To identify pathways involved in adult lung regeneration, we employ a unilateral pneumonectomy (PNX) model that promotes regenerative alveolarization in the remaining intact lung. We show that PNX ...stimulates pulmonary capillary endothelial cells (PCECs) to produce angiocrine growth factors that induce proliferation of epithelial progenitor cells supporting alveologenesis. Endothelial cells trigger expansion of cocultured epithelial cells, forming three-dimensional angiospheres reminiscent of alveolar-capillary sacs. After PNX, endothelial-specific inducible genetic ablation of
Vegfr2 and
Fgfr1 in mice inhibits production of MMP14, impairing alveolarization. MMP14 promotes expansion of epithelial progenitor cells by unmasking cryptic EGF-like ectodomains that activate the EGF receptor (EGFR). Consistent with this, neutralization of MMP14 impairs EGFR-mediated alveolar regeneration, whereas administration of EGF or intravascular transplantation of MMP14
+ PCECs into pneumonectomized
Vegfr2/Fgfr1-deficient mice restores alveologenesis and lung inspiratory volume and compliance function. VEGFR2 and FGFR1 activation in PCECs therefore increases MMP14-dependent bioavailability of EGFR ligands to initiate and sustain alveologenesis.
Display omitted
► Pulmonary capillary endothelial cells (PCECs) support alveologenesis ► Autocrine VEGFR2 and FGFR1 activation in PCECs induces MMP14 expression ► MMP14 unmasks EGF receptor ligands, enhancing epithelial cell proliferation ► Injection of activated PCECs or angiocrine factors accelerates lung regeneration
Capillary endothelial cells support the regeneration of alveolar epithelial cells by secreting a matrix metalloprotease that unmasks cryptic epidermal growth factor receptor ligands.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Switched reluctance machines (SRMs) are witnessing increased interests and applications in the industry and scientific communities thanks to the advantages of rigid structures, high reliability and ...robustness, the absence of permanent magnets, fast dynamic response, and low manufacturing cost. SRMs have become a feasible and popular alternative to conventional electric machines, such as induction machines and permanent magnet machines, with variable speed drives in many applications. Since improving the electromagnetic and thermal performances of an SRM at the design stage is of significant value, this paper presents an in-depth literature review on the status and potential trends of the technology pertinent to the design and optimization of SRMs in the following aspects: the mathematical modeling of the electromagnetic and thermal fields in SRMs, the enhancement of the performances in terms of the torque ripple, acoustic noise, efficiency, and torque density, and the multiobjective design optimization incorporating all the above factors. Finally, the presence of SRMs and their design considerations for specific applications in electric vehicles, aircraft and aerospace systems, wind generators, high speed, and energy storage systems are extensively discussed in this paper. The existing approaches advancing the SRM technologies are systematically and comprehensively summarized and compared for each category.
In two phase 3 placebo-controlled, randomized trials in 1012 and 1040 patients with mild-to-moderate Alzheimer's disease, solanezumab, a humanized monoclonal antibody that preferentially binds ...soluble forms of amyloid, did not improve cognition or functional status.
Alzheimer's disease is associated with the accumulation of aggregated amyloid-beta (Aβ) peptide in the cerebral cortex and hippocampus. One approach to reducing brain amyloid involves increasing the clearance of Aβ by means of prolonged treatment with monoclonal antibodies directed against this peptide. In preclinical studies, a murine antibody that targeted the central domain of Aβ and was selective for soluble forms slowed Aβ deposition in a transgenic mouse model
1
; in another transgenic murine model, Aβ–antibody complexes were present in the cerebrospinal fluid (CSF) and plasma, and behavioral deficits were reversed without a decrease in amyloid plaques, as assessed by . . .
In this placebo-controlled trial, the γ-secretase inhibitor semagacestat did not improve cognitive status in patients with Alzheimer's disease and was associated with more adverse events than ...placebo, including skin cancers and infections.
Alzheimer's disease begins decades before the appearance of clinical symptoms, with the deposition of aggregated amyloid-beta (Aβ) peptide plaques in the cortex and hippocampus. This protein is cleaved from the amyloid precursor protein (APP) by the sequential action of β- and γ-secretases, producing fragments that include Aβ1-40 and Aβ1-42. Since the accumulation of aggregated Aβ is associated with disease progression, both β-secretase and γ-secretase represent potential therapeutic targets. Multiple small molecules can inhibit γ-secretase in vitro,
1
–
4
but Notch and other transmembrane proteins are also substrates for γ-secretase,
1
–
4
and studies have raised concern that the inhibition of γ-secretase could . . .
Monoclonal antibodies are one of the fastest growing classes of pharmaceutical products, however, their potential is limited by the high cost of development and manufacturing. Here we present a safe ...and cost-effective platform for in vivo expression of therapeutic antibodies using nucleoside-modified mRNA. To demonstrate feasibility and protective efficacy, nucleoside-modified mRNAs encoding the light and heavy chains of the broadly neutralizing anti-HIV-1 antibody VRC01 are generated and encapsulated into lipid nanoparticles. Systemic administration of 1.4 mg kg
of mRNA into mice results in ∼170 μg ml
VRC01 antibody concentrations in the plasma 24 h post injection. Weekly injections of 1 mg kg
of mRNA into immunodeficient mice maintain trough VRC01 levels above 40 μg ml
. Most importantly, the translated antibody from a single injection of VRC01 mRNA protects humanized mice from intravenous HIV-1 challenge, demonstrating that nucleoside-modified mRNA represents a viable delivery platform for passive immunotherapy against HIV-1 with expansion to a variety of diseases.
OBJECTIVE:A randomized, placebo-controlled, double-blind, multicenter 52-week phase 2 trial of resveratrol in individuals with mild to moderate Alzheimer disease (AD) examined its safety and ...tolerability and effects on biomarker (plasma Aβ40 and Aβ42, CSF Aβ40, Aβ42, tau, and phospho-tau 181) and volumetric MRI outcomes (primary outcomes) and clinical outcomes (secondary outcomes).
METHODS:Participants (n = 119) were randomized to placebo or resveratrol 500 mg orally once daily (with dose escalation by 500-mg increments every 13 weeks, ending with 1,000 mg twice daily). Brain MRI and CSF collection were performed at baseline and after completion of treatment. Detailed pharmacokinetics were performed on a subset (n = 15) at baseline and weeks 13, 26, 39, and 52.
RESULTS:Resveratrol and its major metabolites were measurable in plasma and CSF. The most common adverse events were nausea, diarrhea, and weight loss. CSF Aβ40 and plasma Aβ40 levels declined more in the placebo group than the resveratrol-treated group, resulting in a significant difference at week 52. Brain volume loss was increased by resveratrol treatment compared to placebo.
CONCLUSIONS:Resveratrol was safe and well-tolerated. Resveratrol and its major metabolites penetrated the blood–brain barrier to have CNS effects. Further studies are required to interpret the biomarker changes associated with resveratrol treatment.
CLASSIFICATION OF EVIDENCE:This study provides Class II evidence that for patients with AD resveratrol is safe, well-tolerated, and alters some AD biomarker trajectories. The study is rated Class II because more than 2 primary outcomes were designated.
In this randomized trial involving patients with mild cognitive impairment, vitamin E did not reduce the rate of progression to Alzheimer's disease. Although an initial benefit of donepezil was ...observed during the first year, over the course of the three-year study the rate of progression to Alzheimer's disease was similar in patients treated with donepezil and those treated with placebo. The side effects of donepezil included diarrhea, nausea, muscle cramps, and insomnia.
In patients with mild cognitive impairment, vitamin E did not reduce the rate of progression to Alzheimer's disease. Over the course of the three-year study the rate of progression to Alzheimer's disease was similar in patients treated with donepezil and those treated with placebo.
Mild cognitive impairment represents a transitional state between the cognitive changes of normal aging and the earliest clinical features of Alzheimer's disease.
