CRISPR-based gene editing enables FOXP3 gene repair in IPEX patient cells

The prototypical genetic autoimmune disease is immune dysregulation polyendocrinopathy enteropathy X-linked (IPEX) syndrome, a severe pediatric disease with limited treatment options. IPEX syndrome is caused by mutations in the forkhead box protein 3 (FOXP3) gene, which plays a critical role in immune regulation. As a monogenic disease, IPEX is an ideal candidate for a therapeutic approach in which autologous hematopoietic stem and progenitor (HSPC) cells or T cells are gene edited ex vivo and reinfused. Here, we describe a CRISPR-based gene correction permitting regulated expression of FOXP3 protein. We demonstrate that gene editing preserves HSPC differentiation potential, and that edited regulatory and effector T cells maintain their in vitro phenotype and function. Additionally, we show that this strategy is suitable for IPEX patient cells with diverse mutations. These results demonstrate the feasibility of gene correction, which will be instrumental for the development of therapeutic approaches for other genetic autoimmune diseases.

Association of Melanophilin (MLPH) gene polymorphism with coat colour in Rex rabbits

Rex rabbit, with multiple phenotypes and colourful fur, is an interesting model for assessing the effect of coat colour gene mutations on characteristic pigmentation phenotype. Based on previous study, the <em>melanophilin</em> (<em>MLPH</em>) gene is a positional candidate gene related coat colour dilution. The fur colours are a lighter shade, e.g. grey instead of black. We sequenced 1689 base pairs of the <em>MLPH</em> gene in Chinchilla and black Rex rabbit. A total of 13 polymorphisms were identified, including seven missense mutations. The rabbit <em>MLPH</em> gene has a very high GC content and the protein shows 64.87% identity to the orthologous human protein (lack of homologous amino acids encoded by human MLPH exon 9). Hardy-Weinberg test showed that, except for the g.606C&gt;A single nucleotid polymorphism (SNP), all other SNPs were in Hardy-Weinberg equilibrium. Haplotype analysis revealed that the seven missense mutation SNPs of two strains of Rex rabbits formed 10 haplotypes, but there were only seven major types of haplotypes (haplotype frequency <em>P</em>&gt;0.05). The major haplotypes of the Chinchilla and black Rex rabbits were H1/H2/H3/H4/H5 and H1/H2/H3/H6/H8, respectively. The special haplotypes of Chinchilla Rex rabbit (H4, H5, H7) were consistently associated with the Chinchilla phenotype. This study provides evidence that different coat colour formation may be caused by one or more mutations within <em>MLPH</em> gene in several Rex rabbit strains. The data on polymorphisms that are associated with the Chinchilla phenotype facilitate the breeding of rabbits with defined coat colours.

A Novel Differential High-Frequency Current Transformer Sensor for Series Arc Fault Detection

Fault arc detection is an important technology to ensure the safe operation of electrical equipment and prevent electrical fires. The high-frequency noise of the arc current is one of the typical arc characteristics of almost all loads. In order to accurately detect arc faults in a low-voltage alternating-current (AC) system, a novel differential high-frequency current transformer (D-HFCT) sensor for collecting high-frequency arc currents was proposed. The sensitivity and frequency band of the designed sensor were verified to ensure that the acquisition requirements of the high-frequency current were satisfied. A series arc fault simulation experiment system was built, and resistive, inductive, and non-linear load and high-power shielding load experiments were carried out. Experiments showed that the sensor output signal was close to zero in the non-arc state, and the sensor output response was a high-frequency glitch in the arc state. The results were consistent for different loads, and the discrimination between normal and fault states was obvious, which proved that the sensor is suitable for series arc fault detection.

Effect of a lytic bacteriophage on rabbits experimentally infected with pathogenic Escherichia coli

Pathogenic <em>Escherichia coli</em> (<em>E. coli</em>) is severely threatening the rabbit industry in China, and the concern over antibiotic-resistant bacteria has given rise to an urgent need for antibiotic alternatives. In this study, a member (ZRP1) of the <em>Myoviridae</em> family was isolated from rabbit faeces using a strain of rabbit atypical enteropathogenic <em>E. coli</em> (ZR1) as host. The one-step growth curve indicated that the latent period was around 25 to 30 min and the burst size was 144±31 plaque-forming unit/cell. The rate of phage-resistant mutation was 7×10^–5±4×10^–5. When the bacteriophage input at the multiplicity of infection (MOI) was 0.1, 1 or 10, the growth of host <em>E. coli</em> in broth was inhibited for 5 h. A single intravenous injection of ZRP1 at MOI 0.1, 1 or 10 significantly prolonged the survival time of rabbits which simultaneously received a lethal dose of ZR1.

Early discoid lupus erythematosus protects against renal disease in patients with systemic lupus erythematosus: longitudinal data from a large Latin American cohort

Objectives

The objective of this study was to examine whether early discoid lupus erythematosus (DLE) would be a protective factor for further lupus nephritis in patients with systemic lupus erythematosus (SLE).

Methods

We studied SLE patients from GLADEL, an inception longitudinal cohort from nine Latin American countries. The main predictor was DLE onset, which was defined as physician-documented DLE at SLE diagnosis. The outcome was time from the diagnosis of SLE to new lupus nephritis. Univariate and multivariate survival analyses were conducted to examine the association of DLE onset with time to lupus nephritis.

Results

Among 845 GLADEL patients, 204 (24.1%) developed lupus nephritis after SLE diagnosis. Of them, 10 (4.9%) had DLE onset, compared to 83 (12.9%) in the group of 641 patients that remained free of lupus nephritis (hazard ratio 0.39; P = 0.0033). The cumulative proportion of lupus nephritis at 1 and 5 years since SLE diagnosis was 6% and 14%, respectively, in the DLE onset group, compared to 14% and 29% in those without DLE ( P = 0.0023). DLE onset was independently associated with a lower risk of lupus nephritis, after controlling for sociodemographic factors and disease severity at diagnosis (hazard ratio 0.38; 95% confidence interval 0.20–0.71).

Conclusions

Our data indicate that DLE onset reduces the risk of further lupus nephritis in patients with SLE, independently of other factors such as age, ethnicity, disease activity, and organ damage. These findings have relevant prognosis implications for SLE patients and their clinicians. Further studies are warranted to unravel the biological and environmental pathways associated with the protective role of DLE against renal disease in patients with SLE.

