Intracellular and secreted forms of clusterin are elevated early in Alzheimer's disease and associate with both A beta and tau pathology
NEUROBIOLOGY OF AGING
Authors: Shepherd, Claire E.; Affleck, Andrew J.; Bahar, Anita Y.; Carew-Jones, Francine; Halliday, Glenda M.
Abstract
Clusterin (CLU) is a pleiotropic glycoprotein that exists as a secreted, neuroprotective or intracellular, neurotoxic form, both of which increase in Alzheimer's disease (AD) causing increased A beta 42 deposition. No studies have assessed the association between functionally distinct alloforms of CLU and tau protein or neuronal loss, despite its intracellular toxicity. We confirm previous reports of significant increases in both intracellular CLU and secreted CLU in the brain tissue of individuals with AD (p < 0.01) and show no association with neuronal loss. The increase in CLU alloforms was most closely associated with increases in both insoluble A beta 42 and tau protein (p = 0.001), supporting its role in AD pathogenesis. Further research should investigate whether altering human CLU levels may have viability as a therapeutic option for AD. (C) 2019 Elsevier Inc. All rights reserved.
Frequency of contact sensitization to modern dressings used to treat chronic leg ulcer
ANNALES DE DERMATOLOGIE ET DE VENEREOLOGIE
Authors: Garval, E.; Plee, J.; Lesage, C.; Grange-Prunier, A.; Bernard, P.; Perceau, G.
Abstract
Introduction. - Allergic contact dermatitis around chronic leg ulcers (CLU) is a common complication in patients presenting CLU and prolongs healing times. The aim of this study was to describe the rate of sensitization to modern dressings (MD) used in these patients and to assess whether there is a relation between the number of sensitizations and ulcer type, the time from onset of the ulcer, and patient age and gender. Patients and methods. - We conducted a retrospective study at Reims University Hospital between 2010 and 2014 that included all patients with CLU of vascular etiology surrounded by eczematous lesions, and who had one of the patch-tests in the following 3 series: European baseline +/- leg ulcers +/- corticosteroids. Results. - Among the 73 patients included, 43 % were polysensitized. Thirty-three patients (45 %) were sensitized to MD (38 % to hydrocolloids, 18 % to hydrogels, 7 % to hydrocellular dressings, 7 % to hydrofiber dressings, 5 % to contact layers and 3 % to alginates). Median age and sex did not differ between "polysensitized" patients and "nonpolysensitized" patients (P=0.84 and P=0.25, respectively). Polysensitization was more frequent among patients presenting ulcers for more than 5 years (P=0.032). Conclusion. - Practically half of all patients presenting CLU with surrounding contact dermatitis had sensitization to modern dressings (mostly hydrocolloids and hydrogels). The rate of sensitization increased with the length of presence of CLU. (C) 2018 Elsevier Masson SAS. All rights reserved.