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Abstracts
201 |
Molecular Control Of Articular Cartilage Degeneration By Transforming Growth Factor Alpha |
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Tom Appleton, PhD, CIHR Group in Skeletal Development & Remodeling, London, ON, Canada; Shirine Usmani, HBSc, CIHR Group in Skeletal Development & Remodeling, London, ON, Canada; Frank Beier, PhD, CIHR Group in Skeletal Development & Remodeling, London, ON, Canada
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Articular cartilage degeneration is a hallmark of osteoarthritis (OA). We identified increased expression of transforming growth factor alpha (TGF α) in degenerating OA knee cartilage (1,2). We determined that increased TGFα signaling modified chondrocyte cytoskeletal organization, increased catabolic and decreased anabolic gene expression and suppressed Sox9. We hypothesized that these effects are mediated by Rho/ROCK and MEK/ERK signaling pathways. Primary cultures of chondrocytes and articular ostechondral explants were treated with pharmacological inhibitors of MEK1/2 (U0126), ROCK (Y27632), Rho (C3), p38 MAPK (SB202190) and PI3K (LY294002) to elucidate pathway involvment. Using ELISA we determined that stimulation of primary chondrocytes with TGFα activates RhoA. Reciprocally, inhibition of RhoA/ROCK but not other signaling pathways prevents modification of the actin cytoskeleton in response to TGFα. Inhibition of MEK/ERK signaling rescued the TGFα-induced abrogation of anabolic gene expression including SOX9 mRNA and protein levels. Inhibition of MEK/ERK, Rho/ROCK, p38 MAPK and PI3K signaling pathways differentially controlled the induction of MMP13 and TNFα gene expression. TGFa also induced the expression of CCL2 specifically through MEK/ERK activation. In turn, CCL2 treatment induced the expression of MMP3 and TNFα. In conclusion, Rho/ROCK signaling mediates TGFα-induced actin cytoskeleton reorganization, while MEK/ERK signaling mediates signals resulting in the suppression of Sox9, anabolic genes activated by Sox9 and CCL2. CCL2, in turn, induces the expression of MMP3 and TNFα, two potent catabolic factors known to be involved in OA. These pathways may represent strategic targets for interventional approaches to treating cartilage degeneration in osteoarthritis.
REFERENCES: 1C.T.G. Appleton et al. (2007). Arthritis Rheum 56(6): 1854-1868. 2C.T.G. Appleton et al. (2007), Arthritis Rheum 56(11):3693-705. |
202 |
Hyperglycemia Induced Oxidative Stress and MnSOD Deficiency of Endothelial Progenitor Cells Contribute to Impaired Angiogenesis and Wound Healing in Type 2 Diabetes |
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Eric Marrotte, MS, Michigan State University, East Lansing, MI, USA; Jeffrey Hakim, BS, Michigan State University, East Lansing, MI, USA; Dandan Chen, MD, Michigan State University, East Lansing, MI, USA; Alex Chen, MD, PhD, Michigan State University, East Lansing, MI, USA
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Introduction: Circulating endothelial progenitor cells (EPCs) are both reduced and dysfunctional in diabetes, but the mechanisms are incompletely understood. Normal EPCs express intrinsically high MnSOD levels and are thus resistant to oxidative stress. We hypothesized that oxidative stress reduces EPCs and their angiogenesis function, resulting in refractory wound healing in type 2 diabetic mice. Methods and Results: Adult male (C57BLKS/J, 10–14 weeks) type 2 diabetic db/db and their normal littermates db/+ mice (glucose 270.4±38.3 vs. 153.6±4.8 mg/dL, n=5, p<0.01) were used. Circulating EPC number measured by flow cytometry was significantly lower in db/db vs. db/+ mice (1.45±0.5 vs. 3.6±0.4% sca-1/flk-1 double-positive cells, n=4–5, p<0.05). Mitochondrial oxidative stress was increased in both db/+ and db/db mice EPCs incubated in high glucose EGM-2 (MitoSox, P<0.05). The levels of superoxide anion (O2-) were markedly elevated in circulating db/db EPCs vs. db/+ EPCs (Flk-1/DHE-positive cells n=4, p<0.05). MnSOD mRNA and protein expressions in EPCs were decreased by >50% (real-time RT-PCR, p<0.05) and >60% (Western Blot, p<0.01) in db/db vs. db/+ mice, respectively. The angiogenesis capacity of EPCs from db/db type 2 diabetic mice was significantly decreased (Matrigel tube formation assay, tubes/high powered field, n=4, p<0.05 vs. db/+). The impaired angiogenesis in diabetic EPCs was significantly improved following adenoviral vector-mediated MnSOD gene transfer (transduced db/db EPCs vs. non-transduced db/db EPCs, n=4, p<0.05). In db/db mice, the course of excisional wound closure (6-mm punch biopsy, n=10, p<0.01 vs. db/+) was markedly delayed, paralleled with impaired wound angiogenesis (CD31+ capillary number, n=4, p<0.05 vs. db/+). Cell therapy of db/+ EPCs (106 cells) onto the wounds of db/db diabetic mice induced a marked acceleration of wound closure rate vs. db/db EPC (106 cells) wound therapy (n=10, p<0.05). Conclusion: MnSOD deficiency in EPCs and hyperglycemia induced oxidative stress contribute to impaired angiogenesis and wound healing in type 2 diabetic mice. Gene transfer of MnSOD augments diabetic EPC angiogenesis function, and cell therapy of db/+ EPCs accelerates excisional wound healing more rapidly than db/db EPC therapy in type 2 diabetic mice. |
203 |
Median Eminence Compression: A Model for the Evaluation of Neuroprotective Molecules and its Application for Assessment of the Neuroprotective Efficacy of Ciliary Neurotrophic Factor |
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Nathan Herman, B.S., University of North Dakota, Grand Forks, ND, USA; John Watt, PhD, University of North Dakota, Grand Forks, ND, USA
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Poor neuron survival and functional recovery following injury is the underlying basis of the devastating effects of traumatic brain injury. Common in the industrialized world, traumatic brain injury is largely a condition of young adults, with smaller peaks in young children and the elderly. The high incidence of long-term disability following brain injury is associated with exorbitant economic and human costs. A multitude of experimental treatment strategies have arisen to prevent neuron loss, enhance post-injury recovery, and minimize the occurrence of long-term complications. OBJECTIVE: The purpose of this work was to establish a simple and reliable in vivo model to assess the effects of experimental therapies on survival and function of injured neurons. The median eminence compression model was applied to evaluate the ability of the neurotrophic cytokine CNTF to improve neuron survival following injury. METHODS: Adult male Sprague-Dawley rats underwent surgical compression of the median eminence, sham lesion, compression with continuous intracerebral