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1.
Nature ; 516(7531): 370-3, 2014 Dec 18.
Article in English | MEDLINE | ID: mdl-25519134

ABSTRACT

The technological appeal of multiferroics is the ability to control magnetism with electric field. For devices to be useful, such control must be achieved at room temperature. The only single-phase multiferroic material exhibiting unambiguous magnetoelectric coupling at room temperature is BiFeO3 (refs 4 and 5). Its weak ferromagnetism arises from the canting of the antiferromagnetically aligned spins by the Dzyaloshinskii-Moriya (DM) interaction. Prior theory considered the symmetry of the thermodynamic ground state and concluded that direct 180-degree switching of the DM vector by the ferroelectric polarization was forbidden. Instead, we examined the kinetics of the switching process, something not considered previously in theoretical work. Here we show a deterministic reversal of the DM vector and canted moment using an electric field at room temperature. First-principles calculations reveal that the switching kinetics favours a two-step switching process. In each step the DM vector and polarization are coupled and 180-degree deterministic switching of magnetization hence becomes possible, in agreement with experimental observation. We exploit this switching to demonstrate energy-efficient control of a spin-valve device at room temperature. The energy per unit area required is approximately an order of magnitude less than that needed for spin-transfer torque switching. Given that the DM interaction is fundamental to single-phase multiferroics and magnetoelectrics, our results suggest ways to engineer magnetoelectric switching and tailor technologically pertinent functionality for nanometre-scale, low-energy-consumption, non-volatile magnetoelectronics.

2.
J Endovasc Ther ; 24(3): 355-366, 2017 06.
Article in English | MEDLINE | ID: mdl-28393673

ABSTRACT

PURPOSE: To evaluate the safety and efficacy of a novel optical coherence tomography (OCT)-guided atherectomy catheter in treating patients with symptomatic femoropopliteal disease. METHODS: The VISION trial ( ClinicalTrials.gov identifier NCT01937351) was a single-arm, multicenter, global investigational device exemption study enrolling 158 subjects (mean age 67.2±10.5 years; 87 men) across 20 participating sites. In this cohort, 198 lesions were treated with an average length of 53±40 mm using the Pantheris catheter alone or Pantheris + adjunctive therapy. The primary safety endpoint was the composite of major adverse events (MAEs) through 6 months (objective performance goal 43.2%). Technical success (primary efficacy outcome) was defined as the percent of target lesions with a residual diameter stenosis ≤50% after treatment with the Pantheris device alone (objective performance goal 87.0%). Procedural success was defined as reduction in stenosis to ≤30% after Pantheris ± adjunctive therapy. Tissue specimens retrieved from each treated lesion were histologically analyzed to evaluate the accuracy and precision of OCT image guidance. RESULTS: The primary efficacy outcome was achieved in 192 (97.0%) of the 198 lesions treated with the Pantheris catheter. Across all lesions, mean diameter stenosis was reduced from 78.7%±15.1% at baseline to 30.3%±11.8% after Pantheris alone (p<0.001) and to 22.4%±9.9% after Pantheris ± adjunctive therapy (p<0.001). Of the 198 target lesions, 104 (52.5%) were treated with the Pantheris alone, 84 (42.4%) were treated with Pantheris + adjunctive angioplasty, and 10 (5.1%) with Pantheris + angioplasty + stenting. The composite MAE outcome through 6 months occurred in 25 (16.6%) of 151 subjects. There were no clinically significant perforations, 1 (0.5%) catheter-related dissection, 4 (2%) embolic events, and a 6.4% clinically driven target lesion revascularization rate at 6 months. The 40-lesion chronic total occlusion (CTO) subset (mean lesion length 82±38 mm) achieved a similar significant reduction in stenosis to 35.5%±13.6% after Pantheris alone (p<0.001). Histological analysis of atherectomy specimens confirmed <1% adventitia in 82.1% of the samples, highlighting the precision of OCT guidance. Characterization of the OCT-guided lesions revealed evidence of an underestimation of disease burden when using fluoroscopy. CONCLUSION: OCT-guided atherectomy for femoropopliteal disease is safe and effective. Additionally, the precision afforded by OCT guidance leads to greater removal of plaque during atherectomy while sparing the adventitia.


