Successful Treatment with Clonazepam and Pramipexole of a Patient with Sleep-Related Eating Disorder Associated with Restless Legs Syndrome: A Case Report

Sleep-related eating disorder (SRED) is characterized by recurrent episodes of involuntary eating during sleep period and is often associated with restless legs syndrome (RLS). Although pharmacotherapy is recommended for SRED patients, no drug have shown promising effects so far. The patient, a 48-year-old Japanese housewife, first visited our clinic and complained about nighttime eating. She had a history of hypertension, diabetes mellitus, sleep apnea syndrome, and depression. Insomnia appeared 10 years before the first visit and she often received hypnosedatives; at the same time, she developed nocturnal eating episodes. She had amnesia for these episodes, and she felt urge to move her legs while sleeping. The patient was diagnosed with SRED and RLS. Reduction in the doses of triazolam decreased her nighttime eating frequency, and her complete amnesia changed to vague recall of eating during night. Clonazepam 1.0 mg at bedtime decreased nocturnal eating frequency from 1 to 2 times per month, though sleepwalking remained. Administration of pramipexole 0.125 mg relieved all symptoms including SRED, RLS, and sleepwalking. This is the first paper to report that the combination of clonazepam and pramipexole therapy-reduced SRED episodes and RLS symptoms

Concomitant use of interleukin-2 and tacrolimus suppresses follicular helper T cell proportion and exerts therapeutic effect against lupus nephritis in systemic lupus erythematosus-like chronic graft versus host disease

IntroductionDefective interleukin-2 (IL-2) production contributes to immune system imbalance in patients with systemic erythematosus lupus (SLE). Recent clinical studies suggested that low-dose IL-2 treatment is beneficial for SLE and the therapeutic effect is associated with regulatory T cell (Treg) expansion. Pharmacological calcineurin inhibition induces a reduction in the number of Tregs because they require stimulation of T cell receptor signaling and IL-2 for optimal proliferation. However, the activation of T cell receptor signaling is partially dispensable for the expansion of Tregs, but not for that of conventional T cells if IL-2 is present.AimWe examined whether addition of IL-2 restores the Treg proportion even with concurrent use of a calcineurin inhibitor and if the follicular helper T cell (Tfh) proportion is reduced in an SLE-like murine chronic graft versus host disease model.MethodsUsing a parent-into-F1 model, we investigated the effect of IL-2 plus tacrolimus on Treg and Tfh proportions and the therapeutic effect.ResultsTreatment with a combination of IL-2 and tacrolimus significantly delayed the initiation of proteinuria and decreased the urinary protein concentration, whereas tacrolimus or IL-2 monotherapy did not significantly attenuate proteinuria. Phosphorylation of signal transducer and activator of transcription 3, a positive regulator of Tfh differentiation, was reduced by combination treatment, whereas phosphorylation of signal transducer and activator of transcription 5, a negative regulator, was not reduced.ConclusionAddition of calcineurin inhibitors as adjunct agents may be beneficial for IL-2-based treatment of lupus nephritis

Low Surface Potential with Glycoconjugates Determines Insect Cell Adhesion at Room Temperature

Cell-coupled field-effect transistor (FET) biosensors have attracted considerable attention because of their high sensitivity to biomolecules. The use of insect cells (Sf21) as a core sensor element is advantageous due to their stable adhesion to sensors at room temperature. Although visualization of the insect cell-substrate interface leads to logical amplification of signals, the spatiotemporal processes at the interfaces have not yet been elucidated. We quantitatively monitored the adhesion dynamics of Sf21 using interference reflection microscopy (IRM). Specific adhesion signatures with ring-like patches along the cellular periphery were detected. A combination of zeta potential measurements and lectin staining identified specific glycoconjugates with low electrostatic potentials. The ring-like structures were disrupted after cholesterol depletion, suggesting a raft domain along the cell periphery. Our results indicate dynamic and asymmetric cell adhesion is due to low electrostatic repulsion with fluidic sugar rafts. We envision the logical design of cell-sensor interfaces with an electrical model that accounts for actual adhesion interfaces.Matsuzaki T., Terutsuki D., Sato S., et al. Low Surface Potential with Glycoconjugates Determines Insect Cell Adhesion at Room Temperature. Journal of Physical Chemistry Letters 2022 13(40), 9494-9500. DOI: 10.1021/acs.jpclett.2c01673. Copyright © 2022 American Chemical Society

