Identification and Interpretation of Longitudinal Gene Expression Changes in Trauma

The relationship between leukocyte gene expression and recovery of respiratory function after injury may provide information on the etiology of multiple organ dysfunction.To find a list of genes for which expression after injury predicts respiratory recovery, and to identify which networks and pathways characterize these genes.Blood was sampled at 12 hours and at 1, 4, 7, 21 and 28 days from 147 patients who had been admitted to the hospital after blunt trauma. Leukocyte gene expression was measured using Affymetrix oligonucleotide arrays. A linear model, fit to each probe-set expression value, was used to impute the gene expression trajectory over the entire follow-up period. The proportional hazards model score test was used to calculate the statistical significance of each probe-set trajectory in predicting respiratory recovery. A list of genes was determined such that the expected proportion of false positive results was less than 10%. These genes were compared to the Gene Ontology for 'response to stimulus' and, using Ingenuity software, were mapped into networks and pathways.The median time to respiratory recovery was 6 days. There were 170 probe-sets representing 135 genes that were found to be related to respiratory recovery. These genes could be mapped to nine networks. Two known pathways that were activated were antigen processing and presentation and JAK-signaling.The examination of the relationship of gene expression over time with a patient's clinical course can provide information which may be useful in determining the mechanism of recovery or lack of recovery after severe injury

Selenomethionine Incorporation into Amyloid Sequences Regulates Fibrillogenesis and Toxicity

The capacity of a polypeptide chain to engage in an amyloid formation process and cause a conformational disease is contained in its sequence. Some of the sequences undergoing fibrillation contain critical methionine (Met) residues which in vivo can be synthetically substituted by selenomethionine (SeM) and alter their properties

WSES guidelines for management of Clostridium difficile infection in surgical patients

In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.Peer reviewe

Comparative Studies on the Effects of Various Combined-Chemotherapy in the Experimental Tuberculosis

この論文は国立情報学研究所の学術雑誌公開支援事業により電子化されました。海の実験的前眼部結核症を対象として, 30週間にわたつてSM-PAS, INH-SI, INH-PZA, INH-PASの2者併用療法を施行し順序を交替して投与したのと, 終始一貫, SM-INH週2日-PAS毎日の3者併用療法を施行し, その効果を比較検討したことに就いては既に報告したが, 本篇においては各臓器の定量培養により検出された結核菌に就いて, SM, PAS及びINHに対する耐性検査を行なつた。其の結果2者併用療法を交替させた群では耐性の発現は軽度であつた。しかしSM-PAS⟶INH-PASと言う風にPASを終始使用した例では, 主剤を交替しても比較的耐性の発現は高度であつた。3者併用(S_2I_2P毎)を行なつた群ではその中間の成績であつた。併しINHに対する耐性獲得はすべての治療群に殆んど認める事が出来なかつた