LC was superior for extremity lesions compared with trunk tumors

LC was superior for extremity lesions compared with trunk tumors and HDR and EBRT compared with BT alone (odds ratio = 0.21; 95% confidence interval: 0.026, 0.651, p = 0.013). LC was also improved with doses greater than 65 Gy. A Japanese group reported their experience of HDR and EBRT. Their inclusion criteria were (1) high tumor grade, (2) low-grade

tumor ≥10 cm, (3) recurrent tumor, (4) tumor abutting or invading critical structures, and (5) positive margins. They prescribed 2–3 Gy/fraction × 6, BID combined with EBRT (36–60 GSK J4 clinical trial Gy). After a median followup of 31 months, there was no local failure within the radiation field (25). San Miguel et al. (23) combined 45 Gy of EBRT with 16 or 24 Gy HDR BT depending on the margin status. LC at 9 years was reported as 77.4%. Positive margins had a 4.4-fold risk of local failure compared with close or negative margin (p = 0.036). They

report 30% Grade 3–4 toxic events, with the majority related to wound healing. Despite this relatively high rate of toxicity, the reoperation rate was comparable to other series at 10%. Lower limb location and volume of the 150% isodose (TV150 >27 mL) combined predicted for Grade 3 complications (p = 0.003). There is no randomized comparison of HDR and LDR BT. Pohar et al. (27), however, published a historical control comparison in 37 patients treated between 1995 and 2004. Twenty-seven patients had LDR and 17 patients HDR (since 2001). The mean EBRT dose this website was approximately 50 Gy. The LDR dose was 15 Gy prescribed at 6-mm depth (0.42 Gy/h) based on the Paris system of loading. The mean HDR dose was 13 Gy (10.2–18 Gy) over three to four fractions BID. They noted an increase in toxicity in patients receiving >15 Gy HDR and adopted a standard HDR dose of 4.5 Gy × 3 (13.5 Gy). LC was 90% with LDR and 94% for HDR. There was a trend of decreased

Dipeptidyl peptidase occurrence of severe complications (Grade 3–4) in the HDR group (30% LDR vs. 6% HDR p = 0.06). Laskar et al. (44) retrospectively reviewed their pediatric data for patients who underwent WLE with BT with or without EBRT. Both LDR and HDR were in their cohort. Of 50 patients, 30 had BT alone (LDR or HDR). They concluded that LC related to size of tumor and grade (better control for tumors <5 cm and low-grade tumors). LC for BT and EBRT was comparable to BT alone (78% vs. 84%, p = 0.89), and there was no difference in LC between LDR and HDR either as monotherapy or in combination with EBRT (77% vs. 92%, p = 0.32; 67% vs. 100%, p = 0.17). We concluded, therefore, that HDR is also a valid approach to source loading for STS. The radiobiology of large fraction sizes and the potential for creative combinations of HDR BT with systemic therapy is yet to be explored. HDR has some functional and radiation safety advantages for pediatric patients. There are a limited number of reports on the use of PDR BT in STS [28], [51] and [52].

Hence, the model suggests a more complicated interaction of the f

Hence, the model suggests a more complicated interaction of the frontal processes with the cavity circulation, and a full investigation of this transient response to the time-varying forcing check details will need attention in future work. The simulated melting beneath shallower parts of the FIS appears to be determined by the combined effect of sub-ice shelf currents and hydrography. For all hydrographic scenarios, stronger winds increase the shallow melting (P3 in Fig. 10), because a more energetic upper ocean circulation (Fig. 9(d)) enhances

the exchange of ISW with warmer ambient water beneath the ice, and stronger currents also increase the parameterized mixing at the ice shelf/ocean boundary. ZD1839 nmr Accordingly, the

experiments with stronger winds show more surface water beneath the ice, indicated by the salinity contours on top of the temperature shading in Fig. 5(c)–(e), and the more frequent occurrence of buoyant water in the θθ-S histograms in Fig. 6(d)–(f). The surface layer speeds in Fig. 9(d) also show stronger currents for the weak wind experiments in the ANN- and SUM-scenarios that are not consistent with this theory. However, this is likely an internal melting feedback, where strong deep melting produces highly buoyant plumes that rise along the ice base and dominate the shallow flow field in these simulations. The varying hydrographic conditions are found to have two opposite effects on the shallow melting response in the different experiments. One effect is that ASW increases the melt rates by replacing the cold ISW with warmer waters near the ice base as described in Section 4.3 (P5 in Fig. 10). The opposing effect is that larger amounts of buoyant surface water in the model reduce the shallow melting by weakening the near-surface currents (Fig. 9(d)), as demonstrated by comparing the circulation between the ANN-100 and the WIN-100

