This study has three units of analysis: women diagnosed with

\n\nThis study has three units of analysis: women diagnosed with breast cancer (n = 22,088), census tracts where they lived at diagnosis (n = 1,373), and the metropolitan statistical area (MSA)/micropolitan statistical area (MiSA) where they lived at diagnosis (n = 37). Neighborhood racial composition was measured as the percent of black residents in the census tract. Metropolitan area RRS was measured using the Information Theory Index. Multilevel Cox proportional hazards models examined the association of metropolitan area RRS and census tract racial composition with breast cancer and all-cause mortality. Survival analysis explored

and compared the risk of death in women exposed to environments where a higher and lower proportion of residents were black.\n\nBreast cancer mortality disparities

were largest in racially mixed tracts located in high MSA/MiSA segregation SN-38 in vitro areas (RR = 2.06, 95 % CI 1.70, 2.50). For black but not white women, as MSA/MiSA RRS increased, there was an increased risk for breast cancer mortality (HR = 2.20, 95 % CI 1.09, 4.45). For all-cause mortality, Cytoskeletal Signaling inhibitor MSA/MiSA segregation was not a significant predictor, but increasing tract percent black was associated with increased risk for white but not black women (HR 1.29, 95 % CI 1.05, 1.58).\n\nRacial residential segregation may influence health for blacks and whites differently. Pathways through which RRS patterns impact health should be further explored.”
“Background: Endometrial receptivity is required for successful implantation and pregnancy. Despite the remaining selleck compound controversy, many studies have shown

that ultrasonographic endometrial thickness can be considered as an indicator of endometrial receptivity.\n\nObjective: The study objective was to investigate the effect of dilatation and curettage on the endometrial thickness.\n\nMaterials and Methods: Enrolled in the study were 444 patients visited in Obstetrics & Gynecology clinic of Shahid Sadoughi hospital between Jan. 2011 to Sep. 2012. Only patients whose menstrual cycle was regular were included in study. Patients with myoma, adenomyosis, endometrial polyps or other uterine anomaly, those who smoked, whose BMI was greater than 30 and who were taking medications that could affect endometrial thickness were excluded. Endometrial thickness was measured one day before evolution (n = 444) and 5-7 days after it (n = 444) using transvaginal ultrasonography. The endometrial thicknesses were correlated to the patients’ history of dilatation and curettage. Data analysis was done through SPSS software version 16 and using descriptive statistics, independent T-test and Anova.\n\nResults: Endometrial thickness in patients who had 0, 1, 2, 3 and 4 D&C were 10.00 +/- 0.58, 9.83 +/- 0.47, 8.90 +/- 0.92, 7.42 +/- 0.18 and 7.40 +/- 0.

In support of this general model of

In support of this general model of Selleckchem Small molecule library translational control of stress response, studies making use of detailed measures of translation, tRNA methyltransferase mutants, and computational and mass spectrometry approaches reveal that stress reprograms tRNA modifications to translationally regulate MoTTs linked to arginine and leucine codons, which helps cells survive insults by damaging agents. These studies highlight how tRNA methyltransferase activities and MoTTs are key components of the cellular stress response. (C) 2014 Federation of European Biochemical Societies. Published

by Elsevier B.V. All rights reserved.”
“Objective: Although deficits in cognitive control are thought to contribute to the diverse cognitive and behavioral abnormalities in individuals with schizophrenia, the neural mechanisms underlying these deficits remain unclear. In this event-related functional magnetic resonance imaging (fMRI) study, the authors tested the hypothesis that during cognitive control

tasks, impaired activation of the dorsolateral prefrontal cortex in schizophrenia patients is associated with disrupted coordinated activity between this prefrontal region and a distributed brain network that supports cognitive control.\n\nMethod: Through the use of an event-related design, LDN-193189 price 25 patients with first-episode schizophrenia and 24 healthy comparison subjects, matched on demographic characteristics, were assessed while performing a version of the AX continuous performance task. Functional neuroimaging data were analyzed using 1) univariate (region-of-interest blood-oxygenlevel-dependent [ BOLD] time series and whole brain voxel-wise regression) analysis to confirm the presence of dorsolateral prefrontal cortex dysfunction and 2) multivariate analysis to examine dorsolateral prefrontal cortex functional connectivity. In addition, correlations between dorsolateral Barasertib mw prefrontal cortex functional connectivity and the following variables were investigated: clinical symptoms, task performance, and coordinated brain activity associated with cognitive control.\n\nResults:

