1,202 research outputs found
Longitudinal risk factors for developing depressive symptoms in Parkinson's disease
BACKGROUND: Despite the established importance of identifying depression in Parkinson's disease, our understanding of the factors which place the Parkinson's disease patient at future risk of depression is limited. METHODS: Our sample consisted of 874 patients from two longitudinal cohorts, PPMI and PDBP, with median follow-up durations of 7 and 3 years respectively. Risk factors for depressive symptoms at baseline were determined using logistic regression. A Cox regression model was then used to identify baseline factors that predisposed the non-depressed patient to develop depressive symptoms that were sustained for at least one year, while adjusting for antidepressant use and cognitive impairment. Common predictors between the two cohorts were identified with a random-effects meta-analysis. RESULTS: We found in our analyses that the majority of baseline non-depressed patients would develop sustained depressive symptoms at least once during the course of the study. Probable REM sleep behavior disorder (pRBD), age, duration of diagnosis, impairment in daily activities, mild constipation, and antidepressant use were among the baseline risk factors for depression in either cohort. Our Cox regression model indicated that pRBD, impairment in daily activities, hyposmia, and mild constipation could serve as longitudinal predictors of sustained depressive symptoms. CONCLUSIONS: We identified several potential risk factors to aid physicians in the early detection of depression in Parkinson's disease patients. Our findings also underline the importance of adjusting for multiple covariates when analyzing risk factors for depression
DR-bearing T lymphocytes in thoracic duct lymph
T cells having DR antigens were shown to be present in high numbers in the thoracic duct lymph of patients undergoing long-term drainage. As drainage progresses the proportion of T DR cells in the lymph increases to levels as high as 70% at 6 weeks. These cells were demonstrated by showing that T cells isolated by sheep red cell rosetting were killed by the action of rabbit anti-B-cell sera and of HLA-DR antisera. The HLA-DR specificities found on the T cells corresponded with those on the patients’ B lymphocytes
The distance between P680 and QA in Photosystem II determined by ESEEM spectroscopy
AbstractLight induced spin-polarized P680+Q−A radical pairs were studied by two pulse electron spin echo envelope modulation (ESEEM) spectroscopy in the cyanide-treated and Zn-substituted Photosystem II core complexes and in the isolated D1-D2-cyt b559 reaction center complexes reconstituted with dibromoisopropyl-p-benzoquinone. The observed strong out-of phase ESEEM signals were identified as those of the P680+Q−A radical pairs based on the time variation of the transient CW EPR spectra. The shapes of ESEEM spectra were attributed to dipolar D and spin exchange J interactions in the radical pairs. The values of D and J were derived from a sine Fourier transformation and the center-to-center distance between P680 and QA was determined to be 27.2±1.0Å for all three preparations
A population scale analysis of rare SNCA variation in the UK Biobank
Parkinson's disease (PD) is a complex neurodegenerative disease with a variety of genetic and environmental factors contributing to disease. The SNCA gene encodes for the alpha-synuclein protein which plays a central role in PD, where aggregates of this protein are one of the pathological hallmarks of disease. Rare point mutations and copy number gains of the SNCA gene have been shown to cause autosomal dominant PD, and common DNA variants identified using Genome-Wide Association Studies (GWAS) are a moderate risk factor for PD. The UK Biobank is a large-scale population prospective study including ~500,000 individuals that has revolutionized human genetics. Here we assessed the frequency of SNCA variation in this cohort and identified 30 subjects carrying variants of interest including duplications (n = 6), deletions (n = 6) and large complex likely mosaic events (n = 18). No known pathogenic missense variants were identified. None of these subjects were reported to be a PD case, although it is possible that these individuals may develop PD at a later age, and whilst three had known prodromal features, these did not meet defined clinical criteria for being considered ‘prodromal’ cases. Seven of the 18 large complex carriers showed a history of blood based cancer. Overall, we identified copy number variants in the SNCA region in a large population based cohort without reported PD phenotype and symptoms. Putative mosaicism of the SNCA gene was identified, however, it is unclear whether it is associated with PD. These individuals are potential candidates for further investigation by performing SNCA RNA and protein expression studies, as well as promising clinical trial candidates to understand how duplication carriers potentially escape PD
An Electron-Tracking Compton Telescope for a Survey of the Deep Universe by MeV gamma-rays
Photon imaging for MeV gammas has serious difficulties due to huge
backgrounds and unclearness in images, which are originated from incompleteness
in determining the physical parameters of Compton scattering in detection,
e.g., lack of the directional information of the recoil electrons. The recent
major mission/instrument in the MeV band, Compton Gamma Ray
Observatory/COMPTEL, which was Compton Camera (CC), detected mere
persistent sources. It is in stark contrast with 2000 sources in the GeV
band. Here we report the performance of an Electron-Tracking Compton Camera
(ETCC), and prove that it has a good potential to break through this stagnation
in MeV gamma-ray astronomy. The ETCC provides all the parameters of
Compton-scattering by measuring 3-D recoil electron tracks; then the Scatter
Plane Deviation (SPD) lost in CCs is recovered. The energy loss rate (dE/dx),
which CCs cannot measure, is also obtained, and is found to be indeed helpful
to reduce the background under conditions similar to space. Accordingly the
significance in gamma detection is improved severalfold. On the other hand, SPD
is essential to determine the point-spread function (PSF) quantitatively. The
SPD resolution is improved close to the theoretical limit for multiple
scattering of recoil electrons. With such a well-determined PSF, we demonstrate
for the first time that it is possible to provide reliable sensitivity in
Compton imaging without utilizing an optimization algorithm. As such, this
study highlights the fundamental weak-points of CCs. In contrast we demonstrate
the possibility of ETCC reaching the sensitivity below erg
cm s at 1 MeV.Comment: 19 pages, 12 figures, Accepted to the Astrophysical Journa
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