Time reversal optical tomography: locating targets in a highly scattering turbid medium

A time reversal optical tomography (TROT) method for near-infrared (NIR) diffuse optical imaging of targets embedded in a highly scattering turbid medium is presented. TROT combines the basic symmetry of time reversal invariance and subspace-based signal processing for retrieval of target location. The efficacy of TROT is tested using simulated data and data obtained from NIR imaging experiments on absorptive and scattering targets embedded in Intralipid-20% suspension in water, as turbid medium. The results demonstrate the potential of TROT for detecting and locating small targets in a turbid medium, such as, breast tumors in early stages of growth.

Bayesian analysis of the effect of selection for residual feed intake on growth and feed intake curves in Yorkshire swine

Gompertz growth functions were fitted to longitudinal measurements of daily feed intake (DFI) and BW of 586 boars and 495 gilts from a selection experiment in Yorkshire pigs for residual feed intake (RFI). The selection experiment consists of a line selected for low residual feed intake (LRFI) for 5 generations and a randomly selected control line (CTRL). The objectives of this study were to use Bayesian methods to estimate genetic parameters of the Gompertz curve parameters for DFI and BW, to evaluate the effect of selection for reduced RFI on the Gompertz parameters and shape of curves for DFI and BW, and to develop methodology for quantifying genetic variation at the level of the original phenotypes for DFI and BW based on the Bayesian analysis of the nonlinear model. Separate analyses were done for boars and gilts and for BW and DFI. A hierarchical model was specified in 2 levels: in the first level, the Gompertz function was modeled for each pig, and at the second level, a 3-trait linear mixed model was fitted to the 3 Gompertz parameters (asymptotic value, inflection point, and decay parameter), with fixed effects of line by generation and random effects of additive genetic and environmental effects. Bayesian methods were used to combine the 2 levels of modeling. A total of 30,000 random samples of the posterior distributions after convergence of Markov chains were used for inference. Posterior means of heritability within the first level of the model for the asymptotic value, inflection point, and decay parameter for DFI were 0.74, 0.66, and 0.82 for boars and 0.79, 0.70, and 0.57 for gilts; corresponding estimates for BW were 0.64, 0.58, and 0.60 for boars and 0.46, 0.35, and 0.33 for gilts. For DFI, LRFI boars had a reduced mature DFI (2.91 vs. 3.20 kg/d) and an earlier inflection point (85 vs. 95 d) compared with CTRL boars. For BW, LRFI boars had a lighter mature BW (279 vs. 317 kg), an earlier inflection point (184 vs. 198 d), and a decreased decay parameter (127 vs. 134 d) compared with CTRL boars. In contrast, LRFI gilts had a later inflection point (225 vs. 200 d) and a greater decay parameter (172 vs. 143 d) than CTRL gilts for BW. The other Gompertz curve parameters for DFI and BW for boars and gilts were considered not different between lines, with posterior probabilities of the line differences being greater than zero ranging from 0.1 to 0.9.

Genetic analysis of longitudinal measurements of performance traits in selection lines for residual feed intake in Yorkshire swine

A 5-generation selection experiment in Yorkshire pigs for feed efficiency consists of a line selected for low residual feed intake (LRFI) and a random control line (CTRL). The objectives of this study were to use random regression models to estimate genetic parameters for daily feed intake (DFI), BW, backfat (BF), and loin muscle area (LMA) along the growth trajectory and to evaluate the effect of LRFI selection on genetic curves for DFI and BW. An additional objective was to compare random regression models using polynomials (RRP) and spline functions (RRS). Data from approximately 3 to 8 mo of age on 586 boars and 495 gilts across 5 generations were used. The average number of measurements was 85, 14, 5, and 5 for DFI, BW, BF, and LMA. The RRP models for these 4 traits were fitted with pen × on-test group as a fixed effect, second-order Legendre polynomials of age as fixed curves for each generation, and random curves for additive genetic and permanent environmental effects. Different residual variances were used for the first and second halves of the test period. The RRS models were fitted with the same fixed effects and residual variance structure as the RRP models and included genetic and permanent environmental random effects for both splines and linear Legendre polynomials of age. The RRP model was used for further analysis because the RRS model had erratic estimates of phenotypic variance and heritability, despite having a smaller Bayesian information criterion than the RRP model. From 91 to 210 d of age, estimates of heritability from the RRP model ranged from 0.10 to 0.37 for boars and 0.14 to 0.26 for gilts for DFI, from 0.39 to 0.58 for boars and 0.55 to 0.61 for gilts for BW, from 0.48 to 0.61 for boars and 0.61 to 0.79 for gilts for BF, and from 0.46 to 0.55 for boars and 0.63 to 0.81 for gilts for LMA. In generation 5, LRFI pigs had lower average genetic curves than CTRL pigs for DFI and BW, especially toward the end of the test period; estimated line differences (CTRL-LRFI) for DFI were 0.04 kg/d for boars and 0.12 kg/d for gilts at 105 d and 0.20 kg/d for boars and 0.24 kg/d for gilts at 195 d. Line differences for BW were 0.17 kg for boars and 0.69 kg for gilts at 105 d and 3.49 kg for boars and 8.96 kg for gilts at 195 d. In conclusion, selection for LRFI has resulted in a lower feed intake curve and a lower BW curve toward maturity.

