Non-alcoholic fatty liver disease: relationship with cardiovascular risk markers and clinical endpoints

Non-alcoholic fatty liver disease (NAFLD) is a common diagnosis and is increasing in prevalence worldwide. NAFLD is usually asymptomatic at presentation; progression of the disease is unpredictable, leading to the development of a variety of techniques for screening, diagnosis and risk stratification. Clinical methods in current use include serum biomarker panels, hepatic ultrasound, magnetic resonance imaging, and liver biopsy. NAFLD is strongly associated with the metabolic syndrome, and the most common cause of death for people with the condition is cardiovascular disease. Whether NAFLD is an independent cardiovascular risk factor needs exploration. NAFLD has been associated with surrogate markers of cardiovascular disease such as carotid intima-media thickness, the presence of carotid plaque, brachial artery vasodilatory responsiveness and CT coronary artery calcification score. There is no effective medical treatment for NAFLD and evidence is lacking regarding the efficacy of interventions in mitigating cardiovascular risk. Health care professionals managing patients with NAFLD should tackle the issue with early identification of risk factors and aggressive modification. Current management strategies therefore comprise lifestyle change,with close attention to known cardiovascular risk factors

The effects of an experimental programme to support students’ autonomy on the overt behaviours of physical education teachers

Although the benefits of autonomy supportive behaviours are now well established in the literature, very few studies have attempted to train teachers to offer a greater autonomy support to their students. In fact, none of these studies has been carried out in physical education (PE). The purpose of this study is to test the effects of an autonomy-supportive training on overt behaviours of teaching among PE teachers. The experimental group included two PE teachers who were first educated on the benefits of an autonomy supportive style and then followed an individualised guidance programme during the 8 lessons of a teaching cycle. Their behaviours were observed and rated along 3 categories (i.e., autonomy supportive, neutral and controlling) and were subsequently compared to those of three teachers who formed the control condition. The results showed that teachers in the experimental group used more autonomy supportive and neutral behaviours than those in the control group, but no difference emerged in relation to controlling behaviours. We discuss the implications for schools of our findings

Liver fat in adults with GH deficiency: comparison to matched controls and the effect of GH replacement

CONTEXT: Existing data regarding the association between growth hormone deficiency (GHD) and liver fat content are conflicting. OBJECTIVE: We aimed i) to assess intrahepatocellular lipid (IHCL) content in hypopituitary adults with GHD compared to matched controls and ii) to evaluate the effect of growth hormone (GH) replacement on IHCL content. DESIGN: Cross-sectional comparison and controlled intervention study. PATIENTS, PARTICIPANTS: Cross-sectional comparison: 22 hypopituitary adults with GHD and 44 healthy controls matched for age, BMI, gender and ethnicity. Intervention study: 9 GHD patients starting GH replacement (GH Rx group), 9 GHD patients not starting replacement therapy (non-GH Rx group). INTERVENTION: Intervention study:GH replacement for 6 months in the GH Rx group, dosage was titrated to achieve normal IGF-1 levels. MAIN OUTCOME MEASURES: IHCL content determined by proton magnetic resonance spectroscopy (1 H MRS). RESULTS: Cross-sectional comparison: There was no difference in IHCL content between GHD patients and healthy controls (1.89% (0.30, 4.03) vs. 1.14% (0.22, 2.32); p=0.2), the prevalence of patients with hepatic steatosis (IHCL of ≥ 5.56%) was similar in the two groups (22.7% vs. 15.9%; chi square probability = 0.4). Intervention study: The change in IHCL content over 6 months did not differ between the GH Rx group and the non-GH Rx group (-0.63 ± 4.53% vs. +0.11 ± 1.46%; p=0.6). CONCLUSIONS: In our study liver fat content and the prevalence of hepatic steatosis did not differ between hypopituitary adults with GHD and matched controls. In GHD patients GH replacement had no effect on liver fat content

Infection with the hepatitis C virus causes viral genotype-specific differences in cholesterol metabolism and hepatic steatosis

