Protein-enriched diets resulted in reduced longevity under laboratory and field conditions. Flies

exposed to a combination of sugar and fresh mango fruit pulp showed greater longevity and field survival. Release-recapture experiments showed that this mango plus sugar diet resulted in the greatest trap capture and the longest life expectancy when compared with the other treatments. Per cent recapture ranged from 0.24% to 17.50%. More females than males were recaptured. Spatial distribution was not affected by diet treatment, sex or replicate, but was affected by environmental conditions, such as vegetation cover or shade in the case of A.ludens selleck chemicals llc or prevalent winds in the case of A.obliqua. Our results confirm the trade-offs between better mating performance and reduced survival produced by protein-rich diets and suggest fresh mango fruits, their products or derivates as an alternative selleck screening library to be developed to overcome this problem for sterile insect technique programmes.”
“Background\n\nToo

many abused and neglected children are being overlooked by GPs and other professionals who are in contact with the families. Some suggestions for a definition of ‘a child in need’ have been given, but the functionality of these definitions has not been tested in general practice.\n\nAim\n\nTo describe the problems presented by GPs as cases with children in need during supervision, and from here to suggest an empirically-based definition of a child in need in general. practice.\n\nDesign of study\n\nA 4 mixed-method evaluation design was used.\n\nSetting\n\nTwenty-one GPs, in Denmark, participated in supervision groups concerning cases with children in need in general practice.\n\nMethod\n\nThe data were analysed via field notes and video recordings; case categorisation into sex, ethnicity, and developmental stages; thematically using the GPs’ own descriptions; and a theoretically supported style.\n\nResults\n\nAnalysis of the data led to the suggested definition of a case concerning ‘a child in need’ in general practice as

one that directly or indirectly involves problems with a specific child, an as-yet unborn child, or one or both parents of a family currently or potentially threatening the wellbeing of the family or the child.\n\nConclusion\n\nBased on Selleckchem Autophagy Compound Library this analysis, one suggestion as to why some abused and neglected children are overlooked in general practice is that GPs often have to navigate in difficult indirect consultations, where there is a high risk of losing the overview.”
“The phylogeny of the class Actinobacteria remains controversial, essentially because it is very sensitive to the choice of dataset and phylogenetic methods. We used a test proposed recently, based on complete genome data, which chooses among candidate species phylogenies based on the number of lateral gene transfers (LGT) needed to explain the diversity of histories among gene trees for a set of genomes.

“
“Functional magnetic resonance imaging (fMRI) is a non-invasive technique that has come into common use to examine neural network function in normal

and impaired cognitive states. Using this promising type of analysis, researchers have identified the presence of anatomically distributed regions operating as large-scale neural networks, which are observed both during the performance of associative memory tasks and in the resting state. The assembly of these anatomically distinct regions into functional ensembles and their choreographed activation AEB071 and deactivation sets the stage for complex behaviors such as the formation and retrieval of associative memories. We review progress in the selleck screening library use of task-related and 123 task-free MRI to elucidate the changes in neural activity in normal older individuals, patients with mild cognitive impairment, and those with Alzheimer’s disease, focusing on the altered activity of the default mode network and medial temporal lobe. We place task-free fMRI studies into the larger context of more traditional, task-based fMRI studies of human memory, which have firmly established the critical role of the medial temporal lobe in

associative encoding. Lastly, we discuss the data from our group and others that suggests task-free MRI and task-based fMRI may prove useful as non-invasive biomarkers in studying the progression of memory failure over the course of Alzheimer’s disease.”
“A clustered DNA lesion, also known as a multiply damaged site, is defined as >= 2 damages in the DNA within 1-2 helical turns. Only ionizing radiation and certain chemicals introduce DNA damage in the genome in this non-random way. What is now clear is that the lethality of a damaging agent is not just related to the types of DNA lesions introduced, but also to how the damage is distributed in the DNA. Clustered DNA lesions were first hypothesized

to exist in the 1990s, and work has progressed where these complex lesions have been characterized and measured in irradiated as well as in non-irradiated cells. A clustered lesion can consist of single as well as double strand breaks, base damage and abasic sites, and the damages can be situated on the Navitoclax nmr same strand or opposing strands. They include tandem lesions, double strand break (DSB) clusters and non-DSB clusters, and base excision repair as well as the DSB repair pathways can be required to remove these complex lesions. Due to the plethora of oxidative damage induced by ionizing radiation, and the repair proteins involved in their removal from the DNA, it has been necessary to study how repair systems handle these lesions using synthetic DNA damage. This review focuses on the repair process and mutagenic consequences of clustered lesions in yeast and mammalian cells.

