In this

latter case, the use of the small molecule RITA (

In this

latter case, the use of the small molecule RITA (reactivation of p53 and induction of tumor cell apoptosis) that inhibits MDM2/p53 interaction and induces expression of p53 target genes and massive apoptosis in various tumor cells lines [35], can be useful to counteract HIPK2 degradation and to reactivate p53 apoptotic function [38]. Interestingly, also zinc ions treatment has been shown to relapse the MDM2-induced HIPK2 downregulation, by counteracting the MDM2 E3 ubiquitin ligase activity finally reactivating the HIPK2-induced p53Ser46 phosphorylation and apoptotic activity [39], although the molecular mechanism needs to be elucidated. HIPK2 depletion has been shown to induce cancer cell resistance to different AZD1480 anticancer drugs even in p53-null Selleck Luminespib cells, suggesting the involvement of additional HIPK2 targets other than p53. In particular, it has been found that HIPK2 phosphorylates and promotes proteasomal degradation of ΔNp63α, a prosurvival dominant negative (DN) isoform of the p53 family member p63. HIPK2 phosphorylates ΔNp63α at the T397 residue, thus, the nonphosphorylatable

ΔNp63α-T397A mutant is not degraded in spite of either HIPK2 overexpression or ADR treatment. These findings underline ΔNp63α as a novel HIPK2 target in response to genotoxic drugs [33]. These data indicate that HIPK2 has a double commitment, working as activator for proapoptotic factors (i.e., p53) on one hand and inhibitor for antiapoptotic factors (i.e., CtBP, MDM2, ΔNp63α, HIF-1α) on the other hand. Meloxicam On the opposite side, these considerations would allow to suppose that tumor-associated inhibition of HIPK2 activity might strongly contribute to chemoresistance and tumor progression, in addition to other better-characterized events, such as p53 mutation/inactivation and MDM2 or ΔNp63α overexpression. Mechanisms of HIPK2 inhibition and its impact on both p53 function and tumor progression Several proteins have been shown to target the HIPK2/p53 axis and therefore to inhibit

stress- or drug-induced apoptosis to clear cancer. Recent studies demonstrated that High-mobility group A1 (HMGA1) proteins interact with p53 and inhibit its apoptotic activity [40]. Interestingly, HMGA1 overexpression is responsible for HIPK2 cytoplasmic sequestration and the subsequent inhibition of HIPK2/p53 interaction and apoptosis activation [41]. HMGA1 is frequently overexpressed in tumors and correlates with low apoptotic index in wild-type p53 breast cancer tissues [41]. Thus, immunostaining of breast ductal carcinomas with low HMGA1 expression and with high apoptotic index (not shown) results in HIPK2 nuclear Fosbretabulin mw localization (Figure 1A). On the other hand, breast ductal carcinomas with high HMGA1 expression and with low apoptotic index (not shown) show HIPK2 cytoplasmic localization (Figure 1B), meaning likely HIPK2 inactivation [41].

In NSCLC, chemotherapeutic treatment can damage DNA through vario

In NSCLC, chemotherapeutic treatment can damage DNA through various mechanisms, the lack of functional BRCA1 can lead to increased

sensitivity of the tumor cells to molecular damage, demonstrating that BRCA1 represents a predictive marker of chemotherapy response in NSCLC [6]. Ribonucleotide reductase subunit M1 (RRM1) is located on chromosome segment 11p15.5, it is a region with a frequent loss of heterozygosity in NSCLC. It is a component of ribonucleotide reductase, which is required for deoxynucleotide production and is also the predominant cellular determinant of the efficacy of gemcitabine, which make it to be the molecular target of gemcitabine [7, 8]. Along with the use of antitubulin agents such Quisinostat purchase as taxanes and vinorelbine, study shows there are a number of tubulin isotypes in humans, and found that class III β-tubulin (TUBB3) among them is expressed in a proportion and related to clinical outcome [9]. The expression of GS-1101 purchase TUBB3 is associated with resistance of paclitaxel and docetaxel, no matter in vitro or in clinical research [10, 11]. Changes

of gene mRNA expression during carcinogenesis may lead impact of the diagnosis, treatment, and prevention of NSCLC, it is important to understand these changes. So, in this study, we use RT-PCR to examine the expression of ERCC1, BAG-1, BRCA1, RRM1 and TUBB3 in tumor samples from patients with resected NSCLC not receiving adjuvant chemotherapy. We analyzed the relationships of these genes expression in tumors about survival time and response to chemotherapy to determine whether the expression of these molecules could be used as prognostic Akt inhibitor factors of progression-free and overall survival in this cohort of

