Countries that should improve their data collection and reporting

Countries that should improve their data collection and reporting systems are mainly found in Africa, Asia and among the island states in Oceania and the Caribbean (Table 1). The quality of the statistics included in the FAO capture databases learn more is mostly dependent upon the accuracy and reliability of the data collected

and provided by countries. When analyzing aggregated or global trends, the number of countries, the size of FAO fishing areas and the extended species coverage included in the database often play a buffer effect. Despite significant annual variations by country, fishing area and species, recent global total catch trend has been quite stable in the last four years (2006–2009) for which statistics are available at the time of writing, ranging between 88.9 and 90.1 million tonnes. On the other hand, in some cases disaggregated data series may be biased or disrupted due to a range of reasons: • erroneous reporting: magnitudes of reported catches may be erroneous due to shortcomings in the data collection system, wrong procedures applied in raising sample data, 20 or for political reasons, e.g. countries with a centrally planned economy which report continuously growing catches to match targets

set in yearly or multi-year national plans; As already noted in Section 3.2.1, trends in the data series also reflect political

and natural events that greatly impacted the fishery sector in a country. For example, striking decreases of capture production in the 1960s for the Democratic Republic BMS 354825 of the Congo and in 1996 for Burundi and Rwanda were due to political crises and civil wars, while the drop of Spanish catches in the Southeast Atlantic was a consequence of the Namibian independence. buy Rucaparib Hurricane Katrina struck the US Gulf Coast at the end of August 2005 and, although the Western Central Atlantic fishing area covers the US coast from North Carolina to the Mexican border, total catches by the United States in that year decreased by almost 20% in comparison to the previous year. Serious catch reductions are also expected as a consequence of the April 2010 oil spill in the Gulf of Mexico and the March 2011 tsunami in Japan. Unexpectedly, other natural disasters, like the December 2004 tsunami that affected many important Asian fishing countries and the cyclone Nargis that in May 2008 caused the worst natural disaster in the recorded history of Myanmar, did not result in significant catch decreases as it would have been expected due to the magnitude of the devastations. FAO requested clarifications to the most involved countries. Indonesia replied that damages in Banda Aceh due to the tsunami were compensated by increased catches in other regions.

1 μM of each probe, using the following program: 95 °C for 10 min

1 μM of each probe, using the following program: 95 °C for 10 min, followed by 40 cycles of 95 °C for 15 s and 60 °C for 1 min (ABI 7900; Applied Biosystems). Quality was assured by including controls for each genotype, as well as negative controls, in each run, and repeating the genotyping on 5% of the samples. There was a perfect agreement between the original and repeat genotype runs for all three SNPs analyzed. Deviations from Hardy–Weinberg equilibrium were tested using the Chi square (χ2) test. In order to fulfil the criteria for parametric analysis, B-Cd, U-Cd and the biomarkers for renal dysfunction: UNAG, UB2M, www.selleckchem.com/products/Etopophos.html and UALB

were natural log-transformed. Each polymorphism was modeled as a categorical variable (zero, one, or two variant alleles). When the frequency of a variant homozygote genotype was low, this group was pooled with the heterozygotes.

To explore the influence of MT polymorphisms on B-Cd and U-Cd at different BAY 73-4506 datasheet levels of exposure, subjects were analyzed according to level of Cd pollution (high, moderate, and low). Analysis of variance (ANOVA) was employed to analyze, within the different exposure groups, the effects of genotype of each polymorphism on ln(B-Cd) or ln(U-Cd), as the dependent variables. Adjustments were made for other potentially influential variables (age, sex, and smoking). To account for multiplicative effect modification, a multivariate model was used with an interaction term between exposure group and genotype for ln(B-Cd) and ln(U-Cd) (both variables entered as categorical variables). To analyze the influence of MT polymorphisms on the association

