Vasoactive neuropeptides in clinical ophthalmology: An association with autoimmune retinopathy?

The mammalian eye is protected against pathogens and inflammation in a relatively immune-privileged environment. Stringent mechanisms are activated that regulate external injury, infection, and autoimmunity. The eye contains a variety of cells expressing vasoactive neuropeptides (VNs), and their receptors, located in the sclera, cornea, iris, ciliary body, ciliary process, and the retina. VNs are important activators of adenylate cyclase, deriving cyclic adenosine monophosphate (cAMP) from adenosine triphosphate (ATP). Impairment of VN function would arguably impede cAMP production and impede utilization of ATP. Thus VN autoimmunity may be an etiological factor in retinopathy involving perturbations of purinergic signaling. A sound blood supply is necessary for the existence and functional properties of the retina. This paper postulates that impairments in the endothelial barriers and the blood–retinal barrier, as well as certain inflammatory responses, may arise from disruption to VN function. Phosphodiesterase inhibitors and purinergic modulators may have a role in the treatment of postulated VN autoimmune retinopathy

γδ T cell response to prolonged heavy endurance exercise

The focus of this study was to assess exercise-induced alterations in circulating γδ T cell subpopulations and memory phenotypes after a prolonged heavy-intensity exercise bout. Ten highly-trained endurance cyclists (mean ± SEM: age 24.0 ± 1.3 years; height 1.81 ± 0.02 m; body mass 73.3 ± 1.8 kg; peak oxygen uptake 60.7 ± 1.5 mL.kg-1.min-1) performed 2 h of cycling exercise at 90% of the second ventilatory threshold. Blood samples were collected before exercise, immediately post-exercise, 1 h, 2 h, 4 h, and 6 h post-exercise. Flow cytometry was used to examine γδ T cell subsets, memory phenotypes and receptor expression. A significant decrease in cell concentration was observed in total γδ T cells and the δ2 subset from pre-exercise to 1 h, 2 h, and 4 h post-exercise. Further analysis of the δ2 subset revealed a significant decrease from pre-exercise to 1 h, 2 h, and 4 h post-exercise in naive δ2 cells, and a significant decrease from pre-exercise to 1 h and 2 h post-exercise in central memory δ2 cells. A significant decrease was observed in γδ T cells expressing CD11ahigh, CD62Lhigh and CD94+ from pre-exercise to 1 h, 2 h, and 4 h post-exercise. Furthermore, a significant decrease was observed from pre-exercise to 1 h post-exercise in CD62Llow and CD94- γδ T cells. These results suggest an exercise-stress-induced redistribution of γδ T cells from the circulation with greater propensity for antigen stimulation, tissue and lymph node homing potential for a duration of 4 h after the cessation of exercise

A comparison of health status in patients meeting alternative definitions for chronic fatigue syndrome/myalgic encephalomyelitis

BACKGROUND: Several diagnostic definitions are available for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) that varies significantly in their symptom criteria. This pilot study was conducted to determine whether simple biological and clinical measures differed between CFS/ME patients meeting the 1994 Centres for Disease Control and Prevention (CDC) criteria, the International Consensus Criteria (ICC), as well as healthy controls. METHODS: A total of 45 CFS/ME patients and 30 healthy controls from the South East Queensland region of Australia provided a blood sample, reported on their current symptoms, as well as aspects of their physical and social health using the Short-Form Health Survey (SF-36), and the World Health Organisation Disability Adjustment Schedule 2.0 (WHO DAS 2.0). Differences were examined using independent sample t-testing. RESULTS: Patients fulfilling the ICC definition reported significantly lower scores (p < 0.05) for physical functioning, physical role, bodily pain, and social functioning than those that only fulfilled the 1994 CDC definition. ICC patients reported significantly greater (p < 0.05) disability across all domains of the WHO DAS 2.0. CONCLUSIONS: These preliminary findings suggest that the ICC identifies a distinct subgroup found within patients complying with the 1994 CDC definition, with more severe impairment to their physical and social functioning