Subject(s)
Atherectomy/methods , Femoral Artery/diagnostic imaging , Lower Extremity/blood supply , Peripheral Arterial Disease/therapy , Popliteal Artery/diagnostic imaging , Tomography, Optical Coherence/methods , Aged , Angioplasty/instrumentation , Atherectomy/adverse effects , Atherectomy/instrumentation , Clinical Competence , Constriction, Pathologic , Equipment Design , Female , Femoral Artery/physiopathology , Germany , Humans , Learning Curve , Male , Middle Aged , Peripheral Arterial Disease/diagnostic imaging , Peripheral Arterial Disease/physiopathology , Popliteal Artery/physiopathology , Predictive Value of Tests , Prospective Studies , Stents , Time Factors , Tomography, Optical Coherence/instrumentation , Treatment Outcome , United States , Vascular Access Devices
3.
Clin Radiol ; 70(8): e83-9, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26055408

ABSTRACT

AIM: To retrospectively analyse the bone scintigraphy (BS) and skeletal survey (SS) data to evaluate the role and limitations of BS in the diagnosis of non-accidental injury (NAI). MATERIALS AND METHODS: All SS and BS performed over a 10 year period, for possible NAI, in children under 2 years old were retrospectively reviewed. Reports were compared in cases where both studies were performed and findings classified into one of three groups: (1) congruent: both reports agreed; (2) BS added confidence to the SS findings; (3) BS demonstrated a new finding. False-positive and false-negative rates for BS were calculated. RESULTS: One hundred and sixty-six patients had both SS and BS. The findings were congruent in 74% of cases. BS added confidence to the SS findings in 8% and revealed a new abnormality in 4% of patients. BS demonstrated false-positive and -negative rates of 2% and 13%, respectively. Occult bony injury was detected in 12% of the 237 patients imaged. DISCUSSION: When used as an adjunct to SS in the investigation of NAI, BS can aid the confidence of diagnosis or identify new findings in 12% of cases. In centres where nuclear medicine is readily available and there is appropriate expertise in paediatric BS, this modality provides a time-effective alternative to follow-up SS at 10-14 days.


Subject(s)
Bone and Bones/diagnostic imaging , Child Abuse/diagnosis , Fractures, Bone/diagnostic imaging , Bone and Bones/injuries , Humans , Infant , Pediatrics/standards , Radionuclide Imaging , Retrospective Studies , Sensitivity and Specificity
4.
J Vasc Surg ; 60(4): 876-83; discussion 883-4, 2014 Oct.
Article in English | MEDLINE | ID: mdl-24877852

ABSTRACT

OBJECTIVE: Despite improvements in endograft technology, operator skill, and patient selection, endovascular aneurysm repair continues to be associated with device-related complications. A retrospective, observational study was undertaken to evaluate the clinical outcome and imaging findings of a unique device having externally-mounted, conformable graft material. METHODS: Infrarenal abdominal aortic aneurysms were treated with the Endologix, Inc AFX endovascular aortic aneurysm system (Irvine, Calif) endograft in 108 consecutive patients over a 25-month period at two U.S. clinical sites. Baseline characteristics and procedural outcomes were reviewed by independent monitors. Serial computed tomography (CT) imaging assessments were performed by an independent core laboratory. Aortic neck characteristics and graft apposition were analyzed from center line-reformatted CT data sets in 37 patients in an imaging cohort comprising subjects with high-resolution baseline and follow-up CT imaging for precise assessment of aortic neck characteristics. The mean follow-up was 11 ± 5 months overall, 9 ± 6 months in patients with core laboratory imaging, and 5 ± 2 months for patients in the imaging cohort. RESULTS: Among the 108 patients, 103 (95%) had intact aneurysms and five (4.6%) were treated for rupture; 80 (74%) were male and 28 (26%) were female. On average, 2.3 ± 0.7 endograft components were implanted per patient and no adjunctive proximal neck bare stents were used. There were no perioperative deaths in patients with intact aneurysms; two patients who presented with ruptured aortic aneurysms (40%) died. Major adverse events occurred within 30 days of implantation in two patients (1.9%) with intact aneurysms. Type II endoleaks were evident on completion angiography in 18 patients (16.7%). Core laboratory analysis of CT studies identified two patients with type Ia endoleaks (2.3%), two with type III endoleaks (2.3%), and five with type II endoleaks (5.7%). Aneurysm-related secondary procedures were required in five patients over the first year of follow-up (4.6%). No patient developed endograft limb occlusion or aneurysm rupture and there were no open surgical conversions. In the imaging cohort, 360° graft-to-aortic wall apposition was continuous over a length of 25 ± 17 mm and extended the seal zone an average of 5 mm beyond the end of the anatomic neck. Early sac regression was correlated with neck length (P = .019) and graft-to-aortic apposition surface area (P = .039). CONCLUSIONS: The real-world use of the AFX endograft was associated with a low rate of device-and procedure-related complications. The ability to achieve an extended seal zone beyond the anatomical neck might in part contribute to positive outcomes, including the low type Ia and type II endoleak rate. These findings suggest that the AFX device might offer some advantages over other currently marketed endografts, but confirmation awaits the availability of longer-term outcome data.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis , Endoleak/epidemiology , Endovascular Procedures/instrumentation , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortography , Equipment Design , Female , Follow-Up Studies , Humans , Incidence , Male , Prosthesis Design , Retrospective Studies , Tomography, X-Ray Computed , Treatment Outcome , United States/epidemiology
5.
J Endovasc Ther ; 20(6): 770-81, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24325693

ABSTRACT

PURPOSE: To evaluate the safety and effectiveness of the optical coherence tomography-guided Ocelot catheter to cross femoropopliteal chronic total occlusions (CTOs). METHODS: The CONNECT II study was a prospective, multicenter, non-randomized single-arm study of the safety and effectiveness of the Ocelot catheter in CTO crossing. Key inclusion criteria were a 99% to 100% stenosed femoropopliteal segment, lesion length between 1 and 30 cm, and resistance to guidewire crossing. The main exclusion criterion was a severely calcified target vessel. The primary safety endpoint was 30-day major adverse events (MAE), while the primary effectiveness endpoint was successful CTO crossing (i.e., guidewire placement in the distal true lumen) with the Ocelot catheter. Endpoint analysis was based on pre-specified objective performance criteria. Between February and June 2012, 100 patients (55 men; mean age 69 years) were enrolled. Most of the CTOs (94%) were in the superficial femoral artery (SFA); mean lesion length was 16.6±9.3 cm. RESULTS: Through 30 days, 2 patients experienced MAE (significant perforations) related to the Ocelot catheter. The Ocelot catheter successfully crossed 97% of target CTOs either alone (72%), in conjunction with an assist device (18%), or in conjunction with a re-entry device (7%). Both primary safety and effectiveness endpoints were met. CONCLUSION: The Ocelot catheter with optical coherence tomography guidance offers physicians a reliable option for crossing femoral and popliteal chronic total occlusions with low MAE rates.


Subject(s)
Endovascular Procedures/instrumentation , Femoral Artery , Peripheral Arterial Disease/therapy , Popliteal Artery , Vascular Access Devices , Aged , Chronic Disease , Clinical Competence , Constriction, Pathologic , Endovascular Procedures/adverse effects , Equipment Design , Europe , Female , Femoral Artery/diagnostic imaging , Humans , Learning Curve , Male , Middle Aged , Peripheral Arterial Disease/diagnosis , Popliteal Artery/diagnostic imaging , Prospective Studies , Radiography , Time Factors , Tomography, Optical Coherence , Treatment Outcome , United States
6.
Nat Genet ; 29(3): 263-4, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11687795

ABSTRACT

We have assembled arrays of approximately 2,400 BAC clones for measurement of DNA copy number across the human genome. The arrays provide precise measurement (s.d. of log2 ratios=0.05-0.10) in cell lines and clinical material, so that we can reliably detect and quantify high-level amplifications and single-copy alterations in diploid, polyploid and heterogeneous backgrounds.


Subject(s)
Aneuploidy , Gene Dosage , Genome, Human , Genomics/methods , Oligonucleotide Array Sequence Analysis/methods , Chromosomes, Artificial, Bacterial/genetics , Cloning, Molecular , Female , Humans , Male , Polymerase Chain Reaction , Polyploidy , Tumor Cells, Cultured , X Chromosome/genetics
7.
Science ; 250(4988): 1684-9, 1990 Dec 21.
Article in English | MEDLINE | ID: mdl-2270482

ABSTRACT

Human breast cancer is usually caused by genetic alterations of somatic cells of the breast, but occasionally, susceptibility to the disease is inherited. Mapping the genes responsible for inherited breast cancer may also allow the identification of early lesions that are critical for the development of breast cancer in the general population. Chromosome 17q21 appears to be the locale of a gene for inherited susceptibility to breast cancer in families with early-onset disease. Genetic analysis yields a lod score (logarithm of the likelihood ratio for linkage) of 5.98 for linkage of breast cancer susceptibility to D17S74 in early-onset families and negative lod scores in families with late-onset disease. Likelihood ratios in favor of linkage heterogeneity among families ranged between 2000:1 and greater than 10(6):1 on the basis of multipoint analysis of four loci in the region.


Subject(s)
Breast Neoplasms/genetics , Chromosomes, Human, Pair 17 , Breast Neoplasms/diagnosis , Breast Neoplasms/etiology , Chromosome Mapping , Female , Humans , Male , Pedigree , Polymorphism, Genetic , Pregnancy , Risk Factors
8.
Ann Vasc Surg ; 23(1): 150-2, 2009.
Article in English | MEDLINE | ID: mdl-18411032

ABSTRACT

Penetrating abdominal trauma with injury to the aorta and vena cava usually requires emergent intervention and is frequently lethal. Formation of a chronic aortocaval fistula (ACF) is an uncommon late complication of these injuries. We report a case of an ACF presenting 17 years after a gunshot wound to the abdomen, with progressive congestive heart failure as the presenting symptom. The ACF was successfully treated with an endoprosthesis designed for the thoracic aorta.


