Notably, this expression level is higher than any previously desc

Notably, this expression level is higher than any previously described production of hDAAOs. A yield of 100 mg of pure hDAAO/L culture thus became available in comparison to the 1-10 mg/L previously reported. (C) 2009 Elsevier Inc. All rights reserved.”
“Gelsolin is an actin filament-severing and capping protein, affecting cellular motility, adhesiveness and apoptosis. Whether it is expressed in the brain of burned mice has not yet been characterized. Mice

were subjected to a 15% total body surface area scald injury. Neuropathology was examined by hematoxylin and eosin staining. Cerebral gelsolin mRNA, distribution and LDK378 cell line cleavage were demonstrated by quantitative polymerase chain reaction (QPCR), immunohistochemistry and Western blot, respectively.

Cysteinyl aspartate-specific protease (caspase)-3-positive cells and activity were also measured. Burn injury could induce pathological alterations in the brain including leukocyte infiltration, necrosis, microabscess and gliosis. Compared with sham-injured mice, gelsolin mRNA was up-regulated at 8 h post-burn (pb) in a transient manner in the cortex and striatum of burned mice, while it remained at higher levels in the hippocampus up to 72 h pb. Of interest, gelsolin was further cleaved into 42 and 48 kDa (kilo Dalton) fragments DAPT chemical structure as illustrated in the hippocampus at 24 h pb, and was widely expressed in the brain by activated monocyte/macrophages, astrocytes and damaged neurons. In the meantime, caspase-3-positive cells were noted in the striatum of burned mice and its activity peaked at 24 h pb. To clarify inflammation-induced gelsolin expression and cleavage in the brain, rat pheochromocytoma cells were exposed to lipopolysaccharide to show increased gelsolin expression and for caspase-3-dependent cleavage. The results suggest that burn-induced cerebral gelsolin expression would be involved in the activation of both the monocytes and astroglial cells, thereby playing a crucial role in the subsequent inflammation-induced neural apoptosis following burn injury. (C) 2012 IBRO. Published

by Elsevier Ltd. All rights reserved.”
“Aims: The aim of this study was to determine whether endophytic Bacillus cereus isolates from agronomic crops possessed genes for the nonhaemolytic enterotoxin (Nhe) and haemolysin BL (HBL) and, therefore, have the potential to cause diarrhoeal illness in humans.

Methods and Results: PCR followed by sequencing confirmed the presence of enterotoxin genes nheA, nheB, nheC, hblA, hblC, hblD in endophytic B. cereus. All nhe genes were detected in 59% of endophytic B. cereus, while all hbl genes were detected in 44%. All six genes were detected in 41% of isolates. Enterotoxin genes were not detected in 15% of B. cereus isolates. Reverse transcriptase real-time PCR confirmed that endophytic B. cereus could express enterotoxin genes in pure culture.

The use of 8 M urea or thiourea/urea solutions in the electrode w

The use of 8 M urea or thiourea/urea solutions in the electrode wick enables overnight focusing without the appearance of gaps.”
“Objective: This study reviews the results of en bloc resection of the inferior vena cava (IVC) for malignant tumor excision and reconstruction.

Methods: A prospective database was reviewed. IVC resection was categorized as suprarenal, perirenal, infrarenal, or extensive (>one segment resected). Repairs were divided into primary, patch, or circumferential. Tumor type, perioperative morbidity, mortality, and graft patency were recorded.

Results: Between 1990 and 2011, 47 patients (21 women;

mean age, 56; range, 35-89 years) underwent IVC resection for en bloc tumor https://www.selleckchem.com/products/ABT-888.html excision. Sarcomas were most common (36 [77%]: 30 primary IVC). Eleven patients had primary VX809 IVC repair, nine patch repair (two autogenous), and 27 had circumferential replacement with a polytetrafluoroethylene ringed graft. Extensive IVC reconstruction in 18 patients included the entire IVC, with renal (RV) and hepatic vein reimplantation in eight; suprarenal and perirenal in six (seven RVs reimplanted); and infrarenal and perirenal in four (four RVs

reimplanted). Nine single-segment IVC replacements were infrarenal. Morbidity was 10.6%: one each with bowel obstruction, chyle leak, renal failure with complete recovery (left RV reimplant, right nephrectomy), reoperation for bleeding, and IVC graft thrombosis. Morbidity did not differ by type of reconstruction. There was no mortality. Follow-up ranged from 1.5 to 216 months (18 years) with a mean of 3.5 years. Computed

