Reduced central and peripheral inflammatory responses and increased mitochondrial activity contribute to diet-induced obesity resistance in WSB/EiJ mice.

Energy imbalance due to excess of calories is considered to be a major player in the current worldwide obesity pandemic and could be accompanied by systemic and central inflammation and mitochondrial dysfunctions. This hypothesis was tested by comparing the wild-derived diet-induced obesity- (DIO-) resistant mouse strain WSB/EiJ to the obesity-prone C57BL/6J strain. We analysed circulating and hypothalamic markers of inflammatory status and hypothalamic mitochondrial activity in both strains exposed to high-fat diet (HFD). We further analysed the regulations of hypothalamic genes involved in inflammation and mitochondrial pathways by high throughput microfluidic qPCR on RNA extracted from laser micro-dissected arcuate (ARC) and paraventricular (PVN) hypothalamic nuclei. HFD induced increased body weight gain, circulating levels of leptin, cholesterol, HDL and LDL in C57BL/6J whereas WSB/EiJ mice displayed a lower inflammatory status, both peripherally (lower levels of circulating cytokines) and centrally (less activated microglia in the hypothalamus) as well as more reactive mitochondria in the hypothalamus. The gene expression data analysis allowed identifying strain-specific hypothalamic metabolic pathways involved in the respective responses to HFD. Our results point to the involvement of hypothalamic inflammatory and mitochondrial pathways as key factors in the control of energy homeostasis and the resistance to DIO.

Vascular endothelial growth factor for the treatment of femoral head osteonecrosis: An experimental study in canines.

AIM: To evaluate the treatment of osteonecrosis of the femoral head (ONFH) with the use of vascular endothelial growth factor (VEGF). METHODS: In 30 mature beagles (6 groups of 5 beagles) ONFH was induced cryosurgically and one of the following solutions was administered locally in the femoral head (FH) in each group: Single injection of 500 µg VEGF (t-VEGFµ group); single injection of 500 ng VEGF (t-VEGFn group); continuous delivery of 500 µg VEGF through osmotic micropump (t-VEGFpump-µ group); continuous delivery of 500 ng VEGF through osmotic micropump (t-VEGFpump-n group); single injection of 0.9% sodium chloride (t-NS group), while one group that served as control group did not receive any local solution (No-t group). FHs were retrieved 12 wk postoperatively, underwent decalcification and hematoxylin/eosin and toluidine blue staining. In two canines per group, one half of FH was processed without decalcification and stained with modified Masson Trichrome. Histological sections were observed by light microscopy and measured with a semi-automatized bone histomorphometry system and Bone Volume/Total Volume (BV/TV), Marrow Volume/Total Volume (MaV/TV), and Trabecular Thickness (TbTh) were assessed. Standard and robust tests (Welch, Brown Forsythe) of analysis of variance along with multiple comparisons, were carried out among the categories. RESULTS: The untreated (No-t) group had signs of osteonecrosis, whereas the VEGF groups revealed reversal of the osteonecrosis. Statistical analysis of the decalcified specimens revealed a significantly better BV/TV ratio and a higher TbTh between the VEGF treatment groups (except the t-VEGFn group) and the No-t group or the control t-NS group. Single dose 500 µgVEGF group had significantly better BV/TV ratio and higher TbTh when compared to the No-t group (50.45 ± 6.18 vs 29.50 ± 12.27, P = 0.002 and 151.44 ± 19.07 vs 107.77 ± 35.15, P = 0.161 respectively) and the control t-NS group (50.45 ± 6.18 vs 30.9 ± 6.67, P = 0.004 and 151.44 ± 19.07 vs 107.14 ± 35.71, P = 0.151 respectively). Similar differences were found for the prolonged VEGF delivery/pump groups of 500 µg and 500 ng. Analysis of the totality of specimens (decalcified/non-decalcified) enhanced the aforementioned differences and additionally revealed significant differences in the comparison of the TbTh. CONCLUSION: In an experimental model of ONFH in canines it was found that local treatment with VEGF leads to bone tissue remodeling and new bone formation.

Diagnostic accuracy of Doppler echocardiography for determining left ventricular diastolic pressure elevation: prospective comparison to chest radiography, serum B-type natriuretic peptide, and chest auscultation.

