For root mass data at different depths a two-way Multivariate Ana

For root mass data at different depths a two-way Multivariate Analysis

of Variance (MANOVA) was performed using land-use or season, as appropriate, and genotype as fixed factors, and the different depths as repeated measurements. The multivariate approach to the analysis of repeated measurements was used as it does not assume any particular model covariance between the repeated measurements. The hypotheses tested in an analysis of repeated measurements with treatment factor by grouping observations were: (i) there is no interaction between depth ∗ treatment, (ii) there is no effect of depth, and (iii) there is no treatment buy Afatinib or group effect. In the case of a significant treatment effect, pairwise comparisons were performed using a Hotelling post-hoc test (P ⩽ 0.05). A second analysis was carried out partitioning the data in different

sampling depths. In this case a two-way analysis of variance (ANOVA) was performed using land-use type and genotype as fixed factors, with inclusion of their interactions, for each sampling depth. Two-way ANOVAs were performed also using land-use type, genotype and their interactions as treatment factors, and different dependent variables such as C%, and plant density. In the case of a significant treatment effect, pairwise comparisons were performed using check details a Tukey post-hoc test (P ⩽ 0.05). The software InfoStat ( Di Rienzo et al., 2011) was used for the analysis. Although an optimal experimental design should include a control treatment without coppicing, it was not possible in our plantation and we also recognize that the establishment phase of the plantation is a special situation. This is the most critical period after the land Cobimetinib concentration use change of agriculture into SRWC. The herbaceous competition is one of the principal factors affecting the establishment, the success and the early productivity of the SRWC culture (with ecological and economic consequences). This has, however, been very poorly quantified in the literature, especially

for belowground processes. The explicit quantification of the relative root productivity of the tree crop and the competing weeds is the principal contribution of the current study. It is, therefore, essential to characterize land use change effects early in the conversion from agriculture to SRC. Our presented data are useful for models that simulate long-term changes in relation to SRC. Biomass of Fr at a depth of 0–15 cm increased during the course of the second year of the first rotation (2011, pre-coppice, Fig. 3). There was no significant increase of Fr biomass, even a small reduction, in the first year of the second rotation (2012, post-coppice) just after the first harvest. Despite this small decrease in Fr biomass in 2012 (post-coppice), the Fr productivity was higher than the pre-coppice year (i.e. 2011). Necromass of Fr did not increase post-coppice as compared to pre-coppice (Fig. 3).

In addition, both hypoxia and pharmacological inhibition of HO-2

In addition, both hypoxia and pharmacological inhibition of HO-2 evoke H2S generation. Because HO-2 requires molecular Selleck INK1197 O2 for its activity, it has been proposed that stimulated action of the carotid body by hypoxia reflects reduced formation of CO which stimulates the BK channel; thus, HO-2 functions as an O2 sensor (Prabhakar et al., 1995 and Williams

et al., 2004). Authors, thus, proposed that H2S mediates O2 sensing in the carotid body via the interaction of HO-2/CO and CSE/H2S systems. Since CSE does not possess a prosthetic heme, a gas sensor described in Section 2, molecular mechanism by which CSE senses CO, and regulation of its activity remain to be answered. The rodent brain generates a substantial amount of CO (∼5 to 10 μM) (Vreman PLX4032 supplier et al., 2005) via HO-catalyzed reactions using O2 as a substrate where HO-2 accounts for ∼80% of the total rodent brain HO activity ( Ishikawa et al., 2005). Although it has been known that CO regulates neuronal transmission ( Verma et al., 1993), physiologic roles of CO in the central nervous system (CNS) remain elusive.

Recently Morikawa et al. (2012) reported that the coordinate actions of HO-2 and CBS form a signaling system that mediates hypoxia-induced arteriolar vasodilation. Since the brain is the most susceptible organ to O2 deprivation, this adaptive response is critical for delivery of O2 and cellular transport of glucose in brain tissue. Immunohistochemical analysis in the mouse brain reveals expression of HO-2 in neurons and endothelial cells, whereas CBS is expressed predominantly in astrocytes (Fig. 3A and B). In this study hypoxia gives rise to cerebral vasodilation by inhibiting

