Biomarkers in acute coronary syndromes and their role in diabetic patients

Diabetic patients with acute coronary syndromes are at high risk for cardiovascular complications but risk stratification in these patients remains challenging. Regularly, diabetic patients have a less typical clinical presentation, which could lead to delayed diagnosis and subsequent delayed initiation of treatment. Since diabetic patients derive particular benefit from aggressive anti-platelet therapy, early diagnostic and therapeutic risk stratification of these patients is of critical importance to improve their adverse outcome. Although the electrocardiogram remains a pivotal diagnostic tool in the evaluation of patients suspected of having an acute coronary syndrome, only significant STsegment changes provide reasonable prognostic information. Therefore, repeated assessment of circulating protein biomarkers represents a valuable diagnostic tool for improving efficacy and safety of decision-making in these patients. The combined use of biomarkers reflecting distinct pathophysiological aspects, such as myocardial necrosis, vascular inflammation, oxidative stress and neurohumoral activation, may significantly improve triage of patients with chest pain. These tools may identify those patients that are at particularly high risk for short-term and/or long-term cardiovascular events. Eventually, tailored medical and interventional treatment of diabetic patients should help to prevent these cardiac events in a cost-effective manner

Low-energy shock wave for enhancing recruitment of endothelial progenitor cells: a new modality to increase efficacy of cell therapy in chronic hind limb ischemia

Background— Stem and progenitor cell therapy is a novel approach to improve neovascularization and function of ischemic tissue. Enhanced tissue expression of chemoattractant factors such as stromal cell–derived factor 1 and vascular endothelial growth factor is crucial for the recruitment of circulating endothelial progenitor cells (EPCs) during acute ischemia. In chronic ischemia, however, expression of these chemoattractants is less pronounced, which results in insufficient EPC recruitment into the target tissue. Therefore, we investigated the effect of targeted extracorporeal shock wave (SW) application in order to facilitate EPC recruitment into nonischemic and chronic ischemic tissue

Nicotine strongly activates dendritic cell-mediated adaptive immunity - potential role for progression of atherosclerotic lesions

Background - Antigen-presenting cells (APCs) such as monocytes and dendritic cells (DCs) stimulate T-cell proliferation and activation in the course of adaptive immunity. This cellular interaction plays a role in the growth of atherosclerotic plaques. Nicotine has been shown to increase the growth of atherosclerotic lesions. Therefore, we investigated whether nicotine can stimulate APCs and their T cell–stimulatory capacity using human monocyte–derived DCs and murine bone marrow–derived DCs as APCs. Methods and Results - Nicotine dose-dependently (10-8 to 10-4 mol/L) induced DC expression of costimulatory molecules (ie, CD86, CD40), MHC class II, and adhesion molecules (ie, LFA-1, CD54). Moreover, nicotine induced a 7.0-fold increase in secretion of the proinflammatory TH1 cytokine interleukin-12 by human DCs. These effects were abrogated by the nicotinic receptor antagonist -bungarotoxin and mecamylamine, respectively. The effects of nicotine were mediated in part by the phosphorylation of the PI3 kinase downstream target Akt and the mitogen-activated kinases ERK and p38 MAPK. Nicotine-stimulated APCs had a greater capacity to stimulate T-cell proliferation and cytokine secretion, as documented by mixed lymphocyte reactions and ovalbumin-specific assays with ovalbumin-transgenic DO10.11 mice. In a murine model of atherosclerosis, nicotine significantly enhanced the recruitment of DCs to atherosclerotic lesions in vivo. Conclusions - Nicotine activates DCs and augments their capacity to stimulate T-cell proliferation and cytokine secretion. These effects of nicotine may contribute to its influence on the progression of atherosclerotic lesions

Relevance of monocytic features for neovascularization capacity of circulating endothelial progenitor cells

Background— Transplantation of ex vivo expanded circulating endothelial progenitor cells (EPCs) from peripheral blood mononuclear cells improves the neovascularization after critical ischemia. However, the origin of the endothelial progenitor lineage and its characteristics have not yet been clearly defined. Therefore, we investigated whether the phenotype and functional capacity of EPCs to improve neovascularization depend on their monocytic origin