Validity of a self-administered version of the brief index of lupus damage in a predominantly African American systemic lupus erythematosus cohort

OBJECTIVE

To assess the reliability and criterion and construct validity of the self-administered Brief Index of Lupus Damage (SA-BILD), a patient-reported measure of organ damage in systemic lupus erythematosus (SLE).

METHODS

The validity of the SA-BILD was assessed using data from the Georgians Organized Against Lupus (GOAL) survey. GOAL is a longitudinal cohort of SLE patients predominantly derived from the Georgia Lupus Registry, a population-based registry established in Atlanta, Georgia. In total, 711 participants with documented SLE completed the SA-BILD. To test reliability, the SA-BILD was readministered to 32 patients. Criterion validity was examined in 150 respondents for whom the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI) was also completed. Construct validity was assessed among 711 GOAL participants by dividing the SA-BILD scores into quartiles and examining the association with demographics, health status, and health care utilization.

RESULTS

The test-retest correlation score was 0.93 (P < 0.0001), the item-by-item agreement with the SDI was >80% for most SA-BILD items, and the Spearman's rho correlation coefficient for the SDI and SA-BILD was moderately high (ρ = 0.59, P < 0.0001). SA-BILD scores showed significant associations in the expected directions with age, disease duration, disease activity, overall health, comorbidity index, and physician visits.

CONCLUSION

The SA-BILD was reliable and had very good or good criterion validity compared with the SDI when tested in a predominantly African American cohort of US SLE patients. Associations of SA-BILD scores with sociodemographics and health status were consistent with previous studies. These findings support the use of the SA-BILD as a valid measure of patient-reported damage in SLE.

Short leukocyte telomere length predicts poor prognosis and indicates altered immune functions in colorectal cancer patients

BACKGROUND

Numerous studies indicate that the leukocyte telomere length is associated with the risk of cancers, including colorectal cancer (CRC). However, the prognostic value of leukocyte telomere length in CRC patients has not been investigated.

PATIENTS AND METHODS

Relative telomere length (RTL) of peripheral blood leukocytes (PBLs) from 571 CRC patients receiving surgical resection was measured using a polymerase chain reaction-based method. The Cox proportional hazards ratio model and the Kaplan-Meier curve were used to estimate the association between RTL and the clinical outcome of CRC patients in the training set (90 patients) and the testing set (86 patients). Finally, an independent cohort of 395 patients was used as an external validation set. The immunophenotype of PBLs and the plasma concentration of several immune-related cytokines were determined by flow cytometry and enzyme-linked immunosorbent assay, respectively.

RESULTS

Patients with shorter RTL had significantly poorer overall survival and relapse-free survival than those with longer RTL in the training, testing and validation sets. Furthermore, leukocyte RTL and Tumor-Node-Metastasis (TNM) stage exhibited a significant joint effect in the prognosis prediction of combined CRC patients, indicating that patients with both short RTL and advanced stages had the worst prognosis, when compared with other subgroups. In addition, patients with short RTL showed the higher percentage of CD4(+) T cell and the lower percentage of B cell in peripheral blood mononuclear cells, as well as the lower concentration of plasma transforming growth factor-β1, suggesting a possibility that the immune functions changed with RTL alteration.

CONCLUSIONS

Our study for the first time demonstrates that leukocyte RTL is an independent prognostic marker complementing TNM stage and associated with the immune functions in CRC patients.

[Analysis of circulating lung cancer cells in the peripheral blood in patients with lung cancer by flow cytometry]

BACKGROUND

To analyze circulating lung cancer cells in the peripheral blood in patients with lung cancer by flow cytometry (FCM).

METHODS

The monocyte fraction in peripheral blood was isolated by Ficoll-Hypaque gradient centrifugation. The cells obtained were labeled with antibodies against CD45, cytokeratin (CK) and antigen (2F7/S5A). The CD45(-) CK(+) 2F7/S5A(+) cells were analyzed by FCM.

RESULTS

Fifty cases out of 165 patients with lung cancer (30.30%) were found to have cancer cells in the peripheral blood. Positive rate in non-small cell lung cancer was 30.67%(45/150) and that in small cell lung cancer was 33.33%(5/15) respectively. Meanwhile, there was distinct correlation between detective rate of cancer cells in the peripheral blood and pathological stage(P<0.05).

CONCLUSIONS

Examination of lung cancer presented in the peripheral blood by FCM might be helpful for staging and finding metastatic potential of lung cancer.

Benefits of a self-management program in low-income African-American women with systemic lupus erythematosus: results of a pilot test

Minorities with systemic lupus erythematosus (SLE) are at high risk of poor disease outcomes and may face challenges in effectively self-managing multiple health problems. The Chronic Disease Self-Management Program (CDSMP) is an evidence-based intervention that improves the health of people with chronic illnesses. Although the CDSMP is offered by organizations throughout the United States and many countries around the world, it has not been tested among SLE patients. We pilot tested the benefits of the CDSMP in low-income African American patients with SLE. CDSMP workshops were delivered to 49 African American women with SLE who received medical care at a public lupus clinic in Atlanta, Georgia, US. We compared pre-post CDSMP changes (from baseline to 4 months after the start of the intervention) in health status, self-efficacy and self-management behaviors using self-reported measures. Additionally, we assessed health care utilization changes using electronic administrative records in the 6-month periods before and after the intervention. We observed significant improvements post-intervention in the SF-36 physical health component summary (mean change = 2.4, p = 0.032); self-efficacy (mean change = 0.5, p = 0.035); and several self-management behaviors: cognitive symptoms management (mean change = 0.3, p = 0.036); communication with physicians (mean change = 0.4, p = 0.01); and treatment adherence (mean change = 0.4, p = 0.01). The median number of outpatient visits decreased from 3 to 1 (p < .0001). The CDSMP is a promising intervention for low-income African Americans with SLE. It is an inexpensive program with growing availability around the world that should be further evaluated as a resource to improve patient-centered outcomes and decrease health service utilization among SLE patients.

Relationship between cellular apoptosis and the expression of p75 neurotrophin receptor and tyrosine kinase A receptor in tissue surrounding haematoma in intracerebral haemorrhage

Cellular apoptosis and the expression of p75 neurotrophin receptor (p75(NTR)) and tyrosine kinase A receptor (TrkA) were investigated in the tissues surrounding haematoma in patients with intracerebral haemorrhage. Specimens of tissue from near the haematoma (haemorrhagic samples) and tissue from a distant site (control samples) were collected from 14 patients with basal ganglia haemorrhage undergoing surgical intervention. Cellular apoptosis was determined by terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labelling (TUNEL), and p75(NTR) and TrkA location, protein and gene expression were studied using immunohistochemistry, Western blot and real-time polymerase chain reaction, respectively. The percentage of apoptotic cells and expression of p75(NTR), but not of TrkA, were significantly higher in the haemorrhagic samples than in the control samples. There was a positive correlation between the percentage of TUNEL-positive cells and the percentage of p75(NTR)-positive cells. These results suggest that the p75(NTR)-dependent signal transduction pathway plays an important role in apoptosis after intracerebral haemorrhage.

