06-1 21) Oophorectomy

06-1.21). Oophorectomy Selleck Alvespimycin was associated with a lower risk of death from ovarian cancer (four women with oophorectomy compared with 44 women with ovarian conservation) and, before age 47.5 years, a lower risk of death from breast

cancer. However, at no age was oophorectomy associated with a lower risk of other cause-specific or all-cause mortality. For women younger than 50 years at the time of hysterectomy, bilateral oophorectomy was associated with significantly increased mortality in women who had never used estrogen therapy but not in past and current users: assuming a 35-year lifespan after oophorectomy: number needed to harm for all-cause death=8, coronary heart disease death=33, and lung cancer death=50.

CONCLUSIONS: Bilateral oophorectomy is associated with increased mortality

in women aged younger than 50 years who never used estrogen therapy and at no age is oophorectomy associated with increased survival. (Obstet Gynecol 2013;121:709-16) DOI: http://10.1097/AOG.0b013e3182864350″
“Background: Although there are controversial issues (the “”American view”" and the “”European view”") regarding Napabucasin clinical trial the construct and definition of agoraphobia (AG), this syndrome is well recognized and it is a burden in the lives of millions of people worldwide. To better clarify the role of drug therapy in AG, the authors summarized and discussed recent evidence on pharmacological treatments, based on clinical trials available from 2000, with the aim of highlighting pharmacotherapies that may improve this complex syndrome.

Methods: A systematic review of the literature regarding the pharmacological treatment of AG was carried out using MEDLINE, EBSCO, and Cochrane databases, with keywords individuated by MeSH research. Only

randomized, placebo-controlled studies or comparative clinical trials were included.

Results: After selection, 25 studies were included. All the selected studies included patients with AG associated with panic disorder. Effective Pexidartinib mouse compounds included selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, selective noradrenergic reuptake inhibitors, and benzodiazepines. Paroxetine, sertraline, citalopram, escitalopram, and clomipramine showed the most consistent results, while fluvoxamine, fluoxetine, and imipramine showed limited efficacy. Preliminary results suggested the potential efficacy of inositol; D-cycloserine showed mixed results for its ability to improve the outcome of exposure-based cognitive behavioral therapy. More studies with the latter compounds are needed before drawing definitive conclusions.

Conclusion: No studies have been specifically oriented toward evaluating the effect of drugs on AG; in the available studies, the improvement of AG might have been the consequence of the reduction of panic attacks. Before developing a “”true”" psychopharmacology of AG it is crucial to clarify its definition.

Exposure of the synthesized fiber at high temperature with a flam

Exposure of the synthesized fiber at high temperature with a flame of an oxygen-gas burner was examined. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 114: 2600-2607, 2009″
“Advancements in surgery, radiotherapy, and chemotherapy have greatly improved the cures rates for children

with Wilms tumor. However, a number of therapy-related late effects have been observed in long-term survivors. Generally, late complications are a consequence of treatment type and intensity; the use of radiotherapy and anthracyclines increases the risk of these complications. This commentary highlights some clinically significant late sequelaemusculoskeletal see more effects, cardiac toxicity, reproductive problems, renal dysfunction, and the development of second malignant neoplasms. Careful medical and epidemiological monitoring

of survivors can provide critical information to further optimize therapy while minimizing long-term sequelae.”
“The ion emission of a Sn-based discharge produced extreme ultraviolet producing plasma is characterized with the combined use of different time-of-flight techniques. An electrostatic ion spectrometer is employed to measure the average charge distribution of the emitted Sn ions. A dedicated Faraday cup configuration is used to measure click here the total ion flux from the source for different discharge energies. High-energy Sn ions emitted by the plasma with energies up to 100 keV have been identified. The number of high-energy ions increases for higher electrical input energy into the plasma while the signal associated with the expanding plasma ions does not show such dependence. The ion energy distribution for a bulk of detected ions is calculated based on the Faraday cup measurements and compared with theoretical plasma expansion dynamics.”
“A novel ion-imprinted membranes were synthesized for selective removal and

