On day 6, the NF-κB inhibitor-treated and -untreated im-DCs were

On day 6, the NF-κB inhibitor-treated and -untreated im-DCs were incubated with LPS or TNF-α to see if they could be induced to mature. Comparative study of the expression of surface molecules on LPS-induced mature DCs (m-DCs) that might be related to allostimulation found that AZM, added at 50 µg/ml on days 0, 3 and 6, inhibited the expression of MHC class II

and co-stimulatory molecules (CD40, CD80 and CD86) when Vit. D3 was used as a positive control [30] (Fig. 1a). Conversely, the PPAR-γ activator, ACE inhibitor and clarithromycin did not suppress the expression of MHC class II or co-stimulatory molecules (Fig. 1a). When the expression levels were compared on the basis of the mean fluorescence intensity (MFI), the expression of MHC class II and co-stimulatory molecules but not CD80 were decreased significantly in a dose- and time-dependent manner (Table 1). TLR-4 SB203580 mouse Akt inhibitor expression was also decreased in AZM-treated im-DCs stimulated with TNF-α (Fig. 1b). The MFIs of TLR-4 of

control m-DCs and AZM-treated m-DCs were significantly different (13·39 ± 1·07 versus 8·56 ± 0·47; P < 0·01, n = 3) (Fig. 1b). Similar to the results for expression of MHC class II and co-stimulatory molecules, the PPAR-γ activator, ACE inhibitor and clarithromycin did not affect expression of TLR-4 (Fig. 1c). We also confirmed that the vehicles used to dissolve the NF-κB inhibitors Endonuclease did not affect the expression of these antigens and showed no toxicity when we added equal amounts of them to culture wells as controls (data not shown). Morphologically, AZM-treated im-DCs (Fig. 1d) were similar to control im-DCs

(Fig. 1e). However, in the case of LPS-induced m-DCs, AZM treatment resulted in less prominent dendrite formation, with a round nucleus (Fig. 1f), compared with the control cells (Fig. 1g). To determine whether AZM might affect the functions of DCs, we first compared IL-12p70 production by AZM-treated and -untreated im-DCs stimulated with LPS. As shown in Fig. 2a, the IL-12p70 concentration was significantly lower in the supernatant of AZM-treated im-DCs (P < 0·001). We next asked whether AZM might affect the allogeneic T lymphocyte stimulatory capacity of DCs. To address this question, we performed MLR experiments. [3H]-Thymidine incorporation was suppressed significantly when allogeneic T lymphocytes were stimulated with m-DCs treated with 50 µg/ml of AZM, causing up to 27% reduction of the allostimulatory capacity (Fig. 2b). We also investigated the secretion levels of IFN-γ and IL-10 in the MLR supernatant by enzyme-linked immunosorbent assay. IFN-γ was reduced by 31% when allogeneic T lymphocytes were stimulated with AZM-treated m-DCs compared to untreated m-DCs, indicating that AZM-treated m-DCs decreased Th1 polarization (Fig. 2c).

Recently, a novel form of fetal systemic inflammation, characteri

Recently, a novel form of fetal systemic inflammation, characterized by an elevation of fetal plasma CXCL10, has been identified in patients with placental lesions consistent with ‘maternal anti-fetal rejection’. These lesions include chronic chorioamnionitis, plasma cell deciduitis, and villitis of unknown etiology. In addition, positivity for Atezolizumab research buy human leukocyte antigen (HLA) panel-reactive antibodies (PRA) in maternal sera can also be used to increase

the index of suspicion for maternal anti-fetal rejection. The purpose of this study was to determine (i) the frequency of pathologic lesions consistent with maternal anti-fetal rejection in term and spontaneous preterm births; (ii) the fetal serum concentration of CXCL10 in patients with and without evidence of maternal anti-fetal rejection; and (iii) the fetal blood transcriptome and proteome in cases with a fetal inflammatory response associated with maternal anti-fetal rejection. Maternal and fetal sera were obtained from normal term (n = 150) and spontaneous preterm births (n = 150). A fetal inflammatory response associated with maternal anti-fetal rejection

was diagnosed when the patients met two or more of the following criteria: (i) presence of chronic BI 6727 placental inflammation; (ii) ≥80% of maternal HLA class I PRA positivity; and (iii) fetal serum CXCL10 concentration >75th percentile. Maternal HLA PRA was analyzed by flow cytometry. The concentrations of fetal CXCL10 and IL-6 were determined by ELISA. Transcriptome analysis was undertaken after the extraction of total RNA from white blood cells with a whole-genome DASL assay. Proteomic analysis of fetal serum was conducted by two-dimensional difference gel electrophoresis. Differential gene expression was considered significant when there

was a P < 0.01 and a fold-change >1.5. (i) The frequency of placental lesions Buspirone HCl consistent with maternal anti-fetal rejection was higher in patients with preterm deliveries than in those with term deliveries (56% versus 32%; P < 0.001); (ii) patients with spontaneous preterm births had a higher rate of maternal HLA PRA class I positivity than those who delivered at term (50% versus 32%; P = 0.002); (iii) fetuses born to mothers with positive maternal HLA PRA results had a higher median serum CXCL10 concentration than those with negative HLA PRA results (P < 0.001); (iv) the median serum CXCL10 concentration (but not IL-6) was higher in fetuses with placental lesions associated with maternal anti-fetal rejection than those without such lesions (P < 0.

In the presence of DDMS, vasodilatation to reduced PO2 was elimin

In the presence of DDMS, vasodilatation to reduced PO2 was eliminated by indomethacin and unaffected by l-NAME in rats fed LS diet, and eliminated by l-NAME and unaffected by indomethacin in rats fed HS diet. The 20-HETE agonist WIT003 restored norepinephrine sensitivity in DDMS-treated arteries of HS-fed rats. HS diet increased vascular 20-HETE production and CYP4A protein levels by ∼24% and ∼31%, respectively, although these differences were not significant. Conclusions:  These findings

support the hypothesis that the 20-HETE/CYP4A system modulates vessel responses to norepinephrine and vascular relaxation to reduced PO2 in mesenteric resistance arteries buy Cyclopamine of SS rats fed HS diet. “
“Cells require energy to carry out their functions and they typically use oxidative phosphorylation to generate the needed ATP. Thus, cells have a continuous need for oxygen, which they receive by diffusion from the blood through the interstitial fluid. The circulatory system pumps oxygen-rich blood through a network of increasingly minute vessels,

the microcirculation. The structure of the microcirculation is such that all cells have at least one nearby capillary for diffusive exchange of oxygen and red blood cells release the oxygen bound to hemoglobin as they traverse capillaries. This review focuses first on the historical development of techniques to measure oxygen at various sites in the microcirculation, including the blood, interstitium, and cells. Next, approaches are described as to how these techniques have been employed Pritelivir to make discoveries about different

aspects of oxygen transport. Finally, ways in which oxygen might participate in the regulation of blood flow toward matching oxygen see more supply to oxygen demand is discussed. Overall, the transport of oxygen to the cells of the body is one of the most critical functions of the cardiovascular system and it is in the microcirculation where the final local determinants of oxygen supply, oxygen demand, and their regulation are decided. “
“Please cite this paper as: Quinn, Hamilton, McCann, Agnew, Millar, Lockhart, Harbinson and McVeigh (2011). Ocular Blood Flow Analysis Detects Microvascular Abnormalities in Impaired Glucose Tolerance. Microcirculation 18(7), 532–540. Objective:  Waveform analysis has been used to assess vascular resistance and predict cardiovascular events. We aimed to identify microvascular abnormalities in patients with IGT using ocular waveform analysis. The effects of pioglitazone were also assessed. Methods:  Forty patients with IGT and 24 controls were studied. Doppler velocity recordings were obtained from the central retinal, ophthalmic, and common carotid arteries, and sampled at 200 Hz. A discrete wavelet-based analysis method was employed to quantify waveforms. The RI was also determined.