experiment in Fig. 8. In order to separate the dynamic control of the ASW (P4 in Fig. 10) from its role as an additional heat source, an additional model experiment was conducted, in which the hydrographic forcing uses the constant summer scenario to restore the salinity, but applies the constant winter scenario with all waters above the thermocline Flavopiridol (Alvocidib) at surface freezing-point for restoring the temperatures. The result is an upper-ocean circulation that is as weak as in the constant summer situation, and shallow melt rates that are even weaker than in the constant winter scenario. This shows that the density of ASW, being mainly controlled by salinity, can counteract the melting increase caused by warmer temperatures. A more detailed analysis (not shown) reveals that the weaker upper-ocean currents not only decrease the friction velocity in the applied basal melting parameterization, but also reduce the mixing of the ISW beneath the ice base with the (warmer) ambient water in the cavity.

Prostaglandins are released through hemi-channels and purinergic

Prostaglandins are released through hemi-channels and purinergic receptors in response to mechanical stimuli [105]. The Wnt family of proteins find more has been recently added to the repertoire of mediators of mechanotransduction in bone. Wnt signaling might be an important modulator of the process of mechano-regulated bone adaptation. Wnt signaling can be mediated by the β-catenin pathways, through kinases or through activation of GTPases, thereby modulating cytoskeletal organization [106] and [107]. Activation of β-catenin signaling in response to fluid shear stress is likely mediated by PGE2 in MLO-Y4 osteocytes

[108]. In light of the role of the cytoskeleton in mechanosensing, it is noteworthy that Wnts may modulate cytoskeletal organization, and that β-catenin links cadherins to the actin cytoskeleton. In vitro studies have

shown that MC3T3-E1 osteoblasts increase Wnt gene expression after mechanical stimulation by substrate deformation [47], and that pulsating fluid flow up-regulates mRNA expression of β-catenin, APC, and Wnt3a, as well as the Wnt antagonist SFRP4 in MLO-Y4 osteocytes [46], showing that osteocytes respond to mechanical loading with a modulation of expression of molecules involved in the wnt sinalling cascade. Recently it was shown that LRP5, a co-receptor for Wnt signaling, functions locally in osteocytes. Mice with osteocyte-specific expression of inducible Lrp5 mutations had bone properties comparable to those in mice with inherited mutations, demonstrating AG-014699 supplier the importance of wnt signalling for osteocytes [109]. Sclerostin appears to be highly expressed in mature osteocytes compared to immature osteocytes [48]. Sclerostin protein may be transported through canaliculi to the bone surface, where it inhibits bone formation by osteoblasts. Studies in sclerostin-deficient transgenic mice suggest that sclerostin inhibits bone mass accrual. The mice lacking sclerostin exhibit an increased bone mass resembling the human condition of sclerosteosis, which is due to a premature

termination of the Sost gene [110] that transcribes Sulfite dehydrogenase sclerostin. Sclerostin acts as a Wnt antagonist by binding the Wnt co-receptor Lrp5 [111], Lrp5 being an important anabolic regulator of bone mass [109] and [112]. Interestingly, Sost transcripts and sclerostin protein levels were dramatically reduced in osteocytes after loading of mouse ulnae in vivo. The magnitude of the strain stimulus was associated with Sost staining intensity and number of sclerostin-positive osteocytes. Hindlimb unloading on the other hand yielded a significant increase in Sost expression in the mouse tibia [113]. Other molecules have been identified whose expression is modulated by mechanical loading and seem to be more or less osteocyte-specific. MEPE is highly expressed in osteocytes as compared to osteoblasts. MEPE plays an inhibitory role in bone formation in mice [114].

