Dietary soy and meat proteins induce distinct physiological and gene expression changes in rats

This study reports on a comprehensive comparison of the effects of soy and meat proteins given at the recommended level on physiological markers of metabolic syndrome and the hepatic transcriptome. Male rats were fed semi-synthetic diets for 1 wk that differed only regarding protein source, with casein serving as reference. Body weight gain and adipose tissue mass were significantly reduced by soy but not meat proteins. The insulin resistance index was improved by soy, and to a lesser extent by meat proteins. Liver triacylglycerol contents were reduced by both protein sources, which coincided with increased plasma triacylglycerol concentrations. Both soy and meat proteins changed plasma amino acid patterns. The expression of 1571 and 1369 genes were altered by soy and meat proteins respectively. Functional classification revealed that lipid, energy and amino acid metabolic pathways, as well as insulin signaling pathways were regulated differently by soy and meat proteins. Several transcriptional regulators, including NFE2L2, ATF4, Srebf1 and Rictor were identified as potential key upstream regulators. These results suggest that soy and meat proteins induce distinct physiological and gene expression responses in rats and provide novel evidence and suggestions for the health effects of different protein sources in human diets

Climate controls on rainfall isotopes and their effects on cave drip water and speleothem growth: the case of Molinos cave (Teruel, NE Spain)

The interpretation of stable isotopes in speleothems in terms of past temperature variability or precipitation rates requires a comprehensive understanding of the climatic factors and processes that influence the δ18O signal in the way through the atmosphere to the cave, where carbonate precipitates acquiring its final isotopic composition. This study presents for the first time in the Iberia Peninsula an integrated analysis of the isotopic composition of rainfall (δ18Op) during 2010–2012 years and, through a detailed monitoring survey, the transference of the primary isotopic signal throughout the soil and epikarst into the Molinos cave (Teruel, NE Spain). Both air temperature and amount of precipitation have an important effect on δ18Op values, clearly imprinting a seasonal variability modulated by an amount effect when rainfall events are more frequent or intense. Air mass history and atmospheric circulation influences are considered through the study of weather types, synoptic-scale climate patterns and large-scale atmospheric circulation indexes (North Atlantic Oscillation and Western Mediterranean Oscillation) revealing a dominant source effect on δ18Op values in this region where tropical North Atlantic and Western Mediterranean are the two moisture source regions. A delay of 2–3 months occurs between the dripwater oxygen isotopic composition (δ18Od) respect to δ18Op values as a consequence of large residence time in the epikarst. Limited calcite precipitates are found from winter to spring when δ18Od values are less negative and dripwater rates are constant. This study suggests that NE Iberian δ18Ocalcite proxy records are best interpreted as reflecting a combination of parameters, not just paleotemperature or paleorainfall and, if extending present-day situation towards the recent past, a biased signal towards winter values should be expected in Molinos speleothem records

Innate Immunity in Systemic Sclerosis

Purpose of Review Systemic sclerosis (SSc) is a heterogeneous autoimmune disease which has defined three hallmarks: Small vessel vasculopathy, production of autoantibodies and fibroblast dysfunction. The exact aetiology of the disease remains unknown, due to the complex nature of the cellular signalling pathways involved. However, there is strong and consistent evidence that the innate system, in particular toll-like receptor signalling, is contributing to the progression and perhaps onset of systemic sclerosis. In light of this evidence, this review examines the role of innate immunity in systemic sclerosis and where appropriate suggests avenues for therapeutic modulation in SSc. Recent Findings Multiple lines of evidence suggest that Toll-like receptors (TLRs) are dysregulated and emerging evidence suggests that many endogenous ligands are also elevated in the disease leading to ‘sterile inflammation’ and ultimately the induction of fibrosis. Currently, no effective therapy exists and exploiting the innate immune system perturbation may be one possible avenue

Mortality after surgery in Europe: a 7 day cohort study

Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ² and Fisher’s exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.Findings: We included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19 1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.Funding: European Society of Intensive Care Medicine, European Society of Anaesthesiology