четверг, 15 марта 2012 г.

Cuban calls out every Mav after loss to Thunder

The Dallas Mavericks are testing the patience of Mark Cuban.

The outspoken owner called out his entire roster Tuesday, a day after the Mavericks fell behind by 23 and lost to Oklahoma City, which is among the worst teams in the NBA and played without its top two scorers.

"It's only one game, which I keep reminding myself of," Cuban said in Wednesday's editions of The Dallas Morning News and Fort Worth Star-Telegram. "But let's just say I wasn't happy with our preparation, execution or effort. Not only did it look like we had no idea what we were doing, but we did it without effort. The effort and energy, on both sides of the ball, by each …

Vikings wary of being picked No. 1

Last in a series

MANKATO, Minn. It isn't hard to remember the last time somebodywrote off the Vikings.

It was on the morning of Jan. 3, this year, when columnists onboth sides of the Mississippi - in Minneapolis and St. Paul, that is- said the Vikes should end the charade and not bother to take thefield against New Orleans.

The basic complaint was that Minnesota had backed into theplayoffs, losing three of its last four to wind up a truly wild-card8-7.

But the Vikes walloped New Orleans 44-10 that afternoon andstunned San Francisco 36-24 before almost taking Washington intoovertime in a 17-10 loss.

And now, the Vikings must live up to …

Thousands protest low salaries in Serbia

BELGRADE, Serbia (AP) — Thousands of public employees are marching in Serbia's capital to demand raises.

More than 5,000 Serbian teachers, doctors, policemen and other workers blew whistles and waved banners as they blocked a central area of the capital during Friday's march.

Wages in Serbia's public sector were raised slightly this …

среда, 14 марта 2012 г.

Govt: Medicare paid $47 billion in suspect claims

The government paid more than $47 billion in questionable Medicare claims including medical treatment showing little relation to a patient's condition, wasting taxpayer dollars at a rate nearly three times the previous year.

Excerpts of a new federal report, obtained by The Associated Press, show a dramatic increase in improper payments in the $440 billion Medicare program that has been cited by government auditors as a high risk for fraud and waste for 20 years.

It's not clear whether Medicare fraud is actually worsening. Much of the increase in the last year is attributed to a change in the Health and Human Services Department's methodology that imposes …

Orton gets second chance; 10-game winner of 2005 might cut it loose this time

In the Bears' never-ending search for a franchise quarterback,coach Lovie Smith made the move he felt he had to make Monday,turning to Kyle Orton as the starter for next Monday's game atMinnesota and presumably the rest of the season.

Forecasting that far at this position for the Bears can behazardous, and Smith said Rex Grossman's sprained left MCL iscertain to keep him out of only the next game. But in handing thereins to Orton, the Bears are getting a look at the one passer theydon't know a lot about.

Orton has not played since the 2005 season finale at Minnesotaduring his rookie season, when he guided the team to 10 victories.

"Everybody knows that …

Over 200 Benninger direct warping installations in China

The high demands for Benninger direct warping installations in China and elsewhere in Asia are an indication of how well Benninger machines have been on the market.

Over 200 direct warping installations are currently in operation throughout China. The latest installations are equipped …

Embraer expects executive jet business to increase as a percentage of revenues

Brazilian jet maker Embraer's executive jet business will increase as a percentage of revenues from 15 percent to 25 percent by 2010, a top executive said Friday.

Luiz Sergio Chiessi, vice president of market intelligence, said the "relative importance of the business jet division is going to grow" as Empresa Brasiliera Aeronautica SA increases its portfolio.

Embraer currently offers the Legacy 600 executive aircraft, which seats up to 13 people, and will start deliveries of two versions of the smaller capacity Phenom jets later this year. By 2013, Embraer will offer another three models: the Lineage 1000, Legacy 450 and Legacy 500, he said.

Dear Abby: ; Kidney disease a surprise for health-conscious mom

DEAR ABBY: I was a healthy, vibrant mother of one with a steadygovernment job. I saw my doctor regularly for checkups, since bothmy parents have high blood pressure. As an active, health-consciousvegetarian, I thought I was at my physical peak.

When I experienced nausea and lower back pain, I expected mydoctor to tell me my 4-year-old daughter was going to have a sisteror brother.

Instead, I was informed that my kidneys were barely working and Ineeded to see a specialist at once. That's when my life beganspinning out of control. I was told I would need dialysis to keep mealive!

How could this happen? Where were the warning signs and symptoms?

Why wasn't …

CPS closes, converts schools and cuts support staff

A June 4 news release from Mike Vaughn of the Communications office of the Chicago Public Schools (CPS) reported that Chief Executive Officer Arne Duncan had announced plans to close ten schools--Byrd, 363 W. Hill; Doolittle West, 521 E. 35th St.; Douglass, 3200 S. Calumet; Hartigan, 8 W. Root; Thomas Jefferson, 1522 W. Fillmore; Raymond, 3663 S. Wabash; Spalding, 1628 W. Washington; Suder 2022 W. Washington; Truth, 1443 N. Ogden and Wright, 627 N. Harding because of "declining enrollment and deteriorating facilities." Austin High School, 2143 Pine, and Calumet High School, 8131 S. May are not to receive freshman next school year. They are to be converted into smaller schools and will …

Childress: Allen fined 25K, but not suspended

Minnesota Vikings defensive end Jared Allen will not be suspended for a spate of late hits.

Coach Brad Childress said he was told by the NFL that Allen will be fined $25,000 (19,800 euros), but not punished further. Allen was summoned to the league office on Tuesday to talk about his play. Defensive coordinator Leslie Frazier went with him.

Allen was fined $50,000 (39,600 euros) …

Botanic Garden plant show

How do your houseplants measure up? A good way to find out is toattend Horti-Court, the annual plant contest and sale today throughSunday at the Chicago Botanic Garden, just east of the Edens Expy. onLake-Cook Road in Glencoe.

Plants will be judged in 18 categories, including a separatecategory for professional growers. Other categories include foliageplants, flowering or fruiting plants, hanging plants, trained plants,herbs, succulents, ferns, African violets, orchids and terrariums.There also will be a category for plants grown by those 17 andyounger.

The Horti-Court plants will be on display in the exhibit hall ofthe garden's education center from 9 a.m. to 4 …

Reports: 7 killed in Kazakhstan terror attack

BISHKEK, Kyrgyzstan (AP) — Media in Kazakhstan cite authorities as saying that seven people, including five police officers, have been killed in an attack by radical Islamists on a police station in the southern city of Taraz.

The reported bombing and shootout on Saturday is the latest in a recent string of Islamist-related attacks in Kazakhstan and will deepen worries of a mounting terrorist threat …

An enlightening world premiere at the Rep

An enlightening world premiere at the Rep

REVIEW

'Forgiving John Lennon'

Detroit Repertory Theatre, 1 3103 Woodrow Wilson, Detroit. Thursday-Sunday through May 22; no performance Easter Sunday. $17-$20. 313-868-1347.

www.detroitreptheatre.com

The absurdity of political correctness in 21st century America comes under the microscope in the world premiere of William Missouri Downs' "Forgiving John Lennon" at the Detroit Repertory Theatre, a very insightful script that will likely have tongues wagging on all sides of the political spectrum. And rightfully so.

Joseph (Benjamin J. Williams) and Katie (Leah Smith), two "progressive" professors at a liberal arts college, have their smug and comfortable world views shaken when a visiting Somali poet defies their expectations. A Muslim, Asma (Yolanda Jack) was brought to the school to help create a more "Islam-friendly" campus after a student disc jockey's lame and immature attempt at humor offended Muslims and non-Muslims alike. Deciding the school needed to embrace diversity - and in particular, Muslims - Joseph and Katie arranged to have Asma come to the campus to share her poetry and give a major address. But in between the two events, an eyeopening discussion at the professors' home reveals the TRUE purpose of Asma's visit - and the stunning incident that unfolds will likely change all their lives forever.

Downs' script, quite frankly, is a refreshing examination of the rampant political correctness that infects America today - and in particular, its college and university campuses. A professor himself at the University of Wyoming, Downs addresses many of the problems found on campuses today that stifle free speech over fear of offending special interest groups. But he does so without anger or malice; instead, he challenges the current orthodoxy through the curious and almost-always-smiling Asma, whose bluntness unnerves her hosts.