BACKGROUND: Doppler echocardiography (DE), chest radiography (CXR), serum B-type natriuretic peptide (BNP) measurement and physical examination are all commonly employed to estimate left ventricular diastolic pressure (LVDP) in clinical care. There are no published studies directly comparing the diagnostic accuracy of these tests. METHODS AND RESULTS: DE, BNP, CXR, and physical examination were performed on 56 consecutive patients immediately following clinically indicated cardiac catheterization with measurement of LVDP. LVDP measured preceding atrial contraction at end-expiration was elevated (>16 mmHg) in 19 subjects. Diagnostic accuracies were 79%, 70%, 61% for DE, BNP, and CXR, respectively. None of the study subjects had evidence of raised LVDP by chest auscultation. CONCLUSIONS: The diagnostic accuracy of DE compares favorably to other noninvasive markers for prediction of invasively determined LVDP.

Demonstration of left ventricular outflow tract eccentricity by real time 3D echocardiography: implications for the determination of aortic valve area.

BACKGROUND: Determination of the left ventricular outflow tract cross-sectional area (ALVOT) is necessary for calculating aortic valve area (AVA) by echocardiography using the continuity equation (CE). In the commonly applied form of CE, pir(2) is used to estimate ALVOT utilizing the assumptions that LVOT is round and the parasternal long axis (PLAX) plane bisects LVOT. Imaging LVOT using real time 3D echocardiography (RT3DE) eliminates the need for these assumptions. We tested the hypothesis that LVOT is round based on a formula for eccentricity. METHODS AND RESULTS: In 53 patients, 2D echocardiography (2DE) and RT3DE were acquired. ALVOT was calculated by 2DE using pir(2) (ALVOT-2D). Using RT3DE, ALVOT planimetry was performed immediately beneath the aortic valve (ALVOT-3Dplan). Eccentricity Index (EI) was calculated using the shortest and longest LVOT diameters. The long axis was measured to be larger by 0.53 cm +/- 0.36 (P < 0.005). The median EI was 0.20 (0.00-0.54), indicating that half the subjects had at least a 20% difference between the major and minor diameters. ALVOT-3Dplan was larger than ALVOT-2D (3.73 +/- 0.95 cm(2) vs. 3.18 +/- 0.73 cm(2); P < 0.001) by paired analysis. Using the equation of an ellipse (piab), ALVOT-3Dellip was 3.57 +/- 0.95 resulting in improved agreement with ALVOT-3Dplan. CONCLUSIONS: In our small patient sample with normal aortic valves, we showed the LVOT shape is usually not round and frequently, elliptical. Incorrectly assuming a round LVOT underestimated the ALVOT-3Dplan and consequently the AVA by 15%. Investigating the LVOT in aortic stenosis is warranted to evaluate whether RT3DE may improve measurement of AVA.

Reported respiratory symptoms and adverse home conditions after 9/11 among residents living near the World Trade Center.

This study investigated whether self-reported damage, dust, and odors in homes near the World Trade Center (WTC) after September 11, 2001, were related to increased rates of respiratory symptoms among residents and if multiple sources of exposure were associated with greater health risk. We mailed questionnaires to homes within 1.5 km of the WTC site (affected area) and in upper Manhattan (control area). Surveys asked about respiratory symptoms, unplanned medical visits, physician diagnoses, medication use, and conditions in the home after 9/11. Adverse home conditions were associated with new-onset (i.e., began after 9/11) and persistent (i.e., remained 1 year after 9/11) upper and lower respiratory symptoms in the affected area (Cumulative Incidence Ratios [CIRs] 1.20-1.71). Residents reporting longer duration of dust/odors or multiple sources of exposure had greater risk for symptoms compared to those reporting shorter duration and fewer sources. These data suggest that WTC-related contamination in the home after 9/11 was associated with new and persistent respiratory symptoms among residents living near the site. While we cannot eliminate potential biases related to self-reported data, we took strategies to minimize their impact, and the observed effects are biologically plausible.

Structural studies of the phase, aggregation and surface behaviour of 1-alkyl-3-methylimidazolium halide + water mixtures.

