CrossRefPubMed 12 Million Women Study Collaborators Breast canc

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women: July 2008 position statement of the North American Menopause this website Society. Menopause 2008 Jul–Aug; 15 (4 Pt 1): 584–602PubMed 15. Schonberg MA, Davis RB, Wee CC. After the Women’s Health Initiative: decision making and trust of women taking hormone therapy. Womens Health Issues 2005 Jul–Aug; 15(4): 187–95CrossRefPubMed 16. McIntyre RS, Konarski JZ, Grigoriadis S, et al. Hormone replacement therapy and antidepressant prescription patterns: PF-01367338 supplier a reciprocal relationship. CMAJ 2005 Jan 4; 172 (1): 57–9.PubMed 17. Brett KM, Keenan NL. Complementary and alternative medicine use among midlife women for reasons including menopause in the United States: 2002. Menopause 2007 March–Apr; 14 (2): 300–7.CrossRefPubMed 18. Nelson HD, Vesco KK, Haney E, et al. Nonhormonal therapies for menopausal hot flashes: systematic review and meta-analysis. JAMA 2006 May 3;

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Table 1 Mean (SD) of variables in the cross-sections of aortic se

Table 1 Mean (SD) of variables in the cross-sections of aortic segments from see more infected and sham inoculated apoE KO mice Group

Plaque/internal surface Mean (SD) External Diameter Mean (SD) % obstruction Mean (SD) plaque height Inflammation adventitia (0 – 3+) MP (n = 12) 0.038 (0.037) 0.38 (0.11) 69 (26) 0.20 (0.12) 0.22 (0.67) CP (n = 7) 0.043 (0.028) 0.37 (0.11) 90(26) 0.23 (0.08) 0.44 (0.53) MPCP (n = 5) 0.032 (0.027) 0.30 (0.11) 84 (4.0) 0.18 (0.08) 1.33 (0.82) Sham inoculated (n = 6) 0.02 (0.03) 0.30 (0.11) 42 (46) 0.08 (0.09) 0.71 (0.76) P (ANOVA and Dunn’s test) 0.20 0.27 0.047 (CP vs Sham) 0.07 0.02 (MP vs MPCP) P (T test) 0.07 (MP vs Sham) 0.06 (CP vs Sham)     0.012 check details (CP vs Sham)   MP – Mycoplasma pneumoniae, CP – Chlamydia pneumoniae, SD -Standard Deviation. P values correspond to ANOVA test and Dunn’s, for non-normally distributed values or Bonferroni’s test for normally distributed values. In variables showing a trend

to be different when comparing simultaneously the 4 groups, Student T test was used to compare the two groups with the highest difference. It showed significant major plaque high in CP group than the sham and a trend to have major plaque area/internal surface in MP and CP groups than in sham group. External diameter, which indicates vessel remodeling, did not differ between infected versus Ro 61-8048 in vitro sham groups. However, the animals infected with CP or MP inoculums exhibited more atheroma plaques on the intima surface (0.043 +/- 0.028 and 0.038 +/- 0.037 mm2/mm) than the sham group (0.020 +/- 0.03 mm2/mm) with no statistical significant Leukocyte receptor tyrosine kinase difference (p = 0.06 and p = 0.07, respectively). The most severely obstructed

atherosclerotic sites had increased plaque height in the CP group compared with sham and more adventitial inflammation in MP+CP group, compared with MP group. There was not ruptured plaque in any of the groups. Discussion The present study showed that intraperitoneal inoculation of MP, CP or the both microbes aggravated atherosclerosis induced by cholesterol-enriched-diet in apoE KO male mice, as measured by plaque height, % luminal obstruction, adventitial inflammation and amount of plaque area/internal surface. This study analyzed the ascending aorta and aortic arch, which are segments of aorta that are more prone to development of atherosclerosis [5]. CP infection is associated with increased lymphocytic inflammation [9]. Particular characteristics of mycoplasma might contribute to different atheroma plaque outcomes: Mycoplasma growth depends of cholesterol viability, this microorganism has surface compounds that modulates the host immune response, cause immunosuppression and facilitates the proliferation of other infectious agents [19]. However MP seems to inhibit CP growth [11].

