1,221 research outputs found
High Heritability Is Compatible with the Broad Distribution of Set Point Viral Load in HIV Carriers.
Set point viral load in HIV patients ranges over several orders of magnitude and is a key determinant of disease progression in HIV. A number of recent studies have reported high heritability of set point viral load implying that viral genetic factors contribute substantially to the overall variation in viral load. The high heritability is surprising given the diversity of host factors associated with controlling viral infection. Here we develop an analytical model that describes the temporal changes of the distribution of set point viral load as a function of heritability. This model shows that high heritability is the most parsimonious explanation for the observed variance of set point viral load. Our results thus not only reinforce the credibility of previous estimates of heritability but also shed new light onto mechanisms of viral pathogenesis
Physiological and clinical consequences of relief of right ventricular outflow tract obstruction late after repair of congenital heart defects.
BACKGROUND: Right ventricular outflow tract obstruction (RVOTO) is a common problem after repair of congenital heart disease. Percutaneous pulmonary valve implantation (PPVI) can treat this condition without consequent pulmonary regurgitation or cardiopulmonary bypass. Our aim was to investigate the clinical and physiological response to relieving RVOTO. METHODS AND RESULTS: We studied 18 patients who underwent PPVI for RVOTO (72% male, median age 20 years) from a total of 93 who had this procedure for various indications. All had a right ventricular outflow tract (RVOT) gradient >50 mm Hg on echocardiography without important pulmonary regurgitation (less than mild or regurgitant fraction <10% on magnetic resonance imaging [MRI]). Cardiopulmonary exercise testing, tissue Doppler echocardiography, and MRI were performed before and within 50 days of PPVI. PPVI reduced RVOT gradient (51.4 to 21.7 mm Hg, P<0.001) and right ventricular systolic pressure (72.8 to 47.3 mm Hg, P<0.001) at catheterization. Symptoms and aerobic (25.7 to 28.9 mL.kg(-1).min(-1), P=0.002) and anaerobic (14.4 to 16.2 mL.kg(-1).min(-1), P=0.002) exercise capacity improved. Myocardial systolic velocity improved acutely (tricuspid 4.8 to 5.3 cm/s, P=0.05; mitral 4.7 to 5.5 cm/s, P=0.01), whereas isovolumic acceleration was unchanged. The tricuspid annular velocity was not maintained on intermediate follow-up. Right ventricular end-diastolic volume (99.9 to 89.7 mL/m2, P<0.001) fell, whereas effective stroke volume (43.7 to 48.3 mL/m2, P=0.06) and ejection fraction (48.0% to 56.8%, P=0.01) increased. Left ventricular end-diastolic volume (72.5 to 77.4 mL/m2, P=0.145), stroke volume (45.3 to 50.6 mL/m2, P=0.02), and ejection fraction (62.6% to 65.8%, P=0.03) increased. CONCLUSIONS: PPVI relieves RVOTO, which leads to an early improvement in biventricular performance. Furthermore, it reduces symptoms and improves exercise tolerance. These findings have important implications for the management of this increasingly common condition
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Developing smarter host mixtures to control plant disease
Adaptation of plant pathogens to disease control measures (both chemical and genetic) is facilitated by the genetic uniformity underlying modern agroecosystems. One path to sustainable disease control lies in increasing genetic diversity at the field scale by using genetically diverse host mixtures. In this study, a robust population dynamics approach was used to model how host mixtures could improve disease control. It was found that when pathogens exhibit host specialization, the overall disease severity decreases with the number of components in the mixture; this finding makes it possible to determine an optimal number of components to use. In a simple case, where two host varieties are exposed to two host‐specialized pathogen species or strains, quantitative criteria for optimal mixing ratios are determined. Using these model outcomes, ways to optimize the use of host mixtures to decrease disease in agroecosystems are proposed
Percutaneous pulmonary valve implantation in humans - Results in 59 consecutive patients