tomography or duplex scans were available in 28 of 47 patients and in 15 of 27 patients in group 3 at a mean follow-up of 36 and 20 months, respectively. One IVC graft thrombosis was documented at 10 months after chemotherapy/sepsis. Tumor recurrence caused three graft stenoses. Cumulative 5-year patency in group 3 was 80% (imaging) and 92% (clinical). Lower extremity edema was universally avoided. Cumulative 5-year survival for the series was 45% +/- 8.5%. Mean long-term survival was 5.8 +/- 0.56 years (range, 4 months-17 years), with a significant difference between primary or patch (mean, 6.5 years) and circumferential or extensive repair (mean, 4.2 years; P < .005). Cumulative (47% vs 52%) and mean (3.1 vs 3.6 years; www.selleck.cn/products/th-302.html P > .12) survival was similar between patients with single-segment and extensive IVC resection and replacement.

Conclusions: IVC resection and reconstruction for en bloc tumor excision is safe, even when extensive repairs are necessary. Replacement of the IVC with prosthetic graft avoids extremity venous complications and likely contributes to quality of survival. Survival depends on tumor behavior and degree of IVC involvement, where primary and patch repair has a better prognosis than circumferential resection. (J Vasc Surg 2012;55:1386-93.

This study demonstrates the suitability of using recombinant prot

This study demonstrates the suitability of using recombinant proteins to measure anti-RV immune responses and serves as a

“”proof of principle”" to examine the antibody responses generated to other recombinant RV proteins and thereby possibly identify a correlate of protection. (C) 2012 Elsevier B.V. All rights reserved.”
“Individuals of all ages extract structure from the sequences of patterns they encounter in their environment, an ability that is at the very heart of cognition. Exactly what underlies this ability has been the subject Angiogenesis inhibitor of much debate over the years. A novel mechanism, implicit chunk recognition (ICR), is proposed for sequence segmentation and chunk extraction. The mechanism relies on the recognition of previously encountered subsequences (chunks) in the input rather than on the prediction of upcoming items

in the input sequence. A connectionist autoassociator model of ICR, truncated recursive autoassociative chunk extractor (TRACX), is presented Pitavastatin order in which chunks are extracted by means of truncated recursion. The performance and robustness of the model is demonstrated in a series of 9 simulations of empirical data, covering a wide range of phenomena from the infant statistical learning and adult implicit learning literatures, as well as 2 simulations demonstrating the model’s ability to generalize to new input and to develop internal representations whose structure reflects that of the items else in the input sequence. TRACX outperforms PARSER (Perruchet & Vintner, 1998) and the simple recurrent network (SRN, Cleeremans & McClelland, 1991) in matching human sequence segmentation on existing data. A new study is presented exploring 8-month-olds’ use of backward transitional probabilities to segment auditory sequences.”
“The development of next-generation sequencing technologies has facilitated the study

of HIV drug resistance evolution. However, the high capacity and per-run cost of many sequencers is not ideal for viral sequencing unless many samples are analyzed simultaneously. Ion semiconductor sequencing has recently emerged as a flexible, lower-cost alternative with short runtime. This paper describes the use of Ion Torrent devices for deep sequencing of drug resistant HIV samples. High levels of sequencing coverage were obtained in HIV Gag and protease, allowing the detection of mutations at low frequencies. (C) 2013 Elsevier B.V. All rights reserved.”
“Loss of previously established behaviors in early childhood constitutes a markedly atypical developmental trajectory. It is found almost uniquely in autism and its cause is currently unknown (Baird et al., 2008).

Comparing the individual toe pressures with SO2 values measured i

Comparing the individual toe pressures with SO2 values measured in the horizontal position and elevated position revealed a significant correlation (r(s) = 0.40; P < .01 and r(s) = 0.56; P < .01, respectively). A low SO2 (ie, <40% in the horizontal position and <20% in the elevated position) was highly predictive of a toe pressure of 40 mm Hg or less. In the horizontal position, the positive predictive value was 100%, whereas the negative predictive value was 47%. The similar figures in the elevated position were a positive predictive value of 97% and a negative predictive ACY-738 solubility dmso value of 68%. Postoperatively, SO2 increased significantly from 27% (P25%-75%: 11%-75%) to

79% (68%-87%) in the horizontal position (P = .008) and from 14% (P25%-75%: 2%-39%) to 55% (30%-73%) in the elevated position (P = .011), respectively. Looking at the individual 13 cases in which revascularization

this website was performed, three patients had a partial reconstruction (ie, superficial femoral artery occlusion distal to a central reconstruction or reconstruction to a popliteal blind segment). These patients had significantly lower postoperative SO2 as well as toe pressure compared with the 10 patients with unobstructed flow to the foot.

