Toll-like receptor 2 contributes to chemokine gene expression and macrophage infiltration in the dorsal root ganglia after peripheral nerve injury

<p>Abstract</p> <p>Background</p> <p>We have previously reported that nerve injury-induced neuropathic pain is attenuated in toll-like receptor 2 (TLR2) knock-out mice. In these mice, inflammatory gene expression and spinal cord microglia actvation is compromised, whereas the effects in the dorsal root ganglia (DRG) have not been tested. In this study, we investigated the role of TLR2 in inflammatory responses in the DRG after peripheral nerve injury.</p> <p>Results</p> <p>L5 spinal nerve transection injury induced the expression of macrophage-attracting chemokines such as CCL2/MCP-1 and CCL3/MIP-1 and subsequent macrophage infiltration in the DRG of wild-type mice. In TLR2 knock-out mice, however, the induction of chemokine expression and macrophage infiltration following nerve injury were markedly reduced. Similarly, the induction of IL-1β and TNF-α expression in the DRG by spinal nerve injury was ameliorated in TLR2 knock-out mice. The reduced inflammatory response in the DRG was accompanied by attenuation of nerve injury-induced spontaneous pain hypersensitivity in TLR2 knock-out mice.</p> <p>Conclusions</p> <p>Our data show that TLR2 contributes to nerve injury-induced proinflammatory chemokine/cytokine gene expression and macrophage infiltration in the DRG, which may have relevance in the reduced pain hypersensitivity in TLR2 knock-out mice after spinal nerve injury.</p

Effect of Hydraulic Activity on Crystallization of Precipitated Calcium Carbonate (PCC) for Eco-Friendly Paper

Wt% of aragonite, a CaCO3 polymorph, increased with higher hydraulic activity (°C) of limestone in precipitated calcium carbonate (PCC) from the lime-soda process (Ca(OH)2-NaOH-Na2CO3). Only calcite, the most stable polymorph, was crystallized at hydraulic activity under 10 °C, whereas aragonite also started to crystallize over 10 °C. The crystallization of PCC is more dependent on the hydraulic activity of limestone than CaO content, a factor commonly used to classify limestone ores according to quality. The results could be effectively applied to the determination of polymorphs in synthetic PCC for eco-friendly paper manufacture

Ultra-wideband and off-optimised five-port reflectometer using power splitters

This paper presents an ultra-wideband (UWB) and off-optimised Five-Port Reflectometer (FPR) configured by power splitters. The proposed non-multi-state FPR is characterised and realised for complex reflection coefficient determinations. The measurement system can be easily setup using commercial power splitters, three detectors and a microwave source. The transmission lines method is used as calibration standard for FPR measurement system. Both the FPR setup and the transmission lines are characterised with a Vector Network Analyser prior to be used for the off-optimised measurement system. The results show good agreement between actual and calculated reflection coefficient for frequency range of 0.1 to 40 GHz. This novel FPR setup provides a simple, cost effective and accurate alternative in measuring broadband complex reflection coefficient

Comparative cardiovascular outcomes in type 2 diabetes patients taking dapagliflozin versus empagliflozin: a nationwide population-based cohort study

BACKGROUND: Sodium-glucose co-transporter-2 inhibitors displayed cardiovascular benefits in type 2 diabetes mellitus in previous studies; however, there were some heterogeneities regarding respective cardiovascular outcomes within the class. Furthermore, their efficacies in Asians, females, and those with low cardiovascular risks were under-represented. Thus, we compared the cardiovascular outcomes between new users of dapagliflozin and empagliflozin in a broad range of patients with type 2 diabetes mellitus using a nationwide population-based real-world cohort from Korea. METHODS: Korean National Health Insurance registry data between May 2016 and December 2018 were extracted, and an active-comparator new-user design was applied. The primary outcome was a composite of heart failure (HF)-related events (i.e., hospitalization for HF and HF-related death), myocardial infarction, ischemic stroke, and cardiovascular death. The secondary outcomes were individual components of the primary outcome. RESULTS: A total of 366,031 new users of dapagliflozin or empagliflozin were identified. After 1:1 nearest-neighbor propensity score matching, 72,752 individuals (mean age approximately 56 years, 42% women) from each group were included in the final analysis, with a follow-up of 150,000 ~ person-years. Approximately 40% of the patients included in the study had type 2 diabetes mellitus as their sole cardiovascular risk factor, with no other risk factors. The risk of the primary outcome was not different significantly between dapagliflozin and empagliflozin users (hazard ratio [HR] 0.93, 95% confidence interval [CI] 0.855-1.006). The risks of secondary outcomes were also similar, with the exception of the risks of HF-related events (HR 0.84, 95% CI 0.714-0.989) and cardiovascular death (HR 0.76, 95% CI 0.618-0.921), which were significantly lower in the dapagliflozin users. CONCLUSIONS: This large-scale nationwide population-based real-world cohort study revealed no significant difference in composite cardiovascular outcomes between new users of dapagliflozin and empagliflozin. However, dapagliflozin might be associated with lower risks of hospitalization or death due to HF and cardiovascular death than empagliflozin in Asian patients with type 2 diabetes mellitus

