Historical

Historical Compound C range of variability (HRV), like wilderness, has varying definitions. HRV is most commonly used to refer to the temporal and spatial range of variability in a specified parameter or environment prior to intensive human alteration (Morgan et al., 1994, Nonaka and Spies, 2005 and Wohl,

2011b), but the phrase sometimes refers to variability during the period of intensive human alteration (Wohl and Rathburn, in press). I use the phrase here in the former sense. Ability to characterize HRV in a highly altered landscape inevitably relies on indirect indicators that range from historical (human-created archives of maps, text, or photographs), through biotic (tree rings, pollen in sediments, invertebrate fossils),

to sedimentary and geochemical records. Geomorphologists are specifically trained to interpret past landscape process and form using physical records contained in sedimentary and geochemical data. We can thus make vital contributions to the collective effort to understand how a given ATR inhibitor portion of the critical zone has varied through time in response to natural and human-induced disturbances. HRV is also sometimes delineated for contemporary landscape process and form at sites exhibiting reference conditions. Reference conditions can be defined as the best available conditions that could be expected at a site (Norris and Thoms, 1999)

and described using historical or environmental proxy records or comparison to otherwise similar sites with lesser human alteration (Morgan et al., 1994 and Nonaka and Spies, 2005). Interpretation of contemporary, relatively unaltered landscape units as indicators of reference conditions is a form of the traditional ‘paired watershed’ approach, in which differences between treated and reference watersheds that are otherwise similar are used Cell press to infer the behavior and significance of a particular variable. A paired watershed study might test for differences in channel morphology, for example, between a population of reference watersheds and a population of treated watersheds in which peak flow has doubled as a result of land use (David et al., 2009). Whatever approach is taken, HRV is difficult to quantify. There is the challenge of defining when humans began to intensively alter critical zone process and form. Process and form are complexly interrelated and change substantially through time and space in the absence of human activities, as well as in response to human activities.

Our results demonstrate that chronic alcohol feeding results in a

Our results demonstrate that chronic alcohol feeding results in a decrease in AMPK activity, which is recovered by RGE treatment. Previously, we reported that feeding mice with a Lieber–DeCarli diet containing 5% EtOH for 10 days, followed by a single dose of EtOH gavage (5 g/kg body weight) (chronic–binge EtOH model) induces significant fatty liver and liver injury

with oxidative stress (Fig. 6A) [25]. To investigate the effect of RGE for the treatment of LY294002 nmr ALD using the chronic–binge EtOH model, EtOH-fed mice were treated with RGE. Treatment with RGE decreased EtOH-induced serum ALT and AST levels (Fig. 6B). The protective effect of RGE on alcoholic steatosis was further confirmed by liver histology as shown by H&E staining. It was noted that treatment of alcohol-fed mice with RGE completely inhibited fat infiltration (Fig. 6C), confirming click here the ability of RGE to inhibit fat accumulation in liver. Moreover, the chronic–binge EtOH model significantly increased 4-HNE positive cells, which is consistent with our previous report [25]. However, similar to the chronic EtOH model, the amount of 4-HNE positive cells was dose-dependently and significantly reduced by treatment with RGE (Fig. 7A). RGE also markedly attenuated nitrotyrosine positive cells, confirming that RGE is capable of inhibiting alcohol-induced oxidative stress in the chronic–binge EtOH animal model (Fig. 7B). We next examined the effect of RGE on

fat accumulation in a mouse hepatocyte cell line, AML12. EtOH treatment for 3 days increased fat accumulation in hepatocytes as Silibinin shown by Oil red O staining. However, RGE (500 μg/mL or 1000 μg/mL) treatment reduced fat accumulation in a dose-dependent manner (Fig. 8A). To determine whether changes of fat accumulation in the hepatocyte were consistent with lipogenesis- or lipolytic-associated gene expression, the expression of SREBP-1, Sirt1, and PPARα was observed by Western blot analysis following concomitant treatment with 10–1000 μg/mL of RGE and EtOH for 3 days. In agreement with the in vivo data, RGE inhibited the ability of EtOH to induce SREBP-1 and repress Sirt1

and PPARα expression in AML12 cells ( Fig. 8B). The pharmacological properties of ginseng are primarily attributed to a group of active ingredients, the ginsenosides, which are a diverse group of steroidal saponins. Gum and Cho recently reported that total ginsenoside amount of RGE was 19.66 mg/g containing the major ginsenosides Rb1 (4.62 mg/g), Rb2 (1.83 mg/g), Rc (2.41 mg/g), Rd (0.89 mg/g), Re (0.93 mg/g), Rf (1.21 mg/g), Rg1 (0.71 mg/g), Rg2 (3.21 mg/g), Rg3 (3.05 mg/g), Rh1 (0.78 mg/g), and other minor ginsenosides [21]. Therefore, we next identified the major component of red ginseng required for the inhibition of hepatic steatosis. We determined the effects of the major ginsenosides Rb1, Rb2, and Rd on the EtOH-induced fat accumulation in AML12 cells.

Better immune targeting may be achieved by influencing the type o

Better immune targeting may be achieved by influencing the type of adaptive immune response induced through an enhanced recruitment

and stimulation of APCs at the site of injection and in the regional lymph nodes. Different aluminium salts are contained in numerous licensed vaccines (Table 4.2). Aluminium salt adjuvants have complex, heterogeneous physical structures and the antigen is adsorbed to the adjuvant through hydrophobic and electrostatic interactions between antigen and the aluminium salt. Aluminium this website hydroxide is positively charged at a physiological pH of 7.4 and binds acidic proteins. Aluminium phosphate, on the other hand, is negatively charged and therefore binds basic proteins. Depending on the hydrophobic interactions

with the antigen, the appropriate aluminium salt is selected to maintain antigen immunogenicity and to obtain maximum adjuvant effect (Table 4.2). Glenny postulated that aluminium salts were effective adjuvants because they promote selleck antigen persistence and prolong release of the antigen. It has also been suggested that the antigens adsorbed on the aluminium salts are presented in a particulate multivalent form, making them more efficiently internalised by APCs. Recent studies have shown that this is not always the case. Most antigens are rapidly desorbed from aluminium salts following exposure to interstitial fluid, therefore adsorption is not always required to achieve adjuvanticity. However, adsorption or entrapment in aggregates might favour a high local antigen concentration and improved uptake by APCs. In addition, insoluble Non-specific serine/threonine protein kinase aluminium salts

have been shown to directly activate innate immune cells. It has been suggested that the effect of aluminium salts on cells may lead to the production of uric acid in vivo from the breakdown of purine nucleotides in apoptotic cells, which act as damage-associated molecular patterns (DAMPs). DAMPs are generally substances released by stressed or dying cells and are recognised by cells of the innate immune system. Aluminium salts have recently been shown to activate in vitro components of the ‘inflammasome’ complex, but whether the activation of this pathway is required for the adjuvant effect of aluminium salts in vivo is uncertain. Nevertheless, new data also clearly show that aluminium salts have additional effects – beyond promoting persistence of antigen – that account for their adjuvant properties. As discussed previously, aluminium salts have been used successfully in vaccines against pathogens where antibodies provided the primary mechanism of protection. Aluminium salts exert little effect on Th1-type or cytotoxic T-cell responses, which are required for responses against intracellular pathogens. Hence, with vaccines for such pathogens, aluminium salt adjuvants have been found to be inadequate.

We can propose that neurons are damaged and probably they are in

We can propose that neurons are damaged and probably they are in death process. Thus, astrocytes could have become activated in response to neuronal damage early after (PhTe)2 injection. In this context, the neuronal damage showed by immunocytochemistry and flow cytometry in the striatum could support the accentuated vacuolization of cellular bodies of rat brain after in vivo exposure to (PhTe)2, reported by Maciel et al. (2000).

Consistent with the pro-apoptotic effect of (PhTe)2 on striatal neurons, we found a prominent increase of GFAP and vimentin mTOR inhibitor expression apparent at 6 days post injection, which suggest that, at least at this time, cells were reactive astrocytes. Astrogliosis is the normal physiological response essential for damage containment. However, it can also have detrimental effects on neuronal survival and axon regeneration, particularly in neurodegenerative insults. It is believed that progressive changes in astrocytes as they become reactive are finely regulated by complex intercellular and intracellular signaling mechanisms. Reports describing whether the MAPK pathways are upregulated in astrocytes in vivo are mixed. Nonetheless, increased phosphorylation level of Erk and/or p38MAPK takes part in the response of astrocytes to insults ( Ito et al., 2009). Although the evident complexity involving

the participation of these signaling mechanisms Sirolimus purchase in reactive astrogliosis, different Anacetrapib components of MAPK signaling are activated under distinct pathological conditions and in different cell types, which may indicate a common mechanism. Thus, the activation of MAPKs detected in the striatum of acutely treated rats could be associated with the program of astrogliosis detected in our experimental condition. In the present study we demonstrate that the neurotoxicant (PhTe)2 administered s.c. is able to elicit a cell response through misregulation of signaling mechanisms attaining neural cells in the striatum of young rats. At present we do not know if the effect of the neurotoxicant is directly on

the neural cell or if it is a consequence of the activation of other stress responses, like neuroinflammation. Further studies will be necessary to clarify this point. Taking into account the present results, the proposed mechanism for the action of (PhTe)2 in the striatum of young rats is summarized in Fig. 9. We think these results shed light into the mechanisms of (PhTe)2-induced neurodegeneration in rat striatum, evidencing a critical role for the PKA, MAPK and Akt signaling pathways causing disruption of cytoskeletal homeostasis, which could be related with apoptotic neuronal death and astrogliosis. The authors declare that there are no conflicts of interest. This work was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS), PRONEX and Propesq-UFRGS.

, 2007) This is does not necessarily in contradiction with the o

, 2007). This is does not necessarily in contradiction with the observations commented just above; indeed, ketamine, which is a well-known

glutamate NMDA receptor antagonist, may have minimized the manifestations caused by ET-induced increase in excitatory transmission. In granule cells cultures, ET induces glutamate release as assessed using the Amplex red assay (Lonchamp et al., 2010); but it remains unclear whether glutamate release is due to stimulation of vesicular exocytosis by the ET-induced rise in intracellular Ca2+ or reversion of membrane glutamate transporter following ET-induced membrane depolarization. Several evidence support the view that the increase in neurotransmitters release is not due to direct effect of ET on nerve terminals. Forskolin datasheet Indeed, in cerebellar slices, Bleomycin ET-induced increase in glutamatergic synaptic events in Purkinje cell is abolished

by TTX (Tetrodotoxin, a blocker of Na+ channels) well-known to prevent propagation of action-potentials (Lonchamp et al., 2010). In hippocampus, ET-induced glutamate efflux is greatly attenuated by riluzole (Miyamoto et al., 2000), which is a blocker of TTX-sensitive Na+ channels, too (Lamanauskas and Nistri, 2008). TTX has been found also to abolish ET-induced contraction of ileum, indicating contribution of propagated action potentials between the site of action of ET (enteric neurons) and acetylcholine secretion (Sakurai et al., 1989). Overall, the emerging picture is that ET depolarizes the somatic membrane of certain neurons, thereby initiating burst of action potentials that propagate along the axons up to the nerve terminals where they stimulate vesicular neurotransmitter release. This proposal may explain the paradoxical situation that ET is able to induce glutamate release (see previous paragraph) despite it does not bind on Erastin cell line nerve terminals (Dorca-Arévalo et al., 2008; Lonchamp et al., 2010) or

induce glutamate release from purified mouse and rat brain synaptosomes (Dorca-Arévalo et al., 2008). The stimulatory effect of ET on neurotransmitter release is not restricted to the glutamatergic pathways. Indeed, stimulation of dopamine, noradrenaline and adrenaline release has been reported in mice and sheep (Buxton, 1978b; Nagahama and Sakurai, 1993; Worthington et al., 1979). In ileum preparations, ET stimulates acetylcholine release (Sakurai et al., 1989). However, it is not clear whether these observations are due to direct action of ET on non-glutamatergic neurons, or are secondary consequences of the stimulation of glutamatergic system, which is excitatory. Such a possibility is supported by the observation that in the cerebellar network, ET induces an increase in GABA transmission that can be completely prevented by inhibiting glutamatergic transmission (Lonchamp et al., 2010).