Association between epidermal growth factor +61 G/A polymorphism and glioma risk in a Chinese Han population

The association between the +61 G/A polymorphism of the epidermal growth factor (EGF) gene and glioma risk remains controversial and unclear. The objective of this study was to investigate the association between the EGF +61 G/A polymorphism and glioma risk in a Chinese Han population. Peripheral blood samples were extracted from 160 glioma patients and 320 control subjects. Genotyping was performed using a polymerase chain reaction-restriction fragment length polymorphism method. Glioma patients had a significantly higher frequency of the AA genotype (odds ratio [OR] 1.93, 95% confidence intervals [CI] 1.08, 3.44) than control subjects and the frequency of the AA genotype was significantly higher in glioblastoma patients than in patients with other gliomas (OR 2.19, 95% CI 1.05, 4.57). Patients with grade IV gliomas had a significantly higher frequency of the AA genotype (OR 2.25, 95% CI 1.08, 4.71) than patients with lower grade gliomas. This study demonstrated that the EGF +61 AA genotype is associated with an increased risk of glioma in a Chinese Han population.

Protein Mechanics: A New Frontier in Biomechanics

Proteins play essential roles in all aspects of cellular processes, such as biosynthesis, division, growth, motility, metabolism, signaling, and transmission of genetic information. Proteins, however, could deform under mechanical forces, thus altering their biological functions. Here we present protein deformation as a possible molecular basis for mechanosensing and mechanotransduction, elucidate the important features of protein mechanics including protein deformation mode and dynamics, illustrate how protein deformation could alter biological function, and describe the important roles of protein deformation in force-sensing, force transducing and mechanochemical coupling in cells. The experimental and modeling challenges in protein mechanics are discussed.

Peierls transition in sodium under high pressure: a first-principles study

We have used first-principles calculations to investigate the electronic structure of the new oP8 phase of sodium which was experimentally reported recently (Gregoryanz et al 2008 Science 320 1054). Our results show the transition from I-43d to oP8 structure, which happens at room temperature, can also happen at 0 K. The I-43d structure will change to the oP8 structure at about 155 GPa and 0 K, rather than the CsIV structure at 190 GPa and 0 K, as the previous studies (Neaton et al 2001 Phys. Rev. Lett. 86 2830) predicted. It is also found that the oP8 structure forms a new nonequilateral triangle Na(3) structure and mainly distributes charge accumulation in the voids of the structure, rather than within the Na(3) triangles. Electronic density of states analysis shows that the oP8 structure opens a deeper pseudogap close to the Fermi level through symmetry breaking of the structure compared with that of the I-43d structure. Together with its unusual charge density distribution, it is found that the Peierls mechanism works for the transition to the oP8 structure. Differing from previous results about the Peierls mechanism of light alkali metals, the unit which produces a one-dimensional charge density wave is the Na(3) cluster instead of the pairing mechanism.

Functionalization and peptide-based delivery of magnetic nanoparticles as an intracellular MRI contrast agent

We report the development of functionalized superparamagnetic iron oxide nanoparticles with a PEG-modified, phospholipid micelle coating, and their delivery into living cells. The size of the coated particles, as determined by dynamic light scattering and electron microscopy, was found to be between 12 and 14 nm. The PEG-phospholipid coating resulted in high water solubility and stability, and the functional groups of modified PEG allowed for bioconjugation of various moieties, including a fluorescent dye and the Tat peptide. Efficient delivery of the functionalized nanoparticles into living cells was confirmed by fluorescence microscopy, relaxation time measurements, and magnetic resonance imaging (MRI). This demonstrates the feasibility of using functionalized magnetic nanoparticles with uniform (approximately 10 nm) sizes as an MRI contrast agent for intracellular molecular imaging in deep tissue. These micelle-coated iron oxide nanoparticles offer a versatile platform for conjugation of a variety of moieties, and their small size confers advantages for intracellular molecular imaging with minimal perturbation.

Cell and molecular mechanics of biological materials

Living cells can sense mechanical forces and convert them into biological responses. Similarly, biological and biochemical signals are known to influence the abilities of cells to sense, generate and bear mechanical forces. Studies into the mechanics of single cells, subcellular components and biological molecules have rapidly evolved during the past decade with significant implications for biotechnology and human health. This progress has been facilitated by new capabilities for measuring forces and displacements with piconewton and nanometre resolutions, respectively, and by improvements in bio-imaging. Details of mechanical, chemical and biological interactions in cells remain elusive. However, the mechanical deformation of proteins and nucleic acids may provide key insights for understanding the changes in cellular structure, response and function under force, and offer new opportunities for the diagnosis and treatment of disease. This review discusses some basic features of the deformation of single cells and biomolecules, and examines opportunities for further research.

Interactions between landscape changes and host communities can regulate Echinococcus multilocularis transmission

An area close to the Qinghai-Tibet plateau region and subject to intensive deforestation contains a large focus of human alveolar echinococcosis while sporadic human cases occur in the Doubs region of eastern France. The current review analyses and compares epidemiological and ecological results obtained in both regions. Analysis of rodent species assemblages within quantified rural landscapes in central China and eastern France shows a significant association between host species for the pathogenic helminth Echinococcus multilocularis, with prevalences of human alveolar echinococcosis and with land area under shrubland or grassland. This suggests that at the regional scale landscape can affect human disease distribution through interaction with small mammal communities and their population dynamics. Lidicker's ROMPA hypothesis helps to explain this association and provides a novel explanation of how landscape changes may result in increased risk of a rodent-borne zoonotic disease.

Cell mechanics: mechanical response, cell adhesion, and molecular deformation

As the basic unit of life, the cell is a biologically complex system, the understanding of which requires a combination of various approaches including biomechanics. With recent progress in cell and molecular biology, the field of cell mechanics has grown rapidly over the last few years. This review synthesizes some of these recent developments to foster new concepts and approaches, and it emphasizes molecular-level understanding. The focuses are on the common themes and interconnections in three related areas: (a) the responses of cells to mechanical forces, (b) the mechanics and kinetics of cell adhesion, and (c) the deformation of biomolecules. Specific examples are also given to illustrate the quantitative modeling used in analyzing biological processes and physiological functions.