Dig Dis Sci 1996, 41:2477–2481 PubMedCrossRef 5 Yamada M, Ohkusa

Dig Dis Sci 1996, 41:2477–2481.PubMedCrossRef 5. Yamada M, Ohkusa T, Okayasu I: Occurrence of dysplasia and adenocarcinoma after experimental chronic ulcerative colitis in hamsters induced by dextran sulfate sodium. Gut 1992, 33:1521–1527.PubMedCrossRef 6. Kitano A, Matsumoto T, Hiki M, Hashimura H, Yoshiyasu K, Okawa K, Kuwajima S, Kobayashi K: Epithelial dysplasia

of the rabbit colon induced by degraded carrageenan. Cancer Res CP-868596 molecular weight 1986, 46:1374–1376.PubMed 7. Smith EA, Macfarlane GT: Formation of phenolic and indolic compounds by anaerobic bacteria in the human large intestine. NSC 683864 Microb Ecol 1997, 33:180–188.PubMedCrossRef 8. Macfarlane GT, Allison C, Gibson SAW, Cummings JH: Contribution of the microflora to proteolysis in the human large intestine. J Appl Bacteriol 1988, 64:37–46.PubMedCrossRef 9. Macfarlane GT, Macfarlane S, Gibson GR: Synthesis and release of proteases by bacteroides fragilis. Curr Microbiol 1992, 24:55–59.CrossRef 10. Macfarlane GT, Allison C: Utilisation of protein by human gut bacteria. FEMS Microbiol Ecol 1986, 38:19–24.CrossRef 11. Smith EA, Macfarlane GT: Enumeration Fludarabine of human colonic bacteria producing phenolic and indolic compounds: effects of pH, carbohydrate availability and retention time on dissimilatory aromatic amino

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peptostreptococcus. Appl Environ Microbiol 1988, 54:2742–2749.PubMed 16. Chen G, Russell JB: More monensin-sensitive, ammonia-producing bacteria from the rumen. Appl Environ Microbiol 1989, 55:1052–1057.PubMed 17. Eschenlauer SC, McKain N, Walker ND, McEwan NR, Newbold CJ, Wallace RJ: Ammonia production by ruminal microorganisms and enumeration, isolation, and characterization of bacteria capable of growth on peptides and amino acids from the sheep rumen. Appl Environ Microbiol 2002, 68:4925–4931.PubMedCrossRef 18. Russell JB, Onodera R, Hino T, et al.: Ruminal protein fermentation: new perspectives on previous contradictions. In Physiological aspects of digestion and metabolism in ruminants. Edited by: Tsuda T, Sasaki Y. San Diego: Academic; 1991:681–697.CrossRef 19. McIntosh FM, Williams P, Losa R, Wallace RJ, Beever DA, Newbold CJ: Effects of essential oils on ruminal microorganisms and their protein metabolism. Appl Environ Microbiol 2003, 69:5011–5014.PubMedCrossRef 20. Smith EA, Macfarlane GT: Dissimilatory amino acid metabolism in human colonic bacteria. Anaerobe 1997, 3:327–337.

Swiatlo E, Brooks-Walter A, Briles DE, McDaniel LS: Oligonucleoti

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diversity of PspA types among nasopharyngeal isolates collected during an ongoing surveillance study of children in Brazil. J Clin Microbiol 2006, 44:2838–2843.CrossRefPubMed 35. Basic Local Alignment Search Tool Website[http://​blast.​ncbi.​nlm.​nih.​gov/​Blast.​cgi] 36. Tamura K, Dudley J, Nei M, Kumar S: MEGA4: Molecular Evolutionary Genetics Analysis (MEGA) software version 4.0. Selleckchem BMN673 Mol Biol Evol 2007, 24:1596–1599.CrossRefPubMed 37. Baril L, Briles DE, Crozier P, King J, Punar

M, SN-38 molecular weight Hollingshead SK, McCormick JB: Characterization of antibodies to PspA and PsaA in selleck screening library adults over 50 years of age with invasive pneumococcal disease. Vaccine 2004, 23:789–793.CrossRefPubMed 38. Hollingshead SK, Baril L, Ferro S, King J, Coan P, Briles DE, Pneumococcal Proteins Epi Study Group: Pneumococcal surface protein A (PspA) family distribution among clinical isolates from adults over 50 years of age collected in seven countries. J Med Microbiol 2006, 55:215–221.CrossRefPubMed 39. Ito Y, Osawa M, Isozumi R, Imai S, Ito I, Hirai T, Kansai Community Acquired Pneumococcal Pneumonia Study Group: Pneumococcal surface protein A family types of Streptococcus pneumoniae from community-acquired pneumonia patients in Japan. Eur J Clin Microbiol Infect Dis 2007, 26:739–742.CrossRefPubMed 40. Heeg C, Franken C, Linden MVD, Al-Lahham A, Reinert RR: Genetic diversity of pneumococcal surface protein A of Streptococcus pneumoniae meningitis in German children. Vaccine 2007, 25:1030–1035.CrossRefPubMed 41. Melin MM, Hollingshead SK, Briles DE, Hanage WP, Lahdenkari M, Kaijalainen T, Kilpi TM, Käyhty HM: Distribution of pneumococcal surface protein A families 1 and 2 among Streptococcus pneumoniae isolates

