D028 L’expression des gènes PAI-1, tPA et uPA est fortement régulée pendant la différenciation des cellules souches embryonnaires en myocytes et adipocytes

PAI-1 est l’inhibiteur physiologique des activateurs du plasminogène uPA et tPA et inhibe le complexe formé entre uPA et son récepteur, et par voie de conséquence, entre la vitronectine et l’intégrine alphav beta3. PAI-1 est impliqué dans l’adhésion et la migration des cellules endothéliales, dans la différenciation adipocytaire et dans la réponse à l’insuline; in vivo, il facilite la thrombose, la fibrose et le remodelage tissulaire. Des taux élevés circulants de PAI-1 représentent un biomarqueur de l’obésité centrale et sont un facteur pronostic du diabète de type 2. Les propriétés biologiques de PAI-1 ont conduit à l’hypothèse que PAI-1 serait impliqué directement dans le développement du tissu adipeux. Notre objectif est d’évaluer les rôles spécifiques des gènes PAI-1, uPA et tPA dans les mécanismes moléculaires de la différenciation des cellules souches embryonnaires (cellules ES) de souris dans différents lignages.Indétectables à l’état indifférencié, les expressions de PAI-1, uPA et tPA et les activités enzymatiques uPA et tPA sont fortement régulées durant la différenciation des cellules ES. Les activités uPA et tPA sont rapidement augmentées durant la phase précoce de détermination du processus, sans expression détectable de PAI-1. Puis, l’expression de PAI-1 augmente progressivement dans les surnageants de culture des cellules bien différenciées, corrélant avec une inhibition concomittante des activités uPA et tPA. Des expériences d’immunohistochimie montrent que PAI-1 est exprimé à la fois dans les myotubes et dans les adipocytes matures.Le rôle potentiel de ces régulations successives est analysé par la construction de lignées de cellules ES surexprimant le cDNA de PAI- 1 dès l’état indifférencié. Les effets d’une surexpression ectopique de PAI-1 à différent temps pendant la différenciation des cellules ES sont recherchés.De plus, le traitement précoce des cellules ES en différenciation par l’amiloride, inhibiteur spécifique d’uPA, provoque une diminution de la myogénèse et une augmentation de la différenciation adipocytaire. Par contre ces effets ne sont pas retrouvés en traitant les cellules par l’EACA, inhibiteur de la plasmine ou le DMA, un dérivé inactif de l’amiloride

Statistical analysis of reinforced concrete bridges in Estonia

This paper introduces a possible way to use a multivariate methodology, called principal component analysis, to reduce the dimensionality of condition state database of bridge elements, collected during visual inspections. Attention is paid to the condition assessment of bridges in Estonian national roads and collected data, which plays an important role in the selection of correct statistical technique and obtaining reliable results. Additionally, detailed overview of typical road bridges and examples of collected information is provided. Statistical analysis is carried out by most natural reinforced concrete bridges in Estonia and comparison is made among different typologies. The introduced multivariate technique algorithms are presented and collated in two different formulations, with contrast on unevenness in variables and taking into account the missing data. Principal components and weighing factors, which are calculated for bridges with different typology, also have differences in results and element groups where variation is retainedTU1406 – Quality Specifications for Roadway Bridges, standardiza- tion at a European level (BridgeSpec), a COST Action sup- ported by EU Framework Programme Horizon 2020info:eu-repo/semantics/publishedVersio

Ovarian-Adnexal Reporting Data System Magnetic Resonance Imaging (O-RADS MRI) score for risk stratification of sonographically indeterminate adnexal masses.

Importance: Approximately one-quarter of adnexal masses detected at ultrasonography are indeterminate for benignity or malignancy, posing a substantial clinical dilemma. Objective: To validate the accuracy of a 5-point Ovarian-Adnexal Reporting Data System Magnetic Resonance Imaging (O-RADS MRI) score for risk stratification of adnexal masses. Design, Setting, and Participants: This multicenter cohort study was conducted between March 1, 2013, and March 31, 2016. Among patients undergoing expectant management, 2-year follow-up data were completed by March 31, 2018. A routine pelvic MRI was performed among consecutive patients referred to characterize a sonographically indeterminate adnexal mass according to routine diagnostic practice at 15 referral centers. The MRI score was prospectively applied by 2 onsite readers and by 1 reader masked to clinical and ultrasonographic data. Data analysis was conducted between April and November 2018. Main Outcomes and Measures: The primary end point was the joint analysis of true-negative and false-negative rates according to the MRI score compared with the reference standard (ie, histology or 2-year follow-up). Results: A total of 1340 women (mean [range] age, 49 [18-96] years) were enrolled. Of 1194 evaluable women, 1130 (94.6%) had a pelvic mass on MRI with a reference standard (surgery, 768 [67.9%]; 2-year follow-up, 362 [32.1%]). A total of 203 patients (18.0%) had at least 1 malignant adnexal or nonadnexal pelvic mass. No invasive cancer was assigned a score of 2. Positive likelihood ratios were 0.01 for score 2, 0.27 for score 3, 4.42 for score 4, and 38.81 for score 5. Area under the receiver operating characteristic curve was 0.961 (95% CI, 0.948-0.971) among experienced readers, with a sensitivity of 0.93 (95% CI, 0.89-0.96; 189 of 203 patients) and a specificity of 0.91 (95% CI, 0.89-0.93; 848 of 927 patients). There was good interrater agreement among both experienced and junior readers (κ = 0.784; 95% CI, 0.743-0824). Of 580 of 1130 women (51.3%) with a mass on MRI and no specific gynecological symptoms, 362 (62.4%) underwent surgery. Of them, 244 (67.4%) had benign lesions and a score of 3 or less. The MRI score correctly reclassified the mass origin as nonadnexal with a sensitivity of 0.99 (95% CI, 0.98-0.99; 1360 of 1372 patients) and a specificity of 0.78 (95% CI, 0.71-0.85; 102 of 130 patients). Conclusions and Relevance: In this study, the O-RADS MRI score was accurate when stratifying the risk of malignancy in adnexal masses