recombinant CNTF infusion (0.05, 0.5, 5 ng/hr) or compression with infusion of artificial cerebrospinal fluid vehicle. To characterize the effect of lesion on magnocellular neuron function, water intake, urine output and urine osmolality were measured and recorded daily. Neuron survival was assessed by cell counts performed on brain sections collected from animals sacrificed 7, 14, and 28 days following surgery. RESULTS: Median eminence compression resulted in a syndrome of polydipsia with copius production of dilute urine, mimicking human post-traumatic diabetes insipidus. When compared to sham lesioned rats, median eminence compression was found to result in a 40-50% reduction in magnocellular neurons. At the doses administered, continuous intracerebral infusion of recombinant rat CNTF did not improve survival of magnocellular neurons following median eminence compression. CONCLUSION: Median eminence compression presents a convenient model to assess therapeutic potential of neuron sparing drugs to enhance neuron survival following axon injury. |
204 |
Non-Invasive Evaluation of Breast Cancer Response to Neoadjuvant Chemotherapy using Diffuse Optical Spectroscopic Imaging (DOSI) |
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Shwayta Kukreti, PhD, University of Illinois-Urbana,Champaign/University of California-Irvine, Urbana, IL, USA; Vaya Tanamai, BS, University of California-Irvine, Irvine, CA, USA; Saurabh Kukreti, HS, University of Illinois, Urbana, IL, USA; Albert Cerussi, PhD, University of California, Irvine, CA, USA; David Hsiang, MD, University of California, Irvine, CA, USA; John Butler, MD, University of California, Irvine, CA, USA; Rita Mehta, MD, University of California, Irvine, CA, USA; Bruce Tromberg, PhD, University of California, Irvine, CA, USA; Enrico Gratton, PhD, University of California, Irvine, CA, USA
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Near Infrared (NIR) optical methods provide contrast based on quantitative functional changes in tissue. NIR techniques have shown to be sensitive to changes in breast physiology from disease by quantifying oxyhemoglobin, deoxyhemoglobin, oxygen saturation, fat and water content. We have already shown that tumors display changes in these parameters; however, it is debatable whether they are specific signatures of cancer. Recently it was shown that double-differential analysis of breast tissue absorption spectra from cancer-containing tissue reveals specific tumor components (STC). The STC absorption signature is an intrinsic spectroscopic biomarker characterized by specific NIR absorption bands. Here we apply the double-differential analysis to spectra from tissue of patients on neaoadjuvant chemotherapy. We ask the following question: Can residual disease after neoadjuvant chemotherapy be detected using Near Infrared optical biomarkers?
A Diffuse Optical Spectroscopic Imaging (DOSI) instrument was used to non-invasively obtain the absorption and scattering spectra from 650-1000 nm from the breast tissues of patients pre and post-neoadjuvant chemotherapy. 6 patients (5 complete and 1 partial pathological responses), ages 32-53 years, with stage 2 or 3 cancers obtained the following neoadjuvant chemotherapy regimen: 2-4 cycles of doxorubicin-cyclophosphamide (AC), followed by 2-4 cycles of carboplatin-taxol/abraxane-avastin (nabTC). We used the double-differential method to analyze the NIR absorption spectra. Briefly, this is a self-referencing method to reveal only the spectral differences between normal and tumor tissue.
Results show characteristic STC spectral signatures were present in all tumor-containing regions in the pre-chemotherapy measurements. For the patients classified as exhibiting complete pathological response, the final STC spectrum was dissimilar from the pre-treatment spectrum. Upon further analysis, we found that this spectrum is more similar to the normal tissue than the partial. For the patient classified as exhibiting partial response, we observe that the final STC spectrum shared some features with the pre-treatment STC spectrum. Here we present pilot data suggesting NIR optical methods can potentially be used to non-invasively evaluate tumor specific changes metabolic states to neoadjuvant chemotherapy. Future work will determine the prognostic utility of the STC biomarker as well as investigate other therapy regimens. |
205 |
Wnt/B-catenin Signaling In Diabetic Retinopathy |
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Michael Grassi, MD, University of Chicago, Chicago, IL, USA; Xiangqian Song, PhD, University of Chicago, Chicago, IL, USA; Soo-yuong Park, PhD, University of Chicago, Chicago, IL, USA; Qingbei Zhang, Phd, University of Chicago, Chicago, IL, USA; Yves Lussier, PhD, University of Chicago, Chicago, IL, USA; Rosie Xing, PhD, University of Chicago, Chicago, IL, USA; Rosie Xing, PhD, University of Chicago, Chicago, IL, USA
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Purpose: Wnt/β-catenin signaling has been found to regulate angiogenesis an important sight threatening complication of diabetic retionpathy. In this study, we examine the effects of high glucose on Wnt/β-catenin signaling in a conditionally immortalized rat retinal endothelial cell line (TRiBRB).
Methods: TRiBRB cells were cultured in 5mM glucose/DMEM/10%FBS medium at 33 degrees. Cells were treated with 15mM glucose/DMEM and 0.5% human albumin for 30 minutes to 48 hours. Western blots were performed and membranes were blocked with anti-β-catenin, anti-GSK3β, anti-phosphorylated GSK3β and anti-active β-catenin antibodies. Total RNA was isolated from cells with a Qiagen RNeasy Mini Kit. For real-time PCR, 100 ng of reverse transcribed total RNA was used in a 25 μl volume. The cells were cultured in Matrigel under 5mM or 15mM glucose/DMEM/0.5% human albumin for two weeks.
Results: Stimulation of TRiBRB cells with 15 mM glucose produced initial GSK3 inhibition followed by activation and a corresponding biphasic response in β-catenin protein levels. Western blot revealed that at 4 hours post high glucose exposure, total β-catenin protein levels were increased then reduced below control levels from 18 hours to 48 hours. Corresponding with the changes in -catenin, western blot analysis of active GSK3β (de-phosphorylated form) demonstrated that there was a reduction in the active form of GSK3β at 4 hours, which then increased by 18 hours. To examine the transcriptional activity associated with -catenin activation, real-time PCR demonstrated that mRNA expression of cyclin D1 and VEGF, two transcriptional targets of Wnt/β-catenin signaling, increased initially following high glucose exposure. In 3-D culture, cells grown in 15 mM glucose demonstrated decreased sprouting and impaired tube formation by seven days of culture.
