IL-6 mediates platinum-induced enrichment of ovarian cancer stem cells

In high-grade serous ovarian cancer (OC), chemotherapy eliminates the majority of tumor cells, leaving behind residual tumors enriched in OC stem cells (OCSC). OCSC, defined as aldehyde dehydrogenase–positive (ALDH+), persist and contribute to tumor relapse. Inflammatory cytokine IL-6 is elevated in residual tumors after platinum treatment, and we hypothesized that IL-6 plays a critical role in platinum-induced OCSC enrichment. We demonstrate that IL-6 regulates stemness features of OCSC driven by ALDH1A1 expression and activity. We show that platinum induces IL-6 secretion by cancer-associated fibroblasts in the tumor microenvironment, promoting OCSC enrichment in residual tumors after chemotherapy. By activating STAT3 and upregulating ALDH1A1 expression, IL-6 treatment converted non-OCSC to OCSC. Having previously shown altered DNA methylation in OCSC, we show here that IL-6 induces DNA methyltransferase 1 (DNMT1) expression and the hypomethylating agent (HMA) guadecitabine induced differentiation of OCSC and reduced — but did not completely eradicate — OCSC. IL-6 neutralizing antibody (IL-6-Nab) combined with HMA fully eradicated OCSC, and the combination blocked IL-6/IL6-R/pSTAT3–mediated ALDH1A1 expression and eliminated OCSC in residual tumors that persisted in vivo after chemotherapy. We conclude that IL-6 signaling blockade combined with an HMA can eliminate OCSC after platinum treatment, supporting this strategy to prevent tumor recurrence after standard chemotherapy

Reflex closure of the oesophageal groove and its potential application in ruminant nutrition

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In vivo testing of novel vaccine prototypes against Actinobacillus pleuropneumoniae

Actinobacillus pleuropneumoniae (A. pleuropneumoniae) is a Gram-negative bacterium that represents the main cause of porcine pleuropneumonia in pigs, causing significant economic losses to the livestock industry worldwide. A. pleuropneumoniae, as the majority of Gram-negative bacteria, excrete vesicles from its outer membrane (OM), accordingly defined as outer membrane vesicles (OMVs). Thanks to their antigenic similarity to the OM, OMVs have emerged as a promising tool in vaccinology. In this study we describe the in vivo testing of several vaccine prototypes for the prevention of infection by all known A. pleuropneumoniae serotypes. Previously identified vaccine candidates, the recombinant proteins ApfA and VacJ, administered individually or in various combinations with the OMVs, were employed as vaccination strategies. Our data show that the addition of the OMVs in the vaccine formulations significantly increased the specific IgG titer against both ApfA and VacJ in the immunized animals, confirming the previously postulated potential of the OMVs as adjuvant. Unfortunately, the antibody response raised did not translate into an effective protection against A. pleuropneumoniae infection, as none of the immunized groups following challenge showed a significantly lower degree of lesions than the controls. Interestingly, quite the opposite was true, as the animals with the highest IgG titers were also the ones bearing the most extensive lesions in their lungs. These results shed new light on A. pleuropneumoniae pathogenicity, suggesting that antibody-mediated cytotoxicity from the host immune response may play a central role in the development of the lesions typically associated with A. pleuropneumoniae infections

A model to predict disease progression in patients with autosomal dominant polycystic kidney disease (ADPKD): the ADPKD Outcomes Model.

Background: Autosomal dominant polycystic kidney disease (ADPKD) is the leading inheritable cause of end-stage renal disease (ESRD); however, the natural course of disease progression is heterogeneous between patients. This study aimed to develop a natural history model of ADPKD that predicted progression rates and long-term outcomes in patients with differing baseline characteristics. Methods: The ADPKD Outcomes Model (ADPKD-OM) was developed using available patient-level data from the placebo arm of the Tolvaptan Efficacy and Safety in Management of ADPKD and its Outcomes Study (TEMPO 3:4; ClinicalTrials.gov identifier NCT00428948). Multivariable regression equations estimating annual rates of ADPKD progression, in terms of total kidney volume (TKV) and estimated glomerular filtration rate, formed the basis of the lifetime patient-level simulation model. Outputs of the ADPKD-OM were compared against external data sources to validate model accuracy and generalisability to other ADPKD patient populations, then used to predict long-term outcomes in a cohort matched to the overall TEMPO 3:4 study population. Results: A cohort with baseline patient characteristics consistent with TEMPO 3:4 was predicted to reach ESRD at a mean age of 52 years. Most patients (85%) were predicted to reach ESRD by the age of 65 years, with many progressing to ESRD earlier in life (18, 36 and 56% by the age of 45, 50 and 55 years, respectively). Consistent with previous research and clinical opinion, analyses supported the selection of baseline TKV as a prognostic factor for ADPKD progression, and demonstrated its value as a strong predictor of future ESRD risk. Validation exercises and illustrative analyses confirmed the ability of the ADPKD-OM to accurately predict disease progression towards ESRD across a range of clinically-relevant patient profiles. Conclusions: The ADPKD-OM represents a robust tool to predict natural disease progression and long-term outcomes in ADPKD patients, based on readily available and/or measurable clinical characteristics. In conjunction with clinical judgement, it has the potential to support decision-making in research and clinical practice

The molecular characterisation of Escherichia coli K1 isolated from neonatal nasogastric feeding tubes

Background: The most common cause of Gram-negative bacterial neonatal meningitis is E. coli K1. It has a mortality rate of 10–15%, and neurological sequelae in 30– 50% of cases. Infections can be attributable to nosocomial sources, however the pre-colonisation of enteral feeding tubes has not been considered as a specific risk factor. Methods: Thirty E. coli strains, which had been isolated in an earlier study, from the residual lumen liquid and biofilms of neonatal nasogastric feeding tubes were genotyped using pulsed-field gel electrophoresis, and 7-loci multilocus sequence typing. Potential pathogenicity and biofilm associated traits were determined using specific PCR probes, genome analysis, and in vitro tissue culture assays. Results: The E. coli strains clustered into five pulsotypes, which were genotyped as sequence types (ST) 95, 73, 127, 394 and 2076 (Achman scheme). The extra-intestinal pathogenic E. coli (ExPEC) phylogenetic group B2 ST95 serotype O1:K1:NM strains had been isolated over a 2 week period from 11 neonates who were on different feeding regimes. The E. coli K1 ST95 strains encoded for various virulence traits associated with neonatal meningitis and extracellular matrix formation. These strains attached and invaded intestinal, and both human and rat brain cell lines, and persisted for 48 h in U937 macrophages. E. coli STs 73, 394 and 2076 also persisted in macrophages and invaded Caco-2 and human brain cells, but only ST394 invaded rat brain cells. E. coli ST127 was notable as it did not invade any cell lines. Conclusions: Routes by which E. coli K1 can be disseminated within a neonatal intensive care unit are uncertain, however the colonisation of neonatal enteral feeding tubes may be one reservoir source which could constitute a serious health risk to neonates following ingestion

Validity and reliability of the Danish version of the Pittsburgh Sleep Quality Index

AIM: The Pittsburgh Sleep Quality Index is a widely used measure of sleep quality. The validity and reliability of the Danish version of the instrument has not yet been established. The aim of this study is to establish the internal consistency, test-retest reliability and convergent validity of the Danish version of the Pittsburgh Sleep Quality Index in adolescents.METHODS: Data were collected from 719 students from 17 different upper secondary schools. The sample consisted of 55% women, and the mean age of the sample was 17.87 (2.52) years. Data was collected on two occasions approximately 6 weeks apart using online surveys. Apart from the Pittsburgh Sleep Quality Index, the students also completed the five-item World Health Organization Well-being Index and the 10-item Perceived Stress Scale. For internal consistency the Cronbach's alpha was calculated, for test-retest reliability the interclass correlation coefficient was computed, and for validity the Pearson's correlation was calculated.RESULTS: The mean global Pittsburgh Sleep Quality Index score among Danish adolescents was 5.86 (3.13). The internal consistency for the Pittsburgh Sleep Quality Index was satisfactory with a Cronbach's alpha of 0.72. Test-retest reliability was adequate with an interclass correlation coefficient of 0.68. Finally, the Pittsburgh Sleep Quality Index showed large positive correlation with the 10-item Perceived Stress Scale (0.55) and a large negative correlation with the five-item World Health Organization Well-being Index (-0.59).CONCLUSIONS: The Danish version of the Pittsburgh Sleep Quality Index showed adequate reliability and validity among Danish adolescents.</p

