Successful organ donation from brain dead donors in a Chinese organ transplantation center

Solid organ transplantation is an effective treatment for patients with end-stage organ failure. Donation after brain death (DBD) is a means of addressing the inadequate supply of acceptable donor organs but has only gradually begun to be accepted in mainland China. A major barrier has been the absence of brain death and organ transplant legislation. This paper describes our initial experience with organ transplantation using organs from brain dead donors and discusses strategies for encouraging organ transplantation and brain death legislation in China. Six patients underwent renal transplantation and two patients underwent liver transplantation with organs procured from three brain dead donors at the Organ Transplantation Center, the 181st Hospital. All patients are alive with excellent graft function. DBD is an important means of increasing the number of organs available for transplantation and its widespread implementation in China should be encouraged. Brain death and organ transplantation legislation is necessary to ensure the rights and obligations of donors, recipients and medical institutions.

Development of optimized AAV3 serotype vectors: mechanism of high-efficiency transduction of human liver cancer cells

Our recent studies have revealed that among the 10 different commonly used adeno-associated virus (AAV) serotypes, AAV3 vectors transduce human liver cancer cells extremely efficiently because these cells express high levels of human hepatocyte growth factor receptor (hHGFR), and AAV3 utilizes hHGFR as a cellular co-receptor for viral entry. In this report, we provide further evidence that both extracellular as well as intracellular kinase domains of hHGFR are involved in AAV3 vector entry and AAV3-mediated transgene expression. We also document that AAV3 vectors are targeted for degradation by the host cell proteasome machinery, and that site-directed mutagenesis of surface-exposed tyrosine (Y) to phenylalanine (F) residues on AAV3 capsids significantly improves the transduction efficiency of Y701F, Y705F and Y731F mutant AAV3 vectors. The transduction efficiency of the Y705+731F double-mutant vector is significantly higher than each of the single mutants in liver cancer cells in vitro. In immunodeficient mouse xenograft models, direct intratumoral injection of AAV3 vectors also led to high-efficiency transduction of human liver tumor cells in vivo. We also document here that the optimized tyrosine-mutant AAV3 vectors lead to increased transduction efficiency following both intratumoral and tail-vein injections in vivo. The optimized tyrosine-mutant AAV3 serotype vectors containing proapoptotic genes should prove useful for the potential gene therapy of human liver cancers.

Differential expression of serine-threonine kinase receptor-associated protein in patients with systemic lupus erythematosus

The serine-threonine kinase receptor-associated protein (STRAP), a 39 kDa protein localized predominantly in cytoplasm, is an important inhibitor of transforming growth factor beta (TGF-ß) signaling and a regulator of cell proliferation. To investigate the application of STRAP as a novel biomarker in evaluating the pathological condition of systemic lupus erythematosus (SLE), and to determine the possible involvement of STRAP in SLE pathogenesis, the expression levels of STRAP in peripheral blood mononuclear cells (PBMC) of SLE patients were analyzed. PBMC were collected from six patients with active SLE, six with stable SLE and six healthy controls; after protein extraction and concentration determination, the samples were labeled with reagents for isobaric tagging for relative and absolute protein quantification (iTRAQ) and detected by tandem mass spectrometry. The initial proteomic analysis identified and quantified hundreds of proteins. Of these, STRAP was found to decrease more than three-fold in active SLE patients compared with healthy controls (the relative ratio was 0.291). The under-expression of STRAP in active SLE was further verified by western blot in larger independent sample sets. Clinical data analyses revealed that the levels of STRAP in SLE inversely correlated to the SLE disease activity index (SLEDAI) (r = -0.607, p < 0.05). These results indicate that the under-expression of STRAP may be a negative factor in the pathogenic process of SLE; as a result, this may also be of clinical significance as a potential condition-specific indicator of active SLE.

Prediction of favored and optimized compositions for Cu-Zr-Ni metallic glasses by interatomic potential

For the Cu-Zr-Ni system, an interatomic potential was constructed under the newly proposed formulism named smoothed and long-range second-moment approximation of tight-binding. Applying the constructed potential, molecular dynamics simulations were carried out to compare the relative stability of crystalline solid solution versus its disordered counterpart. Simulations not only reveal that the origin of metallic glass formation is the crystalline lattice collapsing while the solute concentrations exceed critical values, but also determine a quadrilateral region, within which the metallic glass formation is energetically favored. Moreover, the energy differences between the crystalline solid solutions and the disordered states were considered as the driving force for amorphization and were computed by molecular static calculations. The calculation results located an optimized composition area with the driving force much greater than those outside. In addition, the alloys around the composition of Cu(16)Zr(60)Ni(24) were identified to have maximum driving force, and the atomic configurations were also analyzed by the Voronoi tessellation method.

