Asymmetric Activation Research Articles

8563 Pheochromocytoma Screening In A Patient With Neurofibromatosis Type I And Medication-Resistant Hypertension

Abstract Disclosure: E. Mora: None. A. Bolduc, MD: None. G. Elshimy: None. Title: Pheochromocytoma Screening in a Patient With Neurofibromatosis Type I and Medication-Resistant Hypertension Background: Patients with neurofibromatosis type I (NF1) have a higher risk of pheochromocytoma and it may be missed if no screening done, thus placing the patient at risk of stroke and/or myocardial infarction. The prevalence of pheochromocytoma in patients with NF1 is 2.9% according to a retrospective cohort study by Gruber et al. We present a case of biochemically silent pheochromocytoma in a patient with NF1 and resistant hypertension Clinical case: A 74-year woman with NF1 presented with episodic headaches and labile systolic blood pressure (BP) in the 170-200s mm Hg on three different antihypertensives consistent with pheochromocytoma. Initial tests for renal artery stenosis and pheochromocytoma showed normal plasma MN (0.43 nmol/L, n< 0.50 nmol/L) and NM (0.86 nmol/L, n< 0.90 nmol/L), and normal flow in both renal hila by color Doppler and no large suprarenal masses identified on retroperitoneal US. Duplex imaging of the bilateral kidneys showed no evidence of renal artery stenosis. CT of abdomen/pelvis with and without IV contrast showed a 1.6 cm nodule on Right (RT) adrenal gland that measured 36 HU on unenhanced phase with an absolute washout of 67%. No discrete nodule in Lt adrenal gland. Dotatate PET/CT revealed a Rt adrenal nodule with elevated asymmetric activity (measured 28.1 standardized uptake values (SUV), n for liver: max 12.3, spleen: max 23.5) relative to the normal physiologic activity of the Leftt adrenal gland, which is concerning for pheochromocytoma. The patient was then referred to our endocrine clinic for further evaluation 6 months after the initial presentation. Labs showed normal aldosterone (5.8 ng/dL, n≤39.2 ng/dL), cortisol (7.66 mcg/dL, n: 3.09-22.40 mcg/dL), ACTH (20 pg/mL, n: 7.2-63 (AM collection), and DHEA-S (28 mcg/dL, n:5.3-124 mcg/dL). Normal repeat plasma MN (0.38 nmol/L, n< 0.50 nmol/L) and NM (0.46 nmol/L, n< 0.90 nmol/L). Repeat CT adrenal washout redemonstrated 1.4 cm Rt adrenal nodule that measured 39 HU on non- contrast image with an absolute washout of 68%. Patient will have a surgical resection of the Rt adrenal biochemically silent pheochromocytoma next week and she has been receiving an alpha-blocker prior to surgery to decrease risk for labile BP. Discussion and Conclusion: This case illustrates how CT and DOtatate scan findings can alert providers to the presence of a pheochromocytoma, even in biochemically negative patients. We recommend pheochromocytoma screening in all patients with NF1 to prevent delayed diagnosis and complications of untreated pheochromocytoma. Presentation: 6/1/2024

Undervalued role of Metal-Carbon junction in selective generation of H2O2: An example of the Zinc-Carbon junction edge Providing asymmetric active sites for Efficient oxygen reduction

The spontaneous oxygen reduction is a potential technology for in-situ H2O2 production, which gets rid of the dependence on electricity and solar energy. Previous some metal–carbon compounds reported are feasible to trigger oxygen reduction. These reports always claim the high H2O2 generation ability of metal–carbon composites, while rarely discuss the contribution of carbon and the carbon–metal junction to the oxygen reduction process. Inspired by the dual active sites, we infer that the role of interfacial carbon in metal–carbon composites is underestimated. By a heat treatment of the co-precipitate of zinc and glucose, the Zn-C junction is constructed in Zn-gc to achieve a spontaneous selective reduction of O2 to H2O2. The Zn-C interface edge is active site, where an asymmetric activation is achieved by bonding two O atoms from O2 to C and Zn, respectively. The Zn traction to one of the O atoms is mainly in xy plane, while the C traction to the other O atom is parallel to z-axis. The yield of H2O2 produced per gram of Zn increases from 27.89 mg to 122.21 mg, an improvement of 4.38 times. And the inertness of Zn and its oxygen-containing compounds towards H2O2 enables Zn-gc/O2 system to stabilize H2O2 over a long period of time. This work reveals the crucial role of neglected junction interfaces in oxygen reduction reactions in metal–carbon composites.