Assessing the accuracy of current near infra-red reflectance spectroscopy analysis for fresh grass-clover mixture silages and development of new equations for this purpose

The purpose of this study was to ascertain whether Near Infra-Red Reflectance Spectroscopy (NIRS) prediction equations calibrated on grass silage samples, could accurately predict the chemical composition of mixed grass-clover silage samples, and furthermore, to develop and calibrate new grass-clover equations should the grass-based equations be insufficiently accurate for these silages. A set of 94 silage samples from mixed grass-clover swards (clover concentration (CC) ranging from 4 to 1000 g/kg as fed; determined manually) were analysed for chemical composition using reference laboratory techniques, in vivo digestible organic matter in the dry matter (DOMD, in sheep), and in situ degradability of dry matter and crude protein (in cows). The same samples were scanned fresh (undried and unmilled, as is standard practice for silage analysis within UK laboratories) using NIRS (at AFBI, Northern Ireland) and grass-based prediction equations applied. Predicted and observed results were compared. Of 15 chemical components that were tested for prediction accuracy, only volatile-corrected dry matter and nitrogen were well predicted (RPD values of 4.9 and 2.4 respectively, with low root mean square errors of prediction (RMSEP)). Neutral detergent fibre and DOMD showed low RPD values, however the predicted and observed datasets had no significant bias between them and were therefore also considered as fit for purpose. Variables with significant bias between predicted and observed datasets that were not considered suitably accurate included crude protein, acid detergent fibre, microbial dry matter yield and the effective degradability of protein. For many components, bias could be attributed at least in part to CC and changes in the fractionation of nutrients present. For some variables such as crude protein, grass-based equations were sufficiently accurate at low CCs but became inaccurate as CC increased, as expected. In response to inadequate prediction accuracy of certain nutrients, new grass-clover equations were calibrated using the obtained spectra. These were validated and results indicated that the grass-clover-based equations outperformed their grass-based counterparts. The adoption of new grass-clover equations, or alternatively, with further development, the use of a CC correction factor to the existing grass-based equations, is recommended for commercial laboratories offering undried and unmilled silage analysis on samples containing clover

Using radiotelemetry to study behavioural thermoregulation in insects under field conditions

This is the author accepted manuscript.The final version is available from Wiley via the DOI in this recordThermoregulation is a central aspect of animal physiology. Mobile ectotherms have the potential to influence their temperature through their location and orientation. Behavioural thermoregulation has been extensively studied in insects, particularly in the migratory locust Locusta migratoria. However, most field studies are confined to daytime observations typically using invasive thermocouples with obvious potential to disrupt natural behaviour. We demonstrate that miniature radiotransmitters represent an alternative and less invasive method to study insect thermoregulation. We discuss how this method can be used to study the thermal behaviour of free-ranging animals for extended periods. Specifically, we show that there is a close correlation between temperature recordings from implanted thermocouples in locusts L. migratoria and externally mounted radiotransmitters on the same animals. Our experiments match earlier observations of locust thermoregulatory behaviour confirming that the locusts with transmitters exhibit ‘normal’ thermoregulatory responses to feeding and to infections (behavioural fever). Finally, we demonstrate the practicality of a radiotransmitter-based system by recording natural thermoregulatory behaviour of locusts in a semi-field setting. Our field study showed locusts actively chose warm microclimates during the day and cold microclimates at night. We conclude that the use of radiotelemetry in studies of behavioural thermoregulation in wild insects could provide unique continuous recordings of body temperature over several days. Such data will provide researchers with a more complete understanding of how insects use behavioural thermoregulation in nature.Danish research council (Det Frie Forskningsråd ǀ Natur og Univers