The results of this study were consistent with the immunotoxicity

The results of this study were consistent with the immunotoxicity of heavy metal cadmium. After newborn Sprague-Dawley rats were exposed to a low concentration of cadmium (10 ppb) for 24 days through breastfeeding, the results revealed a gender-related impact on the cytotoxic effect of NK cells on both day 28 and day 63 (Pillet et al., 2005). Holásková et

al. (2012) reported that chronic exposure to low-dose cadmium in the parental generation causes a reduced ZD1839 solubility dmso proportion of splenic NK cells in the offspring mice, most likely leading to reduced tumour resistance. However, earlier studies revealed that NK cells are apparently not sensitive to the immunotoxicity that is caused by chronic exposure to lead or to lead combined with cadmium (Yücesoy et al., 1997 and Neilan et al., 1983). We reason that in addition to gender, these differences may be mainly due to the channel of exposure, the dose of exposure, the duration 17-AAG price of exposure, and the age at which exposure to the heavy metal occurs in the animal model. Additionally, DU is radioactive, which may also be

one of the reasons for its unique effect compared with other heavy metals. Previous studies on the effect of DU on macrophages mainly revealed the impact of soluble uranium on megakaryocytic cells (NR8383 or J774) or peritoneal macrophages via in vitro experiments ( Kalinich et al., 2002, Gazin et al., 2004 and Wan et al., 2006). The present study evaluated the immune function of mouse peritoneal macrophages after long-term exposure to DU and demonstrated that as the exposure dose increased, the ability of macrophage to secrete NO, TNF-α, IL-1β, and IL-18 decreased. All of these factors are U0126 chemical structure involved in the antipathogenic effector functions of macrophages ( Kawai and Akira, 2010). Therefore, inhibition of the secretory function of macrophages suggests that uranium exposure weakens the capability of animals to fight against infection. In agreement with the results of this study, Dublineau et al.

(2007) reported that, after rats were exposed to DU for 6 months through drinking water (40 mg/l), the secretion of NO was decreased in ileal tissue, which may be observed because uranium caused a reduction in NO-secreting cells (macrophages) in the ileal tissue, as well as a reduction in inducible NO synthase (iNOS) activators [C–C motif ligand 2 (CCL-2)] and an increase in NO inhibitors (IL-10). In the experiments of lead-induced immunotoxicity, the inhibition of the NO secretion from macrophages was considered to be a sensitive indicator ( Dietert and Piepenbrink, 2006). The exposure of peritoneal macrophages to lead (20 μM) for 72 h led to decreased NO secretion, a decreased phagocytic index, and significantly increased catalase levels, which may increase the incidence of infectious diseases ( Bussolaro et al., 2008).

Uptake of particles by the gastrointestinal tract occurs via memb

Uptake of particles by the gastrointestinal tract occurs via membranous

epithelial cells (M-cells) on the intestinal mucosa or by persorption in epithelial cells ( Borm et al., 2006b). Silica containing phagosomes may fuse with endosomes during, or shortly after, internalisation. By this mechanism silica particles may cause damage to internal membranes allowing the leakage of endo-lysosomal selleck chemicals material into the cytoplasm leading to cytokine release. Particles may also overload the endo-lysosomal system, which could lead to an impairment of lysosomal capacity and interfere with programmed autophagic cell death and breakdown of ingested pathogens. Evidence for an active uptake mechanism of silica particles by actin- and clathrin-mediated endocytosis was found by Chung et al. (2007) and Costantini et al. (2011). Costantini et al. (2011) showed that scavenger receptors on cell surfaces are involved in silica binding and internalisation and that cell contact of silica particles with macrophages was necessary for toxicity. If uptake of silica was driven through the FccRIIA receptor-mediated

endocytosis pathway the toxicity of silica in macrophages was drastically reduced. In alveolar type II epithelial cells, heparan selleck chemical sulphate proteoglycans, especially syndeca-1, seem to play a critical role in the attachment and internalisation of positively charged SAS particles ( Orr et al., 2009). Syndecan-1 was found to mediate the initial interactions of particles at the cell surface, their coupling with actin filaments across the cell membrane,

and their subsequent internalisation. Particle size might be a limiting factor, raising the possibility that positively charged particles smaller than 100 nm might enter the cell via another mechanism. In response to a physical or chemical stressor, cells may produce reactive oxygen species (ROS). Cell injury only results if the amount of ROS produced overloads the normal anti-oxidant capacity of the cell. An increase in cellular ROS production first triggers anti-oxidant defence by the induction of phase II antioxidant enzymes via the activation of the antioxidant response element by NF-E2-related factor (Nrf)-2, a key antioxidant transcription factor found, for example, 5-FU datasheet in human lung epithelial cells. At a higher stress level, activation of MAP kinases and NF-κB cascades induces pro-inflammatory cytokine and chemokine production and release. Perturbation of the mitochondrial functions and disruption of electron transfer may result in cellular necrosis or apoptosis. Response pathways to levels of oxidative stress are shown in the following scheme (see Fig. 4, reproduced from Nel et al., 2006 with permission). After SAS exposure, ROS generation and lipid peroxidation were found in human A549 cells (Lin et al., 2006) and in conjunction with decreased intracellular GSH levels (an indicator that the cellular anti-oxidant system is overloaded) in the RAW 264.