preconentration for Ag(I) ions from aqueous solutions. The membranes were obtained via crosslinking of chitosan (CS), PVA, and blend chitosan/PVA using glutaraldehyde (GA) as crosslinker. The FTIR spectra were used to confirm the membrane formation. Comparing with the nonimprinted membranes, Ag(I)-imprinted CS and CS/PVA has higher removal capacity and selectivity for Ag(+) ions. An enhancement in the Ag+ removal capacity by similar to 20% (from 77.8 Crenigacestat manufacturer to 94.4 mg g(-1)) and similar to 50% (from 83.9 to 125 mg g(-1)) was found in the Ag(l)-imprinted CS and Ag(l)-imprinted CS/PVA membranes, respectively, when compared with the nonimprinted membranes. Removal equilibra was achieved in about 40 min for the non- and ion-imprinted CS/PVA. The pH and temperature significantly affected the removal capacity of ion-imprinted membrane. The relative selectivity coefficient values of Ag(+)/Cu(2+) and Ag(+)/Ni(2+) are 9 and 10.7 for ion-imprinted CS membrane and 11.1 and 15 for ion-imprinted CS/PVA membrane when compared with nonimprinted membranes.

For patients with SJS or TEN, immediate withdrawal of the

For patients with SJS or TEN, immediate withdrawal of the

offending medication should be done when blisters or erosions appear in the course of a drug eruption, as this may improve the prognosis. (C) 2011 Published by Elsevier B.V. on behalf of European Crohn’s and Colitis Organisation.”
“This study examined the putative role of blood vessel pathology in the development of ascites in broilers. Major blood vessels (aorta, brachiocephalic arteries, pulmonary arteries, and vena cava) from normal commercial male broiler chickens, and broilers that developed congestive heart failure (CHF) with or without ascites were subjected to gross and microscopic examination.

On cross-section, grossly, the arteries from normal broilers and those showing dilated cardiomyopathy without ascites appeared selleck inhibitor circular, with firm wall tone characteristic of the

normal artery. In contrast, the arteries from ascitic broilers appeared flaccid and lacked elasticity, which was evidenced by collapsing, ellipsoid cross-sectional arterial Acalabrutinib cell line lumen owing to the structural weakness of the arterial walls. Microscopically, ascitic broilers showed thinning or occasionally total loss of elastic elements in the arterial wall, and reduced network density of the structural matrix of the vascular wall, as well as increased thickness of fibers in vena cava.

The structural changes seen in the major arteries from ascitic broilers are maladaptive,

and as such would definitively impose an increased hemodynamic burden on the already failing heart pump. GSK2879552 The changes in veins are indicative of pathological remodeling conducive to increased permeability of the vascular wall, particularly in the situation when a poorly distensible structure is further subjected to wall stress associated with increased pressure and volume overload. Taken together, increased hemodynamic burden and reduced structural density of the venous wall constitute conditions conducive for seepage and accumulation of ascitic fluid. (C) 2008 Elsevier Ltd. All rights reserved.”
“Respiratory syncitial virus (RSV) is the most common cause of lower respiratory tract infections (LRTI) in children worldwide and it is associated with significant childhood morbidity. Acute infection may result in respiratory failure with varying degrees of severity, and increasing evidence supports a role of RSV infection as a key determinant for the development of subsequent chronic respiratory disease. Independent predictors of RSV severity include; prematurity, congenital heart disease, cystic fibrosis, immune defects and neuromuscular disorders. Passive immunization with palivizumab has proven to be safe and effective for preventing RSV hospitalization in infants at higher risk of acquiring severe RSV infection, but its expense and cumbersome monthly intravenous delivery schedule make it inaccessible to many.

5-s schedule in rats The current investigation evaluated whether

5-s schedule in rats. The current investigation evaluated whether nicotine-associated contextual cues can produce nicotine-like perturbations in DRL-schedule performance in the absence of nicotine. Nicotine and saline administrations occurred

just prior to DRL 29.5-s schedule responding for sucrose solution, selleck compound library and two different experimental contexts (differentiated by visual, olfactory, and tactile cues) were utilized. All subjects (N=16) experienced two consecutive sessions of DRL-schedule responding per day. The experimental group (n=8) was exposed to saline immediately prior to the first session and 0.3 mg/kg nicotine before the second session, and the context was changed between sessions. This sequence of saline and then nicotine administration, paired with two reliable contexts, persisted for 12 consecutive days and successive nicotine administrations corresponded with increasingly poorer performance on the DRL 29.5-s schedule. No nicotine was administered for days 13-20 during context testing, and the nicotine-associated context produced response disinhibition on the DRL schedule. Two control groups were included in the design; subjects in one control group (n=4) received saline in each context to verify that the contexts themselves were not exerting control over operant responding. To assess how explicit and non-explicit pairings of nicotine and contextual cues influenced DRL behavior, subjects in a second control

