06 (0 52, 2 12) 0 91 (0 45, 1 85)   Raising 227 454 2 08 (1 76, 2

06 (0.52, 2.12) 0.91 (0.45, 1.85)   Raising 227 454 2.08 (1.76, 2.45) 1.75 (1.48, 2.08)  Orthostatic hypotensive

properties           Low 97 157 2.55 (1.98, 3.29) 2.08 (1.60, 2.71)   Medium 92 257 1.49 (1.17, 1.90) 1.27 (0.99, 1.64)   High 48 79 2.50 (1.74, 3.59) 2.19 (1.51, 3.18) aWhen more than one antipsychotic was dispensed simultaneously before the index date, then the antipsychotic with the most severe side effect was selected. For current, recent, and past users, the last antipsychotic was dispensed respectively within 30 days, between 31 and 182 days, and more than 182 days prior to the index date bAdjusted for confounders as before Discussion The findings of this study have demonstrated an increased 3 Methyladenine risk of AZD6738 price hip/femur fracture with the use of antipsychotics. The risk was highest for current users, especially the most elderly. The use of conventional antipsychotics appeared to account for the increased risk, and there was evidence for an increased risk with prolactin-raising antipsychotics and those with greater potential to affect the extrapyramidal system. We did not find evidence to support an association between the average daily dose of antipsychotic and the risk of hip/femur

fracture. Our findings confirm an association described in other epidemiological studies on the risk of hip/femur fracture with the use of antipsychotics [13–19]. The 1.7-fold increased risk of fracture among current users and declining risk after discontinuation of use agrees with the findings of others. Hugenholtz et al. [18] reported a 1.3-fold increased adjusted Myosin risk of fracture among current users who had been using antipsychotics long term, and produced a plot similar to ours for risk with cumulative days of treatment (Fig. 1). Ray et al. [16] reported a doubling of risk among current users (OR 2.0 [95% CI 1.6, 2.6]), although that risk estimate

may have been reduced with adjustment for more potential 4SC-202 datasheet confounding variables. In agreement with other recent studies, we did not find an association between the average daily dose of antipsychotic and the risk of hip/femur fracture for current users [17, 18]. Vestergaard et al. [17] described a dose–response relationship for all users of antipsychotics before the index date but the association was not apparent for current users and the elapsed time between the last dispensing and the index date could have been as much as 4 years. Although we found a higher fracture risk for men currently using antipsychotics, the difference between the sexes was not significant. A greater fracture risk for men using antipsychotics has been reported before [13], however, which could reflect the effects of antipsychotic use and physiological processes promoting bone loss [9].

Materials Ethical approval All experiments were undertaken accord

Materials Ethical approval All experiments were undertaken according to the norms established by the Brazilian Association for Animal Experimentation (COBEA) and were previously approved by the Ethics Committee in Animal Research of the State University of Maringá (ABT-263 supplier protocol number 084/2009). Animals and obesity induction Sets of 3 female

and 1 male Wistar rats, 70 days old, were mated. After 1 week, the pregnant rats were separated. On the 2nd day of life, the size of the normal litters (NL) was set to 9 pups; while the small litter (SL) size was set to 3 pups. After weaning (21st day), males were selected, and all females were discharged. Young male rats SB431542 order from the NL and SL groups were randomly chosen for exercise. Animals received water and a commercial diet (Nuvital®; Curitiba/PR, Brazil) ad libitum. During all protocol stages, the animals were placed in an environmentally controlled room (23 ± 3°C; 12 hour light/dark photocycle (07:00–19:00 h). Exercise training protocol Rats from the NL exercised (NL-EXE) and SL exercised (SL-EXE) groups were trained on an animal treadmill (model ET-2000 Insight®; Ribeirão Preto/SP, Brazil). Three trained groups

were established: exercise beginning after weaning in 21-day-old rats and ending at 90-day-old (EXE21–90); exercise beginning at weaning and stopped at 50-day-old (EXE21–50); and exercise beginning at 60 days old and ending at 90 days old (EXE6060–90). Another group of NL and SL rats did not exercise at all (N-EXE). Running protocols, including Selleckchem LY3023414 running speeds and times, were set to induce moderate-intensity exercise training,