Hyal are also present in almost all venoms, acting as

a “

Hyal are also present in almost all venoms, acting as

a “diffusion factor” by facilitating the penetration of the other harmful venom components and enhancing their action in various tissues into the bloodstream (Kemparaju and Girish, selleck screening library 2006; Senff-Ribeiro et al., 2008). Hyal have been described as “allergenic factors” in scorpion, bee, and wasp venoms, and are able to induce severe and fatal anaphylactic IgE-mediated reactions in humans (Lu et al., 1995; Kolarich et al., 2005). Hyal have already been characterized as glycoproteins (Kemeny et al., 1984; Jin et al., 2008) and analysis by high performance liquid chromatography and mass spectrometry revealed that the α-1,3-fucose-containing N-glycan is the fundamental structure responsible for their allergenicity (Kubelka Epigenetic inhibitor purchase et al., 1995; Kolarich and Altmann, 2000; Kolarich et al., 2005). Since allergenic Hyal are phylogenetically more

conserved among the other Hymenoptera allergens (e.g. Ag5 and PLA1), a significant degree of homology is observed among the sequences and 3D structures of these proteins, whether they are from different vespids or honeybee Apis mellifera venom (Api m 2) ( Jin et al., 2010). In addition, a large percentage of patients allergic to Hymenoptera venom show reactivity to both bee and wasp venoms (known as cross-reactivity) in tests for the presence of IgE-specific antibodies ( Hemmer, 2008). This makes selection of the most suitable venom for immunotherapy difficult. However, it is unclear whether this cross-reactivity is due to (a) sequence homology between these hyaluronidases; (b) sensitivity to the specific IgE antibodies; or (c) cross-reactive N-glycans (cross-reactive carbohydrate determinants [CCDs]), which have been investigated GPCR & G Protein inhibitor in allergens from different sources ( Jin et al., 2010; Eberlein et al., 2012; Al-Ghouleh et al.,

2012). In terms of the mechanism of action on the substrate, Hyal enzymes are classified into three types (Meyer, 1971): (a) the group of the endo-β-N-acetyl-d-hexosaminidases that hydrolize the high molecular weight substrate (HA) to tetrasaccharide as the main end product, being this group represented by the testicular enzyme; (b) the β-endoglucuronidases group represented by hyase from leeches and hookworm ( Hotez et al., 1994); (c) and finally the group of lyases that act via β-elimination, yielding disaccharides as the main end products represented by the bacterial hyases. According to Laurent (1989), Cramer et al. (1994) and Takagaki et al. (1994) the enzymes of the first group also catalyzes transglycosylation reactions, producing hexa-, di-, and octa-saccharides during hydrolysis of HA. Hyaluronate-4-glycanohydrolase (EC 3.2.1.35), or Hyal type 1, is an endo-β-N-acetyl-d-hexosaminidase is also found in Hymenoptera venoms and mammalian spermatozoa.

In a large cohort study of 21 endpoints measured up to 9 years ol

In a large cohort study of 21 endpoints measured up to 9 years old, only one endpoint revealed a statistically significant association with prenatal mercury exposure. The study concluded no detectable adverse effects of mercury exposure, which was consistent with earlier findings in the same children when examined at 6, 19, 29, and 66 months of age.11 and 12 These discrepancies may be attributed to the differences in mercury concentrations

among fish species and variations in fish consumption. Seafood consumed in Seychelles has a lower mercury concentration than those in Faroe Islands and New Zealand. One factor unique to the Faroe Islands study is the consumption of whale meat and blubber, which contain high concentrations of polychlorinated Etoposide biphenyls and other pollutants.10 and 12 Some of the apparent contradictions among the studies may be attributed to different sample sizes, the benefits of fish consumption, and differences in exposure measurement method. Long-term follow-up studies are needed to evaluate cumulative effects of exposure to mercury. In summary, maternal urinary, blood, and cord blood mercury levels in pregnant women in Zhoushan were correlated with the frequency of fish consumption. Total mercury levels in maternal blood and cord blood in Zhoushan were higher than those in most other regions of China