In good agreement with the localization of its target

acetylation, H3K9ac-mintbody was enriched in euchromatin, and its kinetics measurably changed upon treatment with a histone Selleckchem AR-13324 deacetylase inhibitor. We also generated transgenic fruit fly and zebrafish stably expressing H3K9ac-mintbody for in vivo tracking. Dramatic changes in H3K9ac-mintbody localization during Drosophila embryogenesis could highlight enhanced acetylation at the start of zygotic transcription around mitotic cycle 7. Together, this work demonstrates the broad potential of mintbody and lays the foundation for epigenetic analysis in vivo.”
“The detrimental effects of structural defects, micro-twins (MTs) and threading dislocations (TDs), on electron mobility have been investigated Thiazovivin mw for InSb quantum wells (QWs) at room temperature (RT). The

constants that are necessary to calculate the electron-mobility limits of these defects were determined by a least-squares-based method that has an advantage of clear representation of the analytical results in a two-dimensional space. Based on a mathematical consideration, a general method of converting electron-mobility limits into percentage impacts upon the total electron mobility was developed. Percentage-mobility-impact analyses showed that, when InSb QWs grown on on-axis (001) GaAs substrates have a TD density of 8.7 x 10(8) – 3.2 x 10(9)/cm(2), 21-14 and 18-45% of electron-mobility degradation are attributed to MTs and TDs, respectively, at RT. The use of 2 degrees off-axis (001) GaAs substrates reduces MT densities in InSb QWs, resulting in a suppression of the MT mobility impact to 3-2% and a complementary slight increase of the TD mobility impact to 22-51% in the same TD density range. This considerable TD mobility limit indicates that it should be possible to improve RT electron mobility in InSb QWs grown on 2 degrees off-axis

(001) GaAs substrates, by means of reducing TD density further (< 8.7 x 10(8)/cm(2)). Although the mobility impacts due to phonons in InSb QW grown on-axis and 2 degrees off-axis HDAC assay (001) GaAs substrates are 54-36 and 67-42%, respectively, phonon scattering is not a single dominant scattering factor: MTs and TDs have also substantial negative impacts upon RT electron mobilities in InSb QWs. (C) 2011 American Institute of Physics. [doi:10.1063/1.3563587]“
“The corneo-scleral limbus contains several biological components, which are important constituents for understanding, diagnosing and managing several ocular pathologies, such as glaucoma and corneal abnormalities. An anterior segment optical coherence tomography (AS-OCT) system integrated with optical microangiography (OMAG) is used in this study to non-invasively visualize the three-dimensional microstructural and microvascular properties of the limbal region.

These continuing

disparities suggest possible perception bias. More research is needed to confirm this disparity and explore the underpinnings.”
“BACKGROUND: Unplanned extubation represents a threat to patient safety, and risk factors and prevention strategies for unplanned extubation have not been fully explored. OBJECTIVES: To define high-risk patients for unplanned extubation and determine clinicians’ beliefs on perceived risks for unplanned extubation METHODS: With a Web-based survey instrument we surveyed critical care clinician members of the American Association for Respiratory Care, the American Association of Critical Galardin order Care Nurses, and the Society of Critical Care Medicine. RESULTS: Surveys were completed by 1,976 clinicians, including 419 respiratory therapists, 870 critical care nurses,

and 605 critical care physicians. The majority of respondents considered an outward migration of the endotracheal tube (by 3 cm, 2 cm if an air leak is present) to represent a risk for unplanned extubation. Respondents considered the following as high risk for unplanned extubation: absence of physical restraints (72% of respondents), a nurse/patient ratio of 1/3 (60%), trips out of the intensive care unit (59%), light sedation (43%), and bedside portable radiograph (29%). In addition, most respondents considered accidental removal of the nasogastric tube (71%) or tugging PLX3397 supplier on the endotracheal tube (87%) by the patient to be risk factors for unplanned extubation. The AZD6094 clinical trial rank order of the perceived risks was related to the respondents’ primary discipline. CONCLUSIONS: We identified perceived risk factors and defined “near misses” for unplanned extubation. Our findings should inform strategies for prevention of unplanned extubation.”
“A

