Mechanistic studies revealed that periostin

silencing sig

Mechanistic studies revealed that periostin

silencing significantly (P smaller than 0.01) suppressed the expression of survivin, an antiapoptotic protein in colon cancer cells. Enforced expression of survivin repressed drug-induced apoptosis in periostin-depleted SW480 and HT-29 cells. Additionally, periostin overexpression increased the expression of survivin and the phosphorylation of Akt, which was reversed by pretreatment with the phosphatidylinositol 3-kinase (PI3K)-specific inhibitor LY294002. Taken together, our data demonstrate that periostin induces chemoresistance in colon cancer cells through activation of the PI3K/Akt/survivin pathway.”
“The aim of the current study is to investigate potential hemispheric asymmetries in selleck chemical the perception of vowels and the influence of different time scales on such asymmetries. Activation patterns for naturally produced vowels were examined at three durations encompassing

a short (75 ms), Z-VAD-FMK ic50 medium (150 ms), and long (300 ms) integration time window in a discrimination task. A set of 5 corresponding non-speech sine wave tones were created with frequencies matching the second formant of each vowel. Consistent with earlier hypotheses, there was a right hemisphere preference in the superior temporal gyrus for the processing of spectral information for both vowel and tone stimuli. However, observed laterality differences for vowels and tones were a function of heightened right hemisphere sensitivity to long integration windows, whereas the left hemisphere showed sensitivity to both long and short integration windows. Although there were a number of similarities in the processing of vowels and tones, differences also emerged suggesting that even fairly early in the processing stream at the level of the SCG, different https://www.selleckchem.com/products/gsk923295.html mechanisms are recruited for processing vowels and tones. (c) 2008 Elsevier Ltd. All rights reserved.”
“Blood

platelets have long been recognised to bring about primary haemostasis with deficiencies in platelet production and function manifesting in bleeding while upregulated function favourises arterial thrombosis. Yet increasing evidence indicates that platelets fulfil a much wider role in health and disease. First, they store and release a wide range of biologically active substances including the panoply of growth factors, chemokines and cytokines released from a-granules. Membrane budding gives rise to microparticles (MPs), another active participant within the blood stream. Platelets are essential for the innate immune response and combat infection (viruses, bacteria, microorganisms). They help maintain and modulate inflammation and are a major source of pro-inflammatory molecules (e.g. P-selectin, tissue factor, CD40L, metalloproteinases).

The oral administration of 400 mg/kg of ELg produced an anti-infl

The oral administration of 400 mg/kg of ELg produced an anti-inflammatory effect on peritonitis induced by carrageenan. These effects can be associated with a decrease of inflammatory mediator synthesis by compounds of ELg, such as naringenin, which has anti-inflammatory

action as already described.”
“This work compares material properties of polycationic nanoparticles synthesized using the techniques of UV-initiated polymerization or ARGET ATRP and relates differences in material properties to differences in molecular structure. The nanoparticles are based on the pH-responsive monomer 2-(diethylamino)ethyl methacrylate (DEAEMA) copolymerized with poly(ethylene glycol) methyl ether methacrylate

(PEGMA), tert-butyl methacrylate (tBMA), and tetraethylene glycol dimethacrylate (TEGDMA) in a surfactant-stabilized monomer-in-water Bak protein emulsion to form cross-linked nanoscale hydrogels. ARGET ATRP resulted in a narrower distribution of molecular weight for linear analogs of the polycationic nanoparticles. In addition, ARGET ATRP formulations showed a sharper glass transition than UV-initiated formulations, indicating increased homogeneity. These networks could be used as drug delivery carriers or for other nanogel applications that would benefit from polycationic nanoparticles with high homogeneity. (c) 2013 Elsevier Ltd. All rights reserved.”
“To AS1842856 datasheet critically review currently Napabucasin available methods, or methods under development (in vivo, in vitro, in silico, etc.) used in the evaluation of skin sensitization potential and their applicability in the derivation of quantitative safety thresholds’.”
“The pathology in mice infected with neurovirulent South African lineage 2 West Nile virus (WNV) strains has not previously been described. Three- to 4-month-old male BALBc mice were infected with South African neurovirulent lineage 2 (SPU93/01) or lineage 1 (NY385/99) WNV

strains and the gross and microscopic central nervous system (CNS) and extra-CNS pathology of both investigated and compared. Mice infected with both lineages showed similar illness, paralysis, and death from days 7 to 11 postinfection (PI). Two survivors of each lineage were euthanized on day 21 PI. WNV infection was confirmed by nested real-time reverse transcription polymerase chain reaction of tissues, mostly brain, in the majority of mice euthanized sick or that died and in 1 healthy lineage 2 survivor. Gross lesions caused by both lineages were identical and included marked gastric and proximal small intestinal fluid distension as described in a previous mouse study, but intestinal microscopic lesions differed. CNS lesions were subtle.


