, 2006; U S Federal Trade Commission, 2007), and the introductio

, 2006; U.S. Federal Trade Commission, 2007), and the introduction of novel smokeless tobacco products that are marketed to smokers as a temporary Veliparib or permanent substitute for smoking (Hatsukami, Ebbert, Feuer, Stepanov, & Hecht, 2007; Rogers, Biener, & Clark, 2010). Moreover, there is no information available on the enantiomeric composition of NNN in cigarette smoke. In this study, we applied chiral gas chromatography (GC) analysis to determine (S)-NNN levels in three categories of U.S. products: conventional smokeless tobacco, novel tobacco products, and cigarettes. MATERIALS AND METHODS Chemicals and Standards 5-Methyl-N��-nitrosonornicotine (5-MeNNN) and NNN enantiomers were synthesized as previously described (Carmella et al., 2000). All other chemicals were obtained from Fisher Scientific.

Tobacco Samples Smokeless tobacco products were purchased between March 2010 and January 2012: conventional products were obtained from retailers in Minneapolis, and novel products were obtained as a part of the New Product Watch Project (Stepanov, Biener, et al., 2012). Cigarettes were purchased from retail stores in April 2010 (Stepanov, Knezevich, et al., 2012); all samples were king-size filtered cigarettes packaged in hard packs. Tobacco and Smoke Analyses NNN was analyzed in conventional and novel smokeless tobacco products by GC with detection by a thermal energy analyzer (TEA) (Thermedics Detection Inc.) as previously described (Stepanov, Biener, et al., 2012). The levels of NNN in the tobacco filler and smoke of cigarettes analyzed here have been previously published (Stepanov, Knezevich, et al.

, 2012). Sample purification for the analysis of NNN enantiomers was conducted as for the NNN quantitation. The prepared samples were analyzed by GC-TEA using a 30 m �� 0.25mm i.d., 0.25-��m film thickness Cyclosil-B chiral column (Agilent) supplied with a 2 m �� 0.53mm deactivated silica precolumn, as previously described (Carmella et al., 2000). The contribution of (S)-NNN to the measured NNN in each sample was calculated based on the peak areas of (S)-NNN and (R)-NNN. The calculated percentage contribution of (S)-NNN and the measured levels of NNN were further used to calculate the amount of (S)-NNN in the analyzed products. Moisture Content Conventional and novel smokeless tobacco products were analyzed for moisture content as previously described (Stepanov et al.

, 2008). The moisture content in the tobacco filler of cigarettes analyzed here was published Anacetrapib previously (Stepanov, Knezevich, et al., 2012). RESULTS The results of the analyses are summarized in Table 1. The levels of NNN in conventional smokeless products ranged from 1.21 to 4.25 ��g/g tobacco, and in the novel smokeless products, NNN levels ranged from 0.72 to 1.79 ��g/g product. Table 1. Levels of NNN and (S)-NNN in the Tobacco of U.S.

However, a recent study by Li et al (2011) using the first two w

However, a recent study by Li et al. (2011) using the first two waves of the ITC-China project to examine prospective predictors of making a quit attempt and quit success among those who tried, failed to find any independent association between these outcomes and SES indicators such as income EMD 1214063 and education. This suggests that the observed influence of SES on quitting activity may be entirely indirect, something that awaits confirmation. Although Li et al. (2011) showed that Chinese smokers with lower nicotine dependence, higher self-efficacy, and more immediate quitting intentions were more likely to make a quit attempt independent of other factors, the predictive utility of these three factors for quit maintenance among Chinese smokers who had made a quit attempt is less clear and deserves further research.

Using the same data from the ITC-China survey as Li et al. (2011) but adding an additional wave (total of three waves), this study aimed (a) to examine whether nicotine dependence, quitting self-efficacy, and quit interest differed by SES and (b) whether SES influenced the likelihood of making a quit attempt and succeeding in an attempt directly or indirectly via these factors, among Chinese smokers from seven cities. METHODS Sample Data come from the first three waves (Waves 1�C3) of the ITC-China survey, a face-to-face cohort study modeled after the ITC-4 country study designed to evaluate the psychosocial and behavioral impacts of tobacco control policies (Fong et al., 2006; Thompson et al., 2006).

