Adiposity is associated with blunted cardiovascular, neuroendocrine and cognitive responses to acute mental stress

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited - Copyright @ 2012 Jones et al.Obesity and mental stress are potent risk factors for cardiovascular disease but their relationship with each other is unclear. Resilience to stress may differ according to adiposity. Early studies that addressed this are difficult to interpret due to conflicting findings and limited methods. Recent advances in assessment of cardiovascular stress responses and of fat distribution allow accurate assessment of associations between adiposity and stress responsiveness. We measured responses to the Montreal Imaging Stress Task in healthy men (N=43) and women (N=45) with a wide range of BMIs. Heart rate (HR) and blood pressure (BP) measures were used with novel magnetic resonance measures of stroke volume (SV), cardiac output (CO), total peripheral resistance (TPR) and arterial compliance to assess cardiovascular responses. Salivary cortisol and the number and speed of answers to mathematics problems in the task were used to assess neuroendocrine and cognitive responses, respectively. Visceral and subcutaneous fat was measured using T2*-IDEAL. Greater BMI was associated with generalised blunting of cardiovascular (HR:β=−0.50 bpm.unit−1, P=0.009; SV:β=−0.33 mL.unit−1, P=0.01; CO:β=−61 mL.min−1.unit−1, P=0.002; systolic BP:β=−0.41 mmHg.unit−1, P=0.01; TPR:β=0.11 WU.unit−1, P=0.02), cognitive (correct answers: r=−0.28, P=0.01; time to answer: r=0.26, P=0.02) and endocrine responses (cortisol: r=−0.25, P=0.04) to stress. These associations were largely determined by visceral adiposity except for those related to cognitive performance, which were determined by both visceral and subcutaneous adiposity. Our findings suggest that adiposity is associated with centrally reduced stress responsiveness. Although this may mitigate some long-term health risks of stress responsiveness, reduced performance under stress may be a more immediate negative consequence.This work is funded by the UK National Institute of Health Research (NIHR), Siemens Medical Systems, British Heart Foundation (BHF), NIHR Senior Research Fellowship & The Fondation Leducq, BHF Intermediate Fellowship

Evidence for ecosystem state shifts in Alaskan continuous permafrost peatlands in response to recent warming

Peatlands in continuous permafrost regions represent a globally-important store of organic carbon, the stability of which is thought to be at risk under future climatic warming. To better understand how these ecosystems may change in a warmer future, we use a palaeoenvironmental approach to reconstruct changes in two peatlands near Toolik Lake on Alaska's North Slope (TFS1 and TFS2). We present the first testate amoeba-based reconstructions from peatlands in continuous permafrost, which we use to infer changes in water-table depth and porewater electrical conductivity during the past two millennia. TFS1 likely initiated during a warm period between 0 and 300 CE. Throughout the late-Holocene, both peatlands were minerotrophic fens with low carbon accumulation rates (means of 18.4 and 14.2 g C m−2 yr−1 for cores TFS1 and TFS2 respectively). However, since the end of the Little Ice Age, both fens have undergone a rapid transition towards oligotrophic peatlands, with deeper water tables and increased carbon accumulation rates (means of 59.5 and 48.2 g C m−2 yr−1 for TFS1 and TFS2 respectively). We identify that recent warming has led to these two Alaskan rich fens to transition into poor fens, with greatly enhanced carbon accumulation rates. Our work demonstrates that some Arctic peatlands may become more productive with future regional warming, subsequently increasing their ability to sequester carbon

Real time flow with fast GPU reconstruction for continuous assessment of cardiac output

A novel approach for continuous cardiac output quantification during an exercise was developed and implemented on a heterogeneous image reconstruction system. Combination of spiral real-time PCMR sequence with parallel imaging allowed on high-temporal acquisition. Application of a GPU for image processing resulted in almost instantaneous reconstruction. An external computer equipped with the GPU was networked using CORBA technology. This let on seamless processing from a clinician point of view. The implementation was tested and validated against our multi -core CP