promoting a 50-70% total oxygen uptake (VO2max) for each animal, independent of age. The running protocols used have Edoxaban been described previously [27, 28] with some modifications. The anaerobic threshold of the rats is approximately 20 m.min-1 and was used to delimit the maximal velocity reached in the training program. This protocol was intended to guarantee the same aerobic exercise intensity across all ages as the animals grew. Adaptation period of exercise protocol Exercise sessions lasted 10 min on the first day of the adaptation period, and the rats were run at a velocity of 10 m × min-1. The sessions were increased to 20 min at 12 m × min-1 for the subsequent sessions. The rats in the group exercised from days 21–90 had an adaptation time of two weeks, and the rats in the 21–50 day group and the 60–90 day group had an adaption time of one week, as previously reported [27]. The running sessions were performed in the afternoon. The rats that did not adapt were eliminated. Training period In the EXE21–90 groups, the initial training speed was 12 m × min-1 for 20 min and was increased to 20 m × min-1 for 60 min over ten weeks (Figure 1A).

Our data found Nanog mRNA had the highest specificity

in

Our data found Nanog mRNA had the highest specificity

in lung cancer. We further confirmed the high diagnostic value of Nanog protein levels by IHC, Nanog was overexpressed in lung cancer tissues, but rarely expressed in non-malignant lung tissue. Taken together, these results demonstrate that Nanog mRNA is a potential diagnostic marker for lung cancer. Nanog is a transcription factor that plays an important role in maintaining self-renewal of embryonic stem cells. Current studies have reported that the expression of Nanog was higher in multiple cancerous tissues than in their normal counterparts, including breast cancer [20], gastric adenocarcinomas [21], colorectal cancer [22], gliomas [23] and ovarian serous cystadenocarcinomas [24]. In this study, we found the expression of Nanog #Liproxstatin-1 cost randurls[1|1|,|CHEM1|]# mRNA in bronchoscopic biopsies of lung cancer patients was significantly higher compared to that in non-cancer patients. Although Nirasawa et al. [16] have also reported that the expression of Nanog mRNA was higher in surgically resected lung cancer tissues than in non-cancerous tissues, it is not known what cells express Nanog in non-cancerous lung

tissues. Using IHC, we found Nanog was only expressed in metaplastic AL3818 squamous bronchial epithelium cells in 2 out of 50 non-malignant lung tissues, and was negative in normal airway epithelia. Therefore, Nanog may be a good diagnostic marker for lung cancer. In this study, our results showed that the mRNA levels of Bmi1, CD44 and CD133 were not

significantly different between lung cancer and non-malignant lung tissues. Further analyzed by IHC, we observed that Bmi1, CD44 and CD133 were not only expressed in lung cancers, Bmi1 and CD44 were also abundantly expressed in lung interstitial cells, inflammatory cells and bronchial epithelium cells, and CD133 was diffusely expressed in some normal bronchial epithelium cells and bronchial smooth muscle cells, consistent PIK3C2G with previous studies [11, 25, 26]. Hence, Bmi1, CD44 and CD133 are poor diagnostic markers for lung cancer. Likewise, although the expression levels of Sox2 and Msi2 mRNA in lung cancer tissues were significantly higher as compared with non-malignant tissues, we found more than 80% of bronchoscopic biopsy specimens of non-cancer patients were positive for Sox2 and Msi2 mRNA, and all non-malignant tissues were positive for Sox2 and Msi2 protein expression, consistent with previous findings [10, 27, 28]. Therefore, Sox2 and Msi2 have poor diagnostic specificity in lung cancer. It is still controversial whether lung cancer cells express OCT4.

In the pIII-mutant strain, the only clear difference in 2D gel an

In the pIII-mutant strain, the only clear difference in 2D gel analysis was a defective localization for the NG1873 protein. Interestingly, NG1873 has a LysM domain (in position 35–83), with a peptidoglycan binding function [24]. We can speculate that NG1873 is able to reach the outer

membrane only when PIII is acting as a bridge between the outer membrane and the peptidoglycan layer. Further studies will be needed to evaluate the role of this interaction see more in the context of peptidoglycan and outer membrane architecture and to explore the involvement of other proteins in the NG1873 bacterial localization. The crystal structure of the C – terminal domain of the meningococcal RmpM has been solved [20]. The authors have identified a number of residues which may participate in the non-covalent binding of peptidoglycan. They envisage a model in which the C-terminal domain RmpM interacts with peptidoglycan stabilizing oligomers of porins in the outer membrane.

