These findings extend the range of nonhematologic cancers associa

These findings extend the range of nonhematologic cancers associated with chemotherapy and add to the evidence that the combination of radiotherapy and chemotherapy can lead to especially large risks.”
“Objective: To analyse the Na content and labelling of processed and ultra-processed food products marketed in Brazil. Design: Cross-sectional

study. Setting: A large supermarket in Florianopolis, southern Brazil. Subjects: Ingredient lists and Na information on nutrition labels of all processed and ultra-processed pre-prepared meals and prepared ingredients, used in lunch or dinner, available for sale in the supermarket. Results: The study analysed 1416 products, distributed into seven groups and forty-one subgroups. Five products

did not have Na information. Most products (58.8 %; 95 % CI 55.4, 62.2 %) had MEK pathway high Na content ( bigger than 600 mg/100 g). In 78.0% of the subgroups, variation in Na content was at least twofold between similar products with high and low Na levels, reaching 634-fold difference in the ‘garnishes and others’ subgroup. More than half of the products (52.0%; 95% CI 48.2, 55.6 %) had at least one Na-containing food additive. There was no relationship between the appearance of salt on the Rigosertib manufacturer ingredients list (first to third position on the list) and a product’s Na content (high, medium or low; P = 0.08). Conclusions: Most food products had high Na content, with great variation between similar products, which presents new evidence for reformulation opportunities. There were inconsistencies in Na labelling, such as lack of nutritional information and incomplete ingredient descriptions. The position of salt on the ingredients list did not facilitate the identification of high-Na foods. We therefore recommend a reduction in Na in these products and a review of Brazilian legislation.”
“Melanoma is an aggressive cancer that is highly resistance to therapies once metastasized. We studied microRNA

( miRNA) expression in clinical melanoma subtypes and evaluated different miRNA signatures in the background of gain of function somatic and inherited mutations associated with melanoma. Total RNA from 42 patient derived LXH254 clinical trial primary melanoma cell lines and three independent normal primary melanocyte cell cultures was evaluated by miRNA array. MiRNA expression was then analyzed comparing subtypes and additional clinicopathologic criteria including somatic mutations. The prevalence and association of an inherited variant in a miRNA binding site in the 3′UTR of the KRAS oncogene, referred to as the KRAS-variant, was also evaluated. We show that seven miRNAs, miR-142-3p, miR-486, miR-214, miR-218, miR-362, miR-650 and miR-31, were significantly correlated with acral as compared to non-acral melanomas ( p < 0.04).

The identification of molecular markers, useful for therapeutic d

The identification of molecular markers, useful for therapeutic decisions in lung cancer, is thus crucial for disease management. The present study evaluated single-nucleotide polymorphisms (SNPs) in XRCC3, XPD and Aurora kinase A in NSCLC patients in order to assess whether these biomarkers were able to predict the outcomes of the patients.\n\nThe Spanish Lung Cancer Group prospectively assessed this clinical study. Eligible patients had histologically confirmed stage IV or IIIB (with malignant pleural SIS3 order effusion) NSCLC, which had not previously been treated with chemotherapy, and a World Health Organization performance status (PS) of 0-1. Patients

received intravenous doses of vinorelbine 25 mg/m(2) on days 1 and 8, and cisplatin 75 mg/m(2) on day 1, every 21 days for a maximum of 6 cycles. Venous blood was collected from each, and genomic DNA was isolated. SNPs in XRCC3 T241M, XPD K751Q, XPD D312N, AURORA 91, AURORA 169 were assessed.\n\nThe study included 180 patients. Median age was 62 years; 87 % were male; 34 % had PS 0; and 83 % had stage IV disease.

The median number of cycles was 4. Time to progression was 5.1 months (95 % CI, 4.2-5.9). Overall median survival was 8.6 months (95 % CI, 7.1-10.1). There was no significant association between SNPs in XRCC3 T241M, XPD K751Q, XPD D312N, GDC-0973 mouse AURORA 91, AURORA 169 in outcome or toxicity.\n\nOur findings indicate that SNPs in XRCC3, XPD or Aurora kinase A cannot predict outcomes in advanced NSCLC patients treated with platinum-based chemotherapy.”
“OBJECTIVE\n\nTo describe metastasis-free survival (MFS) and overall survival (OS) among men with prostate-specific antigen (PSA)-recurrent prostate cancer after radical prostatectomy who did not receive additional therapy until metastasis, using a multicentre selleck database capturing a wide ethnic mix.\n\nPATIENTS AND METHODS\n\nA retrospective