Systematically missing confounders in individual participant data meta-analysis of observational cohort studies.

One difficulty in performing meta-analyses of observational cohort studies is that the availability of confounders may vary between cohorts, so that some cohorts provide fully adjusted analyses while others only provide partially adjusted analyses. Commonly, analyses of the association between an exposure and disease either are restricted to cohorts with full confounder information, or use all cohorts but do not fully adjust for confounding. We propose using a bivariate random-effects meta-analysis model to use information from all available cohorts while still adjusting for all the potential confounders. Our method uses both the fully adjusted and the partially adjusted estimated effects in the cohorts with full confounder information, together with an estimate of their within-cohort correlation. The method is applied to estimate the association between fibrinogen level and coronary heart disease incidence using data from 154,012 participants in 31 cohort

Plasminogen Activator Inhibitor-1 4G/5G Gene Polymorphism and Coronary Artery Disease in the Chinese Han Population: A Meta-Analysis

Background: The polymorphism of plasminogen activator inhibitor-1 (PAI-1) 4G/5G gene has been indicated to be correlated with coronary artery disease (CAD) susceptibility, but study results are still debatable. Objective and Methods: The present meta-analysis was performed to investigate the association between PAI-1 4G/5G gene polymorphism and CAD in the Chinese Han population. A total of 879 CAD patients and 628 controls from eight separate studies were involved. The pooled odds ratio (OR) for the distribution of the 4G allele frequency of PAI-1 4G/5G gene and its corresponding 95 % confidence interval (CI) was assessed by the random effect model. Results: The distribution of the 4 G allele frequency was 0.61 for the CAD group and 0.51 for the control group. The association between PAI-1 4G/5G gene polymorphism and CAD in the Chinese Han population was significant under an allelic genetic model (OR = 1.70, 95 % CI = 1.18 to 2.44, P = 0.004). The heterogeneity test was also significant (P,0.0001). Meta-regression was performed to explore the heterogeneity source. Among the confounding factors, the heterogeneity could be explained by the publication year (P = 0.017), study region (P = 0.014), control group sample size (P = 0.011), total sample size (P = 0.011), and ratio of the case to the control group sample size (RR) (P = 0.019). In a stratified analysis by the total sample size, significantly increased risk was only detected in subgroup 2 under an allelic genetic model (OR = 1.93, 95% CI = 1.09 to 3.35, P = 0.02)

Telomeres are shorter in myocardial infarction patients compared to healthy subjects: correlation with environmental risk factors

Shorter telomeres have been reported in premature myocardial infarction (MI) patients. Our work aimed at confirming the association of shorter telomere with MI in two case–control studies and in familial hypercholesterolemia (FH) patients with coronary heart disease (CHD). The HIFMECH study compared 598 white male patients (<60 years) who survived a first MI and 653 age-matched controls from North and South Europe. Additionally, from the UK, 413 coronary artery bypass graft (CABG) patients and two groups of 367 and 94 FH patients, of whom 145 and 17 respectively had premature CHD, were recruited. Leukocyte telomere length (LTL) was measured using a real-time polymerase chain reaction-based method. In HIFMECH, LTL was significantly shorter in subjects from the North (7.99 kb, SD 4.51) compared to the South (8.27 kb, SD 4.14; p = 0.02) and in cases (7.85 kb, SD 4.01) compared to controls (8.04 kb, SD 4.46; p = 0.04). In the CABG study, LTL was significantly shorter (6.89 kb, SD 4.14) compared to the HIFMECH UK controls (7.53, SD 5.29; p = 0.007). In both samples of FH patients, LTL was shorter in those with CHD (overall 8.68 kb, SD 4.65) compared to the non-CHD subjects (9.23 kb, SD 4.83; p = 0.012). Apart from a consistent negative correlation with age, LTL was not associated across studies with any measured CHD risk factors. The present data confirms that subjects with CHD have shorter telomeres than controls and extends this to those with monogenic and polygenic forms of CHD