The CD19+ CD25+ population was enriched in PB and in the inflamed

The CD19+ CD25+ population was enriched in PB and in the inflamed synovial fluid compared with BM (Fig. 4a). Mononuclear cells in PB sorted into CD19+ CD25+ and CD19+ CD25− subsets were stimulated with EBV (3·6 × 106 copies/ culture). The CD25+ cultures responded to EBV stimulation with a significant increase in the number of immunoglobulin-producing cells, but no increase was observed in CD25– cultures of

the same RA patient (Fig. 4b). The stimulatory effect was seen on the IgM- and IgG-producing CD25+ cells. Similar EBV stimulation of the CD25+ cultures from healthy subjects had no increase of immunoglobulin-producing cells (Fig. 4c). We have previously shown that RA patients with EBV replication in BM present a better clinical response to RTX treatment.[25] Interestingly, RTX treatment was associated with a clear reduction of EBV load in patients with RA. These Alvelestat datasheet data allowed us to speculate that active EBV might be harboured within the RTX-sensitive B-cell populations in vivo. As a consequence, in the present study we assessed the impact of EBV infection on the phenotype and function of B cells in blood and BM of patients with RA. The present study identifies the CD25+ subset of B cells to be enriched in PB of EBV+ RA patients suggesting that this find more population might be an important source of EBV infection for reactivation and re-infection of the RA patient.

Importantly, EBV transfection has shown an induced CD25 expression in Hodgkin’s lymphoma cells and in Burkitt’s lymphoma cells[51, 53] and in natural killer cell lines.[52] Similarly,

EBV-specific T cells can be selected using CD25.[54] In patients with RA, the CD25+ B-cell subset belongs to the memory pool of B cells, which is functionally characterized by an increased IL-10 secretion and low spontaneous immunoglobulin secretion.[43-45] We found that the CD25+ B-cell population was enriched with the cells Osimertinib expressing the activation and apoptosis marker CD95. This is supported by our previous data where we observed that EBV replication gave rise to a concomitant expression of CD95 on CD19+ B cells and this might increase the sensitivity to RTX-induced depletion.[25] On the other hand, it has been shown that cells from patients with RA may be resistant to CD95-mediated apoptosis.[55] In EBV+ RA patients an increased frequency of CD25+ CD27+ memory cells are found. CD27 is shown to be critical for several steps of EBV infection, and CD27+ B cells are considered as a reservoir of EBV in the viral latency phases.[56, 57] CD27 expression has recently been identified as essential for combating EBV infection, because individuals with CD27 deficiency develop combined immunodeficiency, hypogammaglobulinaemia and persistent symptomatic EBV viraemia.[58, 59] Interestingly, it has been shown that B cells in the rheumatic synovia express latent membrane proteins 1 and 2A, the EBV-encoded proteins that provide additional survival and maturation signals to B cells.

In addition, MMPs have also been shown to be important in many ma

In addition, MMPs have also been shown to be important in many malignant and inflammatory diseases with tissue destruction [7, 8]. The cleavages of non-matrix substrates including cytokines and chemokines can be decisive and direct both pro- and anti-inflammatory actions of MMPs [9]. The mechanism of action of MMPs in arterial disease and aneurysm formation has largely been attributed to their ability to proteolytically process the extracellular matrix of the aortic wall [10]. Endogenous tissue inhibitors of MMP (TIMPs) provide a balancing mechanism to prevent excessive extracellular matrix

degradation [7]. Degranulation U0126 molecular weight of neutrophils upon the stimuli of inflammatory and microbial virulence factors 3-Methyladenine purchase releases also oxidative proinflammatory myeloperoxidase (MPO), and a serine protease neutrophil elastase (HNE), which can further promote the cascades of inflammatory tissue destruction [11]. Series of inflammatory reactions as measured by increased serum inflammatory markers have been shown to be associated with atherosclerosis, carotid artery stenosis, and AAA [12–14]. The role of MMPs and their regulators in arterial disease remains; despite several existing publications,

unclear, and the balance between MMPs and their regulators requires further investigation. Identification of markers reflecting the MMP-system may help to identify patients with arterial disease. Thus, we investigated the serum concentrations of these markers