Two new species of Heligmoptera Nadtochiy, 1977 (Nematoda: Trichostrongylina: Heligmosomoidea) from myospalacine rodents in China (Gansu), with a redefinition of the genus

Two species, Heligmoptera giraudouxi n. sp. and H. querei n. sp., are described. These are co-parasites of the small intestine of Myospalax fontanierii in China (Gansu). H. giraudouxi is closely related to the only existing species of the genus, H. myospalaxi (Nadtochiy, 1970), a parasite of Myospalax psilurus in the Primor'e Region of Russia. It is distinguished by the pattern of the left lateral lobe. H. querei differs from the two other species by possessing a long dorsal ray and from H. giraudouxi by the length of the left ala. From a phylogenetic point of view, these three species may form a small clade, adapted to Myospalax spp., derived from related forms in Insectivora, this capture resulting in the appearance of monodelphy.

[The relationship between smoking and p53 and Ki-ras gene mutations in sputum cells of patients with lung cancer]

BACKGROUND

To study the relationship between gene's mutation in sputum cells and smoking consumption of patients with lung cancer.

METHODS

Sputum dispose liquid was added into 0.5ml sputum, DNA was extracted twicely with saturated phenol-chloroform and ethanol precipitate; p53 and K-ras gene mutations were detected by using SSCP-PCR and RFLP-PCR methods.

RESULTS

Seventy-one of 110 patients with lung cancer were heavy smokers (index of smoking≥400), 55 of 71(77.5%) patients with heavy smoking were detected with gene alterations of p53 or K-ras (P<0.05). Average indexes of smoking in the patients with p53 or K-ras were 861 and 630 respectively, whereas those in non-smokers were 284 and 554 (Chi-square=36.56,P=0.002).

CONCLUSIONS

Detection of oncogene alterations in sputum is a simple method to practice. Oncogene alteration in smoking patients with lung cancer is higher, especially in heavy smokers, than those with no smoking. The results show that heavy smoking is one of the causes in oncogene mutations of bronchus and further investigation is necessary.

[Detection of telomerase activity in the blood of patients with lung cancer]

BACKGROUND

To study the telomerase activity in blood cancer cells by TRAP for monitoring tumor metastasis in blood.

METHODS

Twenty-five patients with lung cancer surgically treated and 35 patients before chemotherapy were determined for telomerase activity of cancer cells in the blood by TRAP, and 30 patients with non-tumor diseases as control.

RESULTS

In the operative group,13 patients(52%) showed telomerase activity in pulmonary artery blood during operation, which was much higher than that of peripheral blood before operation (24%,P<0.05). Telomerase positive rate was significantly higher in stage III to IV (64%) than that in stage I to II (30%,P<0.05).In the peripheral blood of patients with non-tumor diseases, telomerase was negative.

CONCLUSIONS

Telomerase activity may be an indicator for detecting lung cancer cells in peripheral blood as well as tumor metastasis and relapse.

[Effects of stress level on the biomechanical behavior of the temporomandibular joint disc in domestic pigs]

This study aimed to examine the responses of the temporomandibular joint (TMJ) disc against compression, to clarify the property of viscoelasticity and permeability of the disc, and to provide experimental data for further analyzing the mechanism of stress dissipation within the TMJ disc. With the use of confined compression mechanics and biphasic theory, creep experiments on eight TMJ discs of four domestic pigs were performed under three stress levels(0.07 MPa, 0.13 MPa and 0.30 MPa). The results showed that at 0.07 stress level, the compressive stiffness at 2 seconds of the anterior band(AB), intermediate zone(IZ) and posterior band(PB) of the disc was 4.48 MPa, 3.93 MPa and 6.31 MPa, respectively; the coefficient K of permeability was 0.272 x 10(-12) m4/NS, 0.30 x 10(-12) m4/NS, and 0.042 x 10(-12) m4/NS. At 0.30 Mpa level, the compressive stiffness increased to 14.07 MPa, 13.68 Mpa and 14.00 MPa; the coefficient K lowered to 0.017 x 10(-12) m4/NS, 0.012 x 10(-12) m4/NS and 0.005 x 10(-12) m4/NS. In conclusion, the TMJ disc has viscoelastic and biobiphasic properties against compression. The stiffness of the disc increases with the increment of stress level but the coefficient of permeability decreases. These findings demonstrate that the modulation of stress and of permeability may be two important factors influencing stress dissipation and shock absorption behavior of the disc during compressive and impact loads.

An epidemiological and ecological study of human alveolar echinococcosis transmission in south Gansu, China

Human alveolar echinococcosis (AE) is usually a rare, highly pathogenic zoonotic disease, transmitted across the northern hemisphere between fox and rodent hosts. In China the first cases were described in 1965; however very few epidemiological studies have been undertaken since. Following identification in 1991 of a serious focus of human AE in south Gansu province, detailed village-based community and ecological studies were carried out between 1994 and 1997. Hepatic ultrasound mass screening with serological testing (five tests) identified 84/2482 new AE cases (3%). An overall prevalence of 4.1% (135/3331) was recorded for the area when previous cases were also included. Based on a seropositive result only, without an ultrasound scan indication, no additional AE cases were identified. Of the evolutive AE cases, 96% were seropositive in at least one test, while up 15-20% of individuals who exhibited hepatic calcified lesions and 12-15% exhibiting hepatic nodular lesions were seropositive for specific Em2 or Em18 antibodies. Village (n=31) human AE prevalence rates varied from 0 to 15.8%. Questionnaire analysis indicated that total number of dogs owned over a period was a risk factor (P<0.006), but not a history of red fox hunting (P>0.6). Rodent ecology studies revealed an association between density indices of voles (Microtus limnophilus) and village AE prevalence rates, on the one hand, and village landscape characterised by a ratio of scrub/grassland to total area above 50% (P<0.005). Long-term transmission of Echinococcus multilocularis and risk of zoonotic infection of south Gansu farmers may be related ultimately to a process of deforestation driven by agriculture. This in turn probably results in creation of optimal peri-domestic habitats for rodents that serve as intermediate host species (such as M. limnophilus) and subsequent development of a peri-domestic cycle involving dogs.

