The ongoing pursuit of neuroprotective therapies in Parkinson disease

Many agents developed for neuroprotective treatment of Parkinson disease (PD) have shown great promise in the laboratory, but none have translated to positive results in patients with PD. Potential neuroprotective drugs, such as ubiquinone, creatine and PYM50028, have failed to show any clinical benefits in recent high-profile clinical trials. This 'failure to translate' is likely to be related primarily to our incomplete understanding of the pathogenic mechanisms underlying PD, and excessive reliance on data from toxin-based animal models to judge which agents should be selected for clinical trials. Restricted resources inevitably mean that difficult compromises must be made in terms of trial design, and reliable estimation of efficacy is further hampered by the absence of validated biomarkers of disease progression. Drug development in PD dementia has been mostly unsuccessful; however, emerging biochemical, genetic and pathological evidence suggests a link between tau and amyloid-β deposition and cognitive decline in PD, potentially opening up new possibilities for therapeutic intervention. This Review discusses the most important 'druggable' disease mechanisms in PD, as well as the most-promising drugs that are being evaluated for their potential efficiency in treatment of motor and cognitive impairments in PD

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Drought tolerance in citrus trees is enhanced by rootstock-dependent changes in root growth and carbohydrate availability

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Valencia orange scions grafted on Rangpur lime or Swingle citrumelo were grown under water deficit to evaluate how those rootstocks modulate the non-structural carbohydrate (NSC) availability and the drought tolerance of citrus trees. Additionally, the importance of young mature leaves as possible sources of carbon in citrus trees was studied. Herein, young mature leaves are those ones fully expanded and developed during water deficit. After 30 days under water limiting conditions, plant growth, leaf water status, photosynthetic rate and carbohydrate availability in old mature and young mature leaves, branches and roots were evaluated. Water deficit reduced the leaf water potential and caused diffusive limitation of photosynthesis in both rootstocks. Drought-induced decrease in total NSC content occurred only in plants grafted on Swingle. While plant growth on Swingle citrumelo was severely reduced by water deficit, plants grafted on Rangpur did not exhibited impairment of dry matter accumulation. The lower sensitivity of plant growth on Rangpur lime was associated with the enhanced root growth, the maintenance of the total carbohydrate pool and to a large shift in the carbohydrate partitioning, with the roots accumulating carbohydrates under water deficit. Regarding the young mature leaves, they exhibited higher photosynthetic rates than the old mature leaves after 30 days of treatment, regardless of the water conditions. As possible sources of carbohydrates, young mature leaves have equal importance as compared to branches under well-watered conditions. (c) 2014 Elsevier B.V. All rights reserved.1012635Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)FAPESP [2009/03749-7, 2010/14640-3

Prediction of the physicochemical properties of gasoline by comprehensive two-dimensional gas chromatography and multivariate data processing

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)The estimation of physicochemical parameters such as distillation points and relative densities still plays an important role in the quality control of gasoline and similar fuels. Their measurements according to standard ASTM procedures demands specific equipments and are time and work consuming. An alternative method to predict distillation points and relativity density by multivariate analysis of comprehensive two-dimensional gas chromatography with flame ionization detection (GC x GC-FID) data is presented here. Gasoline samples, previously tested according to standard methods, were used to build regression models, which were evaluated by external validation. The models for distillation points were built using variable selection methods, while the model for relativity density was built using the whole chromatograms. The root mean square prediction differences (RMSPD) obtained were 0.85%, 0.48%, 1.07% and 1.71% for 10, 50 and 90% v/v of distillation and for the final point of distillation, respectively. For relative density, the RMSPD was 0.24%. These results suggest that GC x GC-FID combined with multivariate analysis can be used to predict these physicochemical properties of gasoline. (C) 2011 Elsevier B.V. All rights reserved.12181216631667Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES