Measurement of Bioactivity of Immunomodulatory Treatment of Relapsing Multiple Sclerosis. With Emphasis on MxA Protein

Background Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, which mainly affects young adults. In Finland, approximately 2500 out of 6000 MS patients have relapsing MS and are treated with disease modifying drugs (DMD): interferon- β (INF-β-1a or INF-β-1b) and glatiramer acetate (GA). Depending on the used IFN-β preparation, 2 % to 40 % of patients develop neutralizing antibodies (NAbs), which abolish the biological effects of IFN-β, leading to reduced clinical and MRI detected efficacy. According to the Finnish Current Care Guidelines and European Federation of Neurological Societis (EFNS) guidelines, it is suggested tomeasure the presence of NAbs during the first 24 months of IFN-β therapy. Aims The aim of this thesis was to measure the bioactivity of IFN-β therapy by focusing on the induction of MxA protein (myxovirus resistance protein A) and its correlation to neutralizing antibodies (NAb). A new MxA EIA assay was set up to offer an easier and rapid method for MxA protein detection in clinical practice. In addition, the tolerability and safety of GA were evaluated in patients who haddiscontinued IFN-β therapy due to side effects and lack of efficacy. Results NAbs developed towards the end of 12 months of treatment, and binding antibodies were detectable before or parallel with them. The titer of NAb correlated negatively with the amount of MxA protein and the mean values of preinjection MxA levels never returned to true baseline in NAb negative patients, but tended to drop in the NAb positive group. The test results between MxA EIA and flow cytometric analysis showed significant correlation. GA reduced the relapse rate and was a safe and well-tolerated therapy in IFN-β-intolerant MS patients. Conclusions NAbs inhibit the induction of MxA protein, which can be used as a surrogate marker of the bioactivity of IFN-β therapy. Compared to flow cytometricanalysis and NAb assay, MxA-EIA seemed to be a sensitive and more practical method in clinical use to measure the actual bioactivity of IFN-β treatment, which is of value also from a cost-effective perspective.

Lannoitetehtaan typenoksidipäästöjen hallintamahdollisuudet

Työssä tarkasteltiin lannoitetehtaan typenoksidipäästöjen hallintamahdollisuuksia Kemira GrowHow Oy:n Uudenkaupungin tehtailla. Työn tavoitteena oli lannoitetehtaalta muodostuvien typen oksidien syntymekanismien etsiminen. Lisäksi työssä etsittiin sellaisia keinoja, joilla typenoksidipäästöjä voitaisiin hallita. Tutkimusosassa tehtiin mittauksia kannettavalla FT-IR kaasuanalysaattorilla teoreettisen tarkastelun tueksi sekä prosessikohtaisten päästöjen selvittämiseksi. Prosessista tehtyjen mittausten lisäksi työssä on hyödynnetty lannoitetehtaan piippuun asennettua kiinteää FT-IR analysaattoria. Prosessikohtaiset mittaukset rajattiin lannoite 2-tehtaaseen. Mittauksia suoritettiin kuudesta prosessin pisteestä. Hallintamahdollisuuksien selvittämiseksi tehtiin tutkimuksia tietyillä raaka-aineiden syötöillä. Päästöjen prosessikohtaista arvioimista varten suoritettiin myös pitot-mittauksia kaasumäärien selvittämiseksi. Mittauksissa havaittiin, että typenoksidipäästöt riippuvat valmistettavasta lajikkeesta. Suurimmaksi typenoksidipäästöjen lähteeksi osoittautuivat reaktorit, joiden osuus oli jopa 95 % typenoksidipäästöistä. Tärkein oli biotiittireaktori, jonka osuus typenoksidipäästöistä oli noin 60-90 %. Lajikkeilla, joilla ei käytetä biotiittireaktoria, osoittautui suurimmaksi typenoksidipäästöjen lähteeksi ammonointireaktorit. Hallintamahdollisuuksia pyrittiin etsimään reaktoreilta. Suurimmaksi typen oksidien hallintamahdollisuudeksi osoittautui ureafosfaatin syöttö liuotus- ja biotiittireaktoreille. Tutkimuksissa havaittiin myös laimean rikkihapon käyttämisen, väkevän sijasta, auttavan hallitsemaan typenoksidipäästöjä.

