Genome sequence analysis of the extreme acidophile Picrophilus torridus revealed 3-MA inhibitor a single Orc1/Cdc6 (PtOrc1/Cdc6). Biochemical analyses show MBP-tagged PtOrc1/Cdc6 to preferentially bind ORB (origin recognition box) sequences. The protein hydrolyzes ATP in a DNA-independent manner, though DNA inhibits MBP- PtOrc1/Cdc6-mediated

ATP hydrolysis. PtOrc1/Cdc6 exists in stable complex with PCNA in Picrophilus extracts, and MBP- PtOrc1/Cdc6 interacts directly with PCNA through a PIP box near its C terminus. Furthermore, PCNA stimulates MBP- PtOrc1/Cdc6-mediated ATP hydrolysis in a DNA-dependent manner. This is the first study reporting a direct interaction between Orc1/Cdc6 and PCNA in archaea. The bacterial initiator DnaA is converted from an active to an inactive form by ATP hydrolysis, a process greatly facilitated by the bacterial ortholog of PCNA, the beta subunit of Pol III. The stimulation of PtOrc1/Cdc6- mediated ATP hydrolysis by PCNA and the conservation of PCN-Ainteracting protein motifs in several archaeal PCNAs suggest the possibility of a similar mechanism of regulation existing in archaea. This mechanism may involve other yet to be identified archaeal proteins.”
“We previously reported that beta 6 integrin played an important role in the progression of colon cancer. In this study,

we demonstrated that beta CAL-101 datasheet 6 integrin induced the expression of MMP-3/MMP-9 and the invasion of colon cancer cells.

Moreover, that function was abolished by the inhibition of ERK/MAPK pathways or knockdown of ETS1, an important transcription factor of MMP genes. Here, we showed that beta 6 induced phosphorylation of ETS1 via the ERK/MAPK pathways, through which the MMP-3/MMP-9 promoters were stimulated, thereby VX-680 in vivo leading to the up-regulation of MMP-3/MMP-9, and subsequent the invasion of colon cancer cells. (C) 2014 Elsevier Ireland Ltd. All rights reserved.”
“This study determined whether expression levels of a panel of biologically relevant microRNAs can be used as prognostic or predictive biomarkers in patients who participated in the International Adjuvant Lung Cancer Trial (IALT), the largest randomized study conducted to date of adjuvant chemotherapy in patients with radically resected non-small cell lung carcinoma (NSCLC). Expression of miR-21, miR-29b, miR-34a/b/c, miR-155, and let-7a was determined by quantitative real-time PCR in formalin-fixed paraffin-embedded tumor specimens from 639 IALT patients. The prognostic and predictive values of microRNA expression for survival were studied using a Cox model, which included every factor used in the stratified randomization, clinicopathologic prognostic factors, and other factors statistically related to microRNA expression. Investigation of the expression pattern of microRNAs in situ was performed.

We revised two linear regression methods in order to establish the nonlinear association between three chemical ingredients of LCH and corresponding pharmacological activity and used it to predict the activities. The association is validated by in vitro experiments and we found that the experimental results are consistent with the prediction.

Unsupervised clustering and supervised regression cover most part of data mining theory, which means that data mining approaches play a crucial role in new drug R&D in TCM and present a better solution to establish the platform of drug R&D in TCM.”
“Biomarker-based sperm analysis elevates the treatment of human infertility and ameliorates reproductive performance in livestock. The negative biomarker-based approach focuses on proteins and ligands unique to defective spermatozoa, regardless of their morphological phenotype, Birinapant mw lending itself to analysis by flow cytometry (FC). A prime example is the spermatid specific thioredoxin SPTRX3/TXNDC8, retained in the nuclear vacuoles and superfluous cytoplasm of defective human spermatozoa. Infertile couples with high semen

17DMAG supplier SPTRX3 are less likely to conceive by assisted reproductive therapies (ART) and more prone to recurrent miscarriage while low SPTRX3 has been associated with multiple ART births. Ubiquitin, a small, proteolysis-promoting covalent posttranslational protein modifier is found Fer-1 clinical trial on the surface of defective posttesticular spermatozoa and in the damaged protein aggregates, the aggresomes of spermiogenic origin. Semen ubiquitin content correlates negatively with fertility and conventional semen parameters, and with sperm binding of lectins LCA (Lens culinaris agglutinin; reveals altered sperm surface) and PNA (Arachis hypogaea/peanut agglutinin; reveals acrosomal malformation or damage). The Postacrosomal Sheath WWI Domain Binding Protein (PAWP), implicated in oocyte activation during fertilization, is ectopic or absent from

defective human and animal spermatozoa. Consequently, FC-parameters of PAWP correlate with ART outcomes in infertile couples and with fertility in bulls. Assays based on the above biomarkers have been combined into multiplex FC semen screening protocols, and the surface expression of lectins and ubiquitin has been utilized to develop nanoparticle-based bull semen purification method validated by field artificial insemination trials. These advances go hand-in-hand with the innovation of FC-technology and genomics/proteomics-based biomarker discovery.”
“The physiology of the mesencephalic reticular formation (MRF) in goldfish suggests its contribution to eye and body movements, but the afferent and efferent connections underlying such movements have not been determined.

Furthermore, AMPK activation attenuates induction of endogenous SREBP-1c mRNA by T0901317. These results indicate that AMPK directly inhibits ligand-induced LXR activity in addition to blocking production of endogenous LXR ligands.”
“Aims: Lumican, a small leucine-rich proteoglycan (SLRP), has attracted attention as a molecule of the extracellular matrix possibly

involved in signalling pathways affecting cancer cell behaviour. The remodelling of the actin cytoskeleton, induced in response to external stimuli, is crucial for cell motility and intracellular signal transduction. The main goal Selleck Ion Channel Ligand Library of this study was to examine the effects of recombinant lumican on actin organization, the state of actin polymerization, actin isoform expression, and their sub-cellular distribution in the A375 human melanoma cell line.\n\nMain methods: Fluorescence and confocal microscopy were used to observe actin cytoskeletal Organization and the sub-cellular distribution of cytoplasmic beta- and gamma-actins. The ability of actin to inhibit DNasel activity was used to quantify actin. Western

blotting and real-time PCR were used to determine the expression levels of the actin isoforms.\n\nKey findings: A375 cells grown on lumican coatings changed in morphology and presented rearranged actin filament organization: from filaments evenly spread throughout the whole cell body to their IDO inhibitor condensed submembrane localization.

In the presence of lumican, both actin isoforms were concentrated under the cellular membrane. A statistically significant increase in the total, filamentous, and monomeric selleck chemicals actin pools was observed in A375 cells grown on lumican.\n\nSignificance: Novel biological effects of lumican, an extracellular matrix SLRP, on the actin pool and organization are identified, which may extend Our understanding of the mechanism underlying the inhibitory effect of lumican on the migration of melanoma cells. (C) 2008 Elsevier Inc. All rights reserved.”
“Background: Several studies have investigated whether the polymorphism in the apolipoprotein A5 (APOA5) is associated with type 2 diabetes mellitus (T2DM) risk. However, those studies have produced inconsistent results. The purpose of this study was to investigate whether the APOA5 -1131T/C polymorphism (rs662799) confers significant susceptibility to T2DM using a meta-analysis.\n\nMethods: PubMed, Embase, Web of Science, Cochrane database, CBMdisc, CNKI and Google Scholar were searched to get the genetic association studies. All statistical analyses were done with Stata 11.0.

Patients were evaluated in accordance with the Mayo Elbow Performance Score, measuring pain, grip strength, range of motion, and stability, as well as radiographic images.\n\nResults: After a mean of 32 months postoperatively (range, 12-62 months), the mean Mayo Elbow Performance Score was 92 points. The result was considered excellent or good in 25 patients, with a high degree of satisfaction and functional restoration.\n\nConclusion: The results of treating Mason type III radial head fractures with additional elbow fractures and soft-tissue

injuries with pyrocarbon radial head prostheses are satisfactory; nevertheless, long-term follow-up is still necessary.\n\nLevel of evidence: Level IV, Case Series, Treatment Study. (C) 2012 Journal of Shoulder and Elbow Surgery Board of Trustees.”
“Background this website and Purpose: Obesity is a worldwide problem. The present article will summarise current opinions and evidences about