While HIV-1 has been reported to induce DC maturation [47,62], th

While HIV-1 has been reported to induce DC maturation [47,62], there is considerably more evidence to suggest that HIV-1 does not induce maturation [44,63–67]. Because one measure of DC maturation is the surface

expression of distinct surface molecules, we first determined if HIV-1 infection influences the cell surface phenotype of MDDC during the course of maturation. After incubation with selleck chemicals llc HIV-1 for 24 h and 48 h of culture, there was no change in the expression of CD80, CD86, CD83, CD40, CCR7, MHC-I or MHC-II, indicating that HIV-1 itself was not capable of inducing DC maturation. There was, however, an increase in DC-SIGN expression following HIV-1 infection (Fig. 3a). After iMDDC were infected with HIV-1 and then stimulated to mature, they expressed lower levels of CCR7 and MHC-II than that observed in uninfected cells (Fig. 3b,c), suggesting that HIV-1 inhibits the full maturation of iMDDCs. Functional analysis.  Analyses were conducted as follows. 1. Endocytosis: while a phenotypic analysis of MDDC can be used to partially

identify the maturation status of an MDDC, determining the effects of HIV-1 on the functional character of MDDC over the course of maturation is required to elucidate a comprehensive picture of the effects of HIV-1 on MDDC maturation. One critical function of DC is the uptake of antigen from GS 1101 the periphery for processing and presentation in lymphoid organs [3]. After endocytosing antigens, immature DC undergo maturation and move from the anatomic periphery to secondary lymphoid organs where their role becomes that of antigen presentation and not uptake [3,68]. As a measure of endocytic activity, and therefore the maturation state

of MDDC, the effect of HIV-1 on dextran uptake was evaluated. As expected, maturation of uninfected iMDDC resulted in GBA3 a decrease in FITC–dextran uptake (Fig. 4a). While HIV infection had no impact on the ability of iMDDC to take up dextran (Fig. 4b), HIV-1 infection was associated with blunted down-regulation of endocytosis by iMDDC (Fig. 4c). HIV-1 infection therefore appeared to inhibit maturation reflected by the fact that HIV-1 infected DC partially retain their endocytic function. 2. Antigen presentation: a primary function of DC is the presentation of antigens to naive T cells in peripheral lymphoid tissue [3]. The effect of HIV-1 infection on the ability of MDDC to present antigen to autologous CD8+ T cells was determined by incubating HIV-1-infected MDDC with autologous PBMC in the presence of a CEF peptide pool, as described previously [69]. After culturing CEF peptide-pulsed iMDDC with autologous PBMCs for 7 days, CD8+ T cells proliferated as expected (Fig. 5). When iMDDC were infected with HIV-1, however, CD8+ T cell proliferation in response to the CEF peptide pool was not observed (Fig. 5), suggesting that HIV-1 infection of DC prevented or interfered with antigen presentation. 3.

Hopefully, future studies will help to clarify the potential usef

Hopefully, future studies will help to clarify the potential usefulness of chitin as active component for novel immunosuppressive therapeutic strategies. IL-4 reporter mice (4get mice) were kindly provided by R. M. Locksley (UC San Francisco) 38. These mice carry an IRES-eGFP construct inserted after the stop codon of the IL-4 gene. B7-H1−/− mice were kindly provided by L. Cheng (Johns Hopkins University) 34. TLR2−/−39 and TLR4−/−

mice were obtained from C. Kirschning (TU München). MyD88−/− and MyD88/TRIF−/− mice were obtained from H. Wagner (TU München). TLR3−/− mice were obtained from S. Akira. Stat6−/− mice 40, DO11.10 TCR-tg mice 41 and BALB/c mice were originally obtained from The Jackson Laboratory (Bar Harbour, ME). Single-cell suspensions of spleen and mesenteric LN from selleck products DO11.10/4get mice were prepared and 1×106 TCR-tg cells were transferred into BALB/c recipient mice. One and two days later, mice received intranasal applications of 500 μg OVA (Sigma-Aldrich,