“Background: Voltage-gated sodium channels dysregulation i


“Background: Voltage-gated sodium channels dysregulation is important for hyperexcitability

leading to pain persistence. Sodium channel blockers currently used to treat neuropathic pain are poorly tolerated. Getting new molecules to clinical use selleck compound is laborious. We here propose a drug already marketed as anticonvulsant, rufinamide.\n\nMethods: We compared the behavioral effect of rufinamide to amitriptyline using the Spared Nerve Injury neuropathic pain model in mice. We compared the effect of rufinamide on sodium currents using in vitro patch clamp in cells expressing the voltage-gated sodium channel Nav1.7 isoform and on dissociated dorsal root ganglion neurons to amitriptyline and mexiletine.\n\nResults: In naive mice, amitriptyline (20 mg/kg) increased withdrawal threshold to mechanical stimulation from 1.3 (0.6-1.9) (median [95% CI]) to 2.3 g (2.2-2.5) and latency of withdrawal to heat stimulation

from 13.1 (10.4-15.5) to 30.0 s (21.8-31.9), whereas rufinamide had no effect. Rufinamide and amitriptyline alleviated injury-induced mechanical allodynia for 4 h (maximal effect: 0.10 +/- 0.03 g (mean +/- SD) to 1.99 +/- 0.26 g for rufinamide and 0.25 +/- 0.22 g to 1.92 +/- 0.85 g for amitriptyline). All drugs reduced peak current and stabilized the inactivated state of voltage-gated sodium channel Nav1.7, with similar effects in dorsal root ganglion neurons.\n\nConclusions: At doses alleviating neuropathic pain, amitriptyline showed alteration of behavioral response possibly LEE011 purchase related to either alteration of basal pain sensitivity or sedative effect or both. Side-effects and drug tolerance/compliance are major problems with drugs such as amitriptyline. Rufinamide seems to have a better tolerability profile and could be a new alternative to explore for the treatment of neuropathic pain.”
“IL-7 is an important cytokine for lymphocyte differentiation. Similar to what occurs in vivo, human CD19(+)

cells developing in LY411575 inhibitor human/murine xenogeneic cultures show differential expression of the IL-7 receptor alpha (IL-7R alpha) chain (CD127). We now describe the relationship between CD127 expression/signaling and Ig gene rearrangement. In the present study, < 10% of CD19(+) CD127(+) and CD19(+) CD127(+) populations had complete VDJ(H) rearrangements. IGH locus conformation measurements by 3D FISH revealed that CD127(+) and CD127(+) cells were less contracted than pediatric BM pro-B cells that actively rearrange the IGH locus. Complete IGH rearrangements in CD127(+) and CD127(+) cells had smaller CDR3 lengths and fewer N-nucleotide insertions than pediatric BM B-lineage cells. Despite the paucity of VDJH rearrangements, microarray analysis indicated that CD127(+) cells resembled large pre-B cells, which is consistent with their low level of Ig light-chain rearrangements.

Preclinical evaluation and ongoing clinical trials should provide

Preclinical evaluation and ongoing clinical trials should provide novel insights into the role of immunity in the therapy of BRAF-mutant melanoma.”
“Although gain of chromosome 5p is one of the most frequent DNA copy-number imbalances in cervical squamous cell carcinoma (SCC), the genes that drive its selection remain poorly understood. In a previous cross-sectional clinical study, we showed that the microRNA processor Drosha (located on chromosome 5p) demonstrates frequent copy-number gain and overexpression in cervical SCC, associated with altered microRNA profiles. Here, we have conducted gene depletion/overexpression experiments

