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Michael Hughes Tonia Moore Joanne Manning Jack Wilkinson Stuart Watson Prawin Samraj Graham Dinsdale Chris Roberts Ariane Herrick Andrea Murray 《Lancet》2017
Background
Locally acting, well-tolerated treatments for digital ulcers in patients with systemic sclerosis are needed. We aimed to investigate the safety, feasibility, and tolerability of a novel light treatment, and to tentatively assess treatment efficacy.Methods
Light treatment with an in-house built phototherapy lamp was administered twice per week for 3 weeks, with follow-up at 4 and 8 weeks. Adverse events were documented. Data on patient opinion about the time to deliver, feasibility (“not feasible”, “indifferent”, “feasible”), and pain (visual analogue scale [VAS], 0–100) were collected. Patient and clinician assessment of severity of digital ulcers (VAS, 0–100) was documented. An independent assessor graded change in appearance of digital ulcers from photographs (?2 to +2). Laser doppler imaging (to assess perfusion) was performed before and after treatment. A linear mixed-effects model was used to assess change in digital ulcer status. This study is registered with ClinicalTrials.gov, number NCT02472743.Findings
Eight patients with 14 digital ulcers were recruited. 46 light treatments were administered, with no adverse events. All patients believed that light treatment was “feasible” and “took just the right amount of time”, with a low associated mean pain VAS of 1·6 (SD 5·2). Severity of digital ulcers as judged by patients and clinicians improved during the study (mean change in VAS ?7·1 and ?5·2, respectively; both p≤0·001). According to independent assessment, mean change in appearance of digital ulcers per week was 0·14 (95% CI 0·0–0·3) (p=0·01). There was a significant increase in the relative (compared with baseline) mean perfusion after (compared with before) light treatment, in particular at the centre of the digital ulcer (0·32, 95% CI 0·13–0·52; p=0·0013).Interpretation
Light treatment for digital ulcers in systemic sclerosis is safe, feasible, and well tolerated. There was an early tentative suggestion of treatment efficacy. Future research is warranted to develop light-based treatment as a locally acting therapy for digital ulcers in patients with systemic sclerosis.Funding
Arthritis Research UK. 相似文献54.
Paulus Kirchhof Eloi Marijon Larissa Fabritz Na Li Wei Wang Tiannan Wang Kirsten Schulte Juliane Hanstein Jan S. Schulte Mathis Vogel Nathalie Mougenot Sandra Laakmann Lisa Fortmueller Jens Eckstein Sander Verheule Sven Kaese Ariane Staab Stephanie Grote-Wessels Ulrich Schotten Ghassan Moubarak Xander H.T. Wehrens Wilhelm Schmitz Stéphane Hatem Frank Ulrich Müller 《International journal of cardiology》2014
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Ariane Briegel Davi R. Ortega Elitza I. Tocheva Kristin Wuichet Zhuo Li Songye Chen Axel Müller Cristina V. Iancu Gavin E. Murphy Megan J. Dobro Igor B. Zhulin Grant J. Jensen 《Proceedings of the National Academy of Sciences of the United States of America》2009,106(40):17181-17186
Chemoreceptors are key components of the high-performance signal transduction system that controls bacterial chemotaxis. Chemoreceptors are typically localized in a cluster at the cell pole, where interactions among the receptors in the cluster are thought to contribute to the high sensitivity, wide dynamic range, and precise adaptation of the signaling system. Previous structural and genomic studies have produced conflicting models, however, for the arrangement of the chemoreceptors in the clusters. Using whole-cell electron cryo-tomography, here we show that chemoreceptors of different classes and in many different species representing several major bacterial phyla are all arranged into a highly conserved, 12-nm hexagonal array consistent with the proposed “trimer of dimers” organization. The various observed lengths of the receptors confirm current models for the methylation, flexible bundle, signaling, and linker sub-domains in vivo. Our results suggest that the basic mechanism and function of receptor clustering is universal among bacterial species and was thus conserved during evolution. 相似文献
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Validity of a three-dimensional public-domain system for contemporary endodontic research 总被引:2,自引:0,他引:2
The purpose of this study was to evaluate the limits and benefits of a visualization system based on public-domain software for contemporary three-dimensional (3-D) endodontic research purposes. Three-dimensional bio-models of six human teeth and of one bone-implant specimen were generated using cross-sectional imaging. To evaluate the overall performance in processing large data sets and in reproducing accurate 3-D morphology, slices with a thickness varying from 100 microm to 10 microm were cut. Auto-outlining and segmenting techniques were tested. The 3-D bio-models represented in accurate detail the different morphological aspects of the specimen. Voxel volumes of 0.116 x 10(-5) mm3 could be realized and were only restricted by the computer hardware limitations. The system is not limited to dental hard tissues. Hypomineralized material and soft tissues as well as bone- and allogeneic-implant material could be visualized. The method presented is valid and meets current requirements applying to endodontic research. The broad-based use of high-quality, public-domain software and the resulting exchange of experience help to manage resources and may contribute to enhancing the in-process quality of research. 相似文献
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