Conclusions: High glucose exposure results in a biphasic response in both β-catenin and GSK3β signaling in TRiBRB cells. Further, high glucose treatment inhibited TRiBRB cell sprouting and formation of tube-like structures in Matrigel 3-D culture. These findings suggest that Wnt/β-catenin signaling may be an important player in regulating retinal angiogenesis in response to hyperglycemia seen in diabetic patients. |
206 |
Cognitive Impact Of Interictal Spikes In A Modified Model Of Temporal Lobe Epilepsy |
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Jonathan Kleen, BS, Dartmouth Medical School, Hanover, NH, USA; Pierre-Pascal Lenck-Santini, PhD, Dartmouth Medical School, Lebanon, NH, USA; Gregory Holmes, MD, Dartmouth Medical School, Lebanon, NH, USA
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EEGs recordings of epileptic patients during periods between seizures (interictal periods) often show bursts of high-amplitude spikes that stem from groups of aberrant neurons discharging synchronously. These spikes are exclusively present in epileptic syndromes, and thus are clinically useful in that they can assist in diagnosing many of these conditions, including temporal lobe epilepsy (TLE). However, depending on the brain region where they originate, interictal spikes may briefly disrupt neural processes occurring in that particular region, and are thus hypothesized to contribute to cognitive slowing over time. We are investigating interictal spikes with a modified rat model of temporal lobe epilepsy. Pilocarpine infusion into the ventral CA1 region of the hippocampus, a temporal lobe structure, produces well-delineated interictal spikes. With depth electrodes in both hippocampi as well as the ipsilateral right prefrontal cortex, we observed the time course of the development of spike-generating foci at the infusion site (n=5), with spikes emergent at 11-14 days post-infusion. All rats developed interictal spikes, though two rats required a second infusion. Spontaneous seizures are generated at the infusion site, but have been somewhat infrequent in this model. We have also observed the establishment of independent spike-generating mirror foci in the contralateral hippocampus and similar spike foci in the prefrontal cortex. The autonomous spike foci may have synergistic impact on working memory processes concerting between these regions. To examine our hypothesis of functional neural circuitry disruption by spikes, we are utilizing an operant behavior task called delayed-match-to-sample (DMTS), which employs hippocampal-dependent short-term memory. We are assessing whether animals make more errors on trials with spikes than trials without, which avoids the confounding variables of other behavioral paradigms, such as structural damage and long-term changes in cognitive function. We are also analyzing the consequences of spikes in specific epochs of the task, to isolate memory encoding vs. recall, etc. Additionally, we are weighing the influence of the autonomous spikes engendered in the each hippocampi versus the ipsilateral PFC. Preliminary data indicates that spikes briefly obliterate transient memory storage in the hippocampus, and that certain subtypes of spikes have differential impacts, possibly implicating multiple aberrant network reorganizations in this TLE model. |
207 |
Targeted Regulation of Specific Hematopoietic Stem Cell Subsets by Prostaglandin E2 |
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Rebecca Porter, B.S., University of Rochester, Rochester, NY, USA; Rebecca Porter, BS, University of Rochester, Rochester, NY, USA; Benjamin Frisch, BS, University of Rochester, Rochester, NY, USA; Laura Calvi, MD, University of Rochester, Rochester, NY, USA
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Hematopoietic stem cells (HSC) are pluripotent cells responsible for the establishment and renewal of the entire hematopoietic system. HSCs can be subdivided into long-term (LT-HSC), short-term (ST-HSC) and multipotent progenitors (MPP) based on quiescence and repopulating capability. Specific regulation of these subsets is poorly defined and a better understanding would be useful in clinical situations necessitating bone marrow reconstitution. Parathyroid hormone (PTH) expands all three subpopulations of HSC by activating osteoblasts in the HSC niche. Since PTH increases local production of prostaglandin E2 (PGE2) by osteoblasts, we investigated the effect of PGE2 on HSC. PGE2 treatment demonstrated a time and dose dependent 2.75-fold increase in the HSC-enriched lineage- Sca-1+ c-kit+ (LSK) population of bone marrow cells compared with vehicle treated mice. PGE2 dependent HSC increase was confirmed by competitive repopulation analysis. Surprisingly, superior repopulation was only found in the myeloid lineage for 6 weeks and in the lymphoid lineage for 16 weeks after transplantation, suggesting that PGE2 specifically expands the less quiescent but limited self-renewing ST-HSC and MPP. Further, flow cytometric analysis of subpopulations showed significant increases in Flt3+ ST-HSC (0.0273 vs. 0.0140%, p=0.0307, n=4 per group) and MPP (0.0305 vs. 0.0195%, p=0.0070) cells from PGE2 treated compared to vehicle treated mice. LT-HSC remained unchanged, (0.0123 vs. 0.0078%, p=0.1069) consistent with the competitive repopulation data. Colony Forming Unit-Spleen (CFU-S) assays demonstrated a significant increase in CFU-S at day 8 (corresponding to ST-HSC) with BMMC from PGE2 treated vs. vehicle treated mice. There was no difference in CFU-S at day 10-12 (LT-HSC), further confirming the selective ST-HSC expansion. To investigate the mechanism of PGE2 mediated expansion of ST-HSC, we assayed the proliferation of each subset in vitro by BrdU labeling and DAPI analysis of DNA content. Whole bone marrow was treated with 10-6 M PGE2 or vehicle in the presence of BrdU for 90 minutes. The percentage of cells that underwent S phase was higher in the PGE2 treated compared to the vehicle treated wells in the ST-HSC subpopulation (1.48 fold) and the MPP subpopulation (1.27 fold). Like the in vivo results, the LT-HSC proliferation was not increased. Next, expression of the four PGE2 receptors, EP1-EP4, was analyzed by quantitative RT-PCR. While expression of EP2 and EP4 was barely detectable in Flt3- LT-HSC but was high in Flt3+ ST-HSC and MPP, EP1 and EP3 showed the opposite effect. Taken together, these results suggest that PGE2 causes an increase in proliferation of ST-HSC and MPP, which may be explained in part by the differential expression of the EP receptors across subpopulations. These findings demonstrate a novel regulatory mechanism of specific subsets of HSCs and could be exploited in clinical situations requiring rapid bone marrow reconstitution. |
208 |
Activated MSC: A New Method for Suppression of Alloreactive T cells |
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GW Douglas, BS, University of Illinois at Chicago, Chicago, IL, USA; David Polchert, BS, University of Illinois at Chicago, Chicago, IL, USA; Amelia Bartholomew, MD, University of Illinois at Chicago, Chicago, IL, USA
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MSC reliably suppress large scale T cell proliferation in response to polyclonal stimulation in vitro. In contrast, with allogeneic mixed lymphocyte cultures of variable stimulation, MSC suppression is also variable; MSC do not completely abrogate lymphocyte proliferative responses between all donor and recipient pairs. We hypothesized that the magnitude of MSC-induced T cell suppression may be dependent on the degree of MHC matching between MSC and antigen presenting cell (APC). To test this hypothesis, MSC of different MHC were tested for their ability to suppress anti-host T cell activity in a lethal graft versus host disease model. B6 (H2b) recipients underwent lethal irradiation and reconstitution with Balb (H2d) bone marrow and Balb splenocytes. MSC of Balb, B6, C3H (H2k), or CAF1/J (F1 hybrid H2d/a) were administered 2 days after bone marrow transplant and tested for their ability to prevent GVHD mortality. Balb and B6 MSC provided the best suppression of T cell activity with 70% 40 day-survival, a statistically significant increase from control animals that did not receive MSC, (30%, p |
