7% (1 0% to 8 4%) in the placebo group Timed walk responders sho

7% (1.0% to 8.4%) in the placebo group. Timed walk responders showed greater improvement in 12-item multiple sclerosis walking scale scores (-6.84, 95% CI-9.65 to -4.02) than timed walk non-responders (0.05, -1.48 to 1.57; p=0.0002). Safety data were consistent with previous studies.

Interpretation Fampridine improved walking ability in some people with multiple sclerosis. see more This improvement was associated with a reduction of patients’ reported ambulatory disability and is a clinically meaningful therapeutic benefit.”
“Background Atrial fibrillation contributes to substantial increases in morbidity and mortality. We aimed

to develop a risk score to predict individuals’ absolute risk of developing the condition, and to provide a framework for researchers to assess new risk markers.

Methods We assessed 4764 participants in the Framingham Heart Study from 8044 examinations (55% women, 45-95 years of age) undertaken between June, 1968, and September,

1987. Thereafter, participants were monitored for the first event of atrial fibrillation for a maximum of 10 years. Multivariable Cox regression identified clinical risk factors associated with development of atrial fibrillation in 10 years. Secondary analyses incorporated routine echocardiographic measurements (5152 participants, 7156 examinations) to reclassify the risk of atrial fibrillation and to assess whether these measurements improved risk prediction.

Findings 457 (10%) of the 4764 participants developed atrial fibrillation. Age, sex, body-mass AZD2281 index,

systolic blood pressure, treatment for hypertension, PR interval, clinically significant cardiac murmur, and heart failure were associated with atrial fibrillation and incorporated in a risk score (p<0.05, except body-mass index p=0.08), clinical model C statistic 0.78 (95% Cl 0.76-0.80). Risk of atrial fibrillation in 10 years varied with age: more than 15% risk was recorded in 53 (1%) participants younger than 65 years, compared with 783 (27%) older than 65 years. Additional incorporation of echocardiographic DAPT measurements to enhance the risk prediction model only slightly improved the C statistic from 0.78 (95% CI 0.75-0.80) to 0.79 (0.77-0.82), p=0.005. Echocardiographic measurements did not improve risk reclassification (p=0.18).

Interpretation From clinical factors readily accessible in primary care, our risk score could help to identify risk of atrial fibrillation for individuals in the community; assess technologies or markers for improvement of risk prediction, and target high-risk individuals for preventive measures.”
“Background Conventional meta-analyses have shown inconsistent results for efficacy of second-generation antidepressants. We therefore did a multiple-treatments meta-analysis, which accounts for both direct and indirect comparisons, to assess the effects of 12 new-generation antidepressants on major depression.

Mechanisms may include indirect effects, e g Involving the uroth

Mechanisms may include indirect effects, e.g. Involving the urothelium, and direct action on nAChR expressed by afferent neurons. Here we determined the nAChR repertoire of bladder afferent neurons by retrograde neuronal tracing and laser-assisted microdissection/reverse transcriptase polymerase chain reaction (RT-PCR), and quantified retrogradely labelled nAChR alpha 3-subunit-expressing neurons by immunohistochemistry in nAChR alpha 3 beta 4 alpha 5 cluster enhanced green fluorescent protein (eGFP) reporter mice. Bladder afferents distinctly expressed mRNAs encoding for nAChR-subunits alpha 3, alpha 6, alpha 7, beta 2-4, and weakly alpha 4. Based

upon known combinatorial patterns of subunits, this predicts the expression of at least three basically different subunits of nAChR – alpha 3* alpha 6* and alpha 7* – and of additional combinations with beta-subunits and alpha 5. Bladder afferents were of all sizes, and their majority (69%; n = 1367) were eGFP-nAChR alpha 3 CHIR-99021 nmr positive. Immunofluorescence revealed immunoreactivities to neurofilament 68 (NF68), transient receptor potential cation channel vanilloid 1 (TRPV1), substance P (SP) and calcitonin gene-related peptide

