Improved quality of life in patients with refractory or recidivant ascites after insertion of transjugular intrahepatic portosystemic shunts

Background. We have recently shown that the transjugular intrahepatic portosystemic shunt (TIPS) is more effective than paracentesis in the treatment of cirrhotic patients with severe ascites and can prolong survival in selected patients. Although an improved quality of life (QOL) has been suggested in these patients after the TIPS procedure, so far there are no data available to substantiate this assumption. Therefore, the aim of this study was to determine the effect of TIPS on the QOL in cirrhotic patients with refractory or recidivant ascites. Methods: 21 cirrhotic patients who underwent TIPS for refractory or recidivant ascites were investigated. All patients were pretreated with repeated paracentesis for at least 1 year. Before the procedure and at 3 and 6 months during follow-up, the patients themselves rated QOL, fatigue and physical performance on a visual analogue scale (range 0-100). Furthermore, QOL was determined by the QOL index (range 0-10) according to Spitzer. Results: Patients' rating of the QOL on the visual analogue scale significantly increased from 35 +/- 25 (baseline) to 64 +/- 28 (3 months), and 66 +/- 24 (6 months; p = 0.02). Similarly, the QOL index significantly increased from 6.9 +/- 2.0 (baseline) to 8.3 +/- 2.1 (3 months), and 8.6 +/- 1.7 (6 months; p < 0.001). The increase of QOL was more pronounced in patients with complete response to TIPS. Conclusions: We demonstrate that TIPS for refractory or recidivant ascites improves the QOL in patients with cirrhosis. Our data indicates that this improvement is dependent on the response to therapy. Copyright (C) 2002 S. Karger AG, Basel

Atividades experimentais e computacionais como recursos instrucionais que se complementam : um estudo exploratório no ensino de eletromagnetismo em física geral

Neste trabalho relatamos um estudo exploratório que teve como objetivo o levantamento de proposições norteadoras para embasar um estudo mais amplo, que visa investigar a integração entre atividades computacionais e experimentais no ensino de Eletromagnetismo em Física Geral como meio de propiciar condições favoráveis para uma aprendizagem significativa (Ausubel, 2003) e vivência com atividades práticas que propiciem aos alunos uma visão adequada de modelos teóricos (Bunge, 1974). Trabalhamos com 32 alunos matriculados na disciplina de Física III (Eletromagnetismo) do curso de Física da UFRGS, no 1° semestre de 2008. Os resultados mostram que as atividades integradas tornam os alunos mais ativos e participativos em comparação com as tradicionais aulas de laboratório, principalmente em discussões sobre questões conceituais e no auxílio a seus parceiros de grupo

Towards Understanding Photoperiodic Response in Grasses

In many plants, day length is the critical environmental parameter that controls flowering time. In long day plants, such as Arabidopsis and ryegrass (Lolium perenne), increasing day length in spring signals flowering, while in short day plants like rice, flowering is accelerated when days become shorter. Recently, significant progress has been made in understanding the molecular genetic mechanisms that govern this response. Most results have been obtained in the model plant Arabidopsis where CONSTANS (CO) is a critical candidate gene. Upstream of it is the GIGANTEA (GI) gene which is associated with the circadian clock mechanism (1). The FT gene is the immediate downstream genetic target of CO, and is a direct promoter of flowering (2). Characteristically, all three genes show circadian expression, albeit in different phases, and both the CO and FT genes are up-regulated under long-day (inductive) conditions. Work in ryegrass should help reveal both the conserved and divergent segments of the photoperiod response between different plant species

Functional variation in a key defense gene structures herbivore communities and alters plant performance

Plant genetic diversity structures animal communities and affects plant population productivity. However, few studies have investigated which traits are involved and the mechanisms mediating these effects. We studied the consequences of varying the expression of a single biosynthetic gene in jasmonate (JA) defense hormones, which are essential for defense against herbivores but constrain plant growth, in experimental mesocosm populations of wild tobacco (Nicotiana attenuata) plants under attack from three native herbivores. Empoasca leafhoppers preferentially attack JA-deficient N. attenuata plants in nature, and the specialist Tupiocoris notatus mirids avoid Empoasca-damaged plants. However, in experimental mesocosm populations having equal numbers of wild-type (WT) and JA-deficient plants that are silenced in the expression of the biosynthetic gene lipoxygenase 3 (LOX3), Empoasca sp. attacked both genotypes. Empoasca sp. damage, rather than JA, determined T. notatus damage, which was reduced in mixed populations. The growth of specialist Manduca sexta larvae was reduced on WT vs. asLOX3 monocultures, but differed in mixtures depending on caterpillar density. However, seed capsule number remained similar for WT and asLOX3 plants in mixtures, not in monocultures, in two experimental scenarios reflecting high and low caterpillar attack. At high caterpillar density, WT plants growing in mixtures produced more seed capsules than those growing in monocultures while seed production of asLOX3 plants did not differ by population type. However, at low caterpillar density, asLOX3 plants growing in mixed populations produced more seed capsules than those growing in monoculture, while seed capsule production did not differ for WT by population type. Thus, mixed populations had a more stable output of seed capsules under the two scenarios. This may result from a balance between JA-mediated herbivore defense and plant competitive ability in mixed populations