Schizophrenia patients exhibited a specific deficit in cognitive control, with significantly reduced accuracy in the BX condition relative to any other condition. Univariate fMRI revealed dorsolateral prefrontal cortex dysfunction during the high cognitive control condition. Multivariate analysis revealed significant impairment in functional connectivity between the dorsolateral prefrontal cortex and task-relevant brain regions. Significant correlations were also found between dorsolateral prefrontal cortex functional connectivity and cognitive performance, behavioral disorganization, and global functioning.\n\nConclusions: These findings suggest that there is an association between decreased dorsolateral prefrontal cortex activity and connectivity and a task-related neural network.

The aim of this study was to investigate the effect of perifosine

The aim of this study was to investigate the effect of perifosine, a nontoxic AKT inhibitor, as a single agent on NB cell growth in vitro and in vivo.\n\nFour human NB cell lines (AS, NGP, BE2, and KCNR) were treated with increasing concentrations of perifosine, and a quantitative analysis of cell death (apoptosis) was performed by using MTS and caspase-3/7 activity assays. Survival of mice carrying xenograft NB tumors that were treated with perifosine (n = 6-7 mice per group) was compared with that of untreated mice (n = 7 mice per

group) using Kaplan-Meier analysis. Tumor volumes were calculated to determine the effect of perifosine on NB tumor growth. Phosphorylation of AKT and expression of cleaved caspase-3 were measured in proteins from the tumors. selleck kinase inhibitor All statistical tests were two-sided.\n\nPerifosine, at PP2 nmr 30 mu M concentration, decreased AKT phosphorylation and increased apoptosis in all four NB cell lines in vitro. Perifosine-treated mice bearing xenograft NB tumors had longer survival than untreated mice (untreated vs treated, median survival: AS, 13 days, 95% confidence interval [CI] = 11 to 16 days vs not reached, P = .003; NGP, 22 days, 95% CI = 20 to

26 days vs not reached, P = .013; BE2, 24 days, 95% CI = 21 to 27 days vs not reached, P < .001; and KCNR, 18 days, 95% CI = 18 to 21 days vs not reached, P < .001). Perifosine treatment induced regression in AS tumors, growth inhibition in BE2 tumors, and slower growth in NGP and KCNR tumors. Inhibition of AKT phosphorylation and induction of caspase-dependent apoptosis were noted in tumors of perifosine-treated mice in all four in vivo NB tumor models.\n\nPerifosine inhibited the activation of AKT and was an effective cytotoxic agent in NB cells in vitro and in vivo. Our study supports the future clinical evaluation of perifosine for the treatment of NB tumors.”
“Stability of emulsions formulated with 10 wt.% oil (concentrated fish oil, CFO, sunflower

oil, SFO, or olive oil, OO), sodium caseinate Duvelisib concentrations varying from 0.5 to 5 wt.%, giving oil-to-protein ratios of 20-2, and 0, 20, 30 or 40 wt.% aqueous trehalose solution was studied by Turbiscan. Particle size distribution, microstructure, and small angle X-ray scattering (SAXS) patterns were also obtained. The main mechanism of destabilization in a given formulation strongly depended on oil-to-protein ratio. As evidenced by the BS-profile changes with time, emulsions formulated with 0.5 and 1 wt.% NaCas destabilized mainly by creaming while for the 2 wt.% NaCas concentration, both creaming and flocculation mechanisms, were involved. The main destabilization mechanism for the 3, 4 or 5 wt.% NaCas emulsions was flocculation. Stability of emulsions was also affected by the content of trehalose in the aqueous phase. Trehalose diminished the volume-weighted mean diameter (D(4.3)) and greatly improved stability. (C) 2010 Elsevier Ltd.