to demonstrate the functional significance of up-regulated Drosha in cervical SCC cells. www.selleckchem.com/products/rocilinostat-acy-1215.html Drosha depletion by RNA interference (RNAi) produced significant, specific reductions in cell motility/invasiveness in vitro, with a silent RNAi-resistant Drosha

mutation providing phenotype rescue. Unsupervised hierarchical clustering following global profiling of 319 microRNAs in 18 cervical SCC cell line specimens generated two groups according to Drosha expression levels. Altering Drosha levels in individual SCC lines changed the group into AZD1390 mw which the cells clustered, with gene depletion effects being rescued by the RNAi-resistant mutation. Forty-five microRNAs showed significant differential expression between the groups, including selleck chemicals four of 14 that were differentially expressed in association with Drosha levels in clinical samples. miR-31 up-regulation in Drosha-overexpressing samples/cell lines was the highest-ranked change (by adjusted p value) in both analyses, an observation validated by northern blotting. These functional data support the role of Drosha as an oncogene in cervical SCC, by affecting expression of cancer-associated microRNAs that have the potential to regulate numerous protein-coding genes. Copyright (C) 2011 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.”
“Serpins are remarkable

and unique proteins in being able to spontaneously fold into a metastable conformation without the aid of a chaperone or prodomain. This metastable conformation is essential for inhibition of proteinases, so that massive serpin conformational change, driven by the favorable energetics of relaxation of the metastable conformation to the more stable one, can kinetically trap the proteinase-serpin acylenzyme intermediate. Failure to direct folding to the metastable conformation would lead to inactive, latent serpin. How serpins fold into such a metastable state is unknown. Using the ability of component peptides from the serpin alpha 1PI to associate, we have now elucidated the pathway by which this serpin efficiently folds into its metastable state. In addition we have established the likely structure of the polymerogenic intermediate of the Z variant of alpha 1PI.

Three mouse phenotypes (wildtype, T-cell-deficient nude mice, and

Three mouse phenotypes (wildtype, T-cell-deficient nude mice, and nude mice reconstituted with T-cells taken from wildtype mice) were infected with one of two parasite clones (AS or AJ). Under a Bayesian framework, we use an adaptive population-based Ricolinostat order Markov chain Monte Carlo method

and fit a set of dynamical models to observed data on parasite and red blood cell (RBC) densities. Model fits are compared using Bayes’ factors and parameter estimates obtained. We consider three independent immune mechanisms: clearance of parasitised RBCs (pRBC), clearance of unparasitised RBCs (uRBC), and clearance of parasites that burst from RBCs (merozoites). Our results suggest that the immune response of wildtype mice is associated with less destruction of uRBCs, compared to the immune response of nude mice. There is a greater degree of synchronisation between pRBC and uRBC clearance

than between either mechanism and merozoite clearance. In all three mouse phenotypes, control of the peak of parasite density is associated with pRBC clearance. In wildtype mice and AS-infected nude mice, control of the peak is also associated with uRBC clearance. Our results suggest that uRBC clearance, rather than RBC infection, is the major buy BMN 673 determinant of RBC dynamics from approximately day 12 post-innoculation. During the first 2-3 weeks of blood-stage infection, immune-mediated clearance of pRBCs and uRBCs appears to have a much stronger effect than immune-mediated

merozoite clearance. Upregulation of erythropoiesis is dependent on mouse phenotype and is greater in wildtype and reconstitited mice. Our study highlights the informative power of statistically rigorous model-fitting techniques in elucidating biological systems.”
“American foulbrood (AFB) caused by Paenibacillus larvae is a bacterial disease in honey bee larvae that is observed worldwide. The aim of this study was to detect P. larvae in honey and beeswax samples from the suspected hives by direct PCR and culture growth. AF6 Navitoclax nmr and AF7, the most sensitive pair of primers, were used to identify the DNA of P. larvae. A total of 100 suspected honey and beeswax samples collected from 25 different enterprises were examined. P. larvae were identified in 7 samples out of 8 by the PCR positive in total. Eight suspected larvae of honeybees were found positive by PCR. A suspected culture-negative sample was found positive through evaluation with PCR. One beeswax sample and seven honey samples were detected as positive for the larvae in the direct PCR detection.”
“Purpose: This randomized trial compared 6- and 12-month outcomes of a home-based psychoeducational program to mailed information provided to 159 survivors of stroke (SS) and their spousal caregivers (CG). Methods: SS (age 50+) and CG were recruited as dyads post-discharge from inpatient rehabilitation. All dyads received mailed information for 12 months.

