These cells can then be excluded

from the analysis When

These cells can then be excluded

from the analysis. When T cells are activated by antigen, CD3 and TCR are rapidly down-regulated. It is therefore selleck chemicals llc not recommended to use CD3 or TCR antibodies for the analysis of the secretion assay. Although CD3 may not appear to be down-regulated in the whole population in comparison between control and stimulated samples, the small percentage of the cells that have reacted have done so. Using CD3 would therefore exclude the activated T cells. CD4 and CD8 may also be down-regulated partially after activation, but not to the same extent as CD3. However, care should be taken to ensure that activated cells are not excluded from the analysis. Cells.  The secretion assay system is designed to be used with mononuclear cell preparations from, e.g. peripheral blood, leukapheresis (steady state) or spleen. Use with any other T cell preparation will require the presence of antigen presenting cells appropriate to the antigen Rapamycin manufacturer for the assay to function. Cytokine secretion assays.  An up-to-date range of the cytokine assays available is available at: http://www.miltenyibiotec.co.uk/en/NN_67_Cytokine_producing_cells.aspx for human cells, and at: http://www.miltenyibiotec.co.uk/en/NN_98_Cytokine_producing_cells.aspx for mouse cells. Buffer.  Phosphate-buffered saline (PBS) pH 7·2, containing 0·5% (w/v) bovine serum

albumin (BSA) and 2 mm EDTA, must be used ice-cold. For clinically orientated studies where bovine material is undesirable, 0·5% human serum albumin or AB serum may be substituted for BSA. Note that no bovine material should be used in culture medium. 0·5 m EDTA stock solution: dissolve 56 g sodium hydroxide (NaOH) in cAMP 900 ml distilled water. Add 146·2 g EDTA, adjust pH to 7·5, fill up to 1 l. Prepare buffer with, e.g. 4 ml of 0·5 m EDTA stock solution per 1 l of buffer. Culture medium.  Any standard medium

may be used, e.g. RPMI-1640 containing 10% AB or autologous serum for human cells or mouse serum for murine cells. Medium is required both ice-cold and at 37°C for this procedure, and enough medium of each temperature must be available at the beginning. Never use FCS, as this gives high non-specific ‘background’ responses. The use of complete ‘serum-free’ media, e.g. X-vivo series, is not recommended for stimulation with protein antigens as the lack of serum makes protein processing and presentation times unreliable. No antibiotics are used throughout these experiments. Culture medium for cell line culture.  Isolated cells may be cultured in RPMI-1640 containing 10% AB or autologous serum for human cells or mouse serum for murine cells, or serum-free media, e.g. X-vivo15, which may require to be supplemented with appropriate serum. Improved performance may be seen by using HEPES buffered basic media and supplements such as mercaptoethanol, but this needs to be determined by the user for the specific T cells being grown. All authors are employees of Miltenyi Biotec GmbH.

71; 95% CI 0 98–2 99; P = 0 06) are associated with major bleedin

71; 95% CI 0.98–2.99; P = 0.06) are associated with major bleeding episodes.[11] From the above evidence (Table 6),[10, 11, 21, 45, 46] we conclude that there is a significant bleeding risk associated with warfarin use in ESRD population, especially in combination

with Aspirin. 106 episodes/1000 patient-years (28% of AF and 17% SR, P = 0.169) Chan et al.[21] (2009) n = 41 425 Prevalence of drug use 8.3% warfarin 10% clopidogrel 30.4% aspirin 8% two or three drugs Mean follow up (months) 60 Treatment type (n) Warfarin (2369) (18% on digoxin) Aspirin (9332) Clopidogrel (1624) No treatment (24 740) Major extra-cranial bleeding event* (P = 0.64) HR 2.93 (95% CI 2.28–2.73, P = 0.0002) HR 2.13 (95% CI 1.80–2.52, P = 0.64) HR 2.52 (95% CI 1.91–3.34, P = 0.08) Referent Olesen et al.[11] (2012) n = 901 19.8% warfarin 17% aspirin 5% warfarin and aspirin The USRDS reported a 10-fold increase in subdural haemorrhages in dialysis patients https://www.selleckchem.com/products/PLX-4032.html although their medication was not specified; perhaps heparin use in dialysis played a major role.[47] The routine practice of haemodialysis requires systemic anticoagulation

