Category Archives: clinical trials

The simultaneous supplementation of magnesium sulfate on cognitive deficits in an ICV-STZ-induced model

The ICV administration of STZ is a well-established, validated, and widely accepted animal model of sAD, which develops many AD-like neuropathological features, including synaptic damage, amyloid-b deposition and tau hyperphosphorylation. Magnesium is required for many physiological processes, including insulin sensitivity, inflammatory responses, glucose metabolism, the regulation of cell proliferation and apoptosis, and defense against oxidative stress. Magnesium deficiency or imbalance has been implicated in AD pathogenesis, and an increase in brain magnesium improves learning and memory functions in aged rats. Our study found that the simultaneous supplementation of magnesium sulfate effectively increased the brain magnesium levels and rescued ICV-STZ-induced learning and memory deficits. Synaptic plasticity is a prerequisite of learning and memory and can be measured using alterations in LTP or synaptic morphology. Increasing extracellular magnesium in the physiological range enhances synaptic plasticity in cultured hippocampal neurons, suggesting its role as positive regulator of synaptic plasticity. Synaptic VE-821 degeneration in AD was correlated with cognitive decline. We showed that the simultaneous supplementation of magnesium sulfate rescued LTP, preserved the morphological complexity of synapses and up-regulated the expression of synaptic proteins in ICV-STZ rats. Tau hyperphosphorylation is the prelude of neurofibrillary tangle formation, which is positively correlated with the degree of clinical dementia. The ICV-STZ model shows neurodegenerative pathologies, including amyloid-b and hyperphosphorylated tau, which are similar to the brains of AD patients. Magnesium favors a-secretase cleavage pathways, which reduce amyloid-b, and we found that magnesium inhibited tau hyperphosphorylation in the sAD model. The protein kinase and protein phosphatase GSK-3b and PP2A are the most implicated regulators of tau phosphorylation. As previously reported, ICV-STZ induced the activation of GSK-3b. Tyr216 and Ser9 phosphorylation regulate GSK-3b activity. We identified that magnesium arrested STZ-induced GSK-3b activation via an increase in inhibitory phosphorylation at Ser9. A previous study also showed that magnesium, similar to zinc and lithium, is a potent inhibitor of GSK-3b. GSK-3b is a downstream target of the PI3K/Akt signaling pathway, and PI3K/Akt inactivation increases GSK-3b activity. Magnesium significantly enhances the activity of the PI3K/Akt pathway. Our data are consistent with recent studies, which showed that ICV-STZ treatment decreases PI3K and Akt phosphorylation. We also found that the simultaneous supplementation of magnesium sulfate was prone to activate the PI3K/Akt pathway and inactivate GSK-3b. ICV-STZ can induce an insulin resistant state in the brain and other similarities with human sAD. In addition, deregulation of brain insulin and insulin receptor has been linked to the pathogenesis of AD. In humans and in animal models, magnesium deficiency modulates insulin sensitivity, and may be associated with impaired insulin secretion. The present results showed that magnesium could promote the protein expression of INSR, the mRNA levels of INS and INSR in ICV-STZ-induced rats.

We cannot rule out the effect on excluded from this analysis due to potential population stratification

