Immunological Balance Is Associated with Clinical Outcome after Autologous Hematopoietic Stem Cell Transplantation in Type 1 Diabetes

Autologous hematopoietic stem cell transplantation (AHSCT) increases C-peptide levels and induces insulin independence in patients with type 1 diabetes. This study aimed to investigate how clinical outcomes may associate with the immunological status, especially concerning the balance between immunoregulation and autoreactivity. Twenty-one type 1 diabetes patients were monitored after AHSCT and assessed every 6 months for duration of insulin independence, C-peptide levels, frequencies of islet-specific autoreactive CD8⁺ T cells (CTL), regulatory lymphocyte subsets, thymic function, and T-cell repertoire diversity. In median follow-up of 78 (range 15–106) months, all patients became insulin-independent, resuming insulin after median of 43 (range 6–100) months. Patients were retrospectively divided into short- or prolonged-remission groups, according to duration of insulin independence. For the entire follow-up, CD3⁺CD4⁺ T-cell numbers remained lower than baseline in both groups, whereas CD3⁺CD8⁺ T-cell levels did not change, resulting in a CD4/CD8 ratio inversion. Memory CTL comprehended most of T cells detected on long-term follow-up of patients after AHSCT. B cells reconstituted to baseline levels at 2–3 months post-AHSCT in both patient groups. In the prolonged-remission-group, baseline islet-specific T-cell autoreactivity persisted after transplantation, but regulatory T cell counts increased. Patients with lower frequencies of autoreactive islet-specific T cells remained insulin-free longer and presented greater C-peptide levels than those with lower frequencies of these cells. Therefore, immune monitoring identified a subgroup of patients with superior clinical outcome of AHSCT. Our study shows that improved immunoregulation may balance autoreactivity endorsing better metabolic outcomes in patients with lower frequencies of islet-specific T cells. Development of new strategies of AHSCT is necessary to increase frequency and function of T and B regulatory cells and decrease efficiently autoreactive islet-specific T and B memory cells in type 1 diabetes patients undergoing transplantation.

Splitting of standing spin-wave modes in circular submicron ferromagnetic dot under axial symmetry violation

The spin wave dynamics in patterned magnetic nanostructures is under intensive study during the last two decades. On the one hand, this interest is generated by new physics that can be explored in such structures. On the other hand, with the development of nanolithography, patterned nanoelements and their arrays can be used in many practical applications (magnetic recording systems both as media and read-write heads, magnetic random access memory, and spin-torque oscillators just to name a few). In the present work the evolution of spin wave spectra of an array of non-interacting Permalloy submicron circular dots for the case of magnetic field deviation from the normal to the array plane have been studied by ferromagnetic resonance technique. It is shown that such symmetry violation leads to a splitting of spin-wave modes, and that the number of the split peaks depends on the mode number. A quantitative description of the observed spectra is given using a perturbation theory for small angles of field inclination from the symmetry direction. The obtained results give possibility to predict transformation of spin wave spectra depending on direction of the external magnetic field that can be important for spintronic and nanomagnetic applications.

Testing of four Leishmania vaccine candidates in a mouse model of infection with Leishmania (Viannia) braziliensis, the main causative agent of cutaneous leishmaniasis in the New World

We evaluated whether four recombinant antigens previously used for vaccination against experimental infection with Leishmania (Leishmania) major could also induce protective immunity against a challenge with Leishmania (Viannia) braziliensis, the species responsible for 90% of the 28,712 annual cases of cutaneous and mucocutaneous leishmaniasis recorded in Brazil during the year of 2004. Initially, we isolated the homolog genes encoding four L. (V.) braziliensis antigens: (i) homologue of receptor for activated C kinase, (ii) thiol-specific antioxidant, (iii) Leishmania elongation and initiation factor, and (iv) L. (L.) major stress-inducible protein 1. At the deduced amino acid level, all four open reading frames had a high degree of identity with the previously described genes of L. (L.) major being expressed on promastigotes and amastigotes of L. (V.) braziliensis. These genes were inserted into the vector pcDNA3 or expressed as bacterial recombinant proteins. After immunization with recombinant plasmids or proteins, BALB/c mice generated specific antibody or cell-mediated immune responses (gamma interferon production). After an intradermal challenge with L. (V.) braziliensis infective promastigotes, no significant reduction on the lesions was detected. We conclude that the protective immunity afforded by these four vaccine candidates against experimental cutaneous leishmaniasis caused by L. (L.) major could not be reproduced against a challenge with L. (V.) braziliensis. Although negative, we consider our results important since they suggest that studies aimed at the development of an effective vaccine against L. (V.) braziliensis, the main causative agent of cutaneous leishmaniasis in the New World, should be redirected toward distinct antigens or different vaccination strategies.

[Document center of the Anna Nery School of Nursing -- a contribution to the history of nursing]

The purposes of this descriptive study are to transmit a philosophy of preserving the Nursing memory, to present the criteria observed in the organization and preservation of documentary collection and last but not least to share the experience of organizing a Documentary Center. Besides presenting the techniques to be used while dealing with documentary collection, attention is also drawn to environmental issues as well as the user's behavior in the aforementioned Center, whose importance as a source of information and research to several areas of human knowledge is emphasized.