The ITC-China cohort was recruited using a multistage cluster sampling method to obtain a representative sample of adult smokers who were registered residents in the seven cities (Beijing, Shenyang, Shanghai, Changsha, Guangzhou, Yinchuan, and subsequently a new city, Kunming, was added starting in Wave 3). These cities were selected based on geographic representations and levels of economic development. The ITC-China survey was conducted through face-to-face interviews using a standard protocol. Details of the study methodology have been reported elsewhere (Wu et al., 2010). Briefly, in each city, 10 Jie Dao or Street Districts were selected with probability of selection proportional to population size of the Jie Dao. Within each Jie Dao, two Ju Wei Hui or residential blocks were selected, with selection probability proportional to size.

Within each selected Ju Wei Hui, a complete list of addresses of the dwelling units (households) was first compiled, and then a sample of 300 households were drawn from the list by simple random sampling without replacement. The enumerated 300 households were ordered randomly, and adult smokers were then approached until 40 adult smokers were surveyed. Smokers were defined as those Drug_discovery who had smoked more than 100 cigarettes in their life and smoked at least weekly at the time of the survey.

Changes in positive

Changes in positive selleck chemical Tofacitinib affect, negative affect, and urges to smoke on quit day and after quitting The postquit intercept and slope estimates in the right-hand portion of Table 2 indicate effects relevant to quit-day and postquit affect and craving. Positive affect. After controlling for levels of nicotine dependence and female gender, we found that neither bupropion nor CBT were related to levels of positive affect on quit day (Table 2). Examination of postquit intercepts indicated that level of depression proneness was strongly related to lower levels of positive affect on quit day relative to baseline. There were no significant relationships among female gender, level of dependence, depression proneness, or treatment conditions on changes in positive affect after quitting, and no significant interactions related to the postquit positive affect slope.

Negative affect. After controlling for levels of nicotine dependence and female gender, we found that smokers receiving bupropion had lower levels of negative affect on quit day (see postquit intercepts in Table 2). Smokers with higher levels of depression proneness also related higher levels of negative affect on quit day (postquit intercept). There were no significant interactions between treatment conditions and baseline covariates or depression proneness in predicting levels of negative affect on quit day. Urges to smoke. After controlling for levels of nicotine dependence and female gender, we found that bupropion was significantly related to reduce urges to smoke on quit day (see postquit intercept in Table 2).

Level of depression proneness was not related to the level of urge to smoke on quit day (postquit intercept). There were no significant relationships among gender, level of dependence, depression proneness, or treatment conditions on changes in level of urge to smoke after quitting (postquit slope). Of the examined interactions with treatments, CBT had a significant interaction with levels of depression proneness (B = ?0.30, SE = 0.14, p < .04), suggesting that smokers with lower levels of depression proneness who received CBT had lower urges to smoke on quit day than did those who received ST. There were no other significant interactions. Changes in positive affect, negative affect, and urges to smoke and the risk for smoking lapse Failure to quit on quit day.

Of the 524 randomized smokers, 121 smokers reported smoking on the target quit date, and 8 smokers did not provide any follow-up data. We used the latent variable model to conduct logistic regression analyses Batimastat to evaluate whether changes in positive affect, negative affect, and urge
Higher levels of precessation depressive symptoms are generally associated with reduced odds of smoking cessation success (Anda et al., 1990; Brown et al.

, 2004) and in enriched/clinic samples (Moolchan et al ,

, 2004) and in enriched/clinic samples (Moolchan et al., antagonist Bicalutamide 2002; Strong, Brown, Ramsey, & Myers, 2003), this low concordance is reflected by kappas of .3 and lower. Furthermore, studies show that DSM-based assessments of nicotine dependence more frequently correlate with psychopathology, such as major depression (Breslau & Johnson, 2000), while the FTND is more closely related to tobacco liking (Moolchan, Aung, & Henningfield, 2003; Strong et al., 2003). Despite the limited overlap across these two popular assessments, few studies have attempted to simultaneously analyze DSM-IV and FTND criteria to examine whether they characterize smokers in a similar or different manner. As noted, individuals with DSM-IV nicotine dependence do not systematically meet criteria for FTND-based nicotine dependence (and vice versa).