patients. Methods Patient data A total of 85 patients who underwent curative surgery for NSCLC between August 2007 and April 2009 were enrolled into this study, including 85 tumor tissues and 34 adjacent tissues respectively. Among them there were 60 males and 25 females, aged 24-84 (mean 57) years. According Levetiracetam to WHO Classification (2000), there were 25 squamous, 60 adenomatous, with 58 moderate and well differentiated (G1-G2) and 27 low differentiated (G3). Because there were only 4 cases of stage IV patients who all had surgery after single brain metastasis resected firstly, and there were no patients of stage IIIb. On account of stage IV patients were too few, so we combined 48 cases as staged I-II and 37 III-IV based on the revised AJC staging for lung cancer (1997). 28 cases had intra-thoracic lymph node metastasis (N1-N2), and 57 were negative lymph node metastasis. Additional information of surgery and chemotherapy status were all showed in (Table 1). The paracancerous tissues (defined as more than 5 cm away from the carcinoma tissue) taken from 34 cases were used as controls.

Biochim Biophys

Acta 975:384CrossRef Rainnie DJ, Bragg PD

Biochim Biophys

Acta 975:384CrossRef Rainnie DJ, Bragg PD (1973) The effect of iron deficiency on respiration and energy-coupling in Escherichia coli. J Gen Microbiol 77:339–349PubMed Raven JA (1988) The iron and molybdenum use efficiencies of plant growth with different energy, carbon and nitrogen sources. New Phytol 109:279–287CrossRef Remacle C, Barbieri M, Cardol P, Hamel PP (2008) Eukaryotic complex I: functional diversity and experimental systems to unravel the assembly process. Mol Genet Genomics 280:93–110CrossRefPubMed Roschzttardtz H, Conejero G, Curie C, Mari S (2009) Identification of the endodermal selleck kinase inhibitor vacuole as the iron storage compartment in the Arabidopsis embryo. Plant Physiol 151:1329–1338CrossRefPubMed ACP-196 chemical structure Sandmann G, Malkin R (1983) Iron-sulfur centers and activities of the photosynthetic electron transport chain in iron-deficient cultures of the blue-green alga find more Aphanocapsa. Plant Physiol 73:724–728CrossRefPubMed Sandmann G, Peleato ML, Fillat MF, Lázaro MC, Gómez-Moreno C (1990) Consequences of the iron-dependent formation of ferredoxin and flavodoxin on photosynthesis and nitrogen fixation on Anabaena strains. Photosynth Res 26:119–125CrossRef Sazanov LA (2007)

Respiratory complex I: mechanistic and structural insights provided by the crystal structure of the hydrophilic domain.

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Figure 10

Figure 10 Hysteresis curves of the colloidal solutions at T  = 2 K. (a) W4 and (b) W3. For random orientation nanoparticles, the frequency and temperature dependence of the coercive field is described by the following equation [18]: (7) where ρ = 8,300 (kg m-3) is the density of FeCo alloy, k B is the Boltzmann constant, V is the volume of nanoparticles, MAPK inhibitor f = 5.5 × 10-4 (Hz) is the measurement frequency, and τ 0 = 10-10 (s) is the intrawell relaxation time. Therefore, by considering the values of μ 0 H c from Figure  10a,b, the anisotropy constants for W4 and W3 are calculated to be 4.1 × 104 (J m-3) and 6.64 × 104 (J m-3), respectively. Comparing the anisotropy values

obtained from magnetic measurements with the optimum Fludarabine datasheet anisotropies from Equation 6 reveals that for the W3 sample, these LY3039478 two values are very close together, indicating that the maximum generated heat for this sample is around that which we obtained experimentally, but for the W4 sample, the optimum anisotropy is about 2.5 times greater than the experimental value. As the result

of this deviation from the optimum value in the W4 sample (which also exhibits broader size distribution than W3 sample (see Figure  3)), the detrimental effect of nanoparticle size distribution makes the maximum achievable SAR decrease. As noted by Carrey et al., the particle size distribution has a negative effect on the maximum achievable SAR, and the anisotropy controls this effect [17]. As mentioned earlier, superparamagnetic W1 and W2 samples are useless for hyperthermia treatment, but W3 and W4 samples are in the single-domain ferromagnetic size regime and capable for use in hyperthermia. Considering the domain of validity of SW and LRT models which are μ 0 H max > 2 μ 0 H c and ξ = (μ 0 M s VH max)/(k B T) < 1, respectively, we could apply both SW and LRT models to both W3 and W4 samples to discuss the involved mechanisms in the generation of heat. Applying the model proposed by Stoner-Wohlfarth for random orientation nanoparticles we have (as seen in Equation 2) Assuming f = 120 kHz, the corresponding SARs for W4 Idoxuridine and W3

