An interleukin (IL)-10/IL-12 immunoregulatory circuit controls susceptibility to autoimmune disease.

Cells of the innate immune system secrete cytokines early in immune responses that guide maturing T helper (Th) cells along appropriate lineages. This study investigates the role of cytokine networks, bridging the innate and acquired immune systems, in the pathogenesis of an organ specific autoimmune disease. Experimental allergic encephalomyelitis (EAE), a demyelinating disease of the central nervous system, is widely used as an animal model for multiple sclerosis. We demonstrate that interleukin (IL)-12 is essential for the generation of the autoreactive Th1 cells that induce EAE, both in the presence and absence of interferon gamma. The disease-promoting effects of IL-12 are antagonized by IL-10 produced by an antigen nonspecific CD4+ T cell which, in turn, is regulated by the endogenous production of IL-12. This unique immunoregulatory circuit appears to play a critical role in controlling Th cell differentiation and provides a mechanism by which microbial triggers of the innate immune system can modulate autoimmune disease.

Rapid primary microwave-osmium fixation. I. Preservation of structure for electron microscopy in seconds.

Microwave irradiation (MWIr) of tissues immersed in aldehydes has been used to preserve fine structure in seconds. The purpose of this study was to extend these findings to include rapid primary osmium fixation in a microwave (MW) device with a high volume exhaust. Blocks of rat heart and liver were trimmed to approximately 4 mm3 and exposed to 0.2 M symcollidine-buffered 2% osmium tetroxide for a period of 6-7 sec during MWIr (final solution temperature approximately 45 degrees C). We also evaluated rapid fixation of tissues exposed to MWIr simultaneously with immersion in dilute Karnovsky's fixative (6-7 sec to approximately 50 degrees C) followed by MWIr of specimens immersed in osmium (7 sec to approximately 45 degrees C). Tissues were stored in 0.1 M sodium cacodylate buffer (pH 7.3, 4 degrees C) up to 2 weeks and were stained en bloc in uranyl acetate, dehydrated in a graded series of alcohols, and embedded in propylene oxide-Epon sequence. Thin sections were stained with lead citrate and examined by transmission electron microscopy. We demonstrate that fine structural preservation of tissue blocks can be achieved by MWIr in aldehyde and/or osmium in seconds.

Urinalysis vs urine protein-creatinine ratio to predict significant proteinuria in pregnancy.

OBJECTIVE: To compare the urine protein-creatinine ratio with urinalysis to predict significant proteinuria (>or=300 mg per day). STUDY DESIGN: A total of 116 paired spot urine samples and 24-h urine collections were obtained prospectively from women at risk for preeclampsia. Urine protein-creatinine ratio and urinalysis were compared to the 24-h urine collection. RESULT: The urine protein-creatinine ratio had better discriminatory power than urinalysis: the receiver operating characteristic curve had a greater area under the curve, 0.89 (95% confidence interval (CI) 0.83 to 0.95) vs 0.71 (95% CI 0.64 to 0.77, P<0.001). When matched for clinically relevant specificity, urine protein-creatinine ratio (cutoff >or=0.28) is more sensitive than urinalysis (cutoff >or=1+): 66 vs 41%, P=0.001 (with 95 and 100% specificity, respectively). Furthermore, the urine protein-creatinine ratio predicted the absence or presence of proteinuria in 64% of patients; urinalysis predicted this in only 19%. CONCLUSION: The urine protein-creatinine ratio is a better screening test. It provides early information for more patients.