Αρχειοθήκη ιστολογίου

Κυριακή 6 Νοεμβρίου 2016

IκBNS induces Muc5ac expression in epithelial cells and causes airway hyperresponsiveness in murine asthma models

Abstract

Background

In allergic asthma, environmental allergens including house dust mite (HDM) trigger pattern recognition receptors and activate downstream signaling pathways including NF-κB pathways not only in immune cells but also in airway epithelial cells. Recent studies have shown that NF-κB activation is regulated positively or negatively depending on the cellular context by IκBNS (encoded by the gene Nfkbid), one of atypical IκB proteins, in the nucleus. Therefore, we hypothesized that IκBNS expressed in immune cells or epithelial cells is involved in the regulation of asthmatic responses.

Aim

To determine the roles of IκBNS in HDM-induced asthmatic responses.

Methods

Roles of IκBNS in HDM-induced airway inflammation and airway hyperresponsiveness (AHR) were examined by using IκBNS-deficient (Nfkbid-/-) mice. Roles of IκBNS expressed in hematopoietic cells and non-hematopoietic cells were separately evaluated by bone marrow chimeric mice. Roles of IκBNS expressed in murine tracheal epithelial cells (mTEC) were examined by air-liquid interface culture.

Results

HDM-induced airway inflammation and AHR were exacerbated in mice lacking IκBNS in hematopoietic cells. In contrast, HDM-induced airway inflammation was exacerbated but AHR was attenuated in mice lacking IκBNS in non-hematopoietic cells. The induction of Muc5ac, a representative mucin in asthmatic airways, was reduced in Nfkbid-/- mTEC, whereas the induction of Spdef, a master regulator of goblet cell metaplasia, was not impaired in Nfkbid-/- mTEC. Moreover, IκBNS bound to and activated the MUC5AC distal promoter in epithelial cells.

Conclusion

IκBNS is involved in inducing Muc5ac expression in lung epithelial cells and causing AHR in HDM-induced asthma models.

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Allergen immunotherapy for insect venom allergy: a systematic review and meta-analysis

Abstract

Background

The European Academy of Allergy and Clinical Immunology (EAACI) is in the process of developing the EAACI Guidelines on Allergen Immunotherapy (AIT) for the management of insect venom allergy. To inform this process, we sought to assess the effectiveness, cost-effectiveness and safety of AIT in the management of insect venom allergy.

Methods

We undertook a systematic review, which involved searching 15 international biomedical databases for published and unpublished evidence. Studies were independently screened and critically appraised using established instruments. Data were descriptively summarized and, where possible meta-analysed.

Results

Our searches identified a total of 16,917 potentially eligible studies of which 17 satisfied our inclusion criteria. The available evidence was limited both in volume and quality, but suggested that venom immunotherapy (VIT) could substantially reduce the risk of subsequent severe systemic sting reactions (OR=0.08, 95% CI 0.03 to 0.26); meta-analysis showed that it also improved disease specific quality of life (risk difference=1.41, 95% CI 1.04 to 1.79). Adverse effects were experienced in both the build-up and maintenance phases, but most were mild with no fatalities being reported. The very limited evidence found on modeling cost-effectiveness suggested that VIT was likely to be cost-effective in those at high risk of repeated systemic sting reactions and/or impaired quality of life.

Conclusions

The limited available evidence suggested that VIT is effective in reducing severe subsequent systemic sting reactions and in improving disease specific quality of life. VIT proved to be safe and no fatalities were recorded in the studies included in this review. The cost-effectiveness of VIT needs to be established.

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Treatment of hereditary angioedema with normal C1-INH and specific mutations in the F12 gene (HAE-FXII)

Abstract

Background

Hereditary angioedema with normal C1 esterase inhibitor and mutations in the F12 gene (HAE-FXII) is associated with skin swellings, abdominal pain attacks, and the risk of asphyxiation due to upper airway obstruction. It occurs nearly exclusively in women. We report our experience treating HAE-FXII with discontinuation of potential trigger factors and drug therapies.

Methods

The study included 72 patients with HAE-FXII. Potential triggers included estrogen-containing oral contraceptives (eOC), hormonal replacement therapy, or angiotensin-converting enzyme inhibitors. Drug treatment comprised plasma-derived C1 inhibitor (pdC1-INH) for acute swelling attacks and progestins, tranexamic acid and danazol for prevention of attacks.

Results

Discontinuation of eOC was effective in 25/28 (89.3%) of women and led to a reduction of number of attacks (about 90%). After ending hormonal replacement therapy three of 8 women became symptom-free. Three women with exacerbation of HAE-FXII during intake of quinapril or enalapril had no further HAE-FXII attacks after discontinuation of those drugs. Eleven women were treated with pdC1-INH for 143 facial attacks. The duration of the treated facial attacks (mean 26.6 hrs.; SD 10.1 hrs.) was significantly shorter than that of the previous 88 untreated facial attacks in the same women (mean 64.1 hrs.; SD 28.0 hrs.) (P < 0.01). The mean reduction in attack frequency was 99.8% under progestins after discontinuing eOC (16 women), 93.8% under tranexamic acid (4 women) and 100% under danazol (3 women).

Conclusions

For patients with HAE-FXII various treatment options are available which completely or at least partially reduce the number or duration of attacks.

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Septooptic Dysplasia with an Associated Arachnoid Cyst

A 4-week-old male infant presented with hypothermia, hypoglycemia, and hyperbilirubinemia. His medical history was remarkable for hydrocephalus secondary to an arachnoid cyst, intermittent hypoglycemia, hypothermia, and poor feeding requiring nasogastric tube for nutrition. Physical exam revealed retrognathia, mild hypotonia, micropenis, and clinodactyly. Ophthalmologic exam demonstrated bilateral optic nerve hypoplasia (ONH). Laboratory data confirmed inadequate cortisol and growth hormone response to hypoglycemia, a low thyroxine level, and direct hyperbilirubinemia. Magnetic resonance imaging of the brain confirmed the known history of arachnoid cyst with hydrocephalus but also revealed anterior pituitary hypoplasia, absence of the posterior pituitary bright spot, a thin pituitary stalk, and bilateral optic nerve hypoplasia. A diagnosis of septooptic dysplasia (SOD) was made. Hormone replacement with hydrocortisone and levothyroxine was started with improvement in the infant's glycemic control, thermoregulation, feeding, and cholestasis. This case reinforces the importance of careful physical examination and laboratory review in a patient with known history of arachnoid cyst which has been previously described as an associated feature of optic nerve hypoplasia and hypopituitarism.

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Anterior Temporal Lobe Tracks the Formation of Prejudice.

Spiers, HJ; Love, BC; Le Pelley, ME; Gibb, CE; Murphy, RA; (2016) Anterior Temporal Lobe Tracks the Formation of Prejudice. J Cogn Neurosci pp. 1-15. 10.1162/jocn_a_01056 .

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Dynamic updating of hippocampal object representations reflects new conceptual knowledge.

Mack, ML; Love, BC; Preston, AR; (2016) Dynamic updating of hippocampal object representations reflects new conceptual knowledge. Proc Natl Acad Sci U S A 10.1073/pnas.1614048113 .

http://ift.tt/2eBuaIn

Comparative education research: approaches and methods

Jun, S-K; Evans, K; (2009) Comparative education research: approaches and methods. ASIA PACIFIC JOURNAL OF EDUCATION , 29 (1) pp. 121-124.

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Lifelong Learning in Paid and Unpaid Work

Evans, K; (2011) Lifelong Learning in Paid and Unpaid Work. BRITISH JOURNAL OF EDUCATIONAL STUDIES , 59 (4) pp. 488-490. 10.1080/00071005.2011.626585 .

http://ift.tt/2eBnfis

The rainbow concept of Lifelong Learning

Evans, K; (2006) The rainbow concept of Lifelong Learning. BRITISH EDUCATIONAL RESEARCH JOURNAL , 32 (3) pp. 527-534. 10.1080/01411920600670673 .

http://ift.tt/2ftWcTZ

The learning cultures of Third Age participants: Institutional management and participants' experience in U3A in the UK and SU in Korea

Jun, S-K; Evans, K; (2007) The learning cultures of Third Age participants: Institutional management and participants' experience in U3A in the UK and SU in Korea. KEDI JOURNAL OF EDUCATIONAL POLICY , 4 (2) pp. 53-72.