ECCD Experiment Using an Upgraded ECH System on LHD

Electron cyclotron current drive (ECCD) is an attractive tool for controlling plasmas. In the large helical device (LHD), ECCD experiments have been performed by using an EC-wave power source, gyrotron, with a frequency of 84 GHz. The maximum driven current was ?9 kA with 100 kW injection power to plasma and 8 s duration of EC-wave pulse. These years, high-power and long-pulse 77 GHz gyrotrons were newly installed. An ECCD experiment with 775 kW injection power was performed. The 77 GHz waves of 8 s pulse duration sustained the plasmas. The EC-wave beam direction was scanned toroidally, keeping the beam direction aiming at the magnetic axis in X-mode polarization. In spite of the change in the EC-wave beam direction, plasma parameters such as the line-average electron density, the central electron temperature and the plasma stored energy were kept nearly the same values for the discharges, ?0.3 × 1019 m?3, ?3 keV and ?30 kJ, except for the plasma current. The plasma current showed a systematic change with the change in the beam direction for ECCD, and at an optimum direction with N// ? ?0.3, the plasma current reached its maximum, ?40 kA. Also, current drive efficiency normalized with density and power was improved by 50% compared with that at the former 84 GHz ECCD experiment

Large-Scale Mapping Observations of DCN and DCO+^+ toward Orion KL

We present emission maps (1.5'$\times$1.5' scale, corresponding to 0.18 pc) of the DCN ($J=2-1$) and DCO$^+$ ($J=2-1$) lines in the 2 mm band toward the Orion KL region obtained with the 2 mm receiver system named B4R installed on the Large Millimeter Telescope (LMT). The DCN emission shows a peak at the Orion KL hot core position, whereas no DCO$^+$ emission has been detected there. The DCO$^+$ emission shows enhancement at the west side of the hot core, which is well shielded from the UV radiation from OB massive stars in the Trapezium cluster. We have derived the abundance ratio of DCN/DCO$^+$ at three representative positions where both species have been detected. The gas components with $V_{\rm {LSR}} \approx 7.5-8.7$ km/s are associated with low abundance ratios of $\sim4-6$, whereas much higher abundance ratios ($\sim22-30$) are derived for the gas components with $V_{\rm {LSR}} \approx 9.2-11.6$ km/s. We have compared the observed abundance ratio to our chemical models and found that the observed differences in the DCN/DCO$^+$ abundance ratios are explained by different densities.Comment: Accepted by The Astrophysical Journal, 13 pages, 5 figures, 5 table

High Harmonic ECH Experiment for Extension of Heating Parameter Regime in LHD

High harmonic electron cyclotron resonance heating (ECH) can extend the plasma heating region to higher density and higher β compared to the normal heating scenario. In this study, the heating characteristics of the second-harmonic ordinary (O2) and third-harmonic extraordinary (X3) modes and the possible extension of heating regime are experimentally confirmed. At the same time, a comparative study using ray-tracing calculation was performed in the realistic three-dimensional configuration of the Large Helical Device. The O2 mode heating showed a 40% absorption rate even above the X2 mode cut-off density. The X3 mode heating using powerful 77 GHz gyrotrons demonstrated an increase of about 40% in the central electron temperature in the plasmas at β-value of about 1%. These results were quantitatively explained to some extent by ray-tracing calculations

