8,511 research outputs found
In vitro and in vivo effects of salbutamol on neutrophil function in acute lung injury
Background: Intravenous salbutamol (albuterol) reduces lung water in patients with the acute respiratory
distress syndrome (ARDS). Experimental data show that it also reduces pulmonary neutrophil accumulation or
activation and inflammation in ARDS.
Aim: To investigate the effects of salbutamol on neutrophil function.
Methods: The in vitro effects of salbutamol on neutrophil function were determined. Blood and
bronchoalveolar lavage (BAL) fluid were collected from 35 patients with acute lung injury (ALI)/ARDS, 14
patients at risk from ARDS and 7 ventilated controls at baseline and after 4 days’ treatment with placebo or
salbutamol (ALI/ARDS group). Alveolar–capillary permeability was measured in vivo by thermodilution
(PiCCO). Neutrophil activation, adhesion molecule expression and inflammatory cytokines were measured.
Results: In vitro, physiological concentrations of salbutamol had no effect on neutrophil chemotaxis, viability
or apoptosis. Patients with ALI/ARDS showed increased neutrophil activation and adhesion molecule
expression compared with at risk-patients and ventilated controls. There were associations between alveolar–
capillary permeability and BAL myeloperoxidase (r = 0.4, p = 0.038) and BAL interleukin 8 (r = 0.38,
p = 0.033). In patients with ALI/ARDS, salbutamol increased numbers of circulating neutrophils but had no
effect on alveolar neutrophils.
Conclusion: At the onset of ALI/ARDS, there is increased neutrophil recruitment and activation. Physiological
concentrations of salbutamol did not alter neutrophil chemotaxis, viability or apoptosis in vitro. In vivo,
salbutamol increased circulating neutrophils, but had no effect on alveolar neutrophils or on neutrophil
activation. These data suggest that the beneficial effects of salbutamol in reducing lung water are unrelated to
modulation of neutrophil-dependent inflammatory pathways
Outcomes following oesophagectomy in patients with oesophageal cancer: a secondary analysis of the ICNARC Case Mix Programme Database
Introduction: This report describes the case mix and outcomes of patients with oesophageal cancer admitted to adult critical care units following elective oesophageal surgery in England, Wales and Northern Ireland.
Methods: Admissions to critical care following elective oesophageal surgery for malignancy were identified using data from the Intensive Care National Audit and Research Centre (ICNARC) Case Mix Programme Database. Information on admissions between December 1995 and September 2007 were extracted and the association between in-hospital mortality and patient characteristics on admission to critical care was assessed using multiple logistic regression analysis. The performance of three prognostic models (Simplified Acute Physiology Score (SAPS) II, Acute Physiology and Chronic Health Evaluation (APACHE) II and the ICNARC physiology score) was also evaluated.
Results: Between 1995 and 2007, there were 7227 admissions to 181 critical care units following oesophageal surgery for malignancy. Overall mortality in critical care was 4.4% and in-hospital mortality was 11%, although both declined steadily over time. Eight hundred and seventy-three (12.2%) patients were readmitted to critical care, most commonly for respiratory complications (49%) and surgical complications (25%). Readmitted patients had a critical care unit mortality of 24.7% and in-hospital mortality of 33.9%. Overall in-hospital mortality was associated with patient age, and various physiological measurements on admission to critical care (partial pressure of arterial oxygen (PaO2):fraction of inspired oxygen (FiO2) ratio, lowest arterial pH, mechanical ventilation, serum albumin, urea and creatinine). The three prognostic models evaluated performed poorly in measures of discrimination, calibration and goodness of fit.
Conclusions: Surgery for oesophageal malignancy continues to be associated with significant morbidity and mortality. Age and organ dysfunction in the early postoperative period are associated with an increased risk of death. Postoperative serum albumin is confirmed as an additional prognostic factor. More work is required to determine how this knowledge may improve clinical management
A categorification of Morelli's theorem
We prove a theorem relating torus-equivariant coherent sheaves on toric
varieties to polyhedrally-constructible sheaves on a vector space. At the level
of K-theory, the theorem recovers Morelli's description of the K-theory of a
smooth projective toric variety. Specifically, let be a proper toric
variety of dimension and let M_\bR = \mathrm{Lie}(T_\bR^\vee)\cong \bR^n
be the Lie algebra of the compact dual (real) torus T_\bR^\vee\cong U(1)^n.