Future armed conflicts - A new point of view

This article focusses on future wars and the resulting consequences for the development of the armed forces. The purpose of this study is to indicate the course of future armed conflicts on the base of the forecasts presented by the largest research centres as well as to signal the need to look at them from a new point of view, disregarding the current tense situation in the world. The subjects of the research are armed conflicts, and above all, the possible ways of conducting them in the future, as well as the domains in which they will be fought. The authors assume that the causes and forms of future armed conflicts will evolve. Changes will depend on the time and place of the outbreak of conflicts, the technology used, as well as the scale of their play. It is also assumed that future armed conflicts will take place in all domains, between equal opponents or between great powers and smaller states or organizations, which are weaker to them in every respect. In the paper, the authors took an attempt to answer the following questions: How will the geopolitical and economic situation in the world change, also in the context of progressing climate change? How will armed conflicts evolve in a changing world? How will future wars play out and what capabilities should military forces have to fight them? According to the analysis, the authors claim that future armed conflicts will: take place in all domains; require a rapid situation assessment and decisions; conducted in a complex environment; include hybrid strategies; increasingly difficult to resolve; non-linear; took the form of asymmetric activities; periodically conducted without electronic devices (an opponent can disable devices or track them); implemented by modular units capable of conducting independent activities at the lowest levels; saturated with robots and drones.

Serum concentration of asymmetric dimethylarginine, inflammatory markers and disease activity in relation with the components of metabolic syndrome in patients with spondyloarthritis

Serum concentration of asymmetric dimethylarginine, inflammatory markers and disease activity in relation with the components of metabolic syndrome in patients with spondyloarthritis

InP/LiNbO3 Covalent Heterointerface Construction via an Asymmetric Plasma Activation Strategy for Hybrid Integrated Quantum Systems.

Lithium niobate (LiNbO3) is emerging as an appealing candidate for integrated optical applications with enhanced complexity, owing to its inherent abundant optoelectronic properties. To compensate for the inability of LiNbO3 to generate indistinguishable single photons, the evanescent coupling heterointerface constructed between III-V compound semiconductors (e.g., InP) and LiNbO3 through plasma activation provides a feasible solution for balancing the integration efficiency and interfacial stability while achieving sub-50 nm alignment accuracy between devices, thus offering ultracompact on-chip light sources for classical optoelectronics and quantum optics. However, a challenge remains in the formation of the InP/LiNbO3 platform due to the huge mismatch in the coefficient of thermal expansion. Here, we demonstrate the InP/LiNbO3 covalent heterointerface using an asymmetric plasma activation strategy. Different plasmas are used for the activation of InP and LiNbO3 specifically, balancing the enhancement of surface functional group density with the avoidance of defect generation effectively. More importantly, combined with surface comprehensive characterizations and interface performance, we determine that the introduction of ammonia solution enables the surface hydroxyl groups to be "effective" as LiNbO3 surface relaxation increases the chance of -OH groups' contact. Therefore, a robust covalent bond network is established across the InP/LiNbO3 interface at 80 °C with an enhanced bonding strength of 9.7 MPa. Moreover, a hybrid quantum photonic chip based on the InP/LiNbO3 platform is designed to compute the coupling efficiency and the impact of misalignment on it, demonstrating the potential of extending the platform to hybrid integrated quantum systems.

The cytokinetic midbody mediates asymmetric fate specification at mitotic exit during neural stem cell division.