Lipids play essential roles in the hepatitis C virus (HCV) life cycle and patients with chronic HCV infection display disordered lipid metabolism which resolves following successful anti-viral therapy. It has been proposed that HCV genotype 3 (HCV-G3) infection is an independent risk factor for hepatocellular carcinoma and evidence suggests lipogenic proteins are involved in hepatocarcinogenesis. We aimed to characterise variation in host lipid metabolism between participants chronically infected with HCV genotype 1 (HCV-G1) and HCV-G3 to identify likely genotype-specific differences in lipid metabolism. We combined several lipidomic approaches: analysis was performed between participants infected with HCV-G1 and HCV-G3, both in the fasting and non-fasting states, and after sustained virological response (SVR) to treatment. Sera were obtained from 112 fasting patients (25% with cirrhosis). Serum lipids were measured using standard enzymatic methods. Lathosterol and desmosterol were measured by gas-chromatography mass spectrometry (MS). For further metabolic insight on lipid metabolism, ultra-performance liquid chromatography MS was performed on all samples. A subgroup of 13 participants had whole body fat distribution determined using in vivo magnetic resonance imaging and spectroscopy. A second cohort of (non-fasting) sera were obtained from HCV Research UK for comparative analyses: 150 treatment naïve patients and 100 non-viraemic patients post-SVR. HCV-G3 patients had significantly decreased serum apoB, non-HDL cholesterol concentrations, and more hepatic steatosis than those with HCV-G1. HCV-G3 patients also had significantly decreased serum levels of lathosterol, without significant reductions in desmosterol. Lipidomic analysis showed lipid species associated with reverse cholesterol transport pathway in HCV-G3. We demonstrated that compared to HCV-G1, HCV-G3 infection is characterised by low LDL cholesterol levels, with preferential suppression of cholesterol synthesis via lathosterol, associated with increasing hepatic steatosis. The genotype-specific lipid disturbances may shed light on genotypic variations in liver disease progression and promotion of hepatocellular cancer in HCV-G3

Block copolymer nanoparticles are effective dispersants for micrometer-sized organic crystalline particles

Well-defined sterically stabilized diblock copolymer nanoparticles of 29 nm diameter are prepared by RAFT aqueous emulsion polymerization of methyl methacrylate using a dithiobenzoate-capped poly(glycerol monomethacrylate) precursor. These nanoparticles are evaluated as a dispersant for the preparation of organic crystalline microparticles via ball milling. This is exemplified for azoxystrobin, which is a broad-spectrum fungicide that is widely used to protect various food crops. Laser diffraction and optical microscopy studies indicate the formation of azoxystrobin microparticles of approximately 2 μm diameter after ball milling for 10 min at 400 rpm. Nanoparticle adsorption at the surface of these azoxystrobin microparticles is confirmed by electron microscopy studies. The extent of nanoparticle adsorption on the azoxystrobin microparticles can be quantified using a supernatant assay based on solution densitometry. This technique indicates an adsorbed amount of approximately 5.5 mg m–2, which is sufficient to significantly reduce the negative zeta potential exhibited by azoxystrobin. Moreover, this adsorbed amount appears to be essentially independent of the nature of the core-forming block, with similar data being obtained for both poly(methyl methacrylate)- and poly(2,2,2-trifluoroethyl methacrylate)-based nanoparticles. Finally, X-ray photoelectron spectroscopy studies confirm attenuation of the underlying N1s signal arising from the azoxystrobin microparticles by the former adsorbed nanoparticles, suggesting a fractional surface coverage of approximately 0.24. This value is consistent with a theoretical surface coverage of 0.25 calculated from the adsorption isotherm data. Overall, this study suggests that sterically stabilized diblock copolymer nanoparticles may offer a useful alternative approach to traditional soluble copolymer dispersants for the preparation of suspension concentrates affecting the context of agrochemical applications

Infection with the hepatitis C virus causes viral genotype-specific differences in cholesterol metabolism and hepatic steatosis

Background: Lipids play essential roles in the hepatitis C virus (HCV) life cycle and patients with chronic HCV infection display disordered lipid metabolism which resolves following successful anti-viral therapy. It has been proposed that HCV genotype 3 (HCV-G3) infection is an independent risk factor for hepatocellular carcinoma and evidence suggests lipogenic proteins are involved in hepatocarcinogenesis. Aims: We aimed to characterise variation in host lipid metabolism between participants chronically infected with HCV genotype 1 (HCV-G1) and HCV-G3 to identify likely genotype-specific differences in lipid metabolism. Methods: We combined several lipidomic approaches: analysis was performed between participants infected with HCV-G1 and HCV-G3, both in the fasting and non-fasting states, and after sustained virological response (SVR) to treatment. Sera were obtained from 112 fasting patients (25% with cirrhosis). Serum lipids were measured using standard enzymatic methods. Lathosterol and desmosterol were measured by gas-chromatography mass spectrometry (MS). For further metabolic insight on lipid metabolism, ultra-performance liquid chromatography MS was performed on all samples. A subgroup of 13 participants had whole body fat distribution determined using in vivo magnetic resonance imaging and spectroscopy. A second cohort of (non-fasting) sera were obtained from HCV Research UK for comparative analyses: 150 treatment naïve patients and 100 non-viraemic patients post-SVR. Results: HCV-G3 patients had significantly decreased serum apoB, non-HDL cholesterol concentrations, and more hepatic steatosis than those with HCV-G1. HCV-G3 patients also had significantly decreased serum levels of lathosterol, without significant reductions in desmosterol. Lipidomic analysis showed lipid species associated with reverse cholesterol transport pathway in HCV-G3. Conclusions: We demonstrated that compared to HCV-G1, HCV-G3 infection is characterised by low LDL cholesterol levels, with preferential suppression of cholesterol synthesis via lathosterol, associated with increasing hepatic steatosis. The genotype-specific lipid disturbances may shed light on genotypic variations in liver disease progression and promotion of hepatocellular cancer in HCV-G3