to prevent clotting of dialysis membrane. As INR of 2–3 alone would not prevent fibrin deposition in dialysis membrane, additional heparin was necessary during HD.[41] It is our impression that a reasonable proportion ABT-263 of admitted HD patients receive heparin for both deep vein thrombosis (DVT) prophylaxis and during dialysis. This combination may significantly increase bleeding risk of chronic HD patients but has not been quantified. Therefore, an audit of current DVT prophylaxis practices and use of heparin in HD patients may be warranted. Bleeding assessment tools such as HEMOR2RHAGES (variables: Hepatic or renal disease, Ethanol abuse, Malignancy, Older age (>75

years), Re-bleeding, Reduced platelet count or function, uncontrolled Hypertension, Anaemia, Genetic factors, Excessive fall risk and Stroke)[48] and HAS-BLED (variables: Hypertension, Molecular motor Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile international normalization ratio, Elderly (>65 years), Drugs/alcohol concomitantly) have been developed to determine major bleeding risk in general population with AF.[49, 50] However, these scores need to be validated further in haemodialysis population. Recently, Olesen et al. used HAS-BLED score in risk–benefit assessment process in HD patients with AF.[11] Although these scores are far from perfect, they can be useful in everyday clinical practice, when making clinical decisions regarding warfarin therapy, after further evaluation in haemodialysis patients. Risk–benefit assessment with respect to anticoagulation therapy for stroke prophylaxis is crucially dependent on the magnitude of mortality and stroke risk, as well as the safety and effectiveness of anticoagulation therapy.

We report a case

of unusual hemangioblastoma in a middle-

We report a case

of unusual hemangioblastoma in a middle-aged man with von Hippel-Lindau disease. Neuroimaging revealed multifocal gadolinium-enhancing masses were located within both sides of the cerebellar hemisphere. Histologically, only small areas showing the typical morphology of hemangioblastoma GDC-0449 ic50 were recognized in masses. Most areas of masses were composed of cohesive epithelioid tumor cells with abundant cytoplasm and distinct boundaries. Epithelioid tumor cells were arranged around blood vessels, exhibiting perivascular anuclear zone structures like ependymoma. The epithelioid tumor cells were diffusely positive for vimentin, CD99, neuron-specific enolase, GFAP and focally positive for epithelial membrane antigen (EMA) and D2-40 in a dot-like pattern. Variable-sized lipid droplets and glycogen particles were noted in the cytoplasm of epithelioid tumor cells under an electron microscope. A diagnosis of epithelioid cellular hemangioblastoma with possible ependymal differentiation (WHO grade I) was made. To our knowledge, only a few cases of hemangioblastoma show epithelioid appearance or EMA immunoreactivity. The present case indicates that the stromal cells of hemangioblastoma might originate from primitive neuroectodermal cells,

and they have the capacity to show a distinctive sign of glial or ependymal differentiation. “
“D. J. Bonda, V. P. Bajić, B. Spremo-Potparevic, G. Casadesus, X. Zhu, M. A. Smith and H.-G. Lee (2010) Neuropathology and Applied Neurobiology36, 157–163 Cell cycle aberrations AZD2014 in vivo and