Subject(s)
Aortic Diseases/surgery , Blood Vessel Prosthesis Implantation/instrumentation , Blood Vessel Prosthesis , Vascular Fistula/surgery , Vena Cava, Inferior/surgery , Wounds, Gunshot/complications , Adult , Aorta, Thoracic , Aortic Diseases/etiology , Aortic Diseases/pathology , Aortography/methods , Chronic Disease , Heart Failure/etiology , Heart Failure/surgery , Humans , Magnetic Resonance Angiography , Male , Prosthesis Design , Treatment Outcome , Vascular Fistula/etiology , Vascular Fistula/pathology , Vena Cava, Inferior/injuries
9.
Nucleic Acids Res ; 34(8): e58, 2006 May 02.
Article in English | MEDLINE | ID: mdl-16670425

ABSTRACT

We describe a charge-coupled device (CCD) imaging system for microarrays capable of acquiring quantitative, high dynamic range images of very large fields. Illumination is supplied by an arc lamp, and filters are used to define excitation and emission bands. The system is linear down to fluorochrome densities <<1 molecule/microm2. The ratios of the illumination intensity distributions for all excitation wavelengths have a maximum deviation approximately +/-4% over the object field, so that images can be analyzed without computational corrections for the illumination pattern unless higher accuracy is desired. Custom designed detection optics produce achromatic images of the spectral region from approximately 450 to approximately 750 nm. Acquisition of a series of images of multiple fluorochromes from multiple arrays occurs under computer control. The version of the system described in detail provides images of 20 mm square areas using a 27 mm square, 2K x 2K pixel, cooled CCD chip with a well depth of approximately 10(5) electrons, and provides ratio measurements accurate to a few percent over a dynamic range in intensity >1000. Resolution referred to the sample is 10 microm, sufficient for obtaining quantitative multicolor images from >30,000 array elements in an 18 mm x 18 mm square.


Subject(s)
DNA/analysis , Image Processing, Computer-Assisted/methods , Microscopy, Fluorescence/methods , Oligonucleotide Array Sequence Analysis/methods , Female , Humans , Image Processing, Computer-Assisted/instrumentation , Male , Microscopy, Fluorescence/instrumentation
10.
Mol Cell Biol ; 17(8): 4782-91, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9234734

ABSTRACT

The E2A gene products, E12 and E47, are critical for proper early B-cell development and commitment to the B-cell lineage. Here we reveal a new role for E2A in T-lymphocyte development. Loss of E2A activity results in a partial block at the earliest stage of T-lineage development. This early T-cell phenotype precedes the development of a T-cell lymphoma which occurs between 3 and 9 months of age. The thymomas are monoclonal and highly malignant and display a cell surface phenotype similar to that of immature thymocytes. In addition, the thymomas generally express high levels of c-myc. As assayed by comparative genomic hybridization, each of the tumor populations analyzed showed a nonrandom gain of chromosome 15, which contains the c-myc gene. Taken together, the data suggest that the E2A gene products play a role early in thymocyte development that is similar to their function in B-lineage determination. Furthermore, the lack of E2A results in development of T-cell malignancies, and we propose that E2A inactivation is a common feature of a wide variety of human T-cell proliferative disorders, including those involving the E2A heterodimeric partners tal-1 and lyl-1.


Subject(s)
DNA-Binding Proteins/physiology , Lymphoma, T-Cell/immunology , T-Lymphocytes/cytology , Thymus Gland/immunology , Thymus Neoplasms/immunology , Transcription Factors , Animals , Cell Differentiation , Cell Extracts , Cell Nucleus/metabolism , Chromosome Aberrations , DNA-Binding Proteins/metabolism , Gene Expression Regulation, Neoplastic , Genes, myc , Lymphocyte Subsets , Lymphoma, T-Cell/genetics , Mice , Mice, Knockout , Mice, Nude , TCF Transcription Factors , Thymoma/genetics , Thymoma/immunology , Thymus Gland/growth & development , Thymus Neoplasms/genetics , Transcription Factor 7-Like 1 Protein
11.
Cancer Res ; 59(15): 3610-20, 1999 Aug 01.
Article in English | MEDLINE | ID: mdl-10446971