1
Amnestic mild cognitive impairment refers to the subtype that has a primary memory component, either alone (single domain) or in conjunction with other cognitive-domain impairments (multiple domain), but of insufficient severity to constitute dementia.
2
–
6
Previous research has shown that the rate of progression to clinically diagnosable Alzheimer's disease is 10 to 15 percent per year among persons who meet the criteria for the amnestic form of mild cognitive impairment, in contrast to a rate of 1 to . . .
IMPORTANCE As Alzheimer disease (AD) research moves to intervene in presymptomatic phases of the disease, we must develop outcome measures sensitive to the earliest disease-related changes. OBJECTIVE ...To demonstrate the feasibility of a cognitive composite outcome for clinically normal elderly participants with evidence of AD pathology using the ADCS Preclinical Alzheimer Cognitive Composite (ADCS-PACC). The ADCS-PACC combines tests that assess episodic memory, timed executive function, and global cognition. The ADCS-PACC is the primary outcome measure for the first clinical trial in preclinical AD (ie, the Anti-Amyloid Treatment in Asymptomatic Alzheimer’s study). DESIGN, SETTING, AND PARTICIPANTS With the ADCS-PACC, we derive pilot estimates of amyloid-related decline using data from 2 observational studies conducted in North America and another conducted in Australia. The participants analyzed had normal cognition and mean ages of 75.81, 71.37, and 79.42 years across the 3 studies. MAIN OUTCOMES AND MEASURES For the 2 studies that collected data on Aβ levels (ADNI and AIBL), we estimate decline in a preclinical AD “Aβ-positive” placebo group and compare them with an “Aβ-negative” group. For the study that did not include data on Aβ levels (the ADCS Prevention Instrument ADCS-PI study), we grouped participants by the presence of APOE-ε4 and by clinical progression. RESULTS In ADNI, Aβ-positive participants showed more decline than did Aβ-negative participants with regard to the ADCS-PACC score at 24 months (mean SE difference, −1.239 0.522 95% CI, −2.263 to −0.215; P = .02). In AIBL, the mean (SE) difference is significant at both 18 months (−1.009 0.406 95% CI, −1.805 to −0.213; P = .01) and 36 months (−1.404 0.452 95% CI, −2.290 to −0.519; P = .002). In the ADCS-PI study, APOE-ε4 allele carriers performed significantly worse on the ADCS-PACC at 24 months (mean SE score, −0.742 0.294 95% CI, −1.318 to −0.165; P = .01) and 36 months (−1.531 0.469 95% CI, −2.450 to −0.612; P = .001). In the ADCS-PI study, cognitively normal participants who progress from a global Clinical Dementia Rating score of 0 are significantly worse on the ADCS-PACC than cognitively normal participants who are stable with a global Clinical Dementia Rating score of 0 at months 12, 24, and 36 (mean SE ADCS-PACC score, −4.471 0.702 95% CI, −5.848 to −3.094; P < .001). Using pilot estimates of variance and assuming 500 participants per group with 30% attrition and a 5% α level, we project 80% power to detect effects in the range of Δ = 0.467 to 0.733 on the ADCS-PACC. CONCLUSIONS AND RELEVANCE Analyses of at-risk cognitively normal populations suggest that we can reliably measure the first signs of cognitive decline with the ADCS-PACC. These analyses also suggest the feasibility of secondary prevention trials.
Characterization of electric loads provides opportunities to incorporate detailed energy usage information into applications such as protection, efficiency certification, demand response, and energy ...management. This paper proposes a low computational cost, but yet accurate method, to extract signatures for load classification and characterization. Instead of utilizing digital signal processing and frequency-domain analysis, this paper abstracts the similarity of voltage-current (V-I) trajectories between loads and proposes to map V-I trajectories to a grid of cells with binary values. Graphical signatures can then be extracted for many applications. The proposed method significantly reduces the computational cost compared with existing frequency-domain signature extraction methods. Test results show that an average of over 99% of success rate can be achieved using the proposed signatures.
PDF