It is likely that in a larger sample of LCLs, further genes would show significant correlations with relative EBV copy number. It is therefore important to control for the effects of EBV copy number in gene expression studies utilising large samples of LCLs. Other studies of the impact of EBV on the gene expression patterns of LCLs include a study by Choy et al., which reported that,15% of genes to have at least 5% of their variance correlated with EBV copy number. In a study of semi-quantitative antibody response to EBV gene EBNA1, Rubicz et al. were able to identify 15 SNPs which were associated with EBV antibody response at genome-wide significant level. In contrast, Kuparinen et al. performed a GWAS for CMV antibody response and did not identify any genome-wide significant SNPs. It is possible that a different genetic architecture underlies the host response to control of EBV copy number in LCLs than that of EBV antibody response. Additionally all of the genes associated with the EBV antibody response were within the HLA system, a region of the genome this study was not well-powered to interrogate given the differences in HLA allele frequencies between populations and our criteria that a variant must be present in all 12 populations studied for SNP inclusion. Our finding that the 1.6 M SNPs studied in this GWAS could collectively explain 65% of the variance in relative EBV copy number, while no single SNP reached genome-wide significance, suggests that many variants of small effect play a collective role within LCLs. Similarly, GWAS of genetic resistance to HIV-1 infection could not find any common variants which were protective, while GWAS of host control of HIV-1 viral load found a number of genome-wide significant loci associated with lower HIV-1 viral load set points and slower progression to AIDS. The power to identify host genetic variation of virus infection traits may greatly depend on the trait under study and the sample sizes. We estimated the heritability of relative EBV copy number, based on data from 101 parent-child trios to be 34%. Other studies have found EBV anti-EBNA1 antibody response to be 68% VE-821 heritable when considered as a discrete trait and discrete anti-VCA IgG antibody response to be 32–48% heritable. Infectious mononucleosis concordance rates in twins were estimated to be 12% between monozygotic twins and 6% between dizygotic twins. Therefore, host genetic factors appear to play a variable but significant role in symptomatic response to primary EBV infection, the adaptive immune response to EBV latency, and the cellintrinsic control of EBV latency although none of the variants previously identified were significantly associated with EBV copy number in our analysis. This study has established that relative EBV copy number within LCLs is very much a complex trait, which has a significant heritable component. Our results suggest that many genetic variants of effect size less than 4.7% of variance in relative EBV copy number exist, but which this study was not statistically powered to detect. This study also focused on 1.6 million single nucleotide polymorphisms which were common to every population studied.

Nocebo effects are often reported as the development of unwanted adverse lines for a suitable surrogate to measure fitness in vitro

The primary and/or major sites of DENV replication in humans are not known yet. Therefore, it was unclear what cells or cell lines might be appropriate substrates for experiments relevant to the human condition. A survey of the literature suggested DENV could be identified most commonly in the liver, as it was associated with liver dysfunction and pathology but it was not clear whether this was due to the extensive phogocytic activity of the liver or that cells in the liver are more susceptible to infection than those in other tissues. However, in this study, all human cell lines including a number of liver cell lines, were extremely refractory to infection by the low passage DENV-1. The use of HuH7 cells in this study reflected that these cells appeared to be the best available rather than that they were a productive cell substrate. Other investigators have struggled to find human cell lines that are uniformly susceptible to infection by DENV from patient serum or by low passage DENV isolates. These investigations focussed on DENV infections in C6/36 mosquito cells. Mosquito cell is not a perfect representation to measure fitness; however, it is representation of mosquito vectors. Additional information may have been revealed if similar studies were undertaken in human cells, and more informative changes may have been revealed if similar studies were undertaken in human cells. However, it was not possible to identify a human cell line that was sufficiently susceptible to infection with all low passage strains of DENV. Furthermore, the most susceptible human cell line, HuH7, required a FBS supplement for growth and the FBS reduced the sensitivity of the ELISA method employed to quantitate DENV in culture supernatants. This study has provided clear evidence that the SCH772984 942183-80-4 lineage turnover in DENV transmission is not due to any selective pressures because of the variation in fitness within populations. While we observed a trend that fitness of extinct lineage DENV populations was more polarised than circulating lineage, impact of polarisation of fitness in population in DENV lineage extinction need to be further explored. As Myanmar is a hyperendemic country, the presence of multiple DENV serotypes may result in complex patterns of cross-immunity, which might determine which clades survive and which become extinct. The explanation for clade replacement may lie with the phenotype of the host with the more susceptible hosts being infected more readily after appearance of a new clade such that, after several years, the virus struggles to survive. A new clade, with a different phenotype, may be able to exploit hosts which the resident clade is struggling to infect. The term nocebo was created in analogy to the term placebo, and refers to the development of negative effects that are attributed to medication, albeit the drug itself does not explain the provocation of these symptoms.

It is known that vitamin D levels can trigger proteinuria by direct and indirect this hormone observed in CKD