in the patients with degenerative arterial disease including occlusive manifestations, i.e. aorto-occlusive disease and carotid disease as well as aneurysmal manifestations, i.e. abdominal aortic aneurysms. In addition, we studied, if the values differ from those of generally healthy subjects. The study population comprised 126 patients, who underwent surgery because of symptomatic AOD (n = 18), carotid artery stenosis (n = 67) or AAA (n = 41) in the Department Ponatinib ic50 of Vascular Surgery, Helsinki University Central Hospital between the years 2002–2004. Preoperative blood samples were collected from all patients before the induction of anaesthesia from an upper arm arterial line in the operation theatre. Demographic characteristics and vascular risk factors are described in Table 1. Carotid surgery was performed on symptomatic patients with a moderate (50–69%) or high-grade (70–99%) carotid stenosis. Aneurysm operations were all elective repairs for AAAs with a mean maximum diameter of 61.6 mm (range 40–112 mm). Three patients with small aneurysms had disabling claudication as well. All patients with AOD had disabling claudication caused by aortoiliac lesions, which were so extended that endovascular treatment was not feasible. None of the patients had chronic critical limb ischaemia. The serum reference values were determined from samples provided by healthy blood donors (n = 100) collected by the Finnish Red Cross, Oulu, Finland.

The results revealed that the frequency of SIRT1 expression in me

The results revealed that the frequency of SIRT1 expression in medulloblastoma tissues was 64.17% (77/120), while only

one out of seven tumor-surrounding noncancerous cerebellar tissues showed restricted SIRT1 expression in the cells within the granule layer. Of the three morphological subtypes, the rates of SIRT1 detection in the large cell/anaplastic cell (79.07%; 34/43) and the classic medulloblastomas (60.29%; 41/68) are higher than that (22.22%; 2/9) in nodular/desmoplastic medulloblastomas Selleck Stem Cell Compound Library (P < 0.01 and P < 0.05, respectively). Heterogeneous SIRT1 expression was commonly observed in classic medulloblastoma. Inhibition of SIRT1 expression by siRNA arrested 64.96% of UW228-3 medulloblastoma cells in the gap 1 (G1) phase and induced 14.53% of cells to apoptosis at the 48-h time point. Similarly, inhibition of SIRT1 enzymatic activity with nicotinamide brought about G1 arrest and apoptosis in a dose-related fashion. Our data thus indicate: (i) that SIRT1 may

act as a G1-phase promoter and a survival factor in medulloblastoma cells; and (ii) that SIRT1 expression is correlated with the formation and prognosis of human medulloblastomas. In this context, SIRT1 would be a potential therapeutic target of medulloblastomas. “
“Both chordoma and Rathke’s cleft cyst are relatively rare diseases in the central nervous system. In this paper we report the first case of click here a chordoma coexisting with a Rathke’s cleft cyst. A 49-year-old man presented with a 19-month history of distending pain, movement dysfunction and diplopia of the left eye. The preoperative diagnosis was consistent with chordoma with cystic change. Final pathological diagnosis of chordoma coexisting

with Rathke’s cleft cyst was made according to histological and immunohistochemical studies and the clinical and radiological features are discussed. Considering the close relationship between the notochordal tissue and Rathke’s pouch during early embryogenic development, a possible mechanism is Amisulpride also discussed with the literature review. “
“Optineurin is a gene associated with normal tension glaucoma and primary open-angle glaucoma, one of the major causes of irreversible bilateral blindness. Recently, mutations in the gene encoding optineurin were found in patients with amyotrophic lateral sclerosis (ALS). Immunohistochemical analysis showed aggregation of optineurin in skein-like inclusions and round hyaline inclusions in the spinal cord, suggesting that optineurin appears to be a more general marker for ALS.

This dual role was also seen in our results on HPC expansion: whe

This dual role was also seen in our results on HPC expansion: when used

alone, IL-32 led to twice the number of HPCs, whereas in combination with SCF, IL-32 significantly reduced cell expansion induced by SCF. Apart from its in vitro effects, IL-32 also increased the number of HPCs in vivo in a model of chemotherapy-induced BM suppression, thereby alleviating BM regeneration. The fact that, as with IL-1β 50, one injection of IL-32 sufficed, speaks in favor of the activation of secondary mechanisms. Interestingly, a rodent form of IL-32 has not yet been identified 44; the human homolog can, however, activate murine macrophages to secrete TNF-α 46. TNF-α has a detrimental effect on HPC renewal 51. Therefore, other bystander effects, in combination with the expansion potential of IL-32, are most likely responsible for a sustained stem cell renewal in BMN 673 research buy a well-established mouse model 24. In conclusion, the combination of unbiased microarray analyses of IL-1β-stimulated ECs with a hypothesis-driven filtering by gene annotation allowed the targeted identification of cytokines with previously unknown hematopoietic growth factor