The surface, phase and aggregation behaviour of mixtures of 1-alkyl-3-methylimidazolium halide, [C(n)mim]X, where n is the alkyl chain length, with water has been explored using a variety of methods. Critical micelle concentrations (cmc) and micelle structures have been determined for aqueous [C(n)mim]Br solutions for n=2, 4, 6, 8, and 10. Small-angle neutron scattering (SANS) measurements reveal that for the n=8 and 10 systems, at concentrations just above the cmc, small near-spherical aggregates exist, which, after initial growth, possess core radii (aggregation numbers) at intermediate concentrations of 10.5+/-0.5 Angstrom (22+/-2) and 13.2+/-0.5 Angstrom (40+/-3), respectively, for n=8 and n=10. Towards higher concentrations, the aggregates appear to grow, with the aggregates in the [C(10)mim]Br system becoming increasingly elongated (prolate) with increasing concentration. No evident aggregates are formed in the systems with n=2 and 4. In the n=6 system, it appears that oblate aggregates with radius approximately 9 Angstrom form at the cmc and that the radius increases with increasing concentration. For longer alkyl chain lengths, at high concentrations lyotropic mesophases form in some systems. The mesophase region for the [C(8)mim]Cl system has been explored across the composition range using X-ray diffraction and (2)H NMR spectroscopy. Both techniques suggest that a major hexagonal phase with lattice parameter of 29.5+/-0.5 Angstrom coexists with a minor lamellar phase (23.5+/-0.3 Angstrom) or possibly a second hexagonal phase (27.1+/-0.4 Angstrom). The area per adsorbed molecule at the surface of [C(8)mim]Br solutions has been measured as a function of concentration using neutron reflectometry. A minimum in the area per molecule behaviour is coincident with a minimum identified in the surface tension isotherm occurring close to the cmc. The data suggest depletion of [C(8)mim]Br from the surface region occurs at concentrations immediately above the cmc.

Width of the hexadecane-water interface: a discrepancy resolved.

An existing discrepancy in the determined values of the width of the hexadecane-water interface as determined from X-ray reflection (XR) and recent neutron reflection (NR) measurements has been resolved. The NR-determined width reported here is 6.0 +/- 1.0 Angstroms, which compares extremely well with the XR-determined value of 6.0 +/- 0.2 Angstroms. The origin of the discrepancy has been attributed to the thermal history of the interface rather than sample purity or other technique-dependent reasons.

Neutron reflection from the liquid-liquid interface: adsorption of hexadecylphosphorylcholine to the hexadecane-aqueous solution interface.

Adsorption of water-soluble, zwitterionic n-hexadecylphosphorylcholine (C(16)PC) amphiphiles has been examined at the hexadecane-aqueous solution interface using neutron reflectivity (NR) and interfacial tension measurements. The results of both methods indicate that the limiting area per surfactant molecule at the interface at the critical micelle concentration (cmc) is 40 +/- 5 Angstroms(2). In the NR measurements, two isotopic contrasts have been employed to determine the adsorption isotherm and to explore the structure of the interfacial region. Single-layer model fitting to both isotopic contrasts was only possible for the single sub-cmc concentration studied, where a film thickness of 60 +/- 5 Angstroms was obtained; consistent single-layer model fits to both contrasts for concentrations greater than the cmc were not possible, leading to the requirement of a two-layer model with an overall film thickness close to 60 +/- 2 Angstroms. This film thickness is appreciably greater than the fully extended C(16)PC molecular length and cannot be explained purely in terms of thermal broadening. A further result is that the reflectivity data indicate that, as the C(16)PC concentration increases, the amount of water on the hexadecane side of the interfacial region increases, in contrast to intuitive expectation. These findings are interpreted by conjecturing a structural model in which a trilayer of C(16)PC molecules is formed at the interface with the water concentrated in the region occupied by the headgroups.

Neutron reflectivity studies of critical adsorption: behavior of the surface scaling function.