HO-2, which turns out to function Urease as an O2 sensor in the CNS. This notion of HO-2 as an O2 sensor is supported by a Km value of ∼15 μM (∼11 mmHg) of recombinant mouse HO-2 for O2in vitro, a suitable Km value for an O2 sensor to respond to changes in the brain tissue O2 concentration ( Ndubuizu and LaManna, 2007). As CO physiologically inhibits CBS (see Section 2), the enzyme that forms H2S, hypoxia reduces the constitutive inhibition of CBS by CO so that increased levels of H2S are formed which mediate rapid vasodilation of small arterioles ( Fig. 3). Such hypoxia-induced vasodilation of arterioles is attenuated in HO-2-null mice and completely lost in CBS-null mice, but well maintained in CSE-null mice (Fig. 5B), providing compelling evidence for the role of CBS in this mechanism. The observation appears to contradict with the role of CSE of glomus cells in the carotid body. However, the close examination of enzyme distribution may explain this discrepancy. CSE is absent in the cerebral cortex where the vascular response was examined, and is limited to vascular smooth muscle cells surrounding large vessels in the subarachnoid space.

, 2011) Thus, in view of the growing numbers of immunosuppressed

, 2011). Thus, in view of the growing numbers of immunosuppressed patients, the development of alternative anti-adenovirus treatment options is required TSA HDAC supplier to decrease adenovirus-mediated mortality among immunocompromised patients, and also to decrease economic losses caused by milder forms of adenovirus-related disease. RNA interference (RNAi) is a post-transcriptional mechanism of gene silencing conserved among

eukaryotic cells (Carthew and Sontheimer, 2009, Ghildiyal and Zamore, 2009, Huntzinger and Izaurralde, 2011, Hutvagner and Simard, 2008 and Kawamata and Tomari, 2010). It is mediated through small double-stranded RNAs (dsRNAs), of ∼21–25 nt in length, which guide the RNA-induced silencing complex (RISC) to the respective target mRNAs (Fire et al., 1998). Depending on the degree of complementarity between the so-called antisense (or guide) strand of the dsRNA and target mRNA, RNAi can bring about the cleavage of the mRNA (in the case of full or nearly full complementarity), accelerated degradation (as a consequence of deadenylation), or translational repression. Following the discovery

that the introduction of synthetic small interfering RNAs (siRNAs) into cells can trigger RNAi (Elbashir et al., 2001), this mechanism was rapidly harnessed as a tool to silence disease-associated human, and also viral genes (Davidson and McCray, 2011). Since then, siRNA-mediated silencing of viral genes has been employed click here to inhibit the replication of a variety of DNA and RNA viruses, in vitro and also in vivo ( Arbuthnot, 2010, Haasnoot et al., 2007 and Zhou and Rossi, 2011).

Adenoviruses contain a linear dsDNA genome, ∼36 kb long. The first gene to be expressed during the infection cycle is E1A. This gene has a central role, because it reprograms the cell in a way that promotes efficient virus replication (Berk, 2005, Pelka et al., 2008 and Zhao et al., 2003). Deletion of E1A renders adenoviruses replication deficient. E1A expression ultimately leads to the activation of other early and late promoters and triggers the onset of viral DNA replication. Viral DNA replication is dependent on three viral proteins: the viral DNA polymerase; the preterminal protein (pTP); and the DNA-binding protein (DBP) (de Jong et al., 2003). Besides creating all dsDNAs for packaging into capsids (accomplished with the help of the IVa2 protein) (Zhang and Imperiale, 2003), replication of the adenoviral genome activates the expression of other viral genes, e.g., IVa2 ( Flint, 1986 and Iftode and Flint, 2004) and genes transcribed from the major late promoter (MLP) ( Shaw and Ziff, 1980). Upregulation of major late (ML) gene expression also involves the IVa2 protein ( Tribouley et al., 1994), and results in the synthesis of gene products that primarily constitute structural components of the virion or are involved in its assembly. The major component of the capsid is the hexon protein ( Russell, 2009).