Ecology of peatland testate amoebae in the Alaskan continuous permafrost zone

Arctic peatlands represent a major global carbon store, but rapid warming poses a threat to their long-term stability. Testate amoebae are sensitive hydrological indicators that offer insight into Holocene environmental change in peatlands. However, in contrast to temperate peatlands, there have only been a few studies into the ecology of testate amoebae and their efficacy as environmental indicators in permafrost peatlands. We present the first study of testate amoeba ecology from peatlands in the continuous permafrost zone, based on samples from across the Alaskan North Slope. Multivariate statistical analyses show that pore water electrical conductivity (EC), a proxy for nutrient status along the ombrotrophic-minerotrophic gradient, is the dominant control on testate amoeba distribution. Water-table depth (WTD) is also a significant control on testate amoeba distribution, but is secondary to EC. We present two new testate amoeba-based transfer functions to reconstruct both EC (TFEC) and WTD (TFWTD), the first for peatlands in the continuous permafrost zone. The transfer functions are based on Weighted Averaging Partial Least Squares (WAPLS) regression and were assessed using leave-one-out (LOO) cross-validation. We find that both transfer functions have good predictive power. TFWTD is the best performing model (R2JACK = 0.84, RMSEPJACK = 6.66 cm), but TFEC also performs well (R2JACK = 0.76, RMSEPJACK = 146 μS cm−1). Our findings are similar to those conducted in peatlands in discontinuous permafrost regions. The new transfer functions open the opportunity for reconstructing the Holocene dynamics of peatlands of the continuous permafrost zone in Alaska, which represent rapidly changing ecosystems

Awareness regarding eye donation among stakeholders in Srikakulam district in South India

Background There is a huge need for the availability of transplantable donor corneas worldwide to reduce the burden of corneal blindness due to corneal opacity. Voluntary eye donation depends on the awareness levels of various stakeholders in the community. This study aimed to assess the awareness level regarding eye donation among various stakeholders in Srikakulam district in the state of Andhra Pradesh, India. Methods 355 subjects were selected from the district using multi stage random sampling. A pre tested semi structured questionnaire was used to collect information regarding each individual’s awareness, knowledge, and perception regarding eye donation. Each response was scored individually and a total score was calculated. Univariate and multivariate regression analysis was used to determine the factors associated with willingness towards eye donation and increased awareness levels. Results Of the 355 subjects interviewed, 192 (54%) were male and 163 (46%) were female. The mean age of the stakeholders was 35.9 years (SD ±16.1) and all the study subjects were literate. Ninety-three percent of subjects were aware of the concept of eye donation. Knowledge levels were similar among the teaching community and persons engaged in social service, but lower among students (p < 0.05). Among the stakeholders, there was considerable ambiguity regarding whether persons currently wearing spectacles or suffering from a chronic illnesses could donate their eyes. Older age group (p < 0.001), female gender (p < 0.001) and education (p < 0.001) were associated with increased knowledge levels. 82% of the subjects were willing to donate their eyes and this was unaffected by gender or geographical location (rural vs urban). Conclusions Awareness levels and willingness to donate eyes are high among the stakeholders in Srikakulam district in India. The services of stakeholders could be utilized, in conjunction with other community based eye donation counselors, to promote awareness regarding eye donation among the general population

Deletion of parasite immune modulatory sequences combined with immune activating signals enhances vaccine mediated protection against filarial nematodes

&lt;p&gt;Background: Filarial nematodes are tissue-dwelling parasites that can be killed by Th2-driven immune effectors, but that have evolved to withstand immune attack and establish chronic infections by suppressing host immunity. As a consequence, the efficacy of a vaccine against filariasis may depend on its capacity to counter parasite-driven immunomodulation.&lt;/p&gt; &lt;p&gt;Methodology and Principal Findings: We immunised mice with DNA plasmids expressing functionally-inactivated forms of two immunomodulatory molecules expressed by the filarial parasite Litomosoides sigmodontis: the abundant larval transcript-1 (LsALT) and cysteine protease inhibitor-2 (LsCPI). The mutant proteins enhanced antibody and cytokine responses to live parasite challenge, and led to more leukocyte recruitment to the site of infection than their native forms. The immune response was further enhanced when the antigens were targeted to dendritic cells using a single chain Fv-αDEC205 antibody and co-administered with plasmids that enhance T helper 2 immunity (IL-4) and antigen-presenting cell recruitment (Flt3L, MIP-1α). Mice immunised simultaneously against the mutated forms of LsALT and LsCPI eliminated adult parasites faster and consistently reduced peripheral microfilaraemia. A multifactorial analysis of the immune response revealed that protection was strongly correlated with the production of parasite-specific IgG1 and with the numbers of leukocytes present at the site of infection.&lt;/p&gt; &lt;p&gt;Conclusions: We have developed a successful strategy for DNA vaccination against a nematode infection that specifically targets parasite-driven immunosuppression while simultaneously enhancing Th2 immune responses and parasite antigen presentation by dendritic cells.&lt;/p&gt