Decrease in sleep depth is associated with higher cerebrospinal fluid neurofilament light levels in patients with Alzheimer's disease

STUDY OBJECTIVES: The majority of studies investigating the association between sleep and Alzheimer's disease (AD) biomarkers have been performed in healthy participants. Our objective was to investigate the association between sleep and several biomarkers that reflect distinct aspects of AD physiopathology. METHODS: The cohort included 104 individuals with mild-moderate AD. The participants were submitted to one-night polysomnography, and cerebrospinal fluid was collected in the following morning to measure the selected biomarkers associated with amyloid deposition, tau pathology, neurodegeneration, axonal damage, synaptic integrity, neuroinflammation, and oxidative damage. RESULTS: There was a positive correlation between neurofilament light (NF-L) and the time spent in stage 1 of non-rapid eyes movement (NREM) (N1) sleep and a negative correlation between this marker and the time spent in stage 3 of NREM (N3) sleep. Accordingly, we observed that deep sleep was associated with lower levels of NF-L, whereas light sleep increased the probability of having higher levels of this marker. Furthermore, chitinase-3-like-1 (YKL-40) was negatively correlated with sleep efficiency, the time spent in stage 2 of NREM (N2) sleep, and the time spent in N3 sleep. Conversely, there was a positive correlation between N3 sleep and the oxidative protein damage markers N-ε-(carboxyethyl)lysine and N-ε-(malondialdehyde)lysine. CONCLUSIONS: There were significant correlations between sleep parameters and AD biomarkers related to axonal damage and neuroinflammation, such as NF-L and YKL-40. A lack of deep sleep was associated with higher levels of NF-L. This highlights a potential role for NF-L as a biomarker of sleep disruption in patients with mild-moderate AD in addition to its role in predicting neurodegeneration and cognitive decline

On roughness measurement by angular speckle correlation

In this work, the influence of both characteristics of the lens and misalignment of the incident beams on roughness measurement is presented. To investigate how the focal length and diameter affect the degree of correlation between the speckle patterns, a set of experiments with different lenses is performed. On the other hand, the roughness when the beams separated by an amount are non-coincident at the same point on the sample is measured. To conclude the study, the uncertainty of the method is calculated

Inhibition of Specific NF-κB Activity Contributes to the Tumor Suppressor Function of 14-3-3σ in Breast Cancer

14-3-3σ is frequently lost in human breast cancers by genetic deletion or promoter methylation. We have now investigated the involvement of 14-3-3σ in the termination of NF-κB signal in mammary cells and its putative role in cancer relapse and metastasis. Our results show that 14-3-3σ regulates nuclear export of p65-NF-κB following chronic TNFα stimulation. Restoration of 14-3-3σ in breast cancer cells reduces migration capacity and metastatic abilities in vivo. By microarray analysis, we have identified a genetic signature that responds to TNFα in a 14-3-3σ-dependent manner and significantly associates with different breast and other types of cancer. By interrogating public databases, we have found that over-expression of this signature correlates with poor relapse-free survival in breast cancer patients. Finally, screening of 96 human breast tumors showed that NF-κB activation strictly correlates with the absence of 14-3-3σ and it is significantly associated with worse prognosis in the multivariate analysis. Our findings identify a genetic signature that is important for breast cancer prognosis and for future personalized treatments based on NF-κB targeting

A Bayesian cost-effectiveness analysis of a telemedicine-based strategy for the management of sleep apnoea: a multicentre randomised controlled trial

BACKGROUND: Compliance with continuous positive airway pressure (CPAP) therapy is essential in patients with obstructive sleep apnoea (OSA), but adequate control is not always possible. This is clinically important because CPAP can reverse the morbidity and mortality associated with OSA. Telemedicine, with support provided via a web platform and video conferences, could represent a cost-effective alternative to standard care management. AIM: To assess the telemedicine impact on treatment compliance, cost-effectiveness and improvement in quality of life (QoL) when compared with traditional face-to-face follow-up. METHODS: A randomised controlled trial was performed to compare a telemedicine-based CPAP follow-up strategy with standard face-to-face management. Consecutive OSA patients requiring CPAP treatment, with sufficient internet skills and who agreed to participate, were enrolled. They were followed-up at 1, 3 and 6 months and answered surveys about sleep, CPAP side effects and lifestyle. We compared CPAP compliance, cost-effectiveness and QoL between the beginning and the end of the study. A Bayesian cost-effectiveness analysis with non-informative priors was performed. RESULTS: We randomised 139 patients. At 6 months, we found similar levels of CPAP compliance, and improved daytime sleepiness, QoL, side effects and degree of satisfaction in both groups. Despite requiring more visits, the telemedicine group was more cost-effective: costs were lower and differences in effectiveness were not relevant. CONCLUSIONS: A telemedicine-based strategy for the follow-up of CPAP treatment in patients with OSA was as effective as standard hospital-based care in terms of CPAP compliance and symptom improvement, with comparable side effects and satisfaction rates. The telemedicine-based strategy had lower total costs due to savings on transport and less lost productivity (indirect costs)

Au-assisted growth of anisotropic and epitaxial cdse colloidal nanocrystals via in situ dismantling of quantum dots

Metallic nanocrystals have been revealed in the past years as valuable materials for the catalytic growth of semiconductor nanowires. Yet, only low melting point metals like Bi have been reported to successfully assist the growth of elongated CdX (X = S, Se, Te) systems in solution, and the possibility to use plasmonic noble metals has become a challenging task. In this work we show that the growth of anisotropic CdSe nanostructures in solution can also be efficiently catalyzed by colloidal Au nanoparticles, following a preferential crystallographic alignment between the metallic and semiconductor domains. Noteworthy, we report the heterodox use of semiconductor quantum dots as a homogeneous and tunable source of reactive monomer species to the solution. The mechanistic studies reveal that the in situ delivery of these cadmium and chalcogen monomer species and the formation of AuxCdy alloy seeds are both key factors for the epitaxial growth of elongated CdSe domains. The implementation of this method suggests an alternative synthetic approach for the assembly of different semiconductor domains into more complex heterostructures

Au-assisted growth of anisotropic and epitaxial cdse colloidal nanocrystals via in situ dismantling of quantum dots

Metallic nanocrystals have been revealed in the past years as valuable materials for the catalytic growth of semiconductor nanowires. Yet, only low melting point metals like Bi have been reported to successfully assist the growth of elongated CdX (X = S, Se, Te) systems in solution, and the possibility to use plasmonic noble metals has become a challenging task. In this work we show that the growth of anisotropic CdSe nanostructures in solution can also be efficiently catalyzed by colloidal Au nanoparticles, following a preferential crystallographic alignment between the metallic and semiconductor domains. Noteworthy, we report the heterodox use of semiconductor quantum dots as a homogeneous and tunable source of reactive monomer species to the solution. The mechanistic studies reveal that the in situ delivery of these cadmium and chalcogen monomer species and the formation of AuxCdy alloy seeds are both key factors for the epitaxial growth of elongated CdSe domains. The implementation of this method suggests an alternative synthetic approach for the assembly of different semiconductor domains into more complex heterostructures