samples are 540 and 165 (W g-1), respectively. If we apply the LRT model instead, by considering τ R = τ N = τ 0exp(K eff V/k B T), the values of SAR could be calculated from Equation 1 as seen in Table  4. The comparative study between experimental and theoretical values of SAR indicates the following: (a) The experimental values are between pure hysteresis (SW model) and pure relaxation (LRT) which means that both loss mechanisms are involved. (b) Assuming the maximum contribution of relaxation to the total loss, for the W3 sample, the contribution of relaxation to the total SAR is 0.16% and the remaining SAR belongs to the hysteresis (99.84%), and for the W4 sample, the corresponding values are 0.76% and 99.24%, respectively, indicating that hysteresis is a more effective mechanism in producing of heat.

Cancer Res 2003, 63: 812–816 PubMed 10 Lee KM, Park SK, Hamajima

Cancer Res 2003, 63: 812–816.PubMed 10. Lee KM, Park SK, Hamajima N, Tajima K, Yoo KY, Shin A, Noh DY, Sapitinib manufacturer Ahn SH, selleck chemicals llc Hirvonen A, Kang D: Genetic polymorphisms of TGF-beta1 & TNF-beta and breast cancer risk. Breast Cancer Res Treat 2005, 90: 149–155.CrossRefPubMed 11. Nikolova PN, Pawelec GP, Mihailova SM, Ivanova MI, Myhailova AP, Baltadjieva DN, Marinova DI, Ivanova SS, Naumova EJ: Association of cytokine gene polymorphisms

with malignant melanoma in Caucasian population. Cancer Immunol Immunother 2007, 56: 371–379.CrossRefPubMed 12. Howell WM, Bateman AC, Turner SJ, Collins A, Theaker JM: Influence of vascular endothelial growth factor single nucleotide polymorphisms on tumour development in cutaneous malignant melanoma. Genes Immun 2002, 3: 229–232.CrossRefPubMed 13. Lin CC, Wu HC, Tsai FJ, Chen HY, Chen WC: Vascular endothelial growth factor gene-460 C/T polymorphism is a biomarker for prostate cancer. Urology 2003, 62: 374–377.CrossRefPubMed 14. Jakowlew

SB: Transforming growth factor-beta in cancer and metastasis. Cancer Metastasis Rev 2006, 25: 435–457.CrossRefPubMed 15. Bierie B, Moses HL: Tumour microenvironment: Quisinostat TGFbeta: the molecular Jekyll and Hyde of cancer. Nat Rev Cancer 2006, 6: 506–520.CrossRefPubMed 16. Yoo YA, Kang MH, Kim JS, Oh SC: Sonic hedgehog signaling promotes motility and invasiveness of gastric cancer cells through TGF-beta-mediated activation of the ALK5-Smad 3 pathway. Carcinogenesis 2008, 29: 480–490.CrossRefPubMed 17. Yoshinaga K, Obata H, Jurukovski V, Mazzieri R, Chen Y, Zilberberg L, Huso D, Melamed J, Prijatelj P, Todorovic V, Dabovic B, Rifkin DB: Perturbation of transforming growth factor (TGF)-beta1 association with latent TGF-beta binding protein yields inflammation isothipendyl and tumors. Proc Natl Acad Sci USA 2008, 105: 18758–18763.CrossRefPubMed 18. Komuro A, Yashiro M, Iwata C, Morishita Y, Johansson E, Matsumoto Y, Watanabe A, Aburatani H, Miyoshi H, Kiyono K, Shirai YT, Suzuki HI, Hirakawa K, Kano MR, Miyazono K:

Diffuse-type gastric carcinoma: progression, angiogenesis, and transforming growth factor beta signaling. J Natl Cancer Inst 2009, 101: 592–604.CrossRefPubMed 19. Tsirlis TD, Papastratis G, Masselou K, Tsigris C, Papachristodoulou A, Kostakis A, Nikiteas NI: Circulating lymphangiogenic growth factors in gastrointestinal solid tumors, could they be of any clinical significance? World J Gastroenterol 2008, 14: 2691–2701.CrossRefPubMed 20. Suthanthiran M, Li B, Song JO, Ding R, Sharma VK, Schwartz JE, August P: Transforming growth factor-beta 1 hyperexpression in African-American hypertensives: A novel mediator of hypertension and/or target organ damage. Proc Natl Acad Sci USA 2000, 97: 3479–3484.CrossRefPubMed 21.

