The impact of socioeconomic status on the quality of life in patients with chronic obstructive pulmonary disease

Introduction: In addition to the traditional biomedical parameters, quality of life (QoL) evaluation has found its well-deserved place in the overall assessment of patients with chronic obstructive pulmonary disease (COPD). The impact of socioeconomic status (SES) was rarely evaluated in QoL studies in such patients with no such studies having been conducted in Poland. The aim of our study was to compare QoL between COPD patients and the control group and to evaluate the impact of SES, selected demographic characteristics, smoking and bronchial tree obstruction on the QoL in COPD patients. Material and methods: We enrolled 120 patients with COPD (98 men and 22 women; mean age: 62.3 years) with no comorbidities and 85 healthy individuals (39 men and 46 women; mean age: 56.0 years). All the COPD patients underwent spirometry. QoL was assessed with the SF-36 Health Survey and the St George’s Respiratory Questionnaire. To assess SES, demographic variables and smoking we used a questionnaire of our own authorship. Results: COPD patients showed a significantly lower QoL compared to controls. Univariate analysis demonstrated effects of educational background, income, occupation, employment status and bronchial obstruction on the individual QoL domains. Multivariate regression analysis revealed that the sociodemographic factors significantly affecting the overall QoL included: present occupation, employment status, monthly income, educational background and total exposure to cigarette smoke. No effects of age, sex or smoking status on the QoL in COPD were shown. Conclusions: The QoL in patients with COPD is affected by many factors. In addition to spirometric abnormalities the significant factors that modify QoL are: educational background, monthly income, present occupation and employment status, while sex, age and smoking status do not significantly affect QoL.Wstęp: Badania nad jakością życia znalazły, obok tradycyjnych parametrów biomedycznych, szerokie zastosowanie w całościowej ocenie pacjentów z przewlekłą obturacyjną chorobą płuc (POChP). Wpływ statusu socjoekonomicznego (SES) rzadko był przedmiotem oceny w badaniach nad jakością życia u tych chorych. W Polsce nie przeprowadzono takich badań. Celem pracy było porównanie jakości życia chorych na POChP z grupą kontrolną oraz ocena wpływu SES, wybranych wskaźników demograficznych, nałogu palenia oraz obturacji drzewa oskrzelowego na jakość życia u chorych na POChP. Materiał i metody: W badaniu wzięło udział 120 pacjentów z POChP (22 kobiety i 98 mężczyzn), średnia wieku: 62,3 roku, którzy nie byli leczeni z powodu innych chorób, oraz 85 zdrowych osób (46 kobiet, 39 mężczyzn), średnia wieku: 56 lat. U chorych na POChP wykonano badanie spirometryczne. W ocenie jakości życia wykorzystano kwestionariusze SF-36 oraz Szpitala św. Jerzego. W ocenie statusu socjoekonomicznego, zmiennych demograficznych oraz nałogu palenia wykorzystano własną ankietę. Wyniki: Chorzy na POChP wykazywali istotnie niższą jakość życia w porównaniu z grupą kontrolną. Wykorzystując analizę jednoczynnikową wykazano wpływ wykształcenia, dochodu, wykonywanego zawodu, statusu zatrudnienia oraz obturacji drzewa oskrzelowego na poszczególne domeny jakości życia. W analizie regresji wielokrotnej czynnikami socjodemograficznymi istotnie wpływającymi na ogólną jakość życia są: wykonywany zawód, zatrudnienie, dochód miesięczny, wykształcenie oraz całkowita ekspozycja na dym tytoniowy. Nie wykazano wpływu wieku, płci oraz statusu palenia na jakość życia w POChP. Wnioski: Na jakość życia chorych na POChP wpływa wiele czynników. Oprócz zaburzeń spirometrycznych istotnymi czynnikami modyfikującymi jakość życia są: wykształcenie, miesięczny dochód, wykonywany zawód oraz status zatrudnienia, natomiast płeć, wiek oraz status palenia nie mają istotnego wpływu na jakość życia