Background - Right ventricular outflow tract (RVOT) reconstruction with valved conduits in infancy and childhood leads to reintervention for pulmonary regurgitation and stenosis in later life.Methods and Results - Patients with pulmonary regurgitation with or without stenosis after repair of congenital heart disease had percutaneous pulmonary valve implantation (PPVI). Mortality, hemodynamic improvement, freedom from explantation, and subjective and objective changes in exercise tolerance were end points. PPVI was performed successfully in 58 patients, 32 male, with a median age of 16 years and median weight of 56 kg. The majority had a variant of tetralogy of Fallot (n = 36), or transposition of the great arteries, ventricular septal defect with pulmonary stenosis (n = 8). The right ventricular (RV) pressure (64.4 +/- 17.2 to 50.4 +/- 14 mm Hg, P < 0.001), RVOT gradient (33 +/- 24.6 to 19.5 +/- 15.3, P < 0.001), and pulmonary regurgitation ( PR) (grade 2 of greater before, none greater than grade 2 after, P < 0.001) decreased significantly after PPVI. MRI showed significant reduction in PR fraction (21 +/- 13% versus 3 +/- 4%, P < 0.001) and in RV end-diastolic volume (EDV) (94 +/- 28 versus 82 +/- 24 mL (.) beat(-1) (.) m(-2), P < 0.001) and a significant increase in left ventricular EDV ( 64 +/- 12 versus 71 +/- 13 mL (.) beat(-1.) m(-2), P = 0.005) and effective RV stroke volume ( 37 +/- 7 versus 42 +/- 9 mL (.) beat(-1) (.) m(-2), P = 0.006) in 28 patients (age 19 +/- 8 years). A further 16 subjects, on metabolic exercise testing, showed significant improvement in V(O2)max (26 +/- 7 versus 29 +/- 6 mL (.) kg(-1) (.) min(-1), P < 0.001). There was no mortality.Conclusions - PPVI is feasible at low risk, with quantifiable improvement in MRI-defined ventricular parameters and pulmonary regurgitation, and results in subjective and objective improvement in exercise capacity
Survival-extinction phase transition in a bit-string population with mutation
A bit-string model for the evolution of a population of haploid organisms,
subject to competition, reproduction with mutation and selection is studied,
using mean field theory and Monte Carlo simulations. We show that, depending on
environmental flexibility and genetic variability, the model exhibits a phase
transtion between extinction and survival. The mean-field theory describes the
infinite-size limit, while simulations are used to study quasi-stationary
properties.Comment: 11 pages, 5 figure
Hyperbolic planforms in relation to visual edges and textures perception
We propose to use bifurcation theory and pattern formation as theoretical
probes for various hypotheses about the neural organization of the brain. This
allows us to make predictions about the kinds of patterns that should be
observed in the activity of real brains through, e.g. optical imaging, and
opens the door to the design of experiments to test these hypotheses. We study
the specific problem of visual edges and textures perception and suggest that
these features may be represented at the population level in the visual cortex
as a specific second-order tensor, the structure tensor, perhaps within a
hypercolumn. We then extend the classical ring model to this case and show that
its natural framework is the non-Euclidean hyperbolic geometry. This brings in
the beautiful structure of its group of isometries and certain of its subgroups
which have a direct interpretation in terms of the organization of the neural
populations that are assumed to encode the structure tensor. By studying the
bifurcations of the solutions of the structure tensor equations, the analog of
the classical Wilson and Cowan equations, under the assumption of invariance
with respect to the action of these subgroups, we predict the appearance of
characteristic patterns. These patterns can be described by what we call
hyperbolic or H-planforms that are reminiscent of Euclidean planar waves and of
the planforms that were used in [1, 2] to account for some visual
hallucinations. If these patterns could be observed through brain imaging
techniques they would reveal the built-in or acquired invariance of the neural
organization to the action of the corresponding subgroups.Comment: 34 pages, 11 figures, 2 table
Coordinated optimization of visual cortical maps (I) Symmetry-based analysis
In the primary visual cortex of primates and carnivores, functional
architecture can be characterized by maps of various stimulus features such as
orientation preference (OP), ocular dominance (OD), and spatial frequency. It
is a long-standing question in theoretical neuroscience whether the observed
maps should be interpreted as optima of a specific energy functional that
summarizes the design principles of cortical functional architecture. A
rigorous evaluation of this optimization hypothesis is particularly demanded by
recent evidence that the functional architecture of OP columns precisely
follows species invariant quantitative laws. Because it would be desirable to
infer the form of such an optimization principle from the biological data, the
optimization approach to explain cortical functional architecture raises the
following questions: i) What are the genuine ground states of candidate energy
functionals and how can they be calculated with precision and rigor? ii) How do
differences in candidate optimization principles impact on the predicted map