The following brief overview reflects the current clinical status

The following brief overview reflects the current clinical status of sonothrombolysis.

For an extensive recent review (and the basis for this chapter) including the experimental background of sonothrombolysis the reader is referred to Amaral-Silva et al. [3]. Delivery of tPA to the thrombus is dependent on the residual flow to and around the arterial obstruction, and better residual flow signals detected by Transcranial Doppler (TCD) are associated with higher recanalization rates and consequently better clinical courser in stroke patients treated with i.v. tPA [3] and [4]. Proximal arterial occlusions are selleck chemicals a marker of clot burden and poorer response to thrombolysis in terms of recanalization [5] and [6]. Therefore, proximal intracranial occlusion is a target for more advanced reperfusion strategies, among them ultrasound-enhanced thrombolysis. While several ultrasound techniques have been applied, the focus of this contribution shall remain on the techniques that are also used in standard diagnostic ultrasound, i.e. transcranial color coded duplex (TCCD) and TCD. TCD is a non-invasive technique that uses ultrasound to this website access regional blood flow by determining flow velocities of intracranial arteries. TCD is a fast and reliable method of obtaining

real-time information on the presence and location of arterial occlusion and recanalization during or shortly after thrombolysis [3]. The patterns of intracranial arterial occlusion and recanalization on TCD have been validated against angiography with high sensitivity Gefitinib solubility dmso and specificity values resulting in the now widely used derived thrombolysis in brain ischemia (TIBI) grading system [7]. High frequencies lead to greater attenuation of ultrasound, lower frequencies may be harmful due to tissue heating. There are only very limited data on the effect of ultrasound alone (without thrombolytic drugs) to facilitate clot lysis in

acute stroke. The TRUMBI study, a phase II clinical trial testing the use of low frequency ultrasound insonation in acute stroke patients treated with i.v. t-PA, showed a significant increase in hemorrhage, both symptomatic and asymptomatic [8]. The trial included i.v. rt-PA patients within 6 h of symptom onset but was closed early because of signs of ICH in 13/14 patients compared with 5/12 patients on rt-PA only albeit identical recanalization rates. Since then, clinical trials restricted the use of ultrasound for therapeutical purposes to the settings usually used for diagnostic purposes (1–2 MHz), which have proved their safety and efficacy in several experimental and clinical trials. Alexandrov et al. reported one of the first clinical reports on the use of sonothrombolysis in acute stroke patients [9] and showed with 2 MHz TCD a higher response rate to i.v.

001, 41 patients) [16] Silvia et al and Joshi et al showed sim

001, 41 patients) [16]. Silvia et al. and Joshi et al. showed similar significant

results for sialic acid overexpression in oral cancer patients [17] and [18] Specific glycan changes can be targeted using lectins. Lectins are proteins or glycoproteins of non-immune origin that bind non-covalently to specific oligosaccharide chains extending extracellularly from glycoproteins or glycolipids [19]. Lectins exhibit high specificity in recognizing their specific sugar moieties, and thus are useful analytical tools to study the alterations in cell surface carbohydrates in diseased stages [15], [19], [20] and [21]. The other advantages of using lectin probes are the ease of production due to their abundance, inexpensiveness, ease of labeling with fluorescent probes, PD-166866 mw heat stability, stability at low pH, and low toxicities as many are part of the normal human diet [22]. As sialic acid residues are overexpressed during carcinogenesis, an appropriate lectin probe specific to sialic acid could provide an advantageous biomarker for oral cancer

detection. One particular lectin of interest is the legume wheat germ agglutinin (WGA), which click here is a carbohydrate-binding lectin of approximately 36 kDa that selectively recognizes sialic acid and N-acetylglucosaminyl sugar residues [11], [14] and [22]. Furthermore, conjugation of this lectin with a fluorophore could provide an effective non-invasive in vivo screening method to visualize premalignant and malignant oral lesions