new mesoporous silicotitaniumphosphate material has been synthesized by using a non-conventional phosphorous source trimethyl phosphite with the aid of Pluronic F127 as structure directing agent (SDA). The mesopores are generated due to the slow hydrolysis of the reactant materials in the presence of supramolecular-assembly of non-ionic surfactant under the evaporation induced self-assembly (EISA) process. The material has been characterized by powder XRD, N-2 sorption, TEM, SEM-EDS, TG-DTA, FT-IR, XPS, Si-29, P-31 MAS NMR and UV-vis spectroscopic techniques. This new mesoporous material has considerably high BET surface area (379 m(2) g(-1)) and 4 narrow pore size distribution with a peak pore width of 5.4 nm. The material showed good catalytic activity in the liquid phase Friedel-Crafts benzylation reaction suggesting strong acidity on its surface. It can also be used as good adsorbent for the removal of toxic metal ions As(III/V), Cd(II) and Hg(II) from the contaminated water. (C) 2010 Elsevier B.V. All rights reserved.

Effluents from continuous in vitro three-stage fermentation colonic models of Salmonella Typhimurium infection inoculated with immobilized child microbiota and Salmonella were directly applied to confluent mucussecreting HT29-MTX cell layers. The effects of Salmonella, addition of two bacteriocinogenic strains, Bifidobacterium thermophilum RBL67 (thermophilicin B67) and Escherichia coli L1000 (microcin B17), and inulin were tested check details on Salmonella growth and interactions

with epithelial cell layers. Salmonella adhesion and invasion were investigated and epithelial integrity assessed by transepithelial electrical resistance (TER) measurements and confocal microscopy observation. Data from complex effluents were compared with pure Salmonella cultures.\n\nResults: Salmonella in effluents of all reactors of the colonic fermentation model stabilized at mean values of AZD1208 5.3 +/- 0.8 log(10) cfu/ml effluent. Invasion of cell-associated Salmonella was up to 50-fold lower in complex reactor samples compared to pure Salmonella cultures. It further depended on environmental factors, with 0.2 +/- 0.1% being measured with proximal, 0.6 +/- 0.2% with transverse and 1.3 +/- 0.7% with distal reactor effluents,

accompanied by a similar high decrease of TER across cell monolayers (minus 45%) and disruption of tight junctions. Subsequent addition of E. coli L1000 stimulated Salmonella growth (6.4 +/- 0.6 log(10) cfu/ml effluent of all 3 reactors) and further decreased TER, but led to 10-fold decreased invasion efficiency when tested with distal reactor samples. In contrast, presence of B. thermophilum RBL67 revealed a protective effect on epithelial Lazertinib integrity compared to previous E. coli L1000 periods, as reflected by a significant mean increase of TER by 58% in all reactors. Inulin addition enhanced Salmonella

growth and invasion when tested with distal and proximal reactor samples, respectively, but induced a limited decrease of TER (minus 18%) in all reactors.\n\nConclusions: Our results highlight the benefits of combining suitable cellular and colonic fermentation models to assess strain-specific first-level host protection properties of probiotics during Salmonella infection, providing an efficient system biology tool for preclinical development of new antimicrobials.”
“Are microalgae a potential energy source for biofuel production? This paper presents the laboratory results from a Nannochloropsis sp. microalga biorefinery for the production of oil, high-value pigments, and biohydrogen (bioH(2)). The energy consumption and CO2 emissions involved in the whole process (microalgae cultivation, harvest, dewater, mill, extraction and leftover biomass fermentation) were 4 evaluated. An economic evaluation was also performed. Oil was obtained by soxhlet (SE) and supercritical fluid extraction (SFE). The bioH(2) was produced by fermentation of the leftover biomass.

