510 research outputs found

    Vedantam, S

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    Effect of Acute Bilateral Vagotomy on Tissue-Specific Inflammation in a Murine Model of Systemic Lupus Erythematosus

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    Effect of Acute Bilateral Vagotomy on Tissue-Specific Inflammation in a Murine Model of Systemic Lupus Erythematosus Shyam Vedantam, Grace S Pham, Keisa W Mathis Purpose: Chronic inflammation has been implicated in the pathogenesis of hypertension. We use a model of systemic lupus erythematosus (SLE) to study this relationship since SLE is a chronic autoimmune inflammatory disorder with a high prevalence of renal injury and hypertension. SLE is also associated with diminished autonomic (vagal) tone, and this implicates impaired neuroendocrine/neuroimmune mechanisms. One example is the classic hypothalamic-pituitary-adrenal (HPA) axis, which can be activated by the afferent vagus nerve and result in cortisol production and anti-inflammatory effects. Another example is the cholinergic anti-inflammatory pathway, an endogenous vagus nerve-to-spleen pathway that reduces inflammation upon stimulation. It is thought that both of these mechanisms are dysregulated and promote chronic inflammation in SLE. To confirm the importance of the vagus nerve in regulating inflammation though these mechanisms, we performed chronic unilateral vagotomy in SLE mice and determined that this paradoxically decreased inflammatory markers in the spleen and the kidney. We hypothesized that the other vagus nerve compensated and upregulated an anti-inflammatory response and that total vagotomy would exacerbate splenic and renal inflammation. Methods: In the current study, anesthetized female SLE (NZBWF1) and control (NZW) mice (35 weeks of age; n=3 mice/group) underwent bilateral vagotomy and were euthanized 3 hours later, followed by tissue harvest. Results: Spleen tumor necrosis factor (TNF)-a (measured by Western blot and normalized to total protein) was increased in SLE mice compared to controls (4.0e6 ± 2.2e6 vs. 1.5e6 ± 3.3e5; P=NS). Acute bilateral vagotomy exacerbated this inflammation in SLE mice (5.1e6 ± 2.5e6) and controls (3.2e6 ± 6.8e5). Renal cortical TNF-a was not different in SLE and control mice (7.4e5 ± 1.6e5 vs. 6.9e5 ± 4.8e4); however, acute bilateral vagotomy exacerbated TNF-a in SLE mice (1.3e6 ± 7.2e4 vs) and controls (1.2e6 ±6.5e5). Conclusions: These findings suggest that the vagus nerve and vagally-mediated anti-inflammatory mechanisms like the HPA axis and the cholinergic anti-inflammatory pathway are critical in controlling inflammation in SLE. Future studies involving chronic bilateral vagotomy in SLE mice are necessary to confirm our hypotheses

    Rate of recurrence following stereotactic aspiration of colloid cysts of the third ventricle

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    BACKGROUND: The rate of recurrence following stereotactic aspiration of colloid cysts is not defined in the literature. AIMS: To study the long-term imaging and clinical outcome in patients who had stereotactic aspiration of colloid cysts of the third ventricle. METHODS: Between 1987 and 1994, computerized tomography-guided stereotactic aspiration was attempted in 26 consecutive patients with colloid cysts of the third ventricle. RESULTS: There was no mortality or permanent morbidity. A complete aspiration of the cyst was possible in 17 patients, a partial aspiration of the cyst was achieved in 6 and the aspiration failed in 3 patients. On long-term follow-up, symptomatic recurrence was noted in 5/6 patients after partial aspiration and 4/17 patients after complete aspiration (mean follow-up 84.8 months). Kaplan-Meier analysis revealed that after complete aspiration of the cyst, median time to recurrence on imaging is 42 months (95% CI 23.0-60.9 months) but median time to symptomatic recurrence is much later at 184 months (95% CI 88.2-279.7 months). CONCLUSIONS: Stereotactic aspiration of colloid cysts remains a valid surgical option as complete aspiration leads to a good long-term outcome in several patients. Partial aspiration of the cyst should be followed by excision of the cyst, due to the high rate of symptomatic recurrence. However, periodic follow-up imaging is mandatory even after complete aspiration as delayed recurrences are possible

    Hundreds of variants clustered in genomic loci and biological pathways affect human height

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    Most common human traits and diseases have a polygenic pattern of inheritance: DNA sequence variants at many genetic loci influence the phenotype. Genome-wide association (GWA) studies have identified more than 600 variants associated with human traits(1), but these typically explain small fractions of phenotypic variation, raising questions about the use of further studies. Here, using 183,727 individuals, we show that hundreds of genetic variants, in at least 180 loci, influence adult height, a highly heritable and classic polygenic trait(2,3). The large number of loci reveals patterns with important implications for genetic studies of common human diseases and traits. First, the 180 loci are not random, but instead are enriched for genes that are connected in biological pathways (P = 0.016) and that underlie skeletal growth defects (P<0.001). Second, the likely causal gene is often located near the most strongly associated variant: in 13 of 21 loci containing a known skeletal growth gene, that gene was closest to the associated variant. Third, at least 19 loci have multiple independently associated variants, suggesting that allelic heterogeneity is a frequent feature of polygenic traits, that comprehensive explorations of already-discovered loci should discover additional variants and that an appreciable fraction of associated loci may have been identified. Fourth, associated variants are enriched for likely functional effects on genes, being over-represented among variants that alter amino-acid structure of proteins and expression levels of nearby genes. Our data explain approximately 10% of the phenotypic variation in height, and we estimate that unidentified common variants of similar effect sizes would increase this figure to approximately 16% of phenotypic variation (approximately 20% of heritable variation). Although additional approaches are needed to dissect the genetic architecture of polygenic human traits fully, our findings indicate that GWA studies can identify large numbers of loci that implicate biologically relevant genes and pathways

    A nonstandard finite difference scheme for a strain-gradient theory

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    10.1007/s00466-004-0624-7Computational Mechanics355369-375CMME

    Constitutive equations for rate-dependent pseudoelastic behaviour of shape memory alloys

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    10.1088/0964-1726/15/5/003Smart Materials and Structures1551172-1178SMST
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