At most, such claims could relate to biases or processes underlyi

At most, such claims could relate to biases or processes underlying such judgment in a very specific (and unusual) context. Second, while some of our results relate to markers of impartial concern for the greater good in moral contexts that are different from that of sacrificial dilemmas, others investigate such markers within this context. As we reported in Study 2, a tendency to ‘utilitarian’ judgment may in fact be strongly tied to considerations of CB-839 self-interest

(see also Moore et al., 2008). Several prior studies similarly found that rates of ‘utilitarian’ judgment are strongly influenced by whether they involve sacrificing (or saving) foreigners vs. compatriots ( Swann, Gómez, Dovidio, Hart, & Jetten, 2010), strangers vs. family members

( Petrinovich, O’Neill, & Jorgensen, 1993), and black people vs. white people ( Uhlmann, Pizarro, Tannenbaum, & Ditto, 2009)—let alone animals vs. humans ( Petrinovich, O’Neill, & Jorgensen, 1993). There is thus considerable evidence that judgments standardly designated as ‘utilitarian’ do not in fact aim to impartially maximize the greater good. Finally, as we shall outline below, there is an alternative, simpler account of what drives supposedly ‘utilitarian’ judgment, an account that avoids implausibly attributing to ordinary folk radical moral aims drawn from philosophy. Utilitarianism is the view that the right act is the one that maximizes aggregate well-being, considered from a maximally Baricitinib Olaparib impartial perspective that gives equal weight to the interests of all persons, or even all sentient beings (Singer, 1979). This radical and demanding view is the positive core of utilitarianism. Our results suggest that so-called ‘utilitarian’ judgments in sacrificial dilemmas are not driven by this utilitarian aim of impartially maximizing aggregate welfare. This is not entirely surprising. It is more plausible that when

individuals endorse sacrificing one person to save five others, they are following, not this demanding utilitarian ideal, but rather the more modest, unremarkable, and ordinary thought that it is, ceteris paribus, morally better to save a greater number ( Kahane, 2012 and Kahane, 2014). That everyday view involves no demanding commitment to always maximize aggregate well-being (e.g. by being willing to sacrifice 1 to save 2, or 50 to save 51) nor—more importantly for our purposes—that we must do so in a maximally impartial manner, taking into equal account even the interests of distant strangers. Utilitarianism also has a negative or critical component. Put simply, this component is just the claim that impartially maximizing aggregate well-being is the whole of morality. What follows from this is that utilitarians must reject any ‘deontological’ moral constraints on the pursuit of their positive aim.

However, even with the significant uptake in herbivorous inverteb

However, even with the significant uptake in herbivorous invertebrates, other lines of archeological evidence indicate that kelp ecosystems were maintained in the local environs. In the same deposits where large quantities of sea urchin and abalone remains were unearthed in the NAVS and FRBS sites, we recovered 1662 elements of fish, of which 92% were identified as cabezon (Scorpaenichthys marmoratus), rockfish (Sebastes spp.), and lingcod (Ophiodon elongatus)

( Gobalet, 1997:320, 325). These species are closely associated with nearshore kelp ecosystems in California ( Paddack and Estes, 2000). In addition, harbor seals (Phoca vitulina), which also feed on kelp fisheries, are common constituents of these historic deposits ( Wake, 1997). In contrast to the archeological findings of Aleutian Island sites, where LY2109761 purchase alternate states of nearshore fishes and harbor seals (serving as proxies for kelp ecosystems) are juxtaposed against sea urchins and limpets ( Simenstad et al., 1978:407–409), we find red abalones, sea urchins, limpets, nearshore fish, and harbor seals integrated this website into the same discrete deposits

dating to the 1820s and 1830s ( Lightfoot et al., 1997:356–409). In sum, there is little question that the maritime fur trade in the North Pacific had a tremendous impact on maritime environments. Not only did commercial hunting eradicate some marine mammals from local waters, but the RAC’s extensive harvesting of sea otters from Siberia to Alaska and into California may have transformed nearshore benthic habitats, particularly the density and distribution of kelp forest ecosystems and their associated fisheries. However, it appears that the consequences of sea otter hunting varied considerably across space and time – from the Aleutian Islands to Southern California (Steneck et al., 2002). Our preliminary study of the eradication of sea otters from northern California waters suggests that a complex spatial pattern probably resulted, in which kelp forest patches became interspersed with spaces dominated by abalone, sea urchins, HSP90 and other

invertebrates. This complexity was observed in the first systematic survey of kelp vegetation in central California in the early 1900s, which was undertaken prior to the “recovery” of local sea otter populations and the commercial fishing of sea urchins in the 1970s (see Dayton et al., 1998:317–319). This survey did not record any evidence for kelp in a few coastal places from San Francisco to Point Sur (McFarland, 1912). However, in other places they found discrete “beds” or patches of giant kelp and bull kelp (Nereocystis luetkeana). In some cases they were quite lush: “beds of these kelps many acres in extent, so dense that rowboats can scarcely be forced through them, are common all along the California coast” ( McFarland, 1912:201).