Asymmetric cell division (ACD) is a broadly used mechanism for generating cellular diversity. Molecules known as fate determinants are segregated during ACD to generate distinct sibling cell fates, but determinants should not be activated until fate can be specified asymmetrically. Determinants could be activated after cell division but many animal cells complete division long after mitosis ends, raising the question of how activation could occur at mitotic exit taking advantage of the unique state plasticity at this time point. Here we show that the midbody, a microtubule-rich structure that forms in the intercellular bridge connecting nascent siblings, mediates fate determinant activation at mitotic exit in neural stem cells (NSCs) of the Drosophila larval brain. The fate determinants Prospero (Pros) and Brain tumor (Brat) are sequestered at the NSC membrane at metaphase but are released immediately following nuclear division when the midbody forms, well before cell division completes. The midbody isolates nascent sibling cytoplasms, allowing determinant release from the membrane via the cell cycle phosphatase String, without influencing the fate of the incorrect sibling. Our results identify the midbody as a key facilitator of ACD that allows asymmetric fate determinant activation to be initiated before division.

Asymmetric Dynamics Drive Catalytic Activation of the Hsp90 Chaperone.

The Hsp90 chaperone is an ATPase enzyme composed of two copies of a three-domain subunit. Hsp90 stabilizes and activates a diverse array of regulatory proteins. Substrates are bound and released by the middle domain through a clamping cycle involving conformational transitions between a dynamic open state and a compact conformationally restricted closed state. Intriguingly, the overall ATPase activity of dimeric Hsp90 can be asymmetrically enhanced through a single subunit when Hsp90 is bound to a cochaperone or when Hsp90 is composed of one active and one catalytically defunct subunit as a heterodimer. To explore the mechanism of asymmetric Hsp90 activation, we designed a subunit bearing N-terminal ATPase mutations that demonstrate increased intra- and interdomain dynamics. Using intact Hsp90 and various N-terminal and middle domain constructs, we blended 19F NMR spectroscopy, molecular dynamics (MD) simulations, and ATPase assays to show that within the context of heterodimeric Hsp90, the conformationally dynamic subunit stimulates the ATPase activity of the normal subunit. The contrasting dynamic properties of the subunits within heterodimeric Hsp90 provide a mechanistic framework to understand the molecular basis for asymmetric Hsp90 activation and its importance for the biological function of Hsp90.

SYS-1/beta-catenin inheritance and regulation by Wnt-signaling during asymmetric cell division.

Asymmetric cell division (ACD) allows daughter cells of a polarized mother to acquire different developmental fates. In C. elegans , the Wnt/β-catenin Asymmetry (WβA) pathway oversees many embryonic and larval ACDs; here, a Wnt gradient induces an asymmetric distribution of Wnt signaling components within the dividing mother cell. One terminal nuclear effector of the WβA pathway is the transcriptional activator SYS-1/β-catenin. SYS-1 is sequentially negatively regulated during ACD; first by centrosomal regulation and subsequent proteasomal degradation and second by asymmetric activity of the β-catenin "destruction complex" in one of the two daughter cells, which decreases SYS-1 levels in the absence of WβA signaling. However, the extent to which mother cell SYS-1 influences cell fate decisions of the daughters is unknown. Here, we quantify inherited SYS-1 in the differentiating daughter cells and the role of SYS-1 inheritance in Wnt-directed ACD. Photobleaching experiments demonstrate the GFP::SYS-1 present in daughter cell nuclei is comprised of inherited and de novo translated SYS-1 pools. We used a photoconvertible DENDRA2::SYS-1, to directly observe the dynamics of inherited SYS-1. Photoconversion during mitosis reveals that SYS-1 clearance at the centrosome preferentially degrades older SYS-1, and this accumulation is regulated via dynein trafficking. Photoconversion of the EMS cell during Wnt-driven ACD shows daughter cell inheritance of mother cell SYS-1. Additionally, loss of centrosomal SYS-1 increased inherited SYS-1 and, surprisingly, loss of centrosomal SYS-1 also resulted in increased levels of de novo SYS-1 in both EMS daughter cells. Lastly, we show that daughter cell negative regulation of SYS-1 via the destruction complex member APR-1/APC is key to limit both the de novo and the inherited SYS-1 pools in both the E and the MS cells. We conclude that regulation of both inherited and newly translated SYS-1 via centrosomal processing in the mother cell and daughter cell regulation via Wnt signaling are critical to maintain sister SYS-1 asymmetry during ACD.

