Granulocyte and monocyte adsorptive apheresis induces apoptosis of neutrophils and release of a novel chemoattractant for desensitization of interleukin-8 response - In vitro and in vivo results.

OBJECTIVE: Apoptotic cells participate in maintenance of homeostasis of the adaptive immune system. Granulocyte/monocyte adsorptive apheresis (GMA) performed with an Adacolumn has been shown to have clinical efficacy together with immunomodulatory effects for immune-mediated disorder cases, such as inflammatory bowel disease (IBD) or psoriatic arthritis. Although induction of apoptosis in neutrophils by GMA has been observed, the detailed mechanism remains unclear. METHODS: To focus on phagocytosis-induced cell death (PICD) that induces apoptotic neutrophils, a comparative study utilizing a GMA-carrier (leukocyte adsorbing carrier for Adacolumn) and yeast particles was performed with in vitro and in vivo examinations. RESULTS: L-selectin was significantly (P = 0.0133) shed, reactive oxygen species (ROS) production was promoted (P = 0.0019), and apoptosis induction was enhanced (P = 0.0087) by peripheral blood co-cultured with the GMA-carrier or yeast particles as compared to incubated blood alone. Furthermore, degranulation of myeloperoxidase, elastase, and lactoferrin was increased by both treatments, while the highest level of interleukin-1 receptor antagonist release was found with GMA-carrier treatment (P = 0.0087) as compared to the yeast particles. Plasma from blood treated with the GMA-carrier showed chemotactic activity, and suppressed neutrophil migration to IL-8 and LTB4. In vivo results demonstrated that neutrophil chemotaxis to IL-8 was desensitized (P = 0.0078) in rabbits following GMA apheresis, while CXCR1 and CXCR2 expressions in neutrophils were reduced by exposing peripheral blood to the GMA-carrier. CONCLUSIONS: GMA may regulate the immune system in patients with an immune-mediated disorder by inducing a biological response of neutrophils with a PICD-like reaction.

Whole-exome sequencing in a Japanese pedigree implicates a rare non-synonymous single-nucleotide variant in BEST3 as a candidate for mandibular prognathism.

Mandibular prognathism is a phenotype of facial deformity seen in populations around the world, but with higher incidence among East Asian populations. Five genome-wide nonparametric linkage analyses and a genome-wide association study to identify susceptibility loci of the phenotype have shown inconsistent results. To explore variants related to mandibular prognathism, we undertook whole-exome sequencing in a Japanese pedigree. The pedigree was ascertained as mandibular prognathism. The pedigree comprised 15 individuals from 4 generations. Four affected individuals across 2 generations and 5 unaffected individuals were chosen for whole-exome sequencing. Five non-synonymous single-nucleotide variants (SNVs) of UBASH3B, OR6M1, OR8D4, OR8B4, and BEST3 genes were detected in all 4 affected individuals, but in none of the 5 unaffected individuals. A non-synonymous SNV of the BEST3 gene, Chr12(GRCh37):g.70048878G>T, NM_032735.2:c.1816C>A, p.(L606I), was identified as rare missense variant. BEST3 is located on chromosome 12q15 and encodes bestrophin 3 from the bestrophin family of anion channels. The 4 other non-synonymous SNVs of UBASH3B, OR6M1, OR8D4, and OR8B4 were not considered plausible candidates for mandibular prognathism. Our whole-exome sequencing implicates a rare non-synonymous SNV of BEST3 as a candidate for mandibular prognathism in the Japanese pedigree.

Antimicrobial efficacy of a novel povidone iodine contact lens disinfection system.

PURPOSE: Contact lens (CL) wear is a risk factor for the acquisition of microbial keratitis. Accordingly, compliance to manufacturers' recommended hygiene and disinfection procedures are vital to safe (CL) use. In this study we evaluated a novel povidone-iodine (PI) (CL) disinfection system (cleadew, Ophtecs Corporation, Japan) against a range of bacterial, fungal and Acanthamoeba. METHODS: Antimicrobial assays were conducted according to ISO 14729 using the recommended strains of bacteria and fungi, with and without the presence of organic soil. Regrowth of bacteria and fungi in the disinfection system was also examined. The activity on biofilms formed from Stenotrophomonas maltophilia and Achromobacter sp. was evaluated. Efficacy against A. castellanii trophozoites and cysts was also investigated. RESULTS: The PI system gave >4 log10 kill of all bacteria and fungi following the manufacturer's recommended disinfection and cleaning time of 4h, with or without the presence of organic soil. No regrowth of organisms was found after 14days in the neutralized solution. In the biofilm studies the system resulted in at least a 7 log10 reduction in viability of bacteria. For Acanthamoeba, >3 log10 kill of trophozoites and 1.1-2.8 log10 kill for the cyst stage was obtained. CONCLUSIONS: The PI system effective against a variety of pathogenic microorganisms under a range of test conditions. Strict compliance to recommended CL hygiene procedures is essential for safe CL wear. The use of care systems such as PI, with broad spectrum antimicrobial activity, may aid in the prevention of potentially sight threatening microbial keratitis.

Genome-wide association study for mandibular prognathism using microsatellite and pooled DNA method.

INTRODUCTION: The purpose of this study was to extend an association study from chromosome 1 to the whole genome (genome-wide association study) to find susceptibility loci of mandibular prognathism. METHODS: Two hundred forty patients diagnosed with mandibular prognathism and 360 healthy controls of Japanese descent were recruited. The typing of microsatellites covering the whole genome was conducted using a pooled DNA method. Upon completion of the first and second screenings with pooled DNA, the positive microsatellite markers from both the first and second typings were retyped using individual-subject DNA samples to confirm the significance of allele frequency. RESULTS: Six microsatellites (D1S0411i, D1S1358i, D3S0810i, D6S0827i, D7S0133i, and D15S0154i) showed differences between allele frequencies of the subjects and controls at P <0.001. D1S0411i, D1S1358i, D3S0810i, D6S0827i, D7S0133i, and D15S0154i were located on chromosomes 1p22.3, 1q32.2, 3q23, 6q23.2, 7q11.22, and 15q22.22, respectively. SSX2IP, PLXNA2, RASA2, TCF21, CALN1, and RORA were suggested as candidate genes. CONCLUSIONS: The genome-wide association study using microsatellites suggested that 6 loci (1p22.3, 1q32.2, 3q23, 6q23.2, 7q11.22, and 15q22.22) were susceptibility regions of mandibular prognathism. The locus 1p22.3 was supported by a previous linkage analysis, and the other 5 were novel loci.

Decomposition pathways of polytetrafluoroethylene by co-grinding with strontium/calcium oxides.

Waste polytetrafluoroethylene (PTFE) could be easily decomposed by co-grinding with inorganic additive such as strontium oxide (SrO), strontium peroxide (SrO2) and calcium oxide (CaO) by using a planetary ball mill, in which the fluorine was transformed into nontoxic inorganic fluoride salts such as strontium fluoride (SrF2) or calcium fluoride (CaF2). Depending on the kind of additive as well as the added molar ratio, however, the reaction mechanism of the decomposition was found to change, with different compositions of carbon compounds formed. CO gas, the mixture of strontium carbonate (SrCO3) and carbon, only SrCO3 were obtained as reaction products respectively with equimolar SrO, excess SrO and excess SrO2 to the monomer unit CF2 of PTFE were used. Excess amount of CaO was needed to effectively decompose PTFE because of its lower reactivity compared with strontium oxide, but it promised practical applications due to its low cost.

Evaluation of the maxillofacial morphological characteristics of Apert syndrome infants.

Apert syndrome is a rare craniosynostosis syndrome characterized by irregular craniosynostosis, midface hypoplasia, and syndactyly of the hands and feet. Previous studies analyzed individuals with Apert syndrome and reported some facial and intraoral features caused by severe maxillary hypoplasia. However, these studies were performed by analyzing both individuals who had and those had not received a palate repair surgery, which had a high impact on the maxillary growth and occlusion. To highlight the intrinsic facial and intraoral features of Apert syndrome, five Japanese individuals with Apert syndrome from 5 years and 2 months to 9 years and 10 months without cleft palate were analyzed in this study. A concave profile and a skeletal Class III jaw-base relationship caused by severe maxillary hypoplasia were seen in all patients. The patients exhibited anterior and posterior crossbites possibly due to a small dental arch of Maxilla.

Mechanochemical processing of molybdenum and vanadium sulfides for metal recovery from spent catalysts wastes.

This work describes the mechanochemical transformations of molybdenum and vanadium sulfides into corresponding molybdate and vanadate, to serve as a new environment-friendly approach for processing hazardous spent hydrodesulphurization (HDS) catalysts solid waste to achieve an easy recovery of not only molybdenum and vanadium but also nickel and cobalt. Co-grinding the molybdenum and vanadium sulfides with oxidants and sodium carbonate stimulates solid-state reactions without any heating aid to form metal molybdates and vanadates. The reactions proceed with an increase in grinding time and were enhanced by using more sodium carbonate and stronger oxidant. The necessary conditions for the successful transformation can be explained on the basis of thermodynamic analyses, namely a negative change in Gibbs free energy.

A novel process utilizing mechanochemical sulfidization to remove lead from cathode ray tube funnel glass.

UNLABELLED: A novelprocess ofmechanochemical sulfidization for the treatment of cathode ray tube (CRT)funnel glass has been investigated by co-grinding with the element sulfur The ground samples were characterized by means of a set of analytical methods, including scanning electron microscopy (SEM), x-ray diffraction (XRD), x-ray photoelectron spectroscopy (XPS), Raman spectroscopy, and thermogravimetric analysis (TG). The analytical results showed that during the co-grinding of the CRTfunnel glass with sulfur, the Si-O-Pb bond in glass and S-S bond broke and recombined into lead sulfide (PbS). The sulfidizing reaction proceeded with an increase in grinding time and the amount of the added sulfur. The sulfidizing rate increased rapidly from 16.6%for the JO-min ground sample to 96.7% for the 120-min ground sample. Using this process, current mineralprocessing technology, such as flotation separation, might be used to recover PbS. The proposed technology could also be used to treat other leaded glass and even other lead-containing wastes. IMPLICATIONS: In this research, a mechanochemical sulfidization method was proposed to recover lead from waste cathode ray tube (CRT) funnel glass. CRT funnel glass was co-ground with sulfur in N2 atmosphere by mechanical milling. After milling, lead in CRT funnel glass was transferred into lead sulfide (PbS). Using this process, current nfiineral processing technology, such as flotation separation, might be used to recover PbS from the ground sample. The process can be applied to treat other leaded glass or lead-containing wastes.

Lead recovery from cathode ray tube funnel glass with mechanical activation.

UNLABELLED: In the disposal of electronic waste, cathode ray tube (CRT) funnel glass remains an urgent environmental problem because of its high lead content. This research developed mechanical activation as a pretreatment process, and it proved to be an effective method for extracting lead from CRT funnel glass. The effects of mechanical activation on the structural changes of CRT funnel glass were investigated using X-ray diffraction (XRD), particle size analysis, specific surface area (SSA), and a scanning electron microscope (SEM). Nitric acid leaching behaviors of the activated CRT funnel glass were studied by varying several parameters: leaching time, liquid-to-solid ratio, acid concentration, and heating temperature, as well as various conditions of activation. The lead recovery rate was observed to increase rapidly, particularly with increases in activation time and leaching temperature, but to vary relatively less under other experimental parameters. Under the optimal leaching conditions, the lead recovery rate for funnel glass activated for 2 hr at the rotational speed of 500 rpm (by ball mill) reached 92.5%, compared with 1.2% from the unactivated sample. IMPLICATIONS: CRT funnel glass containing lead has become a serious environmental problem facing the whole world. In order to dispose of CRT funnel glass, some technologies have been developed. However, these technologies are associated with higher operation and maintenance costs. In this study, mechanical activation was introduced to change the physicochemical properties of CRT funnel glass, which can transform the glass into an easily dissolved one. Under atmospheric pressure leaching conditions, good recovery rate for lead can be achieved and the residue has wide uses. The process can be applied to treat other leaded glass or lead-containing wastes.

Innovated application of mechanical activation to separate lead from scrap cathode ray tube funnel glass.

The disposal of scrap cathode ray tube (CRT) funnel glass has become a global environmental problem due to the rapid shrinkage of new CRT monitor demand, which greatly reduces the reuse for remanufacturing. To detoxificate CRT funnel glass by lead recovery with traditional metallurgical methods, mechanical activation by ball milling was introduced to pretreat the funnel glass. As a result, substantial physicochemical changes have been observed after mechanical activation including chemical breakage and defects formation in glass inner structure. These changes contribute to the easy dissolution of the activated sample in solution. High yield of 92.5% of lead from activated CRT funnel glass by diluted nitric acid leaching and successful formation of lead sulfide by sulfur sulfidization in water have also been achieved. All the results indicate that the application of mechanical activation on recovering lead from CRT funnel glass is efficient and promising, which is also probably appropriate to detoxificate any other kind of leaded glass.

Correlation of thin fibrous cap possessing adipophilin-positive macrophages and intraplaque hemorrhage with high clinical risk for carotid endarterectomy.

OBJECT: Preoperative clinical risk classification of carotid artery (CA) stenosis anticipates the outcome of CA intervention. A higher incidence of neurological morbidity was noted after CA stenting (CAS) in patients with medical risks than in those without risks. However, little is known about the correlation between clinical risks and plaque composition. The purpose of this study was to characterize the CA plaque histology in 3 groups of patients who were classified based on clinical risks for carotid endarterectomy (CEA). Furthermore, the authors examined whether the plaque with high embolic potential after CA intervention, particularly CAS, could be predicted based on clinical risks for CEA. METHODS: Patients were divided into 4 groups, according to the CEA risk classification system, and 3 groups with more than 10 cases were enrolled in this study as follows: absence of all angiographic, medical, and neurological risks (Grade I, 27 cases); presence of medical risk, but no neurological risk (Grade III, 31 cases); and presence of neurological risk (Grade IV, 17 cases). Histopathological characteristics of CA plaques, including fibrous cap thickness, plaque disruption, thrombus formation, intraplaque hemorrhage (IPH), and adipophilin expression were examined without information regarding clinical status. RESULTS: Plaques in patients in Grades III and IV demonstrated a thin fibrous cap and enhanced IPH, compared with those in Grade I. Plaques in patients in Grade IV showed more adipophilin-expressing macrophages in the fibrous cap than in those of the other groups. CONCLUSIONS: Plaques in Grades III and IV patients were characterized by thin fibrous cap atheroma with IPH. Adipophilin-positive macrophage infiltration in the fibrous cap might be correlated with instability in neurological status. The plaque morphology in patients with medical and neurological risks needs to be examined carefully with the aid of imaging modalities. In plaques demonstrating a thin fibrous cap and IPH, the CAS procedure should be avoided and CEA should be performed instead.

Three-dimensional craniomaxillary characteristics of the mouse with spontaneous malocclusion using micro-computed tomography.