from children in Finland who had acute otitis media or were nasopharyngeal carriers. Clin Vaccine Immunol 2008, 15:1555–1563.CrossRefPubMed 42. Sadowy E, Skoczyñska A, Fiett J, Gniadkowski M, Hryniewicz W: Multilocus sequence types, serotypes, and variants Mirabegron of the surface antigen PspA in Streptococcus pneumoniae isolates from meningitis patients in Poland. Clin Vaccine Immunol 2006, 13:139–144.CrossRefPubMed 43. Beall B, Gheraldi G, Facklam RR, Hollingshead SK: Pneumococcal PspA sequence types of prevalent pneumococcal strains in the United States and of internationally disseminated clones. J Clin Microbiol 2000, 38:3663–3669.PubMed 44. Dicuonzo G, Gheraldi G, Gertz RE, D’Ambrosio F, Goglio A, Lorino G, Recchia S, Pantosti A, Beall B: Genotypes of invasive pneumococcal isolates recently recovered from Italian patients. J Clin Microbiol 2002, 40:3660–3665.CrossRefPubMed 45.

15 h-1 Some cells expressed the ptsG reporter in conditions when

15 h-1. Some cells expressed the ptsG reporter in conditions when no glucose was taken up via Glc-PTS. Also, low concentration of glucose in the medium feed (first column) led to the existence of a small subpopulation that does not engage in the glucose uptake via Glc-PTS. Transcriptional reporters for glucose transporters can only provide limited insights into the actual metabolic state of cells. Several OSI-027 mw recent papers have discussed discrepancies between transcriptional reporters and metabolic fluxes in specific parts of metabolic pathways [35, 36]. As a consequence, we need to be cautious when using data from transcriptional reporters to make BTSA1 solubility dmso inferences about the actual physiology of cells.

Additional experiments could provide complementary insights, for instance the analysis of sugar transporter synthesis or activity, together with analysis of sugar assimilation at the single-cell level [37]. Variation in the expression of glucose transporters across environments We next investigated how the variation in expression of reporters

for different glucose transporters changes across different environments. We first compared the results of this study with the results from a genome-wide study of promoter-mediated phenotypic variation [31]. Mean and variation of the expression of ptsG, mglB and rpsM reporters are shown in Figure  3 (plotted are mean values of replicates in different conditions). When power regression lines were fitted across different expression data from the same environment, all lines showed Protein kinase N1 the same trend, namely that the CV of log fluorescence values decreased KPT-8602 chemical structure with mean log GFP expression (Figure  3). Our analysis suggests some general rules: variation in the expression from these three promoters was lowest in batch cultures supplemented with glucose, or glucose plus

acetate, and highest in batch or chemostats cultures with acetate as a sole carbon source. Figure 3 Phenotypic variation in gene expression in 13 different environments. The coefficient of variation (CV) of log expression of PptsG-gfp, PmglB-gfp and PrpsM-gfp was plotted against the mean log expression. Expression of the reporters in different environments was compared to data for 1522 E.coli promoters [31] (light blue diamonds) that were measured in the early exponential phase in batch cultures containing arabinose as a sole carbon source. Circles represent measurements in chemostat environments and triangles represent measurements in batch cultures. Different color of triangles and circles represents different reporters: ptsG (green), mglB (blue) and rpsM (red). Power regression (i.e. linear regression on log-transformed data) was fitted to each set of three promoters measured in the same environment. Colors of fitted lines mark different carbon sources in the feed; full lines mark chemostat environments and dashed lines mark batch cultures. Each data point is the average over 2–5 independent replicates (except for data from [31]).

