e to very short echo times 2τ) The PROJECT (Periodic Refocusing

e. to very short echo times 2τ). The PROJECT (Periodic Refocusing Of J Evolution by Coherence Transfer) approach uses a CPMG sequence with quadrature 90° pulses inserted in the middle of each double spin echo, and is based on the so-called

perfect echo [32] and [33]. The extra 90° pulses refocus J-evolution, for arbitrary τ in AX spin systems and for all spin systems if τJ ≪ 1. If diffusion weighting is added, for example by including field gradient pulses in each echo as in the PROJECTED (PROJECT Extended to DOSY) sequences of Fig. 2, then spin echo DOSY spectra may be obtained free of both exchange effects and J modulation if τk, τJ ≪ 1, where k is the exchange rate constant. The DOSY spectrum of Fig. 1a was acquired for PD-332991 a mixture of flavone and catechin. At first sight there appear to be two impurities present. In fact these signals Selumetinib are simply the flavone hydroxyl resonances, but their diffusion coefficients are increased by exchange with the small amount of (protio-) water present in the sample. As noted above, such signals are typically better dispersed than backbone proton signals, but serve only to confuse in the spectrum of Fig. 1a. If exchange effects are suppressed using the PROJECTED sequence (Fig.

2, first and last gradient pulses omitted, no 45° pulse), however, the assignment of the signals becomes obvious: hydroxyl and backbone signals alike align correctly in the diffusion domain, as shown in Fig. 1b. Of course the effect is not

limited to exchanging OH signals (which can, if appropriate, be suppressed by addition of D2O), but is general (and extends to magnetization exchange through the Overhauser effect). The use of PROJECT-based DOSY experiments is not limited to cases where exchange is a problem; if, as in small and medium-sized molecules, T2 is not too short, they can be significantly more sensitive than their STE counterparts, because the SE retains the full signal while the STE discards half. However, as there is signal loss due to T2 during the SE delay, for signals with a short T2 a compromise between degree of diffusion weighting and signal-to-noise ratio may be required. Other important examples of applications for PROJECTED include T2-filtered DOSY and convection compensation. T2-filtration is almost commonly used where broad signals, for example from polymers or proteins, obscure signals of interest, and is typically implemented in STE-based DOSY pulse sequences by adding CPMG sequences either before [34], or after [35] the STE element. With PROJECTED, diffusion encoding and T2-filtering can be performed simultaneously, minimising signal losses, sample heating and J-modulation. Convection compensation is a particularly attractive application. In STE-based DOSY experiments, convection compensation is normally achieved using a double stimulated echo (DSTE) [22], with a fourfold loss in signal compared to a SE experiment.

[31] Qian et al [32] have shown in a cardiac rodent model that p

[31] Qian et al. [32] have shown in a cardiac rodent model that pre-sensitisation with allogeneic RBCT causes accelerated graft rejection in the presence of complement and antibody binding to graft endothelium. Complement activation products and

quantitative changes in cytokines may be present within stored blood products [33] and [34]. Norda and colleagues found that stored plasma components may differ significantly in the amount and timing of complement activation http://www.selleckchem.com/products/BKM-120.html products, particularly C3a, which could specifically trigger pathological changes if pre-existing effector DSA is present. Theoretically cytokines and other factors present in blood products could also induce non-complement activating buy RAD001 DSA to class switch to IgG1 and/or IgG3 complement activating

antibodies. Mice models of transfusion related acute lung injury suggest that MHC class I specific antibody binding to nonhematopoietic cells drives complement activation and production of reactive oxygen species [35]. T cell allorecognition of allogeneic HLA molecules, present even in leucodepleted blood products, may be associated with specific and non-specific immune activation including increased cytokine production and cytotoxicity function. Whether exposure to RBCT in sensitised patients stimulates an increase in the absolute amount or breadth of DSA and/or class switching and complement binding was beyond the

scope of this study. Serially monitoring these changes would be informative however the frequency of sampling and interventions for management of rejection which alter antibody measurement confound interpretation. These putative adverse effects of peri-operative blood transfusion could be investigated further using in-vivo animal models. This data suggests that avoidance of peri-operative blood transfusion or, given the impossibility of eliminating all transfusion risk, establishing a new paradigm for RBCT in sensitised transplant recipients why should be considered. It is established that leucodepleted unmatched RBCT does not reduce sensitisation [23] and therefore selecting HLA matched blood with its significantly reduced risk of HLA specific antibody production may be particularly suited to patients with DSA [36]. The use of HLA matched blood transfusion products for renal transplantation patients is feasible and may be effective within a clinical setting [36] and [37]. Furthermore recipients with high levels of sensitization may even benefit from pre-operative storage of autologous blood products for use in the event of requiring a peri-operative blood transfusion [38].