group (n=4) were given nicotine prior to the second session, but the contexts were not altered between sessions. The results from this selleckchem experiment suggest that environmental stimuli associated with nicotine exposure can come to elicit nicotine-induced performance decrements on a DRL 29.5-s schedule. (C) 2009 Elsevier

Ireland Ltd. selleck screening library All rights reserved.”
“Two diazo-coupling novolac derivative resins (carbonyl phenyl azo novolac resin and carbonyl phenol-biphenylene azo novolac resin) were used as flame retardants. The cured resins exhibited elevated glass-transition temperatures from 115 degrees C (blank) to 195 and 167 degrees C, respectively. The char yield at 800 degrees C was increased, which elaborated the effectiveness of flame retardancy with evaluated limiting oxygen indices around 36 to 40. This was mainly attributed to the increased crosslink densities and highly aromatic contents in the modified phenol novolac derivative resins, which exhibited higher thermal degradation energies. Furthermore, the more effective flame retardancy was expected because of the loss of nitrogen during combustion. Through the evaluation of the cooperative flame retardancy in the organic/inorganic hybrid with char yield and increasing limiting oxygen index percentage, the effects of the filler showed cooperative flame retardancy only with the appropriate addition and with a difference in the crosslinking densities. (C) 2009 Wiley Periodicals, Inc.

Because the acoustic

Because the acoustic U0126 order and optical phonon branches have high positive and moderate negative slopes, respectively, around the “”Gamma”"-point in the phonon dispersion, a larger Raman shift of the acoustic mode to a higher frequency is observed in comparison with the shift to a lower frequency of the optic mode for a given nanostructure size. (C) 2011 American Institute of Physics. [doi:10.1063/1.3633235]“
“Stem cell transplantation

is an investigational therapy for multiple sclerosis. The authors describe a case of catastrophic demyelinating encephalomyelitis following stem cell transplantation in a 17-year-old girl. Nine months after an initial diagnosis of multiple sclerosis, she underwent stem cell transplantation

in Costa Rica. Subsequently, she deteriorated and was transported back to the United States with headache and vomiting progressing to quadriparesis, locked-in syndrome, and superimposed encephalopathy. Magnetic resonance imaging and brain biopsy were consistent with fulminant demyelinating encephalomyelitis with enhancing parenchyma and leptomeninges. Cerebrospinal fluid analysis revealed lymphocytic pleocytosis and high protein. The protracted illness required tracheostomy and gastrostomy. After methyleprednisone, intravenous immunoglobulin, and cyclophosphamide, she improved learn more during 2.5 months to an ambulatory, functionally independent state. Subsequently, typical less severe multiple sclerosis relapses occurred. This case demonstrates that stem cell transplantation may provoke life-threatening encephalomyelitis in patients with multiple sclerosis. This highlights the need to restrict transplantation to trials with appropriate safety controls.”
“Background. CHIR98014 cell line a 15-year-old boy who had been overweight since the age

of 6 months was referred to an adolescent obesity clinic for further assessment of his comorbidities and management of his obesity. the patient had no history of developmental delay or abnormal growth velocity. He had previously tested negative for Prader-Willi syndrome and the melanocortin-4 receptor gene mutation. the patient had made numerous attempts at weight loss in the past, but any weight loss he achieved had been temporary. at presentation, the patient had a BMI of 52.3 kg/m(2), a waist circumference of 156 cm, blood pressure of 130/85 mmHg and severe acanthosis nigricans in the cervical and axillary skin folds.

Investigations. Measurement of height, weight, waist circumference and blood pressure; screening tests, including a fasting glucose test, 2 h glucose-tolerance test, measurements of blood lipids and liver function tests.

Diagnosis. Morbid obesity, metabolic syndrome, nonalcoholic fatty liver disease, impaired glucose tolerance and dyslipidemia.