75; 95% CI, 2 56-23 48; P smaller than 0 001) Past exposure to h

75; 95% CI, 2.56-23.48; P smaller than 0.001). Past exposure to hepatitis B did not correlate with a significant increase in overall or liver-related mortality in chronic hepatitis C or nonalcoholic fatty liver disease cohorts.Conclusion:Past exposure to hepatitis B is associated with significant increase in overall mortality among individuals

with ALD and those without CLD.”
“In order to enhance optical absorption, light trapping by multiple scattering is commonly achieved in dye sensitized solar cells by adding particles of a different sort. Herein we propose a theoretical method to find the structural parameters (particle number density and size) that optimize the conversion efficiency of electrodes of different thicknesses containing spherical inclusions of diverse composition. Our work provides GSI-IX in vivo a theoretical framework in which the response of solar cells containing diffuse scattering particles Selleck PP2 can be rationalized. Optical simulations are performed by combining a Monte Carlo approach with Mie theory, in which the angular distribution of scattered tight is accounted for. Several types of scattering centers, such

as anatase, gold and silver particles, as well as cavities, are considered and their effect compared. Estimates of photovoltaic performance, insight into the physical mechanisms responsible for the observed enhancements, and guidelines to improve the cell design are provided. We discuss the results BTSA1 in terms of light transport in weakly disordered optical media and find that the observed variations between the optimum scattering configurations attained for different electrode thicknesses can be understood as the result

of the randomization of the light propagation direction at different depths within the active layer. A primary conclusion of our study is that photovoltaic performance is optimised when the scattering properties of the film are adjusted so that the distance over which incident photons are randomized is comparable to the thickness of the film. This simple relationship could also be used as a design rule to attain the optimum optical design in other photovoltaic materials.”
“Abolhassani M, Guais A, Chaumet-Riffaud P, Sasco AJ, Schwartz L. Carbon dioxide inhalation causes pulmonary inflammation. Am J Physiol Lung Cell Mol Physiol 296: L657-L665, 2009. First published January 9, 2009; doi:10.1152/ajplung.90460.2008.-The aim of this study was to assess whether one of the most common poisons of cellular respiration, i.e., carbon dioxide, is proinflammatory. CO(2) is naturally present in the atmosphere at the level of 0.038% and involved in numerous cellular biochemical reactions. We analyzed in vitro the inflammation response induced by exposure to CO(2) for 48 h (0-20% with a constant O(2) concentration of 21%). In vivo mice were submitted to increasing concentrations of CO(2) (0, 5, 10, and 15% with a constant O(2) concentration of 21%) for 1 h.


“Aims and objectives To explore students’ attitude towards


“Aims and objectives To explore students’ attitude towards problem-based learning, creativity and critical thinking, and the relevance to nursing education and clinical practice.\n\nBackground

Critical thinking and creativity are crucial in nursing education. The teaching approach of problem-based learning can help to reduce the difficulties of nurturing problem-solving skills. However, there is little in the literature on how to improve the effectiveness of a problem-based learning lesson by designing appropriate and innovative activities such as composing songs, writing poems and using role plays.\n\nDesign check details Exploratory qualitative study.\n\nMethods A sample of 100 students participated in seven semi-structured focus groups, GW3965 in vivo of which two were innovative groups and five were standard groups, adopting three activities in problem-based learning, namely composing songs, writing poems and performing role plays. The data were analysed using thematic analysis.\n\nResults There are three themes extracted from the conversations: students’ perceptions of problem-based learning’, students’ perceptions of creative thinking’ and students’ perceptions of critical thinking’. Participants generally agreed that critical thinking is more important

than creativity in problem-based learning and clinical practice. Participants in the innovative www.selleckchem.com/products/jq1.html groups perceived a significantly closer relationship between critical thinking and nursing care, and between creativity and nursing care than the standard groups.\n\nConclusions Both standard and innovative groups agreed that problem-based learning could significantly increase their critical thinking and problem-solving skills. Further, by composing songs, writing poems and using role plays, the innovative groups had significantly increased their awareness of the relationship among critical thinking, creativity and nursing care.\n\nRelevance to clinical practiceNursing educators should include more types of creative activities than it often does in conventional

problem-based learning classes. The results could help nurse educators design an appropriate curriculum for preparing professional and ethical nurses for future clinical practice.”
“We have investigated the crystallization of a monatomic simple liquid in equilibrium, where the constituents interact through the Lennard-Jones-Gauss (LJG) potential. By incorporating a perturbation expansion into a density functional approach, we obtain a phase diagram covering a wide range of the parameter space. The phase diagram agrees qualitatively with that obtained by molecular dynamics (MD) simulations. The MD simulations show that the system cannot be crystallized, even if the temperature is sufficiently low, in a certain region of the parameter space.