Of the microRNAs identified, more than 100 are unique amongst ver

Of the microRNAs identified, more than 100 are unique amongst vertebrates, including a subset containing mutations in critical seed regions. Clusters of rapidly-evolving Ricolinostat microRNAs were identified, as well as microRNAs predicted to target genes involved in antiviral immunity, the DNA damage response, apoptosis and autophagy. Closer inspection of the predicted targets for several highly supported novel miRNA candidates suggests putative roles in host-virus

interaction. Conclusions: MicroRNAs are likely to play major roles in regulating virus-host interaction in bats, via dampening of inflammatory responses (limiting the effects of immunopathology), and directly limiting the extent of viral replication, either through restricting the availability of essential factors or by controlling apoptosis. https://www.selleckchem.com/products/Belinostat.html Characterisation of the bat microRNA repertoire is an essential step towards understanding transcriptional regulation during viral infection, and will assist in the identification of mechanisms that enable bats to act as natural virus reservoirs. This in turn will facilitate the development of antiviral strategies

for use in humans and other species.”
“Background: Whether patients with small ( smaller than 2 cm), sporadic nonfunctioning pancreatic endocrine tumors (NF-PETs) should directly undergo pancreatic surgery or should be followed longitudinally to detect growth and malignancy still has to be defined. Study Design: Based on the pertinent literature of the past decade, a Markov model was developed to investigate this

issue. In the wait-and-see strategy arm, surgery was performed if the tumor attained a size bigger than = 2 cm or surpassed 20% of the initial size. In a Monte Carlo probabilistic analysis, 100 hypothetical patients undergoing a wait-and-see strategy were compared to 100 patients directly undergoing surgery, with the aim of investigating the efficacy Nirogacestat research buy and cost-effectiveness of the two strategies. Results: During the postdiagnostic lifetime, 63 NF-PETs in the wait-and-see group showed significant growth and underwent surgery: 38 were stage I, 10 were stage II, 15 were stage III and none were stage IV. In the base-case scenario, the mean life expectancy and quality-adjusted life expectancy were found to be superior after immediate surgery [26.1 years and 11.8 quality-adjusted life years (QALYs)] than with the wait-and-see strategy (22.1 years and 8.3 QALYs) as the consequence of ageing during the wait-and-see follow-up which increased mortality due to surgery, when surgery was needed. The model was sensitive to starting age and length of follow-up; in particular, for patients bigger than 65 years of age, the two strategies provided similar results but the wait-and-see strategy was more cost-effective.

Four patients suffered minor bile leaks after their operations, b

Four patients suffered minor bile leaks after their operations, but they required only percutaneous drainage. The mean time for follow-up was six

months (range 1month to 1 year). No significant complication was noted during that time.\n\nConclusions: We successfully introduced laparoscopic excision of choledochal cyst in our center and have found this to be a safe and effective method. Long-term follow up is awaited. (C) 2012 Elsevier Inc. All rights reserved.”
“BACKGROUNDRobotic assisted prostatic surgery is frequently used because of its reduced side-effects compared with conventional surgery. During surgery, an extreme Trendelenburg position and CO2 pneumoperitoneum are necessary, which may lead to cerebral oedema, can potentially reduce brain perfusion and therefore could impair cerebral oxygenation. Cerebral oxygen saturation can be measured EPZ5676 mouse non-invasively using near-infrared spectroscopy (NIRS).OBJECTIVEThe hypothesis of the present study was that steep Trendelenburg positioning during robotic assisted prostatic surgery

impairs cerebral oxygen saturation measured using two different NIRS monitors.DESIGNClinical observational study.SETTINGPrimary care university hospital, study period from March 2012 to February 2013.PATIENTSA total of 29 patients scheduled for robotic assisted prostatic surgery in a steep Trendelenburg position.INTERVENTIONSCerebral oxygen saturation was measured throughout anaesthesia using the INVOS sensor (a trend monitor using two infrared wavelengths) for one hemisphere selleck chemicals llc and the Semaxanib nmr FORE-SIGHT sensor (a monitor using four wavelengths