(CGRP) In eGFP-nAChR alpha 3-positive and -negative neurons. For each antigen, all possible combinations of colocallsation with eGFP-nAChR alpha 3 were observed, with eGFP-nAChRa3-positive bladder neurons without additional www.selleckchem.com/products/pd-0332991-palbociclib-isethionate.html immunoreactivity being most numerous, followed by triple-labelled neurons. In conclusion, more than one population of bladder afferent neurons expresses nAChR, indicating that peripheral nicotinic initiation and modulation

of bladder reflexes might result, in addition to indirect effects, from the direct activation of sensory terminals. The expression of multiple nAChR subunits offers the potential of selectively addressing functional aspects and/or sensory neuron subpopulations. (C) 2012 IBRO. Published by Elsevier Ltd. All rights reserved.”
“Vaccinia virus (VACV) L1 is a myristoylated envelope protein which is required for cell entry and the fusion of infected cells. L1 associates with members of the entry-fusion complex (EFC), but its specific role in entry has not been delineated. We recently demonstrated (Foo CH, et al., Virology 385:368-382, 2009) that soluble L1 binds to cells and blocks entry, suggesting that L1 heptaminol serves as the receptor-binding protein for entry. Our goal is to identify the structural domains of L1 which are essential for its functions in VACV entry. We hypothesized that the myristate and the conserved residues at the N terminus of L1 are critical for entry. To test our hypothesis, we generated mutants in the N terminus of L1 and used a complementation assay to evaluate their ability to rescue infectivity. We also assessed the myristoylation efficiency of the mutants and their ability to interact with the EFC. We found that the N terminus of L1 constitutes a region that is critical for the infectivity of VACV and for myristoylation.

The results also showed that prior treatment with bortezomib was

The results also showed that prior treatment with bortezomib was associated with shorter median PFS and OS. Progression during thalidomide therapy was the only significant independent predictor for OS and that the presence of del(13) and hemoglobin levels <10 g per 100 ml were prognostic factors for ORR and PFS, but not OS, in these heavily pretreated relapsed or refractory MM patients treated with lenalidomide plus dexamethasone. Leukemia (2010) 24, 623-628; doi:10.1038/leu.2009.273;

published online 14 January 2010″
“Specific microRNA (miRNA) signatures have been associated with different cytogenetic subtypes in acute leukemias. This finding prompted PRT062607 nmr us to investigate potential associations between genetic abnormalities in multiple myeloma (MM) and singular miRNA expression selleck profiles. Moreover, global gene expression profiling was also analyzed to find correlated miRNA gene expression and select miRNA target

genes that show such correlation. For this purpose, we analyzed the expression level of 365 miRNAs and the gene expression profiling in 60 newly diagnosed MM patients, selected to represent the most relevant recurrent genetic abnormalities. Supervised analysis showed significantly deregulated miRNAs in the different cytogenetic subtypes as compared with normal PC. It is interesting to note that miR-1 and miR-133a clustered on the same chromosomal loci, were specifically over-expressed in the cases with t(14;16). The analysis of the relationship between miRNA expression and their respective target genes showed a conserved inverse correlation between several miRNAs deregulated in MM cells and CCND2 expression level. These results illustrate, for the first time, that miRNA expression pattern in MM this website is associated with genetic abnormalities,

and that the correlation of the expression profile of miRNA and their putative mRNA targets is useful to find statistically significant protein-coding genes in MM pathogenesis associated with changes in specific miRNAs. Leukemia (2010) 24, 629-637; doi:10.1038/leu.2009.274; published online 7 January 2010″
“This study seeks to investigate neural activity during a deceptive evaluation process. Attractive and unattractive facial photos were presented to participants who were then asked to evaluate and respond to these photos according to different cues (truthfulness or deceptiveness). Behavioral and event-related potential (ERP) activities were recorded while participants offered their truthful or deceptive responses based on their evaluations. Consistent with previous results on the old/new paradigm, deceptive responses required greater cognitive endeavor, as indicated by a larger later positive component (LPC). Meanwhile, deceptive responses on attractive items were more easily offered than deceptive replies on unattractive items, as indicated by smaller LPCs.

