Cardiovascular responses during IgE-mediated peanut allergic reactions

INTRODUCTION: The pathophysiology of IgE-mediated food allergy is poorly described and this impairs our ability to develop new treatments or predict reaction phenotype. Data from case series and animal models suggest there may be significant cardiovascular changes during severe reactions. The aims of this thesis were to describe the local and systemic cardiovascular (CVS) changes during IgE-mediated reactions to peanut, and evaluate whether local vascular responses to skin prick test can predict threshold or severity of reaction. METHODS: Fifty-seven peanut-allergic adults underwent continuous, non-invasive cardiac monitoring during double-blind placebo-controlled food challenges. CVS parameters during a 10-minute epoch at time of objective symptoms were compared to a 10-minute epoch at baseline. Comparisons were also made to equivalent data at the placebo reaction, and a further repeat open challenge in the same participants. Skin blood flow and titrated skin prick testing (SPT) were performed at each challenge. RESULTS: A significant increase in peripheral blood flow (median 20%, IQR [-2.2 to 46.7%]), decrease in stroke volume (mean -2.3ml/beat/m2, 95% CI [-0.3 to -4.2]) and increase in heart rate (mean 7.7bpm, 95% CI [5.6 to 9.8]) were observed during reactions irrespective of reaction severity, which were reproduced at open challenge. Changes in heart rate variability were also noted, consistent with increased sympathetic activity, however these were not observed at repeat challenge. Titrated SPT (as a measure of local cutaneous vascular response) was found to predict reaction threshold at challenge. Time to resolution of peanut SPT wheal was associated with several measures of reaction severity at challenge. CONCLUSION: There is a significant reduction in stroke volume during IgE-mediated reactions to peanut. This is likely to be caused by peripheral vasodilatation leading to reduced venous return, and was seen in both mild and severe reactions. This finding highlights the importance of adequate fluid resuscitation in the management of IgE-mediated allergic reactions to food.Open Acces

Tidal Disruptions of Main Sequence Stars of Varying Mass and Age: Inferences from the Composition of the Fallback Material

We use a simple framework to calculate the time evolution of the composition of the fallback material onto a supermassive black hole arising from the tidal disruption of main sequence stars. We study stars with masses between 0.8 and 3.0 $M_\odot$, at evolutionary stages from zero-age main sequence to terminal-age main sequence, built using the Modules for Experiments in Stellar Astrophysics code. We show that most stars develop enhancements in nitrogen ($^{14}$N) and depletions in carbon ($^{12}$C) and oxygen ($^{16}$O) over their lifetimes, and that these features are more pronounced for higher mass stars. We find that, in an accretion-powered tidal disruption flare, these features become prominent only after the time of peak of the fallback rate and appear at earlier times for stars of increasing mass. We postulate that no severe compositional changes resulting from the fallback material should be expected near peak for a wide range of stellar masses and, as such, are unable to explain the extreme helium-to-hydrogen line ratios observed in some TDEs. On the other hand, the resulting compositional changes could help explain the presence of nitrogen-rich features, which are currently only detected after peak. When combined with the shape of the light curve, the time evolution of the composition of the fallback material provides a clear method to help constrain the nature of the disrupted star. This will enable a better characterization of the event by helping break the degeneracy between the mass of the star and the mass of the black hole when fitting tidal disruption light curves.Comment: 14 pages, 14 figures. Submitted to Ap

Winds in Star Clusters Drive Kolmogorov Turbulence

Intermediate and massive stars drive fast and powerful isotropic winds that interact with the winds of nearby stars in star clusters and the surrounding interstellar medium (ISM). Wind-ISM collisions generate astrospheres around these stars that contain hot $T\sim 10^7$ K gas that adiabatically expands. As individual bubbles expand and collide they become unstable, potentially driving turbulence in star clusters. In this paper we use hydrodynamic simulations to model a densely populated young star cluster within a homogeneous cloud to study stellar wind collisions with the surrounding ISM. We model a mass-segregated cluster of 20 B-type young main sequence stars with masses ranging from 3--17 $M_{\odot}$. We evolve the winds for $\sim$11 kyrs and show that wind-ISM collisions and over-lapping wind-blown bubbles around B-stars mixes the hot gas and ISM material generating Kolmogorov-like turbulence on small scales early in its evolution. We discuss how turbulence driven by stellar winds may impact the subsequent generation of star formation in the clusterComment: 12 pages, 5 figures, Accepted for publication in ApJ

Lower expression of plasma-derived exosome miR-21 levels in HIV-1 elite controllers with decreasing CD4 T cell count

Exosome-derived miR-21 was independently associated with CD4 T cell decline in HIV-1-infected elite controllers (OR 0.369, 95% CI 0.137-0.994, p = 0.049). Also, a negative correlation between miR-21 expression and MCP-1 level was found (r = −0.649, p = 0.020), while no correlation between soluble biomarkers or cellular immune activation was found

Differentiating IDH-mutant astrocytomas and 1p19q-codeleted oligodendrogliomas using DSC-PWI:high performance through cerebral blood volume and percentage of signal recovery percentiles

