European and multi-ancestry genome-wide association meta-analysis of atopic dermatitis highlights importance of systemic immune regulation

Atopic dermatitis (AD) is a common inflammatory skin condition and prior genome-wide association studies (GWAS) have identified 71 associated loci. In the current study we conducted the largest AD GWAS to date (discovery N = 1,086,394, replication N = 3,604,027), combining previously reported cohorts with additional available data. We identified 81 loci (29 novel) in the European-only analysis (which all replicated in a separate European analysis) and 10 additional loci in the multi-ancestry analysis (3 novel). Eight variants from the multi-ancestry analysis replicated in at least one of the populations tested (European, Latino or African), while two may be specific to individuals of Japanese ancestry. AD loci showed enrichment for DNAse I hypersensitivity and eQTL associations in blood. At each locus we prioritised candidate genes by integrating multi-omic data. The implicated genes are predominantly in immune pathways of relevance to atopic inflammation and some offer drug repurposing opportunities.

Pro-fibrotic phenotype of bone marrow stromal cells in Modic type 1 changes

Modic type 1 changes (MC1) are painful vertebral bone marrow lesions frequently found in patients suffering from chronic low-back pain. Marrow fibrosis is a hallmark of MC1. Bone marrow stromal cells (BMSCs) are key players in other fibrotic bone marrow pathologies, yet their role in MC1 is unknown. The present study aimed to characterise MC1 BMSCs and hypothesised a pro-fibrotic role of BMSCs in MC1. BMSCs were isolated from patients undergoing lumbar spinal fusion from MC1 and adjacent control vertebrae. Frequency of colony-forming unit fibroblast (CFU-F), expression of stem cell surface markers, differentiation capacity, transcriptome, matrix adhesion, cell contractility as well as expression of pro-collagen type I alpha 1, α-smooth muscle actin, integrins and focal adhesion kinase (FAK) were compared. More CFU-F and increased expression of C-X-C-motif-chemokine 12 were found in MC1 BMSCs, possibly indicating overrepresentation of a perisinusoidal BMSC population. RNA sequencing analysis showed enrichment in extracellular matrix proteins and fibrosis-related signalling genes. Increases in pro-collagen type I alpha 1 expression, cell adhesion, cell contractility and phosphorylation of FAK provided further evidence for their pro-fibrotic phenotype. Moreover, a leptin receptor high expressing (LEPRhigh) BMSC population was identified that differentiated under transforming growth factor beta 1 stimulation into myofibroblasts in MC1 but not in control BMSCs. In conclusion, pro-fibrotic changes in MC1 BMSCs and a LEPRhigh MC1 BMSC subpopulation susceptible to myofibroblast differentiation were found. Fibrosis is a hallmark of MC1 and a potential therapeutic target. A causal link between the pro-fibrotic phenotype and clinical characteristics needs to be demonstrated.

Brain asymmetry and facial attractiveness: facial beauty is not simply in the eye of the beholder

We recently reported finding asymmetry in the appearance of beauty on the face [Zaidel et al., Neuropsychologia, Vol. 33, pp. 649-655, 1995]. Here, we investigated whether facial beauty is a stable characteristic (on the owner's very face) or is in the perceptual space of the observer. We call the question 'the owner vs observer hypothesis'. We compared identity judgements and attractiveness ratings of observers. Subjects viewed left-left and right-right composites of faces and decided which most resembled the normal face (Experiment 1). Identity judgements (resemblance) are known to be associated with perceptual factors in the observer. Another group viewed the same normal faces and rated them on attractiveness (Experiment 2). In each experiment, there were two separate viewing conditions, original and reversed (mirror-image). Lateral reversal did affect the results of Experiment 1 (confirming previous findings [Bennett et al., Neuropsychologia, Vol. 25, pp. 681-687, 1987; Gilbert and Bakan, Journal of Anatomy, Vol. 183, pp. 593-600, 1993]) but did not affect the results of Experiment 2. The fact that lateral reversal did not affect the results of Experiment 2 suggests that facial attractiveness is more dependent on physiognomy (of the owner) and less dependent on an asymmetrical perceptual process (in the observer) than is facial identity. The results are discussed in the context of beauty's biological significance and facial processing in the brain.

She is not a beauty even when she smiles: possible evolutionary basis for a relationship between facial attractiveness and hemispheric specialization

The asymmetrical status of facial beauty has rarely been investigated. We studied positive facial characteristics, attractiveness and smiling, through the use of left-left and right-right composites of unfamiliar faces of women and men with natural expressions. Results showed that women's right-right composites were judged significantly more attractive than left-left composites while there was no left-right difference in men's composites (Experiment 1). On the other hand, left-left composites were judged to have more pronounced smiling expressions than right-right composites in both women's and men's faces (Experiment 2). The results confirm previous findings for leftward facial expressiveness and show for the first time asymmetry in facial attractiveness and a difference in its manifestation in women's and men's faces. The findings have biological implications for the relationship between the appearance of the sides of the face and hemispheric specialization. The organization of beauty in the human face may have been shaped by evolutionary pressures on facial asymmetries, especially as they pertain to mate selection.

Cardiac sympathetic and parasympathetic activity during self-regulation of heart period

Fourteen subjects attempted to increase and 15 attempted to decrease cardiac interbeat interval (IBI) while being provided with biofeedback of IBI, T-wave vector magnitude (TWVM), or respiratory sinus arrhythmia (RSA). Subjects in both groups showed directional change in IBI relative to a tracking control task, but the three types of feedback did not differentially affect performance. Voluntary IBI increases were associated with significant increases in TWVM and RSA, and voluntary IBI decreases were associated with significant reductions in RSA and nonsignificant reductions in TWVM. This pattern of results suggests that alterations in cardiac vagal tone are involved in voluntary IBI increase and decrease tasks. The results also suggest a role for cardiac sympathetic nervous activity in voluntary IBI increase. The role of changing respiration cycle period was also investigated.

Revised Craig Lipreading Inventory

The two purposes of this study were to shorten the Craig Lipreading Inventory without affecting its reliability and validity and to establish normative data on the revised version. The full inventory was administered to 75 children. By item analysis, half of the items were selected to comprise the brief version; both versions were administered to another group of 75 children. Scores on the two versions correlated (.91 and .92, respectively, for Word Forms A and B and .97 and .95, respectively, for Sentence Forms A and B), thereby substantiating the construct validity of the briefer version. There was significantly high intertest reliability for the Word Forms (.80) and Sentence Forms (.82) of the briefer inventory. Normative data were computed for each age group. This briefer version is a temporally efficient tool for evaluating lipreading ability of children.

Hemophilus influenzae cellulitis of the hand

Hemophilus influenzae type b cellulitis of the hand is a rare infection presenting mainly in the 2-month to 3-year age group. Three proven cases and one clinical case are reported, and the bacteriology and management are discussed. Most of these infections respond to ampicillin and/or chloramphenicol. One must include H. influenzae type b in the differential diagnosis of cellulitis of the hand in this age group and specify this possibility on all cultures so that appropriate identification of the organism can be made.

Arteriovenous fistula and paralysis of mandibular branch of facial nerve following direct wiring of a jaw fracture: case report

We present a case in which interosseous wiring of the mandible resulted in an A-V fistula and an injury to the mandibular ramus of the facial nerve. These two complications can serve as a reminder to all who desire to use interosseous wiring in the treatment of mandibular fractures.