potential. The most outstanding discovery was that IL-32 induced the expansion of functional HPCs in vitro and in vivo, thus attenuating chemotherapy-related BM cytotoxicity; on the other hand, IL-32 reduced an SCF-dependent cell expansion. Future in vitro and in vivo studies will help to further define the role of IL-32 within hematopoiesis. Cord blood specimens MG132 were collected from full-term deliveries,

after informed consent was obtained from the mothers, and HPCs were immunomagnetically isolated as previously described 52. This study was approved by the ethical review board of the Charité. Human umbilical cord ECs were harvested and cultured as described previously 3. Confluent ECs of passages two to four were stimulated with IL-1β for 4, 8 and 16 h, and cells were harvested by collagenase (0.1% in PBS). CD34+ HPCs were used post isolation. Cell pellets were dissolved in RNA lysis buffer (Qiagen, Hilden, Germany) supplemented science with β-mercaptoethanol (10 μg/mL) and stored at −80°C. Lysed cells were mixed with 0.2 mL of chloroform for 3 min at room temperature and then centrifuged at 11 500 rpm for 15 min at 4°C. The upper aqueous phase was collected in RNAse-free Eppendorf tubes and mixed with 0.5 mL isopropanol for 10 min. Supernatants were aspirated after recentrifugation, pellets were resuspended in 75% ethanol in DEPC-H20 air-dried and the RNA quantity was measured by spectrophotometry. Samples were run through an RNeasy column (Qiagen) and precipitated with ethanol. Total RNA was analyzed by Affymetrix 133 plus 2.0 arrays (Affymetrix, Santa Clara, CA) as previously described 53. Signal intensities for probe sets were derived using Affymetrix’s Microarray Suite version 5.

These results suggest that a Th2-polarized response without conco

These results suggest that a Th2-polarized response without concomitant expansion of Foxp3+ regulatory T cells was

not able to modify EAE progression. Even though these results do not threaten the hygiene hypothesis, they suggest that this paradigm might be an oversimplification. They also emphasize the need of a study to compare the immunoregulatory ability associated with different helminth spp. Multiple sclerosis (MS) is considered the most common inflammatory demyelinating disease, affecting approximately one million adults. Different cell types, including Th1, Th17, Tc, B and regulatory T cells, are involved in the inflammatory reaction that damages the myelin sheath (1). Strong evidence has been provided for a potential functional defect of CD4+CD25+Foxp3+ regulatory T cells in patients with relapsing-remitting MS (2). see more Animal selleck compound models have been extraordinarily useful, providing a deeper insight into the immunopathogenesis of MS (3). These models indicated, for example,

that regulatory T cells can prevent experimental autoimmune encephalomyelitis (EAE) and also contribute to genetic EAE resistance (4). Within this scenario, the possible modulation of autoimmunity and allergy by certain environmental agents, as lactobacillus, mycobacteria and helminths, has been associated with activation and/or expansion of regulatory T cells (5) and induction of a strong Th2 polarization (5,6). Strongyloides venezuelensis is a gastrointestinal nematode that naturally RG7420 research buy infects wild rats. It can be experimentally injected in mice and rats to be used as a model for human strongyloidiasis. In human hosts and murine models, the immune response to Strongyloides spp. is predominantly a Th2 type (7,8). We recently characterized the migratory route of S. venezuelensis in Lewis rats and demonstrated that recovery from this helminth infection was associated with a strong Th2 response (9,10).

This study was designed to evaluate the type of response (Th2 polarization and/or Foxp3+ T cells) that is induced by multiple infections with S. venezuelensis and its effect on EAE progression in Lewis rats. Female Lewis rats were infected four times (once a week) with 4000 S. venezuelensis infective filiform larvae by subcutaneous route at the abdominal region. Infection intensity was determined by counting the number of eggs per gram of faeces (EPG) by a modified Cornell McMaster method (11). Fifteen days after last S. venezuelensis inoculation, the level of specific antibodies and the amount of CD4+CD25+Foxp3+ T cells were determined. EAE was induced at this same period. Parasite-specific IgG1 and IgG2b were estimated by ELISA by using antigen obtained as previously described (8).

