These cells are able to present antigens to lymphocytes, and play

These cells are able to present antigens to lymphocytes, and play a role in the up-regulation of homing molecules such as DC [4,5]. In contrast to immune response induction, tolerance is the unresponsiveness of the immune system via suppression of T and B cell activation by regulatory Cabozantinib chemical structure T cells, deletion or anergy. However, there are many open questions about the function

of the LN, including the migration of cells from the draining area, the role of the LN in the induction of immune responses, the control of parasites or tolerance. It is possible to use knock-out mice, e.g. lymphotoxin α or retinoic acid-related orphan receptor (Ror)-γt knock-out mice to study the function of LN. These mice have reduced or no LN, but they all have further disorders, particularly in the spleen [6,7]. To circumvent the problems of immune

system dysfunction caused by these gene knock-outs, a second method of studying LN function is to remove only the LN of interest. This LN dissection technique permits identification of the role of a specific LN without affecting further organs or areas. Therefore, in this review Sirolimus different research areas are illustrated where LN dissection was performed to identify the function of LN or the consequences of a missing LN. LN dissection is an experimental surgical technique which has been used for many years not only to DOK2 analyse the role of LN in the immune system and lymph fluid transport, but also in different diseases in animal models. LN were removed from many different draining sites such as the skin-draining site (for example the axilliary LN [8], the brachial LN [9], the popliteal LN [10–12] or the inguinal LN [13,14]), the head–neck region (cervical LN [15–19]) or the peritoneal area (the mesenteric LN [20–23] and the coeliac LN [24]). For dissection of the mesenteric

LN (mLN), for example, the abdomen was opened and the gut was taken out so that the mLN were visible (Fig. 2a). The mLN were excised carefully in order not to injure the superior mesenteric artery lying behind, whereas the connection of the lymph vessels and small blood vessels to the LN was disturbed. Afterwards, the gut was replaced in the abdomen and the abdomen was closed. LN are integrated as central organs in the lymph vessel system. The afferent lymphatics coming from the draining area, which could be the gut system or the skin, transport fluid, proteins, lipids and different cell populations of the immune system to the LN sinus. The efferent lymphatics leave the LN at the medullar site to greater LN or veins of the blood system. After LN dissection, the lymph vessel system is destroyed and the afferent and efferent system vessels are reconnected.

Notably, the IFN-γ-inducing

effect of splenic MDSCs is al

Notably, the IFN-γ-inducing

effect of splenic MDSCs is also clearly visible upon polyclonal (anti-CD3 + anti-CD28) T-cell activation, again with a predominant role for PMN-MDSCs, illustrating that antigen-specific contacts between MDSCs and T cells are not required (Supporting Information Fig. 16). Interestingly, however, the IFN-γ induction by MDSCs might be more prominent in the spleen as compared with that at the tumor site. Indeed, employing the Lewis Lung Carcinoma (LLC) Small molecule library cell assay model, tumor-infiltrating MO-MDSCs were shown to be strongly antiproliferative (to a large extent in an NO-independent fashion, data not shown) and did not allow for IFN-γ production (Supporting Information Fig. 17). By contrast, their splenic counterparts stimulated IFN-γ

production on a per cell basis, even though being antiproliferative through NO, thus phenocopying EG7-OVA-induced splenic MO-MDSCs. Along the same line, splenic MDSCs click here (both MO- and PMN-MDSCs) induced by RMA-OVA tumor growth tended to induce IFN-γ production by OT-1 CD8+ T cells (Supporting Information Fig. 15). Finally, unseparated MDSCs from EG7-OVA tumor-bearers also enhanced IFN-γ production at an early time point (Supporting Information Fig. 14). The exact mechanism of splenic MDSC-mediated IFN-γ induction remains speculative at present, but seems not to be mediated by IL-12 or T-bet. Other IFN-γ-inducing cytokines include IL-18, IL-23, IL-15, and IL-21 and could be tested for their involvement in future experiments. Alternatively,

monocytes and neutrophils might provide costimulatory signals for CD8+ T cells [34], as such contributing to the induction of IFN-γ. Interestingly, IL-2 secretion is lowered by both MDSC types from the spleen. Since IL-2 is critical for primary T-cell expansion, this strategy also fits in the antiproliferative program of MDSCs. In addition, downstream events of IL-2, such as CD25 expression and STAT-5 phosphorylation, are significantly inhibited by MO-, but not PMN-MDSCs, in an NO-dependent fashion, possibly explaining MO-MDSC’s superior antiproliferative capacity. Previously, immortalized myeloid suppressor lines were reported to affect IL-2R next signaling [35], and our data extend these findings to primary MDSCs. Moreover, we report an influence of splenic MO-MDSCs on the expression of several functionally important CD8+ T-cell activation markers, with a varying implication of NO. Of note, some activation markers are not affected by the presence of MDSCs, indicating that these cells do not cause an overall shut-down of T-cell activation, but rather target certain aspects of the T cell. For example, upregulation of the early activation marker CD69 is not prevented, and in the case of MO-MDSCs even stimulated at later time points.

05) The rest of the emm genotype strains, including OTHERS, exhi

05). The rest of the emm genotype strains, including OTHERS, exhibited relatively small amounts of M protein (with mean values ≤ 5). It should be noted that there was variation in the number of samples tested in each emm genotype and that the amounts of M protein produced varied not only among different emm genotypes, Selleck EMD 1214063 but also within individual emm genotypes. The emm1 genotype exhibited the largest difference (4.7) between the highest

(9.7) and lowest (5.0) amounts of M protein produced by individual strains. The next largest difference (except for OTHERS, which exhibited a difference of 4.3) was the difference of 3.0 seen within each of the three strains exhibiting the genotypes emm3, 12 and 28. On the other hand, five genotype-strains, namely emm6, 4, 11, 60, and 75, exhibited little variation, with differences of less than 2.3. M1 and M3 proteins, once released selleck compound from the streptococcal surface, form complexes with fibrinogen,

resulting in vascular leakage through several biological reactions (7). This mechanism is thought to be an important virulence trait that triggers the onset of severe invasive diseases. To determine whether M proteins other than M1 and M3 are also released from the cell surface, a quantitative assay of the culture supernatant proteins was performed for 29 representative C-X-C chemokine receptor type 7 (CXCR-7) S. pyogenes strains belonging to the emm1, 3, 6, and 12 genotypes.

Regardless of emm genotype or M protein production in cell membrane-associated proteins, M protein was detected among the culture supernatant proteins of all 29 strains in quantities ranging from 3.7 to 8.0. Statistical analysis revealed a good correlation between the quantities of M protein found among the cell membrane-associated proteins and those found among the culture supernatant proteins (Pearson’s correlation coefficient, r = 0.66) (Fig. 3). Of the 29 strains, 25 had larger amounts of M protein among the cell membrane-associated proteins than among the culture supernatant proteins, while the remaining four strains had the same amount of M protein in both preparations. A substantial body of evidence has indicated that mutations of the csrS genes can increase transcription of many important virulence determinants, such as emm, speA, hasA, and sda1, while decreasing that of speB, resulting in the recently observed shift of transcriptional profile from pharyngeal to invasive forms (8–10, 19, 20). Therefore, to investigate the contribution of the csrRS gene to prolific M protein production, we performed sequencing for 25 strains of S. pyogenes, taking into account each strain’s ability to produce M protein and its emm genotype.

Epidemiological studies have clearly shown an association between

Epidemiological studies have clearly shown an association between enterovirus infections, especially CV-B and T1D, and strongly support the role of these viruses as potential triggers of Cell Cycle inhibitor that disease in genetically predisposed individuals [7–10]. Experimental investigations suggest that several pathogenic mechanisms of CV-B4 infection may be involved in the impairment of pancreatic β cells [7–10]. Our group has investigated the hypothesis of virus-induced disturbance of thymus in the development of autoimmunity against these cells (see Fig. 1). It was observed that both CV-B4 diabetogenic

(E2) and prototype (JVB) strains can replicate and persist in human TEC in vitro with increased production of interleukin (IL)-6, leucocyte migration inhibition factor (LIF) and granulocyte–macrophage colony-stimulating factor (GM-CSF) [71]. In fragments of human fetal thymus, the virus principally infects CD4+CD8+ immature thymocytes and induces increased expression of MHC class GS 1101 I molecules and a severe thymocyte depletion [72]. Because CV-B4 was also able to infect TEC and immature thymocytes, it was hypothesized that the virus was potentially susceptible to modulate the thymic function. To explore this hypothesis more effectively, and due to the difficulty of undertaking