Hillslope failure, river channel widening, and/or construction ac

Hillslope failure, river channel widening, and/or construction activity may mobilize sediment from deeper (i.e., meters) sources. Aeolian deposition may be a third source, although

no evidence supports aeolian deposition as a significant source to the rivers studied here. The relative contributions from these sources may change both temporally and spatially in a river. These changes allow only limited selleck compound conclusions to be drawn from a single data point, limiting the success of a mitigation effort that is applied uniformly across a watershed. Contemporary sediment sources are frequently augmented and supplemented by legacy sediment. Legacy sediment comes from anthropogenic sources and activities, such as disturbances in land use/cover and/or surficial processes (James, 2013). For rivers, legacy sediments can originate from incised floodplains (Walter and Merritts, 2008), impoundments behind dams (Merritts et al., 2011), increased hillslope erosion due to historic deforestation (DeRose et al., 1993 and Jennings et al., 2003), and anthropogenic activities

such as construction SRT1720 solubility dmso and land use changes (Wolman and Schick, 1967 and Croke et al., 2001). Legacy sediment can also deliver high loads of contaminants to river systems (Cave et al., 2005 and Lecce et al., 2008). The current supply of sediment is high (Hooke, 2000), as humans are one of the greatest current geomorphic agents. Consequently, combining legacy sediment with increased anthropogenic geomorphic activity makes it even more important to identify the source of sediments in rivers. Sediment sources can be distinguished selleck using the radionuclides lead-210 (210Pb) and cesium-137 (137Cs). 210Pb is a naturally-occurring isotope resulting from the decay of 238Uranium in rock to eventually 222Radon. This gas diffuses into the atmosphere and decays into excess 210Pb, which eventually settles to the ground. This diffusion process creates a fairly consistent level of excess 210Pb in

the atmosphere and minimizes local differences that exist in the production of radon. Rain and settling can subsequently result in the deposition of excess 210Pb, with a half-life of 22.3 years. This atmospheric deposition of excess 210Pb, is added to the background levels that originate from the decay of radon in the soil. “Excess” atmospheric 210Pb occurs because, if the material (in this case the sediment) is isolated from the source (i.e., the atmosphere), this level will decay and decrease in activity. As this excess 210Pb is then correlated with the time of surficial exposure, it is commonly used as a sediment tracer (e.g., D’Haen et al., 2012, Foster et al., 2007, Whiting et al., 2005 and Matisoff et al., 2002). 137Cs is also used as a sediment tracer, although its source is different. It is the byproduct of nuclear fission through reactors and weapon activities, and is not naturally found in the world.

10 However, this number was disputed by a recent study where the

10 However, this number was disputed by a recent study where the authors emphasized that those figures were obtained through voluntary, self-paid tests with see more unconfirmed clinical outcomes.5 This large variation in reported prevalence might be due to Brazil’s large territory and diversity, but it might also be due to methodological differences across the studies. The screening in Minas Gerais was performed over eight months, but the clinical and laboratory

follow-ups with the children who had positive screening tests lasted up to 34 months, until the diagnosis was either confirmed or proven to be a false-positive result. One explanation for the lower incidence of CAH in Minas Gerais observed in the present study compared with those of other Brazilian states may be the lengthy follow-up period, which enabled the exclusion of false positives. A high incidence of 1:9,963 was initially incorrectly assessed; after the clinical and laboratory follow-up, approximately half of the initial diagnoses of CAH were determined to be false-positives. The children click here with false-positive diagnoses exhibited high confirmatory serum levels of 17-OHP, and at least one clinical sign that suggested CAH at the beginning of the follow-up. CAH was discarded and the children remained asymptomatic after withdrawing medication. Therefore, only the confirmed cases of CAH were considered in the

calculation of disease incidence. This points to follow-up monitoring PDK4 as an essential step for a reliable CAH diagnosis. Difficulties with CAH diagnoses are common9 and may have accounted for the initially high apparent incidence of the disease in the present pilot study. Decisions regarding treatment should always be postponed for asymptomatic children and for those with only slightly elevated 17-OHP levels.11 Tests with higher specificities for diagnostic confirmation, such as a molecular genetic analysis of the CYP21 gene, have been suggested as a complementary analysis in such cases.9 and 12 The present study was the first to examine the incidence of CAH in Minas Gerais,

