SNP in the genome-wide association study hotspot on chromosome 9p21 confers susceptibility to diabetic nephropathy in type 1 diabetes

AIMS/HYPOTHESIS: Parental type 2 diabetes mellitus increases the risk of diabetic nephropathy in offspring with type 1 diabetes mellitus. Several single nucleotide polymorphisms (SNPs) that predispose to type 2 diabetes mellitus have recently been identified. It is, however, not known whether such SNPs also confer susceptibility to diabetic nephropathy in patients with type 1 diabetes mellitus. METHODS: We genotyped nine SNPs associated with type 2 diabetes mellitus in genome-wide association studies in the Finnish population, and tested for their association with diabetic nephropathy as well as with severe retinopathy and cardiovascular disease in 2,963 patients with type 1 diabetes mellitus. Replication of significant SNPs was sought in 2,980 patients from three other cohorts. RESULTS: In the discovery cohort, rs10811661 near gene CDKN2A/B was associated with diabetic nephropathy. The association remained after robust Bonferroni correction for the total number of tests performed in this study (OR 1.33 [95% CI 1.14, 1.56], p?=?0.00045, p (36tests)?=?0.016). In the meta-analysis, the combined result for diabetic nephropathy was significant, with a fixed effects p value of 0.011 (OR 1.15 [95% CI 1.02, 1.29]). The association was particularly strong when patients with end-stage renal disease were compared with controls (OR 1.35 [95% CI 1.13, 1.60], p?=?0.00038). The same SNP was also associated with severe retinopathy (OR 1.37 [95% CI 1.10, 1.69] p?=?0.0040), but the association did not remain after Bonferroni correction (p (36tests)?=?0.14). None of the other selected SNPs was associated with nephropathy, severe retinopathy or cardiovascular disease. CONCLUSIONS/INTERPRETATION: A SNP predisposing to type 2 diabetes mellitus, rs10811661 near CDKN2A/B, is associated with diabetic nephropathy in patients with type 1 diabetes mellitus.

Efeito de diferentes posologias do verniz de clorexidina a 1% nos níveis de estreptococos do grupo mutans na saliva e no biofilme dental

Não há concordância em relação ao número total e intervalo entre as aplicações do verniz de clorexidina (CLX) a 1%. Além disso, os resultados quanto ao período de redução dos níveis de estreptococos do grupo mutans (EGM) na saliva ou biofilme dental são controversos. O objetivo do presente trabalho foi avaliar, através de um estudo clínico randomizado e controlado, o efeito de diferentes posologias do verniz de CLX a 1% nos níveis de EGM. Pacientes com níveis de EGM ≥ 105 UFC/ml saliva, 11-16 anos, foram distribuídos em 4 grupos: grupo A (n=14): 1 aplicação do verniz de CLX; grupo B (n=14): 1 aplicação diária do verniz CLX, em 3 dias consecutivos; grupo C (n=15): 3 aplicações do verniz CLX com intervalo de 4 dias entre cada aplicação; grupo D (n=12): 1 aplicação diária do verniz placebo, em 3 dias consecutivos. Amostras de saliva e biofilme dental foram coletadas no início do estudo e 1, 4 e 8 semanas após o término das aplicações e foram cultivadas para avaliação dos níveis de EGM e bactérias totais. Os dados foram avaliados através do teste ANOVA (medidas repetidas) e teste de Tukey. Após 1 semana, observou-se uma leve redução nos níveis salivares de EGM nos grupos A, B e C (-0,70; -0,90; -0,41 log10 UFC/ml saliva; respectivamente), significativa somente nos grupos A e B (p < 0,05). Não foram observadas diferenças nos níveis salivares de EGM entre os grupos experimentais nos diferentes períodos do experimento. No biofilme dental, 1 semana após o término do tratamento, foi observado um aumento significativo nos níveis de bactérias totais em todos os grupos experimentais e uma redução significativa nos níveis de EGM apenas no grupo A. O verniz de CLX a 1% resultou em uma leve e curta redução nos níveis de EGM. Este estudo demonstrou que repetidas aplicações do verniz de clorexidina a 1% não aumentam o seu efeito na redução dos níveis de EGM.

