Disruption of mesoderm formation during cardiac differentiation due to developmental exposure to 13-cis-retinoic acid.

13-cis-retinoic acid (isotretinoin, INN) is an oral pharmaceutical drug used for the treatment of skin acne, and is also a known teratogen. In this study, the molecular mechanisms underlying INN-induced developmental toxicity during early cardiac differentiation were investigated using both human induced pluripotent stem cells (hiPSCs) and human embryonic stem cells (hESCs). Pre-exposure of hiPSCs and hESCs to a sublethal concentration of INN did not influence cell proliferation and pluripotency. However, mesodermal differentiation was disrupted when INN was included in the medium during differentiation. Transcriptomic profiling by RNA-seq revealed that INN exposure leads to aberrant expression of genes involved in several signaling pathways that control early mesoderm differentiation, such as TGF-beta signaling. In addition, genome-wide chromatin accessibility profiling by ATAC-seq suggested that INN-exposure leads to enhanced DNA-binding of specific transcription factors (TFs), including HNF1B, SOX10 and NFIC, often in close spatial proximity to genes that are dysregulated in response to INN treatment. Altogether, these results identify potential molecular mechanisms underlying INN-induced perturbation during mesodermal differentiation in the context of cardiac development. This study further highlights the utility of human stem cells as an alternative system for investigating congenital diseases of newborns that arise as a result of maternal drug exposure during pregnancy

An Optical and X-Ray Study of Abell 576, a Galaxy Cluster with a Cold Core

We analyze the galaxy population and dynamics of the galaxy cluster A576; the observational constraints include 281 redshifts (230 new), R- band CCD galaxy photometry over a 2 h^-1^ Mpc x 2 h^-1^ Mpc region centered on the cluster, an Einstein IPC X-ray image, and an Einstein MPC X-ray spectrum. We focus on an 86% complete magnitude-limited sample (R_23.5_ \u3c 17) of 169 cluster galaxies. The cluster galaxies with emission lines in their spectra have a larger velocity dispersion and are significantly less clustered on this 2 h^-1^ Mpc scale than galaxies without emission lines. We show that excluding the emission-line galaxies from the cluster sample decreases the velocity dispersion by 18% and the virial mass estimate by a factor of 2. The central cluster region contains a nonemission galaxy population and an intracluster medium which is significantly cooler (σ_core_ = 387_-105_^+250^ km s^-1^ and T_x_ = 1.6_-0.3_^+0.4^ keV at 90% confidence) than the global populations (σ = 977_-96_^+124^ km s^- 1^ for the nonemission population and T_X_ \u3e 4 keV at 90% confidence). Because (1) the low-dispersion galaxy population is no more luminous than the global population and (2) the evidence for a cooling flow is weak, we suggest that the core of A576 may contain the remnants of a lower mass subcluster. We examine the cluster mass, baryon fraction, and luminosity function. The cluster virial mass varies significantly depending on the galaxy sample used. Consistency between the hydrostatic and virial estimators can be achieved if (1) the gas temperature at r~1 h^-1^ Mpc is T_X_ ~ 8 keV (the best-fit value) and (2) several velocity outliers are excluded from the virial calculation. Although the best-fit Schechter function parameters and the ratio of galaxy to gas mass in A576 are typical of other clusters, the baryon fraction is relatively low. Using the consistent cluster binding mass, we show that the gas mass fraction is ~3 h^-3/2^% and the baryon fraction is ~6%

A Photometric and Kinematic Study of AWM 7

We have measured redshifts and Kron-Cousins R-band magnitudes for a sample of galaxies in the poor cluster AWM 7. We have measured redshifts for 172 galaxies; 106 of these are cluster members. We determine the luminosity function from a photometric survey of the central 1.2 h^{-1} x 1.2 h^{-1} Mpc. The LF has a bump at the bright end and a faint-end slope of \alpha = -1.37+-0.16, populated almost exclusively by absorption-line galaxies. The cluster velocity dispersion is lower in the core (\sim 530 km/s) than at the outskirts (\sim 680 km/s), consistent with the cooling flow seen in the X-ray. The cold core extends \sim 150 h^{-1} kpc from the cluster center. The Kron-Cousins R-band mass-to-light ratio of the system is 650+-170 h M_\odot/L_\odot, substantially lower than previous optical determinations, but consistent with most previous X-ray determinations. We adopt H_0 = 100 h km/s/Mpc throughout this paper; at the mean cluster redshift, (5247+-76 km/s), 1 h^{-1} Mpc subtends 65\farcm5.Comment: 37 pages, LaTeX, including 12 Figures and 1 Table. Accepted for publication in the Astronomical Journa

Family-based association study of the BDNF, COMT and serotonin transporter genes and DSM-IV bipolar-I disorder in children

<p>Abstract</p> <p>Background</p> <p>Over the past decade pediatric bipolar disorder has gained recognition as a potentially more severe and heritable form of the disorder. In this report we test for association with genes coding brain-derived neurotrophic factor (<it>BDNF</it>), the serotonin transporter (<it>SLC6A4</it>), and catechol-O-methyltransferase (<it>COMT</it>).</p> <p>Methods</p> <p>Bipolar-I affected offspring triads (N = 173) were drawn from 522 individuals with 2 parents in 332 nuclear families recruited for genetic studies of pediatric psychopathology at the Clinical and Research Program in Pediatric Psychopharmacology and Adult ADHD at Massachusetts General Hospital.</p> <p>Results</p> <p>We failed to identify an association with the val66 allele in BDNF (OR = 1.23, p = 0.36), the COMT-l allele (OR = 1.27, p = 0.1), or the HTTLPR short allele (OR = 0.87, p = 0.38).</p> <p>Conclusion</p> <p>Our study suggests that the markers examined thus far in <it>COMT </it>and <it>SLC6A4 </it>are not associated with pediatric bipolar disorder and that if the val66met marker in <it>BDNF </it>is associated with pediatric bipolar disorder the magnitude of the association is much smaller than first reported.</p