W tym celu ZG PTP zwrócił się do innych towarzystw naukowych zain

W tym celu ZG PTP zwrócił się do innych towarzystw naukowych zainteresowanych pierwotną profilaktyką raka szyjki macicy o wydelegowanie swoich przedstawicieli do zespołu PD0332991 concentration oraz zaprosił do współpracy konsultantów krajowych w dziedzinie pediatrii i medycyny rodzinnej. W dniu 13 maja 2010 roku w Warszawie odbyło się robocze posiedzenie

Grupy Ekspertów, na którym przedyskutowano wstępną propozycję zaleceń przygotowanych na podstawie opublikowanych wyników najważniejszych badań klinicznych oraz innych istotnych danych (m.in. Charakterystyka Produktów Leczniczych) zaproponowanych przez członków Grupy. Nie stosowano systematycznego przeglądu piśmiennictwa, a prace nad zaleceniami polegały na uzyskaniu konsensusu w drodze dyskusji, bez zastosowania jakiejkolwiek formalnej metody. Roboczą wersję dokumentu rozesłano następnie do członków

Grupy, którzy drogą poczty elektronicznej zgłosili swoje uwagi i propozycje zmian. Następnie wprowadzono proponowane modyfikacje do dokumentu, a jego ostateczną wersję każdy z członków this website Grupy zaakceptował drogą poczty elektronicznej. Zarząd Główny Polskiego Towarzystwa Pediatrycznego oraz zaproszone towarzystwa naukowe, które delegowały swoich przedstawicieli do Grupy, sfinansowały z własnych środków opracowanie zaleceń – nie były one finansowane przez żadnego z producentów szczepionek. Rak szyjki macicy w Polsce (podobnie jak na świecie) jest drugim co do częstości występowania (po raku piersi) nowotworem złośliwym u kobiet pomiędzy 15. a 44. rokiem życia [1]. W Polsce w 2007 roku rozpoznano raka szyjki macicy u 4057 kobiet, a 1907 kobiet zmarło z tego powodu. Wskaźniki zapadalności i umieralności utrzymują się na stałym poziomie od kilku lat i Thiamine-diphosphate kinase w 2007 roku wyniosły

odpowiednio 20,6/100 tys. (współczynnik standaryzowany: 14,4/100 tys.) i 9,7/100 tys. (współczynnik standaryzowany 5,9/100 tys.) [2]. Udowodniono, że czynnikiem wywołującym raka szyjki macicy jest ludzki wirus brodawczaka (human papillomavirus) [3, 4, 5]. Światowa Organizacja Zdrowia (WHO) uznała typy HPV 16 i 18 za czynnik rakotwórczy dla człowieka [6]. Za wyjaśnienie mechanizmu onkogenezy HPV Harald zur Hausen otrzymał w 2008 roku nagrodę Nobla [7]. Spośród ponad stu chorobotwórczych dla człowieka typów HPV, około czterdzieści wykazuje powinowactwo do nabłonka narządu płciowego kobiety. Wśród nich wyróżniono typy wysoce onkogenne (16 i 18 oraz 45, 31, 33, 52, 58, 35, 59, 56, 39, 51, 73, 68 i 66) i typy o małym ryzyku onkogennym (między innymi 6 i 11, które są główną przyczyną brodawek narządów płciowych). Trzy najczęstsze typy HPV 16, 18 i 45 związane są z ponad 70% przypadków raka płaskonabłonkowego szyjki macicy i aż 90% przypadków raka gruczołowego [8] (tab. 1). HPV szerzy się drogą kontaktów seksualnych, a do zakażenia dochodzi zazwyczaj już w początkowym okresie po rozpoczęciu aktywności seksualnej (najczęściej u młodych kobiet w wieku 20–24 lat) [9].