In addition, decreased glucose levels and increased total lipid c

In addition, decreased glucose levels and increased total lipid content in cardiac tissue of rats following cadmium exposure were observed. The decreased activities of alanine transaminase and aspartate transaminase reflected decreased metabolic protein degradation and increased lactate dehydrogenase activity. Since the metabolic pathways were altered by cadmium exposure, it can be concluded that Cd2+-induced formation of ROS initiates a series of events that occur in the heart Ibrutinib molecular weight which in turn resulted

in alterations of metabolic pathways. The testis is a good marker of cadmium exposure. Cadmium-induced testicular damage and testicular necrosis have been documented by many reporters (see for example Dalton et al., 2005). Various studies have been performed on the cadmium-induced testicular toxicity in rat models. A significantly increased content of malondialdehyde and glutathione peroxidase (GSH-Px) in exposed groups has been observed (Yang et al., 2003). Glutathione was found to scavenge intracellular oxygen radicals either directly or via the GSH peroxidase/GSH system. The activity of superoxide dismutase in the tested animals was lowered. This study also revealed that the number of cells with DNA single strand breaks and the levels of cellular DNA damage

were significantly higher in exposed groups than in controls. Cadmium is a potent human carcinogen causing preferentially prostate, lung selleckchem and ID-8 gastro-intestinal (kidney and pancreas) cancers. Smoking synergistically increases the carcinogenic effect of cadmium (Flora et al., 2008 and Flora and Pachauri, 2010). The effect of environmental exposure to cadmium on cancer incidence (particularly that of the lung) in the environmentally contaminated north-east Belgium (the neighbourhood of zinc smelters) has been extensively investigated (Sartor et al., 1992). The results have shown an association between risk of cancer and cadmium exposure as shown by 24-h urinary excretion – a finding that remained consistent after adjustment for sex, age and smoking.

New findings in the explanation of cadmium-induced carcinogenicity with respect to cell adhesion have recently been published. E-cadherin, a transmembrane Ca(II)-binding glycoprotein playing an important role in cell–cell adhesion, can bind cadmium to Ca(II)-binding regions, changing the glycoprotein conformation (Pearson and Prozialeck, 2001). Thus the disruption of cell–cell adhesion induced by cadmium could play an important role in tumour induction and promotion. Intoxication with cadmium led to significantly increased concentration of lipid peroxides in rats and altered activity of antioxidant enzymes such as Cu, Zn-SOD, catalase, glutathione peroxidase, glutathione reductase and glutathione-S-transferase (Ognjanovic et al., 2003). Pretreatment with vitamin E revealed a protective role against the toxic effects of cadmium as substantiated by the hematological values of lipid peroxides.

However, the observed effects occurred at maternally toxic doses,

However, the observed effects occurred at maternally toxic doses, which might explain the lower body weight of the fetuses at these doses ( Wier et al., 1987). Thus, the absence of observed effects in the zebrafish embryo, in which maternal toxicity does not play a role, indeed may be in line with inactivity of EGBE and EGPE in mouse and rabbit embryos. This finding stipulates the advantage of the ZET, in that

effects are always directly on the embryo and no uncertainty can arise about possible maternally mediated embryotoxicity. Also BEAA and MEAA did not change the GMS and the fraction of embryos with teratogenic effects selleck chemical compared to the controls. As well as in the ZET, the parent compound of BEAA did not have an effect in vivo in rats ( Ema et al., 1988 and Nolen et al., 1985) or rabbits ( Nolen et al., 1985) exposed during gestation. For diEGME, in vivo effects were found in contrast to no observed effects in zebrafish embryos exposed to click here MEAA. In a developmental toxicity study, Hardin et al. observed effects of diEGME in rats after exposure from GD7–16 ( Hardin et al., 1986). However, the potency of diEGME was considerably lower than that of EGME and EGEE which might be the reason why we did not measure any effects in the ZET with

MEAA. In summary, for the chemical class of glycol ethers and their metabolites, the ZET was able to distinguish and rank compounds as to their embryotoxic potencies in vivo, although the ZET apparently lacked the required metabolic activation capacity and the interpretation was based on prior knowledge of proximate embryotoxic metabolites in vivo. The ranking of triazole

Grape seed extract derivatives based on BMCGMS showed that FLU and HEX were the most potent compounds in the ZET. These compounds were also found to be the most potent in vivo, with FLU and HEX having the lowest dLEL. FLU and HEX were followed by the less potent CYP, TDF and MYC. These three compounds had a similar potency in the ZET. The least potent triazole derivative in the ZET as well as in vivo was TTC. In vivo, the triazole ranking was comparable to the ranking in the ZET, however, the relative potencies were different. These variations may be explained by differences in uptake, distribution and elimination between the models. Anyway, the overall correlation between the in vivo and ZET data appeared to be good (r2 = 0.88). Based on teratogenicity, TDF was found to be very potent in the ZET, comparable with FLU and HEX, which is in contrast with the ranking in vivo. However, the number of effects observed in one embryo caused by FLU and HEX was higher than the number of effects of TDF at similar low doses. Mainly heart malformations or pericardial edema were found after exposure to TDF, in contrast to head malformations, yolk sac edema and yolk deformations which were observed after exposure to FLU and HEX.