between Cd exposure and excretion of low molecular weight proteins, ANOVA was employed to analyze, within the different exposure groups, the effects of genotype of each polymorphism on ln(UNAG), ID-8 ln(UB2M) or ln(UALB) as the dependent variables. Adjustments were made for other potentially influential variables (age, sex, and smoking). We then analyzed multiplicative effect modification in a multivariate model with an interaction term between ln(B-Cd/U-Cd) and genotype with ln(UNAG), or ln(UB2M) as dependent variables. For those analyses that demonstrated a significant interaction between genotype and ln(B-Cd) or ln(U-Cd), the analysis was stratified for genotype to obtain effect measures for different genotypes. Further, the influence of MT SNPs on the risk of having affected kidney function (measured as having UB2M or UNAG concentrations above 95th percentile of UB2M or UNAG concentrations of individuals from the control area (< 80 years)) was analyzed for individuals living in the medium and highly polluted areas. The strength of the associations between genotypes and risk of affected kidney function was estimated as odds ratios with 95% confidence intervals (CIs) by unconditional logistic regression. All statistical analyses were performed using SPSS software (version 15; SPSS, Chicago, IL, USA). Statistical significance refers to p < 0.05.

, 2000 and Varbiro et al , 2001) The paclitaxel-evoked opening o

, 2000 and Varbiro et al., 2001). The paclitaxel-evoked opening of the mPTP in-turn causes the calcium release from the mitochondria (Kidd et al., 2002) and calcium chelating agents reverse paclitaxel-evoked pain (Siau and

Bennett, 2006). Furthermore, acetyl-l-carnitine (naturally occurring amino acid derivative that plays an essential role in transporting Navitoclax in vitro long-chain free fatty acids into mitochondria) prevent mPTP opening (Pastorino et al., 1993), normalizes mitochondrial function and attenuate development of paclitaxel-induced neuropathic pain (Jin et al., 2008). Administration of bortezomib leads to the intracytoplasmic vacuolation in dorsal root ganglia (DRG) satellite cells which is ascribed to mitochondrial and endoplasmic reticulum enlargement (Cavaletti et al., 2007). These changes are related to bortezomib’s ability to induce the activation of the mitochondrial-based check details apoptotic pathway including activation of caspases (Broyl et al., 2010) and dysregulation of calcium homeostasis (Landowski et al., 2005). The inhibitors of mitochondrial electron transport chain (mETC), which mediates electron transport and ATP synthesis, produce antinociception in chemotherapeutic agents induced painful peripheral neuropathy and also attenuate TNF-α induced mechanical hyperalgesia (Joseph and Levine,

2004). Furthermore in the same study, inhibitors of ATP synthesis such as pentachlorophenol (ATP analog and potent uncoupler of mitochondrial phosphorylation) and Ap4A were also shown to attenuate neuropathic pain supporting the critical role of mETC in peripheral

pain mechanisms. Using in vitro model of chemotherapy induced peripheral neuropathy that closely mimic the in vivo condition by exposing primary cultures of DRG sensory neurons to paclitaxel and cisplatin, it has been demonstrated that alpha-lipoic acid exerts neuroprotective effects against chemotherapy induced neurotoxicity in sensory neurons. It rescues the mitochondrial impairment by inducing the expression of frataxin, an essential mitochondrial Glycogen branching enzyme protein with anti-oxidant and chaperone properties ( Melli et al., 2008). Recently, clinical study has demonstrated significant changes in expression of number of gene including that controlling the mitochondrial dysfunction due to vincristine and bortezomib associated peripheral neuropathy ( Broyl et al., 2010). Calcium plays a major role in the pathogenesis of different forms of neuropathic pain including cancer chemotherapeutic drugs-induced pain. Suramin, a synthetic symmetrical polysulfonated naphthylamine derivative, exhibits significant in vivo and in vitro activities against a variety of solid tumor cells including breast cancer and prostate cancer. Sun and Windeback demonstrated the important role of intracellular calcium in mediating suramin-induced cell damage using DRG culture.