Actinobacteria, Proteobacteria, Verrucomicrobia and Fusobacteria

Actinobacteria, Proteobacteria, Verrucomicrobia and Fusobacteria are the subdominants phyla with a relative abundance up to 5, 8, 2 and 1%, respectively. On the contrary, at lower taxonomic levels, we assist to a real explosion of the bacterial diversity in the human GIT. At least 1,800 genera [≥ 90% of sequence identity (ID)] and 16,000 phylotypes EVP4593 ic50 at the species level (≥ 97% ID) have been identified until now, predicting even a greater diversity at the species level [8]. Since 70% of these phylotypes are subject-specific, and no phylotype is present at more than 0.5% abundance in all subjects [12], the intestinal microbiota

of each individual has been shown to consist in a subject specific complement of

hundreds of genera and thousands of species. However, the large degree of functional redundancy between species and genera allowed identifying a core microbiome at the gene level which is shared between all individuals [12]. Coding for genes involved in important metabolic functions, this core functional microbiome is fundamental to support the mutualistic symbiotic relationship with the human host. Recently, 16S rRNA sequences studies have been carried out with the attempt to describe disease-associated see more unbalances of the human intestinal microbiota. Even though species variability was associated with inter-individual variability, phylum-level changes of the intestinal microbiota were associated with specific diseases. In particular, obesity was characterized by a higher proportion of Firmicutes and Actinobacteria with respect to Bacteroidetes and an overall reduced bacterial diversity [12, 13]. Differently, inflammatory bowel diseases (IBD) were characterized by a marked reduction of bacterial diversity in the Clostridium cluster IV and XIVa belonging to Firmicutes, a decline in Bacteroidetes biodiversity, and a correspondent increase in GW786034 research buy Proteobacteria and Bacillus [14, 15]. Analogously,

intestinal inflammation has been generally related with a marked increase in Enterobacteriaceae and a correspondent decrease in members of the resident colonic bacteria [16, 17]. In the light of these findings, it has been recently hypothesized that these high level taxonomic unbalances of the human Mirabegron intestinal microbiota can cause deviations from the core functional microbiome with a final impact on the host physiological state [12, 18, 19]. Since more than 75% of the phylotypes detected in the human GIT does not correspond to cultured species [20], phylogenetic DNA-microarrays have been recognized as a valuable tool for a high-throughput, quantitative and systematic analysis of the human intestinal microbiota [21]. Recently, three different small ribosomal subunit RNA (SSU rRNA) based high-density phylogenetic microarrays for studying the human microbiota have been developed [22–24].

This is likely due to the limited inflammatory response and lack

This is likely due to the limited inflammatory response and lack of a clear indicator of muscle damage as measured by CK. There was a significant elevation in serum concentrations of IL-6 at IP compared to BL, DHY and 24P Vactosertib in vivo and at RHY compared to BL and 24P. This response is consistent with previous studies that have shown significant Smoothened Agonist datasheet elevations following prolonged endurance [33, 35, 38] and eccentric exercise [34]. IL-6 is produced in

active skeletal tissue [39] and in the central nervous system [40]. Exercise is a potent stimulator of IL-6 production, with elevations greater than 100-fold reported [41]. It is thought that increases in IL-6 modulates CRP production in the liver [42] and operate synergistically to enhance the inflammatory response to exercise. The potential outcome from this inflammatory RAD001 order response is the risk for significant tissue damage and reduced recovery capability. Several investigations have examined the ability of nutritional intervention to attenuate the post-exercise inflammatory response [43, 44]. Carbohydrate ingestion [44] and a vitamin E and omega-3 fatty acid combination [43] have been successful in attenuating the IL-6 response to exercise. In contrast, glutamine supplementation has been shown to enhance plasma IL-6 production [38], while an AG dipepide has shown to have no effect on cytokine production in healthy individuals [45]. Hiscock and colleagues [38] suggested

that the enhanced glutamine uptake by skeletal muscle would increase or maintain the production of IL-6. This hypothesis may be more consistent with the anti-inflammatory role suggested of IL-6 during exercise [46]. Increases in IL-6 concentrations have been consistently reported without corresponding muscle damage [46], and is supported by the results of this present study. The difference between this study and the results of Hiscock et al., [38] may be related to the length of exercise and the training experience of the subjects. In the present study the duration of exercise ranged from

5 – 47 minutes following the ~60 minute active dehydration protocol, in recreationally Histidine ammonia-lyase trained individuals, while the subjects in Hiscock’s study were untrained and required to perform a 2-hr time trial using the same exercise intensity as employed in this study. However, those subjects were euhydrated and allowed to drink ad libitum. It is unlikely that dosing impacted these results, considering that the glutamine dose used in Hiscock’s study (3.5 g) was similar to the low dosing trial (T4). [MDA] were significantly elevated from baseline for all trials. This is not surprising considering that exercise is a potent stimulator of the formation of reactive oxygen species [47]. The results of this study are also consistent with previous research demonstrating elevated oxidative stress following a mild dehydration and exercise to exhaustion protocol [48].