An X-ray Size-Temperature Relation for Galaxy Clusters: Observation and Simulation

We show that galaxy clusters conform to a tight relation between X-ray isophotal size R_I and emission weighted intracluster medium (ICM) temperature T_X. The best fit relation for 41 members of an X-ray flux limited cluster sample is: $log{R_I}= (0.93\pm0.11) log{(/6 keV)} -\ (0.08\pm0.01)$; intrinsic scatter in size about the relation is 15%, and for 30 clusters with T_X>4 keV the scatter is reduced to 10%. The existence of the size-temperature (ST) relation indicates the ICM structure is a well behaved function of T_X. We use an ensemble of gasdynamic simulations to demonstrate that a cluster population experiencing present epoch growth nonetheless conforms to an ST relation with scatter similar to that observed; the simulations also exhibit a tight relation between M_{vir} and T_X, providing the suggestion that a similar relation holds for observed clusters. We use the scatter in R_I to estimate limits on the RMS variation in ICM mass fraction \delta f_{ICM} at constant T_X: \delta f/f_{ICM}4 keV). It appears that a mechanism like feedback from galaxy winds, which introduces systematic structural changes in the ICM, is required to reproduce the observed slope of the ST relation.Comment: Accepted for publication in ApJ, 9 pages Latex, 3 figure

Ethical considerations in global HIV phylogenetic research.

Phylogenetic analysis of pathogens is an increasingly powerful way to reduce the spread of epidemics, including HIV. As a result, phylogenetic approaches are becoming embedded in public health and research programmes, as well as outbreak responses, presenting unique ethical, legal, and social issues that are not adequately addressed by existing bioethics literature. We formed a multidisciplinary working group to explore the ethical issues arising from the design of, conduct in, and use of results from HIV phylogenetic studies, and to propose recommendations to minimise the associated risks to both individuals and groups. We identified eight key ethical domains, within which we highlighted factors that make HIV phylogenetic research unique. In this Review, we endeavoured to provide a framework to assist researchers, public health practitioners, and funding institutions to ensure that HIV phylogenetic studies are designed, done, and disseminated in an ethical manner. Our conclusions also have broader relevance for pathogen phylogenetics

D-cycloserine augmentation of exposure-based cognitive behavior therapy for anxiety, obsessive-compulsive, and posttraumatic stress disorders: a systematic review and meta-analysis of individual participant data

Importance: Whether and under which conditions D-cycloserine (DCS) augments the effects of exposure-based cognitive behavior therapy for anxiety, obsessive-compulsive, and posttraumatic stress disorders is unclear. Objective: To clarify whether DCS is superior to placebo in augmenting the effects of cognitive behavior therapy for anxiety, obsessive-compulsive, and posttraumatic stress disorders and to evaluate whether antidepressants interact with DCS and the effect of potential moderating variables. Data Sources: PubMed, EMBASE, and PsycINFO were searched from inception to February 10, 2016. Reference lists of previous reviews and meta-analyses and reports of randomized clinical trials were also checked. Study Selection: Studies were eligible for inclusion if they were (1) double-blind randomized clinical trials of DCS as an augmentation strategy for exposure-based cognitive behavior therapy and (2) conducted in humans diagnosed as having specific phobia, social anxiety disorder, panic disorder with or without agoraphobia, obsessive-compulsive disorder, or posttraumatic stress disorder. Data Extraction and Synthesis: Raw data were obtained from the authors and quality controlled. Data were ranked to ensure a consistent metric across studies (score range, 0-100). We used a 3-level multilevel model nesting repeated measures of outcomes within participants, who were nested within studies. Results: Individual participant data were obtained for 21 of 22 eligible trials, representing 1047 of 1073 eligible participants. When controlling for antidepressant use, participants receiving DCS showed greater improvement from pretreatment to posttreatment (mean difference, -3.62; 95% CI, -0.81 to -6.43; P = .01; d = -0.25) but not from pretreatment to midtreatment (mean difference, -1.66; 95% CI, -4.92 to 1.60; P = .32; d = -0.14) or from pretreatment to follow-up (mean difference, -2.98, 95% CI, -5.99 to 0.03; P = .05; d = -0.19). Additional analyses showed that participants assigned to DCS were associated with lower symptom severity than those assigned to placebo at posttreatment and at follow-up. Antidepressants did not moderate the effects of DCS. None of the prespecified patient-level or study-level moderators was associated with outcomes. Conclusions and Relevance: D-cycloserine is associated with a small augmentation effect on exposure-based therapy. This effect is not moderated by the concurrent use of antidepressants. Further research is needed to identify patient and/or therapy characteristics associated with DCS response.2018-05-0

Changes in the Provision of Institutionalized Mental Health Care in Post-Communist Countries

PMCID: PMC3371010This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited