Major hurdles to the development of novel molecular therapies for ischemic stroke include, but are not limited to; the lack of an agreed upon ischemic stroke in vitro model for pre-clinical drug screening, and the fundamental differences in BBB organization and architecture between humans and the most common animal models. Current in vitro models of ischemic stroke differ in cell types utilized, human vs. rodent, in structural design, monoculture vs. co-culture, and co-culture in monolayer form vs. layered form3.

Inflammatory tissue injury is very common in many neurological disorders including stroke and is believed to be mediated by reactive metabolites that include reactive oxygen species (ROS), reactive nitrogen species, and reactive sulfur species9,10,11. These reactive species cause deleterious complications such as lipid peroxidation that can cause damage to cellular membrane and trigger second messengers that lead to apoptosis. An in vitro model that can recapitulate both the changes to the BBB architecture and the inflammatory stress response that occurs in response to hypoxia is critical to defining new therapeutic targets for mitigating the resulting ongoing neurologic injury.


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We have recently developed a six cell-type neurovascular unit human organoid model containing brain microvascular endothelial cells, pericytes, astrocytes, oligodendrocytes, microglia, and neurons for use in neurotoxicity screening and disease modeling12. Our previous findings show endothelial cells coating the outer sphere of the organoids. We also reported that these endothelial cells express functional tight junctions that reduced paracellular transport of labeled IgG and the neurotoxin MPP+ (1-methyl-4-phenylpyridinium). Six cell type organoids had reduced IgG permeability compared to organoids containing endothelial cells, pericytes, astrocytes only12. This indicated the importance of multiple cell interactions in the maintenance and function of the BBB in the neurovascular unit as described in Nzou et al.13. We then evaluated and observed disrupted tight junction markers in organoids cultured under hypoxic condition12. Here, we utilized this human cell-based 3D in vitro model to measure the effects of hypoxia on BBB structure and function. During stroke the immediate tissue around the occluded vessel (the ischemic core) die within a short period due to a dearth of oxygen and nutrients. However, the tissue around the ischemic core, called the ischemic penumbra, have access to minimum levels of oxygen and nutrients secondary to nearby collateral vasculature. This is the region that is of interest when considering rescuing either thrombotic or embolic stroke. Under only low oxygen supply, we attempted to create similar physiologic conditions in order to evaluate the effect of hypoxia on BBB structure and function.

We evaluated the expression levels of proteins critical in BBB maintenance, basement membrane proteins, tight junction proteins, and BBB transport proteins. We also assessed the secretion and effect of inflammatory mediators under hypoxic condition. Our results showed significant change in chemokines and cytokines, heat shock proteins, transport proteins, tight junctions and basement membrane protein expression under hypoxia. These changes may contribute to BBB dysfunction under hypoxic conditions. Through the assessment of a free radical scavenger and an anti-inflammatory endocannabinoid, we hereby report the utility of the model in drug development for drug candidates that may reduce the effects of ROS and inflammation under disease conditions. This human cortex organoid placed within a hypoxic environment mimics normal physiologic response and forms the basis for a promising disease model that could potentially be implemented as an initial in vitro drug screening tool in the evaluation of novel therapeutics.

The neurovascular spheroid is a suitable model for mimicking cerebral pathology, such as hypoxia, that will allow for in vitro testing and development of novel therapies for diseases of the central nervous system. We found that hypoxic conditions led to a change in cytokine expression and that this change in cytokine expression, such as IL-6 and TNF-, may contribute to leakage of the BBB under hypoxic conditions. Interestingly, hypoxic conditions did not upregulate CNS MMP-2 and MMP-2 levels and hence BBB breakdown may not be due to basement membrane degradation by changes in MMP levels. Therapeutically, the free radical scavenger SDG, and the endocannabinoid, 2-AG demonstrated neuroprotective benefits with decreased expression of IL-6, IL8 and VEGF as well as increased expression of tight junction molecules Caludin-5, ZO-1 and Beta catenin. Use of 3D brain organoid models for the development of novel therapies will allow for understanding of pathologic and therapeutic mechanisms and has potential applications in CNS disease modeling.