Also included were four additional AIEC strains that came from pa

Also included were four additional AIEC strains that came from patients with extraintestinal infection (two with sepsis and two with urinary tract infection [49, 50]). AIEC reference strain LF82 and the isogenic mutant LF82-ΔfliC were used as controls. Relevant characteristics of the strains that were known prior to this study are compiled in Table 1. All procedures were approved by the ethics committee of clinical investigation of the Hospital Josep Trueta of Girona in compliance with the Helsinki declaration. Biofilm formation assay Biofilm formation assays were performed C646 datasheet using a previously described method [26] with some modifications [25]. Strains were grown overnight in Luria-Bertani broth

with 5 g l-1 of glucose (Sigma-Aldrich, St. Louis, USA) at 35.5°C, then 1/100 dilutions were made in M63 minimal medium (US Biological, Swampscott, USA) supplemented with 8 g l-1 (0.8%) glucose. Then, 130-μl aliquots were placed in wells of non-cell-treated polystyrene microtiter plates (Greiner Bio-one, Stuttgart, Germany) and incubated overnight at 30°C without shaking. Afterwards, growth optical densities

(OD) were read at 630 nm; then the wells were washed once, adhered bacteria were stained with 1% crystal violet solubilised in ethanol, and ODs read at 570 nm. Biofilm URMC-099 mw measurements were calculated using the formula SBF = (AB-CW)/G, in which SBF is the specific biofilm formation, AB is the OD570 nm of the attached and stained Thymidine kinase bacteria, CW is the OD570 nm of the stained control wells GSK458 purchase containing only bacteria-free medium (to eliminate unspecific or abiotic OD values), and G is the OD630 nm of cell growth in broth [51, 52]. For each assay, 16 wells per strain were analyzed,

and the assays were performed in triplicate, which resulted in a total of 48 wells per each tested strain and control. The degree of biofilm production was classified in three categories: weak (SBF ≤ 0.5), moderate (0.5 > SBF ≤ 1), and strong (SBF > 1). Adhesion and invasion assays in epithelial cells Intestine-407 The epithelial cell line Intestine-407 was used for adhesion and invasion assays (ATCC accession number CCL-6™). Cell culture was performed as described previously [48]. To quantify adhesion and invasion properties, a gentamicin protection assay were performed as previously described [48]. Briefly, 24-well plates containing 4×105 cells/well incubated for 20 hours were infected at a multiplicity of infection of 10. Duplicated plates, for adhesion and invasion assays were incubated for 3 hours at 37°C. For bacterial adhesion assays, cell monolayers were washed 5 times with PBS and lysed with 1% Triton X-100. Adhered bacteria were quantified by plating them in nutrient agar. Plating was performed in a maximum period of 30 minutes to avoid bacterial lysis by Triton X-100. Adherence ability (I_ADH) was determined as the mean number of bacteria per cell.

Osteoporos Int 17:1781–1793PubMedCrossRef 73 Ziadé N, Jougla E,

Osteoporos Int 17:1781–1793PubMedCrossRef 73. Ziadé N, Jougla E, Coste J (2010) Population-level impact of osteoporotic fractures on mortality and trends over time: a nationwide analysis of vital statistics for France, 1968–2004. Am J Epidemiol 172:942–951PubMedCrossRef”
“Introduction Teriparatide is the synthetic form of human parathyroid hormone (PTH) 1-34 and has been

widely used for the treatment of osteoporosis with high risk of fracture as daily [1–3] and weekly subcutaneous AP26113 in vivo injections [4]. It has been shown that continuous and intermittent administrations of teriparatide have different metabolic effects on bone. Continuous administration of PTH or teriparatide induced an increase in bone resorption and a decrease in bone strength, which resembles the pathophysiology of primary hyperparathyroidism