The prepared particles were sensitive to both temperature and pH,

The prepared particles were sensitive to both temperature and pH, and they had good reversibility

in solution at different temperatures and pH values. The swelling ratios of PNIPAAm/CS hydrogel particles decreased slightly with the addition of CS, which did not shift the lower critical solution temperature. The drug-release behavior of the particles was investigated using cyclic adenosine 3′,5′-monophosphate (CAMP) as a model drug. The release of cAMP from the hydrogel particles was affected by temperature, pH, and the CS content in the particles. These results showed that semi-IPN hydrogen particles appeared to be of great TPCA-1 NF-��B inhibitor promise in pH- and temperature-sensitive oral drug release. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 116: 1342-1347, 2010″
“The objective of the review is to present the possible role of urocortin, a novel peptide of the corticotrophin releasing factor family, in different conditions of obstetrics and gynecology such as preterm labor, preeclampsia or ovarian steroidogenesis.

A

learn more MEDLINE search was commenced with the terms “”urocortin”", “”preterm labor”", “”preeclampsia”", “”ovary”", “”endometrium”", “”myometrium”", “”placenta”", “”plasma”", “”amniotic fluid”". Seventy-three articles were found to be relevant on the field and the potential role of urocortin in such conditions is presented.

Amounting data suggest that urocortin could play a significant role in human reproduction (steroidogenesis in the ovary, maintenance of the placental function and labor). Further investigation on the field is necessary in order to clarify the natural role of this newly identified molecule in the field of obstetrics and gynecology.”
“The literature shows that triplet-triplet annihilation (TTA) Nocodazole ic50 can provide a substantial contribution to the electroluminescence (EL) of fluorescent organic light-emitting devices

(OLEDs). In this study, we utilized delayed EL measurements to probe the TTA emission zone of archetypical 8-hydroxyquinoline aluminum (Alq(3)) based OLEDs. The results demonstrate that the TTA emission zone of these devices is much larger than the prompt emission zone of singlet states that are formed in the electron-hole recombination. The larger TTA emission zone is attributed to the longer diffusion length of the Alq(3) triplet states (60 nm) than that of Alq(3) singlet states (20 nm). (c) 2010 American Institute of Physics. [doi:10.1063/1.3410678]“
“The purpose of this study was to investigate the effects of purple-fleshed potatoes on blood glucose level (BGL), insulin and lipid levels in streptozotocin (STZ) induced diabetic rats for 7 weeks. Test groups were divided into non-diabetic control and diabetic groups. The diabetic groups were further divided into three groups: diabetes mellitus (DM) control, 10% purple-fleshed potato DM (10PP-DM), and 20% purple-fleshed potato DM (20PP-DM) groups.

The comparison between the two crosslinking methods showed that f

The comparison between the two crosslinking methods showed that formaldehyde crosslinking was significantly more efficient than irradiation. The HCHO crosslinking technique was selected for the following of the study. Nevertheless, even for highly crosslinked samples, the plasticizer exuded out of the film. A second

part of this work was focused on the effect of surface modification on plasticizer exudation in TEA plasticized caseinate films. Considering that silicone grease coating onto the film surface was able to control TEA exudation, surface modifying additives (SMA) based on NaCAS and organo-silicones were used to modify films surface properties. Surface wettability and energy were determined Apoptosis Compound Library datasheet from contact angle measurements. TEA exudation ratios AZD8931 manufacturer in water were also monitored for films containing SMA. SMA were less efficient in controlling TEA exudation rates but could significantly reduce surface energy to 42 mJ m(2). (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 117: 1828-1836, 2010″
“Lactase persistence (LP) is common among people of European ancestry, but with the exception of some African, Middle Eastern and southern Asian groups, is rare or absent elsewhere in the world. Lactase gene haplotype conservation around a polymorphism strongly associated with LP in Europeans (-13,910 C/T) indicates that the derived allele is recent in origin and has

been subject to strong positive selection. Furthermore, ancient DNA work has shown that the -13,910*T (derived) allele was very rare or absent in early Neolithic central Europeans. It is unlikely that LP would provide a selective advantage

