001) which was not maintained at six or 12 months (05[18]%, p=0

001) which was not maintained at six or 12 months (0.5[1.8]%, p=0.139, and 0.5[1.9]%, p=0.237, respectively). The only reported adverse event at 12 months was nausea, occurring in two of 15 (13%) patients. No severe episodes of hypoglycaemia were reported throughout the study. Over one year, the addition of exenatide in individuals with type 2 diabetes on insulin therapy promoted weight loss (∼4%) with a substantial reduction in insulin dose (∼41%), but with a non-sustained significant improvement in glycaemic control at three

months only. No serious adverse events or episodes of severe see more hypoglycaemia were reported. Copyright © 2012 John Wiley & Sons. “
“The aim of this study was to investigate the reasons for patients with type 2 diabetes continuing to attend a specialist clinic with an active discharge policy. Clinic letters of 526 patients with type 2 diabetes who attended annual review over one year were audited to identify the major reasons for them remaining in the clinic. The majority of patients (97.3%) fulfilled current specialist clinic criteria for remaining in the

clinic. Poor glycaemic control, nephropathy, ongoing changes to management and diabetes foot problems were common reasons found. In 9% of cases, patient choice was identified as a factor. For 2.7% of patients no clear reason could be identified. It was concluded that while most patients fulfilled the criteria to continue attending the clinic at that time, some patients chose to remain even though they were fit for discharge. The reasons why patients choose to remain under secondary Bioactive Compound Library care need to be investigated as they could

guide how primary and secondary care should work together. Copyright © 2013 Farnesyltransferase John Wiley & Sons. “
“Hypoglycaemia is a feared complication of insulin-treated diabetes. Treatment recommendations vary worldwide and their implementation is poorly documented. The primary study objective was to assess adherence to broad guidelines of hypoglycaemic treatment; initially with quick-acting carbohydrate and follow up with long-acting carbohydrate. The secondary objective was to assess if initial treating carbohydrate quantity complied with current worldwide recommendations. Assessment was by questionnaire, which was validated, piloted and administered to all insulin-treated individuals attending routine outpatient diabetes clinic appointments over four weeks. The questionnaire response rate, readability and validity were acceptable at 74%, grade 6 level and 0.61 (Cohen’s kappa), respectively. Assessment of broad guidelines for treatment of hypoglycaemia showed 78% of responders reported initial treatment with recommended foods, but only 40.8% of these were quick-acting carbohydrate. Only 55.8% reported ingesting follow-up food. Assessment of initial treating carbohydrate quantity showed 20.6% of responders used quantities exceeding all guidelines. Of the remaining, 46.

4,5 Otherwise meningococcal disease usually has been considered t

4,5 Otherwise meningococcal disease usually has been considered to be rare among travelers (Figure 2).6 A single retrospective survey has attempted to quantify the Opaganib ic50 risk of meningococcal disease among international travelers originating in industrialized countries.7 Health authorities

in 56 of 108 contacted countries (51.9%) completed questionnaires concerning reported cases of meningococcal disease, and tourism data were derived from statistics provided by the World Tourism Organization and national tourism authorities for the study period (1986–1989). On the basis of 13 cases imported to 56 countries, a monthly incidence rate of 0.4 per million was extrapolated, which corresponds to approximately 0.4 per 100,000 population per year.7 When this rate is compared with the commonly quoted annual incidence rate of 0.5 to 10 cases per 100,000 population in industrialized countries,8,9 it appears that ordinary travel does not result in an increased risk for meningococcal disease. As in the general population,