The aim of this study was to clarify the morphological characteristics of craniomaxillary deviations in BALB/c-bm/bm mice with a spontaneous malocclusion (incisal transverse crossbite) using three-dimensional (3D) morphological measurements. Sixty female mice aged 13 and 25 weeks were divided into the following groups: control (BALB/c-+/+ mice, n = 20), norm (BALB/c-bm/bm mice with a normal occlusion, n = 20), and mal (BALB/c-bm/bm mice with a malocclusion, n = 20). Various points in the skull were selected and the distances between two points were measured using 3D micro-computed tomography (CT) images. Statistically significant differences in measurement values among the three groups were evaluated by one-way analysis of variance with a probability level of P < 0.05 considered statistically significant. At both ages, the lengths of almost all measurements in the norm and mal groups were significantly shorter than those in the control group. Comparison between the shifted and non-shifted sides in the mal group showed that significant lateral deviation at the maxilla and nasal bone had occurred. Using 3D micro-CT images, the results of this study quantitatively showed that the craniomaxillary complex of BALB/c-bm/bm mice was significantly smaller than that of BALB/c-+/+ mice and that BALB/c-bm/bm mice have a spontaneous transverse crossbite due to lateral deviation of the maxilla and nasal bone.

Generation of high-purity hydrogen from cellulose by its mechanochemical treatment.

Cellulose was mixed with the hydroxides of lithium and nickel and the mixture was milled, followed by heating to produce hydrogen. Several analytical methods of X-ray diffraction (XRD), thermogravimetry/mass spectrometry (TG/MS) and gas chromatography (GC) were used to characterize the samples. Hydrogen was emitted when heating the milled sample around 400 degrees C together with low concentrations of methane, carbon monoxide and carbon dioxide. It is understood that an interaction occurs between cellulose and lithium hydroxide to convert the carbon of cellulose into lithium carbonate and to emit hydrogen correspondingly. It is also found that nickel catalyst is required to facilitate the interaction and the behaviours of three different nickel compounds were compared. When high yield of hydrogen emission is available, the prepared samples can also serve the purpose of hydrogen storage.

Generation of hydrogen from polyvinyl chloride by milling and heating with CaO and Ni(OH)2.

This work discusses an alternative process option for the treatment of polyvinyl chloride (PVC) by producing hydrogen (H(2)) gas, at the same time fixing chlorine for proper environmental control. In the first-stage, a milling operation is performed in a planetary ball mill to obtain a mixture of PVC sample with CaO and Ni(OH)(2) to be used as feed in the second-step, involving heating of the milled product. Analyses by thermogravimetry-mass spectroscopy (TG-MS) and gas chromatography (GC) showed H(2), CH(4), CO and CO(2) as main constituents. The results clearly show that addition of Ni(OH)(2) to provide nickel as catalyst and CaO as adsorbent to fix CO(2) and HCl gases generated during heating, assisted in clean H(2) generation with concentration near 90% at temperatures between 450 and 550 degrees C. Analyses of solids after heating by X-ray diffraction and TG-DTA techniques showed both CaOHCl and CaCO(3) as main phases in the product. This process could be developed to treat PVC wastes together with other polymers and/or plastic wastes for production of H(2) gas.

Cardiac resynchronization and cardioverter defibrillation therapy in a patient with isolated noncompaction of the ventricular myocardium.

Isolated noncompaction of the ventricular myocardium (INVM) is an unclassified cardiomyopathy and is thought to be due to arrest of myocardial morphogenesis. Left ventricular failure and ventricular arrhythmias may occur in approximately half of the patients and account for half of the death in this disorder. In this report, we describe a patient with INVM in whom cardiac resynchronization and cardioverter defibrillation therapy was effective for the improvement of left ventricular function and for the prevention of ventricular arrhythmias.

Improvement in photocatalytic activity of TiO2 under visible irradiation through addition of N-TiO2.

This work is focused on improvement in photocatalytic activity of anatase-TiO2 (a-TiO2) photocatalyst under visible-light irradiation by adding nitrogen-doped TiO2 (N-TiO2) for depression of recombination rate between photoexcited electron and hole. The composites (a-TiO2/N-TiO2) were prepared by grinding in ethanol solvent at 200 rpm for 15 min with change in weight ratio of N-TiO2. In addition to the characterizations by X-ray diffraction and X-ray photoelectron spectroscopy, measurements of existing singlet oxygen by chemiluminescens method and photocatalytic activity by using NO(x) decomposition were conducted. The increases in singlet oxygen and photocatalytic activity have been observed and the phenomena are discussed based on the efficient prevention of recombination between photoexcited electron and hole within the prepared composite.