A two-year, controlled, double-blind bridging study has been perf

A two-year, controlled, double-blind bridging study has been performed in osteoporotic men. The objective was to study men with a similar risk profile as the postmenopausal women previously included in the pivotal phase 3 trials, therefore the BMD inclusion criterion was below a same absolute BMD threshold value as in the studies in women. In a preliminary communication of the results

at one year (main study analysis), the authors reported that a same dosage of strontium ranelate with calcium and vitamin D supplementation resulted in similar strontium blood levels and a similar significant BMD gain at the spine and hip in osteoporotic men compared with osteoporotic postmenopausal women [97]. Of note, an open-label, prospective, controlled, BMD endpoint 12-month trial in male osteoporosis patients compared strontium ranelate 2 g/day (n = 76) vs. PI3K assay alendronate 70 mg/week, an agent already approved for male osteoporosis. Mean increases selleck in lumbar spine and total hip BMD were greater with strontium ranelate compared with alendronate [98], although the increment in BMD is partly dependent on a treatment-induced artefact. These strontium ranelate data support the increases in BMD observed in the recent core bridging study. Odanacatib inhibits cathepsin-K,

a protease that plays an important part in osteoclast function. A phase III odanacatib trial in men with osteoporosis is ongoing (NCT01120600). In postmenopausal women, the effect of odanacatib on biochemical markers of bone turnover (sCTX, bALP) and on

change in lumbar spine and femoral neck BMD (vs. baseline) was promising at 24 and 36 months [99] and [100]. Femoral neck BMD decreased after odanacatib discontinuation, although it remained above baseline levels [100]. Therapies currently in phase II development include sclerostin inhibitors [101]. Data obtained in sclerostin knock-out (KO) mice have shown that these have high bone mass and normal bone morphology, but with increased trabecular and cortical bone volume. Other than the bone phenotype, no additional biologically significant differences were observed between wild-type and KO mice. Based on micro CT imaging, female KO mice appeared to have increased bone volume compared with males [102]. Anti-sclerostin antibody was also shown to increase markers of bone formation and BMD in healthy men and postmenopausal women PRKACG [103]. The stimulation of spontaneous endogenous PTH secretion, using calcium receptor agonists that tend to reduce serum calcium (calcilytics), has been proposed as an alternative approach to teriparatide administration. Examples of such compounds include ronalcaleret and JTT-305. Ronalcaleret had no effect on BMD, possibly because of a prolonged stimulation of PTH secretion [104]. JTT-305 was tested over three months in 154 postmenopausal osteoporotic women randomised to three groups: placebo (n = 51), 10 mg/day (n = 50) and 20 mg/day (n = 53).

A mechanism that elucidates the time-dependent response of a prop

A mechanism that elucidates the time-dependent response of a propagating storm is critically important in future research, as hurricane winds are notoriously unsteady. In Fig. 19, we also show the vertical profiles of sub-tidal salinity in the lower, middle, and upper Bay as a time sequence. The time t1 is shown as the initial profile, t2 is the onset of strong winds, and t3 is the end of the event. It can be seen that the profile in the lower Bay after Lumacaftor the onset of the wind event is more vertically well-mixed than that in the middle Bay. Hansen and Rattray (1965)

indicated that the exchange flow is inversely proportional to the vertical mixing, and thus gave us a clue as to what to expect for the vertical profile of the sub-tidal velocity. Indeed, the profile in the middle Bay showed

a clear shear flow pattern, with much stronger landward flow at the bottom layer, whereas, in the lower Bay, the velocity profile is generally more oscillatory across the two sides of the initial profile. One of the hallmarks of an estuary’s response to a down-estuary wind is that it can encounter a number selleckchem of regimes, from wind-induced straining to complete turbulent mixing, when the wind changes from moderate to strong. We have two cases to demonstrate this: Fig. 16(e) and Fig. 18(e) show the time series of velocity and salinity in the lower Bay during Hurricane Floyd. Between days 186–188, when there is a moderate down-estuary