209 |
Sensitive Detection of Drug-Resistant BCR-ABL Mutations Using Picoliter Pyrosequencing |
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Ralph DeBiasi, B.A., Memorial Sloan Kettering Cancer Center, New York, NY, USA; Neil Shah, MD, Univerisity of California San Francisco, San Francisco, CA, USA; Agnes Viale, PhD, The Sloan Kettering Institute, New York, NY, USA; Ronald Paquette, MD, Univerisity of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA; Charles Sawyers, MD, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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Chronic myeloid leukemia (CML) is caused by a chromosomal translocation that results in the BCR-ABL oncogene. The tyrosine kinase inhibitor imatinib is effective as a first-line therapy for CML, as it blocks the activity of the oncogenic BCR-ABL fusion protein. Unfortunately many patients develop resistance, whereupon treatment with dasatinib, a “second generation” kinase inhibitor, effectively blocks most mutant forms of BCR-ABL. Resistance to dasatinib may also develop due to the evolution of new and compound mutations, but it is not known when these mutations begin to emerge or how diverse these mutations are.
Determining the molecular mechanisms of mutation evolution may help to elucidate whether combination therapy would be more effective than current sequential treatment plans.
Our goals were to determine if picoliter pyrosequencing is effective in detecting low-frequency mutations in BCR-ABL in patients receiving targeted cancer therapy, to determine if compound resistance mutations are present before relapse, and to determine if the patients with compound mutations are different from those without compound mutations.
Picoliter pyrosequencing was performed at ~12,000x coverage to detect evolving and compound mutations in BCR-ABL in patients receiving dasatinib treatment. This technique allowed us to detect allele frequencies down to 0.5%, a clear advantage over traditional "Sanger" sequencing's lower limit of ~ 25%.
We detected low-frequency dasatinib-resistant mutations in patient samples before clinical presentation of secondary relapse. This indicates that targeted cancer therapies may be more effective when administered in combination rather than sequentially so as to prevent the outgrowth of mutant drug-resistant clones.
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210 |
Nanoscale Sensors for Multi-Modal Detection of Genotoxic Agents |
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Daniel Heller, BA, Massachusetts Institute of Technology, Cambridge, MA, USA
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Reactive oxygen species and active alkylating chemotherapeutics are important bioanalytes but difficult to measure selectively, in vivo, or in real time. A new nanoscale optical sensor platform under development can now detect as well as identify these analytes in situ.
Carbon nanotube-DNA complexes, formed by individually encapsulating nanotubes with oligonucleotides, respond in real time to these agents via multiple optical modes, giving each analyte a distinct optical signature. Single-walled carbon nanotubes are environmentally sensitive and emit tissue-transparent near-infrared fluorescence. By their encapsulation in short strands of synthetic DNA, we introduce a selective handle for changes in their emission, which responds to the polarity of the solvent medium. The complexes consequently respond to DNA-damaging oxygen species or alkylating agents, by red-shifts in emission energy as well as optical quenching, giving multiple detection modes which result in analyte specificity.
The nanotube-DNA complexes exhibit uptake into mammalian cells via endocytosis without cytotoxic effects and emit from within live tissues. Upon introduction of alkylating agents and oxidative species, the complexes transduce analyte activity information live and in situ. This platform is being developed as a research and diagnostic tool for free radical biology, drug discovery, and pharmacodynamics. |
211 |
Development Of A Specific Assay For And Characterization Of The Microtubule-Inhibitor Activated Bcl-Xl Kinase, A Key Determinant Of Anti-Mitotic Drug Sensitivity |
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David Terrano, Bachelor of Arts, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Timothy Chambers, PhD, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Microtubule inhibitors (MTIs) are among the most actively used cancer chemotherapeutic agents. Resistance is a major hurdle to MTI efficacy. The anti-apoptotic protein Bcl-xL is a key determinant of chemotherapeutic resistance in multiple tumor cells. Treatment with MTIs induces Bcl-xL phosphorylation during mitotic arrest, which is followed by dephosphorylation and subsequent apoptosis. Current evidence suggests that phosphorylation disables Bcl-xL’s anti-apoptotic activity, which may represent a previously unappreciated determinant of drug resistance and/or sensitivity. The kinase responsible is unknown. Our goal was to better characterize this key signal transduction pathway. We developed a highly specific in vitro Bcl-xL kinase assay using a novel peptide substrate, FL62, harboring the vinblastine-induced phosphorylation site Ser62. Significant in vitro phosphorylation of FL62 was observed only in extracts and size separated protein from KB-3 tumor cells treated with MTIs. Following vinblastine-treatment for 48 h, the point at which cellular Bcl-xL is dephosphorylated and apoptosis occurs, or doxorubicin, a DNA-damaging agent, kinase activity was at the level of controls, further validating the assay. The same size separation fractions with FL62 kinase activity also phosphorylated full length Bcl-2, which supports previous data that the same kinase phosphorylates Bcl-xL and Bcl-2 following MTI-treatment. As predicted, FL62 phosphorylation also correlated with the dose dependent increase in G2/M arrest using the dose range of 0-300 nM vinblastine. Thus, the FL62 kinase assay detects cellular Bcl-xL kinase active only during MTI-induced mitotic arrest. To start purification with a less complex mixture, we determined the subcellular location of kinase activity. FL62 phosphorylation was maximal in the mitochondrial fraction, which is expected as Bcl-xL is predominantly mitochondrial. Following salt extraction of mitochondria, robust FL62 phosphorylation was maintained in the soluble fraction. Thus, purification can be initiated with the less complex soluble salt extracted mitochondrial protein. Basic characterization studies indicated that the Bcl-xL kinase has a native molecular weight in the range 150-190 kDa and it does not co-elute with the c-Jun NH2-terminal kinase (JNK) isozymes, which were the primary candidates. Furthermore, recombinant, active JNK1 did not phosphorylate FL62, further ruling out JNK as the Bcl-xL kinase. In summary, we have a robust in vitro Bcl-xL kinase assay that detects the cellular Bcl-xL kinase activity only from G2/M arrested cells. The kinase also phosphorylates Bcl-2 and that is not JNK. Furthermore, the Bcl-xL kinase is in the mitochondrial fraction, which will provide a less complex mixture from which to begin purification and identify this key enzyme linking MTI-induced G2/M arrest and apoptosis. |
212 |
Oncolytic Potential of a Replication-Competent rVSV In a Rat Model of Intracranial Glioma |