the unique problems of performing regional anaesthesia in obese patients and the potential solution of these problems. The focus will be on technical and logistic difficulties attributed to the unpredicted anatomy of the obese body and appropriate adjustment of local anaesthetic dosage.\n\nMaterials and Methods: We performed a comprehensive research of the literature with key words: obesity, regional anaesthesia in Medline.\n\nResults: Most reports and studies about performing regional anaesthesia in obese CP-456773 price patients come from specific subpopulation of obstetric patients. Most reported difficulties in obese obstetric patients: complicated placement, failure to establish, insufficient duration of regional LOXO-101 price anaesthesia and longer intraoperative time. In addition obesity is associated with higher peripheral block failure (supraclavicular axillary brachial plexus). There is no clear consensus about local anaesthetic dosage adjustments in

obese.\n\nConclusions: Nowadays, we are aware of potential difficulties and possible solutions. New technologies, particularly ultrasound, and new devices offer help in solving some technical problems.”
“Morphological and morphometric development of the upper jaw (UJ) and lower jaw (LJ) and arm crown of Chiroteuthis cf. veranyi, Liocranchia reinhardti (oceanic species), and Doryteuthis opalescens (neritic species) paralarvae were analyzed in order to verify whether or not they are determined by developmental modes. Jaw measurements were taken, correlated with mantle length (ML) by multiple linear regression to determine relative influences on growth, and compared between species by ANOVA to identify differences. Development was expected to be similar between oceanic species, but was morphologically similar between L. reinhardti and D. opalescens, and morphometrically similar between the latter and C. cf. veranyi. UJ and LJ measurements with highest correlation with ML are larger in L. reinhardti, indicating greater beak development in this species. Rostrum robustness is higher in L.

Results. – Among these 151 patients, 101 were non-smokers and 50 current smokers. The apnea and hypopnea index (AHI) were higher among current smokers than non-smokers (42.96/h versus 28.77/h; P smaller than 0.0001). The percent of patients who had a not severe obstructive sleep apnea syndrome were higher among non-smokers than current smokers patients (P = 0.009). Current smokers were 3.7 times more likely having severe obstructive sleep apnea hypopnea syndrome than non-smokers (OR = 3.7; P = 0.001). Conclusion. – Smoking habits seems to be associated with the severity

of obstructive sleep apnea syndrome that’s why smoking cessation is very important in the treatment of obstructive sleep apnea hypopnea syndrome. (C) 2012 SPLF. Published Duvelisib by Elsevier Masson SAS. All rights reserved.”
“Peptide splicing is a novel mechanism of production of peptides relying on the proteasome and involving the linkage of fragments originally distant in the parental protein. Peptides produced by splicing can be presented on GDC-0068 class I molecules of the MHC and recognized by CTLs. In this study, we describe a new antigenic peptide, which is presented by HLA-A3 and comprises two noncontiguous fragments of the melanoma differentiation Ag gp100(PMEL17) spliced together in the reverse order to that in which they appear in the parental protein. Contrary to the previously described spliced peptides, which are produced

by the association of fragments Erastin of 3-6 aa, the peptide described in this work results from the ultimate association of an 8-aa fragment with a single arginine residue. As described before, peptide splicing takes place in the proteasome by transpeptidation involving an acyl-enzyme intermediate linking one of the peptide

fragment to a catalytic subunit of the proteasome. Interestingly, we observe that the peptide causing the nucleophilic attack on the acyl-enzyme intermediate must be at least 3 aa long to give rise to a spliced peptide. The spliced peptide produced from this reaction therefore bears an extended C terminus that needs to be further trimmed to produce the final antigenic peptide. We show that the proteasome is able to perform the final trimming step required to produce the antigenic peptide described in this work.”
“The period of event-free survival (EFS) within the same histopathological glioma grades may have high variability, mainly without a known cause. The purpose of this study was to reveal the prognostic value of quantified tumor blood flow (TBF) values obtained by arterial spin labeling (ASL) for EFS in patients with histopathologically proven astrocytomas independent of WHO (World Health Organization) grade. Twenty-four patients with untreated gliomas underwent tumor perfusion quantification by means of pulsed ASL in 3T. The clinical history of the patients was retrospectively extracted from the local database.