In a subsequent experiment, the aphasic patients’ performance imp

In a subsequent experiment, the aphasic patients’ performance improved

when HF probes and targets were presented alongside low frequency distracters, supporting this hypothesis. An additional study with healthy participants used dual task methodology to examine the impact of divided attention on synonym judgement. Although frequently Selleckchem SU5402 encountered words were processed more efficiently overall, the secondary task selectively disrupted performance for high but not low frequency trials. Taken together, these results show that positive effects of frequency are counteracted in SA by increases in semantic control requirements for HF words. (C) 2012 Elsevier Ltd. All rights reserved.”
“The pregenomic RNA (pgRNA) of hepatitis B virus (HBV) serves as the messenger for both core and P proteins, with the downstream P gene translated by ribosomal leaky scanning. HBV replication begins with packaging of the pgRNA and P protein into core protein particles, followed by conversion of RNA into DNA. Genotype G has a low replication capacity due to a low pgRNA level. It has a 36-nucleotide (nt) insertion in the 5′ end of the core gene, adding 12 residues to the core protein. The insertion is needed to maintain efficient core protein expression and genome replication but causes inefficient virion secretion yet high maturity of virion DNA.

In the present study, we confirmed that the 36-nt insertion had similar effects on

core protein expression and virion secretion when it was introduced into genotype A and D clones but no learn more impact on virion Tacrolimus (FK506) genome maturity. Surprisingly, the insertion impaired genome replication in both genotypes. Transcomplementation assays suggest that increased efficiency of core protein translation diminishes ribosomal scanning toward the downstream P gene. Indeed, mutating the core gene Kozak sequence restored core protein to lower levels but increased replication of the insertion mutant. Similar mutations impaired replication in genotype G. On the other hand, replacement of the core promoter sequence of genotype G with genotype A sequence increased pgRNA transcription and genome replication, implicating this region in the low replication capacity of genotype G. Why the 36-nt insertion is present in genotype G but absent in other genotypes is discussed.”
“Information that is congruent with existing knowledge (a schema) is usually better remembered than less congruent information. Only recently, however, has the role of schemas in memory been studied from a systems neuroscience perspective. Moreover, incongruent (novel) information is also sometimes better remembered. Here, we review lesion and neuroimaging findings in animals and humans that relate to this apparent paradoxical relationship between schema and novelty.

This problem persists even with a high

This problem persists even with a high selleck chemicals llc degree of relatedness between group members; an optimal, intermediate group size exists that maximizes

the probability to produce the collective good. (C) 2009 Elsevier Ltd. All rights reserved.”
“Most CNS diseases begin with inflammation with subsequent neural damage eventually occurring; however, the process leading from the onset of inflammation to neural damage remains obscure. We used an artificial brain injury mouse model and examined how neural damage occurred in the brain parenchyma. The damaged area in each mouse was clearly observed by magnetic resonance imaging (MRI), and the progression of damage was Captisol nmr observed to occur in a biphasic manner (acute

damage, within 1 week; delayed damage, after 2 weeks). We found that the delayed neural damage was absent in iNOS-deficient mice (iNOS-KO mice). Then, we analyzed brain tissues and determined that delayed neural damage was accompanied by an increase in the levels of NO end products and iNOS expression, with accumulation of iNOS-expressing microglia around the injured area. In addition, the expression of IL-1 beta mRNA was increased in areas affected by acute damage, but not in those affected by delayed damage. These findings suggest that delayed neural damage might arise from NO production by iNOS-expressing activated microglia and that such activated microglia might become a therapeutic target for many CNS diseases. (C) 2010 Elsevier Ireland Ltd. All rights reserved.”
“Understanding how species distribution (occupancy and spatial autocorrelation) and association (that is, multi-species co-distribution) change across scales is fundamental to unlocking the pattern formation in population ecology and macroecology. Based on the Bayesian rule and join-count statistics,

I present here a mathematical model that can demonstrate the effect of spatial scale on the observation of species distribution and association. Results showed that the intensity of spatial autocorrelation and species association declines when the grain in the spatial analysis increases, although the category of species distribution (aggregated MycoClean Mycoplasma Removal Kit or segregated) and association (positive or negative) remains the same. Random distribution and species independence were proved to be scale-free. Regardless of the possible patterns of species distribution and association, species tend to be randomly distributed and independent from each other when scaling-up (an increasing grain), reflecting a percolation process. This model, thus, grasps the statistical essence of species scaling pattern and presents a step forward for unveiling mechanisms behind species distributional and macroecological patterns. (C) 2009 Elsevier Ltd. All rights reserved.