No expression of APJ transcript or I125[Pyr1]apelin-13 binding wa

No expression of APJ transcript or I125[Pyr1]apelin-13 binding was observed in a number of mouse tissues including liver and pancreas. Using RT-PCR however, APJ mRNA has been identified in mouse and human liver and pancreas [30], [41] and [48]. Apelin has been identified as a novel adipokine, which is upregulated by obesity and hyperinsulinemia in both humans and mice [5] and [7]. Expression of APJ

in mouse CAL-101 in vivo islets has been reported where apelin-36 inhibited glucose-stimulated insulin secretion both in vivo and in vitro [48] suggesting a link between this adipokine and glucose homeostasis. Thus, apelin may be involved in the regulation of islet function, although its precise role remains to be established. Additionally the finding that APJ is not expressed in mouse testis is intriguing as moderate levels of apelin mRNA are found in this tissue [14]. This lack of testicular APJ confirms previous findings in the rat by us [34] and others [17] and [30] using RT-PCR, but differs from other RT-PCR studies showing expression in human and mouse testis [30]. It is possible that testicular APJ is developmentally regulated since APJ mRNA expression appears

to be higher in infant compared to adult peripheral tissues [17]. In this study we provide APO866 mouse the first detailed characterization of APJ distribution in the mouse and report a clear correlation between mouse APJ transcription and translation. The APJ expressing tissues in the mouse where potential functional correlations are identified are the brain, heart, pituitary gland and adrenal gland. Expression was also observed in kidney, lung, stomach, uterus and ovary and no expression

of APJ transcript or I125[Pyr1]apelin-13 binding could be observed in a number of tissues including liver and pancreas. We cannot discount the possibility Cytidine deaminase that low levels of (possibly rapidly turning-over) APJ mRNA are below the detection threshold of ISHH, which may be detected with more sensitive methods such as RT-PCR, however it must be stressed that the functional significance of low levels of mRNA as detected by RT-PCR in the CNS or peripheral tissue samples is unknown. There appears to be a species difference in central APJ distribution and in the pituitary gland, with a widespread central APJ distribution in the rat compared to a more restricted distribution seen in the mouse, while APJ distribution in peripheral tissues appears to be comparable between rat and mouse. The functional significance of the apparent species differences in the central expression of APJ mRNA is not known. Our study suggests however that the apelin/APJ system may have a more wide-ranging central role in the rat than the mouse, that should be considered when drawing comparisons between studies in the rat and APJ KO mice. GRP is the recipient of a BBSRC PhD studentship.

Similar coefficient values within a principal component indicate

Similar coefficient values within a principal component indicate that the behavioral indicators exhibited a similar covariation. The sickness indicators

(change in weight between Day 0 and 2, change in weight Daporinad in vivo between Day 2 and 5, locomotor activity and rearing) received the most extreme coefficients in principal component 1. The nearly opposite coefficients of both weight changes correspond to the opposite patterns of weight change prior and post Day 2 in BCG-treated mice. On the other hand, the similar coefficients received by the horizontal locomotor activity and rearing are consistent with the similar impact of BCG-treatment on both activity indicators at Day 6. The coefficients in principal components 2 and 3 distinguished sucrose preference PLX4032 from the other two depression-like indicators of immobility. The results from PCA supplement

those from cluster analysis because meanwhile cluster analysis identifies groups of variables (mice or behavioral indicators) alike (based on indicators or mice, respectively), PCA is a process for identifying combination of the original variables (mice or behavioral indicators) that represent information comparable to the original variables. The outcome from cluster analysis is the grouping of the original variables based on a criterion (e.g. variation between versus within clusters) meanwhile the outcomes from PCA are linear indices of the original variables. The coefficients of the variables in the indices offer insights into the relationship between the original variables and this information is expected to be consistent or complementary to the relationships identified in the cluster analysis. The PCA coefficients received by the behavioral indicators depicted in Fig. 5 are consistent with the clustering of indicators presented in Fig. 3. The pair of indicators locomotor activity and rearing and the Leukotriene-A4 hydrolase pair of indicators tail suspension test and sucrose preference test appear closer to each other. The three dimensions of the PCA reported offer additional information