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Erika Dillard, BS, University of Tennessee Health Science Center Dept of Molecular Science; Neurosu, Memphis, TN, USA; Michael Whitt, PhD, University of Tennessee Health Science Center Department of Molecular Science, Memphis, TN, USA; Himangi Jayakar, PhD, University of Tennessee Health Science Center Department of Molecular Science, Memphis, TN, USA; Christopher Duntsch, MD, PhD, University of Tennessee Health Science Center Department of Neurosurgery, Memphis, TN, USA; Qihong Zhou, MD, PhD, University of Tennessee Health Science Center Department of Neurosurgery, Memphis, TN, USA
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Vesicular stomatitis virus (VSV) is a neurotropic, enveloped, negative-strand RNA virus currently being evaluated for its use as an oncolytic agent in treating a variety of tumors. VSV infection is largely obstructed by the antiviral actions of the interferon (IFN) pathway, a pathway known to be defective in many cancers as this provides a survival advantage for tumor cells while rendering them defenseless against many viral infections. While VSV has shown good safety and efficacy in a number of different animal model systems, it has not been sufficiently evaluated as a potential therapeutic for brain tumors in immunocompetent animals primarily due to viral-induced toxicity permitted by the unique immune environment of the CNS. One approach to circumvent this toxicity is to enhance vector safety by introducing mutations in the matrix (M) protein of VSV, a viral protein responsible for VSV's cytopathic effects including inhibition of host cell gene expression and of nucleocytoplasmic transport. Such mutations diminish the ability of M to block gene expression, allowing genes important in the IFN antiviral pathway to be expressed hence protecting cells with functioning IFN responses. We are investigating if rVSV vectors possessing specific mutations in the M protein at sites shown to be involved in cytopathogenesis could be used to treat high-grade astrocytic tumors. We examined a replication-competent M mutant vector, NCP12.1, in an intracranial rat glioma model using immunocompetent rats. Tumor size and survival were determined and compared to untreated tumor-bearing animals.Our results show that in animals sacrificed at 15 days post-infection, one direct intracranial injection of 109 pfu of NCP12.1 significantly reduced tumor load by 66% in rats with established F98 intracranial gliomas. Survival of NCP 12.1 treated animals was increased by 9 days compared to untreated animals, however, tumor size of these animals was not significantly different demonstrating that effects on tumor load are not permanent. These results indicate that M mutant rVSV's such as NCP 12.1 are relatively safe and may provide an alternative for the treatment of intracranial glioma. However, in comparing our results to studies using immunocompromised animals, it is likely that the immune system creates an obstacle in reaching the optimal efficacy of VSV in the treatment of glioma. Further studies need to be done to fully address the role of the immune system in rVSV therapy in order to achieve full oncolytic potential. |
213 |
Where The HEK Does Piggybac Insert Itself In The Human Genome? |
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Tara Albano, BA - Biochemistry, Mount Sinai School of Medicine, New York, NY, USA; Peter Ward, PhD, Mount Sinai School of Medicine, New York, NY, USA; Christopher Walsh, MD/PhD, Mount Sinai School of Medicine, New York, NY, USA
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Background: Vectors capable of efficient, site-specific integration are needed for human gene transfer. Transposons are mobile genetic elements that integrate transgenes into host cell genomes. The piggybac transposon system shows a higher integration activity than other transposases when tested in human cell lines. Objective: To determine the integration sites of piggybac-mediated transposition in the human-derived cell line, HEK293. Methods: Target cells were transduced with a plasmid containing the piggybac transposase and carrying green fluorescent protein (GFP) cDNA. Integration analysis was performed using Ligation-Mediated polymerase chain reaction (LM-PCR). Briefly, this protocol comprises: 1) a restriction digest of genomic DNA from transduced cells; 2) ligation of a known adapter sequence onto the digested DNA; 3) a nested PCR with primers designed to anneal to the adapter and a known sequence of integrated DNA. Amplification of DNA between these two sites should yield a sequence with a junction between plasmid and genomic DNA, thus indicating where the transposase inserted the transgene in the genome. Results: A junction was formed between the 3 end of the inserted plasmid DNA and genomic DNA. The 25-base genomic sequence was analyzed using NCBIs Basic Local Alignment Search Tool (BLAST), and matched up with a sequence on chromosome two. This locus of insertion is in a non-coding region of the chromosome, over one million bases away from any known gene in either direction. This suggests that, in the HEK293 cell line, the piggybac transposon system acts in a region that lacks functional genes. Conclusions: This work will provide the foundation for further work on the use of the piggybac system for the delivery of an assortment of cDNAs in an integrated and site-specific fashion. Future studies should seek to determine piggybacs integration pattern in different cell types. |
214 |
Igm Against Cryptococcus Neoformans Glucosylceramide Is Found In Sera Prior To The Dissemination Of The Fungus To The Central Nervous System |
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Ryan Rhome, MD, PhD Student, Medical University of South Carolina, Charleston , SC, USA; Maurizio Del Poeta, MD, Medical University of South Carolina, Charleston , SC, USA; Maurizio Del Poeta, MD, Medical University of South Carolina, Charleston , SC, USA
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Cryptococcus neoformans (Cn) is an environmental fungal pathogen that, once inhaled, can disseminate to the central nervous system where it causes life-threatening meningo-encephalitis. Current methods for the diagnosis of infection are unable to identify patients at risk of developing a disseminated disease. In previous studies we showed that a mutant strain of Cn that can not produce glucosylceramide (Cn delta gcs1) does not cause meningo-encephalitis in mice because it does not grow in the lung. Thus, by favoring fungal growth in the lung, glucosylceramide (GlcCer) is required for Cn to cause a disseminated disease. Since this fungal glycolipid is immunogenic, we reasoned that it would stimulate an antibody response. Thus, we monitored the IgM and IgG levels against Cn GlcCer in sera of infected mice. The results show that in contrast to IgG, IgM anti-GlcCer is found in sera of infected mice when Cn cells are exclusively localized in the lung and not in other organs. We produced IgM monoclonal antibody against Cn GlcCer and showed that it has high specificity against fungal but not mammalian GlcCer. This study suggests that the presence of IgM against Cn GlcCer in sera can predict the dissemination of the fungus from the lung to the brain, promoting this test as an early diagnostic method for fungal infection in patients at risk of developing a disseminated disease. |
215
Effects of Indomethacin And Ibuprofen On Lung Morphometry And Biomarkers For Oxidative Stress, Dna Damage And Pphn In Developing Rats
Kuniyoshi K, Beharry KD, Brock RS, Gebrekristos B, Abad-Santos P, Abad-Santos M, Chong D, Modanlou HD. Department of Pediatrics, Division of Neonatology, University of California Irvine Medical Center, Orange, CA; Division of Neonatology, Miller Children's Hospital, Long Beach, CA
Background: Indomethacin (Indo) has been the drug of choice for the treatment of symptomatic PDA, however, its use is associated with renal and gastro-intestinal adverse effects. Although ibuprofen (Ibu) lysine has been shown to be a safer alternative to indomethacin, it was demonstrated to result in PPHN. Postponing the use of Indo or Ibu by a few days may avoid unwanted side effects.