Neutron reflectometry has been employed to examine the nature of the critical adsorption surface scaling function for a near-critical mixture of hexane-d14+perfluorohexane adsorbing to a solid substrate from the liquid one-phase region. The analysis method of Dietrich and Schack has been applied to examine the nature of the power-law part of the critical adsorption surface scaling function, which has been found to behave as m(z) approximately P0z(-mu) as the critical point is approached. Values of mu = 0.514+/-0.018 and P0 = 0.90+/-0.04 have been obtained. These values are consistent with theoretical expectations (mu(th) = 0.516+/-0.004; P0(th) = 0.94+/-0.05), the value determined from Monte Carlo simulations (P(MC)0 = 0.866, and other experimental determinations (P(ex)0 = 0.955=/-0.08).

Upper respiratory symptoms and other health effects among residents living near the World Trade Center site after September 11, 2001.

The authors investigated changes in respiratory health after September 11, 2001 ("9/11") among residents of the area near the World Trade Center (WTC) site in New York City as compared with residents of a control area. In 2002, self-administered questionnaires requesting information on the presence and persistence of respiratory symptoms, unplanned medical visits, and medication use were sent to 9,200 households (22.3% responded) within 1.5 km of the WTC site (affected area) and approximately 1,000 residences (23.3% responded) in Upper Manhattan, more than 9 km from the site (control area). Residents of the affected area reported higher rates of new-onset upper respiratory symptoms after 9/11 (cumulative incidence ratio = 2.22, 95% confidence interval (CI): 1.88, 2.63). Most of these symptoms persisted 1 year after 9/11 in the affected area. Previously healthy residents of the affected area had more respiratory-related unplanned medical visits (prevalence ratio = 1.73, 95% CI: 1.13, 2.64) and more new medication use (prevalence ratio = 2.89, 95% CI: 1.75, 4.76) after 9/11. Greater impacts on respiratory functional limitations were also found in the affected area. Although bias may have contributed to these increases, other analyses of WTC-related pollutants support their biologic plausibility. Further analyses are needed to examine whether these increases were related to environmental exposures and to monitor long-term health effects.

Surface and aggregation behavior of aqueous solutions of Ru(II) metallosurfactants: 4. Effect of chain number and orientation on the aggregation of [Ru(bipy)2(bipy')]Cl2 complexes.

The structure of aggregates formed by eight surfactant [Ru(bipy)2(p,p'-dialkyl-2,2'-bipy)]Cl2 complexes-which we express as Ru(p)(q)Cn, where n (=12 or 19) is the alkyl chain length, p (=4 or 5) refers to the substitution position on the bipyridine ligand, and q (=1 or 2) is the number of substituted alkyl chains-in aqueous solutions has been examined using small-angle neutron scattering for a range of concentrations close to the critical micelle concentration and for several combinations of n, p, and q. A number of general results emerge. The double-chain surfactants possess a smaller headgroup charge but a larger aggregate size than their single-chain analogues. Over the concentration range studied, the micelles of the single-chain surfactants grow as the concentration is increased, whereas for the double-chain systems, the aggregate size remains unchanged. For both single- and double-chain surfactants, an increase in alkyl chain length is accompanied by an expected increase in aggregate size and an increase in average headgroup charge. The aggregates formed in solutions of resolved double-chain complexes are larger than those found in solutions of racemic mixtures. The Ru(4)(1)C12 and Ru(5)(1)C12 systems form aggregates with high water content. Variation of the substitution position for the single-chain surfactants produces dramatic changes in the structure of the micelles. The aggregates formed in solutions of Ru(4)(1)C19 and Ru(5)(1)C19 display particularly different structures. The Ru(4)(1)C19 system forms essentially spherical aggregates. In contrast, in the Ru(5)(1)C19 system, wormlike aggregates are formed in which the rigid rodlike sections appear to undergo a transition from a noninterdigitated to an interdigitated structure as the concentration is increased. For double-chain surfactants, the aggregation number for p = 4 surfactants is considerably larger than that for p = 5 surfactants.

The World Trade Center residents' respiratory health study: new-onset respiratory symptoms and pulmonary function.