Baifuzi reduces transient ischemic brain damage through an interaction with the STREX domain of BKCa channels

Stroke is a long-term disability and one of the leading causes of death. However, no successful therapeutic intervention is available for the majority of stroke patients. In this study, we explored a traditional Chinese medicine Baifuzi (Typhonium giganteum Engl.). We show, at first, that the ethanol extract of Baifuzi exerts neuroprotective effects against brain damage induced by transient global or focal cerebral ischemia in rats and mice. Second, the extract activated large-conductance Ca(2+)-activated K(+) channel (BK(Ca)) channels, and BK(Ca) channel blockade suppressed the neuroprotection of the extract, suggesting that the BK(Ca) is the molecular target of Baifuzi. Third, Baifuzi cerebroside (Baifuzi-CB), purified from its ethanol extract, activated BK(Ca) channels in a manner similar to that of the extract. Fourth, the stress axis hormone-regulated exon (STREX) domain of the BK(Ca) channel directly interacted with Baifuzi-CB, and its deletion suppressed channel activation by Baifuzi-CB. These results indicate that Baifuzi-CB activated the BK(Ca) channel through its direct interaction with the STREX domain of the channel and suggests that Baifuzi-CB merits exploration as a potential therapeutic agent for treating brain ischemia.

GaN-Based MSM uv Photodetectors

Results obtained from interdigital metal-semiconductor-metal (MSM) type of GaN based UV photodetectors are presented. MSM devices were fabricated using two types of GaN; high-resistive GaN and Mg doped GaN. For the high-resistive GaN detector, the lowest dark current is ∼0.1 nA and the UV responsivity of the device was about 460 AAV at a DC bias of 30 V. The Mg doped GaN exhibited large gains, 1150 A/W at 2.0 V, but at much higher dark currents, 400 nA. The high gain in this device is not well understood but was attributed to an ‘avalanche’ effect and is under investigation. It was found that the surface plasma treatment plays an important role in the device performance. After an appropriate plasma treatment the detectors showed higher responsivity with lower dark current.

Effect of selection for residual feed intake on feeding behavior and daily feed intake patterns in Yorkshire swine

Residual feed intake (RFI) is a measure of feed efficiency defined as the difference between observed and predicted feed intake based on average requirements for growth and maintenance. The objective of this study was to evaluate the effect of selection for decreased RFI on feeding behavior traits and to estimate their relationships with RFI. Three data sets from the 4th and 5th generations of a selection experiment with a line selected for reduced RFI (LRFI) and a randomly selected control line (CTRL) were analyzed. Lines were mixed in pens of 16 and evaluated for feeding behavior traits obtained from a single-space electronic feeder over a growing period of ~3 mo before ~115 kg. The following traits were evaluated as averages over the entire test period and over the first and second half of the test period: number of visits per day and hour; occupation time per day, visit, and hour; feed intake (FI) per day, visit, and hour; and FI rate per visit. Models used included fixed effects of line and feeder, covariates of on-test age and FI per day, and random effects of pen, on-test group, sire, and litter. Repeated measures models were used to analyze feeding patterns during the day. The LRFI pigs had significantly less FI per day than CTRL pigs for all 3 data sets. With adjustment for FI per day, line differences of all traits were in the same direction for all 3 data sets but differed in significance and size. Feed intake per visit and hour and visits per day and hour did not differ between lines, but the trend was for LRFI pigs to have fewer visits, in particular during peak eating times. The LRFI pigs had a greater feeding rate and less occupation time per day, visit, and hour than CTRL pigs, but this was not significant for all data sets. Correlations of RFI with FI per day and visit and visits per day were positive. Average daily gain was positively correlated with FI per day and visit and occupation time per visit but negatively correlated with visits per day. Feed intake per day was positively correlated with backfat. In conclusion, feed efficiency may be affected by FI behavior because selection for decreased RFI has resulted in pigs that spend less time eating and eat faster.