neurodegeneration The cell cycle is a highly regulated and fundamental cellular process that involves complex feedback regulation of many proteins, and any compromise to its integrity elicits dire consequences for the cell. For example, in neurodegenerative diseases such as Alzheimer disease (AD), evidence for abnormal cell cycle re-entry precedes other hallmarks of disease and as such, implicates cell cycle aberrations in the aetiology of AD. The mechanism(s) for Sclareol cell cycle re-entry in AD, however, remain unclear. Current theory suggests it to be part of a combination of early events that together elicit the degenerative pathology and cognitive phenotype consistent with the disease. We propose a ‘Two-Hit Hypothesis’ that highlights the concerted interaction between cell cycle alterations and oxidative stress that combine to produce neurodegeneration. Here, we review the evidence implicating cell cycle mechanisms in AD and how such changes, especially in combination with oxidative stress, would lead to a cascade of events leading to disease. Based on this concept, we propose new opportunities for disease treatment. “
“Meningeal hemangiopericytomas (HPCs) are aggressive dural-based tumors, for which no prognostic or predictive marker has been identified. Gross total resection is treatment of choice, but not easily achieved; hence, alkylating agents like temozolomide (TMZ) are now being tried.

This limitation is well represented by the lack of changes observ

This limitation is well represented by the lack of changes observed

in DNA methylation, possibly leading to different interleukin expression, as reported in SSc peripheral blood [68]. Nevertheless, we are convinced that genome-wide epigenomic studies have the unique potential to provide new evidences on the aetiopathogenesis of complex diseases while possibly proposing novel clinical biomarkers and therapeutic targets. This study was supported by the generous contribution of the Scleroderma Foundation Starting Investigator Grant. The authors have nothing to disclose. “
“Circulating neopterin and kynurenine/tryptophan ratio (KTR) increase during inflammation and serve as markers of cellular immune activation, but data are sparse Cobimetinib nmr on other determinants of these markers and metabolites of the kynurenine pathway. We measured neopterin, tryptophan, kynurenine, anthranilic acid, kynurenic acid, Selleckchem CP-673451 3-hydroxykynurenine, 3-hydroxyanthranilic acid and xanthurenic acid in plasma in two age groups, 45–46 years (n = 3723) and 70–72 years (n = 3329). Differences across categories of the potential determinants, including age, gender, renal function, body mass index (BMI), smoking and physical activity, were tested by Mann–Whitney

U-test and multiple linear regression including age group, gender, renal function and lifestyle factors. In this multivariate model, neopterin, KTR and most kynurenines were 20–30% higher in the older group, whereas tryptophan was 7% lower. Men had 6–19% higher concentrations of tryptophan and most kynurenines than women of the same age. Compared to the fourth age-specific estimated MG 132 glomerular filtration rate (eGFR) quartile, the first quartile was associated with higher concentrations of neopterin (25%) and KTR (24%) and 18–36% higher concentrations of kynurenines,

except 3-hydroxyanthranilic acid. Additionally, KTR, tryptophan and all kynurenines, except anthranilic acid, were 2–8% higher in overweight and 3–17% higher in obese, than in normal-weight individuals. Heavy smokers had 4–14% lower levels of tryptophan and most kynurenines than non-smokers. Age and renal function were the strongest determinants of plasma neopterin, KTR and most kynurenines. These findings are relevant for the design and interpretation of studies investigating the role of plasma neopterin, KTR and kynurenines in chronic diseases. Inflammation plays a central role in the pathogenesis of many chronic diseases, such as cardiovascular disease and cancer [1]. In increased cellular immune activation interferon (IFN)-γ stimulates the production of neopterin by macrophages and additionally increases the conversion of tryptophan (Trp) to kynurenine (Kyn) by up-regulating the enzyme indoleamine 2,3-dioxygenase (IDO) [2, 3].