to the one dimension of the lengths of the cluster tree branches. For example, meanwhile the weight change between Day 0 and Day 2 and the weight change between Day 2 and Day 5 received coefficients of similar magnitude for principal components 1 and 3, the magnitudes differ for principal component 2. Another complementary insight from the consideration of three principal components relative to cluster analysis is the characterization of the relationship between the three depression-like indicators. Sucrose preference received coefficients of similar magnitude to tail suspension and forced swim immobility for principal components 1 and 2 and different for principal component 3. This evaluation of the changes in the relationship between the coefficients across principal components further confirms the supplementary information provided by the three dimensions considered.

In order to be able to properly develop recommendations for fish

In order to be able to properly develop recommendations for fish consumption (species, portions, frequency), BTK inhibitor future studies must be directed toward the recognition of fish species and mass consumed (portion size) at the local level, and their possible contribution to the levels of Hg. When using the GLM, it is important before modeling to assess the correlation among the explanatory variables in order to avoid the effect of multicollineality and to get consistency in the fit models independent of the simplification procedures used [44]. The predictive power of the models fits solely for observations within the same range of data analyzed,

and should be assessed with validation tests using new, independent data [30]. Frequency of fish consumption contributed significantly

to explaining hair [THg]. However, based on the GLM, and considering the other significant co-variables (BMI and tobacco exposure) it explains only 43% of the [THg]. As the contribution of fish consumption frequency to [THg] is relatively low, it is necessary to assess other factors which may be contributing to exposure: selleck dental amalgams, use of creams to lighten the skin, and other factors that were not included in the present study. In particular, a more detailed assessment of the mass of the fish meal and type of fish (e.g., predatory) may prove as, or more, important than fish meal frequency. The GLM is a practical tool for identifying the variables that contribute to the explanation of the exposure to Hg during pregnancy. It allows for establishing the possible relationship between multiple potential sources of exposure and [THg] in hair of women in the prenatal period. The variables that were found in this study to have significant relationships with [THg] were hair segment sampled, BMI, tobacco exposure, and the ingestion of fish; which deserve a focused and intensive follow up at the physiologic and genomic

levels. In all models created, Suplatast tosilate the frequent ingestion of fish (more than once every two weeks) showed increases in the averages of the adjusted values of [THg]. [45], [46] and [47] This project was funded by grants from CONACYT–Salud (2010-C01-140272) and CIBNOR (PC2.0, PC0.10, PC0.5). This study would not have been possible without the assistance of some current and former members of the Wildlife Toxicology Laboratory and School of Fisheries and Ocean Sciences at the University of Alaska Fairbanks. University of Alaska personnel were partially supported through the Center for Alaska Native Health Research by Award Number P20RR016430 from the National Center for Research Resources and through the IDeA Network of Biomedical Research Excellence Award Number P20GM103395 from the National Institute of General Medical Sciences of the National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Research Resources or the National Institutes of Health.

6b-e correspond to the 65Cu isotope

(μ/(μNI) (65Cu) = 1 5

6b-e correspond to the 65Cu isotope

(μ/(μNI) (65Cu) = 1.5877 compared to μ/(μNI) (63Cu) = 1.484897, [22]). Representative spectra from Cu/EGCG at S-band frequencies are presented in Fig. 7, The spectra from the individual Cu isotopes are seen more clearly at this frequency, and are illustrated in the expanded spectrum in Fig. 7g. The corresponding results for the Cu/GA system are available as supplementary material (Figure SB203580 S13). Because of incomplete averaging of the spectral anisotropy, only one of the four Cu(II) hyperfine peaks (that at the highest field) is well resolved in the solution spectra of each of the Cu(II) EGCG complexes in fluid solution at X-band frequencies (Fig. 3). The high field peak of Complex I is clearly visible in Fig. 3b, but the spectra of Complexes II and III strongly overlap (Fig. 3c), and their individual components are not resolved from one another. However, the position of the high field peak from Complex III was determined from the spectrum recorded at very high pH where the contribution from Complex II was weak (Fig. 3d). Somewhat better resolution of the component peaks was observed in the fluid solution spectra from the Cu/GA system at X-band frequencies by Ferreira Severino et al. [9] (see also Figure S14 for a full set of data), but even with this smaller ligand the resolution was not good. There are a number of reasons for the lack of resolution