[Calcium activated non-selective cation channel in endothelial cell line ECV304 and inhibition of tumor necrosis factor-alpha]

OBJECTIVE

To study the character of non-selective cation channel in human umbilical cord vein endothelial cell line ECV304 and the effect of tumor necrosis factor-alpha (TNF-alpha) on channel activity.

METHOD

Patch clamp technique was used to record single channel and whole cell currents.

RESULTS

This channel can be activated by calcium, channel conductance was (19.74 +/- 2.35) pS and its Po was 0.260 +/- 0.006 (n = 5). 100 U/ml TNF-alpha inhibited channel activity, showing that conductance reduced to (10.69 +/- 4.68) pS and Po reduced to 0.230 +/- 0.051 (n = 5). Results in whole-cell configuration were consistent with that in cell-attached patches. Currents were obviously blocked by Cl- channel inhibitor anthracene-9-carboxylic acid (A9C). In order to testify the character of this channel further, KCl and NaCl were exchanged by K(+)-Aspartate in pipette solution. Under this condition, the single channel activities as before were recorded again. Its conductance was (18.33 +/- 2.98) pS(n = 8), and TNF-alpha as well as A9C could inhibit channel activity. But this channel activity could not be blocked by another Cl- channel blocker Zn2+. In the condition of K-Asparate replaced by CsCl in solution, identical channel activity as before could not be recorded. It seemed that Cs+ could not pass through this cation channel.

CONCLUSION

It is inferred that calcium-activated non-selective-action channel recorded in endothelial cell ECV304, can be inhibited by TNF-alpha and A9C.

Investigating the secretory pathway of the baculovirus-insect cell system using a secretory green fluorescent protein

The secretory pathway is important in actively transporting proteins into the extracellular environment of eucaryotic cells. In this study a green fluorescent protein (GFP) mutant engineered to contain a secretion signal was used as a model protein in order to visualize the secretion process inside insect cells. Fluorescent microscopy indicated that significant amounts of secreted green fluorescent protein (sGFP) accumulated in High-Five, Trichoplusia ni, cells following infection with a baculovirus vector containing the gene under the polyhedrin promoter. Laser scanning confocal microscopy was used to reconstruct whole cell images of the infected High-Five cells at multiple days postinfection. While the protein was widely distributed at 2 days postinfection, certain intracellular regions appeared to contain higher or lower concentrations of the sGFP. A layer by layer examination indicated pockets in which sGFP was absent, and these appear to be vesicles that have recently released the sGFP or are not yet accumulating sGFP. By 3 days postinfection, the sGFP in some cells was concentrated in a number of widely dispersed globules, which may represent the vesicle remnants of a deteriorating secretory pathway. In contrast, nonsecreted GFP was more uniformly distributed in the cells than sGFP and did not accumulate in vesicles. In addition to GFP, the lectins wheat germ agglutinin (WGA) and concanavalin A (ConA), which have affinities for sugar residues, were used to examine the secretory pathway. The WGA, which is a Golgi marker, was distributed around the nucleus prior to infection but then was found to be polarized in one region of the cell following the baculovirus infection. The expansion of other cellular compartments following the baculovirus infection may have caused a change in intracellular distribution of the Golgi. While some of the sGFP was found to colocalize with the WGA label, much of the sGFP was outside this Golgi region. In contrast, ConA labeling, which was not as specific as WGA, was found throughout the cell both before and after infection similar to the sGFP distribution. These studies demonstrate that confocal visualization of fluorescent proteins can be used as an in vivo tool for examining secretory processing in insect cells.

[G-protein modulates the inhibition of angiotensin II on BKCa in ECV304]

OBJECTIVE

To investigate the effect of angiotensin II (A II) on maxi-conductance calcium-activated potassium channel(BKCa) activity in ECV304 cell membrane, and the possible involvement of G-protein.

METHODS

Cell-attached configuration of patch clamp technique was employed to record the current of BKCa in ECV304.

RESULTS

10(-7) mol/L angiotensin II inhibited the BKCa activity. Current amplitude and open probability were decreased, open time was shortened and close time was increased. G-protein activation could eliminate the inhibition of A II.

CONCLUSIONS

A II significantly decreased the activity of BKCa in ECV304, which might depolarize the membrane, and the stability of membrane might change. Thus endothelial cell dysfunction might be induced. G-protein activation was involved in the regulation of the above A II inhibition process.

[Comparison of infrared spectroscopy between native and binding metals' phytoplankton]

Infrared spectroscopy of native and metalbinding duckweed was compared. After binding metals, the absorbance peak around 3,400 cm-1, which reflects OH group stretching vibration, had been moved about 83 cm-1, and its absorbance was decreased. The absorbance of the dominating bands near 1,650 and 1,540 cm-1, the characteristic IR absorption of protein, was decreased. Therefore, the peak absorbance at 620 cm-1 was increased significantly by exposure to high concentration of ZnSO4 solution. So we concluded that OH group play a important role in binding zinc cation and the structure of cell walls had changed due to zinc existing. Furthermore, the process of binding metals by duckweed is physical adsorption and chemical adsorption simultaneously.

[A biomechanical study on the retrodiscal tissue of human temporomandibular joint]

In order to investigate the biomechanical properties and functional mechanism of the retrodiscal tissue (RT) of human temporomandibular joint (TMJ), we conducted a uniaxial tensile test on thirteen RT specimens taken from eight fresh TMJs of the human cadavers aged between 8-15 years (m = 11.8 yrs). The experimental data were analyzed in conjunction with the Quasi-Linear Viscoelastic Theory as proposed by Fung YC to characterize the time-dependent behaviour and the constitutive relationship of the RT. The results showed that the physiological biphasic zone of stress-strain curve lied within 20%-30% strain levels. The elastic modulus (MPa), tensile strength(MPa) and strain to failure(%) were high. There were significant differences in strain to yielding and energy resorption (N.mm) between lateral and medial RT. There was a good agreement between theoretical prediction value and experimental result within 6% strain level. These data suggest that there would be a higher passive deformation and lower safety storage of strength in the RT which could be related to anterior displacement of the TMJ disc and that Fung's Theory can adequately describe the stress-time behaviour and the constitutive relationship of the RT within lower strain rate.

[G-protein potentiates the activation of TNF-alpha on calcium-activated potassium channel in ECV304]

OBJECTIVE

Observe the effect of tumor necrosis factor-alpha (TNF-alpha) on calcium-activated potassium channel in ECV304 and the possible involvement of G-protein mediation in the action of TNF-alpha.

METHOD

Using the cell-attached configuration of patch clamp technique.