infections in travelers can occur in healthy persons without any apparent risk factors and regardless of the type of traveling or the travel destination. In the past few years, a number of anecdotal reports of meningococcal disease among travelers have been published (Table 1).10–15 buy GDC-0068 An additional six cases, which so far are unpublished, have been detected in the GeoSentinel, a worldwide communication and data collection network for the surveillance of travel-related Lenvatinib order morbidity.16 Among them, two occurred after a visit to Disney World (Pat Schlagenhauf, personal communication). This demonstrates that, among travelers, meningococcal disease may occur in all parts of the world and in various types of travelers—trekkers, leisure and business travelers, students, and pilgrims—and in all age groups. As in the population affected at home, children and young travelers were most frequently affected. Some of the cases of meningococcal disease in travelers reported in recent years confirm what we know from

data in other populations: environmental risk is increased by staying in dormitories,11,15 educational or military institutions,17,18 and refugee camps19 and by attending sporting events20,21 and discotheques.22 Clusters of meningococcal disease caused by the same strain have occurred in children whose connection was riding the same school bus,23 which indicates there could be potential for transmission aboard tour buses. Almost 30 years ago during an outbreak situation, six trekkers fell ill in Nepal.24 The sum of these examples illustrates that the risk of meningococcal disease in travelers can vary based on destination, mode of transport, type of accommodation, and reason for travel/destination activities. While high-risk groups can be determined primarily on theoretical and general epidemiological considerations, there is no zero risk in any traveler.

Because endocrine demands frequently change, the pituitary has to

Because endocrine demands frequently change, the pituitary has to flexibly remodel its hormone-producing cell compartment. One mechanism of pituitary plasticity may rely on the generation of new hormonal cells from resident stem/progenitor cells. Existence of such ‘master’ cells in the pituitary has in the past repeatedly been postulated. Only recently, however, very plausible candidates have been identified that express stem cell-associated markers and signalling factors, and display the stem/progenitor cell characteristics

of multipotency, efflux capacity (side population phenotype) and niche-like organization. In other adult tissues, stem cells recapitulate the embryonic developmental path on their course towards selleckchem mature specialized

cells. Interestingly, the pituitary stem/progenitor cell compartment shows prominent expression Copanlisib ic50 of transcriptional regulators and signalling factors that play a pivotal role during pituitary embryogenesis. This review summarizes the recent progress in pituitary stem/progenitor cell identification, highlights their potential embryonic phenotype, sketches a tentative stem/progenitor cell model, and discusses further research and challenges. Recognizing and scrutinizing the pituitary stem/progenitor cells as embryonic players in the adult gland may profoundly impact on our still poor understanding of the mechanisms underlying pituitary cell turnover and plasticity. “
“A critical step in synaptic development is the Idoxuridine differentiation of presynaptic and postsynaptic compartments. This complex process is regulated by a variety of secreted factors that serve as synaptic organizers. Specifically, fibroblast growth factors, Wnts, neurotrophic factors and various other intercellular signaling molecules are proposed to regulate presynaptic and/or postsynaptic differentiation. Many of these factors appear to function at both the neuromuscular junction and in

the central nervous system, although the specific function of the molecules differs between the two. Here we review secreted molecules that organize the synaptic compartments and discuss how these molecules shape synaptic development, focusing on mammalian in vivo systems. Their critical role in shaping a functional neural circuit is underscored by their possible link to a wide range of neurological and psychiatric disorders both in animal models and by mutations identified in human patients. “
“Most biological effects of nitric oxide (NO) in the brain are mediated by guanylyl cyclase-coupled NO receptors, whose activation results in increased intracellular cGMP levels. Apart from protein kinase activation little is known about subsequent cGMP signal transduction. In optic nerve axons, hyperpolarization-activated cyclic nucleotide-modulated cation (HCN) channels, which bind cGMP or cAMP directly, were recently suggested to be a target. The aim here was to test this possibility more directly.