By examining both sets of criteria simultaneously we can better understand endorsement of criteria across these two constructs. Importantly, this can demonstrate the synergy across the two assessments in providing comprehensive information on how common and specific aspects of the two assessments work in tandem to produce vulnerability to nicotine dependence. Thus, the goals of this study are (a) to utilize self-reported DSM-IV and FTND criteria to classify individuals using latent class analysis; (b) to examine sociodemographic, smoking-related, and other psychiatric correlates of each class; and (c) to contrast the latent classes in terms of latent genetic and environmental vulnerability.

Materials and Methods Sample Data for this study come from 624 adolescent/young adult offspring of Vietnam Era Twins who were regular cigarette smokers. Fathers were members of the Vietnam Era Twin Registry (VETR; Eisen, True, Goldberg, Henderson, & Robinette, 1987; Goldberg, True, Eisen, Henderson, & Robinette, 1987; Henderson et al., 1990), which is a national registry of male like�Csex twin pairs in which both cotwins served in the military during the Vietnam Era (1965�C1975). Construction of the registry and method of determining zygosity have been previously reported (Eisen et al., 1987). In 1987, twins were first surveyed about their general health including number of offspring fathered by them. In 1992, twins were interviewed by telephone with the Diagnostic Interview Schedule (Robins, Helzer, Cottler, & Goldring, 1988).

In 2001 and 2004, respectively, data collection was initiated for two offspring of twins (OOT) studies, which aimed to examine outcomes in the children of VETR twin fathers who (a) Dacomitinib were concordant or discordant for alcohol dependence (AD, Project 1) or (b) were concordant or discordant for illicit drug dependence (DD, Project 2), along with (c) unaffected control twin pairs. Both OOT projects used an adaptation of the Semi-Structured Assessment for the Genetics of Alcoholism (Bucholz et al., 1994) to collect data from mothers and offspring.

Claire, 2012), smokers may switch to even lower priced products <

Claire, 2012), smokers may switch to even lower priced products together by engaging in the practice of utilizing pipe tobacco��taxed at a lower rate than loose tobacco��to prepare their cigarettes (CDC, 2012). In addition to the policy implications from FM regulation on MYO use, there are practical considerations as well. The practical health consequences of MYO smoking are uncertain but compared with FM cigarettes machine smoking studies (Darrall & Figgins, 1998; de Kok, Besamusca, Vreeker, & Lagrand, 1993; Kaiserman & Rickert, 1992a, 1992b; Rickert, Robinson, Bray, Rogers, & Collishaw, 1985) consistently indicate higher delivery of tar and nicotine from mainstream MYO smoke. Consistent with these findings, an epidemiological study suggested an elevated risk of lung cancer (Engeland, Haldorsen, Andersen, & Tretli, 1996) in MYO smokers.

Tobacco control policy exerted on FM cigarettes may result in the unintended consequence of increasing the use of potentially more harmful alternatives such as MYO cigarettes. METHODS Participants Participants were adult MYO smokers (N = 98) from the Baltimore, MD, metropolitan area who reported smoking MYO cigarettes >80% of all cigarettes smoked. Participants responded to local newspapers (21%), direct mailers (12%), or Craigslist (6%) were referred by other participants (59%). Data collection occurred between April 2010 and November 2011 at Battelle��s Human Exposure Assessment Laboratory. Procedure At their single laboratory visit, participants provided five MYO cigarettes that they had prepared at home, signed an IRB-approved informed consent document and completed demographic and smoking history questionnaires.

Participants prepared 25 MYO cigarettes in the laboratory using their own tobacco and paper (or tubes and PMM machines). They prepared 10 cigarettes, took a 15-min break, and then prepared 15 cigarettes. The rate of production of the laboratory cigarettes was determined using a laboratory timer. During the 15-min break, a questionnaire assessing reasons for smoking MYO cigarettes and risk perception of MYO smoking was administered. Cigarette weights were recorded to the nearest mg. Participants received $75 for completion of the study. Statistical Analyses Cigarette weights and production time were characterized using descriptive statistics; analysis of variance and chi-square tests were used to assess group level differences.

To assess the within-participant consistency of MYO production, intraclass correlation coefficient (ICC) analysis was conducted on the home- and laboratory-produced cigarettes. Analyses were conducted using SPSS 19.0. RESULTS Consumer Characteristics Two different types of cigarettes were made by the study participants: Entinostat those made by rolling tobacco in a paper leaf (Roll Your Own [RYO, n = 56]) or those made by injecting tobacco into a tube (Personal Machine Made [PMM, n = 42]). Demographics and smoking history characteristics of the study participants are shown in Table 1.