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A Comparative Study of Two Noncredit Educational Organisations for Older People: University of Third Age (U3A) in the UK AND Senior University (SU) in Korea

Jun, S-K; Evans, K; (2012) A Comparative Study of Two Noncredit Educational Organisations for Older People: University of Third Age (U3A) in the UK AND Senior University (SU) in Korea. In: Zhu, M, (ed.) (Proceedings) 2nd International Conference on Economic, Education and Management (ICEEM 2012). (pp. pp. 737-744). HONG KONG EDUCATION SOC

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Youth, education and risk - facing the future

Evans, K; (2003) Youth, education and risk - facing the future. INTERNATIONAL JOURNAL OF EDUCATIONAL DEVELOPMENT , 23 (6) pp. 691-692. 10.1016/S0738-0593(03)00070-1 .

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Shaping futures learning for competence and citizenship

Evans, K; (1998) Shaping futures learning for competence and citizenship. [Book]. Avebury

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Participation of Young Adults in Youth Organisations in the United Kingdom: A Review

Evans, K; (1987) Participation of Young Adults in Youth Organisations in the United Kingdom: A Review. International Journal of Adolescence and Youth , 1 (1) pp. 7-31. 10.1080/02673843.1987.9747622 .

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Leisure Patterns of Young Adults in Britain and the Role of the Youth Service

Evans, K; (1994) Leisure Patterns of Young Adults in Britain and the Role of the Youth Service. International Journal of Adolescence and Youth , 4 (3-4) pp. 179-194. 10.1080/02673843.1994.9747735 .

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NVQs and Key Workers

Evans, K; Germon, S; (1993) NVQs and Key Workers. Education + Training , 35 (5) pp. 11-16. 10.1108/00400919310047291 .

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Informal learning in UK – The significance of adult informal learning for economic and social life in the United Kingdom

Kersh, N; Evans, K; (2016) Informal learning in UK – The significance of adult informal learning for economic and social life in the United Kingdom. In: Harring, M and Witte, M and Burger, T, (eds.) Handbook of Informal Learning/Handbuch Informelles Lernen. (pp. 204-216). Beltz Juventa: Werderstr.

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Educational systems and transitions

Evans, KM; (2000) Educational systems and transitions. In: Adversity and Challenge in Life in the New Germany and in England. Palgrave Macmillan

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Learning and Work in the Risk Society Lessons for the Labour Markets of Europe from Eastern Germany

Evans, K; Behrens, M; Kaluza, J; (2000) Learning and Work in the Risk Society Lessons for the Labour Markets of Europe from Eastern Germany. Palgrave MacMillan

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Learning and Work in the Risk Society Lessons for the Labour Markets of Europe from Eastern Germany

Evans, K; Behrens, M; Kaluza, J; (2016) Learning and Work in the Risk Society Lessons for the Labour Markets of Europe from Eastern Germany. Springer

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Becoming Adults in England and Germany

Evans, K; Heinz, WR; (1994) Becoming Adults in England and Germany. [Book].

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Second International Handbook of Lifelong Learning

Aspin, DN; Chapman, JD; Evans, K; Bagnall, R; (2012) Second International Handbook of Lifelong Learning. Springer Science & Business Media

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Work Training: Values and Beliefs of Young Adults in Contrasting Labour Markets in Canada and Britain

Evans, K; Taylor, M; Boss, M; (1992) Work Training: Values and Beliefs of Young Adults in Contrasting Labour Markets in Canada and Britain. International Journal of Adolescence and Youth , 3 (3-4) pp. 249-267. 10.1080/02673843.1992.9747707 .

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Does pre-vocational education work?

Bynner, J; Evans, K; (1990) Does pre-vocational education work? Research Papers in Education , 5 (3) pp. 183-201. 10.1080/0267152900050301 .

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