Sterically stabilized diblock copolymer nanoparticles enable convenient preparation of suspension concentrates comprising various agrochemical actives

It is well known that sterically stabilized diblock copolymer nanoparticles can be readily prepared using polymerization-induced self-assembly. Recently, we reported that such nanoparticles can be employed as a dispersant to prepare micron-sized particles of a widely used fungicide (azoxystrobin) via ball milling. In the present study, we examine the effect of varying the nature of the steric stabilizer block, the mean nanoparticle diameter, and the glass transition temperature (Tg) of the core-forming block on the particle size and colloidal stability of such azoxystrobin microparticles. In addition, the effect of crosslinking the nanoparticle cores is also investigated. Laser diffraction studies indicated the formation of azoxystrobin microparticles of approximately 2 μm diameter after milling for between 15 and 30 min at 6000 rpm. Diblock copolymer nanoparticles comprising a non-ionic steric stabilizer, rather than a cationic or anionic steric stabilizer, were determined to be more effective dispersants. Furthermore, nanoparticles of up to 51 nm diameter enabled efficient milling and ensured overall suspension concentrate stability. Moreover, crosslinking the nanoparticle cores and adjusting the Tg of the core-forming block had little effect on the milling of azoxystrobin. Finally, we show that this versatile approach is also applicable to five other organic crystalline agrochemicals, namely pinoxaden, cyproconazole, difenoconazole, isopyrazam and tebuconazole. TEM studies confirmed the adsorption of sterically stabilized nanoparticles at the surface of such agrochemical microparticles. The nanoparticles are characterized using TEM, DLS, aqueous electrophoresis and 1H NMR spectroscopy, while the final aqueous’ suspension concentrates comprising microparticles of the above six agrochemical actives are characterized using optical microscopy, laser diffraction and electron microscopy

Large Scale Structure Formation with Global Topological Defects. A new Formalism and its implementation by numerical simulations

We investigate cosmological structure formation seeded by topological defects which may form during a phase transition in the early universe. First we derive a partially new, local and gauge invariant system of perturbation equations to treat microwave background and dark matter fluctuations induced by topological defects or any other type of seeds. We then show that this system is well suited for numerical analysis of structure formation by applying it to seeds induced by fluctuations of a global scalar field. Our numerical results are complementary to previous investigations since we use substantially different methods. The resulting microwave background fluctuations are compatible with older simulations. We also obtain a scale invariant spectrum of fluctuations with about the same amplitude. However, our dark matter results yield a smaller bias parameter compatible with $b\sim 2$ on a scale of $20 Mpc$ in contrast to previous work which yielded to large bias factors. Our conclusions are thus more positive. According to the aspects analyzed in this work, global topological defect induced fluctuations yield viable scenarios of structure formation and do better than standard CDM on large scales.Comment: uuencoded, compressed tar-file containing the text in LaTeX and 12 Postscript Figures, 41 page

RAFT aqueous emulsion polymerization of methyl methacrylate : observation of unexpected constraints when employing a non-ionic steric stabilizer block

The RAFT aqueous emulsion polymerization of methyl methacrylate (MMA) is conducted at 70 °C using poly(glycerol monomethacrylate) (PGMA) as a steric stabilizer block. This non-ionic precursor has previously proved to be highly effective for the RAFT aqueous emulsion polymerization of various vinyl monomers such as benzyl methacrylate (BzMA), 2,2,2-trifluoroethyl methacrylate (TFEMA), isopropylideneglycerol monomethacrylate (IPGMA) or glycidyl methacrylate. However, an unexpected constraint was encountered in the case of MMA. Targeting a degree of polymerization (DP) of 20 to 100 for the PMMA block led to colloidal dispersions of kinetically-trapped spherical nanoparticles ranging in size from 17 nm to 31 nm. On the other hand, targeting DPs above 100 invariably led to the formation of highly flocculated spherical nanoparticles. This rather limited DP range is in striking contrast to the much higher DPs that can be targeted without loss of colloidal stability when using more hydrophobic monomers such as BzMA, TFEMA or IPGMA. The same flocculation problem was also evident when employing a PGMA precursor containing an anionic carboxylate end-group, but a series of colloidally stable dispersions could be obtained when using an anionic poly(methacrylic acid) stabilizer. Finally, the efficient removal of RAFT end-groups from PGMA50-PMMA80 nanoparticles was achieved by visible light irradiation using a blue LED source (λ = 405 nm). UV GPC studies confirmed that up to 87% dithiobenzoate end-groups can be removed from such nanoparticles within 12 h at 80 °C. On the other hand, using excess H2O2 under the same conditions only led to 24% end-group removal. This is because this water-soluble reagent has restricted access to the hydrophobic PMMA cores