Objective: We compared the effects of early versus late use of Indo and Ibu on morphology and biomarkers for oxidative stress, DNA damage and PPHN in normoxic and hyperoxic rat lungs.
Methods: Newborn rats were treated with room air (RA) or hyperoxia (50% O2) from the first day of life (P1). For early treatment, the rat pups received IP injections of either Indo (0.2 mg/kg) on P1 and 0.1 mg/kg on P2 and P3; Ibu (10 mg/kg) on P1 and 5 mg/kg on P2 and P3; or saline (Sal) on P1, P2 and P3, then euthanized on P4. For late treatment, the rats received Indo, Ibu, or saline on P4, P5 and P6, then euthanized on P7. Lung morphometry and biomarkers for oxidative stress (8-epi-PGF2a), DNA damage (8-hydroxy-2’-deoxyguanosine) and PPHN (ET-1, big ET-1, and total NO) were assessed.
Results: Despite timing of the dose and oxygen exposure, both drugs produced oversimplified alveoli with dilated alveolar ducts, but the effect was more severe and widespread with Indo. Changes in lung morphometry with Indo were associated with higher 8-epi-PGF2a (reflecting oxidative stress) and total NO during hyperoxia; and higher ET-1 during RA. Both drugs suppressed 8-hydroxy-2’-deoxyguanosine (reflecting DNA damage) during early treatment in hyperoxia.
Conclusions. These data demonstrate that postponing the use of NSAIDs had no benefit over early treatment with respect to lung morphometry. Although the effects were less severe with Ibu than Indo, treatment with NSAIDs may lead to impaired alveolar and pulmonary vascular development.
216
Age Attenuation of the Lipoprotein-Associated Risk of Aortic Valve Calcification (AVC) in the Multi-Ethnic Study of Atherosclerosis (MESA)
David S. Owens, MD,* Ronit Katz, DPhil,* Eric Johnson, BA,* David M. Shavelle, MD,† Jeffrey L. Probstfield, MD,* Junichiro Takasu, MD, PhD,† John R. Crouse, MD,^ J. Jeffrey Carr, MD, MSCE,^ Richard Kronmal, PhD,* Matthew J. Budoff, MD,† and Kevin D. O’Brien, MD*
*University of Washington, Seattle, WA, †Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Los Angeles, CA, and ^Wake Forest University School of Medicine, Winston- Salem, NC.
Background: Prior epidemiologic studies have shown LDL cholesterol to be an independent risk factor for prevalent aortic valve calcification (AVC), but the interactions between plasma lipoproteins and age on the relative risk (RR) for AVC prevalence and severity have not been previously examined. Methods: Using stepwise relative risk regression, the relationships of baseline fasting lipids to prevalence and severity of multislice CT-determined AVC were determined in 5,801 non-statin-using participants in the Multi-Ethnic Study of Atherosclerosis. Results: In age-stratified, adjusted analyses, the LDL-associated RR (95% CI) for prevalent AVC was significantly higher for younger versus older participants [age 45-54: 1.69 (1.19, 2.39); age 55-64: 1.48 (1.24, 1.76); age 65-74: 1.09 (0.95, 1.25); age 75-84: 1.16 (0.99, 1.36); p-interaction = 0.04]. There was a similar interaction of age with Total cholesterol-associated RR for prevalent AVC (p interaction = 0.037). In contrast, Total/HDL cholesterol ratio RRs were similar across all age strata (p-interaction = 0.68). In multivariate analyses, no lipoprotein parameter was associated with AVC severity. Conclusions: In this ethnically-diverse, preclinical cohort, LDL was a risk factor for AVC only in participants <65 years old, while the Total/HDL cholesterol ratio was associated with a modest increased risk for AVC across all ages. These findings have significant implications regarding dyslipidemia therapies in calcific aortic valve disease.
217
Srikanth Pendyala, MD-University of Chicago
(spendyal@medicine.bsd.uchicago.edu)
Role Of Nox4 In Endothelial Cell Signaling, ROS Generation And Motility.
S. Pendyala 1, I. Gorshkova 1, P.V. Usatyuk 1, S.K Kalari 1, M. Burns 1, D. He 1, V.J. Thannickal 2 and V. Natarajan 1. Department of Medicine, The University of Chicago, Chicago, IL 1, University of Michigan, Ann Arbor, MI 2
Rationale: Nox4, a homologue of Nox2, is highly expressed in lung endothelial cells (ECs); however, its role in signaling, reactive oxygen species (ROS) generation, and angiogenesis is poorly defined. Here we show that Nox4 participates in MAPK and IkB signaling, ROS formation and motility of human pulmonary artery endothelial cells (HPAECs). Methods/Results: Immunofluorescence microscopy and Western blotting of total cell lysates and isolated nuclei show a predominant nuclear localization of Nox4 in HPAECs. Exposure of cells to hyperoxia (3h) or TNF-α (50ng/ml, 1h) stimulated Nox4 expression and ROS/superoxide generation, which was attenuated by Nox4 siRNA (50nM, 48h). Transfection with Nox4 siRNA down regulated Nox4 expression in nuclei (>90%), compared to scrambled siRNA. Nox4 and Nox2 siRNA partially blocked hyperoxia or TNF-α induced cell migration and wound closure of HPAECs. Interestingly, Nox4 siRNA, but not Nox2 siRNA, attenuated TNF-α induced phosphorylation of ERK1/2 and IK-β-phosphorylation. Further co-immuno precipitation studies revealed potential interaction between Nox4, p22 phox and Rac1 under basal and TNF-α stimulation of HPAECs. Conclusions: These results suggest that Nox4 is a key regulator of signal transduction, ROS production and migration of human lung ECs.