analysis of the Center for Prostate Disease Research National Database (comprised of five US military hospitals and one civilian centre) was performed for patients with PSA relapse (>= 0.2 ng/mL) after radical prostatectomy who had no additional therapy until the time of radiographic metastatic disease.\n\nWe investigated factors influencing metastasis and all-cause mortality using univariate and multivariate Cox regression analysis.\n\nRESULTS\n\nThere were a total of 346 men who underwent radical prostatectomy between May 1983 and November 2008 and fulfilled the entry criteria. All patients had information on survival and 190 men had information on metastasis. Among patients with survival data (n = 346), 10-year OS was 79% after a median follow-up of 8.6 years from biochemical recurrence.\n\nAmong men with metastasis data (n = 190), 10-year MFS was 46% after a median follow-up of 7.5 years.

6%, which is followed by the second run using a two phase solvent

6%, which is followed by the second run using a two phase solvent system composed of HEMW 5: 5: 6: 4, v/v. From 700mg of the crude extract, 11.8 mg of isorhamnetin was obtained at a high purity of 98%. The final identification was performed by MS, 1 H-NMR and 13 C-NMR spectra.”
“Transfection efficiencies and transgene expression kinetics of messenger RNA (mRNA), an emerging class of nucleic acid-based therapeutics, have been poorly characterized. In this study, we evaluated transfection

efficiencies of mRNA delivered in naked and nanoparticle format in vitro and in vivo using GFP and luciferase as reporters. While mRNA nanoparticles transfect primary human and mouse dendritic cells (DCs) efficiently in vitro, naked mRNA could not produce see more any detectable gene product. The protein expression of nanoparticle-mediated click here transfection in vitro peaks rapidly within 5-7 h and decays in a biphasic manner. In vivo, naked mRNA is more efficient than mRNA nanoparticles when administered subcutaneously. In contrast,

mRNA nanoparticle performs better when administered intranasally and intravenously. Gene expression is most transient when delivered intravenously in nanoparticle format with an apparent half-life of 1.4 h and lasts less than 24 h, and most sustained when delivered in the naked format subcutaneously at the base of tail with an apparent half-life of 18 h and persists for at least 6 days. Notably, exponential decreases in protein expression

are consistently observed post-delivery of mRNA in vivo regardless of the mode of delivery (naked or nanoparticle) or the site of administration. buy Bindarit This study elucidates the performance of mRNA transfection and suggests a niche for mRNA therapeutics when predictable in vivo transgene expression kinetics is imperative. Published by Elsevier B.V.”
“In the presence of dropout, intent(ion)-to-treat analysis is usually carried out using methods that assume a missing-at-random (MAR) dropout mechanism. We investigate the potential bias caused by assuming MAR when the dropout is related to unobserved compliance status. A framework to assess the magnitude of bias in the context of pre- and post-test design (PPD) with two treatment arms is presented. Scenarios with all-or-none and partial compliance level are investigated. Using two simulated data sets and actual data from an e-mental health trial, we demonstrate the utility of sensitivity analyses to assess the bias magnitude and show that they are plausible options when some knowledge of compliance behaviour in the dropout exists. We recommend that our approach be used in conjunction with methods of analysis which assume MAR in estimating the ITT effect. Copyright (c) 2007 John Wiley & Sons, Ltd.”
“Transgenic (Tg) mouse models of Alzheimer’s disease have served as valuable tools for investigating pathogenic mechanisms related to A beta accumulation.

They also mimic the effects of alpha(2)-macroglobulin

on

They also mimic the effects of alpha(2)-macroglobulin

on the upregulation of GRP78 and X-box binding protein 1, activating transcription factor 6 alpha, and serine/threonine-protein kinase/endoribonuclease Elafibranor precursor alpha as endoplasmic reticulum stress biomarkers and show no effect on expression or activation of caspases 3, 9, or 12. In conclusion, the anti-GRP78 IgG autoantibodies downregulate apoptosis and activate unfolded protein response mechanisms, which are essential to promote melanoma cell growth and survival. Melanoma Res 21:323-334 (C) 2011 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.”
“Lineage tracing has shown that the different regions of the four-chambered heart of mammalian embryos derive from molecularly distinct precursor pools in a spatially and temporally tightly controlled manner. Cells of the first heart field differentiate early