wind, it is shown that the sub-tidal velocities vary slightly between landward and seaward and the stratification of salinity increases, an indication of wind-induced straining. However, at the onset of a strong down-estuary wind at day 189.5, the velocity becomes seaward and the salinity drops by almost 10 ppt at the surface Carnitine palmitoyltransferase II and bottom, becoming completely mixed. The regime obviously changes to a turbulent mixed condition. Given a constant wind, this variation of the regime can also occur spatially if the parameter characterizing the mixed layer depth, hs/H, goes above the threshold value of 0.5 (where hs is the mixed layer depth and H is the total depth). In Fig. 19(b), the vertical profile of sub-tidal velocity is shown along with the vertical profile of salinity. The time t0–t2 corresponds to moderate wind, the time t3–t6 corresponds to the strong wind, and time t7 corresponds to the end of the event in the lower, middle, and upper portions of the Bay. The value of hs/H was estimated based on the salinity profile before the onset of the strong wind at time t3. It is obvious that hs/H takes its largest value in the lower Bay, followed by the upper Bay, and that the middle Bay has the smallest value, partly due to the deep basin in this region.

All results from this CRM fell within the acceptable range (8 82–

All results from this CRM fell within the acceptable range (8.82–13.2 μg/L). The results of the prepared QC saliva samples were used to calculate percentage recoveries for the 10 μg/L spiked sample, corrected for the lead level present in the blank, for both the

“Fresh” selleck inhibitor and “Device” QCs. For the “Fresh” QCs, recovery of 107.7% was observed. For the “device” QCs, recovery was 65.9%. Descriptive statistics of the sample cohort are provided in Table 1. The cohort comprised 105 paired blood and saliva samples. All participants were male (this was not an intentional discrimination by the authors, but due to the presence of very few female workers in the industries studied). There were 53 samples provided by smokers and 52 by non-smokers. The age range of participants was 18–65 years, with a mean age of 37 years old and a median Androgen Receptor Antagonist cell line age of 35 years old. Forty of the individuals sampled were categorised as having “no sample history”. History category 1 (Δ = ± 1 μg/dL) included 27 samples; category 2 (Δ = ± 2 μg/dL) included 42 samples; and category 3 (Δ = ±3 μg/dL) included 44 samples. The remaining 21 samples had Δ > ± 3 μg/dL and were

classified as “fluctuating history”. Summary statistics of the lead levels observed in both the blood and in the saliva samples are presented in Table 2. There were no significant differences in blood lead values between the history categories 1–3 (mean: 5.59 μg/dL, 5.40 μg/dL and 5.91 μg/dL respectively; median: all 4.00 μg/dL). Variability was also very similar for the three categories (standard deviation: 4.16 μg/dL, 3.72 μg/dL and 4.32 μg/dL, respectively). However, the blood lead values for the “fluctuating history” category were much higher (mean: 17.62 μg/dL; median: 15.00 μg/dL). Variability was also much greater in this category (standard deviation: 11.31 μg/dL). For the saliva lead values, the selleck kinase inhibitor mean and 75th percentile values are substantially lower for history category 1 than for categories 2 and 3 (mean: 19.8 μg/L, 27.8 μg/L and 29.0 μg/L, respectively; 75th percentile: 23.8 μg/L, 29.1 μg/L and 30.6 μg/L, respectively). The variability is also lower in category

1 than the other two categories (standard deviation: 14.2 μg/L, 31.9 μg/L and 32.2 μg/L respectively). However the median values do not demonstrate any significant difference (15.5 μg/L, 15.7 μg/L and 15.9 μg/L, respectively). Similarly to the results in blood, the salivary lead values for the “fluctuating history” category were much higher (mean: 66.2 μg/L; median 48.8 μg/L). Variability was also much higher (standard deviation: 66.3 μg/L) than for categories 1, 2 or 3. There were no substantial differences in the blood lead values between smokers and non-smokers. For the saliva lead values, the mean and 75th percentile values were higher (not statistically significant) in smokers than non-smokers (mean: 43.5 μg/L and 36.