OK-432 is a lyophilized preparation of Streptococcus pyogenes tha

OK-432 is a lyophilized preparation of Streptococcus pyogenes that binds TLR-2, TLR-4, and/or TLR-9 and activates APCs, making it attractive for potential use as an adjuvant

of cancer vaccine [29-33]. OK-432–matured DCs effectively prime antigen-specific T cells in vitro [29, 34]. Importantly, OK-432 has already been used for many years as a direct anticancer agent, particularly in Japan, and has a well-established clinical safety profile. However, while it is considered that OK-432 may inhibit Treg-cell suppressive activity by stimulating several TLR signaling pathways, its influence on Treg cells has not yet been shown. In this study, we addressed whether OK-432 inhibits Treg-cell suppressive function and could be a promising adjuvant of cancer vaccines. To address whether OK-432 inhibited CD4+CD25+ Treg-cell suppression, we employed the see more standard in vitro suppression

system. CD4+CD25− T cells and CD4+CD25high Treg cells (highest 3% of CD4+CD25+ cells) were isolated from PBMCs of healthy individuals. CD4+CD25− T cells were cultured with irradiated autologous APCs (CD4-depleted PBMCs) and anti-CD3 Ab in the presence or absence LY294002 of CD4+CD25high Treg cells. CD4+CD25− T-cell proliferation was analyzed as described in the Materials and methods. In accordance with previous reports [7], CD4+CD25high Treg cells markedly suppressed the proliferation of CD4+CD25− T cells (Fig. 1A and B). In sharp contrast, when OK-432 was added in the culture, suppressive activity of CD4+CD25high T cells was significantly inhibited (Fig. 1A and B). In addition, OK-432 did not induce death of CD4+CD25high Treg cells as the frequency of Annexin V+ and 7-AAD+ cells was not significantly increased in the presence of OK-432 (data

not shown). Instead, CD4+CD25high Treg cells exhibited marginal DNA ligase proliferation in the presence of OK-432 (Fig. 1A). These data indicate that addition of OK-432 impairs the suppressive activity of CD4+CD25high Treg cells and partially reverses anergy status of Treg cells. Since OK-432 reportedly induces TLR-2, TLR-4, and/or TLR-9 activation and subsequent production of proinflammatory cytokines [29-33], we examined the involvement of cytokines in this inhibition of Treg-cell suppression. To this end, Abs against several candidate cytokines were added to cultures. Among cytokines tested, only blocking Ab against IL-12 significantly abrogated the inhibition of Treg-cell suppression by OK-432 (Fig. 2A). To confirm the importance of IL-12, we next analyzed whether the addition of IL-12 could inhibit Treg-cell suppression as observed by OK-432. CD4+CD25− T cells were cultured with CD4+CD25high Treg cells, irradiated autologous APCs and anti-CD3 Ab in the presence of IL-12. Treg-cell suppressive activity was significantly inhibited by the addition of IL-12, but not IL-6 or IFN-γ (Fig. 2B).

Whole body imaging of adoptively transferred T cells using magnet

Whole body imaging of adoptively transferred T cells using magnetic resonance imaging, single photon emission computed tomography NVP-LDE225 research buy and positron emission tomography techniques, with a focus on regulatory T cells. Clinical and Experimental Immunology 2013, 172: 169–77. Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic synovial inflammation, leading to destruction of joint cartilage and bone. Although the precise aetiology remains to be established, it is thought that RA results from a breach in immune tolerance. T cell responses to several (joint-associated) autoantigens, including ‘altered self’ citrullinated peptides, can be detected in a

proportion of RA patients [1-8], and the function of peripheral blood regulatory T cells (Tregs) is impaired in RA patients with active disease [9]. Immunosuppressive drugs (including biological drugs) can relieve disease symptoms effectively, but none of the currently MLN0128 available treatments provide a cure, i.e. a long-lasting and drug-free remission of RA [10, 11]. Moreover, these drugs can increase the risk of serious infections [12-14]. The ‘holy grail’ of the immunotherapy field is