ABO antibody titer and risk of antibody-mediated rejection in ABO-incompatible renal transplantation

Therapeutic plasma exchange (TPE) preconditioning with immunosuppressive therapy reduces ABO antibody titers, permitting engraftment of ABO-incompatible (ABO-I) kidney transplants. The posttransplant predictive role of ABO antibody titers for antibody-mediated rejection (AMR) is unknown. This retrospective study evaluated 46 individuals who received TPE to permit ABO-I kidney transplantation. ABO antibody titers were performed using donor-type indicator red cells. Seven individuals (15.2%) experienced clinical or subclinical AMR. There was no significant difference between recipient blood group, number of pretransplant TPE and baseline titer between those with and without AMR. At 1-2 weeks posttransplant the median titer was 64 (range 4 - 512) among individuals with AMR and 16 (range 2 - 256) among individuals without AMR. Total agglutination reactivity score was significantly higher among individuals with AMR (p = 0.046). The risk of AMR was significantly higher among individuals with an elevated posttransplant titer of >or=64 (p = 0.006). The sensitivity of an elevated posttransplant titer was 57.1% with a specificity of 79.5%. The positive predictive value was 33.3% and the negative predictive value was 91.2%. Most individuals with AMR have an elevated titer, however, the positive predictive value of a high titer for AMR is poor.

Gene expression in hypothalamus, liver, and adipose tissues and food intake response to melanocortin-4 receptor agonist in pigs expressing melanocortin-4 receptor mutations

Transcriptional profiling was used to identify genes and pathways that responded to intracerebroventricular injection of melanocortin-4 receptor (MC4R) agonist [Nle4, d-Phe7]-α-melanocyte stimulating hormone (NDP-MSH) in pigs homozygous for the missense mutation in the MC4R, D298 allele ( n = 12), N298 allele ( n = 12), or heterozygous ( n = 12). Food intake (FI) was measured at 12 and 24 h after treatment. All pigs were killed at 24 h after treatment, and hypothalamus, liver, and back-fat tissue was collected. NDP-MSH suppressed ( P < 0.004) FI at 12 and 24 h in all animals after treatment. In response to NDP-MSH, 278 genes in hypothalamus ( q ≤ 0.07, P ≤ 0.001), 249 genes in liver ( q ≤ 0.07, P ≤ 0.001), and 5,066 genes in fat ( q ≤ 0.07, P ≤ 0.015) were differentially expressed. Pathway analysis of NDP-MSH-induced differentially expressed genes indicated that genes involved in cell communication, nucleotide metabolism, and signal transduction were prominently downregulated in the hypothalamus. In both liver and adipose tissue, energy-intensive biosynthetic and catabolic processes were downregulated in response to NDP-MSH. This included genes encoding for biosynthetic pathways such as steroid and lipid biosynthesis, fatty acid synthesis, and amino acid synthesis. Genes involved in direct energy-generating processes, such as oxidative phosphorylation, electron transport, and ATP synthesis, were upregulated, whereas TCA-associated genes were prominently downregulated in NDP-MSH-treated pigs. Our data also indicate a metabolic switch toward energy conservation since genes involved in energy-intensive biosynthetic and catabolic processes were downregulated in NDP-MSH-treated pigs.

Significant histopathology in Chinese chronic hepatitis B patients with persistently high-normal alanine aminotransferase

Current guidelines recommend antiviral therapy for chronic hepatitis B (CHB) patients with elevated alanine aminotransferase (ALT) and high viral load. Scant histological data exist for CHB patients with persistently normal ALT (PNALT) because disease progression is thought to be rare. To identify potential predictors of significant histology in the presence of PNALT, we compared the clinical characteristics and histology of Chinese CHB PNALT patients to those in patients with elevated ALT. Percutaneous liver biopsy was performed in 522 CHB patients with Chinese ethnicity who had not had antiviral treatment. Differences in age, ALT, viral load, hepatitis B e antigen (HBeAg) status and liver histology were compared between eligible PNALT (252) and elevated ALT (270) patients. Of the PNALT patients, 38.5% had normal liver histology, 25.4% had significant necroinflammation and/or fibrosis and 8.4% had established cirrhosis. Furthermore, histopathological differences between patients with high-normal ALT (0.5-1.0 x the upper limit of normal (ULN)) and low-normal ALT (≤ 0.5 x ULN) were evaluated. There was a significantly greater prevalence of histopathology in the high-normal group (40.0%) than in the low-normal group (16.6%) (P < 0.001). Multiple logistic regression identified that significant histopathology findings in PNALT patients correlated with age (P < 0.001) and ALT level (P < 0.001), with age >40 years and ALT >0.5 x ULN predicting significant histopathology. Our data indicate that liver biopsy is recommended in CHB patients >40 years of age, particularly when their ALT is 0.5-1.0 x ULN. The findings above provide evidence for indication of antiviral therapy in patients with PNALT and significant histopathological change.