In the hypothalamus binding was localized to the

PVN and

In the hypothalamus binding was localized to the

PVN and SON (Fig. 4A). No binding of other structures throughout the brain was observed. High densities of APJ were present in the anterior lobe of the pituitary with moderate levels of binding sites seen in the posterior lobe. Little to no binding above background levels was seen in the intermediate lobe (Fig. 4B). [125I]-(Pyr1)apelin-13 binding was also seen in the adrenal cortex with the highest receptor densities seen in the zona glomerulosa and no APJ binding sites were found in the medulla (Fig. 4C). No binding was detected in the adrenal gland in the presence of unlabeled ligand (inset Fig. 4C). In the kidney the most KU-57788 nmr dense localization of [125I]-(Pyr1)apelin-13 binding sites was found in the outer medulla with patches of binding found in the cortex (Fig. 5A). The lung showed uniform binding to the parenchyma with no binding sites detected in connective tissue or blood vessels (Fig. 5B). High densities of APJ binding sites were localized to the mucosal layer of the pyloric region of the stomach (Fig. 5C) as well as in the mucosa and villi of the ileum (Fig. 5D). The density of APJ binding sites

in the heart was uniform throughout the myocardium (Fig. 5E). No specific binding was detected in the presence of unlabeled ligand (Fig. 5E, inset) not in the heart of APJ KO mice (Fig. 5F). In the uterus very high levels of binding were present in the endometrium but totally absent from the myometrium (Fig. 6A). The ovary displayed strong binding in the theca cells of follicles and in corpus lutea (Fig. 6B) while no binding occurred in the presence of unlabeled (Pyr1)apelin-13 CX-5461 manufacturer (Fig. 6B, inset), Specific labeling of (Pyr1)apelin-13 binding sites was absent in the APJ KO ovary (Fig. 6C). Previous studies mapping APJ distribution have focused primarily on APJ mRNA expression in rat brain and peripheral tissues and few studies have investigated the distribution of APJ protein in any species. The present study provides the first detailed

characterization of APJ mRNA and I125[Pyr1]apelin-13 binding check details site distribution in the mouse. We have found that APJ mRNA and I125[Pyr1]apelin-13 binding site localization appear to be unaffected by gender and that there is a clear correlation between the expression of APJ mRNA and I125[Pyr1]apelin-13 binding. A summary of our findings is shown in Table 1. We report a restricted localization of both APJ mRNA and I125[Pyr1]apelin-13 binding sites in the mouse CNS, with discernable levels found only in the hypothalamic PVN and SON. While we cannot discount that the level of APJ in additional regions of the mouse CNS is too low to allow detection by the techniques used in our study, comparable studies in rats have revealed high levels of APJ mRNA in the cerebroventricular system, hypothalamus, the pineal gland, olfactory bulb and hippocampus [9], [17] and [34], suggesting a species difference in central APJ distribution.

C Schloot J L Sullivan R Sultana C Sylvén L S Szczepaniak P

C. Schloot J.L. Sullivan R. Sultana C. Sylvén L.S. Szczepaniak P.J. Talmud T. Tamayo N. Tapola P.S. Tappia L. Tarassenko G. Targher A. Tavani E. Teijeira-fernandez Grzegorz W Telega C.A. Thomson P.J. Thornalley E. Tikkanen F.J Tinahones V. Torri J. Tovar H. Toyoshima E.A. Trautwein M. Trenell V. Trischitta M. Trombetta T. Tsutamoto A. Tufano J. Tuomilehto M.E. Tushuizen R. Uauy P. Uber T. Unger P. Valensi S. Valtuena R.M. Van dam