To read the complete review, log on to ... www.EncoreMichigan.com or PrideSource.com

[Sidebar]

"Forgiving John Lennon" continues at the Detroit Repertory Theatre through May 22. Photo: Bruce Millan

вторник, 13 марта 2012 г.

Cheney says no one saw financial crisis coming

Vice President Dick Cheney said Thursday that he sees no reason for President George W. Bush to pre-emptively pardon anyone at the CIA involved in harsh interrogations of suspected terrorists. "I don't have any reason to believe that anybody in the agency did anything illegal," he said. In an interview with The Associated Press, Cheney also said that Bush has no need to apologize for not foreseeing the economic crisis.

"I don't think he needs to apologize. I think what he needed to do is take bold, aggressive action and he has," Cheney said.

"I don't think anybody saw it coming," he said.

During a wide-ranging interview lasting about 25 minutes in West Wing office, Cheney also said Iran remains at the top of the list of foreign policy challenges that President-elect Barack Obama will face. He said an "irresponsible withdrawal" from Iraq now would be ill-advised. And he said he's confident that North Korea helped Syria build a reactor _ a site that Israel suspected of being a nuclear installation and bombed in 2007.

After Obama takes the oath of office on Jan. 20, the 67-year-old Cheney plans to possibly write a book and spend time with his wife, Lynne, their two daughters and six grandchildren. He and his wife will split their time between their house in Virginia and their hometown of Casper, Wyo.

An avid angler, Cheney said the first river he wants to fish is the South Fork of the Snake River on the Wyoming-Idaho border.

Here's a dozen top things to remember about economics

UNDERSTANDING CAPITALISM:

When you read my book-Economics for Everyone: A Short Guide to the Economics of Capitalism-you'll learn a lot about economics-from a critical, grassroots perspective. There are a few crucial lessons from the book that I hope you will keep in mind. These key themes will help you to analyze specific economic issues and controversies as they come up. They are key principles to help sort out what's important in the real economy from what's not-and to distinguish reality from ideology.

So here's my personal list of the dozen top things to remember about economics:

1. The economy depends on social relationships, not just technical relationships, and (like society) it evolves and changes over time. There is no "natural" order to the economy. There are no inherent, unchanging laws governing its behaviour. What we call the "economy" is simply the way human beings work together, to produce goods and services, and then decide what to do with what we produce. And there's nothing permanent about it. Everything about the economy-technology, geography, social relationshipschanges over time.

2. Economics is an inherently subjective, value-laden, political discipline. The economy is not natural, unchanging, or objective. And the study of the economy-what we call economics-is just as subjective and impermanent. The economy embodies conflicting interests between different groups, and economics closely reflects those conflicting interests. No school of economics can claim to be neutral or objective. Different approaches to economics rise and fall, depending on the course of economic (and political) debates and conflicts. Every approach to economics combines an analysis of how the economy works, with a set of values and assumptions regarding how it should work (and in whose interests). Beware of economists bearing free advice-especially if the economist claims to be "objective."

3. Productive human activity is the only force that adds value to the resources we harvest from nature. "Work," broadly defined, includes all forms of productive human effort-including paid employment, unpaid work within households, and the managerial work of business executives. Without work, nothing happens in the economy. There are a few goods which humans can consume directly from nature (like fresh air, peace and quiet, or wild berries plucked from a bush). Everything else requires the application of human effort, to transform the resources and raw materials we get from nature into goods and services we can use.

4. Using tools makes work more productive. Humans discovered very early on that it is much better to use tools than our bare hands. The invention, production, and accumulation of "tools" (defined broadly to include machinery, structures, infrastructure, and other kinds of physical capital) has been the central feature of economic development through human history. Developing more advanced tools, and training people to use them effectively, must occur at the same time. However, tools themselves are not productive: it is the knowhow embodied in those tools (that is, knowing to make tools first, and then use them to produce the goods and services we actually want) that is productive. Merely owning a tool is not, in itself, a productive act.

5. In capitalism, most work consists of employment. Employment is work that is performed for someone else, in return for the payment of wages and salaries. About 85% of households in developed capitalist economies rely on employment as their dominant source of income. Managing the employment relationship is a central aspect of capitalism. Employers face a complicated challenge to try to minimize their labour costs, while simultaneously maximizing the effort and discipline of their employees. This relationship introduces an inherent conflict of interest between workers and capitalists. At the same time, there are times when workers and capitalists may choose to cooperate with each other.

6. Unpaid work is also important. A great deal of productive, necessary work occurs inside the household: out of sight, behind closed doors, and generally without pay. Most of that work is performed by women, whose opportunities in the "outside" economic world are constrained as a result. Remembering that this work needs to be performed, analyzing how and by whom it is performed, and making changes to it over time, are central issues in economics.

7. Competition is a central feature of capitalism, and forces companies to behave in certain ways. Capitalists aim to maximize the profits on their investments; one way to do that is by poaching customers, workers, and resources from other capitalists. Competition therefore introduces a new constraint on the way that individual capitalists operate. It's no longer just greed that motivates them, it's also fear.. That fear (of being driven from business by more successful competitors) forces executives to behave in certain ways, regardless of their particular preferences or values. Capitalism has become more competitive over time, not less (thanks to technology, globalization, privatization, and improved management skills). Even very large global companies face competition that is unforgiving and ruthless.

8. The condition of the natural environment is crucial to our prosperity. The environment is both a source of direct, consumable value (fresh air, open spaces, recreation, etc.) and a source of raw materials for production. The economy cannot continually run down the quality of the environment without humans eventually paying an enormous economic price. Developing sustainable practices (to stabilize and preserve environmental quality) is an urgent economic priority.

9. The financial industry is not, in itself, productive. Financial institutions can play a useful role in facilitating investment and production by companies in the real economy. But this function may be overwhelmed by pointless, wasteful, or downright destructive financial activity. Speculators seek to profit from the purchase and resale of paper assets rather than from the production of useful goods and services.

10. Government has played a central, supporting role since the beginning of capitalism. Government is not the "enemy" of freemarket capitalism. In fact, without government capitalism wouldn't exist at all. Government actions and programs have tended to reinforce and stabilize the basic relationships of capitalism: guaranteeing private property rights, supplying business with needed inputs (like reliable infrastructure and skilled, disciplined workers), expanding markets, and managing social relationships in a way that promotes both stability and profitability. At the same time, working people-thanks to their sheer numbers-can use democratic openings to force governments to respond to their needs and priorities, but only when they are sufficiently motivated and well-organized.

11. Globalization can strengthen an economy, or it can weaken an economy. Globalization is not new. But modern globalization is inherently biased in favour of corporations and investors. Free trade agreements and other aspects of globalization give them more mobility and more power, while limiting the ability of national governments to regulate international flows of goods and capital. In contrast to free-trade theory (which claims globalization benefits everyone who participates), globalization may help or hurt a national economy. It can increase or decrease demand for a country's products (via the trade balance), and it can strengthen or weaken investment (via capital flows). A country's competitiveness determines whether globalization is helpful or harmful.

12. Workers and poor people get only as much from the economy as they are able to demand, fight for, and win. There is no reason to believe that the success of capitalists will ever naturally "trickle down" into improved living standards for the bulk of humanity. Neoclassical theories which claim that everyone gets paid according to their productivity are theoretically inconsistent and empirically false. Income distribution is determined by power more than by markets. Demanding a fairer deal from the system, and building the organizational and political power to back up that demand (through unions and other social justice movements) is the only way to re-divide the pie. And if those demands come up against a hard limit in the form of the system's willingness or ability to meet them, then the time will have come to look at alternatives.

My book, of course, elaborates on all these basic points. When you finish reading the book, put on your boots-and go out to organize for a fairer share of the pie that you work so hard to produce.

[Author Affiliation]

(Jim Stanford is an economist with the Canadian Auto Workers, a CCPA Research Associate, and the author of Economics for Everyone, a CCPA-Fernwood book from which the foregoing article was extracted. For a review of his book, see Pages 12-13. To order a copy, see Page 51.)

Tony Blair holds out hope for two-state solution

A self-described optimist, former British Prime Minister Tony Blair told Congress on Thursday there is no workable alternative to a two-state solution to the long and bloody conflict between Israel and the Palestinians, and both sides are in favor of it.

But in practice, "they doubt it can happen," Blair told the Senate Foreign Relations Committee.

"The opportunity is there," said Blair, who is the international negotiator for the Mideast on behalf of the United Nations, the United States, the European Union and Russia. "But it won't remain if not seized. As President Obama has recognized, this is the right time to seize it."

The best way to go, he said, is to try to make it clear to the Palestinians that negotiations will result in genuine statehood and to the Israelis that there can be "an agreed program for reform of the Palestinian security sector."

On the Israeli side, he said, Israel will not agree to a Palestinian state unless it knows its neighbor will be secure, stable and well governed.

Next week, President Barack Obama will immerse himself in trying to point Israeli Prime Minister Benjamin Netanyahu toward negotiations with Mahmoud Abbas, the Palestinian president.

Netanyahu is reluctant, on the grounds Israel cannot be sure of an end to violence. Abbas is reluctant to negotiate for an agreement with the Israeli leader until he agrees to freeze construction of Jewish homes on territory occupied by Palestinians.

But, differences aside, Blair said the time for peacemaking is opportune, with the Arab countries agreeing to recognize Israel, provided it agrees to a Palestinian state that includes all the land captured by Israel in the 1967 Mideast war.

Blair urged Obama to push quickly for negotiations, provided it clearly points to genuine Palestinian statehood.

Members of the Senate panel appeared to agree there was no alternative to negotiations.

"We all understand," said the committee chairman, Democratic Sen. John Kerry, "that peace will not come to the Middle East quickly or easily."

But, Kerry said, "I share Mr. Blair's optimism that this moment presents an opportunity we cannot afford to miss."

Major Depression in Patients With Borderline Personality Disorder: A Clinical Investigation

Objective: Borderline personality disorder (BPD) is characterized by a high frequency of comorbidity with major depressive disorder (MDD). This study aimed to compare the clinical characteristics of 2 groups of patients with MDD: those with concomitant BPD and those with other concomitant personality disorders.

Methods: We assessed 119 outpatients, using a semistructured interview for demographic and clinical features, the Structured Clinical Interview for DSM-IV, Hamilton anxiety and depression scales, the Zung Self-Rating Depression Scale (ZSDS), the Social and Occupational Functioning Assessment Scale (SOFAS), the Sheehan Disability Scale, and the Revised Childhood Experiences Questionnaire. We performed a regression analysis, using the number of criteria for BPD as the dependent variable.

Results: Severity of BPD was positively related to the ZSDS score, to self-mutilating behaviours, and to the occurrence of mood disorders in first-degree relatives; it was negatively related to the SOFAS score and age at onset of MDD.

Conclusions: Patients with comorbid MDD and BPD present differential characteristics that indicate a more serious and impairing condition with a stronger familial link with mood disorders than is shown by depression patients with other Axis II codiagnoses.

(Can J Psychiatry 2005;50:234-238)

Information on author affiliations appears at the end of the article.

Key Words: borderline personality disorder, major depressive disorder, comorbidity, familial mood disorders

Clinical Implications

* Coexisting personality disorders should be carefully assessed in patients with major depressive disorder (MDD).

* Borderline personality disorder (BPD) should be particularly investigated in depression patients with a family history of mood disorders.

* BPD could be considered a predictive factor of early-onset MDD.

Limitations

* The sample size was relatively small for conclusive statements.

* We used a retrospective method to collect data.

* Data concerning previous and ongoing treatments were not analyzed.

Findings from several studies concur that most patients with borderline personality disorder (BPD) have comorbid Axis I disorders during their lifetime (1-3). Comorbidity with major depressive disorder (MDD) is generally considered the most common, with rates ranging from 53% to 83%. The reasons for this frequent coexistence remain controversial. Some authors have suggested that MDD and BPD may be the expression of a common underlying pathological process, while others have objected that these disorders may simply coexist without sharing any physiopathological mechanism (4-8).

The following clinical characteristics of depression patients with a codiagnosis of BPD have been described: lower age at onset of MDD; higher severity of depressive symptoms; lower level of social functioning; chronic MDD and repeated hospitalization; more common suicidal ideation and behaviour; history of physical or sexual abuse in childhood; and higher cooccurrence of phobias, eating disorders, and alcohol and cannabis abuse (2,9-17).

Replication of these findings is needed to determine whether the clinical picture of MDD is significantly influenced by concomitant BPD. If this is the case, careful identification of personality disorders should be considered in the diagnostic assessment of depressive disorders. The present study aimed to further analyze data on this topic by comparing 2 groups of depression patients: those with concomitant BPD and those with other Axis II codiagnoses.

Material and Methods

We included in this study 119 consecutive outpatients (aged 18 years and over) who had a diagnosis of personality disorder and a codiagnosis of MDD. Patients attended the Service for Personality Disorders, Unit of Psychiatry, at the University of Turin. Diagnoses were made by an expert clinician according to DSM-IV-TR criteria (18) and were confirmed with the Structured Clinical Interview for DSM-IV disorders (SCID, 19,20). Subjects were excluded if they had a current or previous diagnosis of delirium, dementia, amnestic disorder, or other cognitive disorders; schizophrenia or other psychotic disorders; or bipolar disorders. Each patient participated voluntarily in this study after providing written informed consent. Patients were divided into 2 subgroups: those with a diagnosis of BPD and those with a different Axis II diagnosis.

Patients were tested with the following instruments:

* A semistructured interview to assess demographic and clinical features (age, sex, age at onset and duration of MDD, number of major depressive episodes, history of self-mutilating behaviours and substance abuse, and occurrence of mood and anxiety disorders in first-degree relatives). All data were confirmed by clinical chart review and by a close informant, when available.

* The SCID, to determine Axis I comorbidity.

* The Hamilton Anxiety Rating Scale (HARS, 21), the Hamilton Depression Rating Scale (HDRS, 22), and the Zung Depression Self-rating Scale (ZSDS, 23).

* The Social and Occupational Functioning Assessment Scale (SOFAS, 24) and the Sheehan Disability Scale (SDS, 25).

* The Revised Childhood Experiences Questionnaire (CEQ-R, 26), to search for verbal or emotional, physical, or sexual abuse in childhood.

Rating scales were administered by 2 investigators who were blind to the Axis I and II diagnoses.

Pearson's chi-square test and Student's t test for independent samples were used to compare categorical and continuous variables between subgroups. We included all factors found to be significantly different between subgroups in a regression model (stepwise), choosing the number of SCID criteria for BPD as the dependent variable.

Results

The patient sample had a mean age of 37.23 years, SD 14.67; there were 74 women (62.2%) and 45 men (37.8%).

In total, 45 patients (37.8%) had a diagnosis of BPD, while 74 patients (62.2%) met criteria for the following other personality disorders: obsessive-compulsive (n = 20, 16.8%), avoidant (n = 17, 14.3%), dependent (n = 13, 10.9%), histrionic (n = 11, 9.2%), narcissistic (n = 10, 8.4%), paranoid (n = 8,6.7%), schizotypal (n = 6,5%), and schizoid (n = 4,3.4%).

Table 1 reports Pearson's chi-square test comparisons of categorical variables between subgroups. In the BPD subgroup, we found more common occurrence of Axis I comorbidity (P = 0.042), mood and anxiety disorders in first-degree relatives (P = 0.016), self-mutilating behaviours (P = 0.0005), substance abuse (P = 0.008), verbal or emotional abuse in childhood (P = 0.008), and physical abuse in childhood (P = 0.049).

Table 2 shows mean (SD) values of continuous variables and comparisons of the 2 subgroups with Student's t test. Patients with BPD had a lower mean age (P = 0.019), an earlier age at onset of MDD (P = 0.025), a lower SOFAS score (P = 0.0005), and higher scores on the HARS (P = 0.021), ZSDS (P = 0.007), and SDS (P = 0.0005).