Implications of Activity Rate Characterization and Fault-Based Partitioning on Probabilistic Seismic Hazard Assessment: A Case Study of Extensional Tectonic Regime in Western Anatolia, Türkiye

ABSTRACT Complex fault geometries with multiple sets of inclined active faults pose a challenge to the accurate representation of fault-based seismic sources in probabilistic seismic hazard assessment (PSHA). In the absence of slip rates associated with fault segments and the presence of sparse seismic and geodetic data, the estimation of segment-specific activity rate includes significant uncertainty. This study proposes a comprehensive procedure for defining the segment-specific activity rates and associated uncertainties in fault-based PSHA for extensional tectonic regimes and applies the procedure in the northern margin of Western Anatolian Extensional Province. The seismic sources are modeled as rupture systems with individual fault segments using the connections between available active fault traces, first-order geological complexities, earthquake catalog, and focal mechanism solutions. Alternatives to estimate and partition segment-specific activity rates based on annual slip rate, seismicity rate, and moment rate are explored. Each alternative is implemented in PSHA, and the results are compared in terms of peak ground acceleration (PGA) maps for a 475-year return period. A comparison of the 475 yr PGA maps showed that the activity rates based on annual slip rates translate into higher hazard estimates and a more uniform distribution of PGA; whereas, the activity rates based on seismicity and moment rate result in a PGA distribution that is more sensitive to the occurrence and location of previous large-magnitude events. The approach utilized to partition activity rates among parallel segments has a noticeable effect in the areas where highly asymmetric fault activity is inferred from morphology. Hence, alternative approaches for estimation and partition of activity rates are combined to model the epistemic uncertainty in segment-specific activity rates, and a repeatable procedure is developed to build fault-based seismic source models in the presence of complex fault geometries.

Enhancing thermodynamic consistency: Clarification on the application of asymmetric activity model in multi-component chromatographic separation

The single-component Mollerup model, with over 40 direct applications and 442 citations, is the most widely used activity model for chromatographic mechanistic modeling. Many researchers have extended this formula to multi-component systems by directly adding subscripts, a modification deemed thermodynamically inconsistent (referred to as the reference model). In this work, we rederived the asymmetric activity model for multi-component systems, using the van der Waals equation of state, and termed it the multi-component Mollerup model. In contrast to the reference model, our proposed model accounts for the contributions of all components to the activity. Three numerical experiments were performed to investigate the impact of the three different activity models on the chromatographic modeling. The results indicate that our proposed model represents a thermodynamically consistent generalization of the single-component Mollerup model to multi-component systems. This communication advocates adopting of the multi-component Mollerup model for activity modeling in multi-component chromatographic separation to enhance thermodynamic consistency.

Bidirectional remodeling of the central auditory system caused by unilateral auditory deprivation.

Unilateral auditory deprivation (UAD) results in cross-modal reorganization of the auditory cortex (AC), which can impair auditory and cognitive functions and diminish the recovery effect of cochlear implantation. Moreover, the subcortical areas provide extensive ascending projections to the AC. To date, a thorough systematic study of subcortical auditory neural plasticity has not been undertaken. Therefore, this review aims to summarize the current evidence on the bidirectional remodeling of the central auditory system caused by UAD, particularly the changes in subcortical neural plasticity. Lateral changes occur in the cochlear nucleus, lateral superior olive, medial nucleus of the trapezoid body, inferior colliculus, and AC of individuals with UAD. Moreover, asymmetric neural activity becomes less prominent in the higher auditory nuclei, which may be due to cross-projection regulation of the bilateral pathway. As a result, subcortical auditory neural plasticity caused by UAD may contribute to the outcomes of cochlear implantation in patients with single-sided deafness (SSD), and the development of intervention strategies for patients with SSD is crucial. Considering that previous studies have focused predominantly on the neural plasticity of the AC, we believe that bidirectional remodeling of subcortical areas after UAD is also crucial for investigating the mechanisms of interventions.