to develop a therapy that targets and rectifies the pathological autoimmune response specifically and effectively, while leaving protective immunity intact. A new immunotherapeutic approach aims to achieve restoration of immune tolerance by treatment with autologous dendritic cells (DC) with tolerogenic function [tolerogenic DC (tolDC)]. Here we review recent progress in this field. Destructive autoimmunity is normally prevented through active silencing of autoreactive T cells, a process in which click here DC play a central role. In the thymus self-reactive T cells are deleted, but this process of ‘central tolerance’ has limitations and some autoreactive T cells escape to peripheral tissues. Here they are kept under control by a variety of mechanisms, termed collectively ‘peripheral tolerance’. When tolerance mechanisms

break down, autoreactive T cells can acquire proinflammatory properties [e.g. become T helper type 1 (Th1) or Th17 cells] and mount an attack on the body’s own tissues, causing an autoinflammatory, destructive immune response [15]. For example, a shift from a tolerogenic to a proinflammatory T cell response in RA has been reported by van Bilsen et al. [3]. They detected CD4+ T cells specific for the autoantigen human cartilage gp39 (HCgp39) in both healthy individuals and RA patients. However, HCgp39-reactive T cells from healthy individuals exhibited a regulatory phenotype [interleukin (IL)-10 production, forkhead box protein 3 (FoxP3) expression, capability to suppress T cell responses], whereas HCgp39-reactive T cells from RA patients produced the proinflammatory cytokine interferon (IFN)-γ and lacked suppressive activity.

38 It will be of interest to study differential cytokine producti

38 It will be of interest to study differential cytokine production in CD8+ T cells associated with differential TB10.4 peptide recognition, i.e. if an identical peptide presented by different MHC class I alleles elicits similar cytokine patterns. This could not be tested in the current study, as PBMCs were obtained from individuals with untreated, newly diagnosed learn more pulmonary TB. This is usually associated with low TCR zeta chain expression41 and defective cytokine production,19 a situation described

as ‘anergy’42 which would also lead to negative purified protein derivative (PPD) skin tests. Finally, as this study and most of the other reports focused on ‘Caucasian’ MHC class I alleles, we cannot exclude the possibility that other, less common MHC class I alleles might show a different pattern of immunodominance.

In summary, in the current study we identified 33 MHC class I peptides from the Mtb protein TB10.4. The peptides showed a high degree of promiscuity in binding to MHC class I alleles. These reagents can be included in studies monitoring TB10.4 vaccine-take and they will also be useful in elucidating the dynamics of anti-Mtb restricted T-cell responses in patients with active and latent TB. The study was supported in part by grants from the AERAS Foundation, SIDA-SAREC, Vetenskapsrådet and the Söderberg Foundation to Branched chain aminotransferase MM and from the Karolinska Institutet JQ1 supplier (KID) to RAR. The authors have no conflict of interest. “
“T-cell destiny during thymic selection depends on the affinity of the TCR for autologous peptide ligands presented

in the context of MHC molecules. This is a delicately balanced process; robust binding leads to negative selection, yet some affinity for the antigen complex is required for positive selection. All TCRs of the resulting repertoire thus have some intrinsic affinity for an MHC type presenting an assortment of peptides. Generally, TCR affinities of peripheral T cells will be low toward self-derived peptides, as these would have been presented during thymic selection, whereas, by serendipity, binding to pathogen-derived peptides that are encountered de novo could be stronger. A crucial question in assessing immunotherapeutic strategies for cancer is whether natural TCR repertoires have the capacity for efficiently recognizing tumor-associated peptide antigens. Here, we report a comprehensive comparison of TCR affinities to a range of HLA-A2 presented antigens. TCRs that bind viral antigens fall within a strikingly higher affinity range than those that bind cancer-related antigens. This difference may be one of the key explanations for tumor immune escape and for the deficiencies of T-cell vaccines against cancer.