and form the linear heart tube of headfold-stage embryos, the future left ventricle. The right ventricle, atria, and outflow tract derive from the second heart field by recruitment and delayed local myocardial differentiation. Finally, Tbx18(+) precursors are added at the posterior cardiac pole after the chambers have been formed to generate the myocardialized aspects of the mature venous return system, including the JNK-IN-8 mouse intrapericardial parts of the caval veins and the sinoatrial node. The elongation of the linear heart tube by second heart field-derived cells requires the maintenance of highly proliferative precursor pools by a number of signaling pathways, including sonic hedgehog, fibroblast growth factor, and canonical Wnt. The molecular circuits that operate during the addition of the most posterior components from Tbx18(+) progenitors have remained elusive, it has emerged that at least one of the pathways required for proliferation of second heart field progenitors, canonical Wnt signaling, also operates

in a subset of Tbx18(+) cells for formation of myocardialized caval veins. This argues for both conserved and specific regulatory modules mediating the polar extension of the cardiac tube during see more embryogenesis. (Trends Cardiovasc Med 2012;22: 118-122) (c) 2012 Elsevier Inc. All rights reserved.”
“Aims:\n\nGastrointestinal stromal tumours (GISTs) are commonly driven by oncogenic mutations in KIT and PDGFRA. However, 10-40% of these patients are wild-type for these genes. The prognostic significance of wild-type GISTs is controversial, and they rarely respond to imatinib. The aim of this study was to elucidate the molecular lesions underlying wild-type GISTs tumorigenesis.\n\nMethods and results:\n\nTwenty-nine KIT and PDGFRA wild-type GISTs were re-assessed for the presence of ‘cryptic’KIT exon 11 duplications. Using a specific polymerase chain reaction assay, three previously undetected mutations were identified.

Choledochoduodenosotomy was done in 2 patients Patients were fol

Choledochoduodenosotomy was done in 2 patients. Patients were followed PF-6463922 regularly at six monthly intervals with a range of six months to three years of follow-up. There were no major complications like bile leak or pancreatitis. 8 patients had port-site minor infection which settled with conservative treatment. There were no cases of retained stones or intraabdominal infection. The mean length of hospital stay was 3 days (range 2-8 days).

LCBDE remains an efficient, safe, cost-effective method of treating CBDS. Primary closure of choledochotomy in select patients is a viable & safe option with shorter operative time and length of stay. LCBDE can be performed successfully with minimal morbidity & mortality.”
“Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL), a cytokine of the tumour necrosis factor superfamily, is a potent cell-apoptosis inducer, although its effects vary as a function of concentration.

In fact, low concentrations of TRAIL are associated with non-apoptotic effects, MEK inhibitor such as cell proliferation. Here, the effects of TRAIL at different concentrations have been evaluated on mitogenesis and migration on human umbilical vein endothelial cells (HUVEC) invitro, as well as in the chick embryo chorioallantoic membrane (CAM) angiogenesis model invivo. At low concentrations, TRAIL promoted either mitogenesis or migration of HUVEC, evaluated using the wound healing method. Cleavage of caspase8 was evaluated along with expression of the caspase8-like molecule, cellular FLICE-inhibitory protein (long form) (c-FLIPL). Low concentrations of TRAIL failed to induce caspase8 processing, whereas high concentrations induced apoptosis of HUVEC and activation of caspase8. Moreover, TRAIL induced a significant angiogenic response in the CAM assay invivo, comparable with that of vascular endothelial growth factor. These data suggest that the non-apoptotic effects of TRAIL include mitogenesis and increased mobility of endothelial cells, and

eventually angiogenesis. In addition, selleck compound the results demonstrate that the c-FLIPL level is also modulated by differences in TRAIL concentration, suggesting its involvement in the divergent effects of TRAIL. In conclusion, this study envisions a proangiogenic role of TRAIL, suggesting that TRAIL may represent a target for pharmacological manipulation.”
“Following the discovery of T helper 17 (T(H)17) cells, the past decade has witnessed a major revision of the T-H subset paradigm and substantial progress has been made in deciphering the molecular mechanisms of T cell lineage commitment and function. In this Review, we focus on the recent advances that have been made regarding the transcriptional control of T(H)17 cell plasticity and stability, as well as the effector functions of TH17 cells, and we highlight the mechanisms of IL-17 signalling in mesenchymal and barrier epithelial tissues.