(excluding Taiwan) but lower than those in European Cetuximab clinical trial or American regions.36, 37, 38 and 39 The cord blood mercury level was above the reference dose set by the EPA in 56% of the study population.40 Neonatal neurodevelopment was associated with prenatal exposure to mercury. Cord

blood mercury level was an important biomaker for the analysis of mercury exposure. The data about maternal weight gain were not investigated in this study. However, the coverage rate of antenatal almost examination among pregnant women was 100% in Zhoushan Island. None of the mothers smoked cigarettes nor drank alcohol. On the whole, we think this study is a meaningful clinical research to assess the relationship between maternal mercury ingestion during pregnancy and neurobehavioral development. In conclusion, the Chinese government should try to limit the content of mercury in the environment. Women with high total mercury levels should avoid excessive seafood consumption during pregnancy. Long-term effects of exposure to mercury on childhood development need to be further explored. The study was partly funded by grants from the Science Technology Department of Zhejiang Province27 (2007C33038), the Department of health of Zhejiang Province (2008B188), and the Science Technology Department of Zhoushan City (2011C12047). The authors thank the staff of the Clinical Laboratory in Zhoushan Women’s & Children’s Health Hospital for their support and assistance in measuring mercury concentration.

The obtained phylogenetic tree (grouping TB2 and TB15 strains awa

The obtained phylogenetic tree (grouping TB2 and TB15 strains away from AC24) is available in Supporting Information, File S2. However, to gain a deeper knowledge of the genomic background of the isolated Psychrobacter strains, comparative Dasatinib price genomics analyses were performed. A custom made Perl

script (available at http://www.dbefcb.unifi.it/CMpro-v-p-8.html) that iteratively uses InParanoid ( O’Brien et al., 2005) and MultiParanoid ( Alexeyenko et al., 2006) to make multiple comparisons between pairs of proteins sets, was run to identify which protein sequences are shared among all the strains (core genome), by only two of them (accessory genome) or are genome specific (unique genomes). Results of this analysis are reported in Fig. 1. This

analysis is in overall agreement learn more with the relative phylogenetic position of the Psychrobacter representatives analyzed in this work. Moreover, it allows reducing the search space of genes related to their antimicrobial activity. Indeed, the different inhibitory activity of the three strains (higher in AC24 with respect to TB2 and TB15, see Table 1) suggests the presence of specific metabolic circuits in Psychrobacter sp. AC24 strain which, in turn, are likely to be encoded by its unique genome. A BLAST search confirmed this hypothesis since clusters from TB2 and TB15 all belong to core and accessory genomes whereas four of those from AC24 are encoded by its unique genome. In conclusion, the analysis of the annotated genomes of Psychrobacter strains AC24, TB2 and TB15 (Genbank accessions AYXM01000000, AYUI01000000 and AYXN01000000, respectively) revealed the presence of several (still uncharacterized) gene clusters involved in secondary metabolites production that may be the object of further investigation and major differences in terms of shared gene sets. These data represent a solid platform for further characterization/exploitation of the metabolic features linked to bioactive compound biosynthesis. The following are the supplementary data related to this article. Supplementary Table

S1.   Inhibitory potential of the Psychrobacter AC24, TB2 and TB15 over a panel of Burkholderia strain. Abbreviations: Interleukin-2 receptor CF, strains isolated from cystic fibrosis patients; AI, strains isolated from animal infection; NI, strains isolated from nosocomial infection; ENV, environmental strain. Symbols: +, growth; +/−, reduced growth; −, no growth; PCA*, Petri dishes without a central septum; C-, Petri dishes containing only the target strains. Marco Fondi is financially supported by a FEMS advanced fellowship (FAF 2012). This work was supported by grants from the Italian Cystic Fibrosis Research foundation (Grant FFC#12/2011), the Ente Cassa di Risparmio di Firenze (Grant 1103#2008), and the MNA (Museo Nazionale dell’Antartide). We also thank the EU KBBE Project PharmaSea 2012–2016, Grant Agreement no: 312184.

The clinical picture of serotonergic disorders corresponds with G

The clinical picture of serotonergic disorders corresponds with GI problems of the patients with ASD. Janusonis conducted a theoretical Selleck PF 2341066 analysis of biological parameters related to the serotonin system. Using a mathematical model he proved that the content of 5HT in blood platelets depends on the PLT reuptake of serotonin, the amount of free plasma serotonin subject to the first pass metabolism in

the liver and lungs, intestinal production of serotonin and the volume of the enteric wall [7]. Because, theoretically, the cause of platelet hyperserotoninemia may be a disorder of the synthesis of serotonin and/or of the release of the enteric serotonin, we made an attempt to assess the proportion of the ECH 5HT cells in the duodenal mucosa. Characteristics of the study and control group: The total of 75 patients were included in the retrospective analysis: 30 children with autistic spectrum disorders (ASD) and 45 of their peers without