F.J.M. Van der meer A. .PJ. Van dijk L.F. Van gaal R.E. Van pelt W. A. Van staveren F. Van’t hooft T. Vasankari J. Vassy M. Velten M. Venables J. Vendrell Olaparib in vitro C. Ventura R. Ventura-Clapier P. Verdecchia R. Vettor G. Vicente-Rodríguez R. Vigneri R. Villegas K.R. Vincent F. Violi F. Virgili F. Visioli M.N. selleck chemicals llc Vissers J-L. Volatier

C. Voulgari K. Wachtell T.A. Wadden K. Walker V. Wallenius YX. Wang M. Ward J. Warnberg P.J.M. Weijs A. Weimann S. Wein J.C K. Wells F.K. Welty A. Wende I. Wilcox S.S. Wing T.M.S. Wolever A. Wolk J. Yang T. Yates W.Y. Yau H-C. Yeh M. Yoshinaga C-M. Yu A. Zambon M. Zamboni P. Zammit A. Zampelas I. Zavaroni M. Zeyda Y. Zhang W. Zhang H. Zhang F. Zheng K. Zhou E. Zimmermann G. Zoppini “
“Drugs of the fibrate class, such as fenofibrate, are potent activators of Peroxisome Proliferator Activated Receptor α (PPARα) [1]. These lipid-lowering drugs effectively reduce triglyceride, moderately reduce low density lipoprotein (LDL) cholesterol, and elevate high density lipoprotein (HDL) cholesterol [2]. Furthermore, fibrates may exert anti-inflammatory effects and improve vascular function [3]. Therefore, targeting PPARα can be an effective way to improve features belonging to the metabolic syndrome and to reduce cardiovascular risk. As PPARs can be seen as lipid

sensors, dietary n-3 fatty acids deserve attention in this respect. Especially the marine n-3 long chain polyunsaturated fatty acids (n-3 LCPUFA) eicosapentaenoic Chlormezanone acid (EPA) and docosahexaenoic acid (DHA) preferentially bind to and activate PPARα [1]. However, these n-3 LCPUFA can also activate PPARγ and PPARδ, two other PPAR isoforms [1]. As fibrates, dietary n-3 LCPUFA have potent hypotriglyceridemic effects and can increase HDL cholesterol [4]. Furthermore, the suggested beneficial effects on inflammation and endothelial function may further contribute to a reduction in cardiovascular risk. Stalenhoef et al. have compared in hypertriglyceridemic subjects gemfibrozil with n-3 LCPUFA and showed that both treatments had favorable effects on serum lipid concentrations and lipoprotein particle heterogeneity [5]. However, in that study markers reflecting low-grade systemic inflammation and endothelial function were not examined.

27 and 28 Table 2 lists the published studies comparing pancoloni

27 and 28 Table 2 lists the published studies comparing pancolonic CE with WLE for detection of dysplasia in colonic IBD. A meta-analysis of the available CYC202 data in 201132 and an updated one in 201333 that included 6 studies with 665 patients confirmed the superiority of CE with targeted biopsy to standard WLE with random biopsy. A 6% increase in the yield of dysplasia was noted in the most recent analysis, leading to a number needed

to treat of 16 to detect an additional patient with dysplasia if using CE with targeted biopsy. Compared with white light, the use of CE added almost 11 minutes to the total procedure time, which also included the time spent on random biopsies. Improvements in detection and visualization of dysplasia in patients with IBD have led to an increase in their local endoscopic resection, without the need for colectomy,34

all emphasizing the importance of careful and complete surveillance colonoscopies in these high-risk patients. Although CE is increasingly recommended for this purpose,35 and 36 it has yet to be widely adopted as standard of care in clinical practice. Some of the reasons for this may be because CE is perceived as time consuming and often messy. These and perhaps additional factors like differences in application technique (spray catheter vs foot pump), dye contact time, operator experience, and interpretation of staining are the Anti-infection Compound Library important training ingredients to broadly implement CE into routine clinical practice. Picco and colleagues31 have shown excellent interobserver agreement among nonexpert endoscopists in the detection and interpretation of lesions detected by CE and the suggested steps toward training a unit to implement CE. CE with indigo carmine or methylene blue has been well demonstrated and is now incorporated