Supported by NIH grant HL RO1 085553 to V. N.
218
Pavan P. Zaveri, MD-Children’s National Medical Center (pzaveri@cnmc.org)
Title: Pediatric Mock Codes: Improving Resident Resuscitations
Authors: Pavan Zaveri, MD*, Debbie Friedman, MD, PhD*, Karen O’Connell, MD*
*Emergency Medicine and Trauma Center, Children’s National Medical Center
Purpose of Study: Resuscitation of the acutely ill child is a necessary skill for pediatric residents. The effects of an institution-wide mock code program on involvement, anxiety, and leadership have not been studied. The hypotheses were that after one year of a mock code program, pediatric residents would report 1) increased participation in codes, 2) decreased anxiety and increased comfort with knowledge needed in codes, and 3) increased likelihood of leading codes and feeling capable running a code.
METHODS: In this cross-sectional study of pediatric residents, anonymous surveys evaluated personal assessment of involvement, comfort and leadership in codes before (PRE) and one year after (POST) a monthly mock code curriculum was implemented. The survey measured residents’ involvement in actual and mock codes as well as self-reported levels of anxiety, knowledge and leadership ability (using a Likert scale of 1-5) when faced with coding patients. In comparing PRE and POST results, we use medians for objective answers and odds ratios for subjective responses.
RESULTS: There were 93 residents PRE and 63 POST. Attendance at real and mock codes is shown in the Table. POST residents were half as likely as PRE to report being anxious or extremely anxious with a coding patient (OR 0.47, 0.22-0.99) and were 3 times as likely to feel somewhat comfortable or better with their knowledge to manage a code (OR 3.16, 1.6-6.2). POST residents were no more likely to lead a code (OR 0.78, 0.3-1.9); however, they were more than twice as likely to feel somewhat capable or better running a code (OR 2.25, 1.0-5.0).
CONCLUSIONS: After instituting a mock code program, residents attended more mock codes, reported being less anxious and more knowledgeable in codes, and felt more capable running a code. This did not translate into more experience running actual codes. A monthly mock code program will provide residents with critical skills training and experience, and may translate into active participation and leadership in actual patient codes.
Attendance at Codes
|
PRE Median* |
POST Median* |
p-value |
Actual codes attended |
3-5 (1,9) |
3-5 (3,9) |
0.061 |
Actual codes with an active role |
1-2 (0,5) |
1-2 (1,5) |
0.093 |
Mock codes observed |
1-2 (1,2) |
3-5 (1,5) |
<0.001 |
Mock codes participated |
1-2 (0,2) |
3-5 (1,5) |
<0.001 |
*Presented as range of attendance, n (IQR)
219
YutongZhao,MD,PhD-UniversityofChicago (yzhao@medicine.bsd.uchicago.edu)
The Role Of Lysophosphatidic Acid In Signaling In Protection Of Airway Epithelial Barrier Dysfunction By Lps
Y. Zhao 1 D. He 1, Usatuyk, P.V. 1, E.Wm. Spannhake 2, V. Natarajan 1
1 Department of Medicine, The University of Chicago, Chicago, IL; 2 Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
Key words: airway epithelium, adherens junction, acute lung injury
Rationale: The airway epithelium provides a complex physical and biochemical barrier to inhaled particles, allergens, and environmental toxins and thus plays a vital role in host defense through redistribution of adherens junction proteins, including E-cadherin. Lysophosphatidic acid (LPA) induces a wide range of cellular effects including immune, lung and airway responses. The present study provides evidence that LPA enhances airway epithelium barrier function through E-cadherin-mediated adherens junction and post-treatment of LPA protects lipopolysaccharide (LPS)-mediated epithelial barrier dysfunction and inflammation in a murine model of acute lung injury (ALI).
Methods/Results: The electric cell-substrate impedance sensing (ECIS) system, which measures transepithelial electrical resistance (TER) was employed to determine the epithelial barrier function. Treatment of HBEpCs with LPA (0.1-5.0 µM) induced increase in TER by ~ 1.5 to 2 fold and. revealed enhanced redistribution of E-cadherin to the cell-cell junctions. LPA receptor 1 specific inhibitor, Ki16425 attenuated LPA-induced TER and E-cadherin accumulation in cell-cell contacts. Knockdown of E-cadherin with E-cadherin siRNA (100 nM, 72 h) prior LPA (1 µM) treatment attenuated LPA-induced increase in TER. Further, pretreatment of cells with myristoylated-PKCζ peptide inhibitor (10 µM, 1 h) or overexpression of dominant negative (dn)-PKCδ (20 MOI, 24 h) attenuated LPA-induced increase in TER and E-cadherin redistribution to cell-cell junctions. LPS treatment of HBEpCs induced a decrease in TER and E-cadherin endocytosis; however, post-treatment with LPA after 5 h of LPS challenge reversed LPS-induced decrease in TER and permeability. Intratracheally LPA post treatment protectives LPS-induced IL-1β, IL-6 level and infiltration of neutrophils in BAL of murine model of ALI.
Conclusions: These results show that LPA-induced increase in TER and E-cadherin redistribution are regulated via PKCδ and PKCζ isoforms. Post-treatment with LPA reverses LPS-induced airway epithelium barrier dysfunction and inflammation in a murine model of ALI> The data suggest a protective role of LPA in airway inflammation and remodeling.
Supported by NIH grant HL 79396 to V.N. and ACS-IRG 58-044-47 to Y.Z.
220
Kristen J. Nadeau, MD, University of Colorado Health Sciences/The Children’s Hospital (Kristen.nadeau@uchsc.edu) |
CONTROL ID: 414064 |
CONTACT (NAME ONLY): Kristen Nadeau |
PRESENTATION TYPE: Oral Only |
CATEGORY: Metabolism Lipids and Diabetes |
Abstract |
TITLE: Gender Differences In Insulin Sensitivity Among Youth With Type 1 Diabetes Mellitus (Dm) |
AUTHORS (FIRST NAME INITIAL LAST NAME): K. J. Nadeau1, B.Draznin2, 3, J. Reusch2, 3, J. Regensteiner2 |
INSTITUTIONS (ALL): 1. Pediatrics, University of Colorado Health Sciences Center, Aurora, CO, USA.