In addition, we show that activation of DAP5/p97 and HIAP2 IRES during ER stress requires DAP5/p97. Significantly, the induction of DAP5/p97 during ER stress is caspase-independent, whereas the induction of HIAP2 requires proteolytic processing of DAP5/p97. Thus, DAP5/p97 is a translational activator that selectively modulates translation of specific mRNAs during conditions of cellular stress in both a caspase-dependent and caspase-independent manner.”
“Methods. This was a case-control study between 2005 and 2011 where we identified Bafilomycin A1 datasheet 73 women with persistent

aPL and coincidentally the same number with obstetric APS. Unmatched controls were identified from low-risk clinics (ratio 1:4). Women with multiple pregnancies, fetal anomalies, SLE, thrombotic APS and other thrombophilias were excluded.\n\nResults. Cases and controls were demographically similar, with the exception of younger controls with fewer medical comorbidities. aPL profiles were similar between aPL and APS. In women with aPL, risk of

APS-type complications (odds ratio 1.3; 95% CI 0.6, 2.9) and birthweight distribution (median birthweight on a customized centile was 50.8, interquartile range 26.4-68.9; P < 0.05) were similar to controls. These findings persisted even after adjustment for maternal age and medical comorbidities.\n\nConclusion. learn more Women with persistent aPL on aspirin had pregnancy outcomes that were similar to controls. These data suggest that in the absence of other risk factors, women with aPL do not need intense antenatal surveillance or modified management in pregnancy.”
“Recombinant human erythropoietin (rhEPO) attenuated ischemia/reperfusion (I/R) injury-induced spinal cord damage.

Since carbamylated EPO derivatives are stated to be devoid of rhEPO side effects, we tested the hypothesis that a newly developed carbamylated EPO-FC fusion protein (cEPO-FC) would compare favorably with rhEPO.\n\nAnesthetized and mechanically ventilated pigs randomly received cEPO-FC (50 mu g kg(-1)), rhEPO (5,000 IU kg(-1)) Ferroptosis cancer or vehicle (n = 9 per group) 30 min prior to 30 min of aortic occlusion and over the 4 h of reperfusion. During aortic occlusion, mean arterial pressure (MAP) was maintained at 80-120% of baseline values by esmolol, nitroglycerin, and adenosine-5′-triphosphate (ATP). During reperfusion, noradrenaline was titrated to keep MAP at pre-ischemic levels. Spinal cord function was assessed by motor evoked potentials (MEP) and lower limb reflexes. Tissue damage was evaluated using hematoxylin and eosin, Nissl, and terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) staining. Plasma levels of interleukin-6, tumor necrosis factor-alpha, and 8-isoprostanes were measured as markers of systemic inflammation and oxidative stress.

Scope of review: One approach towards achieving this goal is the use of exomarkers. In this, exogenous probe compounds are administered to the intact organism and are then transformed by the reactive molecules in vivo to produce a diagnostic exomarker. The exomarker and the precursor probe can be analysed ex vivo to infer

the identity and amounts of the reactive species present in vivo. This is akin to the measurement of biomarkers produced by the interaction of reactive species with endogenous biomolecules. Major conclusions and general significance: Our laboratories have developed mitochondria-targeted probes that Etomoxir mw generate exomarkers that can be analysed ex vivo by mass spectrometry to assess levels of reactive species within mitochondria in vivo. We have used one of these compounds, MitoB, to infer the levels of mitochondrial hydrogen peroxide within flies and mice. Here we describe the development of MitoB and expand on this example to discuss how better probes and exomarkers can be developed. This article is part of a Special Issue entitled Current methods to study reactive oxygen species – pros and cons and biophysics of membrane proteins. Guest Editor:

Christine Winterbourn. (C) 2013 The Authors. Published by Elsevier B.V. All rights reserved.”
“Objectives: In patients with a ruptured abdominal aortic aneurysm (RAAA), anatomic suitability for endovascular aneurysm repair (EVAR) depends on aortic neck and iliac artery characteristics. If the aortoiliac anatomy is unsuitable for EVAR (“hostile anatomy”), open repair (OR) is the next option. We hypothesized AZD6738 ic50 that the death rate for OR selleck chemical is higher