Alcohol produces imbalance of adrenal and neuronal sympathetic activity in patients with alcohol-induced neurocardiogenic syncope.

BACKGROUND: The mechanism of alcohol-induced syncope is unknown. METHODS AND RESULTS: Head-up tilt tests (HUT: upright at 80 degrees for 30 min) were performed before and after alcohol consumption in 25 patients with unexplained syncope after drinking alcohol. Plasma levels of epinephrine (P-E) and norepinephrine (P-NE) were measured in a supine position and during HUT (at 15 min). Before drinking alcohol, HUT did not provoke neurocardiogenic syncope (NCS) in any of the 25 patients. After drinking alcohol, HUT provoked NCS in 11 patients (alcohol-positive or AP group) but not in 14 patients (alcohol-negative or AN group). Prior to alcohol consumption, P-E and P-NE increased during HUT in both groups, and did not differ significantly between the 2 groups. After alcohol consumption, P-E and P-NE increased during HUT in both group. During HUT, P-NE did not differ between the 2 groups, but P-E was significantly higher in the AP group than in the AN group during HUT (258.0+/-179.2 vs 70.9+/-35.1 pg/ml, p<0.05). CONCLUSION: These results suggest that an imbalance in the increases of adrenomedullar sympathetic nerve activity (as expressed by the P-E level) and peripheral sympathetic nerve activity (as expressed by the P-NE level) both induced by alcohol, may play a crucial role in alcohol-induced NCS.

Use of bepridil in combination with Ic antiarrhythmic agent in converting persistent atrial fibrillation to sinus rhythm.

BACKGROUND: It has been reported that bepridil is as good as amiodarone in converting persistent atrial fibrillation (AF) to sinus rhythm (SR). The conversion effect of bepridil alone is not always satisfactory, however. The efficacy of pharmacological cardioversion by the combination of bepridil and a class Ic antiarrhythmic drug for persistent AF is studied. METHODS AND RESULTS: The participants comprised 37 consecutive patients in whom pharmacological cardioversion was conducted to treat persistent AF (duration 22.5+/-29.6 months). Each patient first received a class Ia or Ic antiarrhythmic drug, then bepridil alone, then a combined therapy of bepridil at 200 mg/day with a class Ic antiarrhythmic drug at a routine dose. Unaccompanied use of any of the antiarrhythmic drugs achieved pharmacological cardioversion in 14 (38%) of the 37 patients (single therapy group), whereas SR was restored by combination of bepridil and a class Ic antiarrhythmic drug in 22 (combined therapy group) of the remaining 23 patients. The duration of AF was significantly longer in the combined therapy group than in the single therapy group (28.3+/-31.0 vs 7.3+/-4.1 months). CONCLUSION: Combined therapy of bepridil and a class Ic antiarrhythmic drug is efficient for pharmacological cardioversion of refractory long-lasting persistent AF.

Basic autonomic nervous function in patients with neurocardiogenic syncope.

Basic autonomic nervous function was evaluated in patients with neurocardiogenic syncope (NCS). Atropine, isoproterenol, propranolol, phenylephrine, and phentolamine were administered successively, and parasympathetic nerve activity and beta- (and alpha-) activity, sensitivity, and secretion of the sympathetic nerve were determined in patients with NCS and control subjects. In patients with NCS, beta- and alpha- sensitivity were higher and beta-activity and beta- and alpha-secretion lower than in control subjects. In patients with NCS, the increased basic beta-sensitivity may contribute to induce strong cardiac contractions and augment ventricular mechanoreceptor response, and a compensatory state against diminished neuronal sympathetic activity is suggested by the increased alpha-sensitivity.