ABSTRACT

To be informative for chemoprevention, animal models must both closely emulate human disease and possess surrogate endpoint biomarkers that facilitate rapid drug screening. This study elucidated site-specific histopathological and biochemical surrogate endpoint biomarkers of spontaneous epidermal carcinogenesis in K14-HPV16 transgenic mice and demonstrated that the incidence and severity of these markers were decreased by the ornithine decarboxylase (ODC) inhibitor difluoromethylornithine (DFMO). The cumulative incidence of visible epidermal cancers in 127 untreated transgenic mice was 42% by 52 weeks of age, most frequently affecting the chest as flat lesions in association with chronic ulcers, or in the ear as protuberant masses. Microscopic malignancies were detected in 39% of 32-week-old transgenic mice and were found to emerge from precursor lesions that were of two distinct types: dysplastic sessile ear papillomas and hyperproliferative follicular/interfollicular chest dysplasias. ODC activity and tissue polyamine contents were differentially elevated in ear and chest skin during carcinogenesis, such that there was a marked elevation of both parameters of polyamine metabolism as early as 4 weeks of age in the ear, whereas in the chest, polyamine metabolism was increased significantly only in the late stages of neoplastic progression and in epidermal cancers. Administration of 1.0% DFMO in the drinking water from 4 to 32 weeks of age prevented both visible and microscopic malignancies and significantly decreased the incidence of chest and ear precursor lesions. ODC activity and tissue putrescine content were markedly diminished by DFMO chemoprevention in ear skin, whereas there was a more modest decline of these parameters in chest skin. DFMO treatment of transgenic mice from 28 to 32 weeks of age was associated with an absence of ear cancer and a marked regression of dysplastic papillomas. In contrast, the results in chest skin were complex in that the severity of chest precursors diminished, but their incidence was unchanged, and microscopic cancers were still detectable within these lesions. Collectively, this study highlights the utility of multistage epidermal carcinogenesis in K14-HPV16 transgenic mice both for the study of the biology of, and as a screening tool for, novel drugs and chemopreventive regimens.


Subject(s)
Anticarcinogenic Agents/therapeutic use , Carcinoma, Squamous Cell/prevention & control , Eflornithine/therapeutic use , Epidermis/drug effects , Genes, Viral , Keratins/genetics , Papilloma/prevention & control , Papillomaviridae/genetics , Skin Neoplasms/prevention & control , Transgenes , Administration, Oral , Animals , Anticarcinogenic Agents/administration & dosage , Anticarcinogenic Agents/pharmacology , Carcinoma, Squamous Cell/genetics , Carcinoma, Squamous Cell/pathology , DNA Replication/drug effects , Disease Progression , Ear , Eflornithine/administration & dosage , Eflornithine/pharmacology , Epidermis/metabolism , Gene Expression Regulation , Keratin-14 , Mice , Mice, Transgenic , Neoplasm Proteins/antagonists & inhibitors , Organ Specificity , Ornithine Decarboxylase Inhibitors , Papilloma/genetics , Papilloma/pathology , Precancerous Conditions/genetics , Precancerous Conditions/pathology , Precancerous Conditions/prevention & control , Putrescine/biosynthesis , Skin Diseases/genetics , Skin Diseases/pathology , Skin Diseases/prevention & control , Skin Neoplasms/genetics , Skin Neoplasms/pathology , Thorax
12.
J Am Coll Cardiol ; 12(5): 1156-66, 1988 Nov.
Article in English | MEDLINE | ID: mdl-3170958

ABSTRACT

Forty consecutive patients with creatine kinase-MB confirmed myocardial infarction due to circumflex artery occlusion (Group 1) were prospectively evaluated and compared with 107 patients with infarction due to right coronary artery occlusion (Group 2) and 94 with left anterior descending artery occlusion (Group 3). All 241 patients underwent exercise thallium-201 scintigraphy, radionuclide ventriculography, 24 h Holter electrocardiographic (ECG) monitoring and coronary arteriography before hospital discharge and were followed up for 39 +/- 18 months. There were no significant differences among the three infarct groups in age, gender, number of risk factors, prevalence and type of prior infarction, Norris index, Killip class and frequency of in-hospital complications. Acute ST segment elevation was present in only 48% of patients in Group 1 versus 71 and 72% in Groups 2 and 3, respectively (p = 0.012), and 38% of patients with a circumflex artery-related infarct had no significant ST changes (that is, elevation or depression) on admission (versus 21 and 20% for patients in Groups 2 and 3, respectively) (p = 0.001). Abnormal R waves in lead V1 were more common in Group 1 than in Group 2 (p less than 0.003) as was ST elevation in leads I, aVL and V4 to V6 (p less than or equal to 0.048). These differences in ECG findings between Group 1 and 2 patients correlated with a significantly higher prevalence of posterior and lateral wall asynergy in the group with a circumflex artery-related infarct. Infarct size based on peak creatine kinase levels and multiple radionuclide variables was intermediate in Group 1 compared with that in Group 2 (smallest) and Group 3 (largest). During long-term follow-up, the probability of recurrent cardiac events was similar in the three infarct groups. When patients with a circumflex artery-related infarct were stratified according to the presence or absence of abnormal R waves in lead V1 or V2, the abnormal R wave group had more admission ST elevation (p = 0.025), a larger infarct (p less than 0.05) and more extensive coronary artery disease (p = 0.027). In fact, all patients with a circumflex artery-related infarct and an abnormal R wave in lead V1 had multivessel disease. An abnormal R wave in lead V1 had a 96% specificity for circumflex versus right coronary artery-related infarction but a sensitivity of only 21%. Discriminate function analysis of all admission historical and ECG variables identified inferior and lateral ST elevation as independent predictors of circumflex artery-related infarction...