experiments in the human system, further studies were performed in a murine model. It was demonstrated that the diabetogenic strain CV-B4 E2 can reach the thymus in vivo in the course of a systemic infection of outbred Swiss albino mice inoculated through the oral route, the natural contamination route in humans [73]. The infection was characterized by a prolonged detection [until 70

days post-infection (p.i.)] of viral RNA by reverse transcription–polymerase chain reaction (RT–PCR) GBA3 in the thymus. When primary cultures of total murine thymic cells were inoculated with CV-B4 E2 and CV-B4 JVB, both viral strains infected and replicated in these cells, as attested by the detection of intracellular negative-strand viral RNA and release of infectious particles in culture supernatants [74]. These findings suggest that thymic cells can play a role in virus dissemination, and therefore in the pathophysiology of CV-B4 infections. The infection of murine fetal thymus organ cultures was then investigated [75]. It was shown that CV-B4 E2 could replicate within this system, as attested by the detection of intracellular negative-stranded viral RNA by real-time quantitative RT–PCR and infectious particles in culture supernatants. As evidenced by flow cytometry analysis, CV-B4 E2 lead to abnormal patterns of thymocyte populations: a marked increase in the percentages of CD4-CD8-, CD4+ and CD8+ cells and a decrease in the percentage of CD4+CD8+ cells.

Even shed planktonic bacteria from such biofilms would have a nat

Even shed planktonic bacteria from such biofilms would have a natural egress

externally should they occur in a draining sinus, thereby further reducing the risk of dissemination. At present, complete surgical removal of the disease substratum remains the most effective therapy for HS, perhaps analogous to removal of an implanted foreign body in the treatment of other biofilm-based infections. By recognizing HS as a biofilm disease, we hope to spur new considerations as to both its source and its management. We acknowledge the Allegheny-Singer Research Institute for support in this study. “
“Mutations in the Brucella melitensis quorum-sensing (QS) system are involved in the formation of clumps containing an exopolysaccharide. Here, we show that the overexpression of a gene called aiiD in B. melitensis gives rise to a similar clumping phenotype. https://www.selleckchem.com/products/epacadostat-incb024360.html The AiiD enzyme degrades AHL molecules and leads therefore to a QS-deficient strain. We demonstrated the presence of exopolysaccharide and DNA, two classical components of extracellular matrices, in clumps produced by CH5424802 ic50 this

strain. We also observed that the production of outer membrane vesicles is strongly increased in the aiiD-overexpressing strain. Moreover, this strain allowed us to purify the exopolysaccharide and to obtain its composition and the first structural information on the complex exopolysaccharide produced by B. melitensis 16M, which was found to have a molecular weight of about 16 kDa and to be composed of glucosamine, glucose and mostly mannose. In addition, we found the presence of 2- and/or 6-substituted mannosyl residues, which provide the first insights into the linkages involved in this polymer. We used a classical biofilm attachment assay and an HeLa cell

infection model to demonstrate that the clumping strain is more adherent to polystyrene Thalidomide plates and to HeLa cell surfaces than the wild-type one. Taken together, these data reinforce the evidence that B. melitensis could form biofilms in its lifecycle. Brucella melitensis is an alpha-2 proteobacterium responsible for brucellosis in small ruminants and Malta fever in humans (Smith & Ficht, 1990; Boschiroli et al., 2001). This worldwide zoonosis causes severe economic losses in endemic regions. The virulence of this facultative intracellular Gram-negative pathogen depends on its survival and replication in both professional and nonprofessional host phagocytes (Detilleux et al., 1990; Pizarro-Cerda et al., 1998), in which it diverts the phago-lysosomal trafficking to reach its intracellular replication niche derived from the endoplasmic reticulum (Starr et al., 2008). During infection, B. melitensis is exposed to diverse environmental and host stresses and thus has to adapt continuously through perception of external and internal signals and the regulation of gene expression.