Selection to reduce residual feed intake in pigs produces a correlated response in juvenile insulin-like growth factor-I concentration

Data from a selection experiment for residual feed intake (RFI) were used to estimate genetic correlations between measures of efficiency and performance traits with juvenile IGF-I, and to demonstrate direct and correlated responses to selection. The heritability of IGF-I was 0.28 +/- 0.06 and genetic correlations of IGF-I with feed intake (0.26 +/- 0.17), backfat (0.52 +/- 0.11), and feed conversion ratio (0.78 +/- 0.14) were moderate to large. The estimated and realized genetic correlations between RFI and IGF-I were 0.63 +/- 0.15 and 0.84. In contrast, genetic correlations between IGF-I and lifetime or test period growth did not differ (P > 0.05) significantly from zero (0.06 +/- 0.14 and -0.19 +/- 0.14). Selection for decreased RFI produced a direct response in RFI, as expected, and was accompanied by downward correlated responses in ADFI, juvenile IGF-I, backfat, and growth traits, listed in order of decreasing relative magnitude, and an increased loin muscle area. The correlated response in IGF-I to selection on RFI demonstrates that this physiological measure is genetically associated with efficiency, and is thus useful as an early information source to estimate genetic merit for efficiency before performance testing. Decreased juvenile IGF-I is associated with leaner, more efficient animals.

A calcitonin receptor (CALCR) single nucleotide polymorphism is associated with growth performance and bone integrity in response to dietary phosphorus deficiency

Although concerns over the environmental impact of excess P in the excreta from pig production and governmental regulations have driven research toward reducing dietary supplementation of P to swine diets for over a decade, recent dramatic increases in feed costs have further motivated researchers to identify means to further reduce dietary P supplementation. We have demonstrated that genetic background impacts P utilization in young pigs and have identified genetic polymorphisms in several target genes related to mineral utilization. In this study, we examined the impact of a SNP in the calcitonin receptor gene (CALCR) on P utilization in growing pigs. In Exp. 1, 36 gilts representing the 3 genotypes identified by this CALCR SNP (11, 12, and 22) were fed a P-adequate (PA) or a marginally P-deficient (approximately 20% less available P; PD) diet for 14 wk. As expected, P deficiency reduced plasma P concentration, bone strength, and mineral content (P < 0.05). However, the dietary P deficiency was mild enough to not affect the growth performance of these pigs. A genotype x dietary P interaction (P < 0.05) was observed in measures of bone integrity and mineral content, with the greatest reduction in bone strength and mineral content due to dietary P deficiency being associated with the allele 1. In Exp. 2, 168 pigs from a control line and low residual feed intake (RFI) line were genotyped for the CALCR SNP and fed a PA diet. As expected, pigs from the low RFI line consumed less feed but also gained less BW when compared with the control line (P < 0.05). Although ADFI did not differ between genotypes, pigs having the 11 genotype gained less BW (P < 0.05) than pigs having the 12 or 22 genotypes. Pigs of the 11 and 12 genotypes had bones that tolerated greater load when compared with animals having the 22 genotype (P < 0.05). A similar trend was observed in bone modulus and ash % (P < 0.10). These data are supportive of the association of this CALCR SNP with bone integrity and its response to dietary P restriction. Although the allele 1 is associated with greater bone integrity and mineral content during adequate P nutrition, it is also associated with the greatest loss in bone integrity and mineral content in response to dietary P restriction. Understanding the underlying genetic mechanisms that regulate P utilization may lead to novel strategies to produce more environmentally friendly pigs.