Controlled Flowering Project for Lolium Perenne at Agresearch: an Overview

Ryegrass (Lolium perenne) is an important forage crop in New Zealand. The work presented here has the goal of developing a system for complete and arbitrary control of the transition from vegetative to floral development. For this, we have pursued an integrated approach utilising genomics with both forward and reverse genetics. Like other model plants, photoperiodic and vernalization pathways are presumed to be operating in ryegrass and control the activity of the meristem identity/floral patterning genes. The candidate gene approach targeting the photoperiodic pathway is described in an accompanying abstract (Gagic et al.). Other candidate genes include the meristem identity gene LEAFY and a range of the MADS box transcription factors. Relevant expression profiles are established for these genes, i.e. vernalization time course at weekly intervals, and daily and circadian collections during the secondary induction. A detailed genetic map of ryegrass has been developed at AgResearch (see abstract by Faville et al.) which we are using to map candidate genes. We are also conducting detailed phenotypic analysis of the flowering behaviour variation within this population in an effort to isolate relevant QTLs. Ryegrass transformation has been used to ascertain functions of the candidate genes and to manipulate flowering time control directly. We are developing a universal switch to turn on the flowering that consists of a cassette of the arabidopsis genes under a control of a chemically inducible promoter

Atividades experimentais e computacionais como recursos instrucionais que se complementam : um estudo exploratório no ensino de eletromagnetismo em física geral

Neste trabalho relatamos um estudo exploratório que teve como objetivo o levantamento de proposições norteadoras para embasar um estudo mais amplo, que visa investigar a integração entre atividades computacionais e experimentais no ensino de Eletromagnetismo em Física Geral como meio de propiciar condições favoráveis para uma aprendizagem significativa (Ausubel, 2003) e vivência com atividades práticas que propiciem aos alunos uma visão adequada de modelos teóricos (Bunge, 1974). Trabalhamos com 32 alunos matriculados na disciplina de Física III (Eletromagnetismo) do curso de Física da UFRGS, no 1° semestre de 2008. Os resultados mostram que as atividades integradas tornam os alunos mais ativos e participativos em comparação com as tradicionais aulas de laboratório, principalmente em discussões sobre questões conceituais e no auxílio a seus parceiros de grupo

Human airway tuft cells influence the mucociliary clearance through cholinergic signalling

Background Airway tuft cells, formerly called brush cells have long been described only morphologically in human airways. More recent RNAseq studies described a chemosensory cell population, which includes tuft cells, by a distinct gene transcription signature. Yet, until which level in the tracheobronchial tree in native human airway epithelium tuft cells occur and if they function as regulators of innate immunity, e.g., by regulating mucociliary clearance, remained largely elusive. Methods We performed immunohistochemistry, RT-PCR and immunoblotting analyses for various tuft cell markers to confirm the presence of this cell type in human tracheal samples. Immunohistochemistry was conducted to study the distribution of tuft cells along the intrapulmonary airways in humans. We assessed the influence of bitter substances and the taste transduction pathway on mucociliary clearance in mouse and human tracheal samples by measuring particle transport speed. Results Tuft cells identified by the expression of their well-established marker POU class 2 homeobox 3 (POU2F3) were present from the trachea to the bronchioles. We identified choline acetyltransferase in POU2F3 expressing cells as well as the transient receptor potential melastatin 5 (TRPM5) channel in a small population of tracheal epithelial cells with morphological appearance of tuft cells. Application of bitter substances, such as denatonium, led to an increase in mucociliary clearance in human tracheal preparations. This was dependent on activation of the TRPM5 channel and involved cholinergic and nitric oxide signalling, indicating a functional role for human tuft cells in the regulation of mucociliary clearance. Conclusions We were able to detect tuft cells in the tracheobronchial tree down to the level of the bronchioles. Moreover, taste transduction and cholinergic signalling occur in the same cells and regulate mucociliary clearance. Thus, tuft cells are potentially involved in the regulation of innate immunity in human airways