Key words: recurrent UTI, young women, TGF-β1 YASUDA MAKO, TAGAWA

Key words: recurrent UTI, young women, TGF-β1 YASUDA MAKO, TAGAWA ATSUKO, KUME SHINJI, YAMAHARA KOSUKE, ARAKI HISAZUMI, ISSHIKI KEIJI, ARAKI SHIN-ICHI, UZU TAKASHI, MAEGAWA HIROSHI Deparment of Medicine, Shiga University of Medical Science,

Japan Introduction: Diabetic nephropathy is a leading cause of end-stage renal disease worldwide. Methods for reducing proteinuria in MLN2238 clinical trial the patients with diabetic nephropathy are still required. Since podocytes are terminally differentiated and are unable to proliferate, disruption of cell homeostasis in podocytes results in impairment to glomerular filtration barrier function, leading to proteinuria in diabetic nephropathy. Intracellular degradation systems are essential for maintaining cell homeostasis. One of these systems, autophagy, is evolutionary Fer-1 in vitro conserved machinery for bulk degradation of cytoplasmic components. Alterations in autophagy

have recently been found to be the pathogenesis for some metabolic diseases. Therefore, this study examined the role of podocyte autophagy in diabetic nephropathy. Methods: We first examined the relationship between activity of podocyte autophagy and the progression of diabetic nephropathy by using human renal biopsy samples. We next generated podocyte-specific autophagy-deficient (Podo-Atg5−/−) mice by podocyte-specific Atg5 gene deletion. Eight-week-old control (Atg5f/f) and Podo-Atg5−/− mice were fed with either a standard diet or a high-fat diet for 32 weeks to induce type 2 diabetes. Results: Massive accumulation of p62 protein, a marker of autophagy insufficiency, was observed in the podocytes of the diabetic patients with overt proteinuria. To reveal the relationship between autophagy insufficiency and the progression of diabetic

nephropathy, we next conducted an animal study using Podo-Atg5−/− mice. At the end of the experimental period of a HFD feeding for 32 weeks, both Atg5f/f and Podo-Atg5−/− mice developed obesity and hyperinsulinemic hyperglycemia resembling type 2 diabetes mellitus. In Podo-Atg5−/− mice, high-fat Meloxicam diet-induced increases in urinary albumin excretion were significantly higher compared with those of Atg5−/−, although high-fat diet-induced glomerular histological changes were almost the same in both groups. Fibrosis and infiltration of inflammatory cells in tubulointerstitial lesions were significantly exacerbated in Podo-Atg5−/− mice fed a high-fat diet. Conclusion: The results suggest that autophagy is essential to protect podocytes from diabetes-related cellular toxicity. Although further study is required, autophagy appears to be a possible new therapeutic target for reducing proteinuria in diabetic nephropathy.

A major obstacle to implement CPG is the lack of both high-qualit

A major obstacle to implement CPG is the lack of both high-quality evidence for regionally-specific areas of medicine and a lack of resources in many countries in our region. However, an endeavor by the Asian Forum of CKD Initiative (AFCKDI) may make it possible to overcome these obstacles. By developing regionally-specific CKD guidelines, the AFCKDI might identify

relevant evidence gaps and by using specific expertise develop NVP-BEZ235 nmr a standard of patient care appropriate to the Asia–Pacific region. This can be accomplished only by engaging a group of international experts who fully represent the Asia–Pacific area. In 2003, the global guideline initiative for kidney disease, KDIGO, was launched as a coordinated effort aimed at creating a clinical practice guideline (CPG) in the field of nephrology on a global scale. During the last 6 years, through the KDIGO initiative, five position papers and three CPG (for hepatitis C in chronic kidney disease (CKD), 2008; CKD and mineral and bone disorder,

2009; and care of kidney transplant recipients, 2009) were published.1–3 Three new workgroups are also established in 2009–2010 and more CPGs will become available (for blood pressure control XL765 chemical structure in CKD, glomerulonephritis, acute kidney injury). Globally, the nephrology community has been playing a frontier role in this field because no other specialty in internal medicine has ever achieved this degree of globalization of clinical practice guidelines. KDIGO is a non-profit organization governed by the board of directors, which consists of at most 50 international experts engaged for 3 year

terms. On the Board of Directors (BOD), nine are currently (2009) directors from our region, four are from Australia and one each from India, China, Hong Kong, Korea and Japan. One of the relevant missions of the KDIGO is the coordination of five existing regional or national-based guidelines: Kidney Disease Outcomes Quality Initiative (K/DOQI), Canadian, UK, European Renal Best Practice (ERBP) and Caring for Australasians with Renal Resminostat Impairment (CARI). The reasons for selection of these guideline groups were: (i) full accessibility of guideline statements through the website (in English); and (ii) peer review system and evidence-based. In our region, CARI has been perhaps the most relevant but no guidelines exist which formally represent Asian-specific problems. There is limited high-grade evidence and expert judgment or opinion. Kidney Diseases: Improving Global Outcome has had repeated discussions since its inception on the methodology of grading evidence and stratifying the strength of recommendations based on that evidence. KDIGO has generally employed a version of the Grades of Recommendation Assessment, Development and Evaluation (GRADE) system for grading evidence and strength of recommendation in guideline statements.