Multiple regression showed that 5 variables were significantly related to the number of criteria for BPD: the ZSDS score (P = 0.0005), self-mutilating behaviours (P = 0.001), and occurrence of mood disorders in first-degree relatives (P = 0.01) were positively related, whereas the SOFAS score (P = 0.0005) and age at onset of MDD (P = 0.006) were negatively related (Table 3).

Discussion

Our data contribute to outlining differential characteristics of patients with coexisting MDD and BPD, compared with depression patients with other Axis II codiagnoses. Results of regression analysis indicate that the number of BPD criteria is related to earlier age at onset of MDD, more serious patient-rated depressive symptoms, worse clinician-rated global functioning, more common history of self-mutilating behaviours, and higher occurrence of mood disorders in first-degree relatives.

Our findings concerning age at onset of MDD, level of global functioning, and frequency of self-mutilating behaviours are consistent with previous studies (9-11,15,16). The association we found between number of BPD criteria and prevalence of mood disorders in the families of our depression patients can also be considered a substantial confirmation of preceding reports. For example, several authors have reported an increased rate of mood disorders in the relatives of BPD patients (1,27,28) and have suggested that it could be the consequence of coexisting affective syndromes. Riso and colleagues pointed out that the rates of mood disorders in the relatives of BPD probands were similar to rates found in a mood disorder control group (29). Similarly, our investigation of a sample of patients with a diagnosis of MDD found that coexisting BPD features were related to a family history of mood disorders. Despite some differences in methods among studies, available data implicate a strong familial link between BPD and mood disorders, suggesting that overlapping etiologic factors be considered.

A notable finding in our study is that the number of BPD criteria is only significantly related to the severity of depressive symptoms when measured by the patient, not by the clinician. This result appears discordant with a previous investigation by Comtois and colleagues, who reported that both a clinician-rated scale and a self-report measure of depressive symptoms were significantly related to BPD (2). If the difference that we found between the 2 types of scale is confirmed, a possible explanation could be that BPD patients experience and express depression with a dramatic and emphasized modality.

In conclusion, results of our study indicate that, compared with MDD patients having other Axis II codiagnoses, MDD patients with coexisting BPD are characterized by distinct clinical features. These include earlier onset and more severe depression, worse social impairment, more pronounced self-aggressiveness, and a stronger familial association with mood disorders. These differential characteristics may have diagnostic and therapeutic implications. They indicate the need for an accurate assessment of personality disorders in depression patients to identify cases with concomitant BPD and to reduce the incidence of complications such as self-mutilating behaviours or suicide attempts and loss of social abilities. The search for BPD should be particularly recommended in depression patients with a family history of mood disorders. Moreover, detection of BPD could be considered a predictive factor for early-onset MDD and induce clinicians to provide adequate preventive treatment.

A limitation of our study is that we collected clinical data retrospectively by interviewing patients on their psychiatric history. In particular, childhood abuse was identified from patients' memories. The validity of retrospective methods to collect data on autobiographical events remains controversial, although some authors regard patients' reports as sufficiently accurate (30,31). Another limitation is that data concerning previous and ongoing treatments were not analyzed, because there was considerable heterogeneity in drug and psychosocial interventions.

R�sume : La d�pression majeure chez les patients souffrant du trouble de la personnalit� limite : une investigation clinique

Objectif : Le trouble de la personnalit� limite (TPL) se caract�rise par une fr�quence �lev�e de trouble d�pressif majeur (TDM) comorbide. Cette �tude visait � comparer les caract�ristiques cliniques de 2 groupes de patients souffrant de TDM : ceux ayant un TPL concomitant et ceux souffrant d'autres troubles de la personnalit� concomitants.

M�thodes : Nous avons �valu� 19 patients externes, � l'aide d'une entrevue semi-structur�e pour obtenir les donn�es d�mographiques et cliniques, de l'entrevue structur�e clinique pour le DSM-IV, des �chelles de d�pression et d'anxi�t� d'Hamilton, de l'�chelle de d�pression auto-�valu�e de Zung (ZSDS), de l'�chelle d'�valuation du fonctionnement professionnel (SOFAS), de l'�chelle d'incapacit� de Sheehan et du questionnaire sur les exp�riences d'enfance revues. Nous avons ex�cut� une analyse de r�gression, � l'aide du nombre de crit�res du TPL comme variable d�pendante.

R�sultats : La gravit� du TPL �tait positivement reli�e au score � la ZSDS, aux comportements d'automutilation, et � la pr�sence de troubles de l'humeur chez des parents du premier degr�; elle �tait n�gativement reli�e au score � la SOFAS et � l'�ge de l'apparition du TDM.

Conclusions : Les patients souffrant de TDM et de TPL comorbides pr�sentent des caract�ristiques diff�rentielles qui indiquent un �tat plus s�rieux et incapacitant, et un fort lien familial avec des troubles de l'humeur, que ne le font les patients d�pressifs pr�sentant d'autres co-diagnostics de l'axe II.

[Reference]

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7. Zanarini MC, Frankenburg FR, Dubo ED, Sickel AE, Trikha A, Levin A, and others. Axis I comorbidity of borderline personality disorder. Am J Psychiatry 1998;30:149-56.

8. Koenigsberg HW, Anwuah I, New AS, Miiropoulou V, Schopick F, Siever LJ. Relationship between depression and borderline personality disorder. Depress Anxiety 1999;10:158-67.

9. Fava M, Alpert JE, Borus JS, Nierenberg AA, Pava JA, Rosenbaum JF. Patterns of personality disorder comorbidily in early-onset versus late-onset major depression. Am J Psychiatry 1996;153:1308-12.

10. Rothschild L, Zimmerman M. Borderline personality disorder and age of onset in major depression. J Personal Disord 2002;16:189-99.

11. Joyce PR, Mulder RT, Luty SE, McKenzie JM, Sullivan PF, Cloninger RC. Borderline personality disorder in major depression: symptomatology, temperament, character, differential drug response, and 6-month outcome. Compr Psychiatry 2003;44(1):35-43.

12. Kool S, Dekker J, Duijsens IJ, Jonghe FD. Major depression, double depression, and personality disorders. J Personal Disord 2000;14:274-81.

13. Zimmerman M, Coryell W, Pfohl B, Corenthal C, Stangl D. ECT response in depressed patients with and without a DSM-III personality disorder. Am J Psychiatry 1986;143:1030-32.

14. Alnaes R, Torgensen S. Personality and personality disorders predict development relapses of major depression. Acta Psychiatr Scand 1997;95:336-42.

15. Zisook S, Goff A, Sledge P, SchuchlerS. Reported suicidal behaviour and current suicidal ideation in a psychiatric outpatient clinic. Ann Clin Psychiatry 1994;6:27-31.

16. Soloff PH, Lynch KG, Kelly TM, Malone KM, Mann JJ. Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. Am J Psychiatry 2000;157:601-8.

17. Brodsky BS, Oquendo M, Ellis SP, Haas GL, Malone KM, Mann JJ. The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. Am J Psychiatry 2001;158:1871-7.

18. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Text revision (DSM-IV-TR). Washington (DC): American Psychiatric Association; 2000.

19. First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS. Structured Clinical Interview for DSM-IV disorders (SCID). Washington (DC): American Psychiatric Press; 1997.

20. First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS. Structured Clinical Interview for DSM-IV disorders Axis II (SCID-II). Washington (DC): American Psychiatric Press; 1997.

21. Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959;32:50.

22. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56-62.

23. Zung WK. A self-rating depression scale. Arch Gen Psychiatry 1965;12:63-7.

24. Goldman HH, Skodol AE, Lave TR. Revising Axis V for DSM-IV: a review of measures of social functioning. Am J Psychiatry 1992;149:1148-56.

25. Sheehan DV, Harriett Sheehan K, Ray BA. The measurement of disability. Int Clin Psychopharmacol 1996;11(Suppl):89-95.

26. Zanarini MC, Gunderson JG, Marino MF, Schwartz EO, Frankenburg FR. Childhood experiences of borderline patients. Compr Psychiatry 1989;30:18-25.

27. Pope GP, Jonas JM, Hudson JI, Cohen BM, Gunderson JG. Borderline personality disorder: a phenomenologic, family history, treatment response, and long-term follow-up study. Arch Gen Psychiatry 1983;40:23-30.