The Brazilian Network for HIV-1 Genotyping External Quality Control Assurance Programme

The Brazilian network for genotyping is composed of 21 laboratories that perform and analyze genotyping tests for all HIV-infected patients within the public system, performing approximately 25,000 tests per year. We assessed the interlaboratory and intralaboratory reproducibility of genotyping systems by creating and implementing a local external quality control evaluation. Plasma samples from HIV-1-infected individuals (with low and intermediate viral loads) or RNA viral constructs with specific mutations were used. This evaluation included analyses of sensitivity and specificity of the tests based on qualitative and quantitative criteria, which scored laboratory performance on a 100-point system. Five evaluations were performed from 2003 to 2008, with 64% of laboratories scoring over 80 points in 2003, 81% doing so in 2005, 56% in 2006, 91% in 2007, and 90% in 2008 (Kruskal-Wallis, p = 0.003). Increased performance was aided by retraining laboratories that had specific deficiencies. The results emphasize the importance of investing in laboratory training and interpretation of DNA sequencing results, especially in developing countries where public (or scarce) resources are used to manage the AIDS epidemic.

Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss

OBJECTIVES: The aim of this study was to compare the long-term outcomes of implants placed in patients treated for periodontitis periodontally compromised patients (PCP) and in periodontally healthy patients (PHP) in relation to adhesion to supportive periodontal therapy (SPT). MATERIAL AND METHODS: One hundred and twelve partially edentulous patients were consecutively enrolled in private specialist practice and divided into three groups according to their initial periodontal condition: PHP, moderate PCP and severe PCP. Perio and implant treatment was carried out as needed. Solid screws (S), hollow screws (HS) and hollow cylinders (HC) were installed to support fixed prostheses, after successful completion of initial periodontal therapy (full-mouth plaque score <25% and full-mouth bleeding score <25%). At the end of treatment, patients were asked to follow an individualized SPT program. At 10 years, clinical measures and radiographic bone changes were recorded by two calibrated operators, blinded to the initial patient classification. RESULTS: Eleven patients were lost to follow-up. During the period of observation, 18 implants were removed because of biological complications. The implant survival rate was 96.6%, 92.8% and 90% for all implants and 98%, 94.2% and 90% for S-implants only, respectively, for PHP, moderate PCP and severe PCP. The mean bone loss was 0.75 (+/- 0.88) mm in PHP, 1.14 (+/- 1.11) mm in moderate PCP and 0.98 (+/- 1.22) mm in severe PCP, without any statistically significant difference. The percentage of sites, with bone loss > or =3 mm, was, respectively, 4.7% for PHP, 11.2% for moderate PCP and 15.1% for severe PCP, with a statistically significant difference between PHP and severe PCP (P<0.05). Lack of adhesion to SPT was correlated with a higher incidence of bone loss and implant loss. CONCLUSION: Patients with a history of periodontitis presented a lower survival rate and a statistically significantly higher number of sites with peri-implant bone loss. Furthermore, PCP, who did not completely adhere to the SPT, were found to present a higher implant failure rate. This underlines the value of the SPT in enhancing the long-term outcomes of implant therapy, particularly in subjects affected by periodontitis, in order to control reinfection and limit biological complications.