in patients with hostile anatomy than in patients with friendly anatomy. Methods: We conducted an observational cohort study in 279 consecutive patients with an RAAA treated with OR between 2004 and 2011. The primary endpoint was 30-day or in-hospital death. Aortoiliac anatomy (friendly vs. hostile) was determined prospectively by the vascular surgeon and the interventional radiologist treating the patient. A multivariable logistic regression analysis was done to assess the risk of dying in patients with hostile anatomy after adjustment for age, sex, comorbidity, and hemodynamic stability. Results: Aortoiliac anatomy was friendly in 71 patients and hostile in 208 patients. Death rate was 38% (95% confidence interval (CI): 28 to 50%) in patients with friendly anatomy and 30% (95% CI: 24 to 37%) in patients with hostile anatomy (p = .23). After multivariable adjustment, the risk of dying was not higher in patients with hostile anatomy (adjusted odds ratio 0.744, 95% CI 0.394 to 1.404). Conclusion: The death rate after open repair for an RAAA is comparable in patients with friendly and hostile aortoiliac anatomy. (C) 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

To alleviate this limitation, we report two methods-SimIndex (SI) and SimZyme-which use chemical similarity find more of 2D chemical fingerprints to efficiently navigate large metabolic networks and propose enzymatic connections between the constituent nodes. We also report a Byers-Waterman type

pathway search algorithm for further paring down pertinent networks. Results: Benchmarking tests run with SI show it can reduce the number of nodes visited in searching a putative network by 100-fold with a computational time improvement of up to 10(5)-fold. Subsequent Byers-Waterman search application further reduces the number of nodes searched by up to 100-fold, while SimZyme demonstrates similar to 90% accuracy in matching query substrates with enzymes. Using these modules, we have designed and annotated an alternative to the methylerythritol phosphate pathway to produce isopentenyl pyrophosphate with more favorable thermodynamics than the native pathway. These algorithms will have a significant impact on our ability to use large metabolic networks that lack annotation of promiscuous reactions.”
“Exclusive breast-feeding until 6 months is advised by the WHO as the best practice to feed infants. Yet, some studies have suggested a gap between energy requirements

www.selleckchem.com/products/sbe-b-cd.html and the energy provided by human milk for many infants at 6 months. In order to assess the adequacy of WHO recommendations in 6-month-old Senegalese lactating infants, a comprehensive study was designed to measure human milk intake by the dose-to-the mother (H2O)-H-2 turnover method. Infants’

energy intakes were calculated using daily breast milk intake and the energy content of milk was estimated on the basis of creamatocrit. Of the fifty-nine mother-infant pairs enrolled, fifteen infants were exclusively breast-fed (Ex) while forty-four were partially breast-fed (Part). Infants’ breast milk intake was significantly higher in the Ex group (993 (SD 135) g/d, n 15) compared with the Part group (828 (SD 222) g/d, n 44, P = 0.009). Breast milk energy content as well as infants’ growth was comparable in both groups. However, infants’ energy intake from human milk was significantly higher (364 (SD 50) kJ/kg per d (2586 (SD 448) kJ/d)) in the Ex group than in the Part Selleck LBH589 group (289 (SD 66) kJ/kg per d (2150 (SD 552) kJ/d), P<0.01). Compared with WHO recommendations, the results demonstrate that energy intake from breast milk was low in partially breast-fed infants while exclusively breast-fed 6-month-old Senegalese infants received adequate energy from human milk alone, the most complete food for infants. Therefore, advocacy of exclusive breast-feeding until 6 months should be strengthened.”
“We previously described a checkpoint for allelic exclusion that occurs at the pre-B cell to immature B cell transition and is dependent upon the IgH intronic enhancer, E mu.

(C) 2012 Published by Elsevier Ltd.”
“It was long thought that the colour of bird feathers does not change after plumage moult. However, there is increasing evidence that the colour of feathers may change due to abrasion, photochemical change and staining, either accidental or deliberate. The coloration of plumage due to deliberate staining, i.e. with cosmetic purposes, may help individuals to communicate their quality to conspecifics.