28. Silverman JM, Pinkham L, Horvath TB, Coccaro EF, Klar H, Schear S, and others. Affective and impulsive personality disorder traits in the relatives of patients with borderline personality disorder. Am J Psychiatry 1991;148:1378-85.

29. Riso LP, Klein DN, Anderson RL, Ouimette PC. A family study of outpatients with borderline personality disorder and no history of mood disorder. J Personal Disord 2000;14:208-17.

30. Perugi G, Toni C, Traverse MC, Akiskal HS. The role of cyclothymia in atypical depression: toward a data-based reconceptualization of the borderline-bipolar II connection. J Affect Disord 2003;73:87-98.

31. Brewin CR, Andrews B, Gotlib IH. Psychopathology and early experience: a reappraisal of retrospective reports. Psychol Bull 1993;113:82-98.

[Author Affiliation]

Silvio Bellino, MD1, Luca Patria, MD2, Erika Paradiso, MD3, Rossella Di Lorenzo, PhD4, Caterina Zanon, MD3, Monica Zizza, PhD4, Filippo Bogetto, MD5

[Author Affiliation]

Manuscript received September 2003, revised, and accepted July 2004.

1 Assistant Professor, Unit of Psychiatry, Department of Neuroscience, University of Turin, Italy.

2 Psychiatrist, Unit of Psychiatry, Department of Neuroscience, University of Turin, Italy.

3 Psychiatry Resident, Unit of Psychiatry, Department of Neuroscience, University of Turin, Italy.

4 ClinicaI Psychologist, Unit of Psychiatry, Department of Neuroscience, University of Turin, Italy.

5 Professor, Unit of Psychiatry, Department of Neuroscience, University of Turin, Italy.

Address for correspondence: Dr S Bellino, Unit of Psychiatry, Department of Neuroscience, University of Turin, via Cherasco 11, 10126 Torino, Italy

e-mail: silvio.bellino@unito.it

US ambassador to Afghanistan meets ex-Taliban commander in heart of poppy-growing region

The U.S. ambassador to Afghanistan flew to a previously Taliban-held town in the heart of a poppy-growing region, and told the ex-Taliban commander now in charge there that Afghans must stop growing poppies.

Ambassador William Wood drank tea and talked with Mullah Abdul Salaam, a former militant commander who defected to the government last month and is now the district leader of Musa Qala in Helmand province.

U.S., British and Afghan forces retook Musa Qala last month following 10 months of Taliban rule there.

Wood has said officials discovered US$500 million (euro338.36 million) worth of heroin in dozens of labs around Musa Qala, which is in the world's largest poppy-growing region.

During Wood's visit Sunday, he urged Salaam to tell his people to leave behind "the practice of producing poison," and said poppy production was against the law and Islam.

"In Musa Qala the price of bread has risen dramatically. I won't say why _ you know why," Wood said, alluding to farmers' practice of growing poppies instead of needed food.

Wood said U.N. and Afghan officials have told him that farmers in Helmand have again been planting a lot of poppies for this season's harvest.

"There is a solution, but it depends on the people of Afghanistan. The people of Afghanistan have to decide what kind of Afghanistan they want, and we will support them if they choose an Afghanistan of peace, of Islam and of law," he said.

Salaam offered Wood a list of things he said needed to happen immediately for Musa Qala to remain peacefully under government control. Topping the list, he said, was a request to the Ministry of Interior for 200 more police.

"We still have a problem with the police. We need more to come here," Salaam said. "We want the police to be honest and strong, because in the past they have stolen from the people, and because of that the people still don't trust them."

Salaam said he defected to the government in part because "un-Islamic" trials were being carried out in Musa Qala on the orders of Pakistani and Chechen fighters.

"The other reason was that they were calling everyone Taliban who were not real Taliban. They should make a difference between real Taliban and drug users and smugglers," Salaam said. "This place (Musa Qala) was under the control of smugglers, drug dealers, and Islamic law was not implemented here."

Salaam told Wood he wanted to thank the United States and Britain for helping Afghans "do jihad" against the Soviets _ a reference to the Afghan resistance to the Soviet occupation of the country in the 1980s.

Reflecting the dangers of traveling in the area, the two Black Hawk helicopters carrying Wood's team flew extremely close to the sandy ground, barely skimming over rooftops. The two aircraft, escorted by two Apache helicopter gunships, banked sharply from side to side over populated areas as a defensive measure against any possible incoming fire.

Wood said the situation in Musa Qala is "filled with hope."

"One of the elements of that hope is that a former Taliban commander has now not only agreed to support the constitution and respect the authority of the national government, but as a district governor will defend the constitution and represent the national government," Wood said.

Farm Credit Services names three to executive committee

Three board members have been named to the executive committee of the Farm Credit Services of America, Omaha. Bob Slaughter of Osage, Iowa, was elected to serve as chairman; Tom Clausen of Armstrong, Iowa, will serve as vice chair; and Tim Rowe of Elwood, Neb., is the third member of the executive committee.

Slaughter has a hog operation and grows corn and soybeans. He has been on the board since 1999. Clausen has a cow-calf operation. Rowe produces corn, soybeans, popcorn and wheat on his family farm in south central Nebraska.

TRISHA BROWN

ADDISON GALLERY OFAMERICAN ART1PHILLIPSACADEMY, ANDOVER, MASSACHUSETTS

Few, if any, exhibitions during the past year were so beautifully conceived and installed as the retrospective of Trisha Brown's work at the Addison Gallery of American Art-an achievement all the more impressive when considering the sheer diversity of production the show navigates. A dancer and choreographer who met Simone Forti and Yvonne Rainer in 1960 while studying in California, Brown heeded their encouragement to move to New York, where she would soon perform at judson Church, engage the community around John Cage, and immerse herself in the collaborative culture of Happenings that was drawing freely from the techniques of dance, performance, and the plastic arts, making the borders between them permeable. And so "Trisha Brown: Dance and Art in Dialogue, 1961-2001" (curated by Hendel Teicher, the show was co-organized by the Addison and Skidmore College's Tang Teaching Museum and Art Gallery and is currently installed at the New Museum of Contemporary Art, New York) by necessity encompasses video and photographic documentation of performances; costumes and set designs; prints, paintings, and sculpture by artist collaborators like Nancy Graves, Donald judd, Robert Rauschenberg, Robert Whitman, and Terry Winters; and original dance scores penciled by Brown, which, in their minimal (and occasionally hieroglyphic) lyricism, qualify as significant works in themselves.

The most compelling quality of the Addison's installation resided in its integral reflection of Brown's own compositional style. If the choreographer developed the notion of "structured improvisation"-composing loose formal constructs from which performers could depart and extrapolate unique motionsthen a similar ebb and flow of structural framework was discernible at the Addison in the interplay of images, objects, and the audiences moving in their midst. Among the first pieces encountered was a large construction originally designed by Brown for Floor of the Forest, 1970: a suspended grid of ropes laced with clothing that performers would attempt to don while hanging from the lattices by their hands and legs. Whether relic or mere remnant, this horizontal jungle gym dominated the gallery, so viewers moved around the space in unavoidable physical relation to it. Another gallery housed pieces designed by Rauschenberg for Astral Convertible, 10189-tall, erector set-like aluminum scaffolds affixed with naked bulbs that scatter intense white light across the room. During a performance, dancers were allowed to move these props freely onstage. And here, apparently arranged randomly throughout a large room, they created the unmistakable, if unusual, feeling that the viewer was engaged in a kind of dance through the galleryindeed, art viewing could be usefully considered a type of ritualized motioneliding, in effect, the distinction between sculptural and theatrical space. The most obvious (and intoxicating) instance of such an expanded conception of display occurred in the re-presentation of Opal Loop/Cloud Installation #72503,1980, for which the artist Fujiko Nakaya used fog nozzles to create a thick vapor that enshrouded the dancers. The fog sculpture was here installed in a room by itself, filling the gallery with mist while a video of the original performance was projected through the haze-turning the recorded figures into dark, thin shadows that mingled with audience members standing in the gallery, the space assuming a strangely holographic quality.