Na 1 Nachlass Max Horkheimer, 655 - Vorträge über Antisemitismus (p. IX 40.1-2-IX 48.1-2)

"Summer institute on Modern European Culture" (1947?); 1. Ankündigung für eine Vorlesungsreihe von Max Horkheimer, Theodor W. Adorno, Leo Löwenthal, Herbert Marcuse, Friedrich Pollock. a) Typoskript mit eigenhändigen Ergänzungen, 20 Blatt b) Typoskript mit handschriftlichen Ergänzungen, 19 Blatt; 2. Herbert Marcuse: "Philosophie allemande et francaise 1871-1933". Typoskript mit eigenhändigen Korrekturen, 18 Blatt; "Tentative Program for the Course of Antisemitism". Vorlesungsankündigung 1948 von Max Horkheimer, Theodor W. Adorno, Friedrich Pollock. Typoskript 2 Blatt; Max Horkheimer: Bericht über die Antisemitismus-Forschungen des Instituts für Sozialforschung (GS 12, S. 165-171). Vortrag gehalten am 16.4.1943, englischer Text. a) Typoskript mit eigenhändigen Korrekturen, 5 Blatt b) Typoskript mit eigenhändigen Korrekturen, 8 Blatt c) Typoskript mit handschriftlichen Korrekturen, 8 Blatt; Max Horkheimer: Bericht über die Antisemitismus-Forschungen des Instituts für Sozialforschung (GS 12, S. 172-183). Vortrag gehalten am 30.4.1943, Temple Israel. a) Typoskript mit eigenhändigen Korrekturen und Ergänzungen, 12 Blatt b) Typoskript mit handschriftlichen Korrekturen, 11 Blatt c) Typoskript mit eigenhändigen Korrekturen, 14 Blatt; Max Horkheimer: Über die Psychologie des Judentums und des Antisemitismus; 1. Vortrag, gehalten am 7.10.1943 im Department of Psychology, UCLA, eigenhändige Notizen, 1 Blatt; 2. Auszüge aus Schriften und Arbeitspapieren von: G.M. Davidson, Salomon Andhil Fineberg, A.R.L. Gurland, Oscar I. Janomsky, Paul W. Massing, Typoskript mit eigenhändigen Ergänzungen, 8 Blatt; Max Horkheimer: Anti-Semitism as a Social Phenomenon (GS 5, S.364-372); 1. Vortrag, gehalten am 17.6.1944 in San Francisco, Psychoanalytic Society, veröffentlicht unter dem Titel 'Sociological Background of the Psychoanalytic Approach". In: Ernst Simmel (ed.), "Anti-Semitism. A Social Disease", New York, 1946, S.1-10. a) Typoskript, 13 Blatt, b) Teilstück, Typoskript, 1 Blatt, c) Teilstück, Typoskript mit eigenhändigen Korrekturen, 2 Blatt d) Typoskript mit handschriftlichen Korrekturen, 9 Blatt; 2. "Notes to the Speech in San Francisco", Notizen, 4 Blatt; 3. eigenhändige Notizen zum Vortrag, 5 Blatt; 4. Rede für Maurice Karpf, Typoskript mit eigenhändigen Korrekturen, 2 Blatt; 5. Theodor W. Adorno: "Mammoth Motives", Notizen zum Verhältnis von Soziologie und Psychologie des Antisemitismus, 3 Blatt; 6. Theodor W. Adorno: "Patterns of Anti-Democratic Propaganda", veröffentlicht in: Ernst Simmel, "Anti-Semitism. A Social Disease", New York, 1946, S.125-137. a) Typoskript, 15 Blatt, b) Typoskript, 14 Blatt;; 7. Einladung, Drucksache, 2 Blatt; 8. Max Horkheimer: 2 Brief an Donald MacFerlane, Pacific Palisades, 22.5.1944, 1 Blatt; Max Horkheimer: Vorträge 1944-45; 1. "Report for the N.C.R.A.C.". Über Forschungsprojekte des American Jewish Committee and des American Jewish Congress, vorgetragen am 14.1.1944, Typoskript, 4 Blatt; 2. Notizen zu 1: Über Kurt Lewin, Typoskript, 3 Blatt; 3. eigenhändige Notizen zu 1., 3 Blatt; 4. Über die europäische Tradition der Arbeiten des Instituts für Sozialforschung. Vortrag, gehalten am 8.12.1944. Eigenhändige Notizen, 1 Blatt; 5. Über psychologische Aspekte der Antisemitismusforschung des Instituts für Sozialforschung. Vortrag, gehalten am 19.4.1945. Eigenhändige Notizen, 2 Blatt; 6. Über sozioökonomische Aspekte des Antisemitismus in Europa und in der Arbeiterschaft der USA. Vortrag, gehalten am 8.6.1945. Psychosomatic Society a) Notizen zum Vortrag, 4 Blatt, b) eigenhändige Notizen, 3 Blatt; 7. Notizen zu 6., Typoskript, 17 Blatt,; 8. Notizen zu 6. "Quotations from Labor Study", Typoskript, 12 Blatt; 9. Über neue Forschungsprojekte des Instituts für Sozialforschung zum Antisemitismus. Vortrag, gehalten am 24.10.1945. Eigenhändige Notizen, 2 Blatt; 10. Über Antisemitismus. Vortrag, gehalten am 3.12.1945. Eigenhändige Notizen, 2 Blatt; 11.-15. Vorträge über Antisemitismus. Datierung unklar (etwa 1945) (u.a. "Mountvernon Speech" und "Breakfast Speech"), 17 Blatt; 16. Über Judentum und Katholizismus in der neueren Geschichte. Eigenhändige Notizen zu einem Vortrag, Datierung unklar, 3 Blatt; 17. Über Vorurteil, Vortrag oder Diskussion in einer Synagoge, Datierung unklar, eigenhändige Notizen, 1 Blatt; Max Horkheimer: Über die Antisemitismus-Forschungen des Instituts für Sozialforschung. Vortrag, gehalten beim U.C.R.A.C.-Meeting, 15.-17.6.1946, Chicago:; 1. eigenhändige Notizen, 13 Blatt; 2. Fragebogen, als Typoskript vervielfältigt, mit eigenhändigen Ergänzungen, 6 Blatt;