Subject(s)
Arterial Occlusive Diseases/complications , Coronary Disease/complications , Myocardial Infarction/etiology , Angiography , Arterial Occlusive Diseases/pathology , Coronary Circulation , Coronary Disease/pathology , Electrocardiography , Forecasting , Heart/physiopathology , Humans , Middle Aged , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/physiopathology , Radionuclide Imaging , Thallium Radioisotopes
13.
J Am Coll Cardiol ; 9(1): 18-25, 1987 Jan.
Article in English | MEDLINE | ID: mdl-3540071

ABSTRACT

The clinical significance of early ST segment elevation in patients with non-Q wave infarction is unknown. Therefore, 150 consecutive patients with creatine kinase isoenzyme-confirmed acute uncomplicated myocardial infarction who had ST segment elevation of 1 mm or more in at least two contiguous leads on the admission electrocardiogram were analyzed. None received thrombolytic therapy or acute coronary angioplasty. Predischarge angiography, radionuclide ventriculography and exercise thallium-201 scintigraphy were performed 10 +/- 3 days after myocardial infarction. Based on serial electrocardiograms (on days 1, 2, 3 and 10), all 150 infarcts were classified as Q wave (n = 115 [77%]) or non-Q wave (n = 35 [23%]). Although patients with Q wave infarction exhibited greater ST elevation, the amount observed in the non-Q wave group was appreciable, as reflected by the number of leads with ST elevation (3.8 +/- 1.8 versus 3.1 +/- 1.2, p = 0.007) and the sum of the ST elevation (9.6 +/- 7.4 versus 6.2 +/- 6.2 mm, p = 0.016). When compared with the Q wave group, patients with non-Q wave infarction had a shorter time to peak creatine kinase (23.0 +/- 9.1 versus 15.8 +/- 7.9 hours, p = 0.0001), a higher infarct vessel patency rate (24 versus 57%, p = 0.001), lower peak creatine kinase values based on 4 hour sampling (1,372 +/- 964 versus 664 +/- 924 IU/liter, p = 0.0002) and a higher left ventricular ejection fraction (46 +/- 12% versus 54 +/- 9%, p = 0.0003).(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Electrocardiography , Myocardial Infarction/diagnosis , Aged , Clinical Trials as Topic , Coronary Angiography , Coronary Circulation , Fibrinolytic Agents/therapeutic use , Heart/diagnostic imaging , Heart Conduction System/physiopathology , Humans , Middle Aged , Myocardial Contraction , Myocardial Infarction/drug therapy , Myocardial Infarction/physiopathology , Radionuclide Imaging
14.
Transplantation ; 57(4): 606-12, 1994 Feb 27.
Article in English | MEDLINE | ID: mdl-7906904

ABSTRACT

Recent progress in gene therapy may provide a new strategy for prevention of allograft rejection. Oligonucleotides have been shown to inhibit specific gene transcription in both cell-free and living-cell systems. In our previous studies, a 26-mer oligonucleotide (T2) designed to form a triple helix with the X/X2 box promoter region of human MHC class II (DRA) gene was shown to prevent the induction by IFN-gamma of HLA-DR molecules. Here, we show that this oligonucleotide downregulates two other IFN gamma-inducible molecules, the adhesion molecule ICAM-1 and the Fc receptor for IgG on the surface of human cells. T2 has no effect on TNF alpha- and IL-1-mediated ICAM-1 upregulation, showing its specificity for IFN gamma. T2 oligonucleotide is shown to inhibit IFN gamma-mediated induction of Fc receptor on human blood monocytes as assessed by flow cytometry. Furthermore, pretreatment of monocytes with T2 resulted in suppression of anti-CD3-mediated peripheral blood T cell proliferation. The presented data suggest that oligonucleotide T2 blockade of IFN gamma-induction of different immune receptors on accessory cells is associated with inhibition of T cell proliferative responses.