a large state in the Southeastern region of Brazil, with a territory of 586,528 km2. The disease incidence herein reported is close to those reported in Japan (1:18,000), New Zealand (1:21,270), and in Northeastern Italy (1:21,380).7, 13 and 14 The duration of this study might be considered a hindrance for drawing conclusions. However, the incidence calculated in this screening pilot project is highly credible, due to the state-wide coverage of the PTN-MG (nearly 100%) and to the large number of screened children despite the short period of time devoted to the pilot. The evaluation of this pilot project points to the potential for reducing CAH morbidity and mortality rates among the affected children. Clinical suspicion for CAH was low at birth: half of the cases in the present study were diagnosed by screening alone.

In case 4, the newborn lived only

In case 4, the newborn lived only Volasertib one hour, and the corresponding microbiological cultures were not performed. The intentional search for DNA from Mycoplasma and Chlamydia in postmortem tissues using polymerase chain reaction resulted in amplification of the 129 bp C. trachomatis omp1 gene in five neonates. It was amplified in two or more organs for cases 1, 2, 3, and 4, and only in the kidney for case 6. In case 8, a 715 bp product, corresponding to Mycoplasma, was amplified in lung and kidney tissues (image not

shown). Chlamydial DNA was found in tissues of cases 2 and 6, but with no clinical or histopathological correlation indicating infection. These cases only presented with prematurity, barotrauma, and pulmonary hemorrhage. Additionally, amplification RG7204 chemical structure of 1,142 bp and 879 bp fragments for RFLP analysis of samples positive for chlamydial DNA was only achieved for cases 1, 3, and 4 (Fig. 1). The RFLP analysis of the samples where amplification of the 879 bp fragment was achieved only allowed for the identification of genotype D of C. trachomatis (case 1; Fig. 2). In cases 2 and 6, it was not possible to amplify the 1,142 bp fragment, and the presence of chlamydial DNA was confirmed in liver tissue through real-time polymerase chain reaction only for case

2 (image not shown). All cases were endotracheally intubated and received ventilatory assistance during their entire life. Six cases of premature membrane rupture were found.

Of these, two neonates (cases 1 and 3) had evidence of chlamydial DNA and remained in utero with ruptured membranes for 8 and 6 days, Morin Hydrate respectively. The clinical characteristics of all cases are shown in Table 2. The causes of death in the remaining cases (cases 5 to 7 and 9 to 14) were not associated with infection. Four (29%) died due to causes related with their premature birth, three (21%) due to structural congenital defects not compatible with life, one due to hydrops fetalis of non-immunological origin with severe preeclampsia, and one due to maternal-fetal isoimmunization to Rh. All these cases had negative polymerase chain reaction results for C. trachomatis and Mycoplasma spp., with the exception of case 6, previously mentioned. Severe infections are still the main cause of neonatal morbidity and mortality in developing regions. Three-fourths of infant mortality cases occur during the first week of life, and in many cases, the cause of death remains unknown.23 Chlamydial infection in the perinatal and neonatal stage can cause many diseases. These include conjunctivitis, nasopharyngitis, pneumonitis, and less frequently, rhinitis, middle ear otitis, myocarditis, and encephalitis.4 However, the discovery of genetic residues of this intracellular bacterium in organic tissues is quite rare in the medical literature.

Such strategies have to be developed for the new two-step nanopre

Such strategies have to be developed for the new two-step nanoprecipitation procedure as well. Having accomplished protein loaded nano-sized PLGA particles, we tested the development of the sustained release nanoparticles into an application platform. We selected Cyt-c as

model protein because it has been employed in experiments geared towards better cancer treatment options [24]. The size of our particles makes them potentially useful in passive and also active targeting of cancer tissues [37,38]. For example, Santra et al. [24] demonstrated recently the therapeutic potential of Cyt-c in nanoparticles by their capability to induce apoptosis in lung carcinoma cells after uptake by the cells by endocytosis. However, their vehicle consisted of a water-soluble hyperbranched GSI-IX research buy polyhydroxyl polymer not selleck screening library approved in medical applications. In contrast, our nanoparticles employ an already FDA approved and commercially available polymer (PLGA) and a straight forward encapsulation method. We hypothesized that encapsulation of Cyt-c via the two step nanoprecipitation method should work using the optimum conditions identified for lysozyme (Table 7) because both proteins have a similar molecular weight (12 and 14▒kDa, respectively) and are basic [39]. The encapsulation efficiency for Cyt-c was with 72% is similar to that obtained for lysozyme under identical conditions (Table 8). The peroxidase activity of