2. Medicine, University of Colorado Health Sciences Center, Aurora, CO, USA.
3. Medicine, Denver Veterans Affairs Medical Center, Denver, CO, USA. |
ABSTRACT BODY:
Purpose of Study: Type 1 (T1DM) and type 2 diabetes mellitus both increase the risk of cardiovascular disease (CVD). In T1DM, traditional CVD risk factors alone do not explain the increased risk of CVD. Insulin resistance, while not commonly considered a feature of T1DM, is linked to CVD in other populations, and thus may also contribute to CVD risk in T1DM. Interestingly, nondiabetic premenopausal women typically have lower CVD risk than similarly aged men, but the protective effect of gender is negated when women have DM. We hypothesized that T1DM is associated with decreased insulin sensitivity (IS), and that this abnormality is more pronounced in girls than boys.
Methods Used: To address this hypothesis, we measured IS in boys and girls with T1DM vs. control subjects. Subjects included 38 adolescents with T1DM (18 boys and 20 girls and 10 nondiabetic controls (5 girls and 5 boys) with similar BMI, age and physical activity levels. Primary end-points included IS by hyperinsulinemic euglycemic clamp and body composition by DEXA.
Summary of Results: IS, expressed as the glucose disposal rate (mg/kg/min) at steady state, was significantly lower in subjects with T1DM (8.5 ± 3.3) vs. controls (15.9 ± 4.8, p<0.0001). Control girls (12 ± 2.2) had significantly lower IS than control boys (18.6 ± 4.9, p<0.03). T1DM girls (7.3 ± 3) also had significantly lower IS than T1DM boys (9.7 ± 2.7, p=0.03). After correcting for differences in body composition by expressing IS as mg/kg lean tissue/min derived from DEXA, subjects with T1DM (11.8 ± 4.3) still had significantly reduced IS vs. controls (20.6 ± 4.3, p<0.0001). However, when expressed as mg/lean kg/min, differences between genders in both the T1DM and controls were no longer significant.
Conclusions: T1DM subjects of both genders had decreased IS compared to controls, not explained by differences in body composition. In contrast, the lower IS in control and T1DM girls was at least partly explained by differences in body composition. Girls with T1DM have the lowest IS, which may contribute to increased risk of CVD. Further research is needed to clarify the importance of decreased IS in T1DM and CVD risk, and examine gender differences in a larger population. |
(No Table Selected) |
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221
Plamen D. Penev, MD, PhD-University of Chicago (ppenev@medicine.bsd.uchicago.edu)
RE: Plamen Penev, Junior Investigator Award Application – abstract attachment
CSCR-2008 CONTROL ID: 447980; Oral or Poster Presentation
CATEGORY: Understanding Mechanisms of Disease
Recurrent Sleep Curtailment Is Accompanied By Increased Intake Of Calories From Snacks. Nedeltcheva, Arlet V.1; Kilkus, Jennifer1; Imperial, Jacqueline1; Kasza, Kristen1; Schoeller, Dale2; Penev, Plamen D.1 1. University of Chicago, Chicago, IL. 2. University of Wisconsin, Madison, WI.
Epidemiologic data suggest that the association of short sleep with increased adiposity is accompanied by changes in the peripheral levels of the metabolic hormones, leptin and ghrelin. These changes have been hypothesized to promote overeating and increased risk of obesity in individuals with short sleep times. Since no studies have measured the impact of sleep loss on the balance between human energy intake and expenditure, the validity of this hypothesis remains uncertain. The importance of such data in humans is emphasized by the observation that the hyperphagia, which accompanies sleep deprivation in rodents, is associated with increased energy expenditure and weight loss. We performed a randomized crossover study to examine the effects of recurrent bedtime restriction by 3 hours/night on human food intake, energy expenditure, body weight, adiposity, and 24-hour levels of leptin and ghrelin. Eleven healthy volunteers (5/6 F/M; mean [SD] age 39 [5] y; BMI 26.3 [1.6] kg/m2) each completed two 14-day studies in random order at least 3 months apart. Both studies were carried out under controlled laboratory conditions of sedentary living with 5.5 or 8.5-hour bedtimes and ad lib intake of meals and snacks (50-55% carbohydrate, 30-35% fat, 10-15% protein). No naps were allowed. We obtained daily calorie counts and measured total energy expenditure using doubly labeled water, basal metabolic rate and thermic effect of food by indirect calorimetry, body weight by scale, body composition by dual-energy X-ray absorptiometry, and total sleep time by polysomnography. Before and after each 14-day study, subjects completed a 24-hour period of blood sampling (every 30 minutes starting at 20:00). Sleep duration was reduced by 122 [25] minutes per night during the 5.5-hour bedtime period (P<0.01). Energy intake from meals remained unchanged (2611 [873] vs. 2536 [943] kcal/day; P=0.5), however, subjects consumed more calories from snacks during the 5.5-hour bedtime study (1087 [541] vs. 866 [365] kcal/day; P=0.02). In addition, bedtime restriction was accompanied by an increase in the carbohydrate content of ingested snacks (P=0.04). Total energy expenditure, amount of daily activity, basal metabolic rate, and the thermic effect of food were comparable between the two sleep conditions. Both interventions were accompanied by an overall positive energy balance and weight gain. The propensity to overeat varied greatly among individuals with some subjects gaining consistently more weight, while others showed little if any change. Leptin levels increased as participants gained weight and reflected the adiposity of the subjects equally well in the presence and absence of sleep loss (0.57 [0.40] vs. 0.58 [0.51] ng/ml/kg body fat; P=0.9). Ghrelin levels remained unchanged during both sleep conditions. In conclusion, recurrent bedtime restriction in an environment that promotes overeating and physical inactivity is accompanied by an increased intake of calories from snacks. This behavior may contribute to the increased risk of weight gain and obesity associated with self-reported short sleep. Since there were no detectable differences in energy expenditure and peripheral leptin and ghrelin levels between the two bedtime conditions, alternative factors, such as longer exposure to an environment with unlimited access to palatable food and changes in reward seeking and motivation related to recurrent sleep loss, may underlie the increased consumption of snacks during the period of bedtime restriction. Additional studies are needed to examine the impact of habitual sleep curtailment on human food intake and energy metabolism under free-living conditions.
This work was supported by NIH grants PO1-AG11412, MO1-RR00055, and P60-DK020595.
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