The destruction of the World Trade Center (WTC) on 11 September 2001 in New York City resulted in the massive release of pulverized dust and combustion products. The dust and smoke settled in the surrounding area, which encompassed a large residential community. We hypothesized that previously normal residents in the community surrounding the former WTC would have an increased incidence of persistent respiratory symptoms and abnormalities in screening spirometry. A hybrid cross-sectional and retrospective cohort study using a symptom-based questionnaire and onsite screening spirometry in residents in an exposed area and in a control area was performed 12 +/- 4 months after the collapse. Surveys were analyzed from 2,812 residents. New-onset respiratory symptoms were described by 55.8% of residents in the exposed area, compared with 20.1% in the control area after the event. Persistent new-onset symptoms were identified in 26.4 versus 7.5% of residents in the exposed area versus control area, respectively. No differences in screening spirometry between the groups were detected. A small pilot study suggested the possibility of an increase in bronchial hyperresponsiveness in exposed participants with persistent symptoms. The data demonstrate an increased rate of new-onset and persistent respiratory health effects in residents near the former WTC compared with a control population.

Surface and aggregation behavior of aqueous solutions of Ru(II) metallosurfactants. 3. Effect of chain number and orientation on the structure of adsorbed films of [Ru(bipy)2(bipy')]Cl2 complexes.

The surface behavior of a range of surfactant [Ru(bipy)(2)(p,p'-dialkyl-2,2'-bipy)]Cl(2) complexes, which we express as Ru(q)(p)C(n) where n is the alkyl chain length, p refers to the substitution position on the bipyridine ligand (=4 or 5), and q (=1 or 2) is the number of substituted alkyl chains, has been examined using neutron reflectometry. The adsorption of the single-chain Ru(1)(4)C(19) and Ru(1)(5)C(19) surfactants is strongly time-dependent, taking in excess of 10 h to form an equilibrium film. It is suggested that the slow adsorption rate is related to the alkyl chain length rather than the low monomer concentration present in the solutions. At concentrations below the critical micelle concentration (cmc) of Ru(1)(4)C(19), the film of Ru(1)(5)C(19) is denser than that of Ru(1)(4)C(19) at comparable concentration, consistent with the mass densities of the bulk solids, whereas at concentrations close to and greater than this cmc the converse pertains. Close to the cmc, the adsorbed films possess an average area per molecule significantly less than the nominal headgroup area of the surfactants (approximately 30 angstroms(2) compared with approximately 100 angstroms(2)). This fact together with consideration of the thickness and density of the adsorbed films leads to the conjecture that surface aggregates may be the adsorbing units. The adsorption of the double-chain surfactant Ru(1)(p)C(19), in contrast to the behavior of the Ru(1)(p)C(19) surfactants, is weak and independent of time. This behavior is attributed to the alkyl chain orientation. The adsorption behavior of a racemic mixture of the Delta and Lambda isomers of Ru(2)(4)C(19) has been compared with that of the Delta isomer. It is found that the film of racemic material is more closely packed than that of the resolved complex.

Structural studies of amphiphiles adsorbed at liquid-liquid interfaces using neutron reflectometry.

We report the application and refinement of a recently developed method for structural studies at a liquid liquid interface using neutron reflectometry. The technique involves the entrapment of a thin oil layer between a silicon substrate and an aqueous subphase. The thin oil film is prepared by spin-coating an oil film on to an oleophilically treated silicon substrate. During the reflectivity measurement the sample is maintained in a horizontal position, and the angle of incidence of the neutron beam is varied using a supermirror. Attenuation of neutron reflectivity at the lowest angle of incidence is used to determine the oil-layer thickness. We report information regarding the structure at the interface between hexadecane and a 0.1% w/v aqueous solution of the triblock copolymer Pluronic L64 with EO13PO30EO13 (EO = ethylene oxide; PO = propylene oxide) and the interface between hexadecane and a 3.7 mmol dm(-3) (approximately critical micelle concentration) aqueous solution of the cationic surfactant tetradecyltrimethylammonium bromide (C14TAB). For the C14TAB system, the reflectivity data unambiguously reveal the presence of a region highly concentrated in C14TAB on the oil side of the interface. For the Pluronic L64 system, the data suggest that the polymer adsorbs at the interface occupying both oil and water sides of the interface. Model scattering length density profiles that capture these features are presented and further models that better fit the data are discussed.

Adsorption from alkane+perfluoroalkane mixtures at fluorophobic and fluorophilic surfaces. II. Crossover from critical adsorption to complete wetting.

