Autoimmune Hypoglycemia in a Patient with Characterization of Insulin Receptor Autoantibodies

BackgroundType B insulin resistance syndrome is a manifestation of autoantibodies to the insulin receptor that results in severe hyperglycemia and acanthosis nigricans. However, the mechanisms by which these autoantibodies induce hypoglycemia are largely unknown. In this paper, we report the case of patient with type B insulin resistance syndrome who presented with frequent severe fasting hypoglycemia and acanthosis nigricans.MethodsTo evaluate the mechanism of hypoglycemia, we measured the inhibition of insulin binding to erythrocytes and IM9 lymphocytes in a sample of the patient's dialyzed serum before and after immunosuppressive therapy.ResultsIn the patient's pre-treatment serum IgG, the binding of 125I-insulin to erythrocytes was markedly inhibited in a dose-dependent manner until the cold insulin level reached 10-9 mol/L. We also observed dose-dependent inhibition of insulin binding to IM9 lymphocytes, which reached approximately 82% inhibition and persisted even when diluted 1:20. After treatment with glucocorticoids, insulin-erythrocyte binding activity returned to between 70% and 80% of normal, while the inhibition of insulin-lymphocyte binding was reduced by 17%.ConclusionWe treated a patient with type B insulin resistance syndrome showing recurrent fasting hypoglycemia with steroids and azathioprine. We characterized the patient's insulin receptor antibodies by measuring the inhibition of insulin binding

Silicon@porous nitrogen-doped carbon spheres through a bottom-up approach are highly robust lithium-ion battery anodes

Due to its excellent capacity, around 4000 mA h g(-1), silicon has been recognized as one of the most promising lithium-ion battery anodes, especially for future large-scale applications including electrical vehicles and utility power grids. Nevertheless, Si suffers from a short cycle life as well as limitations for scalable electrode fabrication. Herein, we report a novel design for highly robust and scalable Si anodes: Si nanoparticles embedded in porous nitrogen-doped carbon spheres (NCSs). The porous nature of NCSs buffers the volume changes of Si nanoparticles and thus resolves critical issues of Si anode operations, such as pulverization, vulnerable contacts between Si and carbon conductors, and an unstable solid-electrolyte interphase. The unique electrode structure exhibits outstanding performance with a gravimetric capacity as high as 1579 mA h g(-1) at a C/10 rate based on the mass of both Si and C, a cycle life of 300 cycles with 94% capacity retention, as well as a discharge rate capability of 6 min while retaining a capacity of 702 mA h g(-1). Significantly, the coulombic efficiencies of this structure reach 99.99%. The assembled structure suggests a design principle for high capacity alloying electrodes that suffer from volume changes during battery operations.

Toxocariasis Might be an Important Cause of Atopic Myelitis in Korea

Atopic myelitis is defined as myelitis with atopic diasthesis but the cause is still unknown. Toxocariasis is one of the common causes of hyperIgEaemia that may lead to neurologic manifestations. The purpose of this study was to evaluate the sero-prevalence of Toxocara specific IgG Ab among the atopic myelitis patients. We evaluated the medical records of 37 patients with atopic myelitis whose conditions were diagnosed between March 2001 and August 2007. Among them, the 33 sera were analyzed for specific serum IgG Ab to Toxocara excretory-secretory antigens (TES). All of 37 patients had hyperIgEaemia. Specific IgE to D. pteronyssinus and D. farinae was detected in 22 (64.7%) and 34 (100%) patients, respectively, of the 34 patients. Thirty-one of 33 patients (93.9%) were found to be positive by TES IgG enzyme-linked immunosorbent assay (ELISA). Based on the image findings of eosinophilic infiltrations in the lung and liver, 8 patients had positive results. These results inferred that the prevalence of toxocariasis was high in patients with atopic myelitis. Our results suggest that toxocariasis might be an important cause of atopic myelitis and Toxocara ELISA is essential for evaluating the causes of atopic myelitis

A ruthenium complex as a single-component redox shuttle for electrochemical photovoltaics

A primitive version of a ruthenium complex [Ru(bpy)<inf>3</inf>2+] was employed for the first time as a new conceptual "single-component redox shuttle" for dye-sensitized solar cells. This single shuttle led to a large enhancement of the open-circuit photovoltage (V<inf>OC</inf>) to ∼940 mV relative to that of conventional iodine-based shuttle and greatly increased the efficiency of the solar-to-electric energy conversion at lower illumination levels by a factor of ca. 5.6. © The Royal Society of Chemistry.1

Metabolite Analysis of Lettuce in Response to Sulfur Nutrition

Sulfur is an essential nutrient required for plant growth and metabolism, and plays an important role in relieving stress. Nutrient deficiency is one of the main factors that negatively affect crop growth, quality, and yield. This study aimed to evaluate the effect of sulfur nutrients on the growth and metabolites of lettuce after treatment with two different sulfur concentrations (16 μM and 2 mM) in spray hydroponics. The fresh weight, chlorophyll, and carotenoid content of lettuce leaves were analyzed. Root morphology was examined using the WinRHIZO program. Metabolites were comparatively evaluated with the help of LC-MS and GC-MS. The fresh weight, chlorophyll, and carotenoid contents of lettuce were higher in the high concentration sulfur treatment group than in the low concentration sulfur treatment group. In the characteristics analysis of the lettuce roots, treatment with a high concentration of sulfur had a more positive effect on the lettuce root development than treatment with a low concentration of sulfur. Moreover, mass-based metabolomics analysis showed that the lettuce metabolites content was significantly different according to low- and high-concentration sulfur treatments. Therefore, this study highlights the importance of sulfur nutrient content in lettuce growth and metabolites