Objective: Presurgical differentiation between astrocytomas and oligodendrogliomas remains an unresolved challenge in neuro-oncology. This research aims to provide a comprehensive understanding of each tumor’s DSC-PWI signatures, evaluate the discriminative capacity of cerebral blood volume (CBV) and percentage of signal recovery (PSR) percentile values, and explore the synergy of CBV and PSR combination for pre-surgical differentiation. Methods: Patients diagnosed with grade 2 and 3 IDH-mutant astrocytomas and IDH-mutant 1p19q-codeleted oligodendrogliomas were retrospectively retrieved (2010–2022). 3D segmentations of each tumor were conducted, and voxel-level CBV and PSR were extracted to compute mean, minimum, maximum, and percentile values. Statistical comparisons were performed using the Mann-Whitney U test and the area under the receiver operating characteristic curve (AUC-ROC). Lastly, the five most discriminative variables were combined for classification with internal cross-validation. Results: The study enrolled 52 patients (mean age 45-year-old, 28 men): 28 astrocytomas and 24 oligodendrogliomas. Oligodendrogliomas exhibited higher CBV and lower PSR than astrocytomas across all metrics (e.g., mean CBV = 2.05 and 1.55, PSR = 0.68 and 0.81 respectively). The highest AUC-ROCs and the smallest p values originated from CBV and PSR percentiles (e.g., PSRp70 AUC-ROC = 0.84 and p value = 0.0005, CBVp75 AUC-ROC = 0.8 and p value = 0.0006). The mean, minimum, and maximum values yielded lower results. Combining the best five variables (PSRp65, CBVp70, PSRp60, CBVp75, and PSRp40) achieved a mean AUC-ROC of 0.87 for differentiation. Conclusions: Oligodendrogliomas exhibit higher CBV and lower PSR than astrocytomas, traits that are emphasized when considering percentiles rather than mean or extreme values. The combination of CBV and PSR percentiles results in promising classification outcomes. Clinical relevance statement: The combination of histogram-derived percentile values of cerebral blood volume and percentage of signal recovery from DSC-PWI enhances the presurgical differentiation between astrocytomas and oligodendrogliomas, suggesting that incorporating these metrics into clinical practice could be beneficial. Key Points: • The unsupervised selection of percentile values for cerebral blood volume and percentage of signal recovery enhances presurgical differentiation of astrocytomas and oligodendrogliomas. • Oligodendrogliomas exhibit higher cerebral blood volume and lower percentage of signal recovery than astrocytomas. • Cerebral blood volume and percentage of signal recovery combined provide a broader perspective on tumor vasculature and yield promising results for this preoperative classification.</p

Brief Research Report: Virus-Specific Humoral Immunity at Admission Predicts the Development of Respiratory Failure in Unvaccinated SARS-CoV-2 Patients

Erratum for Brief Research Report: Virus-Specific Humoral Immunity at Admission Predicts the Development of Respiratory Failure in Unvaccinated SARS-CoV-2 Patients. Tajuelo A, Carretero O, García-Ríos E, López-Siles M, Cano O, Vázquez M, Más V, Rodríguez-Goncer I, Lalueza A, López-Medrano F, Juan RS, Fernández-Ruiz M, Aguado JM, McConnell MJ, Pérez-Romero P. Front Immunol. 2022 Apr 25;13:878812. doi: 10.3389/fimmu.2022.878812. eCollection 2022. PMID: 35547738 Free PMC article.Introduction: There is robust evidence indicating that the SARS-CoV-2-specific humoral response is associated with protection against severe disease. However, relatively little data exist regarding how the humoral immune response at the time of hospital admission correlates with disease severity in unimmunized patients. Our goal was toidentify variables of the humoral response that could potentially serve as prognostic markers for COVID-19 progressionin unvaccinated SARS-CoV-2 patients. Methods: A prospective cross-sectional study was carried out in a cohort of 160 unimmunized, adult COVID-19 patients from the Hospital Universitario 12Octubre. Participants were classified into four clinical groups based on disease severity: non-survivors with respiratory failure (RF), RF survivors, patients requiring oxygen therapy and those not receiving oxygen therapy. Serum samples were taken on admission and IgM, IgG, IgG subclass antibody titers were determined by ELISA, and neutralizing antibody titersusing a surrogate neutralization assay. The differences in the antibody titers between groups and the association between the clinical and analytical characteristics of the patients and the antibody titers were analyzed. Results: Patients that developed RF and survived had IgM titers that were 2-fold higher than non-survivors (p = 0.001), higher levels of total IgG than those who developed RF and succumbed to infection (p< 0.001), and than patients who required oxygen therapy (p< 0.05), and had 5-fold higher IgG1 titers than RF non-survivors (p< 0.001) and those who needed oxygen therapy (p< 0.001), and 2-fold higher than patients that did not require oxygen therapy during admission (p< 0.05). In contrast, RF non-survivorshad the lowest neutralizing antibodylevels, which were significantly lower compared those with RF that survived (p = 0.03). A positive correlation was found between IgM, total IgG, IgG1 and IgG3 titers and neutralizing antibody titers in the total cohort (p ≤ 0.0036). Conclusions: We demonstrate that patients with RF that survived infection had significantly higher IgM, IgG, IgG1 and neutralizing titers compared to patients with RF that succumb to infection, suggesting that using humoral response variables could be used as a prognostic marker for guiding the clinical management of unimmunized patients admitted to the hospital for SARS-CoV-2 infection.This work was supported by Mutua Madrileña Foundation (2020/0056) “Plan Nacional de I+D+I” and Instituto de Salud Carlos III (COVID-19 Research Call COV20/00181 and COV20_00679), Subdirección General de Redes y Centros de Investigación Cooperativa, Spanish Ministry of Science and Innovation, Spanish Network for Research in Infectious Diseases (REIPI RD16/0016) - co-financed by the European Development Regional Fund (EDRF) and the European Social Fund (ESF) "A way to achieve Europe- The ESF invests in your future". Red de Enfermedades Infecciosas (CIBERINFEC), CB21/13/00079. EG-R is supported by the Sara Borrell Program (CD18CIII/00007), MLS is supported by the Sara Borrell Program (CD17CIIII/00017), Instituto de Salud Carlos III, Ministerio de Ciencia, Innovación y Universidades., and AT is supported by the Garantía Juvenil Program of the Comunidad Autonoma de Madrid. IRG holds a research training contract “Río Hortega” (CM19/00163) and MFR a research contract “Miguel Servet” (CP18/00073), both from the Instituto de Salud Carlos III, Spanish Ministry of Science and Innovation.S