Using neutron reflectometry, adsorption from an equimolar mixture of hexane + perfluorohexane to a fluorophobic, octadecyl-coated, silicon substrate has been investigated as a function of temperature in the one-phase region upon approach to liquid-liquid coexistence. The composition of the investigated mixture, x(F) = 0.50, is well removed from the critical composition of x(F) = 0.36, where x(F) is the perfluorohexane mole fraction. To aid the modeling, mixtures with three different neutron refractive index contrasts have been used: namely, mixtures of C(6)H(14) + C(6)F(14) (H-F), C(6)D(14) + C(6)F(14) (D-F), and a mixture of C(6)H(14) + C(6)D(14) + C(6)F(14) which has been adjusted to have the same refractive index as silicon (CMSi). For all three contrasts, the principal features of the composition profile normal to the interface follow similar trends as the temperature T is reduced towards T(0), the coexistence temperature. These features consist of: (i) a hexane-rich primary adsorption layer appended to the octadecyl coupled layer. This primary layer is 22 +/- 5 A thick and becomes increasingly enriched in hexane as T(0) is approached. (ii) A tail that decays exponentially towards the bulk composition with a characteristic decay length zeta. As T(0) is approached, zeta increases. The scattering length density profiles have been converted to volume fraction profiles and the surface excess of hexane Gamma has been determined as a function of temperature for all three contrasts. As T(0) is approached Gamma increases, and its behavior can be represented using the scaling law Gamma approximately |T - T(0)|(-m). The resulting values of m are 0.71 +/- 0.09, 0.68 +/- 0.04, and 0.68 +/- 0.06 for the D-F, H-F, and CMSi contrasts, respectively. The behavior of Gamma with temperature does not adhere to the Gamma approximately |T - T(0)|(-1/3) law expected for complete wetting in systems with van der Waals interactions nor does it correspond to Gamma approximately |T - T(c)|(-0.305) expected for critical adsorption. The magnitude of the exponent m indicates that the adsorption resides in the crossover region between critical adsorption and complete wetting.

Drug therapy increases bone density in osteonecrosis of the femoral head in canines.

Although many different pathogenetic mechanisms have been proposed for osteonecrosis of the femoral head, the repair process leads to structural collapse when bone resorption exceeds production. The purpose of the current study was to determine the effects of two agents with known bone-altering qualities, alendronate and simvastatin, on the healing response of a cryosurgically induced necrotic lesion of the femoral head in canines. Eighteen beagles had cryosurgical necrosis of the right femoral head. After 2 weeks, in a blinded, placebo-controlled, randomized fashion, a 10-mg dose of oral alendronate (n = 6), a 40 mg dose of simvastatin (n = 6), or a placebo (n = 6) was administered daily for 12 weeks. At sacrifice, bone densitometry and histomorphometry quantified bone in the femoral head. In the alendronate-treated animals, a 16% increase in bone mineral density of the femoral head with induced osteonecrosis was found compared with the placebo group. Increases in bone volume and trabecular thickness also were detected in the alendronate and simvastatin groups, with alendronate having the greatest effect. Clinically, increasing the amount of bone in the femoral head may forestall mechanisms leading to joint collapse characteristic of advanced osteonecrosis of the femoral head.

Aggregation behavior of aqueous solutions of ionic liquids.

The aggregation behavior in aqueous solutions of three ionic liquids based on the 1-alkyl-3-methylimidazolium cation has been investigated by means of surface tension, conductivity, and small-angle neutron scattering (SANS) measurements. From analysis of the SANS data, models for the shapes and sizes of aggregates have been proposed: the short-chain 1-butyl-3-methylimidazolium tetrafluoroborate [C4mim] [BF4] system can be best modeled by treating it as a dispersion of polydisperse spherical aggregates that form above a critical aggregation concentration, whereas the 1-octyl-3-methylimidazolium iodide, [C8mim] [I], solutions can be modeled as a system of regularly sized near-spherical charged micelles that form above a critical micelle concentration. Solutions of 1-octyl-3-methylimidazolium chloride, [C8mim]-[Cl], display weak long-range ordering of possibly disklike particles culminating in the formation of structures with distinct long-range order at higher concentrations.