4 and BCG were transported to Lamp+-compartments BCG and TB10 4

4 and BCG were transported to Lamp+-compartments. BCG and TB10.4 however, were directed to different types of Lamp+-compartments in the same APC, which may lead to different epitope recognition patterns. In conclusion, we show that different vectors can induce completely different recognition of the same protein. The size, shape and nature of a synthetic recombinant vaccine and its target pathogen differ BAY 73-4506 significantly.

For instance, bacteria are typically in the range of 0.5–10 μm in diameter, which exceed the size of most viruses by 10 to 100-fold, and protein based adjuvanted vaccines are even smaller. In addition, compared with vaccines based on recombinant proteins and an adjuvant, pathogens are often taken up by different mechanisms see more by the cells of the immune system 1. The different uptake mechanisms could lead to different intracellular processing of Ag, giving rise to different epitopes 1. Furthermore, live pathogens express a wide range of specific lipids and proteins that bind

a variety of pattern-recognition receptors on phagocytes and induce signaling through these receptors, whereas recent evidence suggests subunit vaccines more specifically tend to target DC through activation of toll-like receptors 2. These differences are likely to lead to different responses with regard to the priming of the early immune response 3. For instance, the main host cell of the intracellular pathogen Mycobacterium tuberculosis (M.tb), the causative agent of tuberculosis in humans, is thought to be macrophages 4; however, although mycobacteria are mainly taken up by macrophages, mycobacteria

can infect a wide range of cells including neutrophils, epithelial cells and other cell types 5, 6. On the other hand, viral vaccine vectors have been shown to be ingested largely by immature DC 1, and soluble Ag formulated in cationic adjuvants such as CAF01 or IC31 are also believed to target DC 7, 8. Different types of APC have different mechanisms of Ag uptake, different pH levels in lysosomal compartments, express different protein Bcl-w degrading enzymes and differ in their ability to process and cross-present Ag to MHC class I molecules 9. Even within the same type of APC, Ag uptake and intracellular transport may vary depending on the size and nature of the Ag/pathogen 1, 9. In addition, transport to different intracellular compartments can lead to processing of different epitopes 10. Thus, it is likely that different pathogens and vaccine vectors could result in different Ag processing. In the field of tuberculosis vaccine research, there has been considerable focus on identifying infection-driven as well as vaccine-induced epitopes in vaccine candidate Ag 11–15. Less research has focused on comparing whether the epitopes induced by immunization in fact differ from those recognized following infection with M.tb.

The expression

of NKG2D in KD-CAL+ patients was significa

The expression

of NKG2D in KD-CAL+ patients was significantly lower than that in KD-CAL− patients. Furthermore, our results showed higher expression levels of inflammatory cytokines from MC, such as IL-1β, IL-6 and TNF-α in KD patients compared with the healthy controls, and the levels of inflammatory cytokine expression in KD-CAL+ were higher than those in KD-CAL− patients. Lower the expressions of CD3−CD56+NKG2D+NK cells and CD8+NKG2D+T cells, higher the expression levels of inflammatory cytokines. The increased expression of proinflammatory cytokines seemed to be paralleling the decreased expression of NKG2D, suggesting that the lower expressions of NKG2D on NK cells and CD8+T cells in KD, which could led to the decreased elimination of MC, might be one of the factors leading to selleck kinase inhibitor aberrant activation of MC in KD. IVIG is successfully used in the treatment of KD. The mechanisms of IVIG downregulate inflammatory

response in KD are not clearly understood. In this study, we demonstrate that there was an upregulated tendency after treatment with IVIG, suggesting that IVIG might upregulate the expression of NKG2D on NK cells and CD8+T cells, but precise mechanisms of upregulated NKG2D expression about IVIG are still required to be further investigated. It has been reported that some cytokines (such as IL-7 and IL-15) increase NKG2D transcripts, whereas others (such as IL-12, IFN-γ and TGF-β) have the opposite www.selleckchem.com/products/Fulvestrant.html effect [8-12]. IL-7 synthesized by dendritic