MET receptor is a potential therapeutic target in high grade cervical cancer

Cervical cancer is one of the leading causes of death among women suffering from tumors. Current treatment options are insufficient. Here, we investigated the MET receptor as a potential molecular target in advanced cervical cancer. Downregulation of MET receptor expression via RNA interference in different cervical carcinoma cell lines dramatically decreased tumor growth and forced tumor differentiation in vivo. MET receptor silencing also led to a dramatic decrease in cell size and a decrease in proliferation rate under normal and stress conditions. MET receptor downregulation also resulted in decreased cyclin D1 and c-myc levels but did not increase apoptosis. Subsequent experiments showed that downregulation of the MET receptor decreased the expression of a key regulator of the epithelial-to-mesenchymal transition, SLUG. and increased the expression of E-cadherin, a hallmark of the epithelial phenotype. Moreover, MET downregulation impairs expression and signaling of CXCR4 receptor, responsible for invasive phenotype. Taken together, our results strongly suggest that the MET receptor influences the oncogenic properties of cervical carcinoma cells in vitro and in vivo. These findings highlight a unique role of the MET receptor in cervical carcinoma cells and indicate the MET receptor as a potential therapeutic target for advanced cervical carcinoma

Inhibition of rhabdomyosarcoma's metastatic behavior through downregulation of MET receptor signaling.

Rhabdomyosarcoma (RMS) is a soft tissue sarcoma usually diagnosed in children. In advanced and metastatic stages the prognosis is often poor. RMS cell lines were used for evaluation of the role of MET receptor inhibition on chemotaxis and invasion. In vivo studies were performed using NOD-SCID xenograft model. This study shows that blocking of MET expression has strong influence on metastatic behavior of RMS. MET negative cells possess a reduced potential to migrate and to invade. Downregulation of MET suppressed the ability of RMS cells to populate bone marrow. Inhibition of MET negative tumor cells engraftment into bone marrow was observed. MET negative tumors were also two to four times smaller than their wild type counterparts. Since MET receptor plays a very important role in facilitating metastasis of RMS cells, blocking of HGF-MET axis might be considered as a therapeutic option for RMS patients, at more advanced and metastatic stages

Defense Responses in the Interactions between Medicinal Plants from Lamiaceae Family and the Two-Spotted Spider Mite Tetranychus urticae Koch (Acari: Tetranychidae)

This study aimed to determine the effects of plant species on the biological parameters of Tetranychus urticae Koch and the time of mite infestation on plant physiology in Ocimum basilicum L., Melissa officinalis L. and Salvia officinalis L. Mite infestation induced various levels of oxidative stress depending on plant species and the duration of infestation. Host plants affected T. urticae life table parameters. The low level of susceptibility was characteristic of S. officinalis, which appeared to be the least infected plant species and reduced mites demographic parameters. Infested leaves of S. officinalis contained elevated levels of hydrogen peroxide (H2O2) and malondialdehyde (MDA) compared to control. In addition, higher membrane lipid peroxidation and higher activity of guaiacol peroxidase (GPX) and lower activity of catalase (CAT) were recorded with a longer mite infestation. In contrast, O. basilicum appeared to be a suitable host on which T. urticae could develop and increase in number. In basil leaves, increasing levels of hydrogen peroxide and MDA with elevated GPX activity and strongly decreased catalase activity were recorded. Knowledge of the differences in mite susceptibility of the tested medicinal plants described in this study has the potential to be applied in breeding strategies and integrated T. urticae pest management in medicinal plant cultivations