In this study, however, even in the acral lentiginous melanomas <

In this study, however, even in the acral lentiginous melanomas PI3K inhibition showing the highest proportional number of cases of cyclin D1 increase in relation to ROC1 (40%), ROC1/cyclin D1 was not associated with melanoma histological type or Breslow thickness. This shows that ROC1 expression alteration may be an event of melanoma oncogenesis not related to histological type. Even

if a correlation of ROC1/cyclin D1 relationship with Breslow thickness does not occur, the large number of cases with ROC1 expression higher than that of cyclin D1 among melanomas <2 mm in thickness may show a stage during which the host response is still effective in restraining tumor progression. Of the 20 melanoma cases with proportional ROC1 and cyclin D1 expressions (32.3%), amplification of the CCND1 gene was seen in only two. In the melanocytic nevus group, both proteins were proportionally expressed in six cases (10.3%), and none of them showed gene amplification. In the non-amplified melanocytic nevi

with proportional ROC1/cyclin Alectinib solubility dmso D1, cyclin D1 was expressed in <25% of cells and in most cases. On the other hand, in the melanoma group, only five cases showed cyclin D1 in <25% of cells, while six cases exhibited cyclin D1 expression in >50% of cells associated with ROC1 expression also in >50% of the cells. This finding suggests that, despite a ROC1 expression decrease in some cases, cyclin D1 levels in melanocytic nevi remained unchanged possibly due to a predominating cyclin D1 gene expression control mechanism. In melanomas, Glutathione peroxidase the mechanism regulating cyclin D1 expression may be something other than gene expression increase and ubiquitination failure. It might include the deficiency of other proteins involved in cyclin

ubiquitination, such as cullins proteins. In most melanocytic nevi, ROC1 protein was expressed by >75% of cells. Deficient ROC1 expression was associated with skin melanomas, where ROC1 expression negatively correlated with cyclin D1 expression, demonstrating the leading role of ROC1 in cyclin D1 degradation within these tumors. The ROC1/cyclin D1 expression relationship correlated with neoplasia type. In melanocytic nevi, there was a predominance of increased ROC1 in relation to cyclin D1 expression, whereas in the melanoma group, about one fourth of the cases showed increased cyclin D1 as compared to ROC1 expression. Neither ROC1 levels nor the ROC1/cyclin D1 expression relationship correlated with Breslow thickness or melanoma histological type. However, studies including a larger number of cases with 1.01–2-mm-thick melanomas and acral lentiginous melanomas are necessary to determine whether these parameters actually correlate.

As an area has a larger probability of rainfall than a point, the

As an area has a larger probability of rainfall than a point, the wet fraction should be larger for a time series from Selleckchem LBH589 a GCM grid cell than from a station. The scale effect is, however, difficult to quantify and therefore we neglect it here and use the observed local wet fraction as a target for the GCM data. Thus simulated and observed daily rainfall was sorted in descending order and a cut-off value was defined as the threshold that reduced the percentage of wet days

in the GCM data to that of the observations. Days with rainfall amounts larger than the threshold value were considered as wet days and all other days as dry days (Yang et al., 2010). In the second step of DBS, the remaining non-zero rainfall was transformed to match the observed cumulative probability distribution in the reference data by

fitting gamma distributions to both observed and simulated daily rainfall. DBS applies a gamma distribution because of its documented ability to represent the typically asymmetrical and positively skewed distribution of daily rainfall intensities (Haylock et al., 2006). The density distribution of the two-parameter gamma distribution is expressed as: equation(1) f(x)=(x/β)α−1exp(−x/β))βΓ(x) x,α,β>0where α is the shape parameter, β is the scale parameter and Γ(x) is the gamma function. As the distribution of daily rainfall values is heavily skewed towards low intensities, distribution parameters estimated by e.g. maximum likelihood will be dominated by the most frequently occurring values and fail to accurately describe selleck inhibitor extremes.

To capture the characteristics Smoothened of normal rainfall as well as extremes, in DBS the rainfall distribution is divided into two partitions separated by the 95th percentile. Two sets of parameters – α, β representing non-extreme values and α95, β95 representing extreme values – were estimated from observations and the GCM output for the reference period 1975–2004. These parameter sets were in turn used to bias-correct daily rainfall data from GCM outputs for the entire projection period up to 2099 using the following equations: equation(2) PDBS=F−1(αObs,βObs,F(P,αCTL,βCTL))if P<95th percentile valuePDBS=F−1(αObs,95,βObs,95,F(P,αCTL,95,βCTL,95))if P≥95th percentile valuewhere P denotes daily precipitation values of the GCMs and PDBS stands for the DBS bias corrected daily precipitation data. The suffix Obs denotes parameters estimated from observations in the reference period and the suffix CTL denotes parameters estimated from the GCM output in the reference period. F represents the cumulative gamma probability distribution associated with the probability density function f (see equation 1). To take seasonal dependencies into account, the parameter sets were estimated for each season separately: pre-monsoon (March–May), Southwest monsoon (June–September), post-monsoon (October–November) and winter (December–February).