This seductive, evocative sense of estrangement, of being somehow both inside and outside the frame, in a performance both unscripted and choreographed, is a key signature for any number of projects composed by Brown, especially those that move well off the stage. In 1971, for example, she assembled dancers on SoHo rooftops (Roof Piece), their synchronized movements on elevated planes making a whole vertiginous city seem choreographed (a large image of this performance was displayed in Andover). Similarly letting the stage spill out into the world, she once laid dancers on floating rafts so that they drifted with the rainy wind on a lake in Loring Park, Minneapolis, still performing in tandem (Primary Accumulation on Rafts, 1971). The experience of viewing such moments, while it cannot be duplicated within institutional and architectural confines, was nevertheless approached by pieces like the Rauschenberg-designed backdrops for Glacial Decoy, 1979, four floor-to-ceiling rear-projection screens on which such images as palm fronds, light filaments, and brickwork pulsed from one to the next. Setting a constant backdrop for one portion of the show, resited from stage to gallery, the screens provided the exhibition with a kind of spatial metronome-a background rhythm against which one inevitably took stock of one's own movements, as if in a drama. And it was in this sense of paced, elemental sequences (words that could also describe Brown's choreographic approach) that other visual contributions, by Donald judd, for instance, reverberated most effectively. His ten woodcuts (Unfitted, 1987) here resembled basic animations, with simple lines and geometries bifurcated and segmented-offering plain forms that, almost in spite of themselves, richly unfold, providing a visual beat.

The sense of being in time, in fact, aptly describes this show, which, even though a retrospective, hardly feels dated. When considering issues of performance and its reproduction, of stage sets and sculpture, it's not difficult to recognize questions posed in other contemporary exhibitions, of work by multimedia artists like, say, Matthew Barney. (All mythical allusions aside, Brown's engagement with feats of physical endurance only underscores the similarities and may even support the notion of a lineage, as her Man Walking Down the Side of a Building, 1970, con jures images of the younger artist climbing walls and museum rotundas.) If ever there were a show to generate interest in an artist's work, not only for its historical significance, but also for its common line with a trajectory that continues unabated to the present day, this is it.

[Sidebar]

The sense of being in time, in fact, aptly describes this show, which, even though a retrospective, hardly feels dated.

[Author Affiliation]

Tim Griffin is editor of Artforum.

Role of Protein Cavities on Unfolding Volume Change and on Internal Dynamics under Pressure

ABSTRACT

The effects of two single point cavity forming mutations, F110S and I7S, on the unfolding volume change (ΔV^sup 0^) of azurin from Pseudomonas aeruginosa and on the internal dynamics of the protein fold under pressure were probed by the fluorescence and phosphorescence emission of Trp-48, deeply buried in the compact hydrophobic core of the macromolecule. Pressure-induced unfolding, monitored by the shift of the center of mass of the fluorescence spectrum, showed that ΔV^sup 0^ is in the range of 60-70 mL/mol, not significantly different between cavity mutants and compact azurin species such as the wild-type and the mutant C3A/C26A, in which the superficial disulphide has been removed. The lack of extra volume in F110S and I7S proves that the engineered cavities, 40 �^sup 3^ in I7S and 100 �^sup 3^ in F110S, are filled with water molecules. Changes in flexibility of the protein matrix around the chromophore were monitored by the intrinsic phosphorescence lifetime (τ^sub 0^). The application of pressure in the predenaturation range initially decreases the internal flexibility of azurin, the trend eventually reverting on approaching unfolding. The main difference between compact folds, wild-type and C3A/C26A, and cavity mutants is that the inversion point is powered from ~3 kbar to 1.5 kbar for F110S and <0.1 kbar for I7S, meaning that in the latter species pressure-induced internal hydration dominates very early over any compaction of the globular fold resulting from the reduction of internal free volume. The similar response between wild-type and the significantly less-stable C3A/C26A mutant suggests that thermodynamic stability per se is not the dominant factor regulating pressure-induced internal hydration of proteins.

INTRODUCTION

Close atomic packing in protein structures is an important determinant of the stability of native folds ( 1.2). The presence of internal cavities may be crucial, however, for conferring the conformational flexibility needed for their biological function. The extent to which naturally occurring or engineered cavities, sufficiently large to accommodate one or more water molecules, are empty or hydrated may depend on several factors (size, hydrophobicity. etc.) and is currently the subject of active debate (3-8). Unfortunately, internal mobile water molecules are not resolved by x-ray crystallography and neither by NMR spectroscopy, unless they are rotationally restrained (9). Some weakly polar cavities created inside proteins by mutations were indeed found to be empty (10) and studies of binding of noble gases within engineered cavities (7) have indicated that the occupancy of water in an apolar cavity is expected to be vanishingly small. Eriksson et al. (10) estimated that the probability of a single water molecule being in a purely hydrophobic cavity is extremely small, a conclusion strengthening the belief that absence of electron density in a crystallographic map is evidence for the absence of matter (9). However, free-energy considerations point out that empty cavities are very costly on stability, and recent x-ray, NMR, and simulation studies show that water molecules can be present, at least transiently (4,8,10-15).

One of the most sensitive approaches to the detection of internal cavities in macromolecules is the response of the system to applied pressure (16-19). When hydrostatic pressure is applied, the protein-solvent system evolves toward the global conliguration that occupies the least volume (20). According to compressibility data (21-23). a decrease in volume can be achieved by both the reduction of internal cavities, voids that result from imperfect packing of amino acids, and greater hydration of the polypeptide, including the penetration of water molecules into the globular fold. (21,22,24). Since the major contribution to the change of volume on unfolding. ΔV^sup 0^, is the elimination of internal voids upon disruption of the folded structure, the introduction of an additional cavity of volume V^sub c^ should increase the value of ΔV^sup 0^ by roughly the same amount, were the cavity empty. Further, at predenaturating pressure reduction of cavity size and hydration exerts opposing influences on protein dynamics. From the correlation between compressibility, volume fluctuations, and flexibility (25) compression of cavities is expected to restrict the mobility of the polypeptide mainly of internal regions. Hydration, on the other hand, as it substitutes intrapeptide bonds with water bonds, will exert a lubricating action on segmentai flexibility.

This works applies high pressure to a homogeneous series of proteins to enquire specifically on the extent to which relatively large internal cavities, created by the replacement of bulky side chains with smaller ones, may be empty or filled with water as well as on what is the influence of these cavities on pressure modulation of protein dynamics. Azurin from Pseudomonas aeruginosa was chosen as a model system for the wealth of structural (crystallographic, spectroscopic, and theoretical), thermodynamic, and kinetic data available on both native and mutated forms. Azurin is a 14 kDa copper-binding protein with an eight-stranded β-sandwich structure arranged in a double-wound Greek-key topology (26). The β-sandwich is closely packed and forms a highly hydrophobic core about the unique Trp residue (Trp-48) of the polypeptide (26,27), which serves as a natural probe of the local structure. The introduction of Ser in place of a bulky Phe (F110) or Ile (17) creates in the neighborhood of Trp-48 a cavity of ~40 �^sup 3^ in I7S and of 100 �^sub 3^ in F110S, whereas for the rest the structure remains essentially native (28). The two single-point mutations destabilize the globular fold by 3-4 kcal/mole relative to the wild-type (WT) (29) and change the internal dynamics of the protein (30). A similar destabilisation of azurin is observed upon severing the superficial C3-C26 disulfide link in the double mutant C3A/ C26A (31), and for this reason the latter azurin species was taken to represent an example of compact but destabilized azurin fold.

The pressure unfolding equilibrium was monitored by the accompanying large change in fluorescence spectrum and yield of Trp-48, whereas the influence of pressure on the dynamics of the protein core was probed by phosphorescence lifetime of Trp-148 (32). For WT and the above azurin mutants, the phosphorescence emission of Trp-48 in copper free azurin is strong and long-lived even in buffer at ambient temperature (33), an emission that has proved to be remarkably sensitive to the flexibility of the structure surrounding the chromophore induced by a wide range of experimental conditions: metal binding (33), freezing (34), dehydration (35), high pressure (32), sugars (36), and pH (37).