Since the peptidoglycan of Gram-negative bacteria is located in the periplasmic space, this model in combination with the evidence that the N-terminal part of RmpM is associated to the OMP complexes but is too short to cross the membrane [16], would imply a periplasmic localization for the entire protein. However the proposed periplasmic localization is not supported by the evidence that the RmpM/PIII protein is an immuno-dominant antigen with P505-15 nmr surface-exposed epitopes [1]. In this study we confirmed the surface exposure of PIII by Calpain confocal microscopy

analysis. The similarity between PIII and proteins belonging to the OmpA family, known 3-MA clinical trial to have a role in adhesion in many bacterial species, has driven the investigation on the potential contribution of PIII in adhesion process. Here we provide evidences that gonococcal pIII mediates bacterial adhesion to human epithelial cells, derived from the female and male genital tracts. The choice of a cellular model to study factors and mechanisms involved in the gonococcal pathogenesis is a crucial topic of debate. The data obtained from in vitro models of infection can lead to conclusions not fully relevant with respect to the natural infection. In fact, whereas by the bacterial side, gonococcus undergoes antigenic and phase variation depending on the particular selective pressure induced by cellular contact, by the cellular side, the cell lines can substantially differ from the parental tissue in terms of membrane receptors and functional responses. Although the relevance of any model of infection is not exactly predictable, we limited the possible biases by examining the expression of pili and Opa proteins in the wild-type and pIII-deficient strains used in the infection assays. Moreover, to simulate the female and male infection, we used primary immortalized cell lines obtained from ectocervix, endocervix and urethra.

This in turn leaves the PV unaffected It should be also noted th

This in turn leaves the PV unaffected. It should be also noted that in order for blood volume to be maintained in conditions of significant thermal stain and therefore sweating, fluid loss is obtained in varying proportions from ECW as well as ICW body water compartments [37]. Furthermore, as loss of body water increases during exercise in the heat as a result of sweating,

Tcore also increases [37]. Therefore, increasing body water could potentially result in better maintenance of Tcore during exercise in the heat. Nose et al. [38] reported a strong association between the loss of water in sweat and urine and the decrease in ICW ISRIB manufacturer after prolonged exercise in the heat. In the present study, Cr and Gly induced an increase in ICW and consequently, there was a significant attenuation in the rise of Tcore during exercise in https://www.selleckchem.com/products/oligomycin-a.html the heat (Figure 6). It is possible that this Cr- and Gly-induced increase in ICW resulted in an increase of the specific heat capacity of the body [13]. Published studies to date appear to confirm the reduction of Tcore during exercise in the heat following Cr supplementation [12, 13, 19]. Conversely,

when Gly was used alone, ICW was increased without significantly attenuating the rise in Tcore during the exercise period [19]. The effects of Gly ingestion on Tcore and thermoregulation in general during exercise in the heat is equivocal, with several studies reporting a reduction in Tcore during exercise [39] and numerous other studies finding no such effect [16, 40]. In addition, several studies concluded that PV expansion has no effect on thermoregulatory responses or exercise performance during exercise in the heat [9,

41]. These conflicting results and assertions provide strong support that the thermoregulatory ABT-263 clinical trial benefits exhibited with Gly ingestion in the present study did not arise from any PV expansion but most likely from an increase heat capacity of the body. Nevertheless, it should also be noted that these thermoregulatory benefits were exerted when Gly was co-ingested with Cr. Despite the significant Idelalisib cell line increase in TBW and consequently improvement in cardiovascular and thermoregulatory responses during exercise, no differences in were observed during running at 60% . Coyle proposed that a reduction in BM induced by dehydration would impact on RE during marathon running by reducing the oxygen cost of running [3]. In contrast, hyperhydration should theoretically increase the oxygen cost of running and therefore RE. However, no such effect was found in the present study. Furthermore, there was no increase in over time during the trial at 10°C. The latter finding indicates that the subjects were working steadily at the calculated individual running speed corresponding 60% of . It should be noted that this relatively low intensity was chosen in order to ensure that the present data would be comparable with previous studies conducted under similar conditions [12].