into surveillance guidelines.21 However, the perceived increased effort, skill, time, and cost of CE have motivated studies on electronic-based image-enhanced endoscopy or dyeless virtual CE. Three different systems are commercially available: Narrow Band imaging (NBI, Olympus, Tokyo, Japan), Fujinon Intelligent Color Enhancement (FICE, Fujifilm, Tokyo, Japan), and i-scan (Pentax, Tokyo, Japan). The basic principle of all these enhancement techniques is to filter the classical white light images to enhance Lck superficial structural and vascular changes in the mucosa. In case of NBI, an optical filter is placed in front of the excitation white light source to narrow the wavelength to 30-nm bandwidths in the blue (415 nm) and green (540 nm) regions of the spectrum. Superficial mucosal structures (pit patterns) and microvasculature are enhanced using a narrow band light because it has more shallow tissue penetration and is mostly absorbed by hemoglobin in the vessels. In contrast to NBI, the FICE and i-scan techniques do not use a physical filter but a postprocessing spectrum analysis software to enhance the image features and characteristics.

Papers of particular interest, published within the period of rev

Papers of particular interest, published within the period of review, have been highlighted as: • of special interest “
“Current Opinion in Genetics & Development 2014, 26:131–140 This review comes from a themed issue on Molecular and genetic bases of disease Edited by Cynthia T McMurray and Jan Vijg For a complete overview see the Issue and the Editorial Available online 1st October 2014 http://dx.doi.org/10.1016/j.gde.2014.07.003 Selleck Alectinib 0959-437/Published by Elsevier Ltd. This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/). Trinucleotide expansion is the underlying basis for disease toxicity in a number of severe hereditary diseases

[1, 2•• and 3••], and occurs both in the germ line and in somatic tissues with age. The general steps of expansion in simple terms are three: structure formation, heteroduplex resolution, and gap filling synthesis (Figure 1b). Over the past years, many reviews (including our own) have focused on the first step: how heteroduplex Smad cancer DNA structures form [1, 4••,

5•• and 6••] (Figure 1c). Indeed, all data are consistent with a model in which heteroduplex structures are the basis for expansion, which arises broadly from classes of de novo excision repair, replication errors, and replication arrest and restart [ 1, 4••, 5•• and 6••]. All of these mechanisms invoke their own machinery to carry out heteroduplex resolution, and distinct polymerases to complete gap-filling synthesis ( Table 1). DNA expansion itself appears to be independent of position of the repeat tract, other than that it must reside in or around genes to cause observable abnormalities ( Figure 1). But how do expansions begin? Here, we will consider one of the oldest questions and most puzzling feature of expansion: its length threshold. What is an expansion threshold? Expansion observed in all TNR diseases requires a pre-existing long tract of TNRs units before there is a significant probability of instability (Figure 1a). Normal allele

lengths are stable, and there is no ‘jumping’ from a normal to a disease tract length [7 and 8] (Figure 1a). Only when an allele is of critical copy number (the threshold) does expansion become probable within the lifetime of a human, and modulate a transition from pre-mutation to full-mutation Loperamide length TNR tract [7, 8, 9 and 10]. The fact that expansion becomes probable only after a threshold length is reached suggests that expansion is strongly DNA-dependent, but why does tract length matter? In this review, we discuss three major models that provide possible explanations for a length threshold in light of recent findings: firstly length-dependent reannealing of DNA or DNA–RNA hybrids, secondly coding for a minimum length of RNA and protein sufficient to induce toxicity, and finally metabolism. These mechanisms are not mutually exclusive, but some are more likely than others.