St. Louis, MO) in 50 μL PBS with or without chitin powder (10 mg/mouse). Mice were analyzed on day 5 after T-cell transfer by flow cytometry. Purified chitin from crab shells was used (C9752, Sigma-Aldrich). The colloidal chitin powder is chemically identical to native chitin and was generated by methanesulfonic acid treatment as described previously 42. In total, 10 mg chitin powder or glass beads (10–50 μm; Kisker, Germany) were suspended in 500 μL PBS and left at room temperature for 2 min to allow sedimentation of large particles. The supernatants were collected and washed once with PBS by centrifugation at 14 000 rpm followed by resuspension of the pellet in 500 μL PBS. The suspensions were selleckchem stored at 4°C until setup of the experiments. The E-toxate test (Sigma-Aldrich) was used to exclude contamination with LPS. Macrophages were differentiated from BM cells in RPMI 1640 (PanBiotech, Aidenbach, Germany) Epothilone B (EPO906, Patupilone) supplemented with 10% FCS (Invitrogen, Carlsbad, CA), 2 mM L-glutamine, 100 U/mL penicillin,

100 μg/mL streptomycin (Biochrom AG, Berlin, Germany) and 5×10−5 M β-mercaptoethanol (Merck, Darmstadt, Germany) for 8 days in the presence of 10% supernatant from the M-CSF producing fibroblast cell line L929. Macrophages were scraped off the plates and cultured for 24 h in the presence of chitin- or glass-suspensions which covered about 50% of the surface of the culture plate. Untouched polyclonal CD4+ T cells were isolated by MACS technology (Miltenyi Biotech GmbH, Bergisch Gladbach, Germany) from 4get mice and cultured in 170 μL RPMI 1640 and 10% FCS under neutral (20 ng/mL IL-2) or Th2-polarizing conditions (20 ng/mL IL-2, 10 ng/mL IL-4 and 10 μg/mL anti-IFN-γ (clone XMG1.2)) at 2×106 cells per well in a flat-bottom 96-well plate which had been coated for 24 h at 4°C with anti-TCR (1 μg/mL) and anti-CD28 (1 μg/mL) mAb. Briefly, 30 μL resuspended chitin or glass beads or PBS were added to the cultures which were then analyzed on day 4 by flow cytometry.

The starter culture was diluted at 1 : 100 in HI broth and grown

The starter culture was diluted at 1 : 100 in HI broth and grown with shaking at 33 °C to an OD610 nm of ∼0.5 (exponential growth phase). Bacteria were collected by centrifugation, washed once with phosphate-buffered saline (PBS) (Sigma, St. Louis, MO), suspended in PBS and inactivated by overnight incubation at 25 °C with neutral buffered formalin (0.5% final concentration) (Sigma). The cells were washed twice with PBS and stored at 4 °C. Formalin treatment was used to inactivate V. vulnificus because growth would confound assay results due to cytotoxicity (Shin et al., 2004). Vibrio vulnificus (CFU mL−1) were quantified by plating aliquots of serial

dilutions on HI agar before formalin treatment. Blood was collected aseptically from two to three male mice (10–13 weeks of age) per each genotype (i.e. WT, TLR4 KO, and MyD88 KO) in heparin-flushed SAHA HDAC mw Omipalisib manufacturer syringes and pooled to minimize variability. Mouse blood (25 μL) was diluted to 200 μL with Roswell Park Memorial Institute

(RPMI) medium 1640 (Invitrogen Corp., Grand Island, NY) (negative control), RPMI medium containing formalin-inactivated V. vulnificus ATCC 27562 cells, or RPMI medium containing 20 ng (100 ng mL−1) Escherichia coli 0111 : B4 purified lipopolysaccharide (Sigma) (positive control). Duplicate samples were incubated at 34 °C with gentle agitation for 6 and 24 h. Cell-free supernatants were collected following centrifugation and assayed in duplicate for mouse TNFα with a commercial enzyme-linked immunosorbent assay (ELISA) kit (R&D Systems Inc., Minneapolis, MN) at the UNC-CH Immunotechnologies Core Facility. Whole blood assays were repeated at least once. Statistical significance of results was evaluated with the unpaired, two-tailed t-test for analysis of two groups or anova for analysis of more than two groups (graphpad prism 4, GraphPad Software Inc., San Diego, CA). A P-value of <0.05 was considered significant. Splenocytes were prepared from pooled spleens of two male mice (10–12 weeks of age) per each genotype