of laser light to calculate absolute oxygen saturation) for the other hemisphere in an alternate randomisation.MAIN OUTCOME MEASUREChanges in cerebral oxygenation of more than 5% during surgery in the Trendelenburg position.RESULTSThe median duration of Trendelenburg positioning was 190 (interquartile range 130 to 230)min. Cerebral oxygen saturation decreased with INVOS from 745% at baseline to a lowest value of 704% with a slope of -0.0129min(-1) (P<0.01) and with FORE-SIGHT from 72 +/- 5% at baseline to a nadir of 70 +/- 3% with a slope of -0.008min(-1) (P<0.01). Comparing INVOS with FORE-SIGHT, there was a good association, with a slope of 0.86 +/- 0.04 (P<0.01).CONCLUSIONBoth monitors showed a clinically irrelevant decrease in cerebral oxygen saturation of less than 5% over 4h in a steep Trendelenburg position combined with CO2 pneumoperitoneum in patients undergoing robotic assisted prostatic surgery. This extreme positioning seems to be acceptable with regard to cerebral oxygenation.TRIAL REGISTRATIONclinicaltrials.gov Identifier: ID NCT01275898.”
“The efficacy and accuracy of computer navigation have been proved during recent years. But most of recent studies focused on the coronal alignment in total knee arthroplasty and less on sagittal alignment.

Methods: During December 2009, we conducted an online survey

\n\nMethods: During December 2009, we conducted an online survey with a nationally representative sample of US mothers of girls aged 11 to 14 years (n = 900; response rate = 66%). We used 3 complimentary approaches to assess HPV vaccine as an opportunity for mother-daughter communication about sex. Estimates are weighted.\n\nResults: Sixty-five percent of mothers reported talking with their daughters about HPV vaccine, of whom 41% said that doing so led to a conversation about sex. Mothers who had talked with their daughters about HPV vaccine were more likely than those who had not to have also talked with their daughters about sex (92% vs. 74%, OR = 3.25, CI = 1.57-6.68, P < 0.05), in multivariate

analyses. Among mothers who talked about sex when they talked about HPV vaccine, many felt that HPV check details vaccine provided a good reason to do so (64%) or that it made it easier to start a conversation (33%).\n\nConclusions: HPV vaccine discussions provide a cue to mother-daughter communication about sex that is as important as some more widely recognized cues. Discussions about HPV vaccine are an acceptable opportunity for mothers to talk with their daughters at an age when communication about sex is most influential. It may be possible for parents to capitalize on HPV vaccine discussions already happening in many

families to promote sexual health.”
“Following its introduction from Asia to the USA, the Asian needle ant (Pachycondyla chinensis) is rapidly spreading into a wide range of habitats selleckchem with great negative Adriamycin inhibitor ecological affects. In addition, the species is a concern

for human health because of its powerful, sometimes deadly, sting. Here, we assessed the potential of P. chinensis to spread further and to invade entirely new regions. We used species distribution models to assess suitable areas under current climatic conditions and in 2020, 2050 and 2080. With a consensus model, combining five different modelling techniques, three Global Circulation (climatic) Models and two CO2 emission scenarios, we generated world maps with suitable climatic conditions. Our models suggest that the species currently has a far greater potential distribution than its current exotic range, including large parts of the world landmass, including Northeast America, Southeast Asia and Southeast America. Climate change is predicted to greatly exacerbate the risk of P. chinensis invasion by increasing the suitable landmass by 64.9% worldwide, with large increases in Europe (+210.1%), Oceania (+75.1%), North America (+74.9%) and Asia (+62.7%). The results of our study suggest P. chinensis deserves increased attention, especially in the light of on-going climate change.”
“This paper assesses the methodology employed in longitudinal studies of advertising and youth drinking and smoking behaviors.

As most protein sequences of MVA are 97 to 99% identical to those

As most protein sequences of MVA are 97 to 99% identical to those of other vaccinia virus strains, extensive binding cross-reactivity CH5183284 is expected, except for those deleted

or truncated. Despite different hosts and immunization regimens, the MVA and Dryvax antibody profiles were broadly similar, with antibodies against membrane and core proteins being the best conserved. The responses to nonstructural proteins were less well conserved, although these are not expected to influence virus neutralization. The broadest antibody response was obtained for hyperimmune rabbits with WR, which is pathogenic in rabbits. These data indicate that, despite the mutations and deletions in MVA, its overall immunogenicity is broadly comparable to that of Dryvax, particularly at the level of antibodies to membrane proteins. The work supports selleck kinase inhibitor other information suggesting that MVA may be a useful alternative to Dryvax.”
“How various epigenetic mechanisms restrict chromatin plasticity to determine the stability of repressed genes is poorly understood. Nuclear transfer to Xenopus oocytes induces the transcriptional reactivation of previously silenced genes. Recent