Details are shown in Table 3

Details are shown in Table 3. MAPK Inhibitor Library (Fisher’s exact test) Our results did not confirm our hypothesis that an ADMA-induced inhibition of NOS leads to an increase in PAP and to an increased susceptibility to AMS. On the contrary, our tests suggested the exact opposite as described above. The increase in PAP thus may not be caused by an increase in ADMA. Against our assumptions, ADMA was not confirmed as a potential trigger to generate

a PAP value of higher than 40 mmHg, which is considered to be the critical threshold for the development of HAPE. In summary, the reported results show a statistically significant negative correlation of Δ-ADMA and PAP (ρ: −0.74; p ≤ 0.01) and altitude symptoms (ρ: −0.8; p ≤ 0.01). In addition, the measurement of Δ-ADMA under conditions

of acute hypoxia (at 4000 m) is also a suitable method for identifying individuals who are likely to develop critical PAP of more than 40 mmHg (ϕ: 0.69; p ≤ 0.05) and who are susceptible to AMS (LLS ≥ 5) (ϕ: 0.82; p ≤ 0.02). Those at risk can be identified as early as 2 hours after the start of exposure to hypoxia (at an altitude of 4000 m). It is not the absolute ADMA level but rather the change (increase or decrease) in ADMA against the baseline level that plays a key role Opaganib clinical trial in this context. In our collective results, the Δ-ADMA value after 2 hours of hypoxia can predict the development of AMS with a sensitivity of 80% and a specificity of 100%. If PAP increases to more than 40 mmHg within 2 hours of exposure, the occurrence of AMS is likely to be expected in 100% of the cases. In their study on the course of PAP during altitude exposure, Dorrington and colleagues[15] indirectly confirmed that prognostic information can be obtained after such a short period of exposure. Using right-heart catheterization, these authors showed that a maximum PAP level was reached as early as 2 hours after the onset of exposure to hypoxic conditions. Our results confirmed the findings reported by Song and colleagues.[16] These authors exposed mice to previously lethal conditions—a BCKDHB fraction of oxygen (FO2)

of 0.046%—and expected that NOS inhibition (eg, by ADMA) would decrease hypoxic tolerance. Contrary to their original hypothesis, they found that hypoxic tolerance improved greatly and some of the mice that were treated with ADMA even survived. As synthetic NOS inhibitors such as Nω-nitro- l-arginine (l-NNA) also improved hypoxic tolerance, these unexpected results confirmed that it was this NOS-mediated function in the systemic response to acute hypoxia rather than a nonspecific effect of ADMA that was responsible for the improvement in hypoxic tolerance. The administration of the NO donor 3-morpholinosydnoeimine (SIN-1) attenuated the increase in hypoxic tolerance produced by l-NNA. This, too, was contrary to the initial hypothesis.

Complementation with the hfq+ plasmid, p415-hfq, into strain PM10

Complementation with the hfq+ plasmid, p415-hfq, into strain PM107 restored the β-galactosidase activity to the wild-type level (Fig. 2a). Quantitative real-time reverse transcriptase-PCR (qRT-PCR) assay also revealed that the levels of the phlA gene transcription were significantly reduced (P<0.01) in the hfq mutant compared with the wild-type strain 2P24 (Fig. S1). The effect of hfq on the production of 2,4-DAPG in P. fluorescens 2P24 and its derivatives ABT-199 mw was evaluated by HPLC. The result (Fig. 2b) was consistent

with the phlA promoter assay and the qRT-PCR assay described above and confirmed the involvement of the hfq gene in the regulation of phlA gene expression in strain 2P24. The effect of the hfq gene on the PcoI–PcoR QS system, another important characteristic contributing to the biocontrol activity of P. fluorescens 2P24 (Wei & Zhang, 2006), was also evaluated. In the hfq-defective mutant PM107, β-galactosidase activity from the plasmid carrying the lacZ gene fused to the pcoI promoter (Yan et al., 2009) was about 30-fold decreased compared with strain 2P24 (Fig. 3a). The qRT-PCR analysis also revealed that the levels Selleckchem Selumetinib of pcoI transcription