Our results support the use of the developing chicken egg model t

Our results support the use of the developing chicken egg model to evaluate the potential in vivo antioxidative activity of RNPO. (C) 2014

Elsevier B.V. All rights reserved.”
“A synthetic precursor of the chiral drug timolol, 4- [4-(oxiran-2-ylmethoxy)-1,2,5-thiadiazol-3-yl]-morpholine (2) represents a rare case of conglomerate with partial solid solution. This fact was established by inspection of an original solubility test, by the originally developed IR spectra analysis, and by construction Selleck Cyclosporin A of a binary phase diagram which is totally based on thermochemical measurements. The special procedure was developed for quantitative analysis of complex differential, scanning calorimetry traces for incongruently melting

samples of intermediate enantiomeric composition. The X-ray analyses were performed on a single crystal of 2 grown from the enantiopure feed material and on a single crystal picked out from the racemic polycrystalline sample. The structure of the enantiopure crystal was solved and refined in the P2(1)2(1)2(1) space group with the only symmetry independent 5-Fluoracil molecule in the unit cell. The structure of the crystal picked out from the racemic 2 sample was solved and refined in the P1 space group with four symmetry independent molecules in the unit cell. The epoxy moieties of the independent molecules in this crystal were found to be disordered over two positions with almost equal relative occupancies of opposite enantiomers LB-100 manufacturer for all the molecules. The quantitative characteristics of the disorder, 0.78(0.02):0.22(0.02), are close to those found by an independent method of the Tammann diagram.”
“Objective. Our objective was to study the use of pain medications for persistent knee pain and their predictors after revision total knee arthroplasty (TKA). Methods. We examined whether demographic (gender, age) and clinical characteristics [BMI, co-morbidity

measured by the Deyo-Charlson index (a 5-point increase), anxiety and depression] predict the use of NSAIDs and narcotic pain medications 2 and 5 years after revision TKA. Multivariable logistic regression adjusted for these predictors as well as operative diagnosis, American Society of Anesthesiologists class and distance from the medical centre. Results. A total of 1533 patients responded to the 2-year questionnaire and 881 responded to the 5-year questionnaire. NSAID use was reported by 13.4% (206/1533) of patients at 2 years and 16.7% (147/881) at 5 years. Narcotic medication use was reported by 5.4% (83/1533) of patients at 2 years and 5.9% (52/881) at 5 years. Significant predictors of the use of NSAIDs for index TKA pain at 2 and 5 years were age bigger than 60-70 years [odds ratio (OR) 0.62 (95% CI 0.39, 0.98) and 0.46 (0.25, 0.85)] compared with age smaller than = 60 years and a higher Deyo-Charlson index [OR 0.51 (95% CI 0.28, 0.93)] per 5-point increase at 5-year after revision TKA.

This syndrome was characterized by anomia, poor verbal fluency, v

This syndrome was characterized by anomia, poor verbal fluency, verbal perseveration, and verbal comprehension difficulties. He also showed writing difficulties, reading substitutions, and calculation task errors. The patient was regularly assessed with language tasks, and showed a spontaneous and progressive recovery of his symptoms,

with remaining CFTR inhibitor naming difficulties. We discuss the role that epileptogenic zone could play in cortical reorganization of the language systems. (C) 2012 Elsevier Inc. All rights reserved.”
“JBrowse is a web-based genome browser, allowing many sources of data to be visualized, interpreted and navigated in a coherent visual framework. JBrowse uses efficient data structures, pre-generation of image tiles and client-side rendering to provide a fast, interactive browsing experience. Many of JBrowse’s design features make it well suited for visualizing high-volume data,

such as aligned next-generation sequencing Ro-3306 Cell Cycle inhibitor reads.”
“We use hydrophobic poly(lactic-co-glycolic) acid (PLGA) to encapsulate hydrophilic ofloxacin to form drug loading microspheres. Hyaluronic acid (HA) and polylysine (Pls) were used as internal phase additives to see their influences on the drug loading and releasing. Double emulsion (water-in-oil-in-water) solvent extraction/evaporation method was used for the purpose. Particle size analysis display that the polyelectrolytes have low impact on the microsphere average size and distribution. Scanning electron microscope VX-809 cost (SEM) pictures