[5, 6]. Intermittent BMN 673 ic50 administration of teriparatide induced large increases in bone formation followed by increased bone resorption. The early increase in bone formation markers [procollagen type I N-terminal propeptide (P1NP) or proco1lagen type I C-terminal propeptide (P1CP)] after daily PTH or teriparatide injection has been reported to associate with increases in spine or hip bone mineral density (BMD) after treatment for 1 or 1.5 years [7, 8]. Therefore, early increases in bone formation markers seem to be important for increased BMD after PTH or teriparatide treatments. Although the differences in the changes C646 nmr between bone resorption and formation continued at least for 1 year, measurements in subsequent years showed that these two metabolic processes were equally stimulated [9]. Femoral neck BMD was increased by 3 to 4 % during a median of 19-month treatment with daily teriparatide [2]. The increase was sustained in subjects receiving bisphosphonate after cessation of teriparatide and rapidly decreased in subjects who received no subsequent treatment for osteoporosis [10]. It is possible

that the rapid decrease in BMD once drug treatment was stopped may be due to a predisposed increase in bone resorption. Over a decade ago, Fujita et al. [11] reported that weekly administration Rutecarpine of teriparatide for 48 weeks increased lumbar BMD by 0.6, 3.6, and 8.1 % with injection doses of 14.1, 28.2, and 56.5 μg, respectively. The maximum teriparatide dose (56.5 μg injection) in a weekly injection was approximately three times that of a daily administration of teriparatide (20 μg injection). However, the total amount per week of teriparatide in the daily injection schedule was ~2.5 times higher than the weekly injection. Therefore, neither the dose of each injection nor the total amount of dose received in the weekly regimen is likely to explain the effects on BMD and anti-fracture efficacy.

pneumoniae-positive patients (B) and with a pool of 10 healthy bl

pneumoniae-positive patients (B) and with a pool of 10 healthy blood donors (C). Lanes: 1, standard protein marker; 2, induced rAtpD (about 50 kDa); 3, induced rP1-C (about 40 kDa); 4, purified rAtpD; 5, purified rP1-C; 6, irrelevant his-tagged protein of the same mass as rAtpD; 7, irrelevant his-tagged protein of the same mass as r P1-C. The numbers on the left indicate molecular masses (in kDa). The rAtpD and rP1-C proteins were both recognised by pooled M. pneumoniae-positive serum samples (Fig. 2B, lanes 2 and 4 for rAtpD, lanes 3 and 5 for rP1-C), but not by healthy blood donors (Fig. 2C, lanes

2 and AZD3965 ic50 4 for rAtpD, lanes 3 and 5 for rP1-C). The two irrelevant proteins were not recognised by serum samples from either patients or healthy blood donors (Fig. 2B and 2C, lanes 6 and 7). These results show that M. pneumoniae-infected patients have circulating anti-AtpD and anti-rP1 -C antibodies, thereby confirming that these two recombinant proteins are BVD-523 nmr antigenic. rAtpD and rP1-C ELISA tests Serum samples from 103 patients (54 children, 49 adults) with M. pneumoniae RTIs and 86 healthy blood donors were screened for anti-M. pneumoniae IgM, IgA and IgG antibodies using an

in-house ELISA with rAtpD and rP1-C (Tables 2 and 3). We set positive criteria as a value 3-deazaneplanocin A cost above the cut-off determined by receiver operating characteristics curve (ROC) analysis. The cut-off values of the IgM, IgA and IgG ELISA tests were determined as an absorbance value of 0.4, 0.2, and 0.4, respectively, for rAtpD, and of 0.4, 0.5 and 0.4, respectively for rP1-C. The rAtpD protein demonstrated a higher discriminating score (0.842 ≤ area under curve (AUC) Ponatinib ≤ 0.943) than rP1-C for all of the Ig classes in children and adults (Tables

2 and 3). Among the 54 serum samples from children tested, 38 (70%) showed a high IgM titre compared with rAtpD, whereas 30 (56%) were IgA-positive and 42 (78%) were IgG-positive. Serum samples from 38 (70%) children were positive for IgM against the rP1-C protein, whereas 27 (50%) and 37 (69%) were IgA- and IgG-positive, respectively (Table 2). Out of the 49 serum samples from adults infected with M. pneumoniae, 33 (67%) and 22 (45%) tested positive for IgM antibodies against the rAtpD and rP1-C proteins, respectively. Of these samples, 32 (65%) and 27 (55%) reacted with the rAtpD and rP1-C proteins, respectively, for the IgA class, whereas 30 (61%) and 22 (45%) were IgG-positive for the rAtpD and rP1-C proteins, respectively (Table 3). Specificity values ranging from 90% to 97% were found for IgM, IgA and IgG rAtpD and rP1-C protein ELISAs, meaning that no more than 3% to 10% of the serum samples from healthy donors had absorbance values above the cut-off (Tables 2 and 3). Table 2 Performance of the rAtpD, rP1-C ELISAs and the Ani Labsystems kit in children Ig class Type of test No.