Toll-like receptor 2 downregulation and cytokine dysregulation predict mortality in patients with Staphylococcus aureus bacteremia

Background Staphylococcus aureus bacteremia (SAB) presents heterogeneously, owing to the differences in underlying host conditions and immune responses. Although Toll-like receptor 2 (TLR2) is important in recognizing S. aureus, its function during S. aureus infection remains controversial. We aimed to examine the association of TLR2 expression and associated cytokine responses with clinical SAB outcomes. Methods Patients from a prospective SAB cohort at two tertiary-care medical centers were enrolled. Blood was sampled at several timepoints (≤5 d, 6–9 d, 10–13 d, 14–19 d, and ≥ 20 d) after SAB onset. TLR2 mRNA levels were determined via real-time PCR and serum tumor necrosis factor [TNF]-α, interleukin [IL]-6, and IL-10 levels were analyzed with multiplex-high-sensitivity electrochemiluminescent ELISA. Results TLR2 levels varied among 59 SAB patients. On days 2–5, TLR2 levels were significantly higher in SAB survivors than in healthy controls (p = 0.040) and slightly but not significantly higher than non-survivors (p = 0.120), and SAB patients dying within 7 d had lower TLR2 levels than survivors (P = 0.077) although statistically insignificant. IL-6 and IL-10 levels were significantly higher in non-survivors than in survivors on days 2–5 post-bacteremia (P = 0.010 and P = 0.021, respectively), and those dying within 7 d of SAB (n = 3) displayed significantly higher IL-10/TNF-α ratios than the survivors did (P = 0.007). Conclusion TLR2 downregulation and IL-6 and IL-10 concentrations suggestive of immune dysregulation during early bacteremia may be associated with mortality from SAB. TLR2 expression levels and associated cytokine reactions during early-phase SAB may be potential prognostic factors in SAB, although larger studies are warranted.This study was supported by a research grant (13–2014-002) from Seoul National University Bundang Hospital (Seongnam, South Korea). The funder had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript

Recent Advancements in Polysulfone Based Membranes for Fuel Cell (PEMFCs, DMFCs and AMFCs) Applications: A Critical Review

In recent years, ion electrolyte membranes (IEMs) preparation and properties have attracted fabulous attention in fuel cell usages owing to its high ionic conductivity and chemical resistance. Currently, perfluorinatedsulfonicacid (PFSA) membrane has been widely employed in the membrane industry in polymer electrolyte membrane fuel cells (PEMFCs); however, NafionTM suffers reduced proton conductivity at a higher temperature, requiring noble metal catalyst (Pt, Ru, and Pt-Ru), and catalyst poisoning by CO. Non-fluorinated polymers are a promising substitute. Polysulfone (PSU) is an aromatic polymer with excellent characteristics that have attracted membrane scientists in recent years. The present review provides an up-to-date development of PSU based electrolyte membranes and its composites for PEMFCs, alkaline membrane fuel cells (AMFCs), and direct methanol fuel cells (DMFCs) application. Various fillers encapsulated in the PEM/AEM moiety are appraised according to their preliminary characteristics and their plausible outcome on PEMFC/DMFC/AMFC. The key issues associated with enhancing the ionic conductivity and chemical stability have been elucidated as well. Furthermore, this review addresses the current tasks, and forthcoming directions are briefly summarized of PEM/AEMs for PEMFCs, DMFCs, AMFCs