Then there is a corresponding conical Lagrangian \Lambda \subset T^*M_\bR and
an equivalence of triangulated dg categories \Perf_T(X) \cong
\Sh_{cc}(M_\bR;\Lambda), where \Perf_T(X) is the triangulated dg category of
perfect complexes of torus-equivariant coherent sheaves on and
\Sh_{cc}(M_\bR;\Lambda) is the triangulated dg category of complex of sheaves
on M_\bR with compactly supported, constructible cohomology whose singular
support lies in . This equivalence is monoidal---it intertwines the
tensor product of coherent sheaves on with the convolution product of
constructible sheaves on M_\bR.Comment: 20 pages. This is a strengthened version of the first half of
arXiv:0811.1228v3, with new results; the second half becomes
arXiv:0811.1228v
LC-MS proteomics analysis of the iInsulin/IGF-1-deficient Caenorhabditis elegans daf-2(e1370) mutant reveals extensive restructuring of intermediary metabolism
The insulin/IGF-1 receptor is a major known determinant of dauer formation, stress resistance, longevity, and metabolism in Caenorhabditis elegans. In the past, whole-genome transcript profiling was used extensively to study differential gene expression in response to reduced insulin/IGF-1 signaling, including the expression levels of metabolism-associated genes. Taking advantage of the recent developments in quantitative liquid chromatography mass spectrometry (LC-MS)-based proteomics, we profiled the proteomic changes that occur in response to activation of the DAF-16 transcription factor in the germline-less glp-4(bn2);daf-2(e1370) receptor mutant. Strikingly, the daf-2 profile suggests extensive reorganization of intermediary metabolism, characterized by the upregulation of many core intermediary metabolic pathways. These include glycolysis/gluconeogenesis, glycogenesis, pentose phosphate cycle, citric acid cycle, glyoxylate shunt, fatty acid beta-oxidation, one-carbon metabolism, propionate and tyrosine catabolism, and complexes I, II, III, and V of the electron transport chain. Interestingly, we found simultaneous activation of reciprocally regulated metabolic pathways, which is indicative of spatiotemporal coordination of energy metabolism and/or extensive post-translational regulation of these enzymes. This restructuring of daf-2 metabolism is reminiscent to that of hypometabolic dauers, allowing the efficient and economical utilization of internal nutrient reserves and possibly also shunting metabolites through alternative energy-generating pathways to sustain longevity
Non-Gaussian Features of Transmitted Flux of QSO's Ly Absorption: Intermittent Exponent
We calculate the structure function and intermittent exponent of the 1.) Keck
data, which consists of 29 high resolution, high signal to noise ratio (S/N)
QSO Ly absorption spectra, and 2.)the Ly forest simulation
samples produced via the pseudo hydro scheme for the low density cold dark
matter (LCDM) model and warm dark matter (WDM) model with particle mass
and 1000 eV. These two measures detect not only
non-gaussianities, but also the type of non-gaussianty in the the field. We
find that, 1.) the structure functions of the simulation samples are
significantly larger than that of Keck data on scales less than about 100
h kpc, 2.) the intermittent exponent of the simulation samples is more
negative than that of Keck data on all redshifts considered, 3.) the
order-dependence of the structure functions of simulation samples are closer to
the intermittency of hierarchical clustering on all scales, while the Keck data
are closer to a lognormal field on small scales. These differences are
independent of noise and show that the intermittent evolution modeled by the
pseudo-hydro simulation is substantially different from observations, even
though they are in good agreement in terms of second and lower order
statistics. (Abridged)Comment: 17 pages, 13 figures. Accepted by Ap
Bench-to-bedside review: β(2)-Agonists and the acute respiratory distress syndrome
The acute respiratory distress syndrome (ARDS) is a devastating constellation of clinical, radiological and pathological signs characterized by failure of gas exchange and refractory hypoxia. Despite nearly 30 years of research, no specific pharmacological therapy has yet proven to be efficacious in manipulating the pathophysiological processes that underlie this condition. Several in vitro and in vivo animal or human studies suggest a potential role for β(2)-agonists in the treatment of ARDS. These agents have been shown to reduce pulmonary neutrophil sequestration and activation, accelerate alveolar fluid clearance, enhance surfactant secretion, and modulate the inflammatory and coagulation cascades. They are also used widely in clinical practice and are well tolerated in critically ill patients. The present review examines the evidence supporting a role for β(2)-agonists as a specific pharmacological intervention in patients with ARDS