Accelerated hyperfractionation field-involved re-irradiation combined with concurrent capecitabine chemotherapy for locally recurrent and irresectable rectal cancer

OBJECTIVES

To evaluate the efficacy and treatment-related toxicity of accelerated hyperfractionation field-involved re-irradiation combined with concurrent capecitabine chemotherapy for locally recurrent and irresectable rectal cancer (LRIRC).

METHODS

72 patients with LRIRC who underwent the treatment were studied. Three-dimensional conformal accelerated hyperfractionation radiotherapy (3D-CAHRT) was performed and the dose was delivered with a schedule of 1.2 Gy twice daily, with an interval of at least 6 h between fractions, 5 days a week. Concurrent capecitabine chemotherapy was administered twice daily. After 36 Gy in 30 fractions over 3 weeks, patients were evaluated to define the resectability of the disease. If resection was not feasible irradiation was resumed until the total dose administered to the tumour reached 51.6-56.4 Gy.

RESULTS

Two patients temporarily interrupted concurrent chemoradiation because of Grade IV diarrhoea. The remaining 70 patients completed the planned concurrent chemoradiation. In all patients, the complete response rate was 8.3% and the partial response rate was 51.4%. The overall response rate was 59.7% and clinical benefit rate was 93.1%. Symptomatic responses proved to be obvious and tumour resection was performed in 18 patients. The overall median survival time and median progression-free survival time were 32 and 17 months, respectively. 3 year overall survival and progression-free survival were 45.12% and 31.19%, respectively. Severely acute toxicities included Grade III-IV diarrhoea and granulocytopenia with 9.7% and 8.3% incidence respectively. Small bowel obstruction was severely late toxicity, and the incidence was 1.4%.

CONCLUSION

Three-dimensional conformal accelerated hyperfractionation field-involved re-irradiation combined with concurrent capecitabine chemotherapy might be an effective and well-tolerated regimen for patients with LRIRC.

A Comparison of the microstructure and tensile behaviour of irradiated fcc and bcc metals

As part of an on-going research program, findings are presented from a comparison of the microstructures and associated tensile properties of fcc and bcc materials after high energy proton irradiation, to fluences between 10−4 and 1 dpa, at 300-320 K. Results for this comparison between Cu, Pd, 304 and 316 stainless steel on one side and Fe and the F82H ferritic-martensitic low activation steel on the other are discussed, showing a strong difference in defect accumulation behaviour between the differing crystal structures. The overall deformation behaviour is similar, with an initial localised deformation taking place in all cases, even though the actual deformation mode itself might be different. Furthermore, a comparison is made with some of the materials that have also been irradiated with fission neutrons, showing no influence of the PKA spectra for these irradiation conditions.

Plasticity and Microstructure of Irradiated Pd

Single crystalline specimens of pure Pd have been irradiated at ambient temperature with 590 MeV protons to doses ranging between 10−4 and 10−1 dpa. Tensile deformation experiments revealed that irradiation induces hardening and embrittlement, while scanning (SEM) and transmission electron microscopy (TEM) observations showed that plastic deformation of specimens irradiated to a dose ≥ 10−2 dpa is strongly localized and yields the creation of slip bands at the macroscopic scale and of defect-free channels at the microscopic level.

Room-temperature ferromagnetism of Cu-doped ZnO films probed by soft X-ray magnetic circular dichroism

We report direct evidence of room-temperature ferromagnetic ordering in O-deficient ZnO:Cu films by using soft x-ray magnetic circular dichroism and x-ray absorption. Our measurements have revealed unambiguously two distinct features of Cu atoms associated with (i) magnetically ordered Cu ions present only in the oxygen-deficient samples and (ii) magnetically disordered regular Cu2+ ions present in all the samples. We find that a sufficient amount of both oxygen vacancies (V(O)) and Cu impurities is essential to the observed ferromagnetism, and a non-negligible portion of Cu impurities is uninvolved in the magnetic order. Based on first-principles calculations, we propose a microscopic "indirect double-exchange" model, in which alignments of localized large moments of Cu in the vicinity of the V(O) are mediated by the large-sized vacancy orbitals.