A genetic basis has been proposed for PCOS because the prevalence

A genetic basis has been proposed for PCOS because the prevalence of this disease is higher among family members [12] and [13]. However,

the heterogeneous clinical presentation of PCOS, especially concerning the presence selleck inhibitor of central adiposity, overweight, and obesity, is indicative of a complex interaction between genetic and environmental factors [7]. In this sense, differences in dietary intake between women with PCOS and healthy controls have been described [14], as well as a tendency to overeat, particularly sweet or starchy foods [15]. In Brazil, the highest rates of obesity and overweight in women (14.4% and 42.4%, respectively) occur in the South [16]; but few data are available concerning the implications of lifestyle and dietary pattern on the prevalence of obesity and insulin resistance in PCOS [9], [14], [17] and [18]. In addition, despite the substantial evidence supporting an effect of underweight and selleckchem excess weight on fertility [17], little is known about the influence of dietary quality on metabolic and endocrine control

in PCOS [19]. Nevertheless, weight loss has consistently been shown to improve the clinical status of PCOS women [18] and [20]. Taking all these into consideration, we hypothesized that dietary intake is associated with insulin resistance, lipid profile, and hormone abnormalities in a sample of women with PCOS from the South of Brazil. To test this hypothesis, we designed a case-control study to assess dietary composition, body fat, and hormonal

and metabolic variables related to insulin resistance in patients with PCOS and in a group of ovulatory, nonhirsute, BMI-matched women. Understanding the interaction between dietary factors and PCOS could provide useful insights for the management of obesity and metabolic abnormalities in affected women. This case-control study was carried out with patients from the Gynecological Endocrinology Unit at Hospital de Clínicas de Porto Alegre, Brazil. Forty-three Non-specific serine/threonine protein kinase hirsute women of reproductive age presenting oligo/amenorrheic cycles (≤9 cycles per year), increased serum testosterone levels and/or free androgen index (FAI), and absence of other disorders causing hirsutism [7] and [21] were included in the PCOS group. Thirty-seven BMI- and race-matched nonhirsute women with regular and ovulatory cycles (luteal phase progesterone levels >3.8 ng/mL) were recruited to participate in the study as a control group. None of the women from either group had received any drugs known to interfere with hormone levels for at least 3 months before the study. Women with a BMI higher than 40 kg/m2 or type 2 diabetes were excluded.

For this purpose, we assayed the effects of the green dwarf banan

For this purpose, we assayed the effects of the green dwarf banana flour and their combination with prednisolone in preventing the acute inflammatory response induced by trinitrobenzensulphonic acid (TNBS). In this experimental model, macroscopic, microscopic, and biochemical parameters were evaluated. All chemicals were supplied by Sigma

(St Louis, Mo) and were freshly prepared for each animal administration or biochemical evaluation. Sirolimus The enriched diet with green dwarf banana flour was manufactured in the School of Medicine, São Paulo State University, UNESP, São Paulo, Brazil. Green dwarf banana fruits (Musa spp AAA) were collected in Botucatu City, São Paulo, Brazil, in December 2010. The plant was identified by taxonomists from Irina Felanova Gemtchjnicov Herbarium (Institute of Biosciences, São Paulo State University,

UNESP), where a voucher specimen was deposited. After collection, the green banana fruits were AZD6244 washed, chopped, and dried at 50°C for 72 hours in a hothouse with forced air circulation and renewal. After drying, the dried fruits were powdered to produce flour. For the preparation of the enriched diet, the flour was added at a ratio of 10% and 20% in previously sprayed Labina-Purine food for rodents. After homogenization, water was added to produce a paste. The paste was then placed in a pelletizer to produce diet pellets containing 10% or 20% green dwarf banana flour. The ingredient composition of the diets was calculated from the major nutrients of the normal Labina-Purine, taking into account the addition of 10% or 20% green dwarf banana flour aminophylline (Table 1). Male Wistar rats (weighing 180-200 g) from the Central Animal House, São Paulo State University–UNESP, Botucatu, São Paulo, Brazil, were housed in standard environmental conditions (21°C, 60%-70% humidity) under a 12-hour

