Association between different anti-Tat antibody isotypes and HIV disease progression: data from an African cohort

Background: The presence of IgG and IgM against Tat, an HIV protein important for viral replication and immune dysfunction, is associated with slow disease progression in clade B HIV-infected individuals. However, although Tat activities strictly depend on the viral clade, our knowledge about the importance of anti-Tat antibodies in non-clade B HIV infection is poor. The objective of this study was to investigate the association of different anti-Tat antibody isotypes with disease progression in non-clade B HIV-infected subjects and to study the relationship between anti-Tat humoral responses and immunological abnormalities. Methods: Anti-clade B and - clade C Tat IgG, IgM and IgA titers were assessed in serum samples from 96 cART-naive subjects with chronic HIV infection from Mbeya, Tanzania, and associated with CD4(+) T cell count, plasma viremia and CD4(+) and CD8(+) T cell phenotypes. Results: Anti-Tat IgM were preferentially detected in chronic HIV-infected subjects with low T cell activation (p-value = 0.03) and correlated with higher CD4(+) T cell counts and lower viral loads irrespective of the duration of infection (p-value = 0.019 and p-value = 0.037 respectively). Conversely, anti-Tat IgA were preferentially detected in individuals with low CD4(+) T cell counts and high viral load (p-value = 0.02 and p-value < 0.001 respectively). The simultaneous presence of anti-Tat IgG and IgM protected from fast CD4(+) T cell decline (p-value < 0.01) and accumulation of CD38(+) HLADR(+) CD8(+) T cells (p-value = 0.029). Conclusions: Anti-Tat IgG alone are not protective in non-clade B infected subjects, unless concomitant with IgM, suggesting a protective role of persistent anti-Tat IgM irrespective of the infecting clade

Space/time tectono-sedimentary evolution of the Umbria-Romagna-Marche Miocene Basin (Northern Apennines, Italy): a foredeep model.

The space/time evolution of the Umbria-Romagna-Marche domains of the northern Apennine Miocene foredeep is proposed. In this period, the turbidite siliciclastic sedimentation is represented mainly by the Miocene Marnoso-Arenacea Formation, which generally ends with mainly marly deposits. From the internal Apennine sectors (Umbria-Romagna domain) to the external Adriatic Margin (Marche domain) the siliciclastic succession overlies hemipelagic marly deposits (Schlier Formation). The whole depositional area can be considered as a single wide basin with depocenter or main sedimentation areas progressively migrating eastwards. This basin is characterized by some morphological highs which did not constitute real dams for the sedimentary flow(turbidity currents). Multiple feeding (arkose, litharenites, calcarenites) from different sources is related to palaeogeographical and palaeotectonic reorganization of the most internal, previously deformed, Apennine areas. The activation of the foredeep stage is marked by the beginning of the siliciclastic sedimentation (Late Burdigalian in the most internal sector). This sedimentation ends in the most external sector in the Early Messinian, pointing to a depositional cycle of about 9–10 Ma. The diachronism of the base of the siliciclastic deposition proves to be almost 5 Ma. The syn-depositional compressional deformation, which shows a marked diachronism, affected the internal area of the foredeep in the Early-Middle Serravallian, and progressively migrated up to Late Miocene, involving more and more external sectors. The deformed siliciclastic sedimentary wedge constitutes an orogenic pile incorporated in the Apennine Chain, represented by different tectonic elements superimposed by means of NE-vergent thrusts. The main stratigraphic and tectonic events of the Toscana-Romagna-Marche Apennines are presented in a general framework,resulting also in a terminological revision

4D flow imaging with 2D‐selective excitation

PURPOSE: 4D flow MRI permits to quantify non-invasively time-dependent velocity vector fields, but it demands long acquisition times. 2D-selective excitation allows to accelerate the acquisition by reducing the FOV in both phase encoding directions. In this study, we investigate 2D-selective excitation with reduced FOV imaging for fast 4D flow imaging while obtaining correct velocity quantification. METHODS: Two different 2D-selective excitation pulses were designed using spiral k-space trajectories. Further, their isophase time point was analyzed using simulations that considered both stationary and moving spins. On this basis, the 2D-selective RF pulses were implemented into a 4D flow sequence. A flow phantom study and seven 4D flow in vivo measurements were performed to assess the accuracy of velocity quantification by comparing the proposed technique to non-selective and conventional 1D slab-selective excitation. RESULTS: The isophase time point for spiral 2D-selective RF pulses was found to be located at the end of excitation for both stationary and moving spins. Based on that, 2D-selective excitation with reduced FOV allowed us to successfully quantify velocities both in a flow phantom and in vivo. In a flow phantom, the velocity difference Δv = (0.8 ± 5.3)cm/s between the smaller reduced FOV and the reference scan was similar to the inter-scan variability of Δv = (−1.0 ± 2.3)cm/s . In vivo, the differences in flow (P = 0.995) and flow volume (P = 0.469) between the larger reduced FOV and the reference scan were non-significant. By reducing the FOV by two-thirds, acquisition time was halved. CONCLUSION: A reduced field-of-excitation allows to limit the FOV and therefore shorten 4D flow acquisition times while preserving successful velocity quantification