in real time. The objective of our study was to establish a preclinical screening technique that targets an intrinsic fluorophore, nicotinamide adenine during dinucleotide (NAD+/NADH), and sialic acid expression, using fluorescent conjugated WGA, to screen for oral cancers. This proof-of-concept preclinical study will be used to guide later clinical evaluation studies. Freshly extracted tissue samples were obtained either from patients diagnosed with oral cancer or from scalpel biopsies acquired from patients suspected of having oral cancer. In addition, punch biopsies were acquired from patients suspected to have oral cancer, which entered the study via the walk-in clinic. All seven patients gave their written informed consent to participate, and the study was reviewed and approved by the Institutional Review Boards at the University of Minnesota and the Mazumdar Shaw Cancer Center in Bangalore, India. Paired biopsies of clinically normal and abnormal oral mucosa were acquired with patient morbidity in mind, and did not deviate from normal clinical practice ( Figure 1). Normal tissue biopsies either came from tissue adjacent to the surgical margin or from a slight extension of suspicious lesion margin ( Figure 1). Upon extraction, tissue samples were placed in 1 × phosphate buffered saline (PBS) (Sigma Aldrich, Milwaukee, WI) to prevent dehydration and then were immediately used for testing. All materials were used as received, unless noted otherwise.

Severity of GBS was scored on admission using (arm and leg) motor

Severity of GBS was scored on admission using (arm and leg) motor disability grading functional scale [9]. Overall disability sum score = arm disability scale (range 0–5) + leg disability scale (range 0–7); overall range: 0 (no signs of disability) to 12 (maximum disability).Clinical improvement was noted by improvement in the motor functional

selleck chemicals llc grading scale and successful weaning (decrease of mechanical ventilator parameters) and extubation from mechanical ventilation following therapy. Management was started immediately by intravenous immunoglobulins (IVIG) in a standard dose of 400 mg/kg/day for 5 successive days. If IVIG failed to do any clinical improvement, five sessions of plasmapheresis for 5 successive days was performed using 5% albumin as replacement fluid and exchange volume 40–60 ml/kg per session. Nerve conduction studies were performed at the end of the first 2 weeks from the onset of neurologic symptoms. Nerve conduction studies that showed unclassified

results were excluded from subsequent study analysis. Motor conduction studies were performed on median, ulnar, tibial and peroneal nerves in both sides, using conventional techniques. Sensory nerve conduction studies were performed on median, ulnar and sural nerves using conventional studies. Patients were classified as having AMAN or AIDP on the basis of the electrodiagnostic criteria proposed by Ho et al. [10]. Pretreatment serum sample was taken on admission and frozen Protease Inhibitor Library datasheet at −80 °C until sending for antiganglioside antibodies assay. The serum IgG antibodies against gangliosides GM1, GM2, GD1a and GD1b subtypes were tested by ELISA on admission. This test is a qualitative enzyme-linked immunosorbent assay (ELIZA) for in vitro human antibodies assay in serum. When at least one O-methylated flavonoid of the tested antibodies was positive (>1:500), patients were regarded as antiganglioside positive. Patients were initially grouped by positivity of antiganglioside antibodies and then by the electrodiagnoses of AIDP and AMAN. Summary

statistics were constructed using frequencies and proportions for categorical data, and means and SDs for continuous variables. We compared positive and negative groups as well as AMAN and AIDP groups using the χ2 test for categorical data, and t testes for continuous variables. P value < 0.05 was considered to be statistically significant. All statistical analysis was performed using the SPSS software program version 16 (SPSS, Chicago, USA). A total of 47 patients with GBS were admitted to the PICU within the first two weeks from the onset of neuropathy during the period of the study. There were 30 (64%) males and 17 (36%) females. The mean age was 7.272 ± 2.5 years. Thirty-six (77%) children had antecedent illness; acute respiratory infection in 13 patients (27.

The dorsal part of the stratum sagittale externum

is cove

The dorsal part of the stratum sagittale externum

is covered by a cap that appears darker compared to the surrounding fibres. These lighter fibres are the anterior remnant of the stratum transversum cunei, which will disappear more interiorly together with the cuneus. 5. (Enlargement 9/8) This cut is located approximately 5mm anterior to the previous, approximately 65mm away from the occipital pole, and only few millimetre before the posterior part of the corpus callosum. This section therefore covers entirely the parietal lobe. The remnant of the cuneus that was still visible on the previous section has now disappeared GSK2118436 concentration and made room for the descending part of the cingulate gyrus (VIII.). Dorsal to this the precuneus (IX) is cut along its largest diameter. With regards to the fissures on the convexity, the interparietal sulcus (i.) is cut diagonally and the ascending branch of the parallel sulcus (e.) is cut longitudinally. Underneath the latter one can appreciate the transversely cut second and third temporal sulcus. On the basal aspect one can see FG-4592 order the collateral sulcus again the indents the stratum externum and on the border to the inferior medial aspect the anterior and shared part of the calcarine fissure with the occipito-parietal sulcus (f.c.). The basal aspect is reduced in size