Inositol hexaphosphate (IP6) is a naturally occuring polyphosphor

Inositol hexaphosphate (IP6) is a naturally occuring polyphosphorylated carbohydrate, present in almost all plant and mammalian cells, where it is important in regulating vital cellular functions such as signal transduction, cell proliferation and differentiation [3, 4]. For a long time, IP6 has been recognized

as a strong antioxidant. Recently, a striking anticancer effect of IP6 was demonstrated in different experimental models [3–14]. Inositol is also a natural constituent possesing moderate anticancer activity [3, 4]. However, it was shown that inositol potentiates AZD0156 both the antiproliferative and antineoplastic effects of IP6 in vivo, and that the combination of IP6 and inositol was significantly better in different cancers (colon, breast and metastatic lung cancer model) than was either one alone [3, 4]. Due to its strong antioxidant activity, and health beneficial effects, such as immune stimulation, prevention of kidney stone formation and hypocholesterolemic effect, IP6 + Inositol is available as dietary supplement. Current cancer treatment recognizes the importance of combination therapy in order to increase efficacy and decrease side effects of conventional chemotherapy. It has been shown in vitro that IP6 acts synergistically with doxorubicin and

tamoxifen, being particularly effective learn more against estrogen receptor-negative and doxorubicin-resistant breast cancer cell lines [15]. Furthermore, several case studies have shown that when see more IP6 and inositol were given in combination with chemotherapy, side effects of chemotherapy were diminished and patients were able to perform their daily activities [16–18]. Based on these properties, this study has been Selleck RG7420 designed to evaluate in a small controlled clinical trial if the combination of IP6 + Inositol and traditional chemotherapy will increase efficacy and decrease side effects of chemotherapy, and in particular if the IP6 + Inositol will be able to improve the quality of life in patients undergoing the treatment for breast cancer. Materials and methods Study Population In order to

test the effectiveness of IP6 + Inositol in improving the quality of life of patients who are treated for breast cancer, we have conducted a prospective, randomized, controlled clinical study with the tested (IP6 + Inositol Group) and control (Placebo Group) groups of patients. This study was approved by the ethics committee of the General Hospital, Zadar. Written informed consent was obtained from all participants. The study included 14 patients with ductal invasive breast cancer subjected to surgery and with histological features and stage of tumor that indicated polychemotherapy. All patients received the FEC polychemotherapy protocol in six cycles. Patients receiving neoadjuvant chemotherapy were not included in the study. Tested group consisted of 7 patients, average age 56 years (26-76), who were given IP6 + Inositol (IP6 International Inc.

5 m from the

first start gate Individual

5 m from the

first start gate. Individual sprint times of all 44 sprints of the LIST were recorded and the mean sprint time from each section was calculated. The RSA test was comprised of four straight-line 20 m sprints, separated by 20 sec of active recovery. During the active recovery, participants were given verbal encouragement to jog back to the start see more line within ~ 10-12 sec. On return to the start line, participants were instructed to prepare for the next sprint. Following a three second countdown, participants were given the ‘go’ command, which instructed them to initiate the sprint. A hand-held stopwatch was used to monitor SU5416 research buy recovery time. From each RSA test, the fastest and mean 20 m sprint times were recorded. During the RSA test of the warm-up, sprint times were recorded and within-subject coefficient of variation was derived from six participants.

The coefficient selleckchem of variation for both the fastest time and mean time was 1.2%. Blood sampling and analysis Blood glucose was measured to examine any potential metabolic effects of CMR. A capillary blood sample was taken at baseline and during each 3 min recovery period of the LIST. Blood samples were obtained in EDTA prepared tubes (Microvette 5000, Sarstedt, Leicestershire) and placed in ice. Following completion of the trial, blood samples were analysed in duplicate using an automated analyser (YSI 2300 Stat Plus, YSI, Yellow Springs, Ohio). The coefficient of variation for 10 replicates for blood glucose was 3.2%. Psychological scales

As a tertiary measure we performed a series of psychological inventory throughout the trial to assess the effects of CMR on the participant’s subjective experiences. The perceived activation scale (FAS) was used to assess the participant’s perceived arousal [17]. The FAS is a six-point measure ranging from 1 (low arousal) to 6 (high arousal). Backhouse et al. [18] reported the FAS as a valid measure when examining supplementation interventions. The feeling scale (FS) was used to measure the dimension of pleasure-displeasure [19]. The FS is an 11 point scale which ranges from -5 to +5. Anchors are placed at 0 (neutral) and Verteporfin chemical structure at odd integers, ranging from +5 (very good) to -5 (very bad) [20]. The FS and FAS were administered at rest and immediately after each section of the LIST (Figure 1). The participant’s ratings of perceived exertion (RPE) were obtained using the Ratings of Perceived Exertion Scale [21]. The Ratings of Perceived Exertion Scale was administered immediately following each section of the LIST (Figure 1). Statistical analysis Data were analysed using a two-way repeated measures ANOVA. If sphericity was violated, a Greenhouse-Geisser correction was applied for epsilon < 0.