(i.e. WT, MyD88 KO, and TLR4 KO). Following lysis of red blood cells, splenocytes were washed, suspended in RPMI medium containing 5% heat-inactivated fetal bovine serum (Fisher Scientific, Pittsburgh, PA), and seeded at 5 × 105 cells in 200 μL per well. Bumetanide After a 24-h incubation at 37 °C in 5% CO2 with RPMI medium only, 1 × 106 formalin-inactivated V. vulnificus ATCC 27562 cells, or 20 ng E. coli lipopolysaccharide, cell-free supernatants from duplicate samples were collected and assayed in duplicate for TNFα by ELISA. Splenocyte assays were repeated an additional time. Statistical significance of results was evaluated with the unpaired, two-tailed t-test for analysis of two groups or anova for analysis of more than two groups (graphpad prism 4). A P-value of <0.05 was considered significant. Vibrio vulnificus ATCC 27562 was grown with shaking in HI broth at 33 °C to exponential phase.

In sensitized group, the mast cells were much bigger, with more s

In sensitized group, the mast cells were much bigger, with more shrink on the cell membrane, bubbles in the cytoplasm and degranulation vehicles around the cells GDC-0199 (Fig. 2A). Furthermore, ultrastructure analysis of mast cells by transmission electron microscope showed that the cell membrane was obscure, and degranulation vehicles was less evenly distributed in the cytoplasm of mast cells (Fig. 2A). The number of mast cells was significantly increased in OVA-treated RPLS (Fig. 2B). The

ratio of mast cell degranulation as indicated by vehicles (at least five) around the cells was also dramatically increased by ~3 fold (Fig. 2B). Mast cell degranulation was further confirmed by increased histamine levels in serum and RPLS (Fig. 2C). It has been suggested that an increase in intracellular Ca2+ through SOC channel is essential for mast cell degranulation

[13]. We therefore examined whether food allergen–induced mast cell activation is related to stimulation of Ca2+ mobilization. As shown in Fig. 3, the TG-evoked Ca2+ influx was dramatically enhanced in OVA-sensitized rat peritoneal mast cells, suggesting mast cell activation in the food-allergic model is related to upregulation of Ca2+ entry through SOCs. STIM1 and Orail are the two subunits of SOCs [23, 24]. Overexpression of STIM1 and Orail caused a significant increase in store-operated Ca2+ entry in RBL cells [16]. We thus examined the Ganetespib expression levels of both subunits. The results show that the mRNA (Fig. 3A,B) and protein levels Niclosamide (Fig. 3C,D) of both subunits were significantly increased in allergic animals as compared with controls (all P < 0.01). Furthermore, immunofluorescence study revealed that

the STIM1 subunits were translocated to the cell membrane, which is required for the activation of SOCs in OVA group, while it was evenly distributed in cytoplasm in control group (Fig. 4). Collectively, these data indicate that OVA-induced food allergy increased SOCs activity by enhancing transcription and expression of SOCs subunits, as well as increasing SOCs activity. Reactive oxygen species production in RPMCs isolated from control or allergic animals was examined by ELISA. The results demonstrated that ROS production in allergic mast cells was increased by 1.5-folds as compared with controls (Fig. 5A). Administration with ROS scavenger Ebselen (100 μm, 30 min) to OVA-challenged RPMCs reduced ROS production by ~30% (Fig. 5A). In parallel, clearance of intracellular ROS by Ebselen decreased histamine release by ~30% (Fig. 5B). Similarly, OVA challenge–induced Ca2+ increase through SOCs in activated mast cell was decreased by 30% by Ebselen treatment (Fig. 5C,D). The results indicate that mast cell activation is partially attributed to increased ROS production. Quantification of the protein levels of Orai1 and STIM1 demonstrated that Ebselen reduced both protein expressions by ~40% and ~30%, respectively (Fig.

