Evaluation of coagulation activation after Rhinovirus infection in patients with asthma and healthy control subjects: an observational study

Background Asthma exacerbations are frequently triggered by rhinovirus infections. Both asthma and respiratory tract infection can activate haemostasis. Therefore we hypothesized that experimental rhinovirus-16 infection and asthmatic airway inflammation act in synergy on the haemostatic balance. Methods 28 patients (14 patients with mild allergic asthma and 14 healthy non-allergic controls) were infected with low-dose rhinovirus type 16. Venous plasma and bronchoalveolar lavage fluid (BAL fluid) were obtained before and 6 days after infection to evaluate markers of coagulation activation, thrombin-antithrombin complexes, von Willebrand factor, plasmin-antiplasmin complexes, plasminogen activator inhibitor type-1, endogenous thrombin potential and tissue factor-exposing microparticles by fibrin generation test, in plasma and/or BAL fluid. Data were analysed by nonparametric tests (Wilcoxon, Mann Whitney and Spearman correlation). Results 13 patients with mild asthma (6 females, 19-29 y) and 11 healthy controls (10 females, 19-31 y) had a documented Rhinovirus-16 infection. Rhinovirus-16 challenge resulted in a shortening of the fibrin generation test in BAL fluid of asthma patients (t = -1: 706 s vs. t = 6: 498 s; p = 0.02), but not of controls (t = -1: 693 s vs. t = 6: 636 s; p = 0.65). The fold change in tissue factor-exposing microparticles in BAL fluid inversely correlated with the fold changes in eosinophil cationic protein and myeloperoxidase in BAL fluid after virus infection (r = -0.517 and -0.528 resp., both p = 0.01). Rhinovirus-16 challenge led to increased plasminogen activator inhibitor type-1 levels in plasma in patients with asthma (26.0 ng/mL vs. 11.5 ng/mL in healthy controls, p = 0.04). Rhinovirus-16 load in BAL showed a linear correlation with the fold change in endogenous thrombin potential, plasmin-antiplasmin complexes and plasminogen activator inhibitor type-1. Conclusions Experimental rhinovirus infection induces procoagulant changes in the airways of patients with asthma through increased activity of tissue factor-exposing microparticles. These microparticle-associated procoagulant changes are associated with both neutrophilic and eosinophilic inflammation. Systemic activation of haemostasis increases with Rhinoviral load

The Influence of Magnetic Field on Oscillations in the Solar Chromosphere

Two sequences of solar images obtained by the Transition Region and Coronal Explorer in three UV passbands are studied using wavelet and Fourier analysis and compared to the photospheric magnetic flux measured by the Michelson Doppler Interferometer on the Solar Heliospheric Observatory to study wave behaviour in differing magnetic environments. Wavelet periods show deviations from the theoretical cutoff value and are interpreted in terms of inclined fields. The variation of wave speeds indicates that a transition from dominant fast-magnetoacoustic waves to slow modes is observed when moving from network into plage and umbrae. This implies preferential transmission of slow modes into the upper atmosphere, where they may lead to heating or be detected in coronal loops and plumes.Comment: 8 pages, 6 figures (4 colour online only), accepted for publication in The Astrophysical Journa

A perturbative solution for gravitational waves in quadratic gravity

We find a gravitational wave solution to the linearized version of quadratic gravity by adding successive perturbations to the Einstein's linearized field equations. We show that only the Ricci squared quadratic invariant contributes to give a different solution of those found in Einstein's general relativity. The perturbative solution is written as a power series in the $\beta$ parameter, the coefficient of the Ricci squared term in the quadratic gravitational action. We also show that, for monochromatic waves of a given angular frequency $\omega$, the perturbative solution can be summed out to give an exact solution to linearized version of quadratic gravity, for $0<\omega<c/\mid\beta\mid^{1/2}$. This result may lead to implications to the predictions for gravitational wave backgrounds of cosmological origin.Comment: 9 pages, to appear in CQ

Independent position correction on tumor and lymph nodes; consequences for bladder cancer irradiation with two combined IMRT plans

Abstract Background The application of lipiodol injections as markers around bladder tumors combined with the use of CBCT for image guidance enables daily on-line position correction based on the position of the bladder tumor. However, this might introduce the risk of underdosing the pelvic lymph nodes. In this study several correction strategies were compared. Methods For this study set-up errors and tumor displacements for ten complete treatments were generated; both were based on the data of 10 bladder cancer patients. Besides, two IMRT plans were made for 20 patients, one for the elective field and a boost plan for the tumor. For each patient 10 complete treatments were simulated. For each treatment the dose was calculated without position correction (option 1), correction on bony anatomy (option 2), on tumor only (option 3) and separately on bone for the elective field (option 4). For each method we analyzed the D99% for the tumor, bladder and lymph nodes and the V95% for the small intestines, rectum, healthy part of the bladder and femoral heads. Results CTV coverage was significantly lower with options 1 and 2. With option 3 the tumor coverage was not significantly different from the treatment plan. The ΔD99% (D99%, option n - D99%, treatment plan) for option 4 was small, but significant. For the lymph nodes the results from option 1 differed not significantly from the treatment plan. The median ΔD99% of the other options were small, but significant. ΔD99% for PTVbladder was small for options 1, 2 and 4, but decreased up to -8.5 Gy when option 3 was applied. Option 4 is the only method where the difference with the treatment plan never exceeds 2 Gy. The V95% for the rectum, femoral heads and small intestines was small in the treatment plan and this remained so after applying the correction options, indicating that no additional hot spots occurred. Conclusions Applying independent position correction on bone for the elective field and on tumor for the boost separately gives on average the best target coverage, without introducing additional hot spots in the healthy tissue.</p

The sieve-element endoplasmic reticulum: A focal point of phytoplasma-host plant interaction?