Type 2 DM Mellitus was the commonest cause 53 3% (n = 8) of ESRD

Type 2 DM Mellitus was the commonest cause 53.3% (n = 8) of ESRD in patients with PAD.On univariate analysis, PAD was found to be significantly associated with age >40

years (p value = 0.003; OR = 14.8; CI = 1.75–125.27), Type 2 DM (p value = 0.009; OR = 5.4; CI = 1.44–21.14), parasthesia of lower limbs (p value = 0.001; OR = 10; CI-2.31-43.16), and intact PTH > 300 ng/ml (p value = 0.006; OR = 5.7; CI = 1.55–21.50). However on multivariate analysis only parasthesia of lower limbs and intact PTH >300 ng/ml were significantly and independently associated with PAD, while other variables were not significant. Conclusion: Peripheral arterial disease was common occurrence in ESRD patients on hemodialysis. ABI needs to be included as the a routine assessment in ESRD patients. SUFIUN ABU1, RAHMAN ASADUR1, KITADA KENTO1, FUJISAWA YOSHIHIDE2, https://www.selleckchem.com/products/yap-tead-inhibitor-1-peptide-17.html NAKANO DAISUKE1, RAFIQ KAZI1, NISHIYAMA AKIRA1 1Department of Pharmacology, Faculty of Medicine, Kagawa University; 2Life Science Research Center, Faculty of Medicine, Kagawa University, Japan Introduction: To test the hypothesis that high salt intake aggravates

hypertension and alters dipping pattern of blood pressure through renal sympathetic nerve activation in chronic kidney disease (CKD), effects of high salt and renal denervation on blood pressure in adenine-induced renal injury model rats. Methods: Four-week-old Wistar rats

were underwent uninephrectomy followed CDK inhibitor by renal sympathetic denervation (RDX) and implantation of telemetry device at 5 weeks of age. After one week recovery, adenine (200 mg/kg/day, p.o.) was administered for 2 weeks. Then, high salt diet (8% NaCl) and low-salt diet (0.3% NaCl) were treated for 1 week, respectively. Results: High salt diet increased mean arterial pressure (MAP) (from 106 ± 4 to 158 ± 5 mmHg, P < 0.01) in adenine-treated rats, but RDX did not affect high salt-induced increases Mirabegron in MAP. Interestingly, after switching from high salt to low salt diet, MAP returned to respective pre-treatment level within 2 days in both RDX and non-RDX adenine-treated rats. Adenine-treated rats showed normal dipping pattern; however, high salt feeding for 1 week resulted in non-dipper pattern of MAP. In these animals, dipping pattern was normalized after switching to low salt diet. On the other hand, RDX did not show any changes in dipping pattern during high or low salt intake. Conclusions: These data support the hypothesis that high salt intake aggravates hypertension and alters dipping pattern of blood pressure in CKD. However, our data suggest that renal sympathetic nerve does not play a predominant role in this pathological process.

Similar populations of immune cells

have also been observ

Similar populations of immune cells

have also been observed in FK506 datasheet the primate uterus and placenta during pregnancy.[72-74] Moreover, shared susceptibility to certain infections exists.[75] In addition, the high degree of sequence similarity between key human and non-human primate protein sequences has supported the use of anti-human antibodies in ELISA and other immune assays to examine the immune response in non-human primates. These factors have made primate models useful for the study of infection, immunity, and adverse pregnancy outcome. Mice have also been used extensively to model both maternal innate and adaptive immunity. There has been extensive study on the trafficking of cells across the maternal–fetal interface[76-78] and on the intricate BYL719 in vivo interaction between trophoblast and innate immune cells in gestation.[79, 80] While there are some differences in the phenotype of natural killer (NK) cells at the maternal–fetal interface,[81] and differences in the diversity of the MHC molecules expressed on trophoblast subpopulations in humans and mice,[82] both systems have been used to delineate specific mechanisms and paint a picture of NK cells as ‘educable’,[83, 84] supportive of placental

structure and development,[82] but potentially participating in disruption of pregnancy[85] (and see below). The mouse has also been used to examine maternal T cell regulation during pregnancy. As in the human, the pregnant mouse can generate a fetus-specific immune response,[77] including effector and regulatory T cells.[86, 87] Inositol oxygenase An advantage to the mouse is the ability to vary the genetic difference between mother and fetus. For example, some strains of mice respond to the male antigen,