Exploring brain asymmetry in early-stage Parkinson's disease through functional and structural MRI.

This study explores the correlation between asymmetrical brain functional activity, gray matter asymmetry, and the severity of early-stage Parkinson's disease (PD). Ninety-three early-stage PD patients (ePD, H-Y stages 1-2.5) were recruited, divided into 47 mild (ePD-mild, H-Y stages 1-1.5) and 46 moderate (ePD-moderate, H-Y stages 2-2.5) cases, alongside 43 matched healthy controls (HCs). The study employed the Hoehn and Yahr (H-Y) staging system for disease severity assessment and utilized voxel-mirrored homotopic connectivity (VMHC) for analyzing brain functional activity asymmetry. Asymmetry voxel-based morphometry analysis (VBM) was applied to evaluate gray matter asymmetry. The study found that, relative to HCs, both PD subgroups demonstrated reduced VMHC values in regions including the amygdala, putamen, inferior and middle temporal gyrus, and cerebellum Crus I. The ePD-moderate group also showed decreased VMHC in additional regions such as the postcentral gyrus, lingual gyrus, and superior frontal gyrus, with notably lower VMHC in the superior frontal gyrus compared to the ePD-mild group. A negative correlation was observed between the mean VMHC values in the superior frontal gyrus and H-Y stages, UPDRS, and UPDRS-III scores. No significant asymmetry in gray matter was detected. Asymmetrical brain functional activity is a significant characteristic of PD, which exacerbates as the disease severity increases, resembling the dissemination of Lewy bodies across the PD neurological framework. VMHC emerges as a potent tool for characterizing disease severity in early-stage PD.

Enantioselective Synthesis of Homochiral Hierarchical Nd8Fe3-Oxo Cluster from Racemic Nd9Fe2-Oxo Cluster.

Enantioselective synthesis of homochiral rare earth clusters is still a great challenge. In this work, we developed an efficient "cluster to cluster" approach, that is, a pair of enantiomerical R/S-{Nd8Fe3}-oxo clusters were successfully obtained from the presynthesized racemic {Nd9Fe2}-oxo cluster. R/S-hydrobenzoin ligands trigger the transformation of the pristine clusters by an SN2-like mechanism. Compared to the pristine cluster with an achiral core, the new cluster exhibits hierarchical chirality, from ligand chirality to interface chirality, then to helix chirality, and finally to supramolecular double helix chirality. The spectral experiments monitored the transformation and confirmed distinctly structure-related optical activity. The enantiomeric pure cluster also exhibits a potential asymmetric catalytic activity.

Controlled synthesis of chiral carbon dots with high asymmetric catalytic properties and reproducibility for direct aldol reactions: The impact of functional groups of carbon sources

The controlled synthesis of carbon dots (CDs) has been a key scientific problem in the field of catalysis. In this study, chiral CDs from different carbon sources were prepared using the hydrothermal method with d-proline as the chiral source. The effects of the carbon source skeleton (conjugated and unconjugated) and functional groups (hydroxyl, carboxyl, and amino) on its structure, reproducibility, and asymmetric catalytic performance in Aldol condensation were investigated. It was observed that hydroxyl groups in the carbon source are more favorable for enhancing the asymmetric catalytic activity and reproducibility of CDs compared to amino and carboxyl groups. The mechanism for the difference in reproducibility and asymmetric catalytic properties is investigated, which is ascribed to the effect of bonding (Directional factor or Random factor) between active sites and carbon cores, as well as the effect of carbonization (Random factor). The directional factor contributes to high reproducibility and asymmetric catalytic activity.