Table 1: Discharge, mass flux, maximum velocity and ice thickness of glaciers from Dronning Maud Land, Antarctica

Mass transport and mass flux values for the different types of glaciers in the Sør-Rondane are calculated from computer models, based upon gravity data and geodetic stake velocity measurements. The results are interpreted in the light of a general flow line analysis, glacial geological investigations and of the ablation terms of the mass balance for Dronning Maud Land and Antarctica.

(Table 1) Egg laying and hatching dates and guarding duration of Adélie penguins (Pygoscelis adeliae) on Petrel Island, Antarctica

1. In Polar Regions, the extent and dynamics of sea-ice are changing. This affects the ocean productivity which consecutively impacts plankton communities and polar top predators like penguins. Yet, the underlying behavioural and physiological mechanisms remain poorly understood. 2. Here we monitored the ecophysiological responses of Adelie penguin (Pygoscelis adeliae) pairs during two seasons of contrasting timing of sea-ice retreat. Beside classical breeding parameters like foraging trip duration, body mass and reproductive success, we also investigated food-related stress (via plasma corticosterone concentration), nutritional state (via metabolite levels) and the use of penguins' habitat (via blood isotopic values). 3. Body mass and reproductive success remained unchanged but foraging trips were shorter when sea-ice retreated earlier. Constant plasma corticosterone concentrations indicated that none of the feeding conditions resulted in a food-related stress. However metabolite levels were lower when sea-ice retreated early, suggesting that the foraging performance and the quality/quantity of food differed. Indeed isotopic ratios indicated that coastal prey like fish contributed more to the penguins' diet when sea-ice retreated prematurely. 4. The early sea-ice retreat was related to higher chlorophyll concentrations, known to favour krill recruitment. Paradoxically, this was not associated to a higher krill contribution in the penguins' diet. We propose that a shift in the phytoplankton quality (rather than quantity), affecting krill recruitment, forced penguins to switch to more available prey like coastal fish. 5. In some Antarctic regions, sea-ice is retreating earlier and earlier. In the present study, even though the timing of sea-ice retreat and the consecutive ocean productivity differed drastically between the 2 years, Adelie penguins were not severely affected because they were able to adjust their at-sea behaviour and thus maintained their body condition and reproductive success unchanged. 6. This suggests that the timing of sea-ice retreat does not represent an important threat to populations of Adelie penguins at least as long as alternative resources are still available and other environmental parameters like winter sea-ice extent are not dramatically altered.