Bioinformatic analysis of HydH5 failed to detect a known CBD It

Bioinformatic analysis of HydH5 failed to detect a known CBD. It has been speculated that some endolysins possess catalytic domains operating as cell

wall-binding domains that direct the selleck chemicals llc protein to target epitopes on the surface of susceptible bacteria [17, 40]. There are also numerous reports of C-terminally deleted lysins where the N-terminal lytic domain maintains their staphylococcal- [32] or streptococcal-specificity [41, 42] in the absence of their CBD. More surprising are recent studies showing that the lytic activity of the B30 (11) and PlyGBS [43] lysins were maintained or even enhanced, approximately 25-fold, respectively, in engineered lysins in which the SH3 domain has been removed. However, it is not entirely Citarinostat clear which part of the protein determines the specificity. Based on the results that showed binding of

the catalytic domains to cells, we hypothesized that substrate recognition in HydH5 might be somehow mediated by its catalytic Selleckchem Fosbretabulin domains. However, further analyses are required to demonstrate the specificity of this binding for S. aureus cells. In this regard, preliminary results about the HydH5 lytic spectrum indicated that most of tested staphylococcal strains were susceptible to this protein (our unpublished results). It should be kept in mind that, in contrast to endolysins, phage structural PG hydrolases might not require a CBD because they are delivered to the PG substrate by the virion particle structure [3]. The proposed function of phage structural PG hydrolases during the first steps of the phage life cycle also implies that their hydrolytic activity should only damage the cell wall slightly in order to avoid premature lysis of the host cell. For this reason, it is not surprising that the lytic activity of HydH5 and both truncated versions were not detected in turbidity reduction assays but were capable of killing S. aureus Sa9 cells in the CFU reduction analysis. The variable quantitative behaviour of PG hydrolases activities in different lytic assays has also been observed

by other authors [44, 45]. The killing activity of HydH5 was inhibited by some cations and sodium chloride. Although most of the endolysins described so far has not been tested for the effect of cations, there are some which lytic activity is dependent on or enhanced in the presence of calcium Staurosporine in vivo in the assay buffer [[32, 35, 46]]. The highest protein activity was detected against actively dividing log phase growth staphylococcal cells, possibly due to a different conformation of the PG. In fact, the degree of peptidoglycan cross-linking is significantly increased in stationary phase cells of species such as E. coli and Bacillus spp. [47, 48]. (An according result) A similar result was observed with the bacteriophage T7 gp16 structural transglycosylase which facilitated infection of E. coli cells growing to high cell densities or low temperatures.

and holds shares in this company, PSZ received financial income f

and holds shares in this company, PSZ received financial income from Ondine Biopharma Inc. during the course

of the study. CS is director of research at Ondine Biopharma Inc. Other authors: None to declare. Authors’ contributions PSZ carried out all the animal experiments including all photodynamic therapy, drafted the manuscript and performed the statistical analysis. SP carried out all microbiological work and analysis and helped draft the manuscript. MS participated in the design of the study and helped drafting the manuscript. JB carried out histological examination of the wounds and helped to draft the manuscript. SPN and MW conceived the study, and participated Ilomastat in its design and coordination and helped to draft the manuscript. CS participated in the design of the study. All authors read and approved the final

manuscript.”
“Background Pseudomonas aeruginosa is the major pathogen associated with chronic and ultimately fatal lung infections in patients with cystic fibrosis (CF). Current research suggests that P. aeruginosa live anaerobically in the mucus layer of the CF lung and are rarely found in contact with epithelial cells [1, 2]. Extracellular proteases are secreted by P. aeruginosa, including Las A, elastase, alkaline protease, and protease IV, and these are known contributors to virulence in lung infections [3–5]. Like other gram negative bacteria, P. aeruginosa also release spheres of outer membrane known www.selleck.co.jp/products/sorafenib.html as outer membrane vesicles [6]. They consist of entrapped periplasmic components and outer membrane constituents, including VS-4718 nmr lipopolysaccharide (LPS), check details glycerophospholipids, and outer membrane proteins (OMPs) [7]. Due to their small size, vesicles potentially gain access to host cells more easily than whole bacteria. Considering that vesicles are armed with bacterial proteases, toxins, surface adhesins and/or invasins, vesicles present a potentially significant contributor to lung damage caused by P. aeruginosa. Since they contain many immunostimulatory compounds, it is not surprising that P. aeruginosa vesicles induce a significant IL-8 response from cultured human lung

