Inflammatory activity assessment by F18 FDG-PET/CT in persistent symptomatic sarcoidosis

SummaryBackgroundEstablishing inflammatory activity in sarcoidosis patients with persistent disabling symptoms is important. Whole body F18-FDG PET/CT (PET) appeared to be a sensitive method to detect inflammatory activity in newly diagnosed symptomatic sarcoidosis. The aim was to assess the presence of inflammatory activity using PET in sarcoidosis patients with unexplained persistent disabling symptoms and the association between PET findings and serological inflammatory markers.MethodsSarcoidosis patients who underwent a PET between June 2005 and June 2010 (n = 89), were retrospectively included. All PET scans were examined and positive findings were classified as thoracic and/or extrathoracic. As serological markers of inflammatory activity angiotensine-converting enzyme (ACE), soluble interleukin-2 receptor (sIL-2R), and neopterine were considered.ResultsIn 65/89 (73%) of the studied patients PET was positive, 52 of them (80%) had serological signs of inflammatory activity. In 14/15 patients with a Chest X-ray stage IV PET was positive. In 80% of the PET positive patients extrathoracic inflammatory activity was found. Sensitivity of combined serological inflammatory markers for the presence of inflammatory activity as detected by PET was 80%, specificity 100%, positive predictive value 100%, negative predictive value 65%.ConclusionsThe majority of sarcoidosis patients with persistent disabling symptoms, even those with radiological stage IV, had PET positive findings with remarkably 80% extrathoracic lesions. In 20% PET was positive without signs of serological inflammatory activity. PET appeared to be of additional value to assess inflammatory activity in patients with persistent symptoms in the absence of signs of serological inflammatory activity and to detect extrathoracic lesions

Food availability, energetic constraints and reproductive development in a wild seasonally breeding songbird

1. In many organisms, food availability is a proximate cue that synchronizes seasonal development of the reproductive system with optimal environmental conditions. Growth of the gonads and secondary sexual characteristics is orchestrated by the hypothalamic–pituitary–gonadal (HPG) axis. However, our understanding of the physiological mechanisms by which food availability modulates activity of the HPG axis is limited. 2. It is thought that many factors, including energetic status, modulate seasonal reproductive activation. We tested the hypothesis that food availability modulates the activity of the HPG axis in a songbird. Specifically, we food‐restricted captive adult male Abert's Towhees Melozone aberti for 2 or 4 weeks during photoinduced reproductive development. A third group (control) received ad libitum food throughout. We measured multiple aspects of the reproductive system including endocrine activity of all three levels of the HPG axis [i.e. hypothalamic gonadotropin‐releasing hormone‐I (GnRH‐I), plasma luteinizing hormone (LH) and testosterone (T)], and gonad morphology. Furthermore, because gonadotropin‐inhibitory hormone (GnIH) and neuropeptide Y (NPY; a potent orexigenic peptide) potentially integrate information on food availability into seasonal reproductive development, we also measured the brain levels of these peptides. 3. At the hypothalamic level, we detected no effect of food restriction on immunoreactive (ir) GnRH‐I, but the duration of food restriction was inversely related to the size of ir‐GnIH perikarya. Furthermore, the number of ir‐NPY cells was higher in food‐restricted than control birds. Food restriction did not influence photoinduced testicular growth, but decreased plasma LH and T, and width of the cloacal protuberance, an androgen‐sensitive secondary sexual characteristic. Returning birds to ad libitum food availability had no effect on plasma LH or T, but caused the cloacal protuberance to rapidly increase in size to that of ad libitum‐fed birds. 4. Our results support the tenet that food availability modulates photoinduced reproductive activation. However, they also suggest that this modulation is complex and depends upon the level of the HPG axis considered. At the hypothalamic level, our results are consistent with a role for the GnIH and NPY systems in integrating information on energetic status. There also appears to be a role for endocrine function at the anterior pituitary gland and testicular levels in modulating reproductive development in the light of energetic status and independently of testicular growth

Individual differences in the use of social information in foraging by captive great tits

We investigated individual differences in copying behaviour of captive great tits, Parus major, by analysing their response to a tutor indicating a new feeding site. We used two groups, each di seven male birds, labelled 'fast' and 'slow' explorers based on previous studies in which consistent individual differences in the speed of exploring were found. The birds were trained to search for food hidden in a number of differently coloured and shaped feeders, and later to search in only one type of feeder. During the tests, food was absent and the birds were observed in two different situations: alone or in the presence of a tutor, a bird that had been trained to feed in a different kind of feeder. When alone, slow birds readily extended their search to other feeders while fast birds did not change their routine of visiting the previously rewarded ones. In the presence of the tutor, the opposite occurred: slow birds did not change their behaviour while fast birds significantly increased their visits to the feeders indicated by the tutor. Fast and slow individuals thus differ in their foraging and copying behaviour, consistent with the producer-scrounger model. (C) 2000 The Association for the Study of Animal Behaviour. [KEYWORDS: Parus-major; food; strategies; behavior; scroungers; simulation; producers; sparrows; pigeons; flocks]

Exploration, aggressive behavior and dominance in pair-wise confrontations of juvenile male great tits

In the development of social dominance, constitutional behavioural characteristics may play an important role apart from morphological traits. Previous work has shown that juvenile male great tits Parus major differ consistently in their early exploratory behaviour and can be classified as fast and superficial explorers or slow and thorough explorers. This study investigated whether these individual differences in exploratory behaviour are related to aggressive behaviour, and whether this affects dominance. In an experimental set-up, pair-wise fights were observed. The obtained data were corrected for possible influences of morphological traits. Consistent individual differences in aggressive behaviour were found, indicating that juvenile great tits can be characterised by that behaviour. Fast explorers started more fights than slow explorers, and birds that started more fights also won more fights. An additional experiment with pairs of fast and slow explorers confirmed that fast explorers won more fights than slow explorers. In conclusion, we demonstrated that individual differences in exploratory behaviour are related to aggressive behaviour, which affects dominance. The striking agreement of these findings with studies of rodents and pigs is discussed. It is suggested that the behaviour of fast explorers agrees with an active style of coping with stress, while the behaviour of the slow explorers resembles a passive coping style. [KEYWORDS: Parus-major; reproductive success; individual-differences; social-dominance; house mice; consequences; environment; survival; pigs]