Conclusions: O2C was easy to use, fast, and painless. The most useful finding was the high predictive value of a low saturation and the rise in O2C values after successful revascularization. (J Vasc Surg 2012;56:746-52.)”
“The semantic differential technique is used to statistically define connotative dimensions of meaning. The brain depends on these dimensions to process words. Earlier studies demonstrated that stimuli of the different semantic classes led to differences in neuronal processing. We investigated the influence of connotative meaning on multisensory processing (food words strongly related to odor, taste, vision or somatosensory texture). A group of 795 subjects rated 197 food words on the basis of 11 pairs of adjectives with opposite meanings. Factor analysis revealed three dimensions (Evaluation, Potency and Texture). Words with

high positive or negative scores, and low scores on the other dimensions, were used as stimuli in an ERP experiment. EEG was recorded in 40 healthy adults from 30 channels and averaged according to semantic stimulus class.

Component GSK872 latency, global field power and topography were influenced by semantic meaning. These experiments determined that very early effects at 107 ms after stimulus presentation where latency and GFP were affected by stimulus class. When mapped topographically, different stimulus classes led to different scalp topography of evoked brain activity in sagittal direction already at an early state of processing (around 107 ms). The extent of lateralization of potential fields’ centers of gravity was influenced by stimulus class around 304 ms.


“Long-term memory can be based on general familiarity or d


“Long-term memory can be based on general familiarity or detailed recollection. Although familiarity is thought to be a continuous/graded process, the nature of recollection is currently under debate. In the present functional MRI spatial source memory study, we evaluated the pattern of activity in the hippocampus to assess whether this region operates in a threshold/all-or-none or

a learn more continuous manner during recollection. During the study phase, abstract shapes were presented to the left or right of fixation. During the test phase, old and new shapes were presented at fixation, and participants classified each shape as old-left, old-right, or new, followed by a sure-unsure confidence rating. Accurate spatial memory for old-left shapes produced a single activation in the left hippocampus. The corresponding event-related activation profile revealed a threshold above which old-left-sure responses produced positive activity for old-left but not old-right Rigosertib molecular weight shapes. This hippocampal activation profile was used to generate a source memory receiver operating characteristic that was adequately fit by a threshold model of recollection but was not adequately fit by a continuous model of recollection. By contrast, there was no evidence of a threshold in the behavioral response profile, which is consistent with previous behavioral source memory receiver operating

characteristic results indicating that recollection is a continuous process. The present results indicate that the hippocampus can operate in a threshold manner during spatial source

memory and further suggest that this discrete signal is transformed into a continuous process through the operation of other brain regions that also contribute to behavioral performance. NeuroReport 24:265-269 (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.”
“Background. Individuals with schizophrenia and individuals with high-functioning autism (HFA) seem to share some social, behavioral and biological features. Although marked impairments in social cognition have been documented in both groups, little empirical work has compared the social cognitive functioning of these two clinical groups.

Method. Forty-four individuals with schizophrenia, 36 with HFA and 41 non-clinical controls completed a battery of social cognitive either measures that have been linked previously to specific brain regions.

Results. The results indicate that the individuals with schizophrenia and HFA were both impaired on a variety of social cognitive tasks relative to the non-clinical controls, but did not differ from one another. When individuals with schizophrenia were divided into negative symptom and paranoid subgroups, exploratory analyses revealed that individuals with HFA may be more similar, in terms of the pattern of social cognition impairments, to the negative symptom group than to the paranoia group.

Conclusions.