H-Y, and thus, maternal immunity can be studied in a situation where mother and fetus are genetically identical, except for the expression of proteins relevant to maleness. The so-called anti-H-Y response is generated in mouse pregnancy[77] and has been shown to shown modulate both CD4[88] and CD8[89] maternal T cells. Several genetically modified antigen systems have been used to examine maternal anti-fetal immunity in pregnant mice.[90] Although human but not mouse T cells can present antigen via MHC II, the mouse has also been used to examine fetal antigen-presenting cells during pregnancy.[91, 92] Integrated studies in mice and humans will likely increase our knowledge of the function of the immune system during pregnancy and reveal the presence and importance of specific pathways. Guinea pigs and humans have similar immune systems making them a useful tool in the study of relevant human infectious diseases.[93] Guinea pigs are extensively used in models of anaphylaxis and allergy.[94] Many tools are now available to examine the immune system in these animals.[95] The rabbit has also been used for a variety of immunology and infectious disease research.

Since its first meeting in 1994, the aim of this Conference has b

Since its first meeting in 1994, the aim of this Conference has been to allow young scientists and trainees from this region to meet with world class scientists and have https://www.selleckchem.com/products/SB-203580.html the opportunity, not only to listen to their cutting-edge lectures but also to continue with rather informal discussions during the mid day hiking trips to the surrounding spectacular mountains, rustic villages, or castle ruins (Fig. 1). Since 1998, the Tatra Conference has been held as a regular EFIS meeting, receiving monetary

support since 2008 from the European Journal of Immunology by way of the EFIS-EJI partnership, leading it to be called the EFIS-EJI Tatra Immunology conference. It is currently held every two years, with a schedule that Torin 1 includes morning and late-afternoon lectures by invited speakers, poster presentations by other participants (Ph.D. students, postdocs, and medical residents), and informal discussions; all still combined with the extended midday recreational activities, i.e. hiking trips (Fig. 2). The aim of the organizers is to have a style similar to that of the Gordon

Conferences. The number of participants is limited to approximately 120 (Fig. 3), with the majority of the students and trainees coming from the Czech Republic, Slovakia, and Austria, supported by travel grants provided by EFIS-EJI, national immunology societies, and by the participants’ institutions; however, there is increasing interest among students from other countries such as Germany, The Netherlands, and UK to participate. Sadly, despite our best

efforts, intense advertising, and generous travel grants offered by EFIS-EJI, we fail to attract large number of participants from Eastern Europe and post-Soviet countries. The 3-day scientific programmes at all EFIS-EJI Tatra Conferences have had sessions ranging from fundamental to clinical immunology; however, in the past few meetings, the major goal of the scientific program has been to document the importance of basic and clinical research for the development of novel diagnostic and therapeutic strategies in clinical medicine. This report highlights some Mannose-binding protein-associated serine protease of the key presentations of the 9th EFIS-EJI Tatra Immunology Conference held at Štrbské Pleso in the High Tatra Mountains, Slovakia; from September 4–8, 2010, and organized by myself together with Václav Hořejší (Czech Immunological Society), Falk Nimmerjahn (Erlangen, Germany), Stanislava Blažíčková, Zuzana Popracová, Zuzana Polčíková (Slovak Immunological Society), and Hannes Stockinger (Austrian Society for Allergology and Immunology). Recent advances in basic immunology To begin the conference, Kevin Woollard (London, UK) described current models of the development and functions of mononuclear phagocytes. Current models propose that blood monocytes, many macrophage subsets, and most DCs originate in vivo from hematopoietic stem cell (HSC)-derived progenitors with myeloid-restricted differentiation potential.

2A) Furthermore, animals were

2A). Furthermore, animals were Saracatinib in vitro immunized

with phOx emulsified in CFA and again a significant activation of BM eosinophils and an enhanced expression of cytokine mRNA were observed. Indeed, primary immunization with alum-precipitated phOx or injection of phOx emulsified in CFA equally activated eosinophils (Fig. 2B). These data show that the activation of eosinophils is independent of the type of adjuvant used for primary immunization. The specific effect of antigen on eosinophil activation and cytokine expression was even more pronounced when animals were boosted with soluble phOx. Six days after a secondary challenge with soluble antigen, a considerable increase in the level of IL-4, IL-6 and APRIL mRNA was seen, but only in animals which had previously been primed with antigen. No increase was seen in animals primed with alum alone or with PBS (Fig. 2A). Interestingly, even 60 days after antigenic boost, which is 4 months after priming the immune response with alum and antigen, eosinophils still showed enhanced levels of cytokine expression (Fig. 2A). Thus, antigen-dependent activation of the immune system leads to a stable production of mRNA for the plasma cell survival factors APRIL, IL-6, IL-10 and also TNF-α (Fig. 2C). Staining eosinophils with