were significantly reduced (P<0.01) in the hfq mutant compared with strain 2P24 (Fig. S1). A similar tendency was observed in the experiments quantifying AHL production using the biosensor strain A. tumefaciens NTL4 (pZLR4) (Fig. 3b). The introduction of the complementation plasmid p415-hfq into PM107 restored both pcoI-lacZ transcriptional activity and AHL production, suggesting that Hfq functions as a positive regulator of pcoI gene expression. Biofilm formations by strain 2P24 and its variants Liothyronine Sodium were measured in PVC Eppendorf tubes at 12, 24 and 36 h after inoculation (Fig. 4). Biofilms formed by the hfq mutant PM107 were significantly reduced (P<0.05) compared with those formed by the wild type and the complemented strain

PM107/p415-hfq, indicating that Hfq has a positive effect on the biofilm formation in P. fluorescens 2P24 (Fig. 4). Because the expression of the pcoI gene is under the regulation of the hfq gene (Fig. 3), and the PcoI–PcoR QS system has been known to positively control biofilm formation in strain 2P24 (Wei & Zhang, 2006), we hypothesized that this regulation could be mediated through the QS system. To verify this, the effect of synthetic AHL on biofilm formation by the PM107 mutant was measured. Synthetic 3-oxo-C8-HSL (Sigma) was used because it is the major QS signal produced by strain 2P24 (Wei & Zhang, 2006). Although exogenous 3-oxo-C8-HSL improved pcoI expression in the hfq mutant (data not shown), no significant difference in biofilm formation by PM107 was detected with or without 3-oxo-C8-HSL (Fig. 4). These observations suggested that Hfq may regulate biofilm formation independent of QS in strain 2P24.

2 million; Peru, 23 million; Ecuador,

1 million; and Bol

2 million; Peru, 2.3 million; Ecuador,

1 million; and Bolivia, estimated 700,000.[1] A portion of those arrivals will have visited the Amazon basin either exclusively or as part of a tour to country- or continent-specific attractions. Almost 7,000 km long, and with its source determined in 2001 as a spring on Nevado Mismi (altitude 5,597 m) in Peru, the Amazon River represents the largest freshwater system on the planet. Half of the world’s remaining rainforests and the habitat of two thirds of the world’s species of animals and plants depend on the enormous network of waterways in the large basin covering an area of over 7 million km2. This biodiversity is the main drawcard for tourists interested in spotting key species such BMS-354825 order as jaguars, giant otters, and many others. A wide variety of touristic options are available for travelers ranging from the budget conscious to those seeking supreme luxury. Day trips and multiday stays in camps, ecolodges, or research facilities provide opportunities to observe flora and fauna. Visits to “untouched” indigenous peoples are often an added

item on a tour. Yet others, perhaps in smaller numbers, come for specific drug experiences.[2] Luxury culinary cruises on the Amazon River are a recent addition to tourist activities. Many of those travelers will have received the appropriate vaccinations, prophylaxes, and also behavioral advice on food and water, Talazoparib cell line personal protection from insect vectors, and safe sex during the trip. Avoiding animals known to transmit rabies, especially dogs and bats, will have been included in quality health advice. One hopes that travelers, on their own account, refrain from approaching, poking, touching, or feeding jaguars, monkeys, snakes, and others. Many will also be aware of the presence of caimans, poisonous frogs, leeches, spiders, electric eels, stingrays, and piranhas,

and not feel the need to handle them unwisely. And then, Terminal deoxynucleotidyl transferase there is one creature that has fueled vivid imaginations and bizarre fantasies—the candiru. Can a tiny fish be of any consequence to modern travel medicine? The candiru (carnero in some Spanish-based accounts) is known as a little fish keen on entering the nether regions of people urinating in the Amazon River. Spikes prevent it from retracting or being removed and so an electrifying buzz is born. Although there are alleged accounts of entries into people’s rectum and some unfortunate women’s vagina,[3, 4] it is the stories of the fish’s focus on the penis and its activities while in there, that create maximum excitement and exquisite anguish. Many people have a faint recollection of hearing something about such a creature, but it appears that today, and especially in the social media, it is the more juvenile minds that have turned the candiru into a bizarre legend. Innumerable “facts” underline with authority the horrible danger posed by the fish.