light/dark cycle and air filtration. The animals had free access to water and food (Purina-Labine, São Paulo, Brazil). All experimental protocols met the Guidelines of Animal Experimentation approved by the Commission of Ethics in Animal Experimentation (protocol number 042/04-CEAE), Institute of Biosciences, São Paulo State University–UNESP. The rats were randomly assigned into 9 groups with 8 animals each. Two of the groups, a noncolitic group and a colitic group, received no treatment. Two additional noncolitic groups received an enriched diet with 10% and 20% dwarf banana flour for 21 days. Two colitic groups received an enriched diet with 10% and 20% dwarf banana flour for 14 days before colitis induction and 7 days thereafter. Two additional colitic groups received the enriched diet in the same conditions listed previously plus treatment with prednisolone administered at a dosage of 2 mg/kg for 3 days before colitis induction and 7 days thereafter. For comparison, the remaining group received only prednisolone (5 mg/kg) for 3 days before colitis induction and 7 days thereafter.

The lyophilized purified toxin was stored at −20 °C until require

The lyophilized purified toxin was stored at −20 °C until required. Two-dimensional chromatography consisted of the fractionation of A. natalensis venom by means of cation-exchange chromatography (CIEX) followed by sub-fractionations by means of reverse phase chromatography (RPC). An ÄKTA Explorer 100 HPLC platform (GE Healthcare), controlled by UNICORN 4.11, was employed. Fractions were collected with an automated fraction

collector Frac920 (GE Healthcare). Elution was monitored by absorbance readings at 214 and 280 nm. For the CIEX step, a TSK-Gel CM-SW column (15 cm × 4.6 mm – Tosoh Biosep) was equilibrated with 50 mM sodium-acetate buffer at pH 5 Cyclopamine clinical trial (eluent A) at a flow rate of 0.75 mL/min. Venom samples (dry weight, 2 mg) were dissolved in buffer A and loaded onto the column. Elution was achieved using a linear salt gradient (0–1 M NaCl in 50 mM sodium-acetate buffer at pH 5 – eluent B) applied to the column at a rate of 10 mM/min.

For the RPC step, a monolithic column RO4929097 molecular weight (Chromolith Performance RP-18 100 mm × 4.6 mm) was equilibrated with 0.1% TFA aqueous solution (eluent A) at a flow rate of 5.0 mL/min. The fractions of interest obtained in the previous step were loaded onto the column. Elution was achieved by means of a linear gradient (0–100%) of 0.1% TFA in acetonitrile, in 11.5 min. Samples obtained through this strategy were subjected to electrophysiological assays. This strategy consisted of the purification of μ-TRTX-An1a by means of iterative (two-step) fractionation of A. natalensis by RPC. It employed an HPLC system (Shimadzu Co.) equipped with one detection (UV-VIS SPD-10A), two chromatographic (LC-10AD) and one registering module (C-R6A). The crude venom of A. natalensis was weighed and diluted in 0.1% (v/v) TFA aqueous solution at an

approximate concentration of 1 g L−1. The RPCs were performed on a Source™ 5 4.6/150 (Pharmacia Biotech) column, at a flow of 1.0 mL min−1. The column was equilibrated with 0.1% TFA aqueous solution (eluent A) Adenosine and 1 mL of the sample loaded onto the column. Elution was achieved by means of a linear gradient (0–40%) of 0.1% TFA in acetonitrile (ACN) (eluent B), with a slope of 1% min−1. Samples obtained by means of this strategy were subjected to primary structure assays. Disulfide bridge reduction and cysteine residue alkylation of μ-TRTX-An1a were performed using two different protocols (A and B), as described below. (A) Approximately 100 μg of μ-TRTX-An1a were dissolved in 100 mM NH4HCO3 (pH 8), incubated with DTT (25 mM final concentration) and 6 M guanidine chloride at 70 °C for 1 h and then incubated with iodoacetamide (50 mM final concentration) at 37 °C for 1 h, in the absence of light (Aitken and Learmonth, 2002). Samples derivatized by means of this protocol were re-chromatographed through RP-HPLC (LC10 AD VP, Shimadzu Co.