e. 18:2(n – 6) or 14:0. Our study suggests that electrochemistry can be a useful technique for probing 4 protein-lipid interactions, and more particularly the role played by the specific structure of the FA chains of CL on cyt c binding. (C) 2013 Elsevier B.V. All rights reserved.”
“The aim of this study was to find out the profile of cellular glutathione (GSH) see more and GSH 5-transferase (GST) in hepatocytes differentiated

from adult mesenchymal stem cells (MSC). For this purpose, we have derived functionally active hepatocyte-like cells from normal human multipotent adult MSC. Then the differentiated cells were characterized by specific hepatic markers. The cellular GSH and GST catalytic activity toward 1-chloro-2,4-dinitrobenzene (CDNB) were determined in hepatocyte-like cells STI571 chemical structure differentiated from MSC compared with undifferentiated MSC. Reverse transcription polymerase chain reaction (RT-PCR) and immunoblotting techniques were used to study GST-P1-1 and CST-A1-1 expression in differentiated and undifferentiated

cells. The results showed that there is more than threefold increase in GST catalytic activity in hepatocytes recovered by day 14 of differentiation. GST-P1-1 mRNA expression was detected in both differentiated hepatocyte-like cells and their undifferentiated progenitors. Under similar conditions, only differentiated hepatocyte-like cells expressed GST-A1-1 mRNA. These results were further confirmed by showing that the undifferentiated cells expressed both GST-A and GST-P proteins. Unlike GST, the level of cellular GSH was declined (similar to 20%) in hepatocytes derived from MSC as compared to that of undifferentiated cells. These data may suggest that

hepatogenic differentiation of human bone marrow MSC is accompanied with the regulation of factors participating in GSH conjugation pathway. GS-9973 research buy (C) 2009 Elsevier Ltd. All rights reserved.”
“In order to obtain broadband and high Raman gain coefficient in the tellurite glass, a detailed study of the effects of WO3, MoO3, and P2O5 in TeO2-ZnO-Na2O-Nb2O5 (TZNN) glass system on the thermal stabilities and Raman spectroscopic was performed. It was found that both WO3 and MoO3 improved the glass thermal stability and enhanced the bandwidth significantly. Higher Raman gain coefficients and broader bandwidth were realized in the MoO3 modified glasses than those of WO3 added glass. The tellurite glass containing 15 mol. % MoO3 exhibits the bandwidth 1,7 times larger than the silica glass and the Raman gain coefficient is as high as 38 times that of the silica glass.

Associations between fat distribution and CVD risk factors were studied with linear regression analyses with adjustment for other body compartments, and subsequent adjustment for insulin sensitivity.\n\nResults: In men, larger LFM was significantly and independently associated with lower triglyceride levels (TGs) and higher high-density lipoprotein (HDL)

cholesterol (P < 0.10) and tended to be associated also with lower low-density lipoprotein (LDL) cholesterol, and lower fasting insulin levels. In women, larger LFM was associated with favorable values of all CVD risk factors, although the associations were not statistically significant. In both sexes, larger TFM was independently and significantly associated with unfavorable values of most CVD risk Pevonedistat molecular weight factors, and most associations did not markedly change after adjustment for insulin sensitivity.\n\nDiscussion: In a relatively young and healthy European population, larger LFM is associated with a lower and TFM with a higher cardiovascular and metabolic

risk, which can not be explained by insulin sensitivity.”
“Background and objectives Previous studies reported an association between metabolic syndrome, incident CKD, and proteinuria. This study 432 examined the associations between metabolic syndrome and its components with ESRD and death among those patients BMS-754807 chemical structure with stages 3 and 4 CKD (estimated GFR=15-59 ml/min per 1.73 m(2)).\n\nDesign, setting, participants, & measurements Patients with stages 3 and 4 CKD (n=25,868) who had data relating to metabolic syndrome and were followed in our health care system were identified using an electronic medical record-based registry. Cox proportional hazards models and competing risk analyses MLN2238 price were used to study the associations between metabolic syndrome, its components (elevated BP, low HDL cholesterol, elevated serum triglycerides, impaired glucose metabolism, and obesity), and all-cause mortality and ESRD while adjusting for demographics, comorbid conditions, use of

relevant medications, and renal function.\n\nResults Sixty percent of the study population (n=15,605) had metabolic syndrome. In the multivariate-adjusted analysis, presence of metabolic syndrome was associated with an increased risk for ESRD (hazard ratio=1.33, 95% confidence interval=1.08, 1.64) but not death (hazard ratio=1.04, 95% confidence interval=0.97, 1.12) during a mean follow-up of 2.3 years. Among the individual components of metabolic syndrome, impaired glucose metabolism, elevated triglycerides, and hypertension were associated with increased risk for ESRD, whereas low HDL cholesterol and impaired glucose metabolism were associated with higher risk of death.\n\nConclusions Presence of metabolic syndrome is associated with ESRD but not death in patients with stages 3 and 4 CKD.”
“In the modern era, the prevalence of asthma and allergies are increasing. It has been speculated that environmental exposures are contributing to this rise.