Chemical abundances of the Galactic H II region NGC 3576 derived from VLT echelle spectrophotometry

We present echelle spectrophotometry of the Galactic H II region NGC 3576. The data have been taken with the VLT UVES echelle spectrograph in the 3100 to 10400 angstroms range. We have measured the intensities of 458 emission lines, 344 are permitted lines of H0, He0, C+, N0, N+, N++, O0, O+, Ne+, S++, Si0, Si+, Ar0 and Ar+; some of them are produced by recombination and others mainly by fluorescence. Electron temperatures and densities have been determined using different continuum and line intensity ratios. We have derived He+, C++, O+, O++ and Ne++ ionic abundances from pure recombination lines. We have also derived abundances from collisionally excited lines for a large number of ions of different elements. Remarkably consistent estimations of t2 have been obtained by comparing Balmer and Paschen to [O III] temperatures, and O++ and Ne++ ionic abundances obtained from collisionally excited and recombination lines. The chemical composition of NGC 3576 is compared with those of other Galactic H II regions and with the one from the Sun. A first approach to the gas-phase Galactic radial abundance gradient of C as well as of the C/O ratio has been made.Comment: 25 pages, 14 tables, 4 figures. Accepted for publication in ApJ

Obstetric outcomes of sars-cov-2 infection in asymptomatic pregnant women

Altres ajuts: Fondo Europeo de Desarrollo Regional (FEDER)Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetric outcomes compared to negative patients. This was a multicenter prospective study based on universal antenatal screening for SARS-CoV-2 infection. A total of 42 hospitals tested women admitted for delivery using polymerase chain reaction, from March to May 2020. We included positive mothers and a sample of negative mothers asymptomatic throughout the antenatal period, with 6-week postpartum follow-up. Association between SARS-CoV-2 and obstetric outcomes was evaluated by multivariate logistic regression analyses. In total, 174 asymptomatic SARS-CoV-2 positive pregnancies were compared with 430 asymptomatic negative pregnancies. No differences were observed between both groups in key maternal and neonatal outcomes at delivery and follow-up, with the exception of prelabor rupture of membranes at term (adjusted odds ratio 1.88, 95% confidence interval 1.13-3.11; p = 0.015). Asymptomatic SARS-CoV-2 positive mothers have higher odds of prelabor rupture of membranes at term, without an increase in perinatal complications, compared to negative mothers. Pregnant women testing positive for SARS-CoV-2 at admission for delivery should be reassured by their healthcare workers in the absence of symptoms

Measurement of the Lifetime Difference Between B_s Mass Eigenstates

We present measurements of the lifetimes and polarization amplitudes for B_s --> J/psi phi and B_d --> J/psi K*0 decays. Lifetimes of the heavy (H) and light (L) mass eigenstates in the B_s system are separately measured for the first time by determining the relative contributions of amplitudes with definite CP as a function of the decay time. Using 203 +/- 15 B_s decays, we obtain tau_L = (1.05 +{0.16}/-{0.13} +/- 0.02) ps and tau_H = (2.07 +{0.58}/-{0.46} +/- 0.03) ps. Expressed in terms of the difference DeltaGamma_s and average Gamma_s, of the decay rates of the two eigenstates, the results are DeltaGamma_s/Gamma_s = (65 +{25}/-{33} +/- 1)%, and DeltaGamma_s = (0.47 +{0.19}/-{0.24} +/- 0.01) inverse ps.Comment: 8 pages, 3 figures, 2 tables; as published in Physical Review Letters on 16 March 2005; revisions are for length and typesetting only, no changes in results or conclusion