Results Hookah Smoking and Demographic Characteristics

Results Hookah Smoking and Demographic Characteristics selleck chemicals llc Overall, 58.5% of the 951 adolescents in our restricted sample reported ever trying hookah and 30.2% reported using hookah in the past thirty days (30-day use) at the 24-month assessment. Table 1 shows the prevalence of ever hookah use by demographic, smoking-related, and substance use variables. Compared with those adolescents who did not report use, 30-day hookah users were mostly male (52.6%, p < .0001), White (73.5%, p < .0001), and had an average grade point average (GPA) of 3.73 (SD = 0.77, p < .01) at 24 months. Table 1. Demographic, Smoking-Related, and Substance Use Characteristics of Adolescents Reporting Ever Hookah Use Concurrent Tobacco Use and Substance Use Among Past Thirty-Day Hookah Users Other tobacco use was found among our sample of past thirty-day hookah users (Table 2).

Past thirty-day hookah users reported concurrently using multiple tobacco products, such as cigarettes (p < .001), cigars (p < .001), smokeless tobacco (p < .001), bidis (p < .001), and kreteks (p < .001), more often than non�Chookah users at the 24-month assessment. Other substance use, such as alcohol and marijuana use in the past three months, was also common among past thirty-day hookah users in the sample. Almost all (93.0%) of those who reported using hookah in the past thirty days reported using alcohol at least once in the past thirty months compared with 76.3% of hookah nonusers (p < .0001). With regard to marijuana use, 71.7% of past thirty-day hookah users, compared with 47.

8% of nonusers, also smoked marijuana at least once in the past three months (p < .0001). Table 2. Concurrent Use of Multiple Tobacco Products Reported by Past Thirty-Day Hookah Users at 24 Months Hookah Bars, Lounges, and Restaurants At the 24-month assessment, participants were asked to report if they had ever been to a hookah bar, lounge, or restaurant. As expected, past thirty-day hookah users were more likely to report ever going to a hookah bar, lounge, or restaurant than non�Chookah users (79.1% vs. 29.8%, p < .001). Of those past thirty-day hookah users who attended a hookah bar, lounge, or restaurant (N = 424), the majority were White (70.1%, p < .0001), over half were female (55.0%, p > .05), and had a mean age of 17.7 years (SD = 0.60, p < .001).

Predicting Ever and Past Thirty-Day Hookah Use Bivariate and multivariate logistic regression analyses were conducted to assess whether demographic, school performance, smoking-related, and substance use variables predicted ever and past thirty-day hookah use Batimastat at the 24-month assessment. Bivariate analyses found that age; sex; race; current (defined as use at least once during the past thirty days) cigarette, smokeless, cigar, and kretek use; alcohol and marijuana use in the past three months; and attending a hookah bar, lounge, or restaurant were all significant predictors of ever hookah use at 24 months.

Indeed recent data suggest that changes within the normal range c

Indeed recent data suggest that changes within the normal range can be detected as early as in the mid to late 20s in such subjects even if never smokers [45]. Thus if augmentation therapy is to be used in a preventative strategy it would be appropriate to consider earlier our website intervention in such subjects before significant disease and morbidity occurs. For these reasons it seems appropriate to obtain a baseline assessment of lung health in the mid to late teens and then monitor any deterioration on a frequent basis (perhaps every 2�C3 years) so that deterioration within the normal range can be determined early. Providing no risk factors can be implicated, summary statistics using 3�C4 data points will provide data likely to predict future progression.

The time at which augmentation is introduced will require a cost/benefit appraisal although an argument could be made to wait at least until the development of mild symptoms or physiological deterioration below the normal range. Whichever approach is used, data on previous rate of decline will provide some evidence of efficacy determined by observation of the subsequent rate of decline of lung function. Should frequent exacerbations influence decision making? Exacerbations of COPD have become widely recognised as episodes that can lead to a decline in spirometry, impairment in health status and increased risk of death [46]. Exacerbations caused by bacteria are neutrophilic and although largely confined to the airways, are associated with easily detectable excessive (or increased) NE activity [47].