APRIL and IL-6-specific antibodies showed that upon secondary immunization, BM eosinophils carry abundant APRIL and IL-6 protein in their granules (Fig. 2C). To investigate whether immunization with the T-cell-dependent antigen phOx affects the numbers of eosinophils in Idasanutlin in vivo BM and spleen, animals were immunized with antigen, which had been the either precipitated

with alum or emulsified in CFA. In the first days after primary immunization, the percentage of CD11bintGr-1loSiglec-Fhi eosinophils increased in both BM and spleen (Fig. 3A). Maximal frequencies of eosinophils were found in the BM 6 days after immunization, whereas in the spleen the highest values were observed only on day 12 (Fig. 3B). In the BM, elevated levels of eosinophils were observed even 60 days after primary immunization. In contrast, the frequency of eosinophils in spleen declined with time after primary immunization to nearly baseline levels (Fig. 3B). Boosting animals with soluble antigen induced a further increase in the frequency of eosinophils in spleen and BM (Fig. 3B). In both, animals primed with phOx-CSA/alum or phOx-CSA/CFA, the number of eosinophils found in the BM 6 days after secondary immunization was even higher than after primary immunization (Fig. 3B). After secondary challenge with antigen, the rise in the number of eosinophils was only transient. Indeed, 12 days after the secondary boost eosinophil numbers were back down to the level present before the injection of soluble antigen (Figs. 3 and 4).

Common urodynamic findings related to OAB are detrusor overactivi

Common urodynamic findings related to OAB are detrusor overactivity (DO) and increased filling

sensation (Fig. 1). It is noteworthy that DO may be shown in patients without any symptoms of OAB. On the contrary, DO does not appear in many patients with obvious symptoms of OAB during urodynamic examination.10 Therefore, urodynamics may provide information for clinicians, especially before starting invasive treatment for OAB, but are not suitable for the assessment of the severity of OAB and treatment outcomes. Brubaker et al. proposed the concept of patient-reported outcomes (PRO) in 2006.11 The influences of OAB on patients are very subjective. Previous studies showed that the objective assessments, Crizotinib mouse such as voiding diaries and

urodynamics have only a very weak relationship with OAB symptoms.12 Therefore, using PRO to evaluate the condition of OAB is more appropriate. Health-related quality ��-catenin signaling of life is considered a key outcome in treatment evaluation.13 Abrams et al. used the Medical Outcomes Study 36-Item Short-Form Health Survey to evaluate patients with OAB and compared it with patients with diabetes mellitus in terms of vitality; mental health; and physical, social, and emotional function. The results showed that patients with OAB had lower scores.14 General HRQL can be used as a tool for assessing OAB. Although general HRQL measures are useful in OAB assessment, different urinary symptoms may lead to different distress in life. For example, urgency incontinence and mixed incontinence have a greater negative impact on HRQL compared with stress Erastin incontinence.15,16 Compared with general HRQL measures, the disease-specific HRQL assessment

should be able to reflect the disease severity and the effectiveness of treatment more precisely in patients with OAB. Commonly used disease-specific HRQL measures for OAB are described below. Coyne et al. developed the OAB-q, which is widely used for the evaluation of OAB treatment outcomes.17 Matza et al. reviewed HRQL questionnaires for urinary incontinence and OAB, and demonstrated that the only instrument available for use with patients with OAB was the Overactive Bladder Questionnaire.18 This questionnaire addresses patient-reported outcomes, such as symptom bother and HRQL. The authors mentioned that although the King’s Health Questionnaire and other instruments have been validated in a sample of incontinent OAB patients, the OAB-q is the first questionnaire for continent and incontinent OAB-specific, subjective patient-reported outcome measures.17 The initial OAB-q consisted of 62 items (13 symptom, 4 general, and 44 HRQL questions) and was designed for self-administration. Symptom items addressed both the frequency and bother of frequency, urgency, nocturia and incontinence symptoms.