Results Results showed that modafinil-treated mice behaved simila

Results Results showed that modafinil-treated mice behaved similarly as vehicles in the spatial SSD task, whereas in contrast, memory of the first-learned discrimination (D1) in the CSD task was enhanced by a 32- but

not a 16-mg/kg modafinil dose. Hence, we studied the effect of a pretest acute stress (electric footshocks) specifically on D1 performance in modafinil-treated subjects. Immediately after behavioral testing, blood was sampled to measure plasma corticosterone levels.

Conclusions Results showed that: (1) stress significantly improved performance in vehicles, (2) stress decreased the efficiency threshold of modafinil, as performance was enhanced at the low dose (16 mg/kg), whereas this enhancement was obtained for the high dose (32 mg/kg) under nonstress conditions, (3) the performance was Selleck Volasertib impaired at the high (32 mg/kg) dose, and (4) modafinil significantly reduced the magnitude of the stress-induced corticosterone

secretion, mainly at the dose of 32 mg/kg.”
“Purpose: There are still few effective therapeutic options for advanced prostate cancer. One of the most troublesome aspects of prostate cancer is that androgen dependent prostate cancer inevitably progresses to highly aggressive, life threatening castration resistant prostate cancer after androgen ablation therapy. To our knowledge it remains unknown how sensitivity to docetaxel changes during progression to more aggressive castration resistant prostate cancer under androgen ablation.

Materials and Methods: We investigated sensitivity to docetaxel and phosphorylated Akt status in C4-2 and C4-2AT6 cells established at our institution.

Results: PF477736 in vitro C4-2AT6 cells established under androgen ablation conditions for 6 months showed significantly higher resistance to docetaxel than C4-2 cells in vivo and in vitro. Resistance was accompanied by increased phosphorylated Akt. In C4-2AT6 cells phosphorylated during Akt activity was significantly up-regulated by docetaxel in a dose dependent manner. After treatment with docetaxel and a phosphatidylinositol 3-kinase/Akt inhibitor the sensitivity of C4-2AT6 cells to docetaxel markedly

increased through enhanced apoptotic death.

Conclusions: Findings indicated that up-regulation of phosphorylated Akt during androgen ablation and its further activation by docetaxel explains at least in part the resistance to docetaxel and progression to castration resistant prostate cancer under androgen ablation conditions.”
“Neurons in the subthalamic nucleus occupy a pivotal position in the circuitry of the basal ganglia. They receive direct excitatory input from the cerebral cortex and the intralaminar nuclei of the thalamus, and directly excite the inhibitory basal ganglia output neurons in the internal segment of the globus pallidus and the substantia nigra. They are also engaged in a reciprocal synaptic arrangement with inhibitory neurons in the external segment of the globus pallidus.

Subsequently, the procedure was implemented in a patient with a g

Subsequently, the procedure was implemented in a patient with a giant fusiform internal carotid artery aneurysm.

TECHNIQUE: A straight line was drawn anteriorly from the V2/V3 apex along the inferior edge of V2. The IMAX was found 8.6 mm on average anteriorly from the lateral edge of the foramen rotundum. We drilled to a depth of 4.2 mm on average to find the medial extent of the artery and then Fedratinib in vitro lateral and deep

drilling exposed an average of 7.8 mm of graft. The IMAX was consistently found running just anterior and parallel to a line between the foramens rotundum and ovale. In the clinical case presented, both intra-operative indocyanine green and postoperative conventional angiography revealed a patent graft. The patient did well clinically without any new deficits.

CONCLUSION: The advantages of this new technique include the avoidance Entinostat in vitro of a long cervical incision and potentially higher patency rates secondary to shorter graft length than currently practiced.”
“BACKGROUND: Reconstruction of the thoracolumbar spine

after corpectomy is a challenge for fractures, infections, and tumors.

OBJECTIVE: To analyze fusion rates, clinical outcomes, and the percent of vertebral body coverage achieved by using stackable carbon fiber-reinforced polyetheretherketone cages in thoracolumbar corpectomies, and to measure the actual size of the cages and compare this measurement with the size of the vertebra(e) replaced by the cage.

METHODS: A retrospective study of 40 patients who underwent thoracolumbar corpectomies was performed. Preoperative imaging included plain films, computed tomography scans, and magnetic resonance imaging. Postoperatively, plain films and computed tomography scans were obtained, and the width of decompression and cross-sectional area of the cage were measured. The ratio of the area of the cage to the calculated area of the replaced vertebral

body was used to determine the percent of vertebral body coverage.