We also observed an increase in the microbicidal activity of alve

We also observed an increase in the microbicidal activity of alveolar macrophages of Lr1505- and Lc431-treated mice; this activity was significantly greater in the latter group (Table 1). Furthermore, the microbicidal activity of alveolar macrophages from the Lr1506-treated group was similar to that of the control mice. We next evaluated cytokine production by macrophages challenged in vitro with the pathogenic strain C. albicans Temsirolimus solubility dmso AV4. All treatments increased production of TNF-α and IL-1β in peritoneal

macrophages; we observed no significant differences between treatments (Fig. 3a). Administration of Lr1505 and Lc431 increased the capacity of alveolar macrophages to produce TNF-α and IL-1β in response to C. albicans challenge, whereas administration of Lr1506 did not induce changes in the concentrations X-396 supplier of these

cytokines (Fig. 3b). To evaluate the effect of lactobacilli treatments on peritoneal macrophages in vivo, we challenged the various groups of mice intraperitoneally with 108 cells of pathogenic C. albicans AV4 and took samples from liver, spleen and blood 48 hours later to analyze the presence of yeasts. Untreated control animals had positive counts of the pathogen in all the studied tissues (Table 2). Lc431, Lr1505 and Lr1506 treatments significantly reduced C. albicans counts in the liver during the studied period. In addition, animals treated with the different lactobacilli strains were able to eliminate the pathogenic yeast from blood and spleen (Table 2). In addition, in order to evaluate the influence

Tau-protein kinase of Lc431, Lr1505 and Lr1506 on the activity of alveolar macrophages in vivo, we challenged the various groups of mice intranasally with 107 cells of pathogenic C. albicans AV4 and 48 hours later, took samples of lung and blood to determine the presence of yeast. The control animals had positive pathogen counts in both lung and blood (Table 2). Mice treated with Lc431 or Lr1505 had significantly lower C. albicans counts in the lungs than did the control group; Lr1506 did not induce changes in this variable. Moreover, all treatments were able to induce clearance of the pathogenic yeast from blood (Table 2). We next studied the immune response in the peritoneal cavity after challenge with C. albicans AV4. The number of leukocytes, macrophages and neutrophils in the peritoneal cavity increased in all experimental groups after challenge with the pathogen (Fig. 4a, b). However, mice treated prophylactically with Lc431, Lr1505 or Lr1506 had significantly greater macrophage and neutrophil counts than did those in the control group (Fig. 4a, b). We also observed increased concentrations of TNF-α and IFN-γ in peritoneal fluid after challenge with the pathogen in all experimental groups (Fig. 4c, d). However, groups receiving lactobacilli had greater cytokine concentrations than did controls. Nasal challenge with pathogenic C.

In BD, autoAbs to several targets including oral mucosal antigens

In BD, autoAbs to several targets including oral mucosal antigens and endothelial cell antigens have been reported recently (23, 24). However, information on autoimmunity in BD is still limited. Therefore, here we used a proteomic approach, a combination of 2DE, WB, and mass spectrometry for the screening of autoAbs. Further, the antigenicity of the identified protein was confirmed by the use of a recombinant protein. In the first screening of 2DE-WB using serum samples from INK-128 patients with BD and from healthy donors, 17 protein spots were detected in the BD group but not in the healthy group. We found no protein spots that were positive only in the healthy group. Thus, the 17 spots would be candidates

for autoAgs in BD. These 17 candidate autoAgs were detected by screening using only five serum samples from patients with BD, indicating that autoimmunity is a common phenomenon in BD. By mass spectrometry, we were able to identify eight protein spots out of the 17 spots that were antigenic. In the eight proteins, the proteins of spot no. 2 were found to be enolase-1. Similarly, spot no. 6 and no. 8 were found to be Rho-GDI PCI-32765 clinical trial β protein and vimentin, respectively. Enolase-1, also called α-enolase, is an enzyme which functions in the glycolytic pathway. We previously reported the autoAbs to enolase-1 in BD (10), indicating that our surveillance here is reliable and that