I am updating this post because I would also like to interchange skin and animation : the outpost visual models of the Maltese and Italian civilizations. If possible, I would like to substitute the classic European outpost for the very pretty tower found on Mediterranean maps.

Muscle fatigue is a temporary decline in the force and power capacity of skeletal muscle resulting from muscle activity. Because control of muscle is realized at the level of the motor unit (MU), it seems important to consider the physiological properties of motor units when attempting to understand and predict muscle fatigue. Therefore, we developed a phenomenological model of motor unit fatigue as a tractable means to predict muscle fatigue for a variety of tasks and to illustrate the individual contractile responses of MUs whose collective action determines the trajectory of changes in muscle force capacity during prolonged activity. An existing MU population model was used to simulate MU firing rates and isometric muscle forces and, to that model, we added fatigue-related changes in MU force, contraction time, and firing rate associated with sustained voluntary contractions. The model accurately estimated endurance times for sustained isometric contractions across a wide range of target levels. In addition, simulations were run for situations that have little experimental precedent to demonstrate the potential utility of the model to predict motor unit fatigue for more complicated, real-world applications. Moreover, the model provided insight into the complex orchestration of MU force contributions during fatigue, that would be unattainable with current experimental approaches.

Other models of acute hospital care have emerged and appear to be promising or effective alternatives to unit-based care [45]. ACE units share many objectives in common with the Hospital Elder Life Program (HELP) for Prevention of Delirium ( ), a model of care designed to prevent incident delirium in medically-ill hospitalized older adults and that employs elder life specialists and volunteers to conduct the intervention [46]. The HELP program is cost-effective when targeted at patients at moderate risk of incident delirium. It has been widely disseminated and has been integrated in some hospitals with ACE unit care.

In clinical trials of ACE units, patients enrolled were aged 70 years and older and admitted to general medical units. Patients were not enrolled from surgical units or intensive care units, although some were transferred to such units when warranted. There is limited data available to address the effectiveness of ACE units on patients younger than 70 years of age or to answer the question of whether all adult patients admitted to general medicine units would benefit from interventions described as key features of the ACE unit. If cost analyses were similar in younger patients, and given the low cost of the intervention, potentially all acutely ill patients admitted from home could benefit from an intervention to prevent functional decline.

Finally, no study has identified a subgroup of patients who are most likely to benefit from admission to an ACE unit. Again, the low cost of the intervention makes targeting less relevant and gives great flexibility to hospital systems and providers to select for admission the types of patients they consider to be most likely to respond to the ACE intervention. The original ACE unit studies attempted unsuccessfully to exclude nursing home patients believing that they were least likely to benefit from admission to ACE units as they were often totally disabled at baseline in their performance of ADL.

i'm creating a rpg map with some custom npcs(models imported from others sources), and want know how to change the equips who the model is using ex:mine unit is a hero who have a inventory with slots for armor weapon shield helms and when change type of weapon its using in game, like he is a warrior using a axxe then i change in inventore the weapon to a sword then the in game model get changed to that weapon if i put a shield then appear a shield.

Just make the weapon an attachment which is created by a counter behavior given by the item and created on the host model attached to the appropriate attachment point (not all imported models have those).

Well for a start you are limited by what animations the model has unless you know how to make new ones using 3DMax and importing the .m3a file. Go to the models data type and put the .m3a file into the Animations (Optional) field. I presume you already know how to make an inventory and items. 

Under the items data type for each of your weapons base them off the Default Item and put in a Buff type behaviour into the Equip Behaviors field. The buff is purely to be used for actor creation unless your unit has a default weapon when it has no items equiped in which case you need to get your buff to disable the default weapon using the Weapon - Modification - Weapons Disabled field. Back under your items there is a Equip Weapons - Weapon field, for each item ad the weapon the item is to add when equiped. This will allow you to have bows giving you ranged attacks and swords melee attacks etc.. 17dc91bb1f

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