Pharmacokinetic studies in rats revealed that liposome-encapsulated PIA exhibited remarkable resistance to hydrolysis by carboxylesterases, remaining largely intact in the systemic circulation, and demonstrated selective distribution to the lungs. The antitumor activity of liposomal PIA was evaluated https://www.selleckchem.com/products/gsk-j4-hcl.html in a metastatic model of human NSCLC

in mice. Liposomal PIA strongly inhibited lung tumorigenesis ( bigger than 95%) and was significantly (p smaller than 0.05) more efficacious than ibuprofen. We observed a significant induction of urinary 8-iso-prostaglandin F-2 alpha in vivo, which indicates that ROS stress probably plays an important role in mediating the antitumor efficacy of PIA. Our findings suggest that liposomal PIA is a potent agent in the treatment of lung cancer and merits further evaluation. (C) 2014 Elsevier B.V. All rights reserved.”
“In leukemia cells, hyperthermia enhances tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-induced apoptosis. The phenomenon is caspase-dependent and results in membrane changes leading to an increased recognition of TRAIL death receptors by TRAIL. Because either caspase-2 or an apical

proteolytic event has been recently proposed to find more act as an initiator of the cell death mechanism induced by heat shock, we have investigated the hierarchy of caspase activation in cells exposed to the combined heat shock plus TRAIL treatment. We report here that caspases-2, -3, and -8 were the first caspases to be activated. As expected, caspase-8 is required and indispensable during the initiation of this death signaling. Caspase-2 may also participate in the phenomenon but, in contrast to caspase-8, its presence appears dispensable because its depletion by small interfering RNA is devoid of effects. Our observations also suggest a role of caspase-3 and of a particular cleaved form of this caspase during the early signals of heat shock plus TRAIL-induced apoptosis.”
“Intraluminal

occlusion of the middle cerebral artery (MCA) is used extensively in cerebral ischemia research. We tested a modified nylon suture in a rat model of middle cerebral artery occlusion (MCAO) under two anesthesia regimens. Lapatinib in vivo Sprague-Dawley rats were divided into six groups (Group 1, Poly-L-lysine-coated suture under ketamine/xylazine anesthesia; Group 2, modified suture under ketamine/xylazine anesthesia; Group 3, Poly-L-lysine-coated suture under ketamine/xylazine anesthesia with mechanical ventilation; Group 4, modified suture under ketamine/xylazine anesthesia with mechanical ventilation; Group 5, Poly-L-lysine-coated suture under isoflurane anesthesia; Group 6, modified suture under isoflurane anesthesia) and subjected to 2-hour MCAO. Regional cerebral blood flow (rCBF) was monitored by Laser-Doppler flowmetry. Neurological evaluation and ischemic lesion (TTC stain) were assessed at 24 hours of reperfusion.

Moreover, A beta(42) and A beta(40) levels increased over the 5 years, whereas the A beta(42)/A beta(40) ratio decreased (p < 0.001). In conclusion, this study suggests that measurement of plasma A beta should not be used clinically to predict dementia or AD. However, plasma A beta(40) may possibly be regarded as a moderate risk marker comparable to other AZD0530 mouse risk markers for AD such as first-degree family history of dementia.”
“Measures to prevent sexual mucosal transmission of human immunodeficiency virus (HIV)-1 are urgently needed to curb the growth of the acquired immunodeficiency syndrome (AIDS) pandemic and ultimately bring it to an end. Studies in animal

models and acute HIV-1 infection reviewed here reveal potential viral vulnerabilities at the mucosal portal of entry in the earliest stages of infection that might be most effectively targeted by vaccines and microbicides, thereby preventing acquisition and averting systemic infection, CD4 T-cell depletion

and pathologies that otherwise rapidly ensue.”
“OBJECTIVESeveral pathomechanisms are implicated in the pathogenesis of metabolic syndrome (MetS), most of which have not been investigated in African Americans (AAs). We examined the contribution of a selected panel of biomarkers to the development of MetS in Jackson Heart Study (JHS) participants in this investigation.RESEARCH DESIGN AND METHODSWe evaluated 3,019 JHS participants (mean age, 54 years; 64% women) with measurements for seven biomarkers representing