Identification of genetic markers associated with residual feed intake and meat quality traits in the pig

Residual feed intake (RFI) has become increasingly important and is being considered as a more reasonable approach to evaluate feed efficiency in livestock. However, the cost and technical difficulties in measuring this trait restrict the extensive adoption of RFI selection, and this makes marker assisted selection (MAS) a feasible tool. In addition, the effects on meat quality caused by low RFI selection have yet to be clarified. In this study, 11 SNPs from eight candidate genes were evaluated in a Yorkshire pig experimental population (n=169) consisting of a low RFI selection line and a randomly selected control line. Associations of these SNPs with RFI, growth rate, carcass composition, and meat quality measures including water holding capacity, pH at 2d postmortem, meat color and sensory traits were analyzed. The SNPs FTO p.Ala198Ala and TCF7L2 c.646+514A>G showed significant (P<0.05) and suggestively significant (P<0.1) associations with RFI, respectively. The MC4R SNP p.Asp298Asn was associated with backfat but it was not with ADG and meat quality attributes. Both SNPs within HNF1A were associated with intramuscular lipid content and sensory juiciness. The SNPs ACC1 c(*)384C>T and TCF7L2 c.646+514A>G were significantly (P<0.05) associated with ADG. The SNPs CTSZ p.Arg64Lys and TCF7L2 c.646+514A>G were associated with both visual scoring of meat color and the objective L-value measure of meat color. This study has identified potential genetic markers suitable for MAS in improving RFI, ADG, and meat color traits, but these associations need to be validated in other larger populations.

Whole-body MRI evaluation of tumor burden in the neurofibromatosis tumor suppressor syndromes

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Background: Neurofibromatosis 1 (NF1), NF2, and schwannomatosis are a group of related genetic disorders in which affected individuals share the predisposition to develop multiple neurofibromas and schwannomas. The prevalence of internal tumors is not known because current estimates are based on regional MRI scans that may not detect occult tumors. A rapid and sensitive method to detect internal tumors is highly desirable since they can cause neurologic dysfunction, compress vital structures, or transform into malignant tumors. Whole-body MRI (WBMRI) is an imaging technique by which the entire body can be imaged in a relatively short time without the use of ionizing radiation. Methods: We performed WBMRI in subjects with NF1, NF2, or schwannomatosis as part of an IRB-approved research study. Each subject was imaged from head to ankles in the supine position using a 1.5 Tesla magnet, integrated body coil, and no intravenous contrast. Using five acquisitions, the entire body was imaged using a fat suppressed fluid sensitive STIR sequence. The images were then fused into a single whole body DICOM image. The number and type of tumors (discrete vs. plexiform) were identified by a board-certified radiologist and tumor volume was calculated using semi-automated analysis. Results: A total of 100 subjects were imaged (NF1–50; NF2–25, schwannomatosis-25). Sixty-one percent of subjects had ≥1 internal tumor. The median number of tumors in affected individuals was 5 (range, 1 to 63 tumors). Overall, the legs harbored the greatest number of tumors (33%), followed by the pelvis (18%), thorax (15%), abdomen (12%), arms (10%), and head/neck (7%). Only 40% of internal tumors were classified as plexiform yet these tumors contributed 78% of the tumor burden by volume. Conclusions: WBMRI scan is a powerful tool to evaluate the number, size, and distribution of internal tumors in patients with neurofibromatosis. This technique provides unique phenotypic information for genetic studies on NF1, NF2, and schwannomatosis. In addition, WBMRI may prove useful in identifying individual patients at high risk for complications (such as neurologic dysfunction or malignant transformation) due to heavy internal tumor burden and in determining the efficacy of antitumor drugs in this unique patient population.

No significant financial relationships to disclose.

Ten-year clinical outcome of a prospective randomized clinical trial of laparoscopic Nissen versus anterior 180( degrees ) partial fundoplication

BACKGROUND

A randomized trial of laparoscopic Nissen fundoplication and anterior 180 degrees partial fundoplication was undertaken to determine whether the anterior procedure might reduce the incidence of dysphagia and other adverse outcomes following surgery for gastro-oesophageal reflux disease. This study evaluated clinical outcomes after 10 years.

METHODS

Some 107 patients were randomized to undergo laparoscopic Nissen or anterior 180 degrees partial fundoplication. Ten-year data were not available for 18 patients. Information was obtained from 89 patients (48 Nissen, 41 anterior fundoplication) using a standard clinical questionnaire that focused on symptoms of reflux, potential postoperative side-effects and overall satisfaction with the outcome of surgery.

RESULTS

There were no significant differences between the two groups with regard to reflux symptoms, dysphagia, abdominal bloating, ability to belch and overall satisfaction. Between 5 and 10 years after surgery, revisional surgery was required for reflux in two patients after anterior fundoplication. Two patients had revision after Nissen fundoplication, for reflux and recurrent hiatus hernia.

CONCLUSION

Both laparoscopic anterior 180 degrees partial and Nissen fundoplication are safe, effective and durable at 10 years' follow-up. Most patients are satisfied with the clinical outcome.