism and erythropoiesis in anaemia of chronic disease

In chronic inflammatory conditions increased endogenous release of specific cytokines (TNFα, IL-1, IL-6, IFNγ and others) is presumed. It has been shown that those of monocyte lineage play a key role in cytokine expression and synthesis. This may be associated with changes in iron metabolism and impaired erythropoiesis and may lead to development of anaemia in patients with rheumatoid arthritis. Firstly, increased synthesis of acute phase proteins, like ferritin, during chronic inflammation is proposed as the way by which the toxic effect of iron and thereby the synthesis of free oxy-radicals causing the damage on the affected joints, may be reduced. This is associated with a shift of iron towards the mononuclear phagocyte system which may participate in the development of anaemia of chronic disease. Secondly, an inhibitory action of inflammatory cytokines (TNFα, IL-1), on proliferation and differentiation of erythroid progenitors as well as on synthesis of erythropoietin has been shown, thereby also contributing to anaemia. Finally, chronic inflammation causes multiple, complex disturbances in the delicate physiologic equilibrium of interaction between cytokines and cells (erythroid progenitors, cells of mononuclear phagocyte system and erythropoietin producing cells) leading to development of anaemia of chronic disease (Fig. 1)

Exome chip study provides novel insights into the genetics of pelvic organ prolapse

Development and application of statistical models for medical scientific researc

Application of harmonic analysis of water levels to determine vertical hydraulic conductivities in clay-rich aquitards

A harmonic analysis method was used to determine vertical hydraulic conductivities (Kv) in geologic media between vertically separated piezometers using water level measurements. In this method, each water level time series was filtered and then decomposed using harmonic analysis into a sum of trigonometric components. The phase and amplitude of each harmonic function were calculated. These data were used to estimate Kv values between vertically separated data sets assuming one-dimensional transient flow. The method was applied to water level data collected from nested piezometers at two thick clay-rich till aquitards in Saskatchewan, Canada. At one site, routine water levels were measured in 12 piezometers (installed between 1 and 29 m below ground surface) since installation (1995). At the other site, water levels were measured in seven piezometers (installed between 4 and 53 m below ground surface) since installation (1998–1999). The Kv calculated using harmonic analysis decreased with depth below the water table at both sites, approaching matrix estimates of hydraulic conductivity between 10 and 11 m and between 21 and 43 m below ground surface. These depths reflected the depth of extensive vertical fracturing at the sites and showed that the depth of fracturing may be site specific