D-dimer relates positively with increased blood pressure in black South Africans: The SABPA study

Introduction

Hypertension is highly prevalent in black South Africans in which morbidity and mortality from stroke are on the increase. Elevated blood pressure and haemostatic markers can induce changes in blood rheology and endothelial function which could result in a procoagulant state that increases the risk for cerebrovascular disease. Information about the coagulation and fibrinolytic systems of people from African descent are limited. We therefore, investigated the haemostatic profile and its relationships with blood pressure in black South Africans.

Materials and methods

We measured ambulatory blood pressure and haemostatic markers of 201 black and 208 white school teachers. The haemostatic markers included measurements representing coagulation and fibrinolysis (von Willebrand factor, fibrinogen, plasminogen activator inhibitor-1, fibrin D-dimer and clot lysis time).

Results

Black participants displayed significantly higher blood pressure, von Willebrand factor, fibrinogen, plasminogen activator inhibitor-1 and D-dimer levels and longer clot lysis times (p ≤ 0.001). Single, partial and multiple regression analyses showed that systolic (p ≤ 0.011) and diastolic blood pressure (p = 0.010) correlated positively with D-dimer in black participants, while systolic (p ≤ 0.001) and daytime diastolic blood pressure (p = 0.011) correlated negatively with clot lysis time in white participants.

Conclusion

The black population had a more prothrombotic profile, with higher levels of coagulation markers and inhibited fibrinolysis, than the white study participants. The positive association between blood pressure and elevated D-dimer in the blacks may contribute to the high prevalence of hypertension and related increased cardiovascular and cerebrovascular risk in this group.     

Smoothened is a master regulator of adult liver repair

When regenerative processes cannot keep pace with cell death, functional epithelia are replaced by scar. Scarring is characterized by both excessive accumulation of fibrous matrix and persistent outgrowth of cell types that accumulate transiently during successful wound healing, including myofibroblasts (MFs) and progenitors. This suggests that signaling that normally directs these cells to repair injured epithelia is deregulated. To evaluate this possibility, we examined liver repair during different types of liver injury after Smoothened (SMO), an obligate intermediate in the Hedgehog (Hh) signaling pathway, was conditionally deleted in cells expressing the MF-associated gene, αSMA. Surprisingly, blocking canonical Hh signaling in MFs not only inhibited liver fibrosis but also prevented accumulation of liver progenitors. Hh-sensitive, hepatic stellate cells (HSCs) were identified as the source of both MFs and progenitors by lineage-tracing studies in 3 other strains of mice, coupled with analysis of highly pure HSC preparations using flow cytometry, immunofluorescence confocal microscopy, RT-PCR, and in situ hybridization. The results identify SMO as a master regulator of hepatic epithelial regeneration based on its ability to promote mesenchymal-to-epithelial transitions in a subpopulation of HSC-derived MFs with features of multipotent progenitors.     

Irrelevant digits affect feature-based attention depending on the overlap of neural circuits.

Feature-based attention was investigated by examining the effect of irrelevant information on the processing of relevant information. In all experiments, irrelevant information consisted of digits whose semantic information is known to be processed in parietal areas. Between experiments we varied the degree of parietal involvement in the processing of the relevant feature. The influence of the irrelevant digit on the binary manual response task on the relevant feature was measured by the SNARC effect, a spatial numerical association of response codes demonstrating faster left than right hand responses for small numbers and faster right than left hand responses for large numbers. When processing of the relevant feature depended on parietal cortex, as is the case for orientation processing (exps. 1 and 4), there was an effect of the digit's semantic value on response times. Conversely, there was no effect of the irrelevant digit on the processing of color (exps. 2 and 3) or shape (exp. 5), which rely only minimally on parietal resources. After ruling out alternative explanations we conclude that the efficiency of feature-based attention is determined by the degree of neural overlap of structures dedicated to process relevant and irrelevant information.     

Differential 2-D protein gel electrophoresis analysis of Legionella pneumophila wild type and Tat secretion mutants

The twin-arginine translocation (Tat) pathway is a secretory pathway for translocation of folded proteins with two arginines in their signal peptide across the cytoplasmic membrane. Recently, we showed the presence of the Tat secretion pathway in Legionella pneumophila Philadelphia-1 and its role in intracellular replication and biofilm formation. To analyse the importance of the Tat pathway in protein export and its role in L. pneumophila virulence, a comparative 2-D protein gel electrophoresis analysis was performed on supernatants of the wild type and two Tat secretion mutants in order to identify possible Tat substrates. Twenty proteins were identified as differential proteins, eight of which were present in a lower quantity in the supernatant of the tat mutants. Among these, one protein with a typical twin-arginine motif in its signal peptide was identified as the 3′,5′-cyclic nucleotide phosphodiesterase. Two other proteins that resulted as differential proteins from this study were flagellin and LvrE, which were studied in more detail and their Tat-dependence was further confirmed with specific antibodies. LvrE was shown to play a role in intracellular growth in differentiated U937 cells.     

Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment

Purpose  

This study explores the current QoL of opiate-dependent individuals who started outpatient methadone treatment at least 5 years ago and assesses the influence of demographic, psychosocial, drug and health-related variables on individuals’ QoL.     

Complete genomic nucleotide sequence and analysis of the temperate bacteriophage VWB

The entire double-stranded DNA genome of the Streptomyces venezuelae bacteriophage VWB was sequenced and analyzed. Its size is 49,220 bp with an overall molar G + C content of 71.2 mol%. Sixty-one potential open reading frames were identified and annotated using several complementary bioinformatics tools. Clusters of functionally related putative genes were defined, supporting a refined version of the modular theory of phage evolution.     

Furcation Groove of Maxillary First Premolar,Thickness, and Dentin Structures

IntroductionFew studies mention the presence of furcation grooves in the palatal aspect of buccal roots in upper first premolars. Anatomic characteristics like external grooves or root curvatures predispose teeth to weakening during post placement. Roots with a large number of external sulci show more canal variations. Previous research found that the palatal wall is on average less than 1mm. There is a direct relation between the volume of dental structures and the capacity to resist occlusal loads. The purpose of this study was to evaluate the changes in dentin thickness and structures adjacent to the furcal groove.MethodsThe percentage that represented furcation groove in the buccal root was specified. The sample size selected was n=20. Three horizontal slices were made to the buccal root, coronal, middle, and apical. The angles of the grooves and dentin thickness were measured with a profile projector.ResultsIn the cor-onal third, the depth of the groove was correlative with dentin thickness negatively, ie, while the depth increased, palatal dentin thickness decreased or vice versa. In the coronal and middle thirds, the palatal wall showed average dentin width smaller than the buccal. In some cases, the thickness was less than 1mm. In the apical third, palatal dentin thicknesses showed higher averages than the buccal. Structural changes were observed in dentin adjacent to the furcation groove. These results are discussed in the context of other research. Methodologic differences do not enable comparative studies.ConclusionsDentin thickness corresponding to the furcal groove is variable; it presents structural changes and must be taken into account in endodontic and prosthetic procedures.