show the wrinkled surface resulted by the internal microcavity of the microspheres. Microspheres with HA inside have higher drug loading amounts than microspheres with Pls inside. The loading drug amounts of the microspheres increase with the HA amounts inside, while decreasing with the Pls amounts inside. All the polyelectrolytes adding groups have burst release observed in experiments. The microspheres with Pls internal phase have faster release rate than the HA groups. Among the same polyelectrolyte internal phase groups, the release rate increases with the amounts increasing when Pls is inside, while it decreases with the amounts increasing when HA is inside.”
“Trabectedin is an approved antineoplastic agent for the treatment of adult patients with advanced soft tissue sarcomas or in combination with pegylated liposomal doxorubicin (PLD) in patients with relapsed platinum sensitive ovarian cancer. The mechanism of action is still not fully understood but many typical side effects seen with other chemotherapy drugs are less common, mild or unreported. Although this apparent favorable safety profile suggests a well-tolerated and manageable therapeutic option in the palliative care setting, trabectedin does have specific adverse side effects which can be hazardous for individual patients.

Additionally, the strongest OsDUR3-expression occurred in seedlin

Additionally, the strongest OsDUR3-expression occurred in seedlings on no-nitrogen or 1 mM urea.\n\nWe suggest that insufficient urea-absorption but not assimilation represents likely a factor contraining rice to use urea as sole nitrogen-source.”
“In the Colombian Caribbean Sea a shallow water commercial shrimp fishery has been developed, targeting mainly Farfantepenaeus notialis. Yet, similarly to so many fisheries around the world, the exploitation of this shrimp is not regulated, and a significant depletion has resulted. This study investigates

www.selleckchem.com/products/H-89-dihydrochloride.html new fishing areas, exploring the poorly understood deep-sea habitats in the Colombian Caribbean Sea, to determine the potential for a viable deep shrimp fishery, studying their abundance and spatial distribution. We found high abundances for giant red shrimp (Aristaeomorpha foliacea) and royal red shrimp (Pleoticus robustus), both important commercially. The higher biomass of these two deep-sea shrimp species were found mainly in the northern zone of the Colombian Caribbean Sea, where the local oceanography is modulated by the seasonal upwelling with high productivity. The size-structure following depth strata

AC220 order showed that A. foliacea increase in size with the depth and the contrary for P. robustus. The majority of adult individuals in these two deep-sea shrimp species reflect the non-fished populations in the study area. However, more scientific assessment is necessary to determine life cycle population parameters of deep-sea shrimps and associated biodiversity before initiating a new commercial shrimp fishery.”
“This communication describes platelet indices including platelet count (PLT), mean platelet volume (MPV), plateletcrit (PCT) and platelet distribution width (PDW), along with parallel red blood cell parameters, in samples from 27 dromedary camels of both sexes. The overall mean values of the platelet parameters were: PLT 319.71 +/- 38.6 (x10(9)/L); MPV 5.51 +/- 0.08 fL; PCT 0.14 +/- 0.02% and PDW 19.50

+/- 0.62%. A highly significant buy BIIB057 correlation was found between PLT and PCT (P <= 0.001) in male, female and all camels and a significant correlation between MPV and PDW (P<0.05) in male and all camels. The correlation between platelet parameters and parallel red blood cell parameters, namely: hematocrit (HCT), mean corpuscular volume (MCV) and red cell distribution width (RDW), revealed no significant correlation between RBC and PLT, PCT and HCT or MPV and MCV. However, a highly significant correlation was found between PCT and RDW in all camels (P <= 0.005). This is the first report of MPV, PCT, PDW and RWD in dromedaries.”
“Treatment for prostate cancer (PCa) has evolved significantly over the last decade.