The inflammation and amount of detectable NE is even greater in subjects with AATD [48] suggesting that NE generated progression is more likely in such patients and indeed there is a similar effect of exacerbations on spirometric decline as seen in usual COPD; furthermore, exacerbations are also associated with a decline in the gas transfer of the lung for carbon monoxide over time in patients with AATD [19,32]. Early retrospective analysis suggested that augmentation therapy reduced the number of exacerbations [49] although the increase in health care contact due to the regular AV-951 infusions could have influenced this result. In the EXACTLE trial exacerbation frequency was not reduced, although there was a reduction in severe episodes requiring hospitalisation [16]. This observation is consistent with the increased inflammation associated with exacerbations in AATD and the ability of augmentation to reduce lung inflammation [50] thereby reducing the clinical severity of the episodes.

These

These MEK162 smokers smoke on both weekends and weekdays. College student smokers in class 3 report smoking only in social contexts (i.e., hanging out with friends, in a restaurant or bar, at a party, and while drinking). These ��social smokers�� are most likely to smoke on the weekends, smoking only 3�C5 days/month and 2�C5 cigarettes on each smoking day. The prevalence for this group is 19%. An additional 26% of college student smokers are in class 4 and report smoking only 1 or 2 days in the past month and smoking one or fewer cigarettes on those days. They are unlikely to report smoking on either the weekend or the weekdays. We refer to this group of college smokers as the ��puffers.�� The final class of smokers report moderate levels of smoking but do not report smoking in any context or on any day of the week.

The prevalence for this group is only 4%. Similar to the puffers, this group does not report smoking at least sometimes in any context; however, in contrast to the puffers, their levels of smoking are more consistent with those of the moderates. Either members of this group are failing to report where and when they smoke or the survey is failing to ask about contexts in which they smoke. We refer to this group as the ��no-context�� group. Student characteristics and behaviors of the participants within each subgroup are given in Table 1. Figure 1. Patterns of smoking among past-30-day college smokers. *Class-specific means are rescaled to lie within the 0�C1 range. The lowest observed value is subtracted from the class-specific mean and then divided by the range, which is the difference .

.. To learn more about our LCA-derived subtypes of college student smokers, individuals were assigned to classes based on estimated modal posterior probabilities of class membership given their observed patterns of smoking. The estimated classification error rates were 2%, 3%, 6%, 7%, 7%, and 9% for the two-, three-, four-, five-, six-, and seven-class models, respectively. For the final five-class model with local dependence, the estimated classification error rate was 7%. The average posterior probabilities under this final model were a respectable 0.95, 0.95, 0.89, 0.91, and 0.87 among those assigned to classes 1 through 5, respectively. Class assignments were then treated as nominal outcomes and analyzed using baseline-category logistic regression modeling.

Table 2 gives the bivariate logistic regression results for looking at differences between classes. On demographics and activities, the five classes were different in year in school (p=.01), residence location (p<.01), Dacomitinib and proportion of Greek members or pledges (p<.01). For class year, students in a higher class year were associated with lower likelihood of being a puffer versus a heavy smoker (OR=0.84, 95% CI=0.72�C0.97) or a social smoker (OR=0.76, 95% CI=0.65�C0.89). Puffers also were more likely to live on-campus compared with heavy smokers (OR=2.30, 95% CI=1.62�C3.27), moderate smokers (OR=2.

We also found that RS enhances A�� generation by increasing

We also found that RS enhances A�� generation by increasing selleck chem the protein level of APP. To further prove this we compared the effect of HLJDT with and without RS (modified HLJDT, or HLJDT-M) on APP processing and A�� load in N2a-SwedAPP cells. We meticulously evaluated the effect of each individual herb of HJLDT on the levels of APP, sAPP�� and sAPP�� in order to determine which herb is responsible for increasing APP and A��. Materials and Methods Chemicals and Reagents Dulbecco’s modified Eagle’s medium (DMEM), fetal bovine serum (FBS), penicillin, streptomycin and G418 for cell culture were bought from Invitrogen (Carlsbad, CA, USA). Polyvinylidene Fluoride (PVDF) membrane was obtained from Hybond-P, GE Healthcare BioSciences (Piscataway, NJ, USA).