cells [8]. Vesicles allow bacteria to disperse a complex of soluble and insoluble bacterial products into the surrounding milieu. Vesiculation appears to be a conserved process among both pathogenic and non-pathogenic bacteria and the role of outer membrane vesicles in pathogenesis is a burgeoning area of research [9]. Many pathogenic bacterial species aside from P. aeruginosa produce vesicles that contain toxins or other virulence factors and, in several cases, vesicles have been proposed to be vehicles for toxin delivery to eukaryotic cells [10–16]. In order to deliver toxic content, vesicles must first bind to host cells. Vesicles from Shigella flexneri [17], Borellia burgdorferi [18], Actinobacillus actinomycetemcomitans [13, 19] and ETEC [14, 20] have been observed to bind cultured host cells.

Hence, documenting habitat fragmentation at historical time and

Hence, documenting habitat fragmentation at historical time and

comparing it with the recent selleck compound situation may be important for understanding vegetation changes and can also help to determine best-practice restoration measures for grassland habitats. Various authors have investigated changes in the extent of meadows on the landscape scale in Central Europe, but their studies were mostly limited to a single area (e.g. Jeanneret et al. 2003; Prach 2008; Jansen et al. 2009), based on a relatively coarse spatial scale (Williams and Hall 1987; Ihse 1995; Soons et al. 2005), or they relied on the analysis of non-spatial data such as the comparison of vegetation relevés (Meisel and von Hübschmann 1976). The lack of replicated studies at multiple locations, which include detailed spatial information, is a major shortcoming, given the formerly wide JQEZ5 in vitro distribution of floodplain grasslands in Central Europe (Treweek et al. 1997; Jensen 1998; Joyce and Wade 1998). Especially long-term studies that refer to the time before agricultural intensification (>50 years ago) have not been conducted so far, mainly because historical GDC973 spatially explicit vegetation data are rare (Prach 2008) forcing most authors to rely on the interpretation of aerial photographs (e.g. Ihse 1995; Weiers et al. 2004; Wozniak et al. 2009). Here, we studied two floodplain meadow habitat types, i.e. wet meadows

and species-rich mesic meadows, at several locations in the lowlands of northern Germany and analysed changes in habitat extent and landscape structure in the time interval from the 1950/1960s to recent time (2008), i.e. over a period of 50 years. One of the investigated sites is a protected area according to the EU Habitats Directive (FFH, 92/43/EEC; European Commission 2007), which experienced only minor changes in the management regime and is thus used as a reference site for distinguishing between local and large-scale

over-regional drivers of vegetation and landscape change (air-borne nutrient input, climate change etc.). The aim of our study was to document and analyse changes in these two formerly widespread floodplain grassland types in terms of spatial extent, temporal continuity or replacement, and fragmentation of habitats. We hypothesized that (1) both floodplain meadow types have significantly Nabilone declined in their extent, but wet meadows are expected to have experienced more severe habitat losses due to their higher sensitivity to drainage, (2) both grassland types have largely been replaced by other land use types, but species-rich mesic meadows have mainly been transformed to habitat types subjected to enhanced land use intensity (such as arable fields and intensively managed grasslands), (3) the present extent of the two meadow types is partly determined by the historical floodplain meadow landscape structure, and (4) landscape change and habitat loss occurred at a much slower path at the protected floodplain site.