Subject(s)
Genes, MHC Class II , Interferon-gamma/antagonists & inhibitors , Lymphocyte Activation/drug effects , Oligodeoxyribonucleotides/pharmacology , Antigen-Presenting Cells/immunology , Base Sequence , Cell Adhesion Molecules/metabolism , Cell Line , Gene Expression Regulation/drug effects , Humans , Intercellular Adhesion Molecule-1 , Interleukin-1/pharmacology , Molecular Sequence Data , Monocytes/immunology , Promoter Regions, Genetic , Tumor Necrosis Factor-alpha/pharmacology
15.
Transplantation ; 57(4): 612-5, 1994 Feb 27.
Article in English | MEDLINE | ID: mdl-7906905

ABSTRACT

We report that certain oligonucleotides are capable of inhibiting cell surface induction of the major histocompatibility complex class I (MHC-I) proteins by interferon-gamma in K562 cells. The inhibition by oligodeoxy-nucleotide I 5' GGG GTT GGT TGT GTT GGG TGT TGT GT-RNH2 is dose-dependent, with an EC50 24 hr after dosing of approximately 4 microM for 800 U/ml interferon-gamma. The reverse complement II 5' AC ACA ACA CCC AAC ACA ACC AAC CCC-RNH2 did not show activity. Oligodeoxynucleotide I inhibits induction of MHC-I by interferon-gamma, but does not inhibit induction by either interferon-alpha or interferon-beta. Four other oligodeoxynucleotides were also evaluated, and three showed activity against interferon-gamma at 25 microM.


Subject(s)
Genes, MHC Class I , Histocompatibility Antigens Class I/metabolism , Interferon-gamma/antagonists & inhibitors , Oligodeoxyribonucleotides/pharmacology , Base Sequence , Cell Adhesion Molecules/genetics , Cell Line , Gene Expression/drug effects , Histocompatibility Antigens Class I/genetics , Humans , In Vitro Techniques , Intercellular Adhesion Molecule-1 , Molecular Sequence Data , Oligodeoxyribonucleotides/chemistry , Promoter Regions, Genetic , RNA, Messenger/genetics , Receptors, Transferrin/metabolism
16.
Transpl Immunol ; 2(4): 285-92, 1994 Dec.
Article in English | MEDLINE | ID: mdl-7704538

ABSTRACT

Interferon-gamma (IFN-gamma) is an important cytokine released by T lymphocytes and natural killer cells which is able to induce expression of class II MHC and ICAM-1, crucial factors in cellular immune response. HeLa S3, HS 27, and NF-71-1 are cell lines which can be induced to express HLA-DR and HLA-DP by exposure to IFN-gamma. When T2 (5'GGGGTTGGTTGTGTTGGGTGTTGTGTRNH(2)3') oligonucleotide was added at 5-20 microM every other day, cell surface induction of HLA-DR and HLA-DP by IFN-gamma was suppressed in a dose-dependent manner in HeLa S3. T2 suppressive effect on HLA class II was also observed in four different nontransformed human cell lines, HS 27 at passage 18, NF-71-1 at passage 5, human corneal endothelial cell at passage 5, and human retinal pigmented epithelial cell at passage 3. Control oligonucleotides had no suppressive effect. Northern hybridization showed that HLA-DR A mRNA induction by IFN-gamma was blocked by T2 in HeLa S3 and fibroblast 143B. The suppressive effect of T2 was also reversible as continued culture of the treated cells without further addition of the oligonucleotide allowed full re-expression of HLA-DR. Further experiments showed that T2 oligonucleotide was also able to inhibit IFN-gamma enhancement of ICAM-1 (CD54) on human corneal endothelial cell and human retinal pigmented epithelial cell. We conclude that T2 oligonucleotide is effective at suppressing HLA-DR, HLA-DP and ICAM-1 induction by IFN-gamma in transformed and nontransformed cells in vitro.


Subject(s)
HLA-DP Antigens/biosynthesis , HLA-DR Antigens/biosynthesis , Intercellular Adhesion Molecule-1/biosynthesis , Interferon-gamma/antagonists & inhibitors , Oligonucleotides/pharmacology , Base Sequence , Blotting, Northern , Cell Line , Deoxyguanosine/pharmacology , Humans , Molecular Sequence Data , Thymidine/pharmacology
17.
EuroIntervention ; 9(7): 854-62, 2013 Nov.
Article in English | MEDLINE | ID: mdl-23838387

ABSTRACT

AIMS: The aim of the study was to determine the safety, efficacy and feasibility of a new chronic total occlusion (CTO) device using optical coherence tomography (OCT) technology, the Ocelot catheter (Avinger, Inc., Redwood City, CA, USA), for crossing of SFA CTOs following guidewire failure. METHODS AND RESULTS: Prospective, multicentre, market preference testing. Thirty-three patients with confirmed CTO (99-100% stenosis by visual estimate) of their superficial femoral artery (SFA) were treated between September 28, 2011, and December 9, 2011, at three European centres. Ocelot crossed 94% (31/33) of CTOs, allowing guidewire placement in the distal true lumen. All (100%) lesions were treated without any major adverse safety events. Procedural time and contrast dose were significantly reduced (p<0.0001) when compared with a similar, non-OCT-guided CTO crossing device (Wildcat catheter; Avinger, Inc.). Overall physician feedback on the catheter performance was positive with an 87% average rating of excellent or good across seven categories. Performance ratings of Ocelot's OCT imaging guidance were consistently positive with an 86% average rating of excellent or good across five OCT categories. CONCLUSIONS: The Ocelot catheter combines advanced CTO crossing technology with real-time OCT guidance. When compared with a similar non-OCT-guided catheter, crossing efficacy and safety profile improved. Total procedure time and contrast volumes were significantly reduced. The Ocelot is a safe, efficient and effective tool for crossing CTOs.