RESULTS

(1) the activity of high-conductance calcium-activated potassium channel (BKca) was recorded. Its conductance is (202.54 +/- 16.62) pS; (2) the activity of BKca was potentiated by 200 U/ml TNF-alpha; (3) G-protein would intensify this TNF-alpha activation.

CONCLUSIONS

TNF-alpha acted on vascular endothelial cell ECV304 could rapidly activate the activity of BKca. Opening of BKca resulted in membrane hyper-polarization which could increase electro-chemical gradient for the resting Ca2+ influx and open leakage calcium channel, thus resting cytoplasmic free Ca2+ concentration could be elevated. G-protein may exert an important regulation in this process.

[Tensile mechanics of mandibular condylar cartilage]

OBJECTIVE

To study the biomechanical properties of the mandibular condyle cartilage and determine its functional importance.

METHODS

Eight condyle specimens of the four pig temporomandibular joints were obtained by autopsy and stored in sealed plastic bags at -20 degrees C. These pigs were healthy, aged 1 year +/- 2 months. In the coronal direction, 300 microns wide, rectangular cartilage-bone specimens were prepared on the right condyles using specified knife. In the sagittal direction, rectangular cartilage-bone specimens with the same width were obtained on the left condyles. Standard rectangular testing specimens were prepared from cartilage-bone specimens in a microtome kept at -20 degrees C (300 microns wide and 250 microns thick). The specimens were inserted in a soft-tissue uniaxial tensile test machine and immersed in a bath of Ringer's solution at room temperature. Preconditioning of the specimens was carried out prior to the uniaxial tensile experiment and the specimens were elongated to failure with the constant strain rate (0.05 mm/s). The resulting mean values were curved fitted with Fung's two-parameter (A, B) exponential stress strain equation using a nonlinear regression program.

RESULTS

The data obtained showed that a typical nonlinear biomechanical behavior of the condyle cartilage. Toe-region and quasi-linear zone were obvious on the experimental stress strain relation curve. Theoretically fitted parameter A and B were 0.47 and 4.13 (coronally) and 0.60 and 4.70 (sagittally). The sagittal specimens showed greater tensile stress (2.92 MPa), tensile stiffness (9.04 MPa), energy absorption (6.02 N.mm) but less tensile strain (37.34%) than that of the coronal specimens (2.15 MPa, 6.55 MPa, 4.91 N.mm, and 41.12%). The differences were statistically significant (P < 0.05).

CONCLUSION

The mandibular condyle cartilage is a kind of biophasic material which shows nonlinear viscoelastic behavior, anistrophic characteristics in biomechanical function and high ability to resist tensile stress in the longitudinal direction.

[An establishment of murine drug-resistant cell line transfected with human MDR-1 gene.]

BACKGROUND

To investigate the relationship between MDR-1 gene expression and drug resistance in lung cancer cells.

METHODS

The multidrug resistant cell line (3LL-MDR-1) was established by transfecting human MDR-1 gene expressing vector into a murine Lewis lung cancer cell line (3LL) . Drug resistance and the effect of valapamil (VLP) on the resistance were evaluated by MTT assay. The expression of MDR-1 gene product , P-gp , was measured immunohistochemically. The influx and efflux of Rhodamine 123 was tested with flow cytometry.

RESULTS

The MDR cell line expressing P-gp was established , which exhibited a typical drug resistance to vincristine (VCR) , vindesin (VDS) , etoposide (VP-16) , mitomycin (MMC) , taxol and navelbine (NOR) . Valapamil was able to reverse the resistance of the gene-transfected cells and the reversion was dose-dependent. Flow cytometric analysis showed that the resistant cells had much higher ability to export Rhodamine 123 than the parent cells did. The expression of P-gp protein was visualized immunohistochemically.

CONCLUSIONS

The results indicate that drug resistance in lung cancer cells is closely related to the MDR-1 gene expression.

[Subtenon's infiltration anesthesia for intraocular surgery]

PURPOSE

To study the efficiency of Subtenon's anesthesia for intraocular surgery.

METHODS

Subtenon's infiltration anesthesia was performed in the following ocular surgeries: Extracapsular cataract extraction combined with intraocular lens(IOL) implantation (14 eyes), cataract aspiration with IOL implantation(5 eyes), iridectomy(2 eyes), trabeculetomy(3 eyes), and removal of silicon band after scleral buckle for retinal detachment (1 eye). After superficial anesthesia with 0.5% Dicaine solution and incision of limbal conjunctira were performed, a 22 gauge blunt connected with a 5 ml syringe containing a mixture of 2% lidocain and 0.75% of Bupivacaine was introduced posteriorly along with the surface of the sclera towards both 10:00 and 2:00 o'clock direction, under Tehon's capsule at tabout 10-15 mm away from the limbus. A slow injection of 1.5-2.0 ml of the anesthesia was made at the equator of the globe.

RESULTS

According to the standard made by Pang chenjiu, the efficiency of anesthesia was as follows: Grade I: 20 eyes(80%), Grade II: 4 eyes (16%), Grade III: 1 eye (4%).

CONCLUSION

It is an effective, safe and simple anesthetic method for intraocular surgery especially for those with single eye, glaucoma eye in absolute stage and old patient with insufficient heart function.

Pulmonary edema develops after recurrent obstructive apneas

There are anecdotal reports of pulmonary edema after a night of recurrent obstructive apneas (OAs) in humans, but no data on lung water, gas exchange, filling pressure, or cardiac output (Q) exist in these patients. By clamping the endotracheal tube of eight intubated, anesthesized dogs, we created repetitive OAs of 45-s duration at 30-s intervals, for 8 h. Five additional dogs without apneas, but identically instrumented, were studied simultaneously, serving as nonapneic controls. Sa (O(2)) was measured by intraarterial catheter, pulmonary capillary wedge pressure (Pcw), continuous cardiac output (Q), and mixed venous oxygen saturation (Sv(O(2))) were measured by flotation catheter. Basal and hourly hemodynamics and blood gases (arterial and venous) under steady state respiration were measured. Venous admixture (Q S/Q T) was calculated by standard equations. Pa(O(2)) from the beginning to the end of the experiment fell from 89.6 to 82.8 mm Hg in apneic animals and from 92.2 to 85.5 mm Hg in controls. The Q S/Q T increased in both groups but more so in the apnea group (3.3 to 19.4%) than in nonapneic controls (3.1 to 7.9%). Neither Q nor Pcw changed significantly in either group. Lung wet/dry weight was 5.40 +/- 0.93 in apneic animals and 5.00 +/- 0.67 in controls. Light microscopy showed gross alveolar fluid in three apneic dogs, and electron microscopy showed interstitial fluid in two additional apneic dogs. One of the lung edema dogs expired of acute heart failure in the seventh hour of the experiment. Worsening of gas exchange and histology suggest that lung edema can result from recurrent OAs.