the autoAbs to enolase-1 would be one of the main autoAgs in BD. However, the autoAbs to enolase-1 were reported to be detected in approximately 25% of patients with early RA (25), indicating that the autoAbs were not specific for BD. In addition, we previously reported autoAbs to SBP in approximately 20% of BD patients with uveitis in a similar screening (10). SBP was not detected in the 2DE-WB screening of this study. As only find more five serum samples were used for the screening here, it is likely that none of the five samples contained the autoAb to SBP because of its relatively low frequency (∼20%). AutoAbs to cofilin-1 and Rho-GDI β protein, both of which are actin-related proteins, have, to our knowledge, been demonstrated

here for the first time. Cofilin-1 is an actin-modulating protein with wide distribution in cells. Cofilin-1, binding to filamentous F-actin and depolymerizing it, inhibits polymerization of monomeric G-actin (26). Further, cofilin-1 is involved in the translocation of the actin–cofilin complex from the cytoplasm to the nucleus (26). Rho-GDI β protein (spot no. 6) belongs to the Rho family. The Rho family proteins, controlling the intracellular actin skeletal system, are involved in a cellular form change, motility, and cell division (27). Rho kinase/ROCK, activated by the Rho family proteins, phosphorylates myosin phosphatase and a myosin light chain (28, 29). The phosphorylation of myosin phosphatase inhibits its activity to dephosphorylate myosin.

The assessment at age 5 also provided an opportunity to confirm t

The assessment at age 5 also provided an opportunity to confirm the previous Detroit finding that elicited play provides Small Molecule Compound Library an early indicator of effects of prenatal alcohol exposure on verbal ability in childhood. The aims of this study are to: (1) examine which aspects of the infant’s social environment appear to most strongly influence the early development of symbolic play; (2) test the hypothesis that, as in Detroit, prenatal alcohol exposure will be specifically associated with poorer competence in symbolic play, as indicated by the elicited play measure; (3) examine the degree to which symbolic play in infancy is predictive of verbal competence at 5 years of age; and

(4) examine the degree to which infant symbolic play can be used to discriminate infants subsequently diagnosed at 5 years as having FAS or alcohol deficits from those who were heavily alcohol-exposed but did not meet criteria for the syndrome. The sample of 107 infants (57 boys and 50 girls) and their mothers was drawn from a cohort Trichostatin A datasheet of 159 Cape-Colored women

living in Cape Town, South Africa, who are participating in a prospective study on the effects of heavy prenatal alcohol exposure on neurobehavioral development. The mothers were recruited between July 1999 and January 2002 from the antenatal clinic of a midwife obstetric (MOU) unit that serves an economically disadvantaged Cape-Colored community (Croxford & Viljoen, 1999). The sample includes 66 heavy drinking mothers and 41 light drinkers and abstainers who were recruited during the same period by our research nurse. Antenatal care was initiated at 19.1 weeks gestation on average (range = 6.0–34.0 weeks). Each mother was interviewed during her initial antenatal visit to the MOU regarding her alcohol consumption both at the time of conception and at the time of recruitment, using an interview derived from the timeline follow-back approach (Sokol, Martier, & Ernhart, 1985) used in the Detroit Longitudinal Alcohol Exposure Study (Jacobson, Chiodo, Sokol, & Jacobson, 2002). Any woman averaging at least 1.0 oz of absolute alcohol (AA) per day (AA/day),

the equivalent of two standard drinks, or reporting at least two binge drinking episodes (five standard drinks per occasion) during the first trimester of pregnancy was invited to participate in the study. Sitaxentan Women initiating antenatal care at this clinic who drank less than 0.5 oz AA/day and did not binge drink during the first trimester were invited to participate as abstainers/light drinkers. Women <18 years of age and those with diabetes, epilepsy, or cardiac problems requiring treatment were not invited to participate. Religiously observant Moslem women were also excluded because their religious practices prohibit alcohol consumption. Infant exclusionary criteria were major chromosomal anomalies, neural tube defects, multiple births, and seizures.