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High fludarabine exposure and relationship with treatment-related mortality after nonmyeloablative hematopoietic cell transplantation.
Despite its common use in nonmyeloablative preparative regimens, the pharmacokinetics of fludarabine are poorly characterized in hematopoietic cell transplantation (HCT) recipients and exposure-response relationships remain undefined. The objective of this study was to evaluate the association between plasma F-ara-A exposure, the systemically circulating moiety of fludarabine, and engraftment, acute GVHD, TRM and OS after HCT. The preparative regimen consisted of CY 50 mg/kg/day i.v. day -6; plus fludarabine 30-40 mg/m²/day i.v. on days -6 to -2 and TBI 200 cGy on day -1. F-ara-A pharmacokinetics were carried out with the first dose of fludarabine in 87 adult patients. Median (range) F-ara-A area-under-the-curve (AUC((0-∞))) was 5.0 μg h/mL (2.0-11.0), clearance 15.3 L/h (6.2-36.6), C(min) 55 ng/mL (17-166) and concentration on day(zero) 16.0 ng/mL (0.1-144.1). Despite dose reductions, patients with renal insufficiency had higher F-ara-A exposures. There was strong association between high plasma concentrations of F-ara-A and increased risk of TRM and reduced OS. Patients with an AUC((0-∞)) greater than 6.5 μg h/mL had 4.56 greater risk of TRM and significantly lower OS. These data suggest that clinical strategies are needed to optimize dosing of fludarabine to prevent overexposure and toxicity in HCT
Exceptional preservation of reproductive organs and giant sperm in Cretaceous ostracods
The bivalved crustacean ostracods have the richest fossil record of any arthropod group and display complex reproductive strategies contributing to their evolutionary success. Sexual reproduction involving giant sperm, shared by three superfamilies of living ostracod crustaceans, is among the most fascinating behaviours. However, the origin and evolution of this reproductive mechanism has remained largely unexplored because fossil preservation of such features is extremely rare. Here, we report exceptionally preserved ostracods with soft parts (appendages and reproductive organs) in a single piece of mid-Cretaceous Kachin amber (approximately 100 Myr old). The ostracod assemblage is composed of 39 individuals. Thirty-one individuals belong to a new species and genus, Myanmarcypris hui gen. et sp. nov., exhibiting an ontogenetic sequence from juveniles to adults (male and female). Seven individuals are assigned to Thalassocypria sp. (Cypridoidea, Candonidae, Paracypridinae) and one to Sanyuania sp. (Cytheroidea, Loxoconchidae). Our micro-CT reconstruction provides direct evidence of the male clasper, sperm pumps (Zenker organs), hemipenes, eggs and female seminal receptacles with giant sperm. Our results reveal that the reproduction behavioural repertoire, which is associated with considerable morphological adaptations, has remained unchanged over at least 100 million years—a paramount example of evolutionary stasis. These results also double the age of the oldest unequivocal fossil animal sperm. This discovery highlights the capacity of amber to document invertebrate soft parts that are rarely recorded by other depositional environments
A SM-like Higgs near 125 GeV in low energy SUSY: a comparative study for MSSM and NMSSM
Motivated by the recent LHC hints of a Higgs boson around 125 GeV, we assume
a SM-like Higgs with the mass 123-127 GeV and study its implication in low
energy SUSY by comparing the MSSM and NMSSM. We consider various experimental
constraints at 2-sigma level (including the muon g-2 and the dark matter relic
density) and perform a comprehensive scan over the parameter space of each
model. Then in the parameter space which is allowed by current experimental
constraints and also predicts a SM-like Higgs in 123-127 GeV, we examine the
properties of the sensitive parameters (like the top squark mass and the
trilinear coupling A_t) and calculate the rates of the di-photon signal and the
VV^* (V=W,Z) signals at the LHC. Our typical findings are: (i) In the MSSM the
top squark and A_t must be large and thus incur some fine-tuning, which can be
much ameliorated in the NMSSM; (ii) In the MSSM a light stau is needed to
enhance the di-photon rate of the SM-like Higgs to exceed its SM prediction,
while in the NMSSM the di-photon rate can be readily enhanced in several ways;
(iii) In the MSSM the signal rates of pp -> h -> VV^* at the LHC are never
enhanced compared with their SM predictions, while in the NMSSM they may get
enhanced significantly; (iv) A large part of the parameter space so far
survived will be soon covered by the expected XENON100(2012) sensitivity
(especially for the NMSSM).Comment: Version in JHEP (refs added
Interplay of Quantum Criticality and Geometric Frustration in Columbite
Motivated by CoNb2O6 (belonging to the columbite family of minerals), we
theoretically study the physics of quantum ferromagnetic Ising chains coupled
anti-ferromagnetically on a triangular lattice in the plane perpendicular to
the chain direction. We combine exact solutions of the chain physics with
perturbative approximations for the transverse couplings. When the triangular
lattice has an isosceles distortion (which occurs in the real material), the
T=0 phase diagram is rich with five different states of matter: ferrimagnetic,
N\'eel, anti-ferromagnetic, paramagnetic and incommensurate phases, separated
by quantum phase transitions. Implications of our results to experiments on
CoNb2O6 are discussed
Overexpression of mitochondrial creatine kinase preserves cardiac energetics without ameliorating murine chronic heart failure
Mitochondrial creatine kinase (Mt-CK) is a major determinant of cardiac energetic status and is down-regulated in chronic heart failure, which may contribute to disease progression. We hypothesised that cardiomyocyte-specific overexpression of Mt-CK would mitigate against these changes and thereby preserve cardiac function. Male Mt-CK overexpressing mice (OE) and WT littermates were subjected to transverse aortic constriction (TAC) or sham surgery and assessed by echocardiography at 0, 3 and 6 weeks alongside a final LV haemodynamic assessment. Regardless of genotype, TAC mice developed progressive LV hypertrophy, dilatation and contractile dysfunction commensurate with pressure overload-induced chronic heart failure. There was a trend for improved survival in OE-TAC mice (90% vs 73%, P = 0.08), however, OE-TAC mice exhibited greater LV dilatation compared to WT and no functional parameters were significantly different under baseline conditions or during dobutamine stress test. CK activity was 37% higher in OE-sham versus WT-sham hearts and reduced in both TAC groups, but was maintained above normal values in the OE-TAC hearts. A separate cohort of mice received in vivo cardiac 31P-MRS to measure high-energy phosphates. There was no difference in the ratio of phosphocreatine-to-ATP in the sham mice, however, PCr/ATP was reduced in WT-TAC but preserved in OE-TAC (1.04 ± 0.10 vs 2.04 ± 0.22; P = 0.007). In conclusion, overexpression of Mt-CK activity prevented the changes in cardiac energetics that are considered hallmarks of a failing heart. This had a positive effect on early survival but was not associated with improved LV remodelling or function during the development of chronic heart failure
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