Detection of IgG and IgE reactivity to BP180 using the ISAC® microarray system.

BACKGROUND: Bullous pemphigoid (BP) is an autoimmune skin disease in which patient autoantibodies react with BP180 and BP230 proteins. In addition to IgG, IgE has been shown to play a role in the disease. OBJECTIVES: To evaluate the feasibility of detecting IgE and IgG against the immunodominant BP180 NC16A domain (BP180) using a microarray system. METHODS: BP180 was immobilized on an experimental version of the ISAC(®) microarray (Exp96). The BP study group and the controls were all tested on the commercial ISAC 103 version and on the Exp96. IgG and IgE were measured in a single run. BP180 IgG and IgE results were compared with those using an enzyme-linked immunosorbent assay (ELISA). RESULTS: All results obtained using the IgG ELISA on the 31 patients with BP were replicated with the ISAC IgG. Five of eight BP sera tested by ELISA showed similar results with ISAC IgE. Twenty-nine (94%) and 19 (61%) of the 31 patients with BP were IgG and IgE positive to BP180, respectively, whereas four (3%) and six (4%) of 138 normal donors were IgG and IgE positive, respectively. Interestingly, the levels of IgG against BP180 detected using the ISAC system were related to the disease severity. Patients with BP showed a peculiar profile of IgE recognition toward some groups of allergens, which was absent in a group of allergic individuals. A significant, higher prevalence of hen's egg recognition was observed in patients with BP who had specific IgE to BP180. CONCLUSIONS: The present preliminary study indicates that the ISAC microarray system is suitable for detecting IgG and IgE autoantibodies in patients with BP. Notably, this system allows the assessment of IgE and IgG autoantibodies at the same time, could be employed for the detection of autoantibodies to other autoantigens, and allows profiling for specific IgE to allergens.

Influence of temperature on microdomain organization of mixed cationic-zwitterionic lipidic monolayers at the air-water interface.

The thermodynamic behavior of mixed DOTAP-DPPC monolayers at the air-water interface has been investigated in the temperature range from 15 to 45 degrees C, covering the temperature interval where the thermotropic phase transition of DPPC, from solid-like to liquid-like, takes place. Based on the regular solution theory, the miscibility of the two lipids in the mixed monolayer was evaluated in terms of the excess Gibbs free energy of mixing DeltaG(ex), activity coefficients f(1) and f(2) and interaction parameter omega between the two lipids. The mixed DOTAP-DPPC film was found to have positive deviations from ideality at low DOTAP mole fractions, indicating a phase-separated binary mixture. This effect depends on the temperature and is largely conditioned by the structural chain conformation of the DPPC lipid monolayer. The thermodynamic parameters associated to the stability and the miscibility of these two lipids in a monolayer structure have been discussed in the light of the phase diagram of the DOTAP-DPPC aqueous mixtures obtained from differential scanning calorimetry measurements. The correlation between the temperature behavior of DOTAP-DPPC monolayers and their bulk aqueous mixtures has been briefly discussed.

Properties of mixed DOTAP-DPPC bilayer membranes as reported by differential scanning calorimetry and dynamic light scattering measurements.

We have investigated the effect of a cationic lipid [DOTAP] on both the thermotropic phase behavior and the structural organization of aqueous dispersions of dipalmitoyl-phosphatidylcholine [DPPC] by means of high-sensitivity differential scanning calorimetry and dynamic light scattering measurements. We find that the incorporation of increasing quantities of DOTAP progressively reduces the temperature and the enthalpy of the gel-to-liquid crystalline transition. We are further showing that, in mixed DOTAP-DPPC systems, the reduction of the phase transition temperature is accompanied by a reduction of the average size of the structures present in the aqueous mixtures, whatever the DOTAP concentration is. These results, which extend a previous investigation by Campbell et al. (Campbell, R. B.; Balasubramanian, S. V.; Straubinger, R. M.; Biochim. Biosphys. Acta 2001, 27, 1512.) limited to a DOTAP concentration below 20 mol %, confirm that the insertion of cationic head groups in zwitterionic phosphatidylcholine bilayers facilitates the formation of stable, relatively small, unilamellar vesicles. This self-assembling restructuring from an aqueous multilamellar structure toward a liposomal phase is favored by decreasing the phospholipid phase transition temperature and by increasing the temperature of the system. This reduction of the average size and the appearance of a stable liposomal phase is also promoted by a heating and cooling thermal treatment.

Liposome-induced DNA compaction and reentrant condensation investigated by dielectric relaxation spectroscopy and dynamic light scattering techniques.

Interaction of DNA with oppositely charged objects, such as multivalent ions, cationic surfactants, cationic liposomes, basic proteins, and alcohols, up to nano- or mesoscopic particles, gives rise to a very interesting and fascinating phenomenology, where the shape, size, and stability of the resulting aggregates depend on a delicate balance between different driving forces, mainly of electrostatic origin. We have studied the cationic liposome-DNA complexes during the whole complexation process, below, close to, and above the isoelectric condition, where the number of cationic lipids equals the number of phosphate groups on the DNA chain. We took advantage of the combined use of dynamic light scattering, laser Doppler electrophoretic mobility, and radio-wave dielectric relaxation measurements in order to characterize both the structural parameters (hydrodynamic radius) and the electrical parameters (charge and counterion concentration) of the resulting structures. These structures are fundamentally of two types, clusters of liposomes stuck together by DNA chains (cluster phase in low-density colloidal suspension) and coexisting DNA coils and DNA globules, according to the procedure through which interactions occur (liposomes in excess DNA solution or DNA in excess liposome suspension).

Solvent quality influence on the dielectric properties of polyelectrolyte solutions: a scaling approach.

The dielectric properties of polyelectrolytes in solvent of different quality have been measured in an extended frequency range and the dielectric parameters associated with the polarization induced by counterion fluctuation over some peculiar polyion lengths have been evaluated. Following the scaling theory of polyelectrolyte solutions and the recent models developed by Dobrynin and Rubinstein that explicitly take into account the quality of the solvent on the polyion chain conformation, we have reviewed and summarized a set of scaling laws that describe the dielectric behavior of these systems in the dilute and semidilute regime. Moreover, for poorer solvents, where theory of hydrophobic polyelectrolytes predicts, and computer simulation confirms, a particular chain structure consisting of partially collapsed monomers (beads) connected by monomer strings, we derived a scaling law. These predictions are compared with the results obtained from the dielectric parameters (the dielectric increment delta epsilon and the relaxation time tau(ion)) of the "intermediate" frequency relaxation of two partially charged polymers, which possess a carbon-based backbone for which water is a poor solvent and ethylene glycol is a good solvent. By varying the solvent composition (a water-ethylene glycol mixture), we have tuned the quality of the solvent, passing from poor to good condition and have observed the predicted scaling for all the systems investigated. These findings give a further support to the scaling theory of polyelectrolyte solutions and to the necklace model for hydrophobic polyelectrolytes in poor solvents.

Efficacy and safety of infliximab and adalimumab in Crohn's disease: a single centre study.

BACKGROUND: Infliximab and adalimumab are highly effective in Crohn's Disease (CD). This is supported by clinical trials and open-label studies using either infliximab or adalimumab, thus not allowing a proper comparison between these anti-TNFs in CD. AIM: To evaluate the efficacy and safety of infliximab and adalimumab in active CD. METHODS: In a longitudinal study, CD patients with indication for anti-TNFs were treated with infliximab or adalimumab. RESULTS: Ninety-three patients were treated with infliximab (n = 44) or adalimumab (n = 49). In the infliximab group, the induction was completed by 77.3% of patients, due to no response (n = 2), delayed hypersensitivity reactions (DHR) or infusion reactions (n = 8). Maintenance with infliximab was completed by 60% of patients, due to clinical worsening or loss of efficacy (n = 5), DHR or infusion reactions (n = 5). In the adalimumab group, all patients completed the induction, while maintenance was completed by 67% of patients, due to clinical worsening or loss of efficacy (n = 8), DHR (n = 1), other causes (n = 7). In both groups, the CDAI significantly reduced at baseline vs. each visit (P < 0.04). The Kaplan-Meier survival analysis performed to evaluate the risk of steroid-free remission in patients treated with infliximab vs. adalimumab detected no differences (log-rank test P = 0.4). Cox proportional-hazards regression identified two predictors of steroid-free remission using anti-TNFs: no smokers [HR = 2.94 (1.52-5.70), P = 0.001] and non stricturing non penetrating behaviour [HR = 3.116 (1.06-9.13), P = 0.03826]. CONCLUSIONS: Infliximab and adalimumab showed a similar efficacy. No smoking and non-stricturing non-penetrating behaviour were predictors of steroid-free remission.

Radiowave dielectric properties of sodium maleate copolymers in aqueous solutions in light of a scaling approach.

The concentration dependence of the dielectric properties of aqueous solutions of sodium maleate copolymers with comonomers of different hydrophobicities have been investigated by means of frequency domain dielectric spectroscopy in the frequency range from 1 kHz to 2 GHz. The dielectric relaxation falling between the process at low frequencies (polarization involving the whole polymer chain) and the one at high frequencies (polarization of the bulk aqueous phase) has been analyzed in light of the scaling properties of polyelectrolyte solutions. Within this framework, the dielectric properties are governed by two characteristic lengths, the distance R(cm) between chains in the dilute regime and the correlation length xi in the semidilute regime. We find that, for both these regimes, the exponents of the scaling laws, which describe the dielectric increment Deltaepsilon and the relaxation time tau(ion) are in a reasonably good agreement with the ones experimentally observed. This analysis gives further support to the scaling approach of the dynamic behavior of polyelectrolytes, appearing very suitable to modeling our dielectric results.

Polyion-induced cluster formation in different colloidal polyparticle aqueous suspensions.

The formation of aggregates in polyion-induced charged colloidal particles in aqueous suspension is characterized, under appropriate conditions, by two complementary effects, known as re-entrant condensation and charge inversion, which are considered as proof for the existence of a cluster phase. In this paper, we extend our previous investigation to a set of aqueous colloidal particle suspensions, such as polystyrene spheres, colloidal gold particles, and polylactic acid particles. These systems are characterized by the evolution of the average size of the aggregates and their surface electrical charge (charge inversion) by means of dynamic light-scattering measurements and laser Doppler electrophoretic techniques. The results, together with the previous ones concerning liposome particles, support the notion of a common behavior of this group of complex colloids characterized by short-ranged attractive interactions. The study provides some insights into these structures, which are potentially useful in biotechnological applications, such as multicompartmental carriers in nonviral drug delivery.

Polyion-induced aggregation of lipidic-coated solid polystyrene spheres: the many facets of complex formation in low-density colloidal suspensions.

We have investigated the formation of a cluster phase in low-density colloidal systems formed by charged solid charged particles stuck together by an oppositely charged polyion. In analogy with what we have previously observed in the case of soft charged particles, also in this case the same basic phenomenology occurs, consisting of the presence of the two well-known characteristic phenomena of this class of colloids, that is, reentrant condensation and charge inversion. With the aim of comparing the cluster formation in both soft and solid charged particles, we have, in previous works, employed cationic liposomes (soft particles, lipidic vesicles built up by dioleoyltrimethylammonium propane [DOTAP] lipid) and, in the present work, polystyrene particles (solid particles) covered by the same lipidic bilayer as the one of the soft particles, so that the two classes of particles share electrostatic interactions of the same nature. These charged particle clusters, where the single aggregating particles maintain their integrity without undergoing a structural rearrangement, join to a class of different aggregated structures (lamellar or inverse hexagonal phases) observed as well in the polyion-induced aggregation of oppositely charged mesoscopic particles, in particular, lipidic vesicles. Our results show that the formation of relatively large, equilibrium clusters of particles which maintain their integrity, stuck together by a polyion which acts as an electrostatic glue, is one of the many facets of the complex phenomenology underlying the interactions of charged particles with oppositely charged objects.

Dielectric scaling in polyelectrolyte solutions with different solvent quality in the dilute concentration regime.

In this note, we present a set of radiowave dielectric spectroscopy measurements of two dilute, differently-charged polyelectrolyte solutions, under different solvent conditions. We have found that both the dielectric strength, Delta epsilon, and the relaxation time, tau(ion), of the dielectric relaxation process associated with the counterion polarization along a length scale of the order of the correlation length obey the scaling laws with the polyion concentration, according to the Ito model. This is verified with good accuracy independently of the quality of the solvent, which has been varied from poor to good solvent conditions. This finding supports evidence to the fact that, in dilute solutions, the counterion polarization is independent of the polyion concentration, in spite of what occurs at the semi-dilute concentrations.

Conductometric properties of linear polyelectrolytes in poor-solvent condition: the necklace model.

We present a set of low-frequency electrical conductivity measurements of solutions of differently charged, salt-free polyelectrolytes in poor- and in good-solvent conditions, in the semidilute concentration regime. The data have been analyzed and discussed in light of the necklace model for hydrophobic polyelectrolytes recently proposed by Dobrynin et al. [Macromolecules 29, 2974 (1996)] that predicts the chains to collapse into spheroidal cores connected by narrow strings. By varying the quality of the solvent, we have measured the polyion equivalent conductance lambda(p) in an extended concentration range in the semidilute regime and have demonstrated that this parameter is influenced by the polyion chain conformation, giving further support, when the poor-solvent condition prevails, to the picture of a string of electrostatic blobs. On the contrary, in good-solvent condition, the electrical conductivity data are in reasonable good agreement with the picture of an extended chain consisting of a collection of electrostatic blobs. These electrical conductivity measurements, in light of scaling theory, furnish new experimental support for the necklace model for hydrophobic polyions in poor solvents.