Transition from asymptomatic to symptomatic systolic chronic heart failure: rationale and design of TransitionCHF.

Aims: Chronic systolic heart failure (CHF) is a major health burden. A relevant number of patients shows asymptomatic left ventricular dysfunction (ALVSD) before symptomatic CHF or becomes asymptomatic after initiating heart failure therapy. Clinical course, prognosis, and response to pharmacological and device-based treatment are largely unknown in these two distinct groups of patients.

Increased Expression of Proinflammatory Genes in Peripheral Blood Cells Is Associated with Cardiac Cachexia in Patients with Heart Failure with Reduced Ejection Fraction.

: Cardiac cachexia (CC) in chronic heart failure with reduced ejection fraction (HFrEF) is characterized by catabolism and inflammation predicting poor prognosis. Levels of responsible transcription factors like signal transducer and activator of transcription (STAT)1, STAT3, suppressor of cytokine signaling (SOCS)1 and SOCS3 in peripheral blood cells (PBC) are underinvestigated in CC. Expression of mediators was related to patients' functional status, body composition (BC) and metabolic gene expression in skeletal muscle (SM).

Magnetic resonance imaging of organ iron before and after correction of iron deficiency in patients with heart failure.

Aims: Intravenous iron therapy (IVIT) is known to improve functional status in chronic heart failure (CHF) patients. The exact mechanism is not completely understood. We correlated magnetic resonance imaging (MRI) patterns of T2* iron signal in various organs to systemic iron and exercise capacity (EC) in CHF before and after IVIT.

Changing available energy for extratropical cyclones and associated convection in Northern Hemisphere summer.

The circulation of the Northern Hemisphere extratropical troposphere has changed over recent decades, with marked decreases in extratropical cyclone activity and eddy kinetic energy (EKE) in summer and increases in the fraction of precipitation that is convective in all seasons. Decreasing EKE in summer is partly explained by a weakening meridional temperature gradient, but changes in vertical temperature gradients and increasing moisture also affect the mean available potential energy (MAPE), which is the energetic reservoir from which extratropical cyclones draw. Furthermore, the relation of changes in mean thermal structure and moisture to changes in convection associated with extratropical cyclones is poorly understood.

Bioprospecting Reveals Class III ω-Transaminases Converting Bulky Ketones and Environmentally Relevant Polyamines.

Amination of bulky ketones, particularly in () configuration, is an attractive chemical conversion; however, known ω-transaminases (ω-TAs) show insufficient levels of performance. By applying two screening methods, we discovered 10 amine transaminases from the class III ω-TA family that were 38% to 76% identical to homologues. We present examples of such enzymes preferring bulky ketones over keto acids and aldehydes with stringent () selectivity.