Fatty acid and stable isotope composition of calanoid copepods in the open eastern Atlantic Ocean during POLARSTERN cruise ANT-XXIX/1

The majority of global ocean production and total export production is attributed to oligotrophic oceanic regions due to their vast regional expanse. However, energy transfers, food-web structures and trophic relationships in these areas remain largely unknown. Regional and vertical inter- and intra-specific differences in trophic interactions and dietary preferences of calanoid copepods were investigated in four different regions in the open eastern Atlantic Ocean (38°N to 21°S) in October/November 2012 using a combination of fatty acid (FA) and stable isotope (SI) analyses. Mean carnivory indices (CI) based on FA trophic markers generally agreed with trophic positions (TP) derived from d15N analysis. Most copepods were classified as omnivorous (CI ~0.5, TP 1.8 to ~2.5) or carnivorous (CI >=0.7, TP >=2.9). Herbivorous copepods showed typical CIs of <=0.3. Geographical differences in d15N values of epi- (200-0 m) to mesopelagic (1000-200 m) copepods reflected corresponding spatial differences in baseline d15N of particulate organic matter from the upper 100 m. In contrast, species restricted to lower meso- and bathypelagic (2000-1000 m) layers did not show this regional trend. FA compositions were species-specific without distinct intra-specific vertical or spatial variations. Differences were only observed in the southernmost region influenced by the highly productive Benguela Current. Apparently, food availability and dietary composition were widely homogeneous throughout the oligotrophic oceanic regions of the tropical and subtropical Atlantic. Four major species clusters were identified by principal component analysis based on FA compositions. Vertically migrating species clustered with epi- to mesopelagic, non-migrating species, of which only Neocalanus gracilis was moderately enriched in lipids with 16% of dry mass (DM) and stored wax esters (WE) with 37% of total lipid (TL). All other species of this cluster had low lipid contents (< 10% DM) without WE. Of these, the tropical epipelagic Undinula vulgaris showed highest portions of bacterial markers. Rhincalanus cornutus, R. nasutus and Calanoides carinatus formed three separate clusters with species-specific lipid profiles, high lipid contents (>=41% DM), mainly accumulated as WE (>=79% TL). C. carinatus and R. nasutus were primarily herbivorous with almost no bacterial input. Despite deviating feeding strategies, R. nasutus clustered with deep-dwelling, carnivorous species, which had high amounts of lipids (>=37% DM) and WE (>=54% TL). Tropical and subtropical calanoid copepods exhibited a wide variety of life strategies, characterized by specialized feeding. This allows them, together with vertical habitat partitioning, to maintain high abundance and diversity in tropical oligotrophic open oceans, where they play an essential role in the energy flux and carbon cycling.

(Table 1) Dissolved and particulate organic carbon, phosphorus, and nitrogen in waters of the Sea of Japan

Concentrations of dissolved and particulate organic carbon (DOC and POC, respectively), phosphorus (DP and PP, respectively) and particulate organic nitrogen (PON) were determined at Station VITYAZ6656 in the Sea of Japan in 12 sea water samples collected in June 1972 with a 200-liter sampling bottle. Mean weighted concentrations from the surface to 2000 m were: DOC - 1.58 mg/l, POC - 17.9 µg/l, DP - 13.9 µg/l, PP - 0.185 µg/l, PON - 2.7 µg/l, the ratios were DOC:DP=100:9 and POC:PON:PP=100:14:1. Relation between POC (µg/l)and the light attenuation index "e" (1/m) for the visible part of the spectrum is described by the equation POC = ca. 170e. The maximum of POC in the upper layer correlated with the maxima of phyto- and bacterioplankton and protozoa.