without a supply of fresh milk, and this has lead to a gene-culture coevolutionary model where lactase persistence is only favoured in cultures practicing dairying, and dairying is more favoured in lactase persistent populations. We have developed a flexible demic computer simulation model to explore the spread of lactase persistence, Galardin purchase dairying, other subsistence practices and unlinked genetic markers in Europe and western Asia’s geographic space. Using data on -13,910*T allele frequency and farming arrival dates across Europe, and approximate Bayesian computation to estimate parameters of interest, we infer that the -13,910*T allele first underwent selection among dairying farmers around 7,500 years ago in a region between the central Balkans and central Europe, possibly in association with the dissemination of the Neolithic Linearbandkeramik culture over Central Europe. Furthermore, our results suggest that natural selection favouring a lactase persistence allele was not higher in northern latitudes through an increased requirement for dietary vitamin D. Our results provide a coherent and spatially explicit picture of the coevolution of lactase persistence and dairying in Europe.”
“We investigate 100 nm thick epitaxial monolayer of SrTiO3 strained by 1% in biaxial tension and grown on (110) DyScO3.

There has been a lack of research into awareness of MOH We distr

There has been a lack of research into awareness of MOH. We distributed an electronic survey to undergraduate students and their contacts via social networking sites. Analgesic use, awareness of MOH, perceived change in behaviour following educational intervention about the risks of MOH and preferred terminology for MOH was evaluated.

485 respondents completed the questionnaire (41% having received healthcare training). 77% were unaware of the possibility of MOH resulting from regular analgesic use for headache. Following education about MOH, 80% stated they would reduce analgesic consumption or seek medical advice. 83% indicated that over GDC-0973 ic50 the counter analgesia should carry a warning of MOH. The preferred

terminology for MOH was painkiller-induced headache.

This study

highlights the lack of awareness of MOH. Improved education about MOH and informative packaging of analgesics, highlighting the risks in preferred lay terminology (i.e. painkiller-induced headache), may reduce this iatrogenic morbidity and warrants further evaluation.”
“The carrier lifetime in boron-doped Czochralski-grown silicon is ultimately limited SB203580 mw by light-induced boron-oxygen-related recombination centers. These centers can be permanently deactivated by illumination at elevated temperature (70-220 degrees C). However, the detailed defect reactions leading to permanent deactivation are still unresolved. In this work, we study the impact of oxygen on the deactivation process. We examine the dependence of the deactivation rate on the interstitial oxygen concentration as well as the impact of long-term annealing at 450 degrees C, leading to the generation of oxygen clusters acting as donors (thermal donors). We find a decrease in the deactivation rate with both increasing

interstitial oxygen concentration and increasing thermal donor concentration, suggesting that oxygen is involved in the deactivation process. (C) 2010 American Institute of Physics. [doi:10.1063/1.3431359]“
“Background: In June 2006, the Advisory Committee on Immunization Practices (ACIP) expanded its June 2005 recommendation for a second dose of varicella vaccine during outbreaks to a recommendation for routine SNX-5422 concentration school entry second dose varicella vaccination. In October 2006, the Arkansas Department of Health was notified of a varicella outbreak among students where some received a second dose during an outbreak-related vaccination campaign in February 2006.

Methods: The outbreak was investigated using a school-wide parental survey with a follow-up survey of identified case patients. Vaccination status was verified using state and local immunization records. Limited laboratory testing confirmed circulation of wild-type varicella, including varicella in 2-dose vaccine recipients.

Results: Vaccination information was available for 871 (99%) of the 880 children. Varicella vaccination coverage was 97% (2-dose, 39%; 1-dose, 58%).

v formulation whenever possible), over 72% of evaluable patients

v. formulation whenever possible), over 72% of evaluable patients had a very slow clinical, microbiological, and imaging ameliorement (1-6 months), with persistance of sputum and/or bronchoalveolar lavage (BAL) fluid positive for M. tuberculosis microscopy and/or culture for over 1-4 months (mean 9.2 +/- 3.2 weeks), PXD101 cost during an apparently adequate treatment. When excluding

patients suffering from XDR and MDR tuberculosis, in four subjects we observed that off-label linezolid adjunct together with at least three drugs with residual activity against tuberculosis, led to a significantly more rapid clinical-radiological improvement and negative microbiological search, with consequent possibility to led to a protected discharge, supported by a sequential, oral therapy. Linezolid was also successfully employed in all the four patients with XDR or MDR pulmonary tuberculosis:

among these patients, a definitive or temporarily negativization of respiratory secretions, and consequent discharge, was achieved only after linezolid adjunct. Notwithstanding the maintained microbiological susceptibility of M. tuberculosis strains responsible of the great majority of cases of pulmonary tuberculosis to first-line drugs, an unexpected tendency of patients to have a persistingly positive sputum and/or SB203580 BAL, and to experience prolonged hospitalization for cure and isolation, has been recognized in the last years. No particularly suggestive radiological imaging seems predictive of a so prolonged course, so that we presently lack of clinical and imaging elements which may be predictive of this slow treatment response.

The same is for demographic and epidemiological issues, eventual underlying diseases, and clinical presentation, so Staurosporine mouse that a major problem for health care providers is to distinguish upon admission patients who will be prone to have slow therapeutic response and a related prolonged hospitalization. The novel oxazolidinone linezolid is characterized by an affordable in vitro activity against M. tuberculosis, and an extremely elevated intracellular concentration in respiratory tissues.

Worldwide, increasing microbiological, pharmacological, and clinical evidences may recommend the use as linezolid adjunct as an off-label salvage treatment o pulmonary tuberculosis refractory to treatment, although not necessarily determined by resistant (MDR-XDR) M. tuberculosis strains. Randomized clinical trials including initially patients with ascertained chemioresistant tuberculosis, are strongly warranted.”
“OBJECTIVE: Most lung transplants are obtained from brain-dead donors. The physiopathology of brain death involves hemodynamics, the sympathetic nervous system, and inflammatory mechanisms. Administering methylprednisolone 60 min after inducing brain death in rats has been shown to modulate pulmonary inflammatory activity.

(C) 2008 Wiley

Periodicals, Inc J Appl Polym Sci 111: 21

(C) 2008 Wiley

Periodicals, Inc. J Appl Polym Sci 111: 2104-2115, 2009″
“An enzyme https://www.selleckchem.com/products/pf-04929113.html immunoassay-based test system for Y. pestis V antigen detection was developed. The specificity and sensitivity of this system met the requirements for medical immunobiological preparations for the identification of causative agents of highly fatal diseases. The sensitivity of the test system was assessed, and its high specificity was also demonstrated: the test system did not detect bacterial cells of closely related (four Y. pseudotuberculosis strains) and heterologous microorganism strains. The test system developed was able to detect the V antigen at concentrations as low as 2.0 ng/mL in cells of nine experimental Y. pestis cultures. The obtained preparation can be recommended for use in laboratory diagnostics of plaque.”
“This GNS-1480 molecular weight study examined factors that mediate and moderate the relationship between gender and utilization of mental health and medical services in the past year among Puerto Rican drug users (308 females; 892 males) recruited in New York City. Experience of sexual or physical abuse, injection drug use, relationship variables (e.g., having a sexual partner who is an injection drug user), and serious or chronic mental/medical conditions were used as potential

mediators and moderators. Both sexual and physical abuse mediated gender effects on use of mental health services. Having chronic medical problems mediated the relationship between gender and utilization of medical and mental health services. Significant interaction effects of gender by depression, physical abuse, and HIV sero-status on utilization of medical services were found. Health (particularly mental health) care was Under-Utilized by both women and men, despite high rates of depression and chronic medical conditions. The finding of under-Use of medical services by HIV-positive drug users (particularly by HIV-positive women) indicates

a need for further efforts to engage all HIV-positive persons in care. The findings also indicate an on-going need for mental and other health services for drug users who have been victims of abuse. (C) 2009 Elsevier Ireland Ltd. All rights reserved.”
“Insulin resistance and pancreatic beta cell dysfunction Duvelisib mw are major contributors to the pathogenesis of diabetes. Various conditions play a role in the pathogenesis of pancreatic beta cell dysfunction and are correlated with endoplasmic reticulum (ER) stress. Pancreatic beta cells are susceptible to ER stress. Many studies have shown that increased ER stress induces pancreatic beta cell dysfunction and diabetes mellitus using genetic models of ER stress and by various stimuli. There are many reports indicating that ER stress plays an important role in the impairment of insulin biosynthesis, suggesting that reduction of ER stress could be a therapeutic target for diabetes.