The results of both stability and flexibility response to pressure demonstrate that water molecules do fill the nonpolar cavities of azurin and suggest that these hydrated cavities open the way to further internal hydration of the macromolecule, thus acting as nucleation sites for the unfolding process. The change in internal protein flexibility under pressure shows that with well compact protein folds, WT and C3A/ C26A, the response is an initial enhancement of structural rigidity followed by a progressive loosening of the macro-molecule in the high pressure range. The pressure at which there is an inversion between the two trends is apparently not related to the thermodynamic stability of the native state, hut was found to be signilicantly lowered with the introduction of internal cavities effective in breaking up the compactness of the protein core.

MATERIALS AND METHODS

All chemicals were of the highest purity grade available from commercial sources. Water, doubly distilled over quartz, was purified by Milli-Q Plus system (Millipore, Bedford, MA). All glassware used for sample preparation was conditioned in advance by standing for 24 h in 10% HCl suprapur (Merck, Darmstadt, Germany).

Azurin WT and mutants I7S, F110S, and CJA/C26A were prepared following published protocols. The plasmid carrying the WT sequence was a generous gift from Prof. A. Desideri (Universit� di Roma, "Tor Vergata", Italy). The procedure of isolation and publication of WT has been described by van de Kamp et al. (38). Details about site-directed mutagenesis, protein expression, isolation, and purification of I7S. F100S, and C3A/C26A mutants have been described elsewhere (39,40). Copper free azurins (apoazurins) were prepared from holo-azurins by adding potassium cyanide and EDTA to final concentrations of 0.1 M potassium cyanide and 1 mM EDTA in 0.15 M Tris-HCl, pH 8. followed by column chromalography (38). The proteins were dialyzed and stored in Tris HCl, 10 mM, pH 7.5.

Sample preparation for phosphorescence measurements

Before luminescence measurements, all proteins were extensively dialyzed in Tris-HCl (2 mM, pH 7.5) whose pH is one of the least sensitive to pressure. For phosphorescence measurements, it is paramount to rid the solution of all O2 traces. Deoxygenation of protein samples was obtained by adding an enzymatic system composed of SO nM glucose oxidase, 16 nM catalase, and 0.3% (w/v) glucose. No emission from these proteins could he detected at the amplification levels of phosphorescence measurements. The protein concentration in all phosphorescence experiments ranged between 2 and 4 �M.

Luminescence measurements

Fluorescence spectra and phosphorescence spectra and decays were measured with pulsed excitation (λ^sub ex^ = 292 nm) on a homemade apparatus (41), modified to implement spectral measurements by means of a charge-coupled device (CCD) camera. The main advantages of CCD detection over the traditional scanning monochromator-photomultiplier assembly are enhanced sensitivity to low light levels (>100-fold) and simultaneous acquisition of the entire spectrum.

Pulsed excitation was provided by a frequency-doubled Nd/Yag-pumped dye laser (Quanta Systems, Milan, Italy) with pulse duration of 5 ns. pulse frequency up to 10 Hz, and energy per pulse varying from 10 to 1000 �J. For spectra measurements, the emission was collected at 90� from the excitation and dispersed by a 0.3 m focal length triple grating imaging spectrograph (SpectraPro-2300i, Acton Research, Acton, MA) with a band pass ranging from 1.0 to 0.2 nm. The emission was monitored by a back-illuminated 1340 � 400 pixels CCD camera (Princeton Instruments Spec-10:400B (XTE). Roper Scientific, Trenton. NJ) cooled to -80�C. Phosphorescence decays were monitored by collecting the emission at 90� from vertical excitation through a filter combination with a transmission window of 405-445 nm (WG405, Lot-Oriel, Milan Italy; plus interference filter DT-Blau, Balzer, Milan, Italy). A gating circuit that inverts the polarity of dynodes 1 and 3, for up to 1.5 ms after the laser pulse, protects the photomultiplier (Hamamatsu R928, Hamamatsu City, Japan) from the intense fluorescence light pulse.

The photocurrent was amplified by a current-to-voltage converter (SR570, Stanford Research Systems, Stanford, CA) and digitized by a 16 bits high speed (1.25 MHz) multi-function data acquisition board (NI 6250 PCI, National Instrument Italy, Milan, Italy) supported by LabVIEW software capable of averaging multiple sweeps. Prompt fluorescence was collected through a 310-375 hand pass filter combination (WG305 nm plus Schott UG11) and detected by an ultraviolet-enhanced photodiode (OSD100-7, Centronics, Newbury Park, CA).

An analog circuit was used to integrate the pholocurrent, and its output was digitized and averaged by a multifunctional board (PCI-20428, Intelligent Instrumentation, Tucson, AZ) utilizing LabVIEW software. The prompt fluorescence intensity was used to account for possible variations in the laser output between measurements as well as to obtain fluorescence-normalized phosphorescence intensities. All phosphorescence decays were analyzed in terms of a sum of exponential components by a nonlinear least-squares fitting algorithm (DAS6, Fluorescence decay analysis software, Horiba Jobin Yvon, Milan, Italy).

Each spectral and lifetime determination was repeated at least three times. Luminescence measurements under pressure were carried out by placing the sample cuvette in a pressure cell (SITEC, Zurich, Switzerland) provided with sapphire windows and employing water as pressurizing fluid. Details of the sample cuvette and procedure to avoid O2 inlet during pressure cycles have been reported before (32). The reversibility of luminescence measurements was checked at the end of each pressure cycle. Particular care was taken Io assure temperature equilibration of the sample after each pressure variation, which required at least 5 min.

RESULT AND DISCUSSION

Effects of internal cavities on the unfolding ΔV^sup 0^ The volume change of azurin denaturation was obtained from the linear relationship describing the pressure dependence of the unfolding free energy, ΔG(p) = ΔG^sup o^+ ΔV^sup o where pis the applied pressure(42). At any p, the fraction of unfolded azurin, f^sub U^, was determined from the change in the fluorescence emission, spectrum and quantum yield, of the single Trp residue (W48) buried in the central hydrophobic core of the macromolecule. The nonpolar rigid environment confers to W48 the bluest and most structured spectrum reported to date in proteins, a feature particularly suitable for distinguishing native from unfolded states of the macromolecule. Fig. 1 shows the large red shift, λ^sub max^, increasing from 308 to 355 nm, and the decrease in fluorescence yield accompanying pressure denaturation of WT azurin. The spectral change is similar to that found with chemical denaturation by GdnHCl (29.36) and is typical for the full exposure of the aromatic residue to the solvent. Note that relative to WT and the mutant C3A/C26A, the fluorescence spectrum of mutants I7S and F110S is partially red-shifted and less resolved (39), an indication that the environment of W48 has been modified by the amino acid substitution. For each protein, f^sub U^ as function of applied pressure was evaluated from the change in the center of mass of the spectrum, λg, as described in Materials and Methods.

Pressure denaturation of azurin was found to be a reversible process, although for the cavity mutants recovery of the native fold is not immediate nor complete on decompression, particularly if the sample is maintained for a long time, over 20-30 min, at denaturing pressures. Evidently, for these proteins, slow, partly irreversible processes set in with the formation of denatured species. The phenomenon is not concentration-dependent, indicating that aggregation of protein is not responsible of it. To minimize the interference of these side reactions on the unfolding equilibrium, the time of equilibration after each pressure change was reduced to 5 min and the equilibration kinetics accelerated by raising the temperature to 40�C. Specific tests confirmed that under these conditions, recovery of native azurin at the end of a complete pressure cycle was better than 90%.

The main conclusion from the pressure denaturation profile is that the volume change on azurin unfolding is not significantly different between compact globular folds, WT, and C3A/C26A mutant, species in which a sizable internal cavity was introduced by the amino acid replacement.

The crystallographic structure of the two azurin cavity mutants I7S and F1100S shows that by replacing 17 or F110 with the smaller and polar Ser, a predominantly hydrophobic cavity of -24 and 60 mL/mole, respectively, has been engineered in proximity of Trp-48 (28), with important consequences on the stability and internal dynamics of azurin (29.30). In contrast to I7S, where no water molecules have been detected in the cavity, one water molecule sufficiently structured to give a diffraction pattern was indeed detected in the cavity of F110S (28). However, since the larger cavity of F110S can in principle accommodate 7-8 water molecules, x-ray data could be interpreted to mean that in both mutants the cavities are largely empty.