work suggests that it can be used to analyze the epigenetic stability of repressed states. The notion that the epigenetic state of genes is an important determinant of the efficiency of nuclear reprogramming is supported by the differential reprogramming of given genes from different starting epigenetic configurations. After nuclear transfer, transcription from the inactive X chromosome of AL3818 price post-implantation-derived epiblast stem cells is reactivated. However, the same chromosome is resistant to reactivation when embryonic fibroblasts are used. Here, we discuss different kinds of evidence that link the histone variant macroH2A to the increased stability of repressed states. We focus on developmentally regulated X chromosome inactivation and repression of autosomal pluripotency genes, where macroH2A may help maintain the

long-term stability of the differentiated state of somatic cells.”
“The late relapses (LR) of germinal cells tumors occur by definition more than two years after a succesful initial care. These rare situations have a poor prognosis with a median survival of 23.9 months after chemotherapy. The LR arise as a general rule at the patient’s suffering from an advanced initial stage NSGCT. The risk is increased by the arising of a first relapse in the first two years which follow the initial treatment. The diagnosis is mostly mentioned in front of symptoms, CT scan or rising markers in 40% of the cases. The LR group includes two very different clinical situations: the LR of the initially watched GCT, treatment of which bases on the standards of first-line stage II tumor treatment; and the LR of NSGCT after a first line chemotherapy, treatment of which bases mainly on surgery which allows a long-term complete remission in more than 50%.

At least

one legume species occurred in 89 7% of the site

At least

one legume species occurred in 89.7% of the sites studied; the genera Astragalus, Oxytropis, and Medicago were dominant among the 12 legume genera recorded. Generally, within 1 m(2) of grassland, only one legume species was present with an aboveground biomass of 1.1 g; this accounted for 9.1% of community species richness and 1.7% of total aboveground biomass. In comparison with many other types of grassland around the world, both the legume aboveground biomass and its percentage of the total were low in Chinese grasslands, especially in Inner Mongolia. The low biomass of legumes in grassland might be attributable to the Acalabrutinib nmr low growing-season selleck chemicals temperature on the Tibetan Plateau, while in Inner Mongolia, low precipitation combined with high temperatures during the growing season may be the main reason. Although legumes in Chinese grasslands have substantial potential for nitrogen fixation and contain a variety of forage species, their ecological and economic value has been limited by their low biomass. Suggestions to enhance legume biomass in Chinese grasslands are provided.”
“Eukaryotic and archaeal translation initiation processes involve a heterotrimeric GTPase e/aIF2 crucial for accuracy of start codon selection.

In eukaryotes, the GTPase activity of eIF2 is assisted by a GTPase-activating protein (GAP), eIF5. In archaea, orthologs Etomoxir mouse of eIF5 are not found and aIF2 GTPase activity is thought to be non-assisted. However, no in vitro GTPase activity of the archaeal factor has been reported to date. Here, we show that aIF2

significantly hydrolyses GTP in vitro. Within aIF2 gamma, H97, corresponding to the catalytic histidine found in other translational GTPases, and D19, from the GKT loop, both participate in this activity. Several high-resolution crystal structures were determined to get insight into GTP hydrolysis by aIF2 gamma. In particular, a crystal structure of the H97A mutant was obtained in the presence of non-hydrolyzed GTP. This structure reveals the presence of a second magnesium ion bound to GTP and D19. Quantum chemical/molecularmechanical simulations support the idea that the second magnesium ion may assist GTP hydrolysis by helping to neutralize the developing negative charge in the transition state. These results are discussed in light of the absence of an identified GAP in archaea to assist GTP hydrolysis on aIF2.”
“Background A healthy diet, as defined by the US Dietary Guidelines for Americans (DGA), has been associated with lower morbidity and mortality from major chronic diseases in studies conducted in predominantly non-Hispanic white individuals. It is unknown whether this association can be extrapolated to African-Americans and low-income populations.