In addition, the entire contents of the resuspended biofilm were

In addition, the entire contents of the resuspended biofilm were plated onto LB10 agar supplemented with 300 μg mL−1 of rifampicin (Sigma Aldrich) to quantify the number of spontaneous rifampicin-resistant mutants. The plates were incubated for 2 days at 37 °C after which time CFUs were enumerated. The mutation frequency was calculated as the number of spontaneous rifampicin-resistant mutants divided by the total viable population. The ability of each variant to utilise different see more substrates as carbon sources was determined using the commercially available

BIOLOG GN2 plates (Biolog, CA) according to the manufacturer’s instructions (minor modifications as below). Each plate contains 95 different carbon sources, each conjugated to a tetrazolium

dye. The ability to utilise a specific substrate results in dye cleavage and the formation of a purple hue in the wells. In brief, bacterial cultures were grown overnight in 10 mL of M9 medium (supplemented check details with 5.5 mM glucose) at 37 °C with shaking. Following centrifugation (4580 g) and washing (twice with 10 mL PBS), bacteria were resuspended in 20 mL of GN2 inoculating fluid (Biolog). The BIOLOG GN2 plates were then inoculated with 150 μL of the resuspended bacteria and incubated at 37 °C. The OD600 nm was taken at 0, 4, 8 and 24 h (Wallac Victor2 plate reader; Perkin Elmer) to monitor the growth of cells within each well. A dye release profile corresponding to the amount and types of carbon sources metabolised was generated for the 24-h time point. The quantification of attachment from and batch biofilm formation was conducted on both polystyrene- (hydrophobic) (Sarstedt Inc) and tissue culture–treated (hydrophilic) (Costar, Corning Inc) 96-well microtitre plates using an assay similar to that described previously (O’Toole & Kolter, 1998; Pratt & Kolter, 1998; Koh et al., 2007). Briefly, for attachment, 100-μL aliquots of overnight cultures in LB10 were added into the wells, while for biofilm formation, overnight cultures were diluted 1 : 100 in LB10 broth. Subsequently, 100-μL aliquots of the diluted cultures were added into the wells,

and the plates were incubated without agitation at 37 °C for 2 h for attachment and/or 24 h with shaking for biofilm formation. After incubation, the cell density of each well was determined (OD600 nm), the cell suspensions were removed, the wells were washed twice with PBS, 100 μL of filtered 1% (w/v) crystal violet (CV) solution was added into each well, and the plates were incubated at room temperature for 20 min. The CV solution was removed, and the wells were washed three times with PBS followed by the addition of 100 μL of HPLC-grade absolute ethanol (Univar) to extract the CV for quantification at OD490 nm. For the attachment assay, the CV reading was normalised using the cell density reading (OD490 nm/OD600 nm).

Children 6–10 years of age who were consistently parasite-positiv

Children 6–10 years of age who were consistently parasite-positive during the study did not have significantly higher titres of antibodies against any of the antigens compared with children who were consistently parasite-negative (P > 0·05 in all cases; data not shown). In children of this age group who were consistently parasite-positive, antibody titres for MSP-119 (P = 0·41) and CSP (P = 0·06) did not change significantly with time, while antibody titres for AMA-1 (P = 0·002), MSP-2 (P = 0·04) and gSG6 (P < 0·001) showed a statistically significant decrease over time (Table 3). We found evidence for a decline in antibody titres for MSP-119 (P = 0·0096), MSP-2

(P = 0·02) and gSG6 (P = 0·0046) but no significant differences for AMA-1 (P = 0·30) or CSP (P = 0·055) for 3-MA concentration children of this age group who were never parasite-positive by microscopy or PCR during the study. Similarly, antibody titres decreased in children who were parasite-positive at enrolment but did not become re-infected after treatment for AMA-1 (P < 0·0001), MSP-119 (P = 0·0002), MSP-2 (P < 0·0001),