Generation of antibody- and B cell-deficient pigs by targeted disruption of the J-region gene segment of the heavy chain locus

A poly(A)-trap gene targeting strategy was used to disrupt the single functional heavy chain (HC) joining region (J_H) of swine in primary fibroblasts. Genetically modified piglets were then generated via somatic cell nuclear transfer (SCNT) and bred to yield litters comprising J_H wild-type littermate (+/+), J_H heterozygous knockout (±) and J_H homozygous knockout (−/−) piglets in the expected Mendelian ratio of 1:2:1. There are only two other targeted loci previously published in swine, and this is the first successful poly(A)-trap strategy ever published in a livestock species. In either blood or secondary lymphoid tissues, flow cytometry, RT-PCR and ELISA detected no circulating IgM⁺ B cells, and no transcription or secretion of immunoglobulin (Ig) isotypes, respectively in J_H −/− pigs. Histochemical and immunohistochemical (IHC) studies failed to detect lymph node (LN) follicles or CD79α⁺ B cells, respectively in J_H −/− pigs. T cell receptor (TCR)_β transcription and T cells were detected in J_H −/− pigs. When reared conventionally, J_H −/− pigs succumbed to bacterial infections after weaning. These antibody (Ab)- and B cell-deficient pigs have significant value as models for both veterinary and human research to discriminate cellular and humoral protective immunity to infectious agents. Thus, these pigs may aid in vaccine development for infectious agents such as the pandemic porcine reproductive and respiratory syndrome virus (PRRSV) and H1N1 swine flu. These pigs are also a first significant step towards generating a pig that expresses fully human, antigen-specific polyclonal Ab to target numerous incurable infectious diseases with high unmet clinical need.

Targeted disruption of the porcine immunoglobulin kappa light chain locus

Inactivation of the endogenous pig immunoglobulin (Ig) loci, and replacement with their human counterparts, would produce animals that could alleviate both the supply and specificity issues of therapeutic human polyclonal antibodies (PAbs). Platform genetics are being developed in pigs that have all endogenous Ig loci inactivated and replaced by human counterparts, in order to address this unmet clinical need. This report describes the deletion of the porcine kappa (κ) light chain constant (Cκ) region in pig primary fetal fibroblasts (PPFFs) using gene targeting technology, and the generation of live animals from these cells via somatic cell nuclear transfer (SCNT) cloning. There are only two other targeted loci previously published in swine, and this is the first report of a targeted disruption of an Ig light chain locus in a livestock species. Pigs with one targeted Cκ allele (heterozygous knockout or ±) were bred together to generate Cκ homozygous knockout (-/-) animals. Peripheral blood mononuclear cells (PBMCs) and mesenteric lymph nodes (MLNs) from Cκ -/- pigs were devoid of κ-containing Igs. Furthermore, there was an increase in lambda (λ) light chain expression when compared to that of wild-type littermates (Cκ +/+). Targeted inactivation of the Ig heavy chain locus has also been achieved and work is underway to inactivate the pig lambda light chain locus.

Therapeutic effect of norisoboldine, an alkaloid isolated from Radix Linderae, on collagen-induced arthritis in mice

The alkaloid fraction of Radix Linderae, the main active component of this herb drug, has been proven to exhibit anti-inflammatory, analgesic and antimicrobial activities. The present study was undertaken to investigate the therapeutic potential of norisoboldine, the major isoquinoline alkaloid present in Radix Linderae, in collagen II -induced arthritis (CIA) of mice as well as the possible mechanisms. CIA was induced in mice by immunization with chicken type II collagen (II). After boosted on day 21, mice were treated with norisoboldine (10, 20, 40 mg/kg) for twenty consecutive days. The clinical scores, body weight changes and joint histopathology were evaluated. Norisoboldine treatment significantly alleviated the severity of the disease, based on the reduced clinical scores and elevated the lowered body weights of model mice. Meanwhile, this alkaloid dose-dependently reduced the infiltration of inflammatory cells, synovial hyperplasia and protected joint from destruction. Additionally, the serum level of anti-CII IgG and the CII-stimulated lymphocyte proliferation were remarkably decreased in the groups administered with norisoboldine. An assessment of Th1 function using the delayed-type hypersensitivity model confirmed that norisoboldine also significantly suppressed the enhanced T cell responses in vivo. These findings suggest that norisoboldine might be a potential therapeutic agent for rheumatoid arthritis, and it functions through protecting joint destruction as well as regulating the abnormal immune responses.