“Spike (S) proteins, the defining projections of the envel


“Spike (S) proteins, the defining projections of the enveloped coronaviruses (CoVs), mediate cell entry by connecting viruses to plasma membrane receptors and by catalyzing subsequent virus-cell membrane fusions. The latter membrane fusion requires an S protein conformational

flexibility that is facilitated by proteolytic cleavages. We hypothesized that the most relevant cellular proteases in this process are those closely linked to host cell receptors. The primary receptor for the human severe acute respiratory syndrome CoV (SARS) CoV is angiotensin-converting enzyme 2 (ACE2). ACE2 immunoprecipitation captured transmembrane protease/serine subfamily member 2 (TMPRSS2), a known human airway and alveolar protease. ACE2 and TMPRSS2 colocalized on cell surfaces and enhanced the cell entry of both SARS S-pseudotyped HIV and GW786034 order authentic SARS-CoV.

Enhanced entry correlated with TMPRSS2-mediated proteolysis of both S and ACE2. These findings indicate that a cell surface complex comprising a primary receptor and a separate endoprotease operates as a portal for activation of SARS-CoV cell entry.”
“The classical nuclear factor kappa B (NF-kappa B) signaling pathway is an important regulator of inflammation and innate immunity that is activated by a wide variety of stimuli, including virus infection, GSK1838705A tumor necrosis factor alpha (TNF-alpha), and interleukin 1 beta (IL-1 beta). Poxviruses, including vaccinia virus (VV) and ectromelia virus, encode multiple proteins that function in immune evasion. Recently, a growing number of genes encoded by poxviruses have been shown to target and disrupt the NF-kappa B signaling pathway. To determine if additional gene products that interfere with NF-kappa B signaling existed, we used a vaccinia virus deletion mutant, VV811, which is missing 55 open reading frames lacking all known inhibitors of TNF-alpha-induced NF-kappa B activation. Immunofluorescence analysis of HeLa cells treated with TNF-alpha and IL-1 beta revealed that NF-kappa B translocation to the nucleus was inhibited in VV811-infected

cells. This was further confirmed through Western blotting of cytoplasmic and nuclear extracts ARN-509 manufacturer for NF-kappa B. Additionally, VV811 infection inhibited TNF-alpha-induced I kappa B alpha degradation. In contrast to vaccinia virus strain Copenhagen (VVCop)-infected cells, VV811 infection resulted in the dramatic accumulation of phosphorylated I kappa B alpha. Correspondingly, coimmunoprecipitation assays demonstrated that the NF-kappa B-inhibitory I kappa B alpha-p65-p50 complex was intact in VV811-infected cells. Significantly, cells treated with 1-beta-D-arabinofuranosylcytosine, an inhibitor of poxvirus late gene expression, demonstrated that an additional vaccinia virus late gene was involved in the stabilization of I kappa B alpha. Overall, this work indicates that unidentified inhibitors of NF-kappa B exist in vaccinia virus.

The effect of NDMC on M-1 rnAChR function was investigated in hum

The effect of NDMC on M-1 rnAChR function was investigated in human native tissues by assessing its effect on (1) M-1 mAChR-mediated stimulation of [S-35]-GTP gamma S-G(q/11 alpha) binding to human post mortem cortical membranes and (2) the M-1 mAChR-mediated increase in neuronal firing in human

neocortical slices. NDMC displayed intrinsic activities of 46 +/- 9%, compared to Ipatasertib oxo-M, at the human recombinant M-1 receptor, in FLIPR studies and 35 +/- 4% at rat native M-1 receptors in [S-35]-GTP gamma S-G(q/11 alpha) binding studies. In [S-35]-GTP gamma S-G(q/11 alpha) binding studies in human cortex, oxo-M stimulated binding by 240 +/- 26% above basal with a pEC(50) of 6.56 +/- 0.05. In contrast, NDMC did not stimulate [S-35]-GTP gamma S-G(q/11 alpha) binding to human cortical membranes but antagonised the response to oxo-M (2 AM) showing a pKB of 6.8, comparable to its human recombinant M-1 mAChR affinity (pK(i) = 6.9) derived from [H-3]-NMS binding studies. In human, contrary to the rat neocortical slices, NDMC did not elicit a significant increase in M-1 mAChR-mediated neuronal firing, and attenuated a carbachol-induced

increase in neuronal firing when pre-applied. These data indicate that, whereas NDMC displays moderate to low AP26113 datasheet levels of partial agonism at the human recombinant and rat native M-1 mAChR, respectively, it acts as an antagonist at the M-1 mAChR in human cortex. (C) 2010 Elsevier Ltd. All rights reserved.”
“Respiratory syncytial virus (RSV) is the leading cause of serious respiratory infections in children as well as a serious cause of disease in elderly and