23%, respectively), HPV-6 (41% vs 13%), HPV-11 (35% vs 6%), HPV

23%, respectively), HPV-6 (41% vs. 13%), HPV-11 (35% vs. 6%), HPV-33 (21% vs. 16%), HPV-51 (21% vs. 13%) and HPV-58 (21% vs. 13%) (Table 3). The prevalence of HPV-18 was 11% in patients with condylomata and 6% in patients without condylomata (OR 1.8;

95% CI 0.9–3.3). DNA from HPV-6 and/or HPV-11 (alone or in association with each other) was found in 63% of patients (99 of 157) with anal condylomatous lesions, and in 19% of patients (90 of 483) without anal condylomata (P < 0.001). Similarly, DNA from HPV-16 and/or HPV-18 (alone or in association) was found in 45% of patients (71 of Smoothened Agonist mouse 157) with anal condylomata and in 27% of patients (128 of 483) without condylomata (P < 0.001). It was possible to analyse 607 (95%) of 640 smears at baseline (Fig. 1). Thirty-three smears (5%) were acellular or showed poor cellularity and were designated as no evaluated cytology in the study. Of the subjects whose smears were analysed, 322 (50%; 95% CI 46–54%) had a normal cytological report, and 96 (15%; 95% CI 12–18%)

selleck chemical were diagnosed as having ASCUS, 159 (25%; 95% CI 22–27%) as having LSILs and 30 (5%; 95% CI 3–7%) as having HSILs. Only 16% (25 of 157) of patients with anal condylomata had normal cytological diagnoses for the anal canal vs. 61% (297 of 483) of patients without condylomata (P < 0.001). The distribution of cytological abnormalities was as follows: in patients with anal condylomata, 17% (26 of 157) had ASCUS,

58% (91 of 157) had LSILs and 9% (14 of 157) had HSILs, whereas in patients without anal condylomata, 14% (70 of 483) had ASCUS, 14% (68 of 483) had LSILs and 3% (16 of 483) had HSILs. As regards sexual behaviour, 86% (114 of 132) of MSM and 68% (17 of 25) of heterosexuals with condylomata also presented anal cytological abnormalities and the distribution was as follows: in MSM, 17% (22 of 132) had ASCUS, 60% (79 of 132) had LSILs and 10% (13 of 132) had HSILs, and in heterosexuals, 16% (four of 25) had ASCUS, 48% (12 of 25) had LSILs and 4% (one of 25) had HSILs. In patients without anal condylomata, 37.5% C-X-C chemokine receptor type 7 (CXCR-7) (128 of 341) of MSM and 18% (26 of 142) of heterosexuals also showed anal pathology, as follows: in MSM, 15% (50 of 341) had ASCUS, 19% (64 of 341) had LSILs and 4% (14 of 341) had HSILs, and heterosexuals, 14% (20 of 142) had ASCUS, 3% (four of 142) had LSILs and 1% (two of 142) had HSILs. Thus, having anal condylomata was associated with a higher prevalence of cytological abnormalities in the anal canal [OR 6.9; 95% CI 3.8–12.7; 83% (131 of 157) in HIV-infected patients with anal condylomata and 32% (154 of 483) in those without condylomata]. In particular, in the multivariate analysis, the presence of anal condylomata was associated with a high risk of presenting LSILs (OR 9.0; 95% CI 4.6–18) or HSILs (OR 9.0; 95% CI 2.9–28.4) compared with presenting a normal cytology.