There are few data on the adherence in real life for pharmacologi

There are few data on the adherence in real life for pharmacological treatments of allergic rhinitis (e.g. nasal steroids or antihistamines),

whereas more data are available for specific immunotherapy. In this latter case, in real life, adherence seems to be far from optimal, for both sublingual and subcutaneous immunotherapy, although the recent studies agree on the fact that some interventions (i.e. patients education, strict follow-up, regular contacts) could effectively improve the adherence. In this article, the literature concerning the adherence to pharmacological selleck treatments and immunotherapy in allergic rhinitis was searched and reviewed.”
“Nuclear factor-kappa B (NF-kappa B) and Akt are two major cell-survival pathways that are often constitutively activated in cancer cells. It has been established that these two pathways contribute substantially toward the chemoresistance of cancer cells. Our previous study has demonstrated that NF-kappa B and Akt cooperatively blunt cytotoxicity induced by cisplatin or etopside in different types of cancer cells in vitro, indicating that PF-02341066 purchase the concurrent blocking of these pathways may effectively improve the anticancer efficacy of anticancer therapeutics. In this study, we further investigated the effect of concurrent blockade of NF-kappa B and Akt on the anticancer activity of cisplatin in vivo in

a xenograft tumor model. The NF-kappa B and Akt pathways in the A549 lung cancer cells were blocked individually or concurrently by the stable transfection of plasmids expressing short hairpin RNAs that target Akt1 and I kappa B kinase

beta. The resultant cells with concurrent NF-kappa B and Akt blockade were significantly more sensitive to cisplatin-induced cell death in vitro. Consistently, tumors BIIB057 derived from cells with the concurrent blockade of NF-kappa B and Akt were much more sensitive to cisplatin compared with those derived from cells with individual blockage of NF-kappa B or Akt in a nude mouse xenograft tumor model. Apoptosis was significantly enhanced in the double pathway-suppressed and cisplatin-treated tumors. These results show for the first time that the concurrent blockage of the NF-kappa B and Akt pathways cooperatively potentiates the antitumor activity of cisplatin in vivo, indicating that this strategy may be potentially useful for clinical anticancer therapy. Anti-Cancer Drugs 23:1039-1046 (C) 2012 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.”
“Invasive infections due to filamentous fungi, such as Aspergillus spp., Zygomycetes, Scedosporium and Fusarium spp., cause significant morbidity and mortality in immunocompromised patients with hematological malignancies, recipients of hematopoietic stem cell transplants and those with chronic granulomatous disease.

It is important to consider the existence of discogenic groin pai

It is important to consider the existence of discogenic groin pain if patients do not show low back pain.”
“Objectives: To describe long-term activity limitation, participation restriction, and patients’ overall perception of

recovery among stroke patients 4 years poststroke, and to evaluate the association between the factors. In addition, the study investigated those factors present at the time of stroke onset, which could predict the level of activity limitation and participation restriction at 4 years poststroke.\n\nDesign: Prospective, 4-year follow-up study.\n\nSetting: Subjects’ find more homes, via telephone.\n\nParticipants: All first ever stroke patients (N=139) admitted to the Sheba Medical Center in Israel between February and March 2004 were followed and reassessed for activity and participation restrictions.\n\nInterventions: Not applicable.\n\nMain Outcome Measures: Barthel index (BI) (activity limitation, BI<95) and Frenchay Activities Index (FAI) (participation

restriction, FAI<30). Perception of recovery was assessed by 2 simple questions.\n\nResults: selleck screening library At 4 years poststroke, 9 patients (6.4%) were lost to follow-up, 71(54.1%) patients had survived; 42.3% with activity limitation, 28.2% were classified as restricted in participation, and 78.1% felt they had not completely recovered. Age at stroke onset and disability in the acute phase were the most significant predictors of activity limitation at 4 years poststroke. None of the demographic characteristics or baseline clinical features predicted participation restriction. A positive association (rho=0.6)

was noted between activity limitation and participation restriction 4 years poststroke.\n\nConclusions: This is the first study to describe long-term outcomes Selleckchem GSK923295 poststroke in Israel. Activity limitation and participation restriction remain highly prevalent up to 4 years after stroke. The potential influence of additional factors (psychosocial, cognitive, and environmental) as predictors of participation restriction should be topics for future investigation.”
“The ethics of diagnosis and management of fetal genetic disorders are particularly controversial because of the contested status of the fetus and perceptions of genetics. An additional complicating factor is the potential conflict between mother and fetus. Ethical issues in diagnosis include the nature and purpose of the diagnosis itself, and management of the information. Management of the disorder includes issues of termination as an option, and the emerging field of fetal gene therapy with associated issues of somatic versus germ-line interventions. (C) 2012 Elsevier Ltd. All rights reserved.