Experimental Results for Electron Bernstein Wave Heating in the Large Helical Device

Electron cyclotron heating (ECH) using electron Bernstein waves (EBWs) was studied in the large helical device (LHD). Oblique launching of the slow extraordinary (SX-) mode from the high field side and oblique launching of the ordinary (O-) mode from the low field side were adopted to excite EBWs in the LHD by using electron cyclotron (EC) wave antennas installed apart from the plasma surface. Increases in the stored energy and electron temperature were observed for both cases of launching. These launching methods for ECH using EBWs (EBWH) is promising for high-density operation in future helical fusion devices instead of conventional ECH by normal electromagnetic modes

Alma Twenty-six Arcmin^2 Survey Of Goods-s At One-millimeter (asagao): Source Catalog And Number Counts

We present the survey design, data reduction, construction of images, and source catalog of the Atacama Large Millimeter/submillimeter Array (ALMA) twenty-six arcmin^2 survey of GOODS-S at one-millimeter (ASAGAO). ASAGAO is a deep (1sigma ~ 61 uJy/beam for a 250 klambda-tapered map with a synthesized beam size of 0.51" x 0.45") and wide area (26 arcmin^2) survey on a contiguous field at 1.2 mm. By combining with ALMA archival data in the GOODS-South field, we obtained a deeper map in the same region (1sigma ~ 30 uJy/beam for a deep region with a 250 klambda-taper, and a synthesized beam size of 0.59" x 0.53"), providing the largest sample of sources (25 sources at >=5.0sigma, 45 sources at >=4.5sigma) among ALMA blank-field surveys to date. The number counts shows that 52(+11 -8)% of the extragalactic background light at 1.2 mm is resolved into discrete sources at S1.2m > 135 uJy. We create infrared (IR) luminosity functions (LFs) in the redshift range of z = 1-3 from the ASAGAO sources with KS-band counterparts, and constrain the faintest luminosity of the LF at 2.0 < z < 3.0. The LFs are consistent with previous results based on other ALMA and SCUBA-2 observations, which suggest a positive luminosity evolution and negative density evolution with increasing redshift. We find that obscured star-formation of sources with IR luminosities of log(L(IR)/Lsun)} ~> 11.8 account for ~~60%-90% of the z ~ 2 cosmic star-formation rate density.Comment: 19 pages, 18 figures, accepted for publication in PAS

First light demonstration of the integrated superconducting spectrometer

Ultra-wideband 3D imaging spectrometry in the millimeter-submillimeter (mm-submm) band is an essential tool for uncovering the dust-enshrouded portion of the cosmic history of star formation and galaxy evolution. However, it is challenging to scale up conventional coherent heterodyne receivers or free-space diffraction techniques to sufficient bandwidths ($\geq$1 octave) and numbers of spatial pixels (>$10^2$). Here we present the design and first astronomical spectra of an intrinsically scalable, integrated superconducting spectrometer, which covers 332-377 GHz with a spectral resolution of $F/\Delta F \sim 380$. It combines the multiplexing advantage of microwave kinetic inductance detectors (MKIDs) with planar superconducting filters for dispersing the signal in a single, small superconducting integrated circuit. We demonstrate the two key applications for an instrument of this type: as an efficient redshift machine, and as a fast multi-line spectral mapper of extended areas. The line detection sensitivity is in excellent agreement with the instrument design and laboratory performance, reaching the atmospheric foreground photon noise limit on sky. The design can be scaled to bandwidths in excess of an octave, spectral resolution up to a few thousand and frequencies up to $\sim$1.1 THz. The miniature chip footprint of a few $\mathrm{cm^2}$ allows for compact multi-pixel spectral imagers, which would enable spectroscopic direct imaging and large volume spectroscopic surveys that are several orders of magnitude faster than what is currently possible.Comment: Published in Nature Astronomy. SharedIt Link to the full published paper: https://rdcu.be/bM2F