RESULTS: The mean follow-up period was 43 months. Successful fusion was observed in 39 patients. Nitroxoline One patient experienced cage subsidence with kyphosis. One additional patient incurred a neurological complication that was corrected without long-term consequence. The mean correction of sagittal alignment was 10 degrees, and the mean width of bony decompression was 20 mm. The mean ratio of the area of the carbon fiber cage to the area of the resected vertebral body was 60%.

CONCLUSION: Stackable carbon fiber cages are effective devices for achieving thoracolumbar fusions. No failures of the cages occurred over long-term follow-up. Excellent clinical and radiographic results were achieved by covering a mean of 60% of the vertebral body with the cage.”
“BACKGROUND AND IMPORTANCE: Ependymomas are the most common primary spinal cord tumor, most frequently located near the cauda equina and conus medullaris.

(C) 2011 Elsevier Ltd All rights reserved “
“Lower ambulato

(C) 2011 Elsevier Ltd. All rights reserved.”
“Lower ambulatory performance with aging may be related to a reduced oxidative capacity within skeletal muscle. This study examined the associations between skeletal muscle mitochondrial capacity and efficiency with walking performance in a group of older adults.

Thirty-seven

older adults (mean age 78 years; 21 men and 16 women) completed an aerobic capacity (VO2 peak) test and measurement of preferred walking speed over 400 m. Maximal coupled (State 3; St3) mitochondrial respiration was determined by high-resolution respirometry in saponin-permeabilized myofibers obtained from percutanous biopsies of vastus lateralis (n = 22). Maximal phosphorylation capacity (ATP(max)) of vastus lateralis was determined in vivo by P-31 magnetic resonance spectroscopy Mocetinostat research buy selleckchem (n = 30). Quadriceps contractile volume was determined by magnetic resonance imaging. Mitochondrial efficiency (max ATP production/max

O-2 consumption) was characterized using ATP(max) per St3 respiration (ATP(max)/St3).

In vitro St3 respiration was significantly correlated with in vivo ATP(max) (r(2) = .47, p = .004). Total oxidative capacity of the quadriceps (St3*quadriceps contractile volume) was a determinant of VO2 peak (r(2) = .33, p = .006). ATP(max) (r(2) = .158, p = .03) and VO2 peak (r(2) = .475, p < .0001) were correlated with preferred walking speed. Inclusion of both ATP(max)/St3 and VO2 peak in a multiple linear regression model improved the prediction of preferred walking speed (r(2) = .647, p < .0001), suggesting

that mitochondrial efficiency is an important determinant for preferred walking speed.

Lower PFKL mitochondrial capacity and efficiency were both associated with slower walking speed within a group of older participants with a wide range of function. In addition to aerobic capacity, lower mitochondrial capacity and efficiency likely play roles in slowing gait speed with age.”
“Objective: Consistent sex differences in regulation of the hypothalamic pituitary adrenocortical (HPA) axis have been shown in animal models and emerge over puberty. However, parallel work in humans is lacking despite implications for elucidating the emergence of sex differences in depression over puberty. We investigated sex differences in HPA response to corticotropin releasing hormone (CRH) challenge over puberty in a carefully screened normative sample.

Methods: Participants were 68 healthy children (41% girls), ages 6-16, with no personal or family history of psychiatric disorder. Pubertal maturation was determined by Tanner staging. Following 24 h of adaptation, 9-10 plasma cortisol samples were collected over 30-40 min pre-infusion baseline, 1 mu g/kg CRH infusion, and 90-180 min post-infusion recovery.

The influence of the SYNTAX Score on post-procedural and follow-u

The influence of the SYNTAX Score on post-procedural and follow-up mortality and combined major adverse cardiac and cerebrovascular events (including SB431542 purchase death, myocardial infarction, cerebrovascular accident, and repeat revascularization) was identified by multivariate analysis. Balancing score analysis was performed to eliminate the effect of potential confounders.

