Esophageal erosion as a possible bacterial entry site in an acute lymphoblastic leukemia patient with sepsis

A 69-year-old man with relapsed acute lymphoid leukemia was treated with adriamycin, vincristine, and prednisolone. During this chemotherapy, the patient developed sepsis and meningitis. Although many kinds of antimicrobial drugs, including imipenem, meropenem, amphotericin-B, and γ-globulin were administered, the patient died of respiratory failure. A positive result for Enterococcus faecalis was obtained in both blood and cerebrospinal fluid culture. Autopsy revealed multiple small erosions in the lower esophagus. Histopathological examination showed multiple nuclear inclusion bodies of herpes simplex virus in the squamous epithelial cells at the edge of the erosions. Moreover, proliferation of micrococci was observed at the base of the erosions and in the lumina of the submucosal small vessels. These findings suggested that E faecalis entered the blood circulation from this lesion. In many patients with febrile neutropenia, the pathogenesis of infection remains unclear. Our case seems significant for clarifying the focus and pathogenesis of febrile neutropenia

Hepatocyte growth factor prevents lupus nephritis in a murine lupus model of chronic graft-versus-host disease

Chronic graft-versus-host disease (GVHD) induced in (C57BL/6 × DBA/2) F1 (BDF1) mice by the injection of DBA/2 mouse spleen cells represents histopathological changes associated with systemic lupus erythematosus (SLE), primary biliary cirrhosis (PBC) and Sjogren's syndrome (SS), as indicated by glomerulonephritis, lymphocyte infiltration into the periportal area of the liver and salivary glands. We determined the therapeutic effect of hepatocyte growth factor (HGF) gene transfection on lupus using this chronic GVHD model. Chronic GVHD mice were injected in the gluteal muscle with either HVJ liposomes containing 8 μg of the human HGF expression vector (HGF-HVJ liposomes) or mock vector (untreated control). Gene transfer was repeated at 2-week intervals during 12 weeks. HGF gene transfection effectively prevented the proteinuria and histopathological changes associated with glomerulonephritis. While liver and salivary gland sections from untreated GVHD mice showed prominent PBC- and SS-like changes, HGF gene transfection reduced these histopathological changes. HGF gene transfection greatly reduced the number of splenic B cells, host B cell major histocompatibility complex class II expression, and serum levels of IgG and anti-DNA antibodies. IL-4 mRNA expression in the spleen, liver, and kidneys was significantly decreased by HGF gene transfection. CD28 expression on DBA/2 CD4+ T cells was decreased by the addition of recombinant HGF in vitro. Furthermore, IL-4 production by DBA/2 CD4+ T cells stimulated by irradiated BDF1 dendritic cells was significantly inhibited by the addition of recombinant HGF in vitro. These results suggest that HGF gene transfection inhibited T helper 2 immune responses and reduced lupus nephritis, autoimmune sialoadenitis, and cholangitis in chronic GVHD mice. HGF may represent a novel strategy for the treatment of SLE, SS and PBC

Neurobiology of Depression and Anxiety in Parkinson's Disease

Depression and anxiety are common in Parkinson's disease (PD) and have important consequences on quality of life. These have long been recognized as frequent accompanying syndromes of PD, and several reports suggest that these are the causative process or risk factors that are present many years before the appearance of motor symptoms. The neurochemical changes in PD involving dopamine, norepinephrine, and serotonin might be related to the pathophysiology of depression and anxiety, but this is still not clear. Several studies showed that anxiety in PD patients occurs earlier than depression, during premotor phase, suggesting that there may be a link between the mechanisms that cause anxiety and PD. Whereas a recent study reported that PD patients with depression and anxiety were associated with different demographic and clinical features

Quantum gapped state in a spin-1/2 distorted honeycomb-based lattice with frustration

We successfully synthesized ($p$-Py-V)[Cu(hfac)$_2$], a verdazyl-based complex. Molecular orbital calculations revealed five types of intermolecular interactions between the radical spins and two types of intramolecular interactions between the radical and the Cu spins, resulting in a spin-1/2 distorted honeycomb-based lattice. Additionally, competing ferromagnetic and antiferromagnetic (AF) interactions induce frustration. The magnetization curve displayed a multistage increase, including a zero-field energy gap. Considering the stronger AF interactions that form dimers and tetramers, the magnetic susceptibility and magnetization curves were qualitatively explained. These findings demonstrated that the quantum state, based on the dominant AF interactions, was stabilized due to the effects of frustration in the lattice. Hence, the exchange interactions forming two-dimensional couplings decoupled, reducing energy loss caused by frustration and leading to frustration-induced dimensional reduction.Comment: 6 pages, 5 figure

A functional genomics tool for the Pacific bluefin tuna: Development of a 44K oligonucleotide microarray from whole-genome sequencing data for global transcriptome analysis

AbstractBluefin tunas are one of the most important fishery resources worldwide. Because of high market values, bluefin tuna farming has been rapidly growing during recent years. At present, the most common form of the tuna farming is based on the stocking of wild-caught fish. Therefore, concerns have been raised about the negative impact of the tuna farming on wild stocks. Recently, the Pacific bluefin tuna (PBT), Thunnus orientalis, has succeeded in completing the reproduction cycle under aquaculture conditions, but production bottlenecks remain to be solved because of very little biological information on bluefin tunas. Functional genomics approaches promise to rapidly increase our knowledge on biological processes in the bluefin tuna. Here, we describe the development of the first 44K PBT oligonucleotide microarray (oligo-array), based on whole-genome shotgun (WGS) sequencing and large-scale expressed sequence tags (ESTs) data. In addition, we also introduce an initial 44K PBT oligo-array experiment using in vitro grown peripheral blood leukocytes (PBLs) stimulated with immunostimulants such as lipopolysaccharide (LPS: a cell wall component of Gram-negative bacteria) or polyinosinic:polycytidylic acid (poly I:C: a synthetic mimic of viral infection). This pilot 44K PBT oligo-array analysis successfully addressed distinct immune processes between LPS- and poly I:C- stimulated PBLs. Thus, we expect that this oligo-array will provide an excellent opportunity to analyze global gene expression profiles for a better understanding of diseases and stress, as well as for reproduction, development and influence of nutrition on tuna aquaculture production