Renin activity and blood pressure in response to chronic episodic hypoxia

Previous studies in several strains of rats have demonstrated that 35 days of recurrent episodic hypoxia (EH) (7 hours per day), with a fractional concentration of inspired oxygen that produces desaturation equivalent to the recurrent hypoxemia of sleep apnea, results in an 8 to 13 mm Hg persistent increase in diurnal systemic blood pressure (BP). Carotid chemoreceptors and the sympathetic nervous system have been shown to be necessary for development of this BP increase. Both renal artery denervation and adrenal demedullation block the BP response to chronic EH. The present study was undertaken to define further the role of the kidneys and the renin-angiotensin system in this BP increase. Separate groups of male Sprague-Dawley rats had either (1) bilateral renal artery denervation with EH, (2) sham surgery with EH, (3) sham surgery with sham EH (compressed air), (4) EH with losartan, (5) unhandled with losartan, or (6) unhandled. The experimental period lasted 35 days. Both renal-artery denervated and losartan-treated animals showed no BP change or a lowering of BP in response to EH, whereas the sham-operated EH animals showed a progressive, sustained increase in resting room air BP. BP remained at basal levels or fell in unhandled and unhandled losartan-treated animals. Plasma renin activity was elevated 4-fold versus basal levels in EH animals with renal nerves intact but remained at baseline levels in denervated animals. At the end of the experiment, renal tissue catecholamines confirmed renal denervation in those animals. In conclusion, EH causes a progressive increase in BP, mediated in part through renal sympathetic nerve activity that acts to increase renin-angiotensin system activity through angiotensin II type 1 receptors.

Dynamics of individual flexible polymers in a shear flow

Polymer dynamics are of central importance in materials science, mechanical engineering, biology and medicine. The dynamics of macromolecular solutions and melts in shear flow are typically studied using bulk experimental methods such as light and neutron scattering and birefringence. But the effect of shear on the conformation and dynamics of individual polymers is still not well understood. Here we describe observations of the real-time dynamics of individual, flexible polymers (fluorescently labelled DNA molecules) under a shear flow. The sheared polymers exhibit many types of extended conformation with an overall orientation ranging from parallel to perpendicular with respect to the flow direction. For shear rates much smaller than the inverse of the relaxation time of the molecule, the relative populations of these two main types of conformation are controlled by the rate of the shear flow. These results question the adequacy of assumptions made in standard models of polymer dynamics.

[Diathermic high-frequency capsulorhexis in cataract surgery]

PURPOSE

To evaluate the efficiency of diathermic high-frequency capsulorhexis in cataract surgery.

METHODS

After injection of viscoelastic material into the anterior chamber, a continuous circular capsulotomy (CCC) was performed using a diathermic high-frequency capsulorhexis machine in 34 eyes of 30 cataract patients during extracapsular cataract extraction (ECCE) combined with intraocular lens (IOL) implantation.

RESULTS

Successfully CCC was made in 31 eyes. A small peripheral radial capsular tear was detected in 3 eyes. No postoperative corneal edema and other complications were found in all eyes. The postoperative corrected visual acuity > or = 0.5 was accounted for 91.2%.

CONCLUSION

Diathermic high-frequency capsulorhexis is a simple, safe and effective method for ECCE (or Phacoemulsification) combined with IOL implantation. It is especially indicated for those eyes with hypermature cataract, traumatic cataract and children with congenital cataract.

Karyological and dental identification of Microtus limnophilus in a large focus of alveolar echinococcosis (Gansu, China)

A study of voles (Arvicolidae, Rodentia) from Gansu (China) designed to identify a potential host of Echinococcus multilocularis, responsible for human alveolar echinococcosis, leads to a general analysis of Microtus limnophilus population karyotypes, M1 of M. oeconomus populations from all of Eurasia and of M. limnophilus of Mongolia. The Microtus of Gansu belonging to the nominal subspecies M. limnophilus limnophilus (2n = 38; NF = 58) differs markedly in size and shape of M1 from the M. limnophilus of Mongolia, which must therefore be considered as a new subspecies M. limnophilus of malygini nov. ssp. (2n = 38; NF = 60) and the M. oeconomus of Mongolia should be ranked as M. oeconomus kharanurensis nov. ssp. (2n = 30; NF = 60).

Acute and chronic blood pressure response to recurrent acoustic arousal in rats

Repetitive episodic hypoxia every 30 sec administered chronically to Sprague-Dawley (SD) rats has been shown by previous studies to cause a sustained increase in daytime blood pressure (BP). Acoustic arousal in humans during wake or sleep produces an acute BP rise. The question then arises as to whether chronic episodic acoustic arousal applied with the same frequency and duration as episodic hypoxia induces elevated BP. We exposed 14-week-old (N = 10) SD rats in individual cages to recurrent buzzer noise (500 Hz, 100 dB) 6 out of every 30 sec, 7 h/day for 35 days. Ten other rats were placed in similar cages daily but not exposed to noise, to provide a sham condition. An infrared beam with a detector was positioned at the end of each cage. This allowed us to quantify motion by registering the number of times the rat broke the beam per 7 h period. Mean intraarterial BP was measured in unrestrained conscious animals at baseline and at the end of 35 days of their respective conditions. Acute episodic acoustic stimulation caused an immediate response in BP and heart rate. Habituation occurred in that the movement response to 120 noises per hour was 75% in hour one and 20% in hours two through seven on day one. The movement response was further reduced by day 35 but remained significantly higher than in animals not stimulated by noise. The cardiovascular response to noise also showed signs of habituation. Chronic noise stimulation produced no sustained increases in BP after 35 days of exposure.

[Experimental studies on human lung cancer gene-therapy with HSV-TK/GCV system]

OBJECTIVE

Evaluate the clinical potential of HSV-TK/GCV system in gene-therapy of tumors by using this system to treat human lung cancer A549 cells in vitro and in vivo.