The Shroud Around the Twin Radio Jets in NGC 1052

(Abridged) We discuss multiple VLBI continuum and spectral line observations and WSRT spectroscopy of NGC 1052. Sub-parsec scale features move outward at approximately 0.26c in bi-symmetric jets, most likely oriented near the plane of the sky. Absorption and emission signatures reveal ionised, atomic, and molecular components of the surrounding medium. Seven-frequency (1.4 to 43 GHz) VLBA observations show free-free absorption in the inner parsec, probably together with synchrotron self-absorption. There is apparently a geometrically thick but patchy structure oriented roughly orthogonal to the jets. The western jet is receding: it is covered more deeply and extensively. HI spectral line VLBI reveals atomic gas in front of both jets. There appear to be three velocity systems. The deepest, at "high velocities" (receding by 125 to 200 km/s), seems restricted to a shell 1 to 2 pc away from the core, within which this gas might be largely ionised. WSRT spectroscopy has revealed 1667 and 1665 MHz OH absorption with their line ratio varying roughly from 1:1 to 2:1 between -35 and 200 km/s. In the high velocity system the OH profiles are similar to HI, suggesting co-location of that atomic and molecular gas, and leaving unclear the connection to the H2O masing gas seen elsewhere. We have also detected both 18cm OH satellite lines in the high velocity system. They have conjugate profiles: 1612 MHz is in absorption, and 1720 MHz in emission.Comment: 16 pages, 14 figures, LaTeX, includes aa.cls, accepted for publication in Astronomy and Astrophysic

Intra-Day Variability and the Interstellar Medium Towards 0917+624

The intra-day variable source 0917+624 displays annual changes in its timescale of variability. This is explained in terms of a scintillation model in which changes in the variability timescale are due to changes in the relative velocity of the scintillation pattern as the Earth orbits the sun. (see also astro-ph/0102050)Comment: 4 pages, 1 figure. Accepted for A&A Letter

Prostaglandin E Positively Modulates Endothelial Progenitor Cell Homeostasis: An Advanced Treatment Modality for Autologous Cell Therapy

Aims: The mobilization of endothelial progenitor cells (EPC) and their functioning in postnatal neovascularization are tightly regulated. To identify new modulators of EPC homeostasis, we screened biologically active prostaglandin E compounds for their effects on EPC production, trafficking and function. Methods and Results: We found that EPC are a rich source for prostaglandin E 2 (PGE 2), stimulating their number and function in an auto- and paracrine manner. In vivo blockade of PGE 2 production by selective cyclooxygenase-2 inhibition virtually abrogated ischemia-induced EPC mobilization demonstrating its crucial role in EPC homeostasis following tissue ischemia. Conversely, ex vivo treatment of isolated EPC with the clinically approved PGE 1 analogue alprostadil enhanced EPC number and function. These effects were mediated by increased expression of the chemokine receptor CXCR4 and were dependent on nitric oxide synthase activity. Most importantly, ex vivo PGE 1 pretreatment of isolated EPC significantly enhanced their neovascularization capacity in a murine model of hind limb ischemia as assessed by laser Doppler analysis, exercise stress test and immunohistochemistry. Conclusions: The conserved role for PGE in the regulation of EPC homeostasis suggests that ex vivo modulation of the prostaglandin pathway in isolated progenitor cells may represent a novel and safe strategy to facilitate cell-based therapies. Copyright (C) 2009 S. Karger AG, Base

Profoundly reduced neovascularization capacity of bone marrow mononuclear cells derived from patients with chronic ischemic heart disease

Background— Cell therapy with bone marrow–derived stem/progenitor cells is a novel option for improving neovascularization and cardiac function in ischemic heart disease. Circulating endothelial progenitor cells in patients with coronary heart disease are impaired with respect to number and functional activity. However, whether this impairment also extends to bone marrow–derived mononuclear cells (BM-MNCs) in patients with chronic ischemic cardiomyopathy (ICMP) is unclea

A seasonal cycle and an abrupt change in the variability characteristics of the intraday variable source S4 0954+65

The BLLac object S4 0954+65 is one of the main targets of the Urumqi monitoring program targeting IntraDay Variable (IDV) sources. Between August 2005 and December 2009, the source was included in 41 observing sessions, carried out at a frequency of 4.8 GHz. The time analysis of the collected light curves, performed by applying both a structure function analysis and a specifically developed wavelet-based algorithm, discovered an annual cycle in the variability timescales, suggesting that there is a fundamental contribution by interstellar scintillation to the IDV pattern of the source. The combined use of the two analysis methods also revealed that there was a dramatic change in the variability characteristics of the source between February and March 2008, at the starting time of a strong outburst phase. The analysis' results suggest that the flaring state of the source coincides with the appearance of multiple timescales in its light curves, indicating that changes in the structure of the relativistically moving emitting region may strongly influence the variability observed on IDV timescales.Comment: 9 pages, 8 figures and 3 tables. Accepted for publication in Astronomy and Astrophysic

Radio Properties of the γ\gamma-ray Emitting CSO Candidate 2234+282

Most of the gamma-ray emitting active galactic nuclei (AGN) are blazars, although there is still a small fraction of non-blazar AGN in the Fermi/LAT catalog. Among these misaligned gamma-ray-emitting AGN, a few can be classified as Compact Symmetric Objects (CSOs). In contrast to blazars in which gamma-ray emission is generally thought to originate from highly beamed relativistic jets, the source of gamma-ray emission in unbeamed CSOs remains an open question. The rarity of the gamma-ray emitting CSOs is a mystery as well. Here we present the radio properties of the gamma-ray CSO candidate 2234+282.Comment: 4 pages, accepted for publication in Astronomische Nachrichte