<i>Mycobacterium intracellulare</i> Infection Mimicking Progression of Scleroderma

This case report describes a patient with scleroderma who developed Mycobacterium intracellulare infection, which for more than a year mimicked worsening of her connective tissue disorder. The patient was diagnosed with scleroderma based on puffy fingers that developed into sclerodactyly, abnormal nail fold capillaries, interstitial lung disease, Raynaud’s phenomenon, esophageal dysmotility, and positivity for rheumatoid factor and anti-SSA antibodies. She developed massive inflammatory changes of the cutis, the subcutis, and the muscle fasciae of the right leg, that after several failed attempts of immunosuppressive treatments were found to be caused by Mycobacterium intracellulare. While she was receiving high-dose prednisolone, as worsening of her connective tissue disease was suspected to be the cause of the inflammatory changes, she had Listeria monocytogenes meningitis and was hospitalized for several weeks, but she recovered from this without sequelae. After Mycobacterium intracellulare infection was diagnosed, she was treated with clarithromycin and rifampicin. Her skin manifestations, arthralgias, and fatigue improved considerably, and the wounds of the right leg healed, unfortunately with significant scarring. Immunodeficiency testing was unremarkable. In summary, an infection with Mycobacterium intracellulare was mistaken for an unusually severe progression of scleroderma

The nature of the Galactic Center source IRS 13 revealed by high spatial resolution in the infrared

High spatial resolution observations in the 1 to 3.5 micron region of the Galactic Center source known historically as IRS 13 are presented. They include ground-based adaptive optics images in the H, Kp (2.12/0.4 micron) and L bands, NICMOS data in filters between 1.1 and 2.2 micron, and integral field spectroscopic data from BEAR, an Imaging FTS, in the HeI 2.06 micron and the Br$\gamma$ line regions. Analysis of all these data provides a completely new picture of the main component, IRS 13E, which appears as a cluster of seven individual stars within a projected diameter of ~0.5'' (0.02 pc). The brightest sources, 13E1, 13E2, 13E3 (a binary), and 13E4, are all massive stars, 13E1 a blue object, with no detected emission line while 13E2 and 13E4 are high-mass emission line stars. 13E2 is at the WR stage and 13E4 a massive O-type star. 13E3A and B are extremely red objects, proposed as other examples of dusty WR stars. All these sources have a common westward proper motion. 13E5, is a red source similar to 13E3A/B. This concentration of comoving massive hot stars, IRS 13E, is proposed as the remaining core of a massive star cluster, which could harbor an intermediate-mass black hole (IMBH) of ~1300 M_sol. This detection plays in favor of a scenario in which the helium stars and the other hot stars in the central pc originate from the stripping of a massive cluster formed several tens of pc from the center. The detection of a discrete X-ray emission (Baganoff et al. 2003) at the IRS~13 position is examined in this context.Comment: 14 pages, 6 figures (3 in color), LaTeX2e, accepted in A&

Purification and functional characterization of nine human Aquaporins produced in Saccharomyces cerevisiae for the purpose of biophysical characterization

The sparse number of high-resolution human membrane protein structures severely restricts our comprehension of molecular physiology and ability to exploit rational drug design. In the search for a standardized, cheap and easily handled human membrane protein production platform, we thoroughly investigated the capacity of S. cerevisiae to deliver high yields of prime quality human AQPs, focusing on poorly characterized members including some previously shown to be difficult to isolate. Exploiting GFP labeled forms we comprehensively optimized production and purification procedures resulting in satisfactory yields of all nine AQP targets. We applied the obtained knowledge to successfully upscale purification of histidine tagged human AQP10 produced in large bioreactors. Glycosylation analysis revealed that AQP7 and 12 were O-glycosylated, AQP10 was N-glycosylated while the other AQPs were not glycosylated. We furthermore performed functional characterization and found that AQP 2, 6 and 8 allowed flux of water whereas AQP3, 7, 9, 10, 11 and 12 also facilitated a glycerol flux. In conclusion, our S. cerevisiae platform emerges as a powerful tool for isolation of functional, difficult-To-express human membrane proteins suitable for biophysical characterization

Gemini Observations of Disks and Jets in Young Stellar Objects and in Active Galaxies

We present first results from the Near-infrared Integral Field Spectrograph (NIFS) located at Gemini North. For the active galaxies Cygnus A and Perseus A we observe rotationally-supported accretion disks and adduce the existence of massive central black holes and estimate their masses. In Cygnus A we also see remarkable high-excitation ionization cones dominated by photoionization from the central engine. In the T-Tauri stars HV Tau C and DG Tau we see highly-collimated bipolar outflows in the [Fe II] 1.644 micron line, surrounded by a slower molecular bipolar outflow seen in the H_2 lines, in accordance with the model advocated by Pyo et al. (2002).Comment: Invited paper presented at the 5th Stromlo Symposium. 9 pages, 7 figures. Accepted for publication in Astrophysics & Space Scienc

Development and Validation of an OMERACT MRI Whole-Body Score for Inflammation in Peripheral Joints and Entheses in Inflammatory Arthritis (MRI-WIPE)

Objective: To develop a whole-body MRI-scoring system for peripheral arthritis and enthesitis. Methods: After consensus on definitions/locations of MRI pathologies, four multi-reader exercises were performed. Eighty-three joints were scored 0-3 separately for synovitis and osteitis, thirty-three entheses 0-3 separately for soft tissue inflammation and osteitis. Results: In the last exercise, reliability was moderate-good for musculoskeletal radiologists and rheumatologists with previously demonstrated good scoring proficiency. Median pairwise single-measure/average-measure ICCs were 0.67/0.80 for status scores and 0.69/0.82 for change scores; kappas ranged 0.35-0.77. Conclusion: WBMRI scoring of peripheral arthritis and enthesitis is reliable which encourages further testing and refinement in clinical trials

The efficiency of the spiral-in of a black hole to the Galactic centre

We study the efficiency at which a black hole or dense star cluster spirals-in to the Galactic centre. This process takes place on a dynamical friction time scale, which depends on the value of the Coulomb logarithm ln(L). We determine the accurate value of this parameter using the direct N-body method, a tree algorithm and a particle-mesh technique with up to 2 million plus one particles. The three different techniques are in excellent agreement. Our result for the Coulomb logarithm appears to be independent of the number of particles. We conclude that ln(L) = 6.6 +/- 0.6 for a massive point particle in the inner few parsec of the Galactic bulge. For an extended object, like a dense star cluster, ln(L) is smaller, with a value of the logarithm argument L inversely proportional to the object size.Comment: 11 pages, 12 figures, MNRAS, in press revised version following referee's comments, references updated, typos correcte