, 1998) In Gulf killifish and sea trout, our findings were

, 1998). In Gulf killifish and sea trout, our findings were PTC124 supplier the same: the response to oil exposure was a decreased number of circulating lymphocytes, which makes fish more susceptible to infectious diseases. Laboratory studies of the effects of petroleum products on fish immune responses were conducted before the Deepwater Horizon disaster and findings include increased or decreased macrophage respiratory burst, depending on the chemical, the amount used and the fish species (reviewed in (Reynaud and Deschaux, 2006)). Expression analysis of immune related genes following petroleum exposure showed that they were up-regulated (Bowen et al., 2007). Genomic analysis

of Gulf killifish liver tissue demonstrated that the oil exposure caused significant biological changes (Whitehead et al., 2011). RNA-Sequence analysis of Gulf killifish from another oil-exposed site indicated that the circulating (peripheral) leukocytes were undergoing immune stress (Garcia et al., 2012). Historically,

sampling surveys demonstrated that fish from polluted waters had a higher incidence of lesions. More specifically, hydrocarbon exposure results in decreased mucus production and increased epidermal lesions and parasitism as well as impaired function of many immune responses (reviewed in Austin, 1999). Alligator gar are large, euryhaline fish that can be found throughout Gulf coastal and in-land waters. They were selected as a target species because they are bi-modal breathers Fludarabine mouse and could be exposed to emulsified this website or surface contaminants. Gar are also a top-predator and may demonstrate accumulated effects of oil in the ecosystem. However, they may not demonstrate the effects seen in the other estuarine fish because they cover expansive areas and move in and out of contaminated waters. This is probably why peripheral blood smears from alligator gar in Terrebonne Bay appeared normal. Conversely, Gulf killifish live in marshes, and usually stay in a localized area (McClane, 1978). They occupy a niche that is very vulnerable to contamination, and would remain there during the

spill. It is likely this is why peripheral blood leukocyte changes were observed in these fish. After the Gulf oil spill, surface water analyses conducted by the US Environmental Protection Agency (EPA) and the Mississippi Department of Environmental Quality (MDEQ) determined that daily air and water quality was within normal ranges at monitoring sites along the MS Gulf Coast (Beasley et al., 2012). During the spill, the majority of oil was emulsified and entered the deep waters of the Gulf (Camilli et al., 2010). A large sub-surface plume was followed for months. This plume contained an amount of petroleum hydrocarbon that was double the amount of naturally occurring seepage (Camilli et al., 2010). Damaged and killed coral beds in the path of the predicted deep-water oil plume demonstrated these systems were specifically impacted by Macondo oil (White et al.

Under the SEA Directive, an environmental assessment is mandatory

Under the SEA Directive, an environmental assessment is mandatory for all plans and programmes that require an assessment pursuant to Article 6 or 7 of the Habitats Directive for the protection of Natura 2000 sites. The SEA Directive also requires that a Member State shall forward a copy of a draft plan or programme and the relevant environmental reports to other Member States, when the plan selleck chemical or programme is likely to have significant transboundary

effects on the environment, and shall enter into consultation at the request of other Member States concerning the transboundary effects of implementing the plan or programme ( Table S1, Supplementary Material). This provision creates incentives for cross-border consultation and cooperation in addressing the transboundary environmental impacts of national marine plans [25]. The most recent policy driver for the protection www.selleckchem.com/products/MLN-2238.html of the marine environment is the MSFD, which represents an ecosystem-based approach towards marine management and governance, aiming towards achieving ‘good environmental status’ (GES). Together with the Water Framework Directive, the MSFD represents a framework through which other EU sectoral directives can be linked, providing integrated management from the catchment through the coast to open marine

ecosystems [26]. The ‘framework’ nature of the MSFD is reflected in the eleven descriptors for determining GES, which cover the most important maritime sectors and their impacts on marine ecosystems (Table S1, Supplementary Material). From the Birds Directive to the SEA Directive and the MSFD, there

is a clear trend of mainstreaming environmental concerns into wider planning and development programmes in European next legislation. The MSFD strengthens the commitment to designate a network of MPAs across Europe, by requiring Member States to implement spatial protection measures that contribute to ‘coherent and representative networks of marine protected areas (MPAs)’ (Article 13 Programme of Measures). Establishing coherent and representative networks of MPAs is the only explicit requirement under Article 13, forming a core element in delivering the ecosystem-based approach envisaged in the MSFD. Such networks of MPAs include marine Natura 2000 sites, but the MSFD requirement for coherent and representative networks of MPAs implies that protection needs to be extended beyond marine features listed under the Habitats and Birds Directives, as these were not designed to lead to coherent and fully representative MPA networks. This suggests that MPAs of national importance need to be designated by Member States to complement the existing Natura 2000 network, leading to coherent and representative networks of MPAs across Europe.