A new activity coefficient model for describing adsorbed phase nonidealities

The following study introduces a new adsorbed phase activity coefficient model, the SPLINT model, for describing nonideal multicomponent systems. The derivation is presented and simplification to the thermodynamically robust ABC model in the low‑coverage limit is shown. Both the SPLINT and ABC models are fit to 25 binary systems. Thermodynamic consistency of the data is established through multiple consistency tests including the intersection rule, closed‑loop reduced spreading pressure integration, the Gibbs‑Duhem integral equality, and alignment of pure and binary data. Regressed parameters are used in Real Adsorbed Solution Theory to predict both binary and ternary adsorption. The ABC and SPLINT models accurately describe systems with considerable nonideality when the activity coefficients are symmetric; however, the SPLINT model is required for accurate description of systems with complex, asymmetric activity coefficient behavior. The new model includes one more fitting parameter than the ABC model for a single binary system, but less across multiple data sets and higher‑order systems due to the theoretical basis. The importance of capturing activity coefficient asymmetry is demonstrated with a highly nonideal system across various pressures and temperatures measured by the present authors using the Integral Mass Balance method with HFC‑125 (pentafluoroethane), HFC‑32 (difluoromethane), and zeolite H‑ZSM‑5. The theoretical basis of the SPLINT model is further enforced by presenting two methods for predicting activity coefficients with the SPLINT model: correlating the fitting parameters individually and simultaneously regressing pure isosteric heat data to extract SPLINT fitting parameters. The study concludes with a discussion of pure and binary HFC‑125/HFC‑32 data with zeolite H‑ZSM‑5. A possible binary adsorption mechanism is proposed based on isosteric heat and excess enthalpy predictions and observed system irreversibility.

Deep Residual Network with a CBAM Mechanism for the Recognition of Symmetric and Asymmetric Human Activity Using Wearable Sensors

Wearable devices are paramount in health monitoring applications since they provide contextual information to identify and recognize human activities. Although sensor-based human activity recognition (HAR) has been thoroughly examined, prior studies have yet to definitively differentiate between symmetric and asymmetric motions. Determining these movement patterns might provide a more profound understanding of assessing physical activity. The main objective of this research is to investigate the use of wearable motion sensors and deep convolutional neural networks in the analysis of symmetric and asymmetric activities. This study provides a new approach for classifying symmetric and asymmetric motions using a deep residual network incorporating channel and spatial convolutional block attention modules (CBAMs). Two publicly accessible benchmark HAR datasets, which consist of inertial measurements obtained from wrist-worn sensors, are used to assess the model’s efficacy. The model we have presented is subjected to thorough examination and demonstrates exceptional accuracy on both datasets. The ablation experiment examination also demonstrates noteworthy contributions from the residual mappings and CBAMs. The significance of recognizing basic movement symmetries in increasing sensor-based activity identification utilizing wearable devices is shown by the enhanced accuracy and F1-score, especially in asymmetric activities. The technique under consideration can provide activity monitoring with enhanced accuracy and detail, offering prospective advantages in diverse domains like customized healthcare, fitness tracking, and rehabilitation progress evaluation.

Structure-Guided Evolution of Cyclohexanone Monooxygenase Toward Bulky Omeprazole Sulfide: Substrate Migration and Stereoselectivity Inversion.

Structure-guided engineering of a CHMO from Amycolatopsis methanolica (AmCHMO) was performed for asymmetric sulfoxidation activity and stereoselectivity toward omeprazole sulfide. Initially, combinatorial active-site saturation test (CASTing) and iteratively saturation mutagenesis (ISM) were performed on 5 residues at the "bottleneck" of substrate tunnel, and MT3 was successfully obtained with a specific activity of 46.19 U/g and R-stereoselectivity of 99 % toward OPS. Then, 4 key mutations affecting the stereoselectivity were identified through multiple rounds of ISM on residues at the substrate binding pocket region, resulting MT8 with an inversed stereoselectivity from 99 % (R) to 97 % (S). MT8 has a greatly compromised specific activity of 0.08 U/g. By introducing additional beneficial mutations, MT11 was constructed with significantly increased specific activity of 2.29 U/g and stereoselectivity of 97 % (S). Enlarged substrate tunnel is critical to the expanded substrate spectrum of AmCHMO, while reshaping of substrate binding pocket is important for stereoselective inversion. Based on MD simulation, pre-reaction states of MT3-OPSproR, MT8-OPSproS, and MT11-OPSproS were calculated to be 45.56 %, 17.94 %, and 28.65 % respectively, which further confirm the experimental data on activity and stereoselectivity. Our results pave the way for engineering distinct activity and stereoselectivity of BVMOs toward bulky prazole thioethers.