In prokaryotes, AST represents a central enzyme in the metabolism

In prokaryotes, AST represents a central enzyme in the metabolism of Krebs cycle intermediates [21]. ASTs have been classified into the aminotransferase family I and divided into subgroups Ia and Ib. In Geobacillus, the enzyme belongs to subgroup Ib. Although our knowledge of AST comes primarily from subgroup Ia, the structures and active site residues of the enzymes in subgroups Ia and Ib are well conserved [22]. In our earlier studies, several thermophilic bacteriophages were isolated from the thermophiles of deep-sea hydrothermal vents [23, 24]. Twenty host proteins were found to be involved in the infection of the thermophilic bacteriophage GVE2 [5], a virulent-tailed

Siphoviridae bacteriophage [25] which infected a thermophilic bacteria Geobacillus sp. E263. Our previous study showed that the host’s AST was essential for the SBE-��-CD ic50 GVE2 infection [5]. In the present selleck investigation, the results revealed that a major capsid protein (VP371) of GVE2 and the host AST were interacted with the host GroEL to form a three-protein complex. High temperatures tend to favor protein unfolding and hydrophobic interactions [5]; therefore, it was conceivable that the effect of GroEL was essential in the infection process of thermophilic bacterophages. Methods Culture of Geobacillus sp. E263 and infection of GVE2 The deep-sea thermophile Geobacillus

sp. E263 (China General Microbiological Culture Collection Center accession no. CGMCC1.7046) was cultured at 60°C with shaking in TTM medium (0.2% NaCl, 0.4% yeast extract, 0.8% tryptone; pH 7.0). The host strain cultures in the Autophagy Compound Library purchase mid-exponential Meloxicam phase were infected with its thermophilic bacteriophage GVE2 at a multiplicity of infection (MOI) of 5 and cultured at 60°C. Protein recombinant expressions in E. coli and antibody preparations The AST, GroEL and MreB genes of Geobacillus sp. E263 and the vp371 gene

of GVE2 were cloned into pGEX-4 T-2 vector (Novagen, Germany) and expressed in E. coli BL21 (DE3) as glutathione S-transferase (GST)-tagged fusion proteins. The recombinant plasmids were confirmed by DNA sequencing. To obtain the recombinant proteins, the recombinant bacteria were induced using isopropyl-β-D- thiogalactoside (IPTG) when the optical density of bacteria was 0.6 at 600 nm. After further incubation for 12 h at 16°C, the induced cells were harvested by centrifugation at 6,000×g for 10 min. The recombinant proteins were purified by affinity chromatography using Glutathione Sepharose resins under native conditions according to the recommended protocol (Qiagen, USA). The purified recombinant fusion proteins were used as antigens to immunize mice according to a standard procedure [26]. The immunoglobulin G (IgG) fractions of the antiserum were purified with protein A-Sepharose (Bio-Rad) and stored at −80°C until use. As determined by enzyme-linked immunosorbent assay, the antisera dilutions were 1:10,000.

Adverse psychosocial working conditions have been identified as c

Adverse psychosocial working conditions have been identified as closely connected to musculoskeletal pain in previous studies (Bongers et al. 2002, 2006). There is some research suggesting that such adverse working conditions are related to musculoskeletal pain through their effects on perceived stress, that is, work stressors such as high job demands are hypothesized to cause high job stress, which in turn cause musculoskeletal pain through, for example, an increased muscle tension (Stewart et al. 2003a, b). Potential implications

for the interpretation of our results (the absence of a relationship Rabusertib molecular weight between stress and reduced work ability/work performance, but a clear relationship between musculoskeletal pain and reduced work ability and work performance) may therefore be that participants in this study who report frequent musculoskeletal pain might have been exposed to a higher and more prolonged exposure to work-related stressors and that exposure to a high BAY 11-7082 purchase job stress is more harmful when it is manifested also in physical symptoms. Both clinical experience and the scientific literature

in the field indicate that exposure to adverse psychosocial working conditions often first expresses itself as physical sensations (Holte et al. 2003; Wahlstrom et al. 2003) and that these sensations may be the first “signs” of prolonged exposure to stress

PTK6 and sometimes precede more severe stress-related mental conditions like exhaustion disorder/clinical burnout or depression, which often lead to sickness absence. Our findings therefore indicate the possibility that frequent musculoskeletal pain with or check details without long-standing stress as a contributing cause is associated with decreased work ability and work performance, while the perception of stress, not accompanied by pain (although other physical sensations or symptoms may exist), suggests an earlier and less severe stage in relation to these adverse outcomes. Work ability has been measured in many different ways in the literature sometimes by using the whole WAI (Ilmarinen 2007) and sometimes by using single questions (van den Berg et al. 2011). Moreover, in some studies, sick leave has been used as a measure of work ability, for example, in terms of not being on long-term sick leave or categorized by the amount of sick leave days in the preceding 12-month period (Lindberg et al. 2006). In this study, we chose to use the single item question included in the WAI that requests the responder to estimate the current perceived work ability compared to his/her best perceived work ability ever.