Subject(s)
Equipment Design , Treatment Outcome , Animals , Chronic Disease , Felidae , Femoral Artery/diagnostic imaging , Humans , Prospective Studies , Radiography
18.
Oncogene ; 28(5): 625-37, 2009 Feb 05.
Article in English | MEDLINE | ID: mdl-19015636

ABSTRACT

Hedgehog signaling is often activated in tumors, yet it remains unclear how GLI2, a transcription factor activated by this pathway, acts as an oncogene. We show that GLI2 is a pleiotropic oncogene. The overexpression induces genomic instability and blocks differentiation, likely mediated in part by enhanced expression of the stem cell gene SOX2. GLI2 also induces transforming growth factor (TGF)B1-dependent transdifferentiation of foreskin and tongue, but not gingival fibroblasts into myofibroblasts, creating an environment permissive for invasion by keratinocytes, which are in various stages of differentiation having downregulated GLI2. Thus, upregulated GLI2 expression is sufficient to induce a number of the acquired characteristics of tumor cells; however, the stroma, in a tissue-specific manner, determines whether certain GLI2 oncogenic traits are expressed.


Subject(s)
Cell Transformation, Neoplastic/genetics , Kruppel-Like Transcription Factors/genetics , Nuclear Proteins/genetics , Stromal Cells/physiology , Up-Regulation/genetics , Adolescent , Adult , Cell Differentiation/genetics , Cell Proliferation , Cells, Cultured , Gene Amplification/physiology , Genomic Instability/genetics , Humans , Keratinocytes/metabolism , Keratinocytes/pathology , Kruppel-Like Transcription Factors/metabolism , Kruppel-Like Transcription Factors/physiology , Neoplasms/genetics , Neoplasms/pathology , Nuclear Proteins/metabolism , Nuclear Proteins/physiology , Oncogenes/physiology , Organ Specificity/genetics , Stromal Cells/metabolism , Up-Regulation/physiology , Young Adult , Zinc Finger Protein Gli2
19.
J Chem Phys ; 122(14): 144708, 2005 Apr 08.
Article in English | MEDLINE | ID: mdl-15847554

ABSTRACT

Correlations between adhesion hysteresis and local friction are theoretically and experimentally investigated. The model is based on the classical theory of adhesional friction, contact mechanics, capillary hysteresis, and nanoscale roughness. Adhesion hysteresis was found to scale with friction through the scaling factor containing a varying ratio of adhesion energy over the reduced Young's modulus. Capillary forces can offset the relationship between adhesion hysteresis and friction. Measurements on a wide range of engineering samples with varying adhesive and elastic properties confirm the model. Adhesion hysteresis is investigated under controlled, low humidity atmosphere via ultrasonic force microscopy. Friction is measured by the friction force microscopy.

20.
J Bacteriol ; 171(5): 2528-32, 1989 May.
Article in English | MEDLINE | ID: mdl-2565332

ABSTRACT

Extensive restriction-fragment-length polymorphism was revealed in Escherichia coli strains by using a region of the bacteriophage M13 genome as a DNA hybridization probe. This variation was observed across natural strains, in clinical samples, and to a lesser extent in laboratory strains. The sequence in M13 which revealed this fingerprint pattern was a region of the gene III coat protein, which contains two clusters of a 15-base-pair repeat. Oligonucleotides made to a consensus of these repeats also revealed the fingerprint profile. While this consensus sequence has significant homology to the lambda chi site sequence, an oligonucleotide made of the chi sequence did not reveal polymorphic fingerprint patterns in E. coli. The strain variation revealed by the M13 and M13-derived oligonucleotide probes will be useful for bacterial characterization and should find use in studies of bacterial evolution and population dynamics. The findings raise questions about what these repeated sequences are and why they are so variable.


Subject(s)
Coliphages/genetics , DNA, Bacterial/genetics , Escherichia coli/genetics , Polymorphism, Genetic , Polymorphism, Restriction Fragment Length , Repetitive Sequences, Nucleic Acid , Biological Evolution , Blotting, Southern , DNA, Viral/genetics , Escherichia coli/classification , Genetic Variation , Nucleotide Mapping
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