In conclusion, these data indicate that GAT-1 and GAT-3 represent

In conclusion, these data indicate that GAT-1 and GAT-3 represent different target sites through which GABA reuptake may subserve complementary

regulation of GABAergic transmission in the rat GP. “
“Several factors modulate the first step of odour detection in the rat olfactory mucosa (OM). Among others, vasoactive peptides such as endothelin might play multifaceted roles in the different OM cells. Like their counterparts in the central nervous system, the olfactory sensory neurons are encompassed by different glial-like non-neuronal OM cells; sustentacular cells (SCs) surround their cell bodies, whereas olfactory ensheathing cells (OECs) wrap their axons. Whereas IWR-1 concentration SCs maintain both the structural Cytoskeletal Signaling inhibitor and ionic integrity of the OM, OECs assure protection, local blood flow control and guiding of olfactory sensory neuron axons toward the olfactory bulb. We previously showed

that these non-neuronal OM cells are particularly responsive to endothelin in vitro. Here, we confirmed that the endothelin system is strongly expressed in the OM using in situ hybridization. We then further explored the effects of endothelin on SCs and OECs using electrophysiological recordings and calcium imaging approaches on both in vitro and ex vivo OM preparations. Endothelin induced both robust calcium signals and gap junction uncoupling in both types of cells. This latter effect was mimicked by carbenoxolone, a known gap junction uncoupling agent. However, although endothelin is known for its antiapoptotic effect in the OM, the uncoupling of gap junctions by carbenoxolone was not sufficient to limit the cellular death induced by serum deprivation in OM primary culture. The functional consequence of the endothelin 1-induced reduction of the gap junctional communication Acyl CoA dehydrogenase between OM non-neuronal cells thus remains to be elucidated. “
“It is unclear whether top-down

processing in the auditory cortex (AC) interferes with its bottom-up analysis of sound. Recent studies indicated non-acoustic modulations of AC responses, and that attention changes a neuron’s spectrotemporal tuning. As a result, the AC would seem ill-suited to represent a stable acoustic environment, which is deemed crucial for auditory perception. To assess whether top-down signals influence acoustic tuning in tasks without directed attention, we compared monkey single-unit AC responses to dynamic spectrotemporal sounds under different behavioral conditions. Recordings were mostly made from neurons located in primary fields (primary AC and area R of the AC) that were well tuned to pure tones, with short onset latencies. We demonstrated that responses in the AC were substantially modulated during an auditory detection task and that these modulations were systematically related to top-down processes.

05) These results suggest that lactobacilli, especially certain

05). These results suggest that lactobacilli, especially certain selected strains, might enhance cell-mediated immunity in host animals and thereby alter age-related immunosenescence. Immunosenescence is defined as the state of deregulated immune function that contributes to the increased susceptibility of the elderly to infection, and possibly to autoimmune diseases and cancer (Ginaldi et al., 1999). When immunosenescence

occurs, the functional capacity of the immune system of the host gradually declines with age. The most dramatic changes in the immune system that occur with age involve the T-cell compartment, the arm of the immune system that protects against pathogens and tumors (Ginaldi et al., 1999; Castle, 2000). The fact that T lymphocytes are more severely affected than B Torin 1 cells or antigen-presenting cells

is primarily a result of involution of the thymus, which is almost complete at the age of 60 years. The host then becomes dependent on T cells of various specificities, which eventually leads to changes in the T-cell repertoire. CD45RA+ ‘native’ cells are replaced by CD45RA− ‘memory’ cells and T-cell receptor oligoclonality develops. Simultaneously, T cells with signal transduction defects accumulate. Age-related T-cell alterations lead Ganetespib in vivo to a decreased clonal expansion and a reduced efficiency of T-cell effector functions such as cytotoxicity or B-cell help. Decreased antibody production and a shortened immunological Aprepitant memory are the consequence and severity of disease. Efficient protection of elderly individuals by suitable vaccination strategies is therefore a matter of great importance (Grubeck-Loebenstein, 1997; Effros, 2001). Interleukin (IL)-12 is a cytokine produced by mononuclear phagocytes and dendritic cells that serve as mediators of the innate immune response to intracellular