Fulminant candidemia diagnosed by prompt detection of pseudohyphae in a peripheral blood smear

A 77-year-old man treated with prednisolone for pemphigus developed severe sepsis by Pseudomonas aeruginosa and methicillin-resistant Staphylococcus aureus. Several antibiotics were administered. A peripheral blood smear showed growth of a large number of yeast extending pseudohyphae which could be seen both inside and outside of leucocytes. Antifungal agents were added immediately, however, he did not recover. Several days later, blood culture showed Candida albicans septicemia. The autopsy revealed microabscesses in the lung, heart, liver and kidney. A large amount of neutrophil invasion and yeast with peudohypae were also detected

Field-induced quantum phase in a frustrated zigzag-square lattice

This study presents the experimental realization of a spin-1/2 zigzag-square lattice in a verdazyl-based complex, namely ($m$-Py-V-2,6-F$_2$)$[$Cu(hfac)$_2]$. Molecular orbital calculations suggest the presence of five types of frustrated exchange couplings. Our observations reveal an incremental increase in the magnetization curve beyond a critical field, signifying a phase transition from the antiferromagnetic ordered state to a quantum state characterized by a 1/2 plateau. This intriguing behavior arises from the effective stabilization of a zigzag chain by the external fields. These results provide evidence for field-induced dimensional reduction in a zigzag-square lattice attributed to the effects of frustration.Comment: 5 pages, 4 figure

Pathophysiology and Treatment of Diabetic Cardiomyopathy and Heart Failure in Patients with Diabetes Mellitus

There is a close relationship between diabetes mellitus and heart failure, and diabetes is an independent risk factor for heart failure. Diabetes and heart failure are linked by not only the complication of ischemic heart disease, but also by metabolic disorders such as glucose toxicity and lipotoxicity based on insulin resistance. Cardiac dysfunction in the absence of coronary artery disease, hypertension, and valvular disease is called diabetic cardiomyopathy. Diabetes-induced hyperglycemia and hyperinsulinemia lead to capillary damage, myocardial fibrosis, and myocardial hypertrophy with mitochondrial dysfunction. Lipotoxicity with extensive fat deposits or lipid droplets is observed on cardiomyocytes. Furthermore, increased oxidative stress and inflammation cause cardiac fibrosis and hypertrophy. Treatment with a sodium glucose cotransporter 2 (SGLT2) inhibitor is currently one of the most effective treatments for heart failure associated with diabetes. However, an effective treatment for lipotoxicity of the myocardium has not yet been established, and the establishment of an effective treatment is needed in the future. This review provides an overview of heart failure in diabetic patients for the clinical practice of clinicians

Interaksi Masyarakat Keturunan Arab dengan Masyarakat Setempat di Pekalongan

Dalam penelitian ini penulis mengeksplorasi interaksi antara masyarakat keturunan Arab dengan masyarakat setempat di Kelurahan Klego Kota Pekalongan serta mengetahui faktor pendorong dan penghambat terjadinya interaksi antara masyarakat keturunan Arab dengan masyarakat setempat. Penelitian ini menggunakan metode kualitatif. Teknik pengumpulan data melalui metode wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukan bahwa terjadi interaksi antara masyarakat keturunan Arab dengan masyarakat setempat dengan intensitas dan kegiatan kebudayaan tertentu. Faktor pendukung terjadinya interaksi adalah adanya perkawinan campuran, terutama pada masyarakat keturunan Arab non-sayyid, dengan masyarakat setempat serta adanya kerjasama dalam bidang perdagangan. Sedangkan faktor penghambat terjadinya proses interaksi adalah adanya prasangka dan stereotip pada masyarakat keturunan Arab yang merasa masyarakat setempat kurang Islami, sebaliknya masyarakat setempat merasa masyarakat keturunan Arab itu sombong. Keturunan Arab yang tinggal di Kelurahan Klego terdiri dari golongan sayyid dan golongan non-sayyid. Keturunan Arab dari golongan non-sayyid sudah dapat berbaur dengan masyarakat setempat sedangkan keturunan Arab dari golongan sayyid belum berbaur dengan masyarakat non-Arab. Masyarakat keturunan Arab memiliki simbol-simbol seperti bahasa, pakaian, bangunan yang sangat mempengaruhi interaksi antara masyarakat keturunan Arab dengan masyarakat setempat. In this study, the author explores the interaction between people of Arab descent and the local people in the village of Klego Pekalongan city and also the factors that drive and inhibit the interaction between them. This study uses qualitative methods. The technique of collecting data are interviews, observation, and documentation. The results show that there is a pattern of interaction between people of Arab descent with the local people. Factors supporting the occurrence of interactions are the presence of mixed marriages, especially in the Arab non-sayyid descent, with the local community as well as the cooperation in the field of trade. While the factors inhibiting the interaction process is the existence of prejudice and stereotypes of people of Arab descent at a local community as less Islami. On the other hand, the local people feel that people of Arab descent are exclusive. The Arab descent living in the Village Klego consists of groups and classes of non-sayyid and sayyid. Arab descent from the class of non-sayyid are able to mingle with the local people, whereas Arab descent of sayyid cannot mingle with non-Arab communities. Society of Arab descent has symbols such as language, clothing, and building that strongly influence the interaction of people of Arab descent with the local community