Proceedings of the Inaugural Strategy Meeting for the Establishment of a Southeast Asia Regional Therapeutic Plasma Exchange Consortium for Neurological Disorders

In conjunction with the third regional Southeast Asian (SEA) therapeutic plasma exchange (TPE) conference in Kuala Lumpur, Malaysia, 25 clinicians and researchers from SEA and South Asian countries attended the inaugural strategy meeting for the establishment of a regional TPE consortium for neurological disorders. The primary objective was to establish regional collaboration to improve delivery of TPE services in SEA. A pre‐meeting survey was conducted to gather insights on disease spectrum, contextual practice challenges, and the need for a regional TPE consensus. Challenges identified include limited healthcare funding in support of diagnostic workup, TPE therapy, as well as development of clinical infrastructure and expertise capacity building. There was favorable interest in developing a working plan contextualized to this region. Strategies to overcome challenges were discussed. This included the need for a comprehensive referral system and network of regional TPE centers suited to local needs, supported by innovative TPE delivery programs.     

Evolution of the coronary artery stent

"Necessity, who is the mother of invention." - Plato. There has been a steady rise in the incidence and prevalence of coronary artery disease. In most developed countries, it is the number one cause of morbidity and mortality. As this disease has become an ever increasing burden on society, it has spurred on the development of many radical and innovative procedures and implants. This paper will discuss, briefly, the history of coronary interventions ranging from coronary artery bypass grafts (CABG) to drug-eluting stents. It will then compare and contrast some of the several drug-eluting stents available on the market today; specifically focusing on the Cypher?, Taxus?, Endeavour?, and Xience VTM stents. The comparisons will include a basic overview of the specifications of each stent as well as the short- and long-term outcomes of these implants. Finally, the paper will provide an introduction to some of the latest stent technology awaiting FDA approval.     

Multiple serial aneurysms of brachial artery with multiple arteriovenous malformations of forearm

Brachial arterial aneurysm is a rare entity. We present a case of multiple serial aneurysms of the brachial artery with associated multiple arteriovenous malformations of the forearm, along with symptoms of distal ischemia and its surgical management.     

Enhancement of basolateral amygdaloid neuronal dendritic arborization following Bacopa monniera extract treatment in adult rats

OBJECTIVE:

In the ancient Indian system of medicine, Ayurveda, Bacopa monniera is classified as Medhya rasayana, which includes medicinal plants that rejuvenate intellect and memory. Here, we investigated the effect of a standardized extract of Bacopa monniera on the dendritic morphology of neurons in the basolateral amygdala, a region that is concerned with learning and memory.

METHODS:

The present study was conducted on 2½-month-old Wistar rats. The rats were divided into 2-, 4- and 6-week treatment groups. Rats in each of these groups were further divided into 20 mg/kg, 40 mg/kg and 80 mg/kg dose groups (n  =  8 for each dose). After the treatment period, treated rats and age-matched control rats were subjected to spatial learning (T-maze) and passive avoidance tests. Subsequently, these rats were killed by decapitation, the brains were removed, and the amygdaloid neurons were impregnated with silver nitrate (Golgi staining). Basolateral amygdaloid neurons were traced using camera lucida, and dendritic branching points (a measure of dendritic arborization) and dendritic intersections (a measure of dendritic length) were quantified. These data were compared with the data from the age-matched control rats.

RESULTS:

The results showed an improvement in spatial learning performance and enhanced memory retention in rats treated with Bacopa monniera extract. Furthermore, a significant increase in dendritic length and the number of dendritic branching points was observed along the length of the dendrites of the basolateral amygdaloid neurons of rats treated with 40 mg/kg and 80 mg/kg of Bacopa monniera (BM) for longer periods of time (i.e., 4 and 6 weeks).

CONCLUSION:

We conclude that constituents present in Bacopa monniera extract have neuronal dendritic growth-stimulating properties.     

Enhanced dendritic arborization of amygdala neurons during growth spurt periods in rats orally intubated with Bacopa monniera extract

Bacopa monniera (BM)--a small, creeping herb-has been classified under Medhya rasayana (medicinal plants rejuvenating intellect and memory) in the ancient Indian system of medicine, viz., Ayurveda. Therefore, this plant has been investigated in several laboratories in India for its neuropharmacological effects. Here, we investigated the role of BM standardized extract on the dendritic morphology of amygdaloid neurons-one of the regions concerned with learning and memory. The rat pups (10 days old) were fed standardized extract of BM (20, 40 and 80 mg/kg) for 2, 4 and 6 weeks. After the treatment period, the rats were killed by decapitation, the brains were removed and amygdaloid neurons were impregnated with silver nitrate (Golgi staining). Amygdaloid neurons were traced using camera lucida. Dendritic branching points (a measure of dendritic arborization) and dendritic intersections (a measure of dendritic length) were quantified. These data were compared with control rats. The results showed a significant increase in dendritic length and dendritic branching points along the length of dendrites of the amygdaloid neurons of rats treated with all doses of BM for longer periods of time (i.e., 4 and 6 weeks). We conclude that constituents present in BM extract have neuronal dendritic growth stimulating properties.     

"Go with the flow": how Krüppel-like factor 2 regulates the vasoprotective effects of shear stress

Laminar shear stress is known to confer potent anti-inflammatory, antithrombotic, and antiadhesive effects by differentially regulating endothelial gene expression. The identification of Krüppel-like factor 2 as a flow-responsive molecule has greatly advanced our understanding of molecular mechanisms governing vascular homeostasis. This review summarizes the current understanding of Krüppel-like factor 2 action in endothelial gene expression and function.     

Migration of cytotoxic lymphocytes in cell cycle permits local MHC I-dependent control of division at sites of viral infection

After virus infection, cytotoxic T lymphocytes (CTLs) divide rapidly to eradicate the pathogen and prevent the establishment of persistence. The magnitude of an antiviral CTL response is thought to be controlled by the initiation of a cell cycle program within lymphoid tissues. However, it is presently not known whether this division program proceeds during migration or is influenced locally at sites of viral infection. We demonstrate that antiviral CTLs remain in cell cycle while transiting to infected tissues. Up to one third of virus-specific CTLs within blood were found to be in cell cycle after infection with lymphocytic choriomeningitis virus or vesicular stomatitis virus. Using two-photon microscopy, we found that effector CTL divided rapidly upon arrest in the virus-infected central nervous system as well as in meningeal blood vessels. We also observed that MHC I-dependent interactions, but not costimulation, influenced the division program by advancing effector CTL through stages of the cell cycle. These results demonstrate that CTLs are poised to divide in transit and that their numbers can be influenced locally at the site of infection through interactions with cells displaying cognate antigen.