Multifunctional protein APPL2 contributes to survival of human glioma cells

Some endocytic proteins have recently been shown to play a role in tumorigenesis. In this study, we demonstrate that APPL2, an adapter protein with known endocytic functions, is upregulated in 40% cases of glioblastoma multiforme, the most common and aggressive cancer of the central nervous system. The silencing of APPL2 expression by small interfering RNAs (siRNAs) in glioma cells markedly reduces cell survival under conditions of low growth factor availability and enhances apoptosis (measured by executor caspase activity). Long‐term depletion of APPL2 by short hairpin RNAs (shRNAs), under regular growth factor availability, suppresses the cell transformation abilities, assessed by inhibited colony formation in soft agar and by reduced xenograft tumor growth in vivo. At the molecular level, the negative effect of APPL2 knockdown on cell survival is not due to the alterations in AKT or GSK3β activities which were reported to be modulated by APPL proteins. Instead, we attribute the reduced cell survival upon APPL2 depletion to the changes in gene expression, in particular to the upregulation of apoptosis‐related genes, such as UNC5B (a proapoptotic dependence receptor) and HRK (harakiri, an activator of apoptosis, which antagonizes anti‐apoptotic function of Bcl2). In support of this notion, the loss of glioma cell survival upon APPL2 knockdown can be rescued either by an excess of netrin‐1, the prosurvival ligand of UNC5B or by simultaneous silencing of HRK. Consistently, APPL2 overexpression reduces expression of HRK and caspase activation in cells treated with apoptosis inducers, resulting in the enhancement of cell viability. This prosurvival activity of APPL2 is independent of its endosomal localization. Cumulatively, our data indicate that a high level of APPL2 protein might enhance glioblastoma growth by maintaining low expression level of genes responsible for cell death induction

Bone status in adolescents and young adults with type 1 diabetes: a 10-year longitudinal study

Introduction: This study presents a 10-year longitudinal assessment of bone status in adolescents and young adults with type 1 diabetes (T1D). Material and methods: Thirty-two patients (12 female, aged 20.5 ± 3.93 years, T1D duration 13.9 ± 1.97 years) were studied using quantitative ultrasound (QUS) and dual-energy X-ray absorptiometry (DXA). Standard deviation scores (SDS) for these results were calculated. The following clinical parameters were analysed: sex, age, T1D duration, anthropometric parameters, daily insulin requirement (DIR), mean glycated haemoglobin (HbA1c) in the year preceding the examination, medication other than insulin, history of bone fractures, and comorbidities. Results: The current and past (measured 10 years earlier) QUS results did not differ and showed a significant correlation (r = 0.55, p = 0.001). We found no relation of QUS results and anthropometric parameters or gender. DXA parameters did not correlate with the present QUS measurement. DXA and QUS results were independent of HbA1c, co-morbidities, or intake of additional medicaments. Conclusions: Bone status parameters of the examined patients with currently suboptimal glycaemic control were found to be lowered in comparison to a normative reference population, both at baseline and follow-up, although no further deterioration was observed during the 10-year follow-up period.

A proposed integrated approach for the preclinical evaluation of phage therapy in Pseudomonas infections

Bacteriophage therapy is currently resurging as a potential complement/alternative to antibiotic treatment. However, preclinical evaluation lacks streamlined approaches. We here focus on preclinical approaches which have been implemented to assess bacteriophage efficacy against Pseudomonas biofilms and infections. Laser interferometry and profilometry were applied to measure biofilm matrix permeability and surface geometry changes, respectively. These biophysical approaches were combined with an advanced Airway Surface Liquid infection model, which mimics in vitro the normal and CF lung environments, and an in vivo Galleria larvae model. These assays have been implemented to analyze KTN4 (279,593 bp dsDNA genome), a type-IV pili dependent, giant phage resembling phiKZ. Upon contact, KTN4 immediately disrupts the P. aeruginosa PAO1 biofilm and reduces pyocyanin and siderophore production. The gentamicin exclusion assay on NuLi-1 and CuFi-1 cell lines revealed the decrease of extracellular bacterial load between 4 and 7 logs and successfully prevents wild-type Pseudomonas internalization into CF epithelial cells. These properties and the significant rescue of Galleria larvae indicate that giant KTN4 phage is a suitable candidate for in vivo phage therapy evaluation for lung infection applications