Role of regulatory invariant CD1d-restricted natural killer T-cells in protection against type 1 diabetes

Invariant CD1d-restricted natural killer T (iNKT) cells function during innate and adaptive immune responses. A functional and numerical deficiency of iNKT cells is well documented in both nonobese diabetic (NOD) mice and humans with autoimmune type 1 diabetes (T1D). Restoring the numerical and/or functional deficiency of iNKT cells in NOD mice by either treatment with α-galactosylceramide, transgenic induction of V α14-Jα18 expression, or transgenic expression of CD1d in NOD islets under the control of the human insulin promoter confers protection from T1D in these mice. Recently, considerable progress has been made in understanding the developmental and functional activities of iNKT cells. In this review, we discuss the role of iNKT cell deficiency and defective development in the onset of T1D in NOD mice and the different protective mechanisms known to restore these defects.     

An Algorithm for Tracking Microcatheters in Fluoroscopy

Currently, a large number of endovascular interventions are performed for treatment of intracranial aneurysms. For these treatments, correct positioning of microcatheter tips, microguide wire tips, or coils is essential. Techniques to detect such devices may facilitate endovascular interventions. In this paper, we describe an algorithm for tracking of microcatheter tips during fluoroscopically guided neuroendovascular interventions. A sequence of fluoroscopic images (1,024 × 1,024 × 12 bits) was acquired using a C-arm angiography system as a microcatheter was passed through a carotid phantom which was on top of a head phantom. The carotid phantom was a silicone cylinder containing a simulated vessel with the shape and curvatures of the internal carotid artery. The head phantom consisted of a human skull and tissue-equivalent material. To detect the microcatheter in a given fluoroscopic frame, a background image consisting of an average of the four previous frames is subtracted from the current frame, the resulting image is filtered using a matched filter, and the position of maximum intensity in the filtered image is taken as the catheter tip position in the current frame. The distance between the tracked position and the correct position (error distance) was measured in each of the fluoroscopic images. The mean and standard deviation of the error distance values were 0.277 mm (1.59 pixels) and 0.26 mm (1.5 pixels), respectively. The error distance was less than 3 pixels in the 93.0% frames. Although the algorithm intermittently failed to correctly detect the catheter, the algorithm recovered the catheter in subsequent frames.     

Specialist visits and initiation of cancer-directed treatment among a large cohort of men diagnosed with prostate cancer

Background

The urologist generally manages the treatment of men immediately following the diagnosis of prostate cancer (PCa). The role of other physician specialists in this setting is less clear. We investigated whether involvement of other physician specialty types immediately following diagnosis affects initiation of cancer-directed treatment.

One-year pivotal trial outcomes of the Nellix system for endovascular aneurysm sealing

Objective

The Nellix EndoVascular Aneurysm Sealing (EVAS) System (Endologix, Inc, Irvine, Calif) is a novel approach to abdominal aortic aneurysm (AAA) treatment whereby polymer is used to fill the AAA sac. We report 1-year results of the investigational device exemption pivotal trial.

Therapy with pembrolizumab in treatment-naïve patients with nonmetastatic,mismatch repair deficient colorectal cancer

Therapy with immune checkpoint inhibitors (ICI) is effective in patients with metastatic mismatch-repair deficient (dMMR) colorectal cancer (CRC); however, data on treatment with neoadjuvant ICI in patients with locally advanced CRC are limited. From March 2019 to June 2020, five Danish oncological centers treated 10 patients with a treatment-naïve dMMR CRC with preoperative pembrolizumab, 9 with a nonmetastatic, unresectable colon cancer and 1 with a locally advanced rectum cancer. All 10 patients were evaluated regularly at a multidisciplinary team (MDT) meeting, and they all had a radical resection after a median of 8 cycles (range 2-13) of pembrolizumab. A microscopic evaluation of the resected tumors revealed no remaining tumor cells in five patients, while five still had tumor cells present. The patients were given no additional therapy. No recurrences were reported after a median follow-up of 26 months (range 23-38.5 months). Biopsies from Danish patients with CRC are routinely screened for dMMR proteins. In 2017, data from the Danish Colorectal Cancer Group showed that 19% (565/3000) of the patients with colon cancer and 1.5% (19/1279) of those with rectum cancer had an dMMR tumor. Among the patients with MMR determination, 26% (99/384) patients had a T4 dMMR colon cancer; thus, the 10 patients treated with neoadjuvant pembrolizumab comprised about 9% of the patients with a T4 dMMR colon cancer (9/99) and 5% of patients with dMMR rectal cancer (1/19). Therapy with pembrolizumab was feasible and effective. Larger prospective trials are needed to confirm our findings.     

The role of a clinical pharmacist in spurious Penicillin allergy: a narrative review

International Journal of Clinical Pharmacy - Background A label of penicillin allergy is held by 6–10% of the general population and 15–20% of inpatients.?>?90% of...     

Evaluation of photosynthetic performance and carbon isotope discrimination in perennial ryegrass (<Emphasis Type="Italic">Lolium perenne</Emphasis> L.) under allelochemicals stress

Ferulic (FA) and p-hydroxybenzoic acid (pHBA) are commonly found as phenolic compounds (PHC) in many forage and cereal crops. Although the effects of these PHC on seedling growth are relatively explored, not many information is available regarding the phytotoxicity on ecophysiological processes of perennial ryegrass adult plants. The experiment was conducted with the aim to evaluate the phytotoxic potential of PHC on the seedling growth, leaf water relation, chlorophyll fluorescence attributes and carbon isotope discrimination adult plants of perennial ryegrass (Lolium perenne L.). The results clearly indicated that PHC behaved as potent inhibitors of chlorophyll fluorescence yield (F_v/F_m) in leaves of L. perenne and plants showed poor tolerance against allelochemicals stress. Quantum yield (ΦPSII), chlorophyll fluorescence quenching (qP) and non-photochemical quenching (NPQ) were decreased following exposure to FA and pHBA. The portion of absorbed photon energy that was thermally dissipated (D) in L. perenne was decreased. Exposure of the L. perenne seedlings to FA and pHBA stress led to a decrease in fresh/dry weight, relative water content and leaf osmotic potential. Carbon isotope composition ratio (δ¹³C) was significantly less negative than the control following treatment with FA or pHBA. The results suggested that PHC uptake was a key step for the effectiveness of these secondary metabolites and their phytotoxicity on L. perenne adult plants was mainly due to the alteration of leaf water status accompanied by photosystem II damage. Acquisition of such knowledge may ultimately provide a better understanding about the mode of action of the tested compounds.