AEGIS: Chandra Observation of DEEP2 Galaxy Groups and Clusters
We present a 200 ksec Chandra observation of seven spectroscopically
selected, high redshift (0.75 < z < 1.03) galaxy groups and clusters discovered
by the DEEP2 Galaxy Redshift Survey in the Extended Groth Strip (EGS). X-ray
emission at the locations of these systems is consistent with background. The
3-sigma upper limits on the bolometric X-ray luminosities (L_X) of these
systems put a strong constraint on the relation between L_X and the velocity
dispersion of member galaxies sigma_gal at z~1; the DEEP2 systems have lower
luminosity than would be predicted by the local relation. Our result is
consistent with recent findings that at high redshift, optically selected
clusters tend to be X-ray underluminous. A comparison with mock catalogs
indicates that it is unlikely that this effect is entirely caused by a
measurement bias between sigma_gal and the dark matter velocity dispersion.
Physically, the DEEP2 systems may still be in the process of forming and hence
not fully virialized, or they may be deficient in hot gas compared to local
systems. We find only one possibly extended source in this Chandra field, which
happens to lie outside the DEEP2 coverage.Comment: 5 pages, 3 figures. Accepted for publication in AEGIS ApJ Letters
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Inhibition of Cdc42 during mitotic exit is required for cytokinesis
The role of Cdc42 and its regulation during cytokinesis is not well understood. Using biochemical and imaging approaches in budding yeast, we demonstrate that Cdc42 activation peaks during the G1/S transition and during anaphase but drops during mitotic exit and cytokinesis. Cdc5/Polo kinase is an important upstream cell cycle regulator that suppresses Cdc42 activity. Failure to down-regulate Cdc42 during mitotic exit impairs the normal localization of key cytokinesis regulators—Iqg1 and Inn1—at the division site, and results in an abnormal septum. The effects of Cdc42 hyperactivation are largely mediated by the Cdc42 effector p21-activated kinase Ste20. Inhibition of Cdc42 and related Rho guanosine triphosphatases may be a general feature of cytokinesis in eukaryotes
A High density consensus genetic map of tetraploid cotton that integrates multiple component maps through molecular marker redundancy check
A consensus genetic map of tetraploid cotton was constructed using six high-density maps and after the integration of a sequence-based marker redundancy check. Public cotton SSR libraries (17,343 markers) were curated for sequence redundancy using 90% as a similarity cutoff. As a result, 20% of the markers (3,410) could be considered as redundant with some other markers. The marker redundancy information had been a crucial part of the map integration process, in which the six most informative interspecific Gossypium hirsutum×G. barbadense genetic maps were used for assembling a high density consensus (HDC) map for tetraploid cotton. With redundant markers being removed, the HDC map could be constructed thanks to the sufficient number of collinear non-redundant markers in common between the component maps. The HDC map consists of 8,254 loci, originating from 6,669 markers, and spans 4,070 cM, with an average of 2 loci per cM. The HDC map presents a high rate of locus duplications, as 1,292 markers among the 6,669 were mapped in more than one locus. Two thirds of the duplications are bridging homoeologous AT and DT chromosomes constitutive of allopolyploid cotton genome, with an average of 64 duplications per AT/DT chromosome pair. Sequences of 4,744 mapped markers were used for a mutual blast alignment (BBMH) with the 13 major scaffolds of the recently released Gossypium raimondii genome indicating high level of homology between the diploid D genome and the tetraploid cotton genetic map, with only a few minor possible structural rearrangements. Overall, the HDC map will serve as a valuable resource for trait QTL comparative mapping, map-based cloning of important genes, and better understanding of the genome structure and evolution of tetraploid cotton. (Résumé d'auteur
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