0; P smaller than 0 001) among monozygotic twins but not dizygoti

0; P smaller than 0.001) among monozygotic twins but not dizygotic twins (R=0.40; P=0.055). Lp(a) and OxPL-apoB shared genetic codetermination (genetic covariance, G=0.774 +/- 0.032; P=1.09×10(-38)), although not environmental determination (environmental covariance, E=0.081 +/- 0.15; P=0.15). In contrast, Lp(a) shared environmental but not genetic codetermination with autoantibodies to malondialdehyde-modified low-density lipoprotein and copper oxidized low-density lipoprotein, and apoB-immune complexes. Sib-pair genetic linkage of the Lp(a) trait revealed that single nucleotide polymorphism rs10455872 was significantly associated with OxPL-apoB

after adjusting for Lp(a). Conclusions this website OxPL-apoB and other biomarkers of oxidized lipoproteins are highly heritable cardiovascular risk factors that suggest novel genetic origins of atherothrombosis.”
“Some animals have the ability to modulate their stress response depending on the type and duration of the stressor. Modulations can initiate behavioral changes that increase fitness during the stressful period. The goal of this study was to determine if Atlantic sharpnose sharks, Rhizoprionodon terraenovae, exhibit seasonal modulations in their secondary stress parameters. Mature, male Atlantic sharpnose sharks were acutely stressed and serially sampled for one-hour, during

spring, summer, and fall. An elevated stress response was observed for plasma glucose, lactate and osmolality during summer compared to spring and fall. Glucose also exhibited elevated initial concentrations, followed AZD5363 chemical structure by a linear response during summer; varying from the asymptotic response during spring

and fall. Hematocrit did not show differences over time or season; however, the power of the analysis was low due to the small sample size. When an additional 120 samples were included in the analysis, significantly higher initial hematocrit values were found during summer. Based on these results we suggest that summer is a demanding time for Atlantic sharpnose sharks. Published by Elsevier Inc.”
“Advanced mathematical models have the potential to capture the complex metabolic and physiological processes that result in energy expenditure (EE). Study objective is to apply quantile regression click here (QR) to predict EE and determine quantile-dependent variation in covariate effects in nonobese and obese children. First, QR models will be developed to predict minute-by-minute awake EE at different quantile levels based on heart rate (HR) and physical activity (PA) accelerometry counts, and child characteristics of age, sex, weight, and height. Second, the QR models will be used to evaluate the covariate effects of weight, PA, and HR across the conditional EE distribution. QR and ordinary least squares (OLS) regressions are estimated in 109 children, aged 5-18 yr. QR modeling of EE outperformed OLS regression for both nonobese and obese populations.

The same order of magnitude is observed for SOBP Conclusions We

The same order of magnitude is observed for SOBP. Conclusions. We conclude that for ions with small total range (z(w-eq) <= 3 cm) dosimetry without applying FCF could in principle be performed in phantoms of materials other than water without a significant loss of accuracy. However, in clinical high-energy ion beams with penetration depths z(w-eq) >= 3 cm, where accurate positioning in water is not an issue, absorbed dose measurements should be directly performed in water or accurate values of FCF need to be established.”
“Autosomal

PF-03084014 dominant hypercholesterolaemia is genetically heterogeneous, but most commonly (similar to 93%) caused by mutations in low-density lipoprotein receptor (LDLR), where the disease is known as familial hypercholesterolaemia (FH), or apolipoprotein B-100 (APOB) (similar to 5.5%), where the disease is known as familial defective APOB (FOB), while in similar to 2% of patients the mutation is in the proprotein convertase subtilisin/kexin type 9 gene. Homozygous FH having inheritance of two LDLR mutations is a rare but recognized syndrome associated with an extreme hypercholesterolaemia and early-onset coronary

artery disease. We present a 15-year-old girl with untreated total cholesterol levels of 8.8 mmol/L who was heterozygous for both the LDLR p.Leu479Pro and APOB p.Arg3527Gln mutation. Cascade testing confirmed the paternal origin of the LDLR mutation and revealed a maternal diagnosis of FDB. This case provides GSK1120212 mouse further evidence that the combined effect of an LDLR and an APOB mutation give rise to a phenotype more severe than either mutation alone and is more severe than homozygous FDB, but less severe than homozygous FH. It also highlights the need to consider the presence of additional mutations in families where relatives have varying phenotypes.”
“Ankyloblepharon, ectodermal defects, cleft lip/palate (AEC) syndrome is a rare

