Preclinical/subclinical rheumatoid arthritis-associated interstitial lung disease: misleading terms with potentially deleterious consequences

Interstitial lung disease (ILD) is a leading cause of mortality in patients with rheumatic diseases, including rheumatoid arthritis. The 5-year mortality rate is twice as high in patients with rheumatoid arthritis-associated ILD than in patients with rheumatoid arthritis without ILD. Moreover, a report showed that mortality rates in patients with disease codes for rheumatoid arthritis-associated ILD remained unchanged from 2005–18, even though the overall rheumatoid arthritis mortality rate declined during this time period. Despite the evidence that ILD contributes to premature death in rheumatoid arthritis, screening for ILD in patients with rheumatoid arthritis is not routinely performed in clinical practice and numerous questions remain regarding the management of rheumatoid arthritis-associated ILD

Phonons, electronic charge response and electron-phonon interaction in the high-temperature superconductors

We investigate in the framework of linear response theory the complete phonon dispersion, phonon induced electronic charge response, electron-phonon interaction and dielectric and infrared properties of the high-temperature superconductors (HTSC's). In particular the experimentally observed strong renormalization of the in-plane oxygen bond-stretching modes (OBSM) which appear upon doping in the HTSC's is discussed. It is shown that the characteristic softening, indicating a strong EPI, is most likely a generic effect of the CuO plane and is driven by a nonlocal coupling of the displaced ions to the localized charge-fluctuations (CF's) at the Cu and O ions. The different behaviour of the OBSM during the insulator-metal transition via the underdoped phase is calculated and from a comparison of these modes conclusions about the electronic state in the HTSC's are drawn. The underdoped state is modelled in terms of a charge response which is insulator-like at the Cu and is competing with a metallic charge response at the O-network in the CuO plane. For the non-cuprate HTSC Ba-Bi-O also a strong renormalization of the OBSM is predicted. C-axis polarized infrared and Raman-active modes of the HTSC's are calculated in terms of CF's and anisotropic dipole-fluctuations and the problem of a metallic character of the BiO planes is studied.Interlayer phonons and their accompanying charge response are investigated. Depending on the interlayer coupling calculations are performed from the static, adiabatic- to the non-adiabatic regime.It is shown that phonon-plasmon mixing and a strong long-ranged non-adiabatic EPI becomes evident within a certain region around the c-axis. Both the OBSM and the non-adiabatic coupled c-axis phonon-plasmon modes are found to be important for pairing in the HTSC's.Comment: 65 pages,20 figures. Extended version to appear in Physica Status Solidi (b) 2004; figure 20 has been corrected; references have been adde

Bilateral linear scleroderma "en coup de sabre" associated with facial atrophy and neurological complications

BACKGROUND: Linear scleroderma "en coup de sabre" (LSCS) usually affects one side of the face and head in the frontoparietal area with band-like indurated skin lesions. The disease may be associated with facial hemiatrophy. Various ophthalmological and neurological abnormalities have been observed in patients with LSCS. We describe an unusual case of LSC. CASE PRESENTATION: A 23 year old woman presented bilateral LSCS and facial atrophy. The patient had epileptic seizures as well as oculomotor and facial nerve palsy on the left side which also had pronounced skin involvement. Clinical features of different stages of the disease are presented. CONCLUSIONS: The findings of the presented patient with bilateral LSCS and facial atrophy provide further evidence for a neurological etiology of the disease and may also indicate that classic progressive facial hemiatrophy (Parry-Romberg syndrome) and LSCS actually represent different spectra of the same disease

Superconducting Fluctuation and Pseudogap in Disordered Short Coherence Length Superconductor

We investigate the role of disorder on the superconducting (SC) fluctuation in short coherence length d-wave superconductors. The particular intetest is focused on the disorder-induced microscopic inhomogeneity of SC fluctuation and its effect on the pseudogap phenomena. We formulate the self-consistent 1-loop order theory for the SC fluctuation in inhomogeneous systems and analyze the disordered $t$-$t'$-$V$ model. The SC correlation function, electronic DOS and the critical temperature are estimated. The SC fluctuation is localized like a nanoscale granular structure when the coherence length is short, namely the transition temperature is high. This is contrasted to the long coherence length superconductors where the order parameter is almost uniform in the microscopic scale. In the former case, the SC fluctuation is enhanced by the disorder in contrast to the Abrikosov-Gorkov theory. These results are consistent with the STM, NMR and transport measurements in high-$T_{\rm c}$ cuprates and illuminate the essential role of the microscopic inhomogeneity. We calculate the spacial dependence of DOS around the single impurity and discuss the consistency with the NMR measurements

Stripes in cuprate superconductors: Excitations and dynamic dichotomy

We present a short account of the present experimental situation of stripes in cuprates followed by a review of our present understanding of their ground state and excited state properties. Collective modes, the dynamical structure factor, and the optical conductivity of stripes are computed using the time-dependent Gutzwiller approximation applied to realistic one band and three band Hubbard models, and are found to be in excellent agreement with experiment. On the other hand, experiments like angle-resolved photoemission and scanning tunneling microscopy show the coexistence of stripes at high energies with Fermi liquid quasiparticles at low energies. We show that a phenomenological model going beyond mean-field can reconcile this dynamic dichotomy.Comment: 20 pages, 14 figures. Review paper for a Special Issue of Physica C on "Stripes and Electronic Liquid Crystals in Strongly Correlated Systems

Emerging immunopharmacological targets in multiple sclerosis.

Inflammatory demyelination of the central nervous system (CNS) is the hallmark of multiple sclerosis (MS), a chronic debilitating disease that affects more than 2.5 million individuals worldwide. It has been widely accepted, although not proven, that the major pathogenic mechanism of MS involves myelin-reactive T cell activation in the periphery and migration into the CNS, which subsequently triggers an inflammatory cascade that leads to demyelination and axonal damage. Virtually all MS medications now in use target the immune system and prevent tissue damage by modulating neuroinflammatory processes. Although current therapies such as commonly prescribed disease-modifying medications decrease the relapse rate in relapsing-remitting MS (RRMS), the prevention of long-term accumulation of deficits remains a challenge. Medications used for progressive forms of MS also have limited efficacy. The need for therapies that are effective against disease progression continues to drive the search for novel pharmacological targets. In recent years, due to a better understanding of MS immunopathogenesis, new approaches have been introduced that more specifically target autoreactive immune cells and their products, thus increasing specificity and efficacy, while reducing potential side effects such as global immunosuppression. In this review we describe several immunopharmacological targets that are currently being explored for MS therapy

Carrier relaxation, pseudogap, and superconducting gap in high-Tc cuprates: A Raman scattering study

We describe results of electronic Raman-scattering experiments in differently doped single crystals of Y-123 and Bi-2212. The comparison of AF insulating and metallic samples suggests that at least the low-energy part of the spectra originates predominantly from excitations of free carriers. We therefore propose an analysis of the data in terms of a memory function approach. Dynamical scattering rates and mass-enhancement factors for the carriers are obtained. In B2g symmetry the Raman data compare well to the results obtained from ordinary and optical transport. For underdoped materials the dc scattering rates in B1g symmetry become temperature independent and considerably larger than in B2g symmetry. This increasing anisotropy is accompanied by a loss of spectral weight in B2g symmetry in the range between the superconducting transition at Tc and a characteristic temperature T* of order room temperature which compares well with the pseudogap temperature found in other experiments. The energy range affected by the pseudogap is doping and temperature independent. The integrated spectral loss is approximately 25% in underdoped samples and becomes much weaker towards higher carrier concentration. In underdoped samples, superconductivity related features in the spectra can be observed only in B2g symmetry. The peak frequencies scale with Tc. We do not find a direct relation between the pseudogap and the superconducting gap.Comment: RevTeX, 21 pages, 24 gif figures. For PostScript with embedded eps figures, see http://www.wmi.badw-muenchen.de/~opel/k2.htm

Sex-Biased Expression of MicroRNAs in Schistosoma mansoni

Schistosomiasis is an important neglected tropical disease caused by digenean helminth parasites of the genus Schistosoma. Schistosomes are unusual in that they are dioecious and the adult worms live in the blood system. MicroRNAs play crucial roles during gene regulation and are likely to be important in sex differentiation in dioecious species. Here we characterize 112 microRNAs from adult Schistosoma mansoni individuals, including 84 novel microRNA families, and investigate the expression pattern in different sexes. By deep sequencing, we measured the relative expression levels of conserved and newly identified microRNAs between male and female samples. We observed that 13 microRNAs exhibited sex-biased expression, 10 of which are more abundant in females than in males. Sex chromosomes showed a paucity of female-biased genes, as predicted by theoretical evolutionary models. We propose that the recent emergence of separate sexes in Schistosoma had an effect on the chromosomal distribution and evolution of microRNAs, and that microRNAs are likely to participate in the sex differentiation/maintenance process