Our aim was to study the U0126 vitamin D deficiency in a murine model of CKD progression after AKI induced by ischemia/ reperfusion. In our experimental ischemia/reperfusion injury model, we found renal hypertrophy, increased levels of blood pressure and proteinuria in both ischemic animal groups. Furthermore, we observed enlargement of the interstitial area, including increased infiltration of ED1 positive cells and presence of fibrosis, and phenotypic modification of renal tubular cells. Vitamin D deficiency contributed to the elevation of plasma PTH and decrease of plasma FGF-23 levels as well as for important chronic tubulointerstitial changes. In addition, we found increased expression of cytokine TGF-b1 and decreased expression of VDR receptor and Klotho protein in vitamin D-deficient animals submitted to ischemia/reperfusion injury. Our results clearly show that animals fed the vitamin D-free diet presented undetectable levels of 25D. The plasma level of 25D reflects vitamin D intake from foods and supplements, as well as cutaneous synthesis. In addition to calcium and phosphorus, another important compound related to vitamin D synthesis is PTH level. Our results showed high levels of PTH in VDD, mainly in VDD+IRI group. These alterations were expected since the lack of vitamin D reduces intestinal calcium absorption, leading to a lower level of calcium and higher production of PTH by the parathyroid gland. PTH, in turn, acts on bone tissue in order to attenuate the decrease in serum calcium and the increase in phosphorus excretion. We also investigated the role of vitamin D on blood pressure control. In our study, ischemic and vitamin D deficient rats showed higher levels of blood pressure. This alteration was accompanied by an increased mRNA expression of some RAS compounds, including renin, angiotensinogen and ACE. Further more, we found increased levels of plasma aldosterone in VDD, IRI and VDD+IRI groups. So, our data reinforce an important role of vitamin D in blood pressure control. In fact, strong evidences from studies conducted in humans and animals show that vitamin D can be related to a decrease in the reninangiotensin activity. Also, it has been demonstrated that vitamin D deficiency can led to an upregulation of the RAS, changes in the endothelium, and vascular smooth cells as well. Li et al demonstrated that VDR knockout mice showed increased renin expression and hypertension, and these changes were suppressed by an analogue of vitamin D. Studies have shown that vitamin D deficiency is associated with increased prevalence of proteinuria in adult population, a marker of CKD progression. Our results showed a progressive and significant increase of proteinuria among the studied groups. In addition, it was noteworthy that vitamin D deficiency enhanced proteinuria in VDD and VDD+IRI. However, the mechanisms by which proteinuria leads to reduced levels of vitamin D in the body or vice versa are not fully understood.

VSV virions within a population were more fit than the population from which they were drawn populations containing

DENV-1 NVP-BKM120 lineage replacements were observed in Myanmar, Cambodia, Thailand in the late 1990s, in the mid-1990s and in the early 2000s respectively. Similarly, DENV-2 lineage replacements were observed in Vietnam in the early 2000s. DENV-3 lineage replacements were observed in Sri Lanka in the late 1980s, and in Thailand in the early 1990s. And DENV-4 lineage replacements were observed in Puerto Rico during the 1980s and 1990s. A more global lineage replacement event has also been reported, in which DENV-2 lineages from Southeast Asia displaced the American DENV-2 lineage in the Americas during the early 1990s. Exploring the causes of DENV lineage replacement has important implications for dengue epidemiology and control. As DENV antigenic properties often differ between lineages, understanding the mechanisms that underlie lineage turnover will influence vaccine design, and the putative mechanisms of lineage replacement are used to develop prediction models for future dengue epidemics. Despite this potential significance, there are multiple explanations exists on whether lineage replacement events result from the random sampling of viral variants during genetic bottlenecks due to the stochastic nature of DENV transmission, or from variations in fitness within discrete viral populations. For the purposes of this work, fitness is defined as the ability of DENV-1 virions to replicate in cultured cells. Some phylogenetic studies have suggested that observed DENV lineage replacement events were due to either a higher viraemia in the human host or enhanced infectivity in mosquito vectors, while others suggested that the data were more consistent with stochastic events. With respect to viral fitness in other systems, fewer than 5% of members of Vesicular stomatitis virus populations were reported to be more fit than the population from which they were drawn, and mixtures of Ross river virus populations containing less than 1% of a virulent strain nonetheless displayed a virulent phenotype. Despite these observations, the distribution of fitness in DENV populations has been not yet been quantified and correlated with epidemiological patterns, like lineage extinction and replacement during transmission. Here, we measured distribution of fitness within DENV populations with differing epidemiological histories and correlated them with observed lineage extinction and replacement events. DENV lineage turnover is commonly observed in DENV evolution, but it is unclear whether lineage replacement events are caused by selective pressure or by random sampling during transmission. While DENV populations are highly diverse, the overall fitness of a DENV population in an individual host is unlikely to be simply the sum of individual fitness. Other similarly diverse arboviruses exhibit characteristics consistent with synergy within their viral populations.