autosomal dominant disorder caused by mutations in the p63 gene, essential for embryonic development of stratified epithelia. The most severe cutaneous manifestation of this disorder is the long-lasting skin fragility associated with severe skin IPI-145 concentration erosions after birth. Using a knock-in mouse model for AEC syndrome, we found that skin fragility was associated with microscopic blistering between the basal and suprabasal compartments of the epidermis and reduced desmosomal contacts. Expression of desmosomal cadherins and desmoplakin was strongly reduced in AEC mutant keratinocytes and in newborn epidermis. A similar impairment in desmosome gene expression was observed in human keratinocytes isolated from AEC patients, in p63-depleted keratinocytes and in p63 null embryonic skin, indicating that p63 mutations causative of AEC syndrome have a dominant-negative effect on the wild-type p63 protein.

Results: The postoperative decrease of AT III and the platele

\n\nResults: The postoperative decrease of AT III and the platelet count on admission to the intensive care unit (ICU) and 3 hours later were significantly less in group I. The leukocyte count and the values of CRP, PT, APTT, and PT-INR did not differ significantly

between the groups. The duration of mechanical ventilation after surgery tended to be shorter in group I.\n\nConclusions: Sivelestat significantly reduced the postoperative decreases in AT III and platelet count in patients undergoing emergency surgery for AAD.”
“Purpose: Although epinephrine is one of the most commonly used vasoconstrictor in association with local anesthesia in dentistry, systemic effects of topical admission of epinephrine for sinus augmentation have not been investigated yet. The purpose of this study was to reveal PFTα mouse the safety of epinephrine as a topical vasoconstrictor in sinus augmentation procedures.\n\nPatients and Methods: Forty-three healthy patients who require sinus floor augmentation for dental implant placement were included in this study. Patients were divided into 2 groups according to the application of either epinephrine-soaked Z-IETD-FMK mouse cottonoid or saline-soaked cottonoid for sinus

floor augmentation, and heart rate, systolic, and diastolic pressures were evaluated and compared before, during, and after the procedure.\n\nResults: Although there were changes in heart rate, systolic, and diastolic blood pressures, no statistical significance was observed for neither heart rate nor systolic and diastolic blood pressures (P > 0.05).\n\nConclusions: This study showed that the topical use of 1/100,000 epinephrine ensures efficacy by helping the clinician to elevate the sinus membrane and keeps the changes in systemic hemodynamics within safe limitations.”
“Multilayer films consisting of bovine submaxillary

mucin (BSM) and poly(allylamine hydrochloride) (PAH) were prepared on various substrates using layer-by-layer assembly. The effects of both the assembly pH and ionic strength on multilayer characteristics were investigated Sotrastaurin research buy by assessing film thicknesses (10-80 nm), surface wetting characteristics, and cell repulsion. Also, the dynamic assembly behavior was monitored using quartz crystal microbalance with dissipation monitoring (QCM-D) to further understand the effect of assembly pH on film characteristics. Assembly studies revealed that substantial amounts of BSM adhere to the outermost surface only at low pH conditions. The resulting multilayer films assembled at low pH conditions were found to exhibit hydrophilic and cell repellent behavior. In addition, it was found that batch-to-batch variations of the biopolymer BSM could dramatically alter properties.

These findings open up a raft of new opportunities

for th

These findings open up a raft of new opportunities

for the development and application of aptamer-based functional thin films.”
“Aqueous extract of Bambusa vulgaris L. leaves at 250 and 500 mg/kg body weight was investigated for toxic effects in pregnant rabbits. Apparently healthy, female rabbits (Dutch) weighing between 1.62 and 1.70 kg as previously used in our abortifacient study were paired overnight with male rabbits in ratio 2: 1 and those that became pregnant were completely randomized into three groups (A-C). Group A (the control), received orally 1.85 mL/kg body weight (3 mL) of distilled water thrice daily on days 1-9 of pregnancy while groups B and Transmembrane Transporters inhibitor C were treated orally with the same volume corresponding to 250 and 500 mg/kg body weight of the extract. Clinical signs of toxicity were not observed