of the component peaks in the spectra. Firstly, the

widths of the four individual hyperfine peaks are unequal because of incomplete averaging of the spectral anisotropy through molecular motion, and in addition the anisotropic data from the CP-868596 solubility dmso frozen solution spectra show that most samples contain more than one type of complex. Furthermore, the peaks from the individual 63,65Cu isotopes are not resolved from one another. Thus there are considerable check details uncertainties in deriving isotropic parameters from the X-band fluid solution spectra, and these spectra were only able to be analysed by using the parameters obtained from the frozen solution spectra (Table 1) with partial motional averaging. Since the frozen solution spectra provide no information on the relative signs of A// and A⊥, simulations were performed with the A// and A⊥ values having the same and opposite signs. However, only the use of the same signs reproduced the experimental spectra. The copper hyperfine peaks are much better resolved in the fluid solution spectra recorded at S-band frequencies (Fig. 4 and Fig. 5). The magnitudes of the Aiso values derived from these spectra (Table 1) show clearly that A// and A⊥ must have the same signs in Complexes II and III with both the Cu/GA and Cu/EGCG systems, thus providing support for the X-band analyses. Simulated parameters for the spectra of all Cu complexes detected in fluid and frozen solutions are reported in Table 1, the values of Aiso being assumed to be equal to (A// + 2A⊥)/3 for the X-band spectra.

We have not evaluated other possible inhibitors of MV loss, but t

We have not evaluated other possible inhibitors of MV loss, but there may be alternatives to paraformaldehyde, which provide acceptable inter-assay variability of < 10%. Selleckchem GSK2118436 Up to three freeze–thaw cycles of PFP did not affect MV recovery. Storage of PPP (prepared by single centrifugation of PFP at 3000 × g for 15 min) for more than a year minimally and randomly affected MV recovery. Among pre-analytical procedures that affect

yield and reproducibility of microvesicle analysis, choice of anticoagulant and centrifugation protocols for preparing platelet free plasma and isolated microvesicles have major influences. Other significant influences arise from time and temperature between phlebotomy and initial centrifugation, freezing of the isolated microvesicles and internal calibration.

Freezing of plasma, essential for large scale studies, has no effect on the microvesicle counts. This work was supported by Novel Methodology Award from the Mayo Foundation for Medical Education and Research, CTSA grant UL1 RR024150 from the National Center for Research Resources (NCRR), a grant from the Aurora Foundation to the Kronos Longevity Research Institute; NHLBI grants HL78638, HL83141 click here and HL83797 and HL090639; and the American Heart Association-Scientist Development Grant AHA30503Z. Robert D. Litwiller, Teresa Kimlinger and Benjamin J. Sticha provided technical assistance. Drs. Robert Frey, Sreekumaran Nair, Srinivasan Manivannan

and Arshad Jahangir provided blood samples from their study participants. “
“Interleukin-2 is approved for the treatment of metastatic renal cell carcinoma and metastatic melanoma patients. The complex biology of IL-2 however has meant that despite extensive clinical trials involving IL-2 immunotherapy in various malignancies, the therapeutic utility of IL-2 has not been realised either due to its toxicity at high doses and/or limited efficacy. Additionally, in HIV positive patients, IL-2 either alone or as combination therapy with antiviral agents to boost numbers of CD4+ T cells has not provided Prostatic acid phosphatase any significant clinical benefit. Alternative approaches for IL-2 based immunotherapy e.g. toxin conjugates, antibodies, fusion proteins, gene therapy are therefore currently being explored in various cancers (Eigentler et al., 2011, Telang et al., 2011 and Gubbels et al., 2011). However, since IL-2 is essential for the development, survival and function of regulatory T (Treg) cells, which function to inhibit immune responses and prevent autoimmune disease, IL-2 may have a role in promoting T cell tolerance (an important consideration is the dose of IL-2 used as a low dose appears to favour tolerance over autoimmunity). This has been demonstrated recently in two early-phase clinical trials (Malek and Pugliese, 2011, Saadoun et al., 2011 and Koreth et al., 2011).