Enhanced chemiluminescence (ECL) reagent was purchased from Thermo Scientific (Rockford, IL, USA). Tetramethylbenzidine (TMB) was purchased from BD Biosciences (Sparks, MD, USA), while analytical grade reagents (including ethanol and methanol) were from Sigma�CAldrich (St. Louis, MO, USA) unless otherwise indicated. Berberine, baicalin and baicalein were purchased from Sigma-Aldrich. Palmatine and geniposide were purchased from Aktin Chemicals (Chengdu, China). Monoclonal ��-actin antibody was purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Rabbit polyclonal CT15 antibody against the C-terminus of APP was a gift from Prof. Edward Koo (University of California, San Diego, La Jolla, CA, USA). Amino-terminus anti-A��1�C17 monoclonal antibody (6E10) and a biotinylated A��17�C24 (4G8) monoclonal antibody wereordered from Covance (Princeton, NJ, USA).

Human anti-sAPP�� Swedish (sAPP��-sw) monoclonal antibody (clone 6A1) was provided by IBL (Japan). Anti-pAPPThr668 polyclonal antibody was from Cell Signaling (Danvers, MA, USA). Carboxy-terminus biotinylated anti-amyloid bG4(1�C40)-5C3 (specific to a peptide corresponding to A��40) and bA4(1�C42)-8G7 (specific to a peptide corresponding to A��42) antibodies were purchased from Nanotools (Teningen, Germany). The streptavidin-conjugated horseradish peroxidase (HRP) was purchased from DAKO (Carpinteria, CA, USA). A��40 and A��42 peptides were provided by Invitrogen (Carlsbad, CA, USA) and California Peptide (Napa, CA, USA), respectively. Plant Extraction RC, RS, CP and FG were purchased from the Hong Kong Baptist University Mr. & Mrs. Chan Hon Yin Chinese Medicine Specialty Clinic and Good Clinical Practice GSK-3 Centre and from a local Chinese medicine pharmacy. All herbs were identified and authenticated by Prof. Zhong-Zhen Zhao from the School of Chinese Medicine, Hong Kong Baptist University, Hong Kong. Dry materials of the plants were ground into powder.

Several

Several www.selleckchem.com/products/Cisplatin.html studies have indicated that the intestinal type with metaplasia is more likely to undergo neoplastic progression than the fundic and cardiac form (Hamilton and Smith, 1987; Filipe and Jankowski, 1993). Interestingly, goblet cells show intense immunostaining for MT (Ebert et al, 2000) and may contribute to the higher MT content of the specialised mucosa. In addition, in rats we have shown that MT immunostaining of small intestinal segments is localised to crypt cells and in particular, Paneth cells (Tran et al, 1999). Barrett’s epithelium is often complex and may contain multiple histological patterns. The finding of high-grade dysplasia in metaplastic epithelium remains the best predictor of increased risk of cancer. Whether MT might prove useful in predicting histological types of columnar change warrants investigation.

Immunohistochemical studies will be required to fully identify the specialised cells involved in the increased MT expression. In addition, longitudinal studies on patients with oesophageal reflux without Barrett’s epithelium, is required to determine whether MT is a predictor of progression from normal stratified squamous epithelium into Barrett’s oesophagus. The level of MT in Barrett’s epithelium also might prove relevant to the responsiveness of the oesophagus to pre-surgical radiotherapy and chemotherapy but again this remains to be investigated. For the present we believe the high levels of MT found in columnar metaplastic tissues is an interesting finding which warrants further investigation.

Tight junctions (TJs) are important structural components of the apical junctional complex in the epithelium, where they regulate various intracellular processes such as the establishment of apical-basal polarity and the flow of substances across the intercellular space [1]. Claudins are the main proteins that regulate the functions of TJs and are classified as a family of tetraspan integral membrane proteins, which currently comprises 27 members [2]. A myriad of diseases, including Entinostat cancer, have been associated with alterations in the expression, stability and subcellular localization of claudin family members [3], [4], [5], [6]. However, the precise molecular mechanisms that regulate the expression and function of these proteins, particularly in colorectal cancer, are poorly understood. The epidermal growth factor receptor (EGFR) is dimerized and activated by its extracellular ligand, EGF, which triggers a signaling cascade that leads to the activation of cytoplasmic pathways such as MAPK and PI3K-Akt [7], [8]; these pathways are known to modulate proliferation, differentiation and resistance to cell death [9], [10].