inflammation (high-sensitivity C-reactive C59 Wnt price protein [CRP]), adiposity (leptin), natriuretic pathway (B-natriuretic peptide [BNP]), adrenal pathway (cortisol and aldosterone), and endothelial function (endothelin and homocysteine). We related the biomarker panel to the development selleck screening library of MetS on follow-up and to longitudinal changes in MetS components.RESULTSThere were 278 (22.9%) of 1,215 participants without MetS at baseline who had development of new-onset MetS at follow-up. The incidence of MetS was significantly associated with serum aldosterone (P = 0.004), CRP (P = 0.03), and BNP (P for trend = 0.005). The multivariable-adjusted odds ratios (95% CI) per SD increment of log biomarker were as follows: 1.25 (1.07-1.45) for aldosterone, 1.20 (1.02-1.43) for CRP, and 1.54 (1.07-2.23) and 1.91 (1.31-2.80) for low and high BNP quartiles, respectively. Aldosterone was positively associated with change in all MetS risk components, except low HDL cholesterol and waist circumference. CRP concentration was significantly and directly associated with change in systolic blood pressure (SBP) and waist circumference but inversely associated with HDL cholesterol. For BNP, we observed a U-shape relation with SBP and triglycerides.CONCLUSIONSOur analysis confirms that, in AAs, higher circulating aldosterone and CRP concentrations predict incident MetS.

\n\nOur results suggest that low-intensity signal on T1-W images, but not on T2-W images, is correlated with a poor postoperative 432 neurological outcome. SUVmax of

lesions showing increased signal intensity and SUVR measured on fusion MRI/PET scans are more sensitive parameters for predicting clinical outcome than signal intensity on the MRI scan.”
“Although putative horse embryonic stem (ES)-like cell lines have been obtained recently from in vivo-derived embryos, it is currently not known whether it is possible to obtain ES cell (ESC) lines from somatic cell nuclear transfer (SCNT) and parthenogenetic (PA) embryos. Our aim is to establish culture conditions for the derivation of autologous ESC lines for cell therapy Semaxanib nmr studies in an equine model. Our results indicate that

both the use of early-stage blastocysts with a clearly visible inner cell mass (ICM) and the use of pronase to dissect the ICM allow the derivation 5-Fluoracil of a higher proportion of primary ICM outgrowths from PA and SCNT embryos. Primary ICM outgrowths express the molecular markers of pluripotency POU class 5 homeobox 1 (POU5F1) and (sex determining region-Y)-box2 (SOX2), and in some cases, NANOG. Cells obtained after the passages of PA primary ICM outgrowths display alkaline phosphatase (AP) activity and POU5F1, SOX2, caudal-related homeobox-2 (CDX2) and eomesodermin (EOMES) expression, but may lose NANOG. Cystic embryoid body-like structures expressing POU5F1, CDX2 and EOMES were produced from these cells. Immunohistochemical analysis of equine embryos reveals the presence of POU5F1 in trophectoderm,

primitive endoderm and ICM. These results suggest that cells obtained after passages of primary ICM outgrowths are positive for trophoblast stem cell markers while expressing POU5F1 and displaying AP activity. Therefore, these cells most likely represent trophoblast cells rather than true ESCs. This study represents an important first step towards the production of autologous equine ESCs for pre-clinical see more cell therapy studies on large animal models. Reproduction (2011) 141 321-332″
“A series of novel salicylamide derivatives containing neonicotinoid pharmacophore were designed and synthesized via multi-step reactions. These compounds were characterized by satisfied spectrum analyses mainly including H-1 NMR and ESI-MS. The preliminary bioassays indicated that some of target compounds exhibited excellent insecticidal activities against Heliothis armigera and Plutella xylostella at the dosage of 31.25 mu g/mL.”
“Introduction: Despite increasing use of tunneled pleural catheters (TPCs), their efficacy as a definitive procedure for achieving palliation or spontaneous pleurodesis (SP) in the management of malignant pleural effusion (MPE) remains unclear. In the largest TPC series to date, we evaluate the efficacy for palliation and review the rate and predictors of SP.