Cyt-c was comparable to values prior to precipitation and encapsulation and only few aggregates were formed indicating good preservation of structural integrity during the process. The size of the

particles obtained was 340▒nm and thus potentially useful to enable passive delivery to cancer tissues based on the EPR effect [37,38]. In vitro release of Cyt-c from the PLGA nanoparticles showed an initial “burst” release within 24▒h that was reasonably small with ca. 20% ( Fig. 2). Burst release values of >20% are frequently found for such PAK5 systems, in particular when nanosized systems are being used [ 40]. During a 100-day incubation period, Cyt c was released completely from the nanospheres. Since the release was slow, the amount of protein released per day was small and the residual activity during release could not be measured with accuracy. Future experiments using cell cultures and animal models will shed light into the bioactivity of the developed system. However, since 100% of the protein was released, we can exclude the formation of buffer-insoluble Cyt-c during the release period. Since there are some reports that PLGA nanoparticles could be internalized by cells, we investigated whether the Cyt-c-PLGA NPs would be toxic to cancer cells. We selected a human cervical cancer cell line (HeLa) as a model system and incubated the cells for 24, 48, 72, and 96▒h at 37▒°C under 5% CO2 with various concentrations of drug-loaded and empty PLGA nanoparticles and determined the cell viability (Fig. 3).

Based on these evidences, together with our previous finding that

Based on these evidences, together with our previous finding that itolizumab exhibits the same CD6 recognition profile and a similar affinity constant, but was less immunogenic in monkeys than its murine or GDC-0068 nmr chimeric counterpart [34,35], we expected itolizumab be less immunogenic and toxic than its predecessors, leading to additional benefits in RA patients. The aim of the current study

was to investigate the effect of a 6-week monotherapy with itolizumab in biologic-naïve patients with active moderate to severe RA despite the previous DMARD therapy. The primary intention of the study was to evaluate the safety and tolerability of different doses of itolizumab during 24 weeks. In addition, the study explores preliminary evidences of efficacy. The study was an open-label, non-controlled, dose-finding phase I trial, registered under number RPCEC00000007 at the Cuban Registry of Clinical Trials (www.registroclinico.sld.cu), and conducted at a single clinical center in Havana, Cuba. For trial recruitment active RA patients underwent an eligibility screening between July 2004 and October 2006. After a washout period (at least 4 weeks for DMARDs and glucocorticoids, and 2 weeks for NSAIDs), patients were sequentially enrolled into cohorts of three patients, each receiving a different itolizumab dose (0.2, 04 or 0.8 mg/kg/day), once a week during 6 weeks. The dose range was selected based on in vitro experiments

and from the preceding experiences on clinical trials were performed with the murine ior T1 mAb on RA patients [ 23, 24, [41], [42] and [43]]. Two patients were assigned to 0.1 and 0.6 mg/kg, in two additional Raf inhibitor dose levels that were added during the course of the study. Subjects were followed up for a period of 18 weeks after the

last antibody administration. The 24-weeks study period was divided into 2 stages: week 0–6 was considered the treatment period while from week 7 to week 24 was considered the post-treatment Adenylyl cyclase period (follow up). The study medication was administered intravenously, once a week during 6 weeks. The signs and symptoms were evaluated for 6 months, starting from the first dose administration. Clinical assessments were performed at baseline and at weeks 7, 10 and 24, according to the ACR core set of disease-activity measurements. Safety was monitored during the whole study (weeks 0–24). The restriction for the use of DMARDs, glucocorticoids and NSAIDs was extended from the washout period, including the administration phase and up to 4 weeks after the last itolizumab administration (follow-up, week 10), when these drugs could be administered if disease flares, according to the physician’s criteria. Otherwise, only analgesics were permitted. Patients taking drugs for concomitant disease were required to have been on chronic stable doses prior to screening. Such stable dose had to be maintained throughout the study.