The Role of Integrins in Enterovirus Infections and in Metastasis of Cancer

Integrins are a family of transmembrane glycoproteins, composed of two different subunits (alpha and beta). Altered expression of integrins in tumor cells contributes to metastasis tendency by influencing on the cells‟ attachment to adjacent cells and their migration. Viral pathogens, including certain enteroviruses, use integrins as receptors. Enteroviruses have also been suggested to be involved in the etiopathogenesis of type 1 diabetes. The study focuses on the role of integrins in the pathogenesis of metastasis to cortical bone and on type 1 diabetes (T1D) and echovirus 1 infection. In the first part of the thesis, the role of different integrins in the initial attachment of MDA-MD-231 breast cancer cells to bovine cortical bone disks was studied. A close correlation between alpha2beta1 and alpha3beta1 integrin receptor expression and the capability of the tumor to attach to bone were observed. In the second part, a possible correlation between susceptibility to enterovirus infections in diabetic children and differences in enterovirus receptor genes, including certain integrins, was investigated. In parallel, virus-specific neutralizing antibodies and diabetic risk alleles were studied. In the diabetic group, an amino acid change was detected in the polio virus receptor and the neutralizing antibody titers against echovirus 30 were lower. However, to obtain statistically sustainable results, a larger number of individuals should be analyzed. Echovirus 1 (EV1) enters cells by attaching to the alpha2I domain of the alpha2beta1 integrin. In the third part EV1 was shown to attach to a chimeric receptor construct of the transferrin receptor and the alpha2I domain and to enter cells through clathrin-mediated endocytosis that is normally not used by the virus. The chimeric receptor was recycled to the plasma membrane, whereas the virus remained in intracellular vesicles. The virus replication cycle was initiated in these cells, suggesting that evolution pressure could possibly cause the virus to evolve to use a different entry mechanism. Moreover, a cDNA microarray analysis of host gene expression during EV1 replication showed that 0.53% of the total genes, including several immediate early genes, were differently expressed.

Treatment of NI-containing acidic mine waters with calcite side-stones

Acid mine drainage (AMD) presents a serious problem for the environment for the massive formation of acidic leachates containing heavy metals. The present work deals with the AMD treatment using neutralizing limestone side-products. The conventional methods for prevention, mitigating and control of AMD formation are described. The experimental testing of Nordkalk Oy calcite-containing side-stones for acid neutralizing and removal of nickel from solutions presents the research objective. The batch experiments in acid neutralizing with subsequent metal content analysis were carried out. The results showed the dependence of pH on the dose of neutralizing material and the exposure time. The nickel removal, unlike iron, within the pH range from 1.2 to 6.0 appeared to be inadequate. The further research on nickel co-precipitation with iron and aluminium may appear to be necessary together with testing of alkalinity strengthening materials.

The Global War on Terrorism in the Horn of Africa

Ever since Siad Barre’s regime was toppled in the beginning of the 1990’s Somalia has been without an effective central government. As a result Somalia has remained in an anarchic condition of state collapse for nearly two decades. This anarchy has often been put forward as a potential breeding ground for terrorism. As a response to this threat the United States has undertaken several policies, initiatives, and operations in the Horn of Africa generally and in Somalia specifically. In this descriptive study a twofold analysis has been undertaken. First, conditions in present day Somalia as well as Somali history have been analyzed to evaluate the potential Somalia holds as a terrorist base of operations or a recruiting- or staging area. Second, US strategies and actions have been analyzed to evaluate the adequacy of the US response to the threat Somalia poses in terms of terrorism. Material for the analyses have been derived from anthropological, political, and security studies dealing with Somalia. This material has been augmented by a wide range of news coverage, western and non-western. Certain different US policy documents from different levels have been chosen to represent US strategies for the Global War on Terrorism. Because Somali social institutions, such as the clan system, hold great weight in Somali society, Somalia is a difficult area of operations for terrorist networks. In addition the changing nature of Somali alliances and the tangled webs of conflict that characterize present day Somalia aggravate the difficulties that foreign terrorist networks would encounter in Somalia, would they choose to try to utilize it in any great extent. The US has taken potential terrorism threats in Africa and specifically Somalia very seriously. US actions in Somalia have mainly focused on apprehending or neutralizing terror suspects. Such policies, coupled with backing the Ethiopian invasion of Somalia may have actually turned out increasing Somalia’s terror potential.

Treatment of Fe-containing Acid Mine Waters in Fixed Bed Adsorption Column with Calcite Side-Stone

The acid mining drainage is considered the most significant environmental pollution problem around the world for the extensive formation acidic leachates containing heavy metals. Adsorption is widely used methods in water treatment due to it easy operation and the availability of a wide variety of commercial adsorbent (low cost). The primary goal of this thesis was to investigate the efficiency of neutralizing agents, CaCO3 and CaSiO3, and metal adsorption materials with unmodified limestone from Company Nordkalk Oy. In addition to this, the side materials of limestone mining were tested for iron adsorption from acidic model solution. This study was executed at Lappeenranta University of Technology, Finland. The work utilised fixed-bed adsorption column as the main equipment and large fluidized column. Atomic absorption spectroscopy (AAS) and x-ray diffraction (XRD) was used to determine ferric removal and the composition of material respectively. The results suggest a high potential for the studied materials to be used a low cost adsorbents in acid mine drainage treatment. From the two studied adsorbents, the FS material was more suitable than the Gotland material. Based on the findings, it is recommended that further studies might include detailed analysis of Gotland materials.