structure and conversely what can be learned about an hypothetical underlying
optimization principle from observations on map structure? iii) Is there a way
to analyze the coordinated organization of cortical maps predicted by
optimization principles in general? To answer these questions we developed a
general dynamical systems approach to the combined optimization of visual
cortical maps of OP and another scalar feature such as OD or spatial frequency
preference.Comment: 90 pages, 16 figure
Explicit kinetic heterogeneity: mechanistic models for interpretation of labeling data of heterogeneous cell populations
Estimation of division and death rates of lymphocytes in different conditions
is vital for quantitative understanding of the immune system. Deuterium, in the
form of deuterated glucose or heavy water, can be used to measure rates of
proliferation and death of lymphocytes in vivo. Inferring these rates from
labeling and delabeling curves has been subject to considerable debate with
different groups suggesting different mathematical models for that purpose. We
show that the three models that are most commonly used are in fact
mathematically identical and differ only in their interpretation of the
estimated parameters. By extending these previous models, we here propose a
more mechanistic approach for the analysis of data from deuterium labeling
experiments. We construct a model of "kinetic heterogeneity" in which the total
cell population consists of many sub-populations with different rates of cell
turnover. In this model, for a given distribution of the rates of turnover, the
predicted fraction of labeled DNA accumulated and lost can be calculated. Our
model reproduces several previously made experimental observations, such as a
negative correlation between the length of the labeling period and the rate at
which labeled DNA is lost after label cessation. We demonstrate the reliability
of the new explicit kinetic heterogeneity model by applying it to artificially
generated datasets, and illustrate its usefulness by fitting experimental data.
In contrast to previous models, the explicit kinetic heterogeneity model 1)
provides a mechanistic way of interpreting labeling data; 2) allows for a
non-exponential loss of labeled cells during delabeling, and 3) can be used to
describe data with variable labeling length
Co-Evolution of quasispecies: B-cell mutation rates maximize viral error catastrophes
Co-evolution of two coupled quasispecies is studied, motivated by the
competition between viral evolution and adapting immune response. In this
co-adaptive model, besides the classical error catastrophe for high virus
mutation rates, a second ``adaptation-'' catastrophe occurs, when virus
mutation rates are too small to escape immune attack. Maximizing both regimes
of viral error catastrophes is a possible strategy for an optimal immune
response, reducing the range of allowed viral mutation rates to a minimum. From
this requirement one obtains constraints on B-cell mutation rates and receptor
lengths, yielding an estimate of somatic hypermutation rates in the germinal
center in accordance with observation.Comment: 4 pages RevTeX including 2 figure
Coordinated optimization of visual cortical maps (II) Numerical studies
It is an attractive hypothesis that the spatial structure of visual cortical
architecture can be explained by the coordinated optimization of multiple
visual cortical maps representing orientation preference (OP), ocular dominance
(OD), spatial frequency, or direction preference. In part (I) of this study we
defined a class of analytically tractable coordinated optimization models and
solved representative examples in which a spatially complex organization of the
orientation preference map is induced by inter-map interactions. We found that
attractor solutions near symmetry breaking threshold predict a highly ordered
map layout and require a substantial OD bias for OP pinwheel stabilization.
Here we examine in numerical simulations whether such models exhibit
biologically more realistic spatially irregular solutions at a finite distance
from threshold and when transients towards attractor states are considered. We
also examine whether model behavior qualitatively changes when the spatial
periodicities of the two maps are detuned and when considering more than 2
feature dimensions. Our numerical results support the view that neither minimal
energy states nor intermediate transient states of our coordinated optimization
models successfully explain the spatially irregular architecture of the visual
cortex. We discuss several alternative scenarios and additional factors that
may improve the agreement between model solutions and biological observations.Comment: 55 pages, 11 figures. arXiv admin note: substantial text overlap with
arXiv:1102.335
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