Enhanced B-cell differentiation and reduced proliferative capacity in chronic hepatitis C and chronic hepatitis B virus infections

BACKGROUND & AIMS: Chronic microial infections aare frequently associated with B-cell activation and polyclonal proliferation, potentially leading to autoimmunity and lymphoproliferative disorders. We assessed B-cell phenotype and function in chronic hepatitis B (HBV) and chronic hepatitis C (HCV) virus infection. METHODS: We studied 70 patients with chronic HCV infection, 34 with chronic HBV infection and 54 healthy controls, B-cell phenotype was assessed by flow cytometry using monoclonal antibodies specific for CD27, the CD69, CD71, and CD86 activation markers and the chemokine receptor CXCR3. Differentiation into immunoglobulin-producing cells (IPC) was analysed by ELISpot upon stimulation and with CD40 ligand+IL-10 as surrogate bystander T-cell help or CpG oligodeoxynucleotide+IL-2, as innate immunity signal. Proliferation was examined by cytometry using carboxyfluorescein diacetate succinimidyl ester (CFSE) after stimulation with CpG. RESULTS: A significantly higher proportion of B cells from both HCV-and HBV-infected patients expressed activation markers compared with controls and a positive correlation was found between CXCR3(+) B cells and HCV RNA values. Memory B cells from patients with chronic HCV and HBV infections showed enhanced differentiation into IPC compared with controls, although this was restricted to IgG and at a lower level in HCV-compared with HBV-infected patients. Moreover, patients' activated B cells displayed significantly lower proliferative ability compared to healthy donors despite low expression of the FcRL4 exhaustin marker. CONCLUSIONS: B-cell activation, but not exhaustion, is common in chronic viral hepatitis. However, enhanced B-cell differentiation and deficient proliferative capacity were not associated with commitment to terminal differentiation

Erratum to : Open versus robotic-assisted partial nephrectomy: a multicenter comparison study of perioperative results and complications

N/

A portable near infrared spectroscopy system for bedside monitoring of newborn brain

BACKGROUND: Newborns with critical health conditions are monitored in neonatal intensive care units (NICU). In NICU, one of the most important problems that they face is the risk of brain injury. There is a need for continuous monitoring of newborn's brain function to prevent any potential brain injury. This type of monitoring should not interfere with intensive care of the newborn. Therefore, it should be non-invasive and portable. METHODS: In this paper, a low-cost, battery operated, dual wavelength, continuous wave near infrared spectroscopy system for continuous bedside hemodynamic monitoring of neonatal brain is presented. The system has been designed to optimize SNR by optimizing the wavelength-multiplexing parameters with special emphasis on safety issues concerning burn injuries. SNR improvement by utilizing the entire dynamic range has been satisfied with modifications in analog circuitry. RESULTS AND CONCLUSION: As a result, a shot-limited SNR of 67 dB has been achieved for 10 Hz temporal resolution. The system can operate more than 30 hours without recharging when an off-the-shelf 1850 mAh-7.2 V battery is used. Laboratory tests with optical phantoms and preliminary data recorded in NICU demonstrate the potential of the system as a reliable clinical tool to be employed in the bedside regional monitoring of newborn brain metabolism under intensive care

Transient Storage as a Function of Geomorphology, Discharge, and Permafrost Active Layer Conditions in Arctic Tundra Streams

Transient storage of solutes in hyporheic zones or other slow-moving stream waters plays an important role in the biogeochemical processes of streams. While numerous studies have reported a wide range of parameter values from simulations of transient storage, little field work has been done to investigate the correlations between these parameters and shifts in surface and subsurface flow conditions. In this investigation we use the stream properties of the Arctic (namely, highly varied discharges, channel morphologies, and subchannel permafrost conditions) to isolate the effects of discharge, channel morphology, and potential size of the hyporheic zone on transient storage. We repeated stream tracer experiments in five morphologically diverse tundra streams in Arctic Alaska during the thaw season (May–August) of 2004 to assess transient storage and hydrologic characteristics. We compared transient storage model parameters to discharge (Q), the Darcy-Weisbach friction factor (f), and unit stream power (ω). Across all studied streams, permafrost active layer depths (i.e., the potential extent of the hyporheic zone) increased throughout the thaw season, and discharges and velocities varied dramatically with minimum ranges of eight-fold and four-fold, respectively. In all reaches the mean storage residence time (tstor) decreased exponentially with increasing Q, but did not clearly relate to permafrost active layer depths. Furthermore, we found that modeled transient storage metrics (i.e., tstor, storage zone exchange rate (αOTIS), and hydraulic retention (Rh)) correlated better with channel hydraulic descriptors such as f and ω than they did with Q or channel slope. Our results indicate that Q is the first-order control on transient storage dynamics of these streams, and that f and ω are two relatively simple measures of channel hydraulics that may be important metrics for predicting the response of transient storage to perturbations in discharge and morphology in a given stream