immunosuppressed populations. There are no licensed vaccines available this website to prevent RSV disease. We have developed a virus-like particle (VLP) vaccine candidate for protection from RSV. The VLP is composed of the NP and M proteins of Newcastle disease virus (NDV) and a chimeric protein containing the cytoplasmic and transmembrane domains of the NDV HN protein and the ectodomain of the human RSV G protein (H/G). Immunization of mice with 10 or 40 mu g total VLP-H/G protein by intraperitoneal or intramuscular inoculation stimulated antibody responses to G protein which were as good as or better than those stimulated by comparable amounts of UV-inactivated RSV. Immunization of mice with two doses or even a single dose of these particles resulted in the complete protection of mice from RSV replication in the lungs. Immunization with these particles induced neutralizing antibodies with modest titers. Upon RSV challenge of VLP-H/G-immunized mice, no enhanced pathology in the lungs was observed, although lungs of mice immunized in parallel with formalin-inactivated RSV (FI-RSV) showed the significant pathology that has previously been documented after immunization with FI-RSV.

This previously unknown functional interplay between synaptic and

This previously unknown functional interplay between synaptic and membrane properties may constitute a novel cellular mechanism to explain alterations in neuronal network function and excitability following

focal cortical injuries. (c) 2013 IBRO. Published LCL161 solubility dmso by Elsevier Ltd. All rights reserved.”
“Sex steroid hormones during development permanently alter, or organize, the brain and behavior, while during adulthood they act to reversibly modulate, or activate, physiology and behavior. Testosterone exerts both organizational and activational effects on the magnitude of the hypothalamic-pituitary-adrenal (HPA) axis response to acute stress. What has never been approached is how testosterone can organize habituation of the HPA axis, in which stress induced elevations in ACTH and corticosterone release decline over repeated

exposures to the same stimulus. In the current study we examined HPA responses to repeated psychogenic stress in 65-day-old, adult male rats that received subcutaneous capsules containing the antiandrogen flutamide or the aromatase inhibitor 1,4,6-androstatriene-3,17-dione (ATD), introduced within 12 h of birth and removed on day 21 of weaning. An additional group of castrated, adult male rats were used to differentiate organizational from activational effects of PF299804 testosterone. All treatment groups displayed smaller declines in ACTH in response to repeated restraint compared to control animals. Remarkably, the normal decline in corticosterone failed to occur in flutamide-and AID-treated animals. By contrast, males that were castrated as adults showed a significant reduction in corticosterone after repeated stress. Taken together, these findings underscore an organizing influence of both androgen receptors and estrogen conversion on HPA habituation to repeated psychogenic stress, which appears to occur independent

of the activational effects of testosterone. (C) 2010 Elsevier Ltd. All rights reserved.”
“Purpose: Transrectal ultrasound guided prostate biopsy results rely on physician ability to target the gland according to the biopsy schema. However, to our knowledge it is unknown how accurately the freehand, transrectal ultrasound guided U0126 cost biopsy cores are placed in the prostate and how the geometric distribution of biopsy cores may affect the prostate cancer detection rate.

Materials and Methods: To determine the geometric distribution of cores, we developed a biopsy simulation system with pelvic mock-ups and an optical tracking system. Mock-ups were biopsied in a freehand manner by 5 urologists and by our transrectal ultrasound robot, which can support and move the transrectal ultrasound probe. We compared 1) targeting errors, 2) the accuracy and precision of repeat biopsies, and 3) the estimated significant prostate cancer (0.

The patient was successfully treated with a bypass procedure and

The patient was successfully treated with a bypass procedure and combined anticoagulation. It seems that platelet receptor polymorphisms are a moderate risk factor for local artery thrombosis regardless of vascular region. The obligatory precondition is pre-existing vascular damage, such as that caused by a local compression syndrome. (J Vasc Surg 2008;48:1335-7.)”
“Segmental arterial mediolysis (SAM) is a rare condition characterized by splanchnic

arterial catastrophe caused by mediolysis. We report a 59-year-old man with a ruptured splenic arterial aneurysm who was successfully treated by coil embolization. He underwent additional resection of large gastroepiploic and residual splenic aneurysms. Pathological examination LXH254 showed mediolysis and tearing, compatible with SAM. Furthermore, lie developed acute dissection of the superior mesenteric artery (SMA) one and a half years later, demonstrated by computed tomography. This report demonstrates that SAM is characterized by multiple lesions of the splanchnic arteries at different times, and requires treatment suited to the lesions, including careful

