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8 protocols using soluble cd14

1

Quantifying Inflammatory Markers in HIV-related Cardiovascular Disease

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We focused on inflammatory and immune activation markers that have been associated with stroke and cardiovascular disease in HIV and non-HIV populations[28 (link)–37 (link)]. We tested inflammatory and immune activation markers in cryopreserved biospecimens from the most recent WIHS visit preceding the TCD study. IL-6 and CRP were measured in plasma samples using a multiplex electrochemiluminescence assay (Meso Scale Discovery, MD, USA). Soluble CD14 (R&D Systems, MN, USA) and CD163 (Aviscera Bioscience, CA, USA) were measured by ELISA. Details of peripheral blood mononuclear cell (PBMC) laboratory testing have been described previously[38 (link)]. Cryopreserved PBMCs were thawed in batches and stained with viability dye LIVE/DEAD® Fixable Blue Dead Cell Stain Kit (Life Technologies, NY, USA). Cells were washed and stained with fluorescent conjugated antibodies for cell surface markers. To measure CD4+ and CD8+ T cell activation and identify monocytes, PBMCs were stained as described previously[38 (link)]. Subpopulations of monocytes were evaluated with stains for anti-CD14 FITC (eBioscience, CA, USA), anti-CD16 PE-Cy7 (Biolegend, CA, USA), anti-CCR2 PerCPCy5.5 (Biolegend), anti-CX3CR1 APC (Biolegend), anti-CD163 PE (R&D systems) and anti-CCR5 APC-Cy7 (BD, NJ, USA). Cellular markers were detected by flow cytometry using LSRII flow cytometer (BD).
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2

Biomarkers of Gut Damage and Inflammation

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Circulating proteins associated with an increased plasma lipopolysaccharide content were assessed by measuring lipopolysaccharide-binding protein (Cell Sciences, Inc., Canton, MA) and soluble CD14 concentrations (R&D Systems, Inc., Minneapolis, MN) via an Enzyme Linked ImmunoSorbent Assay (ELISA) following the manufacturer’s instructions. Serum concentration of intestinal fatty acid binding protein (Hycult Biotech, Inc., Wayne, PA) and fecal calprotectin (Genova Diagnostics, Ashville, NC) also were detected by an ELISA following the manufacturer’s instructions and were used as markers of gut damage and inflammation, respectively. All measurements were performed in duplicate.
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3

Comprehensive Evaluation of Liver Disease in SCD

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A cohort of SCD patients followed prospectively in a natural history protocol at the National Institutes of Health (NIH) was evaluated (NCT00081523 & NCT00001971). All co-authors had access to the data and reviewed and approved the final manuscript. Baseline demographic, clinical and laboratory data were collected. Patients with suspected liver-related complications of SCD were referred for complete hepatologic evaluation by the hepatology consult service between January 2005 through July 2008. Reasons for referral included persistent elevation of alanine aminotransferase (ALT), alkaline phosphatase (ALP) or direct bilirubin (DB), elevation of ferritin or other iron parameters, and evidence of viral hepatitis. Because the focus was on chronic liver injury, all laboratory analyses were performed at least 2 weeks after or before any acute illness. If clinically indicated, patients were offered liver biopsy. Liver biopsies were preferentially performed by the transjugular route which allowed for estimation of the hepatic venous pressure gradient (HVPG). Hepatic iron load was evaluated (see supplemental methods) and soluble CD14 was measured according to the manufacturer’s protocol (R&D systems, Minneapolis, MN, USA).
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4

Plasma Protein Quantification Assays

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Plasma protein quantifications were performed using commercial kits according to the manufacturers’ instructions: soluble CD14 (R&D Systems, Minneapolis, Minnesota, USA), soluble CD163 (Invitrogen, Thermo-Fisher Scientific), Intestinal-fatty acid binding protein (I-FABP, R&D Systems), LPS-binding protein (LBP, R&D Systems), and soluble CD40L (Invitrogen, Thermo-Fisher Scientific). Experimental duplicates were performed for each sample.
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5

Biomarkers of Intestinal Dysfunction in EED

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A range of biomarkers were selected to characterise four domains of EED [12] (link). Briefly, we measured markers of (1) intestinal inflammation (stool neopterin and myeloperoxidase), (2) small intestinal damage and repair (plasma intestinal fatty acid binding protein (I-FABP), plasma citrulline, stool regenerating gene 1β (REG-1B)), (3) intestinal permeability (stool alpha-1 antitrypsin (A1AT)), and (4) microbial translocation and systemic inflammation (plasma soluble CD14, kynurenine:tryptophan ratio (KTR), and C-reactive protein (CRP)). Plasma samples were tested by ELISA according to manufacturers’ instructions for CRP (limit of detection (LOD) 0.01 ng/mL), soluble CD14 (LOD 125pg/mL) (both R&D Systems, Minneapolis, MN, USA); and I-FABP (LOD 47pg/mL) (Hycult Biotechnology, Uden, The Netherlands). Plasma citrulline (LOD 100 ng/mL), kynurenine (LOD 40 ng/mL), and tryptophan (200 ng/mL) were assayed by ultrahigh-performance liquid chromatography tandem mass spectrometry with electrospray ionisation (Waters, Wilmslow, U.K.) at Imperial College, London.
Stool samples were tested by ELISA according to manufacturers’ instructions for neopterin (LOD 0.7 nmol/L; GenWay Biotech Inc, San Diego, USA), myeloperoxidase (LOD 1.6 ng/mL; Immundianostik, Bensheim, Germany), A1AT (LOD 1.5 ng/mL; BioVendor, Brno, Czech Republic), and REG‐1β (LOD 0.625 ng/mL; TECHLAB Inc, Blacksburg, USA).
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Plasma Cytokine Quantification in Surgery

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Whole blood collected at the time of surgery were separated for plasma by centrifugation at 1,200 x g for 10 min at 4°C. Plasma at two different dilutions were used for ELISA quantification of lipopolysaccharide-binding protein (1:1,000; Hycult Biotech) and soluble CD14 (1:500 dilution; R&D Systems). Assays were carried out as per manufacturer’s instructions and measured colorimetrically by a microplate reader (BMG LABTECH).
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7

Serum Biomarkers in Cardiovascular Disease

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All blood samples were drawn after a 12-hour fast. Serum oxLDL was measured by enzyme-linked immunosorbent assay (ELISA) (Mercodia, Uppsala, Sweden). The intra and inter-assay variability were 6.3% and 4.7%, respectively. Soluble CD163 (Trillium Diagnostics, intra-assay variability 3–6% and inter-assay variability 5–8%)) and soluble CD14 (R&D Systems, intra-assay variability 4.8–6.4% and inter-assay variability 4.8–7.4%) were measured by ELISA. Direct LDL, total cholesterol, high-density lipoprotein (HDL), triglycerides, glucose, hemoglobin A1c, and lipoprotein-associated phospholipase A2 (Lp-PLA2) were measured as previously described [19 (link)].
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8

Profiling Soluble Factors in Skin Cultures

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Supernatants of skin explant cultures or MonoDCs were collected and analyzed for TSLP (eBioscience)
and soluble CD14 (R&D Systems) production, respectively. After MLR, 10 5 T cells were restimulated with PMA/ionomycin for 1 day and supernatants were evaluated for IL-4 production (BD-Biosciences). ELISA were performed in duplicates according to the manufacturer's recommendations.
The absorbance was detected at 450nm using a Thermo Fisher Scientific Multiskan FC Microplate Photometer. Dead cells stained by Fixable Viability Dye-eFluor450 (eBioscience) were excluded from analysis.
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