CSP (P = 0·0003) and gSG6 (P < 0·0001). Children who acquired an infection during the study showed no https://www.selleckchem.com/products/OSI-906.html consistent patterns in antibody titres: titres declined against AMA-1 (P = 0·0094), MSP-2 (P = 0·025) and gSG6 (P = 0·021), while no statistically significant trend was observed for MSP-119 (P = 0·99) and a borderline significant trend for CSP (P = 0·085). In

conclusion, titres declined for all antigens for children aged 6–10 years who lost their infections, but there was no consistent pattern in other groups of parasite exposure. None of the adults were consistently parasite-positive during the study. We found evidence for a decline in antibody titres for MSP-119 (P = 0·0023), CSP (P = 0·023) and gSG6 (P < 0·0001) but no significant differences for AMA-1 (P = 0·22) or MSP-2 (P = 0·80) for adults who were never parasite-positive by microscopy or PCR during the study (Table 3). We found no evidence for a change in malaria-specific antibody titres in adults who Farnesyltransferase were parasite-positive at enrolment but did not become re-infected after treatment (P > 0·2 in all cases), while antibody titres against gSG6 declined in this group (P < 0·0001). Similarly, we found no evidence of a change in anti-malarial antibody titres for adults who acquired an infection during follow-up (P > 0·1 in all cases), while antibody titres against gSG6 declined in this group (P = 0·0014). In conclusion, antibody titres were mostly stable in adults with the exception of gSG6 for which titres declined during follow-up. In this study, we describe the dynamics of malaria antibody titres in relation to microscopic and submicroscopic parasite carriage in a cohort from an area of intense malaria transmission in Uganda that was cleared of their infection at enrolment.

2) (BC), apoptosis;

CD95-FITC (clone DX2) (BDB), regulato

2) (BC), apoptosis;

CD95-FITC (clone DX2) (BDB), regulatory T lymphocytes; CD25-ECD (clone B1.49.9) (BC), CD25-FITC (clone B1.49.9) (Immunotech-BC), CD127-FITC (clone eBioRDR5) (eBioscience, San Diego, CA, USA) and DC; HLA-DR- Peridinin-chlorophyll-protein complex (PerCP)-clone L243 (G46-6), Lineage 1 (CD3, CD14, CD16, CD19, CD20 and CD56)-FITC, CD11c-PE (clone S-HCL-3), CD123-PE (clone 9F5) (BDB). Anti-human foxp3-PE (clone PCH101) staining set (eBioscience) was used for intracellular staining of foxp3. The cells were analysed on a Beckman Coulter Cytomics FC 500 MPL flow cytometry equipped with argon and diode laser for five-colour detection. Analyses were performed using mxp version 2.0 (Beckman learn more Coulter, ABT 263 Inc., Brea, CA, USA) flow cytometry software. A gate was set on the lymphocytes according to forward and side scatter properties. Statistical regions were set according to

isotype controls. For foxp3, the statistical marker was set at the upper cut-off for the CD4-negative population following the manufacturer’s instruction. Treg subsets were defined as CD25+/foxp3+ or CD25+/CD127− CD4+ T cells (Fig. 1A–C). DC was analysed for the expression of CD11c and CD123 by gating from HLA-DR+ Lineage (CD3, CD14, CD16, CD19, CD20 and CD56)-negative cells (Fig. 1D–F). Statistical analyses.  In a preliminary step, we investigated the data by using histograms and QQ plots for all cell subsets, and computing the Spearman correlations

between all Akt inhibitor pairs of cell subsets. This was carried out for the entire data set and for each patient group. Spearman correlations were chosen because of their wider range of detectable relations. Investigating these 12 cell subsets leads to 66 tests, i.e. we have to take into account multiple effects. Because these tests are not independent, the Bonferroni level is too conservative. Thus, we used a significance level of 0.01. The research question contains two different types of comparisons. Comparing the different groups (controls, LTBI and active TB), we used a two-step test procedure. First, we used a Kruskal–Wallis test to detect differences in cell subsets fractions between the groups. In the second step, we selected the cell subsets where the Kruskal–Wallis test detected a significant difference and tested the groups pairwise using a Wilcoxon test to decide where the differences detected by the Kruskal–Wallis test were located. In both cases, we used the Bonferroni significance level, i.e. 0.0042 for Kruskal–Wallis test (12 tests) and 0.0167 for the Wilcoxon test (three tests for each cell subset). Comparing the pre/post-therapy measurements for the QFT+ patients, we used a signed rank test, again with a Bonferroni level of 0.0042. In all investigated cases, we used non-parametric tests because the preliminary analysis indicated a non-Gaussian distribution at least for some of the variables.