the symptoms of ASD (not – ASD). The study was retrospective. The study followed the permission of the Bioethic Committee of the SMU in Katowice (number of the consent L.dz.NN-013-42/03). The children were patients of the Department of Gastroenterology of the Clinic of Paediatrics of the SMU in Katowice between 2004 and 2006. During clinically indicated hospitalisation, the upper GI endoscopy and SB-3CT the Small Molecule Compound Library collection

of specimens of the mucosa in the descending part of the duodenum were performed. The study group (ASD) and the control group (non-ASD) are homogenous in terms of sex and age. Study group: a total number of 30 persons (16 AD/14 AA); males n = 19, females n = 11; age between 3 and 13 years old; average age of 8 years; in 8/30 persons a normal picture of the mucosa was reported (ASD-SN) and in 22/30 of persons were presented with symptoms indicating an inflammation (chronic duodenal inflammation in 9 patients, chronic duodenal inflammation with infiltration of eosinophiles in 13 persons; ASD-Dch). Control group: a total number of 45 persons; males n = 28, females n = 17; age between 3 and 13 years; average age of 8 years; the patients from the control group were selected retrospectively based on the relevant medical documentation; they were patients without ASD, where a histopathological examination revealed a normal picture of the duodenal mucosa, corresponding with the picture obtained from the study group that is: a normal picture of the duodenum in 20 patients (non-ASD – SN), chronic inflammation of the duodenum in 25 patients – including 13 with infiltration of eosinophiles (non – ASD – Dch).

5 μg of the RNA of each sample The samples were then subjected t

5 μg of the RNA of each sample. The samples were then subjected to the following amplification cycling conditions: 25 °C (10 min), 37 °C (120 min), 85 °C (5 s) and 4 °C thereafter. After cDNA synthesis, the expression of the genes that encode for Col-I and ALP was evaluated by qPCR. For each gene, specific primers were synthesized from the mRNA sequence (Table 1). The reactions were prepared with standard reagents for qPCR (Syber Green PCR Master Mix; Applied Biosystems) together with the primer/probe sets specific

for each gene (Table 1). The fluorescence readings were performed using the Step One Plus System (Applied Biosystems) at each amplification cycle, and were analyzed subsequently using the Step One Software 2.1 (Applied LGK974 Biosystems). All reactions were subjected to the same analytical conditions and were normalized by the ROX™ passive reference dye signal to correct fluctuations on reading resulting from variations of volume and evaporation during the reaction. The result, expressed in CT values, refers to the number of cycles necessary for the fluorescent signal to reach the detection threshold. The individual results expressed Y-27632 order in CT values were recorded in worksheets, grouped according to the groups and normalized according to the expression of the selected endogenous reference gene (β-actin). Then, the RNAm concentrations of each target gene were analyzed

statistically. After analysis of data distribution (Shapiro-Wilk, p > 0.05) and homogeneity of variances (Levene, p > 0.05), cell viability (SDH production), TP production, ALP activity and Col-I and ALP expression data were independently subjected to one-way analysis of variance (treatment: control, 1 μM or 5 μM ZOL). Once rejected the null hypothesis of Farnesyltransferase absence of differences among the groups, additional Tukey’s tests were also applied for pairwise comparison. A significance level of 5% was set for all analyses. Data

from SDH production, TP production and ALP activity are presented in Table 2. The use of 1 μM ZOL did not cause a significant (p > 0.05) reduction in SDH production compared with the control group. However, SDH production decreased significantly compared with the control group (p < 0.05) when ZOL concentration increased to 5 μM. No statistically significant difference was found between the 1 and 5 μM ZOL concentrations ( Table 2). Application of ZOL on the odontoblast-like cells caused a significant (p < 0.05) decrease in TP production and ALP activity ( Table 2) compared with the control group. No statistically significant difference (p > 0.05) was found between the 1 and 5 μM ZOL concentrations ( Table 2). Col-I and ALP expression detected by qPCR are presented in Fig. 1. When the MDPC-23 cells were exposed to ZOL at 5 μM concentration, Col-I expression did not differ significantly (p > 0.05) from the control group in which the drug was not used.