cells promotes survival and enhances cytotoxicity of NK cells through inducing NKG2D expression on the cells. IL-15 is a cytokine mainly synthesized by MC, and NKG2D signalling is coupled to IL-15 receptor signalling pathway. IL-12 is produced by APCs and act on T cells and NK cells to generate cytotoxic lymphocytes. Previous studies demonstrated that IL-12 fails to upregulate NKG2D on NK cells because the NKG2D ligand is concomitantly expressed on surrounding cells, leading to NKG2D downmodulation. Moreover, IFN-γ and TGF-β Aprepitant both have been found to have negative regulator properties of NKG2D. To investigate the mechanisms of reduced NKG2D expression on NK cells and CD8+ T cells in the patients with KD, we examined the serum concentration of IL-7, IL-15, IL-12, TGF-β and IFN-γ in the patients. Our data showed that the concentration of IL-7 and IL-15 was significantly decreased in acute phase of KD and to some extent elevated after therapy with IVIG, while antagonistic cytokines like IFN-γ were increased in acute phase of KD and reduced after therapy with IVIG, but IL-12 and TGF-B were not changed. Collectively, our results indicate that the changes of cytokines milieu, especially cytokines promoting expression such as IL-7, might be one of factors leading to decreased expression of NKG2D in acute KD.

7% vs 24 2%, P < 0 001) and shortened hospital days (2 16 vs 5 05

7% vs 24.2%, P < 0.001) and shortened hospital days (2.16 vs 5.05 days/patient per year). MPE recipients had a better metabolic status at the time of initiating renal replacement therapy. Although no significant survival advantage from MPE was exhibited, MPE recipients had lower incidence of cardiovascular events (adjusted hazard ratio, 0.24; 95% confidence interval (CI), 0.08 to 0.78; P = 0.017), and a tendency toward a lower infection rate (adjusted hazard ratio, 0.44; 95% CI, 0.17 to 1.11; P = 0.083). Conclusion:  MPE was associated with better

clinical outcomes in terms of urgent dialysis, cardiovascular events and infection. “
“There are more than 1.7 million sufferers of end stage kidney disease (ESKD) worldwide and for many a donated kidney provides the only chance Selleck A-769662 of regaining independence from dialysis. Unfortunately, the demand for kidneys for transplantation far exceeds the available supply. It is Selleckchem Roscovitine important, therefore, that we understand the factors that may influence kidney donation rates. While certain socio-demographic factors have been linked to kidney donation rates, few

studies have examined the influence of multiple socio-demographic factors on rates of both living and deceased kidney transplantation (KT) and none have examined their comparative effect in large numbers of culturally and socio-politically diverse countries. In this study, we performed univariate and multivariate analyses of the influence of 15 socio-economic factors on both the living donor (LD) and the deceased donor (DD) kidney transplantation rates (KTR) in 53 countries. Our analyses demonstrated that factors such as UN HDI (United Orotidine 5′-phosphate decarboxylase Nations Human Development Index), religion, GDP, education, age, healthcare expenditure, presumed consent legislation and existence of a nationally managed organ donation program were associated with higher deceased KTR. In contrast, the only factors associated with living KTR were a highly significant negative association with presumed consent and variable associations with different religions. We suggest that by identifying factors that affect kidney transplantation rates

these can be used to develop programs for enhancing donor rates in individual countries where those rates are below the leading countries. “
“In nephrology, cohort studies are an abundant source of information. They are the ideal study design to answer clinical questions about prevalence, prognosis and aetiology. In this study, the evaluation of a cohort study to guide decisions about prognosis in clinical nephrology is discussed. “
“Estimating fluid balance in haemodialysis patients is essential when determining dry weight, but limited methods are currently available. B-type natriuretic peptide (BNP) is a useful surrogate marker in patients with congestive heart failure (CHF), but whether its validity could be generalized to haemodialysis patients has not been studied well. A total of 457 haemodialysis patients at a dialysis centre were analyzed.