The rough endoplasmic reticulum (r-ER) is of paramount importance for adaptive responses to biotic stresses due to an increased demand for de novo synthesis of immunity-related proteins and signaling components. In nucleate cells, disturbance of r-ER integrity and functionality leads to the “unfolded protein response” (UPR), which is an important component of innate plant immune signalling. In contrast to an abundance of reports on r-ER responses to biotic challenges, sieve-element endoplasmic reticulum (SE-ER) responses to phytoplasma infection have not been investigated. We found that morphological SE-ER changes, associated with phytoplasma infection, are accompanied by differential expression of genes encoding proteins involved in shaping and anchoring the reticulum. Phytoplasma infection also triggers an increased release of bZIP signals from the (SE-ER)/r-ER and consequent differential expression of UPR-related genes. The modified expression patterns seem to reflect a trade-off between survival of host cells, needed for the phytoplasmic biotrophic lifestyle, and phytoplasmas. Specialized plasmodesmata between sieve element and companion cell may provide a corridor for transfer of phytoplasma effectors inducing UPR-related gene expression in companion cells

Lorentzian regularization and the problem of point-like particles in general relativity

The two purposes of the paper are (1) to present a regularization of the self-field of point-like particles, based on Hadamard's concept of ``partie finie'', that permits in principle to maintain the Lorentz covariance of a relativistic field theory, (2) to use this regularization for defining a model of stress-energy tensor that describes point-particles in post-Newtonian expansions (e.g. 3PN) of general relativity. We consider specifically the case of a system of two point-particles. We first perform a Lorentz transformation of the system's variables which carries one of the particles to its rest frame, next implement the Hadamard regularization within that frame, and finally come back to the original variables with the help of the inverse Lorentz transformation. The Lorentzian regularization is defined in this way up to any order in the relativistic parameter 1/c^2. Following a previous work of ours, we then construct the delta-pseudo-functions associated with this regularization. Using an action principle, we derive the stress-energy tensor, made of delta-pseudo-functions, of point-like particles. The equations of motion take the same form as the geodesic equations of test particles on a fixed background, but the role of the background is now played by the regularized metric.Comment: 34 pages, to appear in J. Math. Phy

The time-dependent localization of Ki 67 antigen-positive cells in human skin wounds

A total of 77 human skin wounds with a post-infliction interval between 3 h and 7 months were investigated and the proliferation marker antigen Ki 67 was visualized in paraffin sections using a specific monoclonal antibody (MIB). The re-built epidermal layer covering the former lesional area showed only a few basal cells positively staining for Ki 67 antigen. No enhanced reactivity was found when compared to uninjured skin. In basal cells of the epidermis adjacent to the wound area, however, varying numbers of positive cells occurred, but no information useful for a reliable time estimation of skin wounds could be obtained due to the considerable variability in the number of Ki 67 positive epidermal basal cells found in non-damaged skin. Fibroblastic cells in the wound area revealed an increased number of Ki 67-positive sites which could first be detected in a 1.5-day-old skin lesion. Positive results could be obtained in every specimen investigated after a post-infliction interval of 6 days up to 1.5 months. Only the scar tissue of the oldest wound examined (wound age 7 months) revealed no increase in the number of positively staining fibroblasts. Therefore, positive results indicate a wound age of at least approximately 1.5 days and the lack of an increased number of positive fibroblastic cells in a sufficient number of specimens indicates at a wound age of less than 6 days, but cannot totally exclude longer post-infliction intervals

Symmetry properties of the metric energy-momentum tensor in classical field theories and gravity

We derive a generic identity which holds for the metric (i.e. variational) energy-momentum tensor under any field transformation in any generally covariant classical Lagrangian field theory. The identity determines the conditions under which a symmetry of the Lagrangian is also a symmetry of the energy-momentum tensor. It turns out that the stress tensor acquires the symmetry if the Lagrangian has the symmetry in a generic curved spacetime. In this sense a field theory in flat spacetime is not self-contained. When the identity is applied to the gauge invariant spin-two field in Minkowski space, we obtain an alternative and direct derivation of a known no-go theorem: a linear gauge invariant spin-2 field, which is dynamically equivalent to linearized General Relativity, cannot have a gauge invariant metric energy-momentum tensor. This implies that attempts to define the notion of gravitational energy density in terms of the metric energy--momentum tensor in a field-theoretical formulation of gravity must fail.Comment: Revised version to match the published version in Class. Quantum Gra