Briefly, the microarray featured 495 probes representing genes di

Briefly, the microarray featured 495 probes representing genes distributed throughout the C. botulinum Alaska E43 genome sequence and 5 additional probes PD0325901 specific for pCLL which encodes

the toxin gene cluster in strain 17B. Microarray spotting was performed by ArrayIt (Sunnyvale, CA) or onsite using an Omnigrid Micro microarrayer (Digilab, Holliston, MA). Genomic DNA was labeled 8-Bromo-cAMP chemical structure with Cy5 random primers and hybridized to the array as previously described [21]. The log of the ratio of the mean fluorescence signal at 635 nm for triplicate probes compared to background fluorescence (locations spotted with buffer alone) was calculated. Log ratios ≥ 1.0 were considered positive and those < 0.5 were considered negative. Log ratios between 0.5 and < 1.0 were considered intermediate likely due to nucleotide sequence variation [21]. Hybridization profiles were converted to binary data by assigning 1 to RG-7388 ic50 positive

probes and 0 to negative and intermediate probes. Profiles were compared using a UPGMA dendrogram generated with DendroUPGMA (http://​genomes.​urv.​cat/​UPGMA/​) and selecting the Jaccard coefficient. Microarray data were deposited in the Gene Expression Omnibus with series accession number GSE40271. Southern hybridization Genomic DNA was digested with XbaI for 1 h and run on a 1% TBE agarose gel. Alkaline transfer was performed using the TurboBlotter system (Whatman, Kent, ME). An 874 bp probe corresponding to the large rarA fragment was generated by PCR amplification with primers RarA-F and RarA-R (RarA-F, 5′-GCAAGCACAACTGAAAATCCT-3′; RarA-R, 5′-CTCGGCTTTTGTXCAATTCATTAG-3′) and labeled with the DIG DNA Labeling Cepharanthine and Detection kit (Roche, Indianapolis, IN). Hybridization was carried out at 42°C in standard hybridization buffer (5X SSC, 0.1% N-laurylsarcosine, 0.02%

SDS, 1% Blocking buffer (from DIG DNA Labeling and Detection kit). Mass spectrometric analysis Botulinum neurotoxin in culture supernatant CDC66177 was extracted and tested for light chain protease activity in a manner similar to that previously described [15], with the exception that 200 μL of culture supernatant was used for this study. Briefly, the neurotoxin was extracted from the culture supernatant using protein G beads coated with antibodies to BoNT/E. Following washing, the beads were then incubated for 4 h at 37°C with a peptide substrate known to be cleaved by BoNT/E in the presence of a reaction buffer. The reaction supernatant was then analyzed by MALDI-TOF mass spectrometry as described previously to determine the location of cleavage of the peptide substrate. The reaction supernatant was then completely removed from the beads, and the toxin on the beads was digested and analyzed by LC-MS/MS essentially as described previously [22], with the exception that an Orbitrap Elite was used in place of the fourier transform magnetic trap. Briefly, the beads with toxin attached were digested with trypsin and then chymotrypsin.

It is worthy of note that, first, all consumption information (nu

It is worthy of note that, first, all consumption information (numerators) that is needed to compute EP is gathered from readily observable sources, such as monthly utility bills. Second, local and personal effects about pricing policies, the value chains of the energy sources (e.g., buying green electricity) are captured in the translation factors (denominators). Finally, the extreme simplicity and round numbers build quantitative intuition and ease of use. Figure 1 illustrates the results in a graphical way, assuming representative values. Several observations are worth noting: Fig. 1 Consolidated monthly energy point (EP) budget of four cases:

family A in the Northeast spring (minimal heating expense), US average, family A in the NE winter month (max heating) and family B in the Southwest summer. Notice the high relative value of water EP 1. Allows cross-domain comparison and consolidation https://www.selleckchem.com/products/apo866-fk866.html Energy use of widely different activities can be presented on a common scale, thus allowing for easy comparisons and meaningful tradeoff decisions. For instance, electricity (kWh), heating (therms), car miles driven, and water use (gallons of water) are placed on the same scale.   2. One size does not fit all locations Precise