Monetary Policy, Employment Shortfalls, and the Natural Rate Hypothesis

Activity shortfalls are more costly than strong activity. I consider optimal monetary policy under discretion with an asymmetric (activity shortfalls) loss function. The model satisfies the natural rate hypothesis. The asymmetric loss function and resulting optimal monetary policy exacerbates shortfalls in activity. The additional frequency of activity shortfalls arises from the adjustment of expectations implied by the natural rate hypothesis. The shortfalls asymmetry leads to an inflationary bias, similar to results in the time-consistency literature. Mandating a central bank objective with greater symmetry than the social loss function improves outcomes. Greater symmetry lowers the magnitude of activity shortfalls. Greater symmetry also reduces inflation bias. The model also implies that an optimal monetary policy does not accommodate fluctuations from aggregate demand shocks, as is standard in such models. As a result, the analysis implies that monetary accommodation of strength in economic activity likely requires justifications other than asymmetric costs of shortfalls.

Asymmetric Activation of ON and OFF Pathways in the Degenerated Retina.

Retinal prosthetics are one of the leading therapeutic strategies to restore lost vision in patients with retinitis pigmentosa and age-related macular degeneration. Much work has described patterns of spiking in retinal ganglion cells (RGCs) in response to electrical stimulation, but less work has examined the underlying retinal circuitry that is activated by electrical stimulation to drive these responses. Surprisingly, little is known about the role of inhibition in generating electrical responses or how inhibition might be altered during degeneration. Using whole-cell voltage-clamp recordings during subretinal electrical stimulation in the rd10 and wild-type (wt) retina, we found electrically evoked synaptic inputs differed between ON and OFF RGC populations, with ON cells receiving mostly excitation and OFF cells receiving mostly inhibition and very little excitation. We found that the inhibition of OFF bipolar cells limits excitation in OFF RGCs, and a majority of both pre- and postsynaptic inhibition in the OFF pathway arises from glycinergic amacrine cells, and the stimulation of the ON pathway contributes to inhibitory inputs to the RGC. We also show that this presynaptic inhibition in the OFF pathway is greater in the rd10 retina, compared with that in the wt retina.

Characteristics of Lumbar Spondylolysis in Adolescent Baseball Players: Relationship between the Laterality of Lumbar Spondylolysis and the Throwing or Batting Side.

A retrospective, cross-sectional study was conducted to analyze the implications of asymmetric baseball movements on the incidence of spondylolysis. This study aimed to evaluate the relationship between asymmetric movements and the laterality of spondylolysis. Baseball, characterized by its asymmetric throwing and batting, may disproportionately stress one side. Lumbar spondylolysis is a frequent cause of lower back pain in young athletes, particularly those involved in activities with consistent unilateral rotations such as baseball. However, whether a link exists between the laterality in spondylolysis and the dominant throwing/ batting side or whether disparities exist between pitchers and fielders remains unclear. The study included 85 players. Participants were divided into two groups: pitchers and fielders. The association between the laterality of spondylolysis and the throwing/batting side in the overall cohort and between the two groups was evaluated. Among pitchers, 16 lesions appeared on the throwing side and 32 on the nonthrowing side (p =0.029). For fielders, no notable difference was observed between the two sides (p =0.363). Furthermore, batting preference did not influence the laterality of spondylolysis in either group. Adolescent baseball players, particularly pitchers, exhibited a higher incidence of lumbar spondylolysis on the side opposite their throwing arm. The findings of this study highlight the significant effect of asymmetrical sporting activities on the development of spondylolysis, to which pitchers are particularly susceptible.