in all the animals during the study. The extract did not significantly alter (p > .05) the serum follicle stimulating hormone and total protein content of the pregnant rabbits throughout the exposure period whereas, the concentrations of luteinizing hormone, progesterone, albumin, globulin, urea and calcium decreased in the serum of the rabbits. At 250 mg/kg body weight, the extract increased kidney alkaline phosphatase (ALP) activity whereas at 500 mg/kg body weight of the extract, the ALP level was similar to the control group. Liver ALP at all doses, as well as the activity of gamma glutamyl transferase (GGT) at 500 mg/kg selleck kinase inhibitor GSK1838705A research buy body weight was reduced. This reduction was accompanied by an increase in serum ALP and GGT at these doses. At 250 mg/kg, the extract increased kidney GGT. Conversely, at 500 mg/kg, kidney GGT activity decreased. Liver and serum GGT were not altered by the 250 mg/kg. The extract also increased the serum levels of creatinine, uric acid, sodium, potassium and bicarbonate ions as well as total and conjugated bilirubin. In the hepatocytes of extract-treated animals, there was no evidence

of necrosis, inflammation, fibrosis and degenerative changes in the central vein and radiating hepatic cords, while the glomerulus and the tubules of the nephrons also remained intact. The alterations in biochemical parameters by the aqueous extract of B. vulgaris leaves suggests adverse effect on the synthetic, secretory, reabsorptive and excretory functions of liver and kidney of the animals. Therefore, the absence of histopathological lesions in the hepatocytes and nephrons implies that histopathological changes are not a sensitive assay for the assessment of tissue damage by the extract.”
“Extracellular matrix (ECM) modulates differentiation of pancreatic beta-cells during development.


“Soda-anthraquinone kenaf bast pulp (12 5 kappa number and


“Soda-anthraquinone kenaf bast pulp (12.5 kappa number and 32% ISO brightness) has been bleached with multi stage peroxide bleaching process.

Bleaching process was carried out in different sequences of peroxide stage without and with activator (tetraacetylethylenediamine, TAED) to about YM155 mouse 80% ISO brightness. Full bleached pulp production with high brightness and viscosity and also, low chemical oxygen demand (COD) and no adsorbable organic halogens (AOX) in effluent are the aims of this study. The effects of temperature, retention time, chemical charges, TAED/peroxide ratio and alkalinity have been studied in order to maximize the brightness gain at the lowest viscosity loss. H2O2 was activated as bleaching agent under milder conditions, such as low alkalinity or low temperature, by TAED activator. Therefore, TAED charge

caused to an improvement in viscosity, pulp yield and effluent COD load. Pre-treatment with EDTA for 30 min and in acidic condition gave 2-4% gain in ISO brightness. (C) 2012 Elsevier Ltd. All rights reserved.”
“Background & Aims:Toll-like receptors (TLRs) are critical to innate immune responses. TLR4 recognises Gram-negative bacteria, whilst TLR2 recognises Gram-positive. We examined TLR expression and function in cirrhosis, and whether this is affected by antibiotic therapy.\n\nMethods: Sixty-four subjects were included (23 controls and 41 Child-Pugh C cirrhotic patients). Thirty patients were taking check details norfloxacin or trimethoprim-sulfamethoxazole as prophylaxis

against bacterial peritonitis and 11 were not. In a second study, 8 patients were examined before and after commencement of antibiotics. Monocyte expression of TLR2 and 4 was determined by How cytometry. Monocytes from the patients with paired samples were stimulated using TLR ligands and TNF-alpha production measured.\n\nResults: Patients not taking antibiotics had significantly decreased TLR4 expression compared with controls (0.74 vs. 1.0, p = 0.009) https://www.selleckchem.com/products/ABT-263.html and patients receiving antibiotics (0.74 vs. 0.98, p = 0.02). There were no differences with regard to TLR2. In the patients with paired samples, TLR4 expression increased (0.74-1.49, p = 0.002) following antibiotic use, whilst again, there was no change in TLR2 expression (0.99 vs. 0.92, p = 0.20). TLR4-dependent TNF-alpha production increased following antibiotic use (1077 vs. 3620 pg/mL, p < 0.05), whilst TLR2-dependent production was unchanged.\n\nConclusions: TLR4 expression is decreased in patients with Child-Pugh C cirrhosis, but is restored by antibiotics targeting enteric Gram-negative bacteria. TLR4-dependent cytokine production also increases significantly following antibiotic therapy.