long-term observation. (J Vase Surg 2008;48:1338-41.)”
“Cadherin-6(Cdh6) is a type 11 classic cadherin cell adhesion molecule whose expression delineates specific sets of rhombomeres during early mouse development. Here we establish a stable BAC transgenic mouse line in which enhanced MM-102 supplier green fluorescent GW4064 concentration protein (EGFP) recapitulates Cdh6 expression within the embryonic hindbrain. When the transgenic posterior hindbrain region at the embryonic (E) day 8.75-E9.75 that contains EGFP-positive rhombomere (r) 6-7 and EGFP-negative r4-5 cells was dissociated to single cells and incubated in suspensions, they were found to make aggregates only in the presence of calcium ion with the EGFP-Cdh6-positive/negative populations segregating each other in an aggregate.

We further demonstrated that EGFP-Cdh6 expression boundary in the transgenic hindbrain at E9.5 shifted rostrally by the treatment that allows Hox gene expression anteriorize in the whole embryo Culture system. These results suggest the role of Cdh6 in coordinating mouse hindbrain compartments possibly under the control of Hox gene regulatory network. (C) 2008 Elsevier Ireland Ltd and the Japan Neuroscience Society. All rights reserved.”
“Objective: Traumatic thoracic aortic injuries are associated with high mortality and morbidity. These patients often have multiple injuries, and delayed aortic repair is frequently used. Endoluminal grafts offer an alternative to open surgical repair. We performed a meta-analysis of comparative studies evaluating endovascular vs open repair of these injuries.

Methods.

The presence of the PB1-F2 noninflammatory (P62, H75, Q79, and S8

The presence of the PB1-F2 noninflammatory (P62, H75, Q79, and S82) sequence in the wild-type virus mediated an antibacterial effect. These data suggest that loss JQ-EZ-05 clinical trial of the inflammatory PB1-F2 phenotype that supports bacterial superinfection during adaptation of H3N2 viruses to humans, coupled with acquisition of antibacterial activity, contributes to the relatively diminished

frequency of severe infections seen with seasonal H3N2 influenza viruses in recent decades compared to their first 2 decades of circulation.”
“Nicotine addiction, related to cigarette smoking, develops as a product of the complex interactions between social, environmental and genetic factors. Genes encoding the components of the dopaminergic system are thought to be associated with smoking. Literature data showed not only an association, but also a lack

of association between variable number of tandem repeats (VNTR) polymorphism located in the third exon of dopamine 04 receptor (DRD4) gene and smoking. Repetitive sequence of DRD4 VNTR is 48 bp long and maximum 11 tandem copies were reported in humans. Presence of alleles with 6 and more repeats (i.e. long alleles) was associated with greater tendency to novelty seeking and addictive behaviors than the presence of 5 and less alleles (short alleles). The aim of this study was to determine IPI145 ic50 the association between VNTR in DRD4 gene and present smoking status in ethnically homogenous Caucasian population from the Eastern European (Croatian) origin. Genotyping was done in 565 healthy subjects, 511 men and 54 women, respectively, who were subdivided into 176 smokers and 389 nonsmokers. Logistic regression analyses, adjusted for age and sex, revealed the lack of significant (p > 0.05) effect of the 4/4,4/7 and 7/7 genotypes,

or carriers of the long and short allele, or all genotypes of the DRD4 VNTR on smoking status. The results of this study failed to confirm the hypothesis that long allele of the DRD4 VNTR is associated with smoking status in Caucasian subjects. (c) 2012 Published by Elsevier Ireland Ltd.”
“Carbapenems were the last beta-lactams retaining near-universal anti-Gram-negative activity, but carbapenemases selleck products are spreading, conferring resistance. New Delhi metallo-beta-lactamase (NDM) enzymes are the latest carbapenemases to be recognized and since 2008 have been reported worldwide, mostly in bacteria from patients epidemiologically linked to the Indian subcontinent, where they occur widely in hospital and community infections, and also in contaminated urban water. The main type is NDM-1, but minor variants occur. NDM enzymes are present largely in Enterobacteriaceae, but also in non-fermenters and Vibrionaceae. Dissemination predominantly involves transfer of the bla(NDM-1), gene among promiscuous plasmids and clonal outbreaks.