Results: A total of 716 patients were enrolled. Mean SYNTAX Score was 34.5 (standard

deviation, 6.7; range, 11.5-76). Three groups of patients were identified according to the score terciles: low (<= 33), intermediate (33-37), and high (>37). These terciles scores differed greatly from those reported by the SYNTAX trial investigators. The multivariate analysis identified that the SYNTAX Score was associated with follow-up mortality (hazard ratio = 1.046, P = .015) and combined early and follow-up major adverse cardiac and cerebrovascular events (odds ratio = 1.079, P<.001; and hazard

ratio = 1.034, P = .026, respectively). learn more Balancing score-adjusted analyses demonstrated that the SYNTAX Score was independently associated with early and late major adverse cardiac and cerebrovascular events (odds ratio = 1.65, P<.001; and hazard ratio = 1.034, P=.027, respectively).

Conclusions: SYNTAX Score was remarkably high among patients undergoing surgical off-pump myocardial revascularization at our institution. In this subset of patients, a higher

SYNTAX Score was associated with a higher incidence of in-hospital and follow-up major adverse cardiac and cerebrovascular events after coronary artery bypass grafting, but not with early or late mortality. (J Thorac Cardiovasc Surg 2011; 142:e123-32)”
“Thalamic alterations have been reported in autism, but the Cediranib (AZD2171) relationships between these abnormalities and clinical symptoms, specifically sensory features, have not been elucidated. The goal of this investigation is to combine two neuroimaging methods to examine further the pathophysiology of thalamic anomalies in autism and to identify any association with sensory deficits. Structural MRI and multi-voxel, short echo-time proton magnetic resonance spectroscopy (H-1 MRS) measurements were collected from 18 male children with autism and 16 healthy children. Anatomical measurements of thalamic nuclei and absolute concentration levels of key H-1 MRS metabolites were obtained. Sensory abnormalities were assessed using a sensory profile questionnaire. Lower levels of N-acetylaspartate (NAA), phosphocreatine and creatine, and choline-containing metabolites were observed on the left side in the autism group compared with controls. No differences in thalamic volumes were observed between the two groups. Relationships, although limited, were observed between measures of sensory abnormalities and H-1 MRS metabolites.


“Silent information regulator 1 (SIRT1) is a nicotinamide


“Silent information regulator 1 (SIRT1) is a nicotinamide adenine dinucleotide (NAD(+))-dependent deacetylase directly implicated in protecting a wide range of organisms against internal and external metabolic insults. However, the identification of SIRT1-specific DNA targets that confer such protection have remained elusive. Using

human cells, we show that SIRT1 binds to, and transcriptionally regulates, a gene locus encoding presenilin1 (PSEN1), a protein intrinsically involved in the function of the gamma-secretase protein complex. We also demonstrate that rats fed with resveratrol exhibit a significant increase in sirt1 and psen1 expression. Finally, dietary consumption of resveratrol also leads to an enhanced find more proliferative state of neuronal stem cells in the rat hippocampus. Our findings

reveal a strong link between resveratrol-dependent SIRT1 signaling and hippocampal plasticity in the mammalian brain. (C) 2011 IBRO. Published by Elsevier Ltd. All rights reserved.”
“Objectives. From prior studies, we know that older adults are rarely more distracted by irrelevant speech than younger adults, which is remarkable in light of the inhibitory deficit view of aging. We tested the hypothesis FOX inhibitor that older adults are more distracted by emotional irrelevant speech during a visual cognitive task than younger adults.

Methods. Forty-eight younger (mean age = 21.9 years) and 48 older individuals (mean age = 68.1 years) performed a visual counting task while being exposed to irrelevant speech consisting of random numbers intermixed with neutral, positive, or negative words. Performance in these conditions was compared with that in Elesclomol (STA-4783) a silence condition.

Results. Irrelevant speech increased counting time and decreased accuracy similarly

for younger and older adults. Furthermore, the emotional conditions did not elicit a stronger effect than the neutral condition. Finally, we found implicit memory for irrelevant speech, but its level was independent of emotional valence and age.

Discussion. We conclude that emotional irrelevant speech has no disproportionate impact on cognitive performance in older adults. This can be regarded as a challenge to the inhibitory deficit hypothesis”
“Targeting signalling molecules to ion channels can expedite regulation and assure the proper transition of changes to excitability. In the bag cell neurons of Aplysia, single-channel studies of excised patches have revealed that protein kinase C (PKC) gates a non-selective cation channel through a close, physical association. This channel drives a prolonged afterdischarge and concomitant neuropeptide secretion to provoke reproductive behaviour. However, it is not clear if PKC alters cation channel function and/or the membrane potential at the whole-cell level.