Letter to the Editor: Detection of EML4-ALK and Other ALK Fusion Genes in Lung Cancer: A Lesson from the Leukemia Fusion Gene Analysis and Future Application

We read with interest the article “EML4-ALK Fusion Gene in Korean Non-Small Cell Lung Cancer ” in a recent issue of the Journal of Korean Medical Science by Jin et al. (1). In this study, EML4-ALK fusion gene was detected in 10 of 167 non-small cell lung cancer (NSCLC) patients by using reverse transcriptase-polymerase chain reaction (RT-PCR) as a basic screening technique instead of fluorescence in situ hybridization (FISH) method. The frequency of EML4-ALK fusion gene in this study (6.0%) was not largely different from a previous study that used the FISH method on Korean NSCLC patients (4.2%) (2), while it did not diverge from the results in previous studies on a general NSCLC patient population that yielded 3%-7 % ratios as well. Based on the experience of detecting leukemia fusion genes with several new molecular methods during the diagnosis of leukemia (3-6), we would like to mention the pros and cons of such methods i

Cognitive Ability and Cardiovascular Control in Intellectually and Developmentally Disabled People

Earlier, we examined positive effects of hyperoxic air on the cognitive ability of intellectually and developmentally disabled people (IDDP). In this study, correlation between cognitive performance in the visual matching task and heart rate (HR) was investigated under normal air conditions. Eighteen men (mean age 28.7 ± 5.0 year) and 22 women (mean age 35.5 ± 6.9 year) with an assessed disability level of 2.3 ± 0.6 participated. The experiment consisted of three phases, a total of 7 min, including the rest (3 min), control (2 min), and visual matching task 2 min phases. The HR in visual matching task phase increased, compared to those in the rest and control phases. The cognitive ability in the visual matching task correlated with the HR values; the response time showed a negative correlation with HR, while the accuracy rate showed a positive correlation. Thus, adaptive changes in cardiovascular regulation probably related to cognitive efforts and emotional excitation should be considered a noticeable factor influencing brain supply with oxygen in IDDP (similarly to healthy people). The result of this study agrees with the earlier obtained indications that hyperoxic air can positively affect the cognitive performance in IDDP.Раніше ми вивчали позитивні впливи повітря, збагаченого киснем, на когнітивні здатності людей з недостатнім інтелектуальним розвитком (НІР). У нашій роботі ми досліджували кореляцію між показниками когнітивної активності в тесті візуальної відповідності та частотою серцевих скорочень (ЧСС) у таких суб’єктів в умовах дихання нормальним повітрям. У тестах брали участь 18 чоловіків (середній вік 28.7 ± 5.0 року) та 22 жінки (35.5 ± 6.9 року) з оцінкою рівня інтелектуального розвитку 2.3 ± 0.6. Експеримент (загальна тривалість 7 хв) складався з трьох фаз: стан розслаблення (3 хв), контроль (2 хв) та тест візуальної відповідності (2 хв). Величини ЧСС у межах цього тесту порівняно з величинами в умовах розслаблення й контролю зростали. Показники когнітивних здібностей корелювали з величинами ЧСС; кореляція часу відповіді була негативною, а точності відповіді – позитивною. Отже, адаптивні зміни регуляції серцево-судинної системи, мабуть, пов’язані з когнітивними зусиллями та емоційним збудженням, є істотним фактором, який впливає на постачання мозку киснем у людей із НІР (як і у здорових людей). Результати нашої роботи узгоджуються з отриманими раніше свідоцтвами про те, що дихання повітрям, збагаченим киснем, позитивно впливає на когнітивні можливості людей із НІР

Assessing the Quality and Contents of Asthma-Related Information on the Korean Internet as an Educational Material for Patients

Despite the substantial amount of asthma-related information available on the internet, little is known about the quality of such information. We assessed asthma-related information on the Korean internet intended as an educational material for asthma patients. By entering the key word, 'asthma', into 4 popular search engines, 32 web sites were identified and categorized with respect to authorship. The core asthma educational concepts and Health On the Net Code of Conduct principles were used to evaluate informational value and justifiability of unreliable information. Eight of 32 web sites were categorized as western physician, seventeen as oriental physician, four as commercial, and three as others. The mean number of core asthma educational concepts on the whole web sites was 2.7 out of 8. By type of authorship, 1.7 on the commercial sites, 2.1 on the oriental physician sites, 3.5 on the western physician sites, and 5.0 on the others sites in decreasing order. One of the western physician sites, two of the commercial sites, and all of the oriental physician and others sites contained unreliable information. However all of them except one site failed to satisfy our criteria of justifiability. Asthma-related information currently available on the Korean internet is highly variable in quality and lacks core asthma educational concepts and justifiability