The presence of carotenoids in preen oils has been previously only suggested, and here we confirm for the first time its presence in such oils. Moreover, the carotenoids in the uropygial secretions were the same specific pigments found in feathers. We show not only that the colour of feathers of greater flamingos Phoenicopterus Z-VAD-FMK mouse roseus became more colourful due to the application of carotenoids https://www.selleckchem.com/products/cftrinh-172.html from uropygial secretions over the plumage but also that the feathers became more colourful with the quantity of pigments applied over them,

thus providing evidence of cosmetic coloration. Flamingos used uropygial secretions as cosmetic much more frequently during periods when they were displaying in groups than during the rest of the year, suggesting that the primary function of cosmetic coloration is mate choice. Individuals with more colourful plumage initiated nesting earlier. There was a correlation between plumage coloration before and after removal of uropygial secretions from feathers’ surfaces, suggesting that the use of these pigmented secretions selleckchem may function as a signal amplifier by increasing the perceptibility of plumage colour, and hence of individual quality. As the cosmetic coloration strengthens signal intensity by reinforcing base-plumage colour, its use may help to the understanding of selection for signal efficacy by making interindividual differences more apparent.”
“Objectives: Examine the longitudinal course of posttraumatic stress disorder (PTSD) in older adults and its influence on mental

health quality of life (MHQoL). Design: Evaluation performed at baseline, and 3 and 6 months postrandomization as part of a longitudinal trial. Participants and settings: A total of 1,185 participants, with a mean (+/-SD) age of 73.53 (+/-5.98) years, at seven primary care sites (including five Veterans Affairs clinics), were divided into four groups, namely, no trauma (n = 661), trauma only (n = 319), partial PTSD (n = 114), and PTSD (n = 81), based on reports of trauma and associated PTSD symptoms. Measurements: The prevalence of comorbid depression, anxiety, and alcohol use disorders, assessed using the Diagnostic and Statistical Manual, Fourth Edition, criteria and changes in MHQoL, as assessed by the Short Form-36 mental component score. Results: At baseline, the PTSD group had higher frequencies of comorbid depression and anxiety disorders and worse MHQoL than the other groups.

Freshly isolated primary tubule segments from wt mice were co-incubated with thick ascending limb (TAL) segments freshly isolated from mice expressing the green fluorescent protein (GFP) transgene (same genetic background) to determine whether FasL-mediated killing of tubular cells is an autocrine or paracrine mechanism. Cisplatin-stimulated primary segments induced apoptosis in

the GFP-tagged TAL cells, an effect blocked by MFL3. Thus, our study shows that cisplatin-induced QNZ research buy nephropathy is mediated through FasL, functionally expressed on tubular cells that are capable of inducing death of cells of adjacent tubules. Kidney International (2011) 79, 159-178; doi:10.1038/ki.2010.317; published online 1 September 2010″
“Ethnopharmacological high throughput screening assay relevance: Ginseng-Aconite Decoction (GAD), a traditional oriental medicine composed of Panax ginseng C.A. Mey. (Araliaceae) and Aconitum carmichaeli Debx. (Ranunculaceae) has been used as treatment for cardiovascular diseases from Song Dynasty of China. The purpose of the present study was to elucidate the possible mechanisms of GAD-induced positive inotropic effect.\n\nMaterial and methods: GAD-induced changes in atrial dynamics

and cAMP efflux were determined in isolated perfused beating rabbit atria.\n\nResults: GAD significantly increased atrial dynamics such as stroke volume, pulse SB273005 nmr pressure and augmented cAMP efflux in beating rabbit atria. The inotropic effect was significantly attenuated by pre-treatment with KB-R7943, a reverse mode Na+/Ca2+ exchanger blocker. The GAD-induced increase in atrial dynamics was also markedly inhibited by staurosporine, a non-selective protein kinase inhibitor, and partly blocked by KT5720, a selective PICA inhibitor. The effect of GAD on atrial dynamics was not altered by

pre-treatment with propranolol, a beta-adrenergic receptor inhibitor, or diltiazem, an L-type Ca(2+)channel blocker. The phosphodiesterase (PDE) inhibitor 3-isobutyl-1-methylxanthine (IBMX) failed to modulate the GAD-induced increase in atrial dynamics, but markedly attenuated cAMP efflux in the beating atria.\n\nConclusion: These results suggest that the GAD-induced positive inotropic effect in beating rabbit atria may be attributable to stimulation of the reverse mode Na+/Ca2+ exchanger, while PKA activity would, at least in part, be participated in the course. (C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“Purpose: To prospectively evaluate a 2-dimensional transit dosimetry algorithm’s performance on a patient population and to analyze the issues that would arise in a widespread clinical adoption of transit electronic portal imaging device (EPID) dosimetry.\n\nMethods and Materials: Eleven patients were enrolled on the protocol; 9 completed and were analyzed.