global or national averages do not lead to correct local priorities. Local conditions (climate, fuel mix in electricity generation, resource availability) have a strong impact, and as a result local approximations turn out to be better than global averages. For instance, while the cold temperate climates place a heavy weight on heating, scarcity places a high weight on water in hot, dry climates.   3. Personal context JPH203 in vivo matters Lifestyle factors determine the relative weights placed on the different categories and lead to materially different choices. For instance, buying a more fuel efficient hybrid

vehicle will have a much smaller impact on the EP footprint of Family A’s urban lifestyle (drive 150 miles per month) than Family B’s suburban lifestyle (drive 1,500 miles per month).   This Selleck MK5108 simple analysis highlights how the EP system can support a wide range of investment and 4��8C behavior decisions that would otherwise be made in an uninformed fashion. It is worthwhile to compare the values in Fig. 1 to other sustainability metrics such as greenhouse gas (GHG) emissions. A gallon of gasoline and a therm of natural gas can be converted readily to CO2 emissions using 11.2 kgCO2/gallon and 5.3 kgCO2/therm, while the conversion of electricity and water will depend on the local electricity mix. Armed with ‘personal translator’—Sustainability Babel Fish—and monthly bills, you are ready to benchmark your sustainability decisions across different domains. From capital decisions such as: what is best? LED lighting, drip irrigation, installing solar power, an electric car or attic insulation, to operational decisions such as carpooling with a given car versus turning the lights off or drip irrigation.

CT is important in diagnosing associated pathology such as lympha

CT is important in diagnosing associated IACS-10759 pathology such as lymphadenopathy, it is often not very successful in determining the specific cause of the intussusception, as the lead point in many

cases is small and often hidden within the intussuscepted mass [8]. All adult patients with intussusception will therefore require laparotomy. Resection is indicated in cases of large bowel intussusception, but reduction without resection may be an option in cases of small bowel involvement where the incidence of malignancy is not great and no abnormality of the small intestine is observed [9]. In conclusion, intussusception, although rare, should be considered when patients with blunt abdominal trauma present with insidious signs of obstruction. Consent Written informed consent was obtained for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. References 1. Begos selleck kinase inhibitor DG, Sandor A, Modlin IM: The diagnosis and management of adult intussusception. Am J Surg 1997, 173:88–94.CrossRefPubMed 2. Agha FP: Intussusception in adults. AJR Am J Roentgenol 1986, 146:531–7. 3. Daneman A, Alton D: Intussusception: Issues and controversies related to diagnosis and reduction. Radiol Clin North Am 1996,34(4):743–56.PubMed 4. Komadina R, Smrikolj V: Intussusception after blunt abdominal trauma. J Trauma 1998,

45:615–6.CrossRefPubMed 5. Stringer MD, Pablot SM, Brereton RJ: TCL Paediatric intussusception. Br J Surg 1992, 75:867–76.CrossRef 6. Prater JM, Olshemski FC: Adult intussusception. Am Fam Phys 1993, 47:447–452. 7. Holt S, Samuel E: Multiple concentric check details ring sign in the ultrasonographic diagnosis of intussusception. Gastrointest Radiol 1978, 3:307–9.CrossRefPubMed

8. Gayer G, Zissin R, Apter S, Papa M, Hertz M: Adult intussusception – a CT diagnosis. Br J Radiol 2002, 75:185–90.PubMed 9. Duncan A, Phillips TF, Sclafani SJ, et al.: Intussusception following abdominal trauma. J Trauma 1987, 27:1193–1198.CrossRefPubMed Competing interests The authors declare that they have no competing interests.”
“Stereotactic radiotherapy (SRT) for extracranial tumors has been referred to as stereotactic body radiation therapy (SBRT) or stereotactic ablative radiotherapy (SABR) and has been used recently to treat primary lung cancer and liver cancer [1]. The advantage of SBRT, with a smaller irradiated volume enabled by more precise set-up, is hypofractionated radiotherapy leading to a shorter treatment course of a week. Its clinical significance in both inoperable and operable T1N0M0 primary lung cancer has been reported throughout the world. Its advances in physics and technology are marvelous. However, its biological basis is still controversial, especially regarding whether the linear-quadratic (L-Q) model can be applied for this single high-dose radiotherapy. In this issue, Dr.