METHOD

The in vitro sensitivity levels of A549/TK (TK-tranfered A549) cells and wild type A549 cells to GCV were expressed as IC50 which was measured with MTT assay after treating both cells for 72 hrs. In vivo study, The nude mice bearing A549/TK tumor or A549 tumor were used as experimental models. All the animals were divided into 3 groups. Group 1, the animals bearing A549/TK tumor would be treated with GCV. Group 2, The animals bearing A549/TK tumor would be treated with saline. Group 3, The animals bearing A549 tumor would be treated with GCV. When the tumors reached to 200-300 mg the animals would be injected intraperitoneally with GCV solution (100 mg.kg-1.day-1) or equal volume of saline for two weeks. In this period and the following four weeks, the tumor weights were measured and calculated with the experience formula once every three or four days.

RESULT

In vitro study showed that the A549/TK cells were apparently killed in a 20 mumol/L GCV solution while the wild type A549 cells grew normally under the same condition. The IC50 of A549/TK cells in GCV solution was 0.5 mumol/L and that of A549 cells 500 mumol/L, showing a 1,000 fold difference (P < 0.01). In vivo experiment GCV had compelled the A549/TK tumors to lead to a regression of 92%, meanwhile the A549 tumors treated with GCV increased 3.9 times in weight in the first seventeen days of experiment. Group 2 tumors A549/TK tumors which were treated with saline, grew as well as group 3 did. There was a significant difference (P < 0.01) between group 1 and other groups.

CONCLUSION

GCV could specifically and effectively kill the TK-transfered A549 cells in vitro and in vivo. This result suggested that the HSV-TK/GCV system may have a clinical potential for gene therapy of lung cancer.

[Effect of SNP on KCa of resistance vascular smooth muscle cell membrane in SHRsp]

OBJECTIVE

To investigate the effect of sodium nitroprusside (SNP) on calcium activated potassium channels (KCa) of mesenteric arterial A4-A5 branches resistence vascular smooth muscle cell membrane in Stroke-prone Spontaneously Hypertensive Rats (SHRsp) and its normotensive control WKY rats.

METHODS

Cell-attached patch clamp technique was used.

RESULTS

It was found that SNP could activate the KCa of the resistance vascular smooth muscle in both SHRsp and WKY. Under the same dose of SNP (1 nmol/L), the conductance and channel current amplitude etc. of the activated KCa in SHRsp were smaller than that in WKY rats. Given the same dose of 8-Br-cGMP (10 mumol/L), the cGMP activation of SHRsp KCa was less potentiated than that of WKY, appeared very similar to SNP/NO activation.

CONCLUSIONS

The results suggested the KCa of hypertensive resistance vascular smooth muscle membrane appearing weaker response to relaxing factor EDRF/NO.

Rhizobium mongolense sp. nov. is one of three rhizobial genotypes identified which nodulate and form nitrogen-fixing symbioses with Medicago ruthenica [(L.) Ledebour]

Medicago ruthenica [(L.) Ledebour] is native to inner Mongolia where rhizosphere samples were collected for the isolation of 106 rhizobial cultures. Besides nodulating the original trap host, the isolates formed nitrogen-fixing symbioses with Phaseolus vulgaris. Only half of the isolates nodulated alfalfa (Medicago sativa), but these did not form nitrogen-fixing symbioses. Rhizobium tropici also formed nitrogen-fixing symbioses with Medicago ruthenica. A total of 56 distinctive multilocus electrophoretic types (ETs) were identified among 94 of the 106 isolates which were analysed for variation in electrophoretic mobility of 12 enzyme loci. One isolate (USDA 1920) possessed a unique ET, while the ETs of the other isolates formed two weakly divergent subgroups approximately equal in size. It was concluded from small subunit rRNA gene sequences of eight isolates of Medicago ruthenica that they belonged to the genus Rhizobium and not to the genus Sinorhizobium which is more commonly associated with Medicago. Genomic similarity, determined from DNA hybridization analysis, between USDA 1920 and the strain representing the remaining isolates (USDA 1844) was lower than 20%. Based upon these observations it was concluded that at least three genomic species of rhizobia form nitrogen-fixing symbioses with Medicago ruthenica. One of these genomic species is R. tropici, another is represented by the single isolate USDA 1920 and the name Rhizobium mongolense is proposed for the third genomic species represented by USDA 1844.

Hypertension caused by chronic intermittent hypoxia--influence of chemoreceptors and sympathetic nervous system

BACKGROUND

The sleep apnea syndrome (SAS) is a common health problem with a 30% prevalence among patients with so-called essential hypertension.

OBJECTIVE

Prompted by this epidemiologic link we tried to find out whether there is a cause-effect relationship between SAS and systemic hypertension.

DESIGN

We developed an animal model to simulate defined aspects of the SAS. Rats were exposed to chronic repetitive hypoxia for 7 h per day and their blood pressure was measured by invasive methods.

RESULTS

We found that 30 days of intermittent hypoxia sufficed for the development of a significant elevation of blood pressure. The co-exposure to hypoxia and hypercapnia had no additional effect. Surgical denervation of peripheral chemoreceptors prevented the increase in arterial blood pressure. Adrenal demedullation and chemical denervation of the peripheral sympathetic nervous system by 6-hydroxy dopamine also prevented the increase.

CONCLUSIONS

Our data imply that repetitive hypoxemia in SAS is probably the cause of the high prevalence of systemic hypertension in this population and that peripheral chemoreceptors and the sympathetic nervous system play important roles in this pathophysiologic process.

Blood pressure response to chronic episodic hypoxia: role of the sympathetic nervous system

Previous studies in several strains of rats have demonstrated that 35 consecutive days of recurrent episodic hypoxia (7 h/day) cause an 8- to 13-mmHg persistent increase in diurnal systemic blood pressure (BP). Carotid chemoreceptors and the sympathetic nervous system have been shown to be necessary for development of this BP increase. The present study was undertaken to further define the role of renal artery sympathetic nerves and the adrenal medulla in this BP increase. Male Sprague-Dawley rats had either adrenal medullectomy, bilateral renal artery denervation, or sham surgery. Rats from each of these groups were subjected to episodic hypoxia for 35 days. Control groups received either compressed air or were left unhandled. Adrenal demedullation or renal artery denervation eliminated the chronic diurnal mean BP response (measured intra-arterially) to episodic hypoxia, whereas sham-operated controls continued to showed persistent elevation of systemic BP. Plasma and renal tissue catecholamine levels at the end of the experiment confirmed successful adrenal demedullation or renal denervation in the respective animals. The chronic episodic hypoxia-mediated increase in diurnal BP requires both intact renal artery nerves as well as an intact adrenal medulla.