The increments to the total volume change measured for the mutants by x-ray measurements are significantly larger than the experimental error of ΔV^sup o^ (~10 mL/mole) and therefore were the cavities empty would show a 40% and 100% increase of ΔV^sup o^, respectively. We must infer that the cavities are largely filled with water.

Effects of internal cavities on the response of protein dynamics to applied pressure

The application of high pressure will promote any structural rearrangement of the macromolecule/solvent system that accommodates a reduction in its volume. At predenaturating pressures, the decrease in volume can involve both the reduction of internal cavities and greater hydration of the polypeptide. including the penetration of water molecules into the globular fold. Cavity size reduction and hydration exert opposing influences on protein dynamics, and the net effect will manifest which of the two trends is the prevailing structural adaptation to applied pressure.

The internal dynamics of azurin is assessed by the phosphorescence lifetime of W48 (τ^sub 0^). a parameter whose magnitude depends directly on the flexibility of the protein matrix around the chromophore (43,44). In buffer (2 mM Tris, pH 7.5) at 40�C. the phosphorescence decay of W48 in WT azurin and in the C3A/C26A double mutant is uniform with a lifetime of 0.12 and 0.10 s, respectively. For the cavity-forming mutants F110S and I7S. the decay is heterogeneous, reflecting the presence of more than one stable conformation of the macromolecule in the millisecond-second timescale, each with its own τ (30) (Table 2). Throughout, heterogeneous decays were adequately fitted in terms of two lifetime components (see as an example F110S in Fig. 3). This analysis yielded an averaged lifetime (τ^sub av^ = α^sub 1^τ^sub 1^ + α^sub 2^τ^sub 2^) of 0.076 s for F110S and 0.022 s for I7S . Thus, according to the triplet lifetime, both cavity mutants are more flexible in the central core of the protein harboring the phosphorescent probe.

The application of high pressure affects both the phosphorescence intensity and lifetime of each azurin species. It should he pointed out that when the protein unfolds, the phosphorescence lifetime falls to below detection limit and consequently the denatured fraction does not contribute to the phosphorescence emission of the sample. Thus, the intensity of phosphorescence extrapolated to time zero, P^sub 0^, when normalized by the flourence intensity F, P^sub 0^/F, is a direct measure of the native fraction of the protein population. For every protein, the pressure profile of P^sub 0^/F was found to be practically identical, within the ~5% precision ol these measurements, to the fraction of azurin in the native state, f^sub N^ = f^sub U^, as determined from the fluorescence f^sub U^ profiles of Fig. 2. This good correspondence between the native fraction of azurin determined by P^sub 0^/F and fluorescence indicates that the macromolecule is either fully native, with long-lived phosphorescence, or completely unfolded. Hence, even at denaturing pressures, there is no evidence of intermediate, partially structured conformations of the protein, that could be too flexible to be phosphorescent but with W48 still shielded from the solvent to fluoresce to the blue. The above correspondence between independent monitors of azurin denuturation supports the validity of a two-state unfolding equilibrium, meaning that in general unfolding proceeds from fully compact states.

The pressure dependence τ^sub 0^ is reported for each protein in Fig. 4. Throughout, the pressure modulation of τ^sub 0^ was found to be a totally elastic process, as on decompression the change is promptly reversed. For the WT protein, we observe a biphasic τ profile characterized by an initial lengthening of the lifetime up to 3 kbar followed by its progressive reduction to values below τ^sub 0^. From the correlation between τ and the fluidity of the chromophore's environment (45), the pressure profile of τ attests to an initial lightening of the protein core, presumably owed to the preeminence of cavity reduction, followed by its progressive loosening in high pressure range, reflecting enhanced internal hydration.

The C3A/C26A azurin mutant behaves similarly to the WT protein. Although the much lower stability of the mutant relative to the WT limits the observation range to 3 khar, τ is also found to increase, the compaction of the inner fold reaching its highest point on the same pressure range of the WT. This finding points out that despite the much smaller stability (6 kcal/mole) of C3A/C26A relative to WT, caused by the removal of the superficial disulphide link, hydration of the inner core and consequent loss of structural rigidity is as hindered as in the WT protein.

The introduction of a large cavity in proximity of W48 is expected to abate the rigidity of the local structure. The smaller To of F110S and I7S and the 3-4 orders of magnitude increase of the permeability of acrylamidc to the protein core (30) confirm that cavity mutants are considerable more flexible than the WT. The response of protein dynamics to applied pressure will tell if the gain in flexibility of the cavity mutants is due to the presence of free voids or to the lubricating action of an internal water pools. Only in the former case would the macromolecules be highly compressible and pressure exert a drastic reduction of structural fluctuations. The flexibility changes inferred from τ (Fig. 4) show that for F110S, the initial compaction reaches a maximum at much lower pressure (1.5 kbar) than WT and C3A/C26A azurins, the trend reverting thereafter with a sizable twofold reduction of 7 before reaching 3 kbar. For the more flexible cavity mutant, I7S, there is even no sign of compaction as the lifetime decreases monotonically above 0.5 kbar. In the latter, the triplet probe reports a sharp enhancement of protein flexibility at relatively low pressure, consistent with an overwhelming effect of internal protein hydration over any compaction of the structure. A similar behavior was also observed for the WT when approaching freezing temperatures where protein hydration is the dominant reaction to pressurization (46). In either case, we do not observe the sharp tightening of conformational flexibility anticipated tor empty cavities. Instead, the main response to pressure is consistent with the promotion of protein internal hydration. Hence, it appears that the new cavities of I7S and F110S are largely hydrated and that such a configuration confers high plasticity to the native state of azurin even at relatively low pressure. The lack of or decreased compaction of the inner core of cavity mutants with applied pressure points out that cavities are already filled with water, a rinding that is consistent the invariance of ΔV� of the among the four azurin species.

The main conclusions to draw from the limited but homogeneous set of proteins examined is that the creation of an internal cavity will enhance the plasticity and lower the stability of the globular structure.

The possibility to discriminate between empty and water-oiled cavities is also important for testing the validity of the relationship predicting the decrease in protein stability resulting from the creation of internal empty cavities. Based on a series of mutations in the core of phage T4 lysozyme, a correlation has been proposed (10,47) between ΔΔG and the size (ΔV) of the cavity created. According to this relationship, the energetic cost of making a cavity is linearly dependent on the volume of the created cavity plus an additional free-energy term determined by the difference in hydrophobicity of the two amino acid residues involved in the substitution. The cost of creating a cavity derives mostly from the missing van der Waals interactions between the side chain to be replaced and the surrounding atoms in the native structure and is estimated at ~0.022 kcal mole^sup -1^ [Angstrom]^sup 3^ (10,47), a value frequently used in studies predicting protein stability (3,48). This ΔΔG versus ΔV relationship was found to hold in some cases (8,49) but data is also available that contrasts with it (3,50-52). In the case of I7S and F110S, the measured ΔΔG is ~6 kcal mole^sup -1^ for both mutants, and this value is fairly close to that predicted theoretically considering the substitution of Ile and Phe with a Ser plus the creation of cavity of the dimension calculated by x ray. However, we note that the agreement is totally fortuitous and misleading because the cavities are not empty but largely filled with water, and consequently ΔΔG should be much smaller. Both the difficulty in establishing the actual volume of a cavity, which depends on the shape of the cavity and the size of the probe used, and its variable extent of hydration suggest that ΔV is not a useful parameter for predicting free-energy changes in response to mutations. Moreover, buried water molecules in the interior of proteins can form a variety of hydrogen-bonded networks that can have a significant if unpredictable impact on protein stability (53,54).

The author is grateful to Dr. Giovanni Strambini for helpful discussions and for critical reading of the manuscript.

[Reference]

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[Author Affiliation]

Patrizia Cioni

Istituto di Biofisica, Consiglio Nazionale delle Ricerche, Pisa 56100, Italy

[Author Affiliation]

Submitted March 27, 2006, and accepted for publication June 12, 2006

Address reprint requests to Patrizia Cioni, E-mail: patrizia.cioni@pi.ibf.cnr.it.

� 2006 by the Biophysical Society

0006-3495/06/11/3390/07 $2.00