microbes; it is a key inducer of cell-mediated immune responses to microbes (Peakman & Vergani, 1997). IL-12 activates natural killer (NK) cells, promotes interferon (IFN)-γ production by NK and T cells, enhances the cytolytic activity of NK cells and cytolytic T lymphocytes, and promotes Th1 cell development. Many studies have indicated that Gram-positive bacteria, especially lactobacilli, and their cell-wall compounds are potent inducers of IL-12 for human monocytes (Haller et al., 2000; Hessle et al., 2000; Gill et al., 2001). In the present study, heat-killed Lactobacillus gasseri TMC0356 (TMC0356) cells were tested to determine their ability to alter age-related immunosenescence using short-lived senescence-accelerated mouse prone 1 (SAMP1) as a test model. TMC0356 was stored at the Technical Research Laboratory of Takanashi Milk Products Co., Ltd (Yokohama, Japan). Lactobacilli were routinely cultured at 37 °C for 18 h in modified MRS (deMan, Ragosa and Sharpe) broth.

05) These results suggest that lactobacilli, especially certain

05). These results suggest that lactobacilli, especially certain selected strains, might enhance cell-mediated immunity in host animals and thereby alter age-related immunosenescence. Immunosenescence is defined as the state of deregulated immune function that contributes to the increased susceptibility of the elderly to infection, and possibly to autoimmune diseases and cancer (Ginaldi et al., 1999). When immunosenescence

occurs, the functional capacity of the immune system of the host gradually declines with age. The most dramatic changes in the immune system that occur with age involve the T-cell compartment, the arm of the immune system that protects against pathogens and tumors (Ginaldi et al., 1999; Castle, 2000). The fact that T lymphocytes are more severely affected than B BTK inhibitor cells or antigen-presenting cells

is primarily a result of involution of the thymus, which is almost complete at the age of 60 years. The host then becomes dependent on T cells of various specificities, which eventually leads to changes in the T-cell repertoire. CD45RA+ ‘native’ cells are replaced by CD45RA− ‘memory’ cells and T-cell receptor oligoclonality develops. Simultaneously, T cells with signal transduction defects accumulate. Age-related T-cell alterations lead http://www.selleckchem.com/products/PLX-4032.html to a decreased clonal expansion and a reduced efficiency of T-cell effector functions such as cytotoxicity or B-cell help. Decreased antibody production and a shortened immunological D-malate dehydrogenase memory are the consequence and severity of disease. Efficient protection of elderly individuals by suitable vaccination strategies is therefore a matter of great importance (Grubeck-Loebenstein, 1997; Effros, 2001). Interleukin (IL)-12 is a cytokine produced by mononuclear phagocytes and dendritic cells that serve as mediators of the innate immune response to intracellular

microbes; it is a key inducer of cell-mediated immune responses to microbes (Peakman & Vergani, 1997). IL-12 activates natural killer (NK) cells, promotes interferon (IFN)-γ production by NK and T cells, enhances the cytolytic activity of NK cells and cytolytic T lymphocytes, and promotes Th1 cell development. Many studies have indicated that Gram-positive bacteria, especially lactobacilli, and their cell-wall compounds are potent inducers of IL-12 for human monocytes (Haller et al., 2000; Hessle et al., 2000; Gill et al., 2001). In the present study, heat-killed Lactobacillus gasseri TMC0356 (TMC0356) cells were tested to determine their ability to alter age-related immunosenescence using short-lived senescence-accelerated mouse prone 1 (SAMP1) as a test model. TMC0356 was stored at the Technical Research Laboratory of Takanashi Milk Products Co., Ltd (Yokohama, Japan). Lactobacilli were routinely cultured at 37 °C for 18 h in modified MRS (deMan, Ragosa and Sharpe) broth.