in relation to the other two as well as in its absolute diameter and its direction got closer to the medial surface, meaning it is more vertical. The convexity on the other hand is approaching the hemispheric midline inferior just as it always has done superiorly. As a consequence of these dramatic changes in the arrangement of the gross anatomy the subcortical anatomy of the white matter and the occipital horn is rendered. The occipital horn gained in width and height and has four walls as it did on the previous section. Amongst these walls the inferior one is very thin and corresponds to the lateral Baf-A1 part of the inferior wall from the previous section. The medial part with the adjacent collateral

sulcus is now the medial wall. The dorsal wall is, similar to the previous section but more prominently indented due to the dorsal forceps part. This section shows the transition of the occipital horn into the lateral ventricles. The dorsal (1.) and ventral (2.) forceps part gained in volume. The ventral part projects dorsal along the inner surface of the occipital horn and is therefore only separated from the dorsal part by a thin gap. The fibres of the inner forceps layer merged with it. Additionally fibres originating from the inferior convexity are joining the forceps via the medial wall of the occipital horn. Likewise the dorsal forceps part gains volume from the now prominent layer of fibres that are ascending vertically along the lateral surface of the occipital horn (3.).

Permeability of samples from TRNT range from 3 × 10−18 to 6 × 10−

Permeability of samples from TRNT range from 3 × 10−18 to 6 × 10−13 m2 (Table 4). The geometric mean of the 16 core samples tested is 7 × 10−15 m2. Two samples were tested on both the liquid

and gas permeameter. Gas permeability (kgas) measurements were higher than the liquid permeabilty (kliq) estimates for both samples. For the higher permeability SSK21143A, kgas = 2kliq. For the less permeable SSK21149A, kgas = 3.5kliq. selleck chemical The expected kgas/kliq ratio, due to the Klinkenberg effect of gas slippage, is < 2, for sedimentary rocks with kliq > 10−16 m2 and 2 for when kliq < 10−16 m2 ( Tanikawa and Shimamoto, 2006). Other mechanisms may contribute to increased discrepancy between liquid and gas permeability, particularly in samples containing clay ( Faulkner and Rutter, 2000). Gas permeability

of dried samples containing clays like smectite will be higher than liquid permeability BKM120 chemical structure of saturated samples due to the swelling. However, agreement to within half an order of magnitude for separate permeability measurements is probably in line the tests’ repeatability tolerance. While this makes it difficult to assign any discrepancy to gas slippage effects or clay swelling it does provide justification for interpreting liquid and gas measurements together. Though identifying the deposit type that the samples are derived from is difficult, we have subdivided them into three broad types: Lava, Block and Ash, and Lahar (Fig. 18). The 10

samples categorised as Block and Ash are predominantly monolithic, containing fragments of andesite lava in a crystal rich to fine silt matrix. The Block and Ash samples show great variation in measured permeability, ranging from 3 × 10−18 to 4 × 10−13 m2 with a geometric mean of 4 × 10−15 m2. Lahar deposit samples are distinguished from Block and Ash Interleukin-2 receptor by their polylithic nature, containing fragments of pumice as well as differently types (colours) of lava. The lahar samples tested have a geometric mean permeability 7 × 10−14 m2. Lava refers to the samples that are composed of a single crystalline lava block. The four samples are of two very different types. The lavas from 27 and 28 m depth are highly vesiculated mafic clasts with geometric mean (gas) permeability of 5 × 10−13 m2; the more andesitic clasts from 62 to 65 m depth have a significantly lower geometric mean gas permeability of 3 × 10−16 m2. There is no discernible relationship between permeability and sample depth, suggesting that the sample lithology is the most import factor determining permeability. Of the volcaniclastic samples, cores with higher permeabilities (above 1 × 10−14 m2) are generally those with a matrix composed of coarser, less altered crystals or those that contain fractures. Cores with finer, more altered matrix material tend to exhibit reduced permeabilities, below 1 × 10−15 m2. Resources were limited to providing permeability tests for samples from just one borehole.

Patients with inflammatory bowel disease (IBD) (an acronym that i

Patients with inflammatory bowel disease (IBD) (an acronym that includes both ulcerative colitis [UC] and Crohn’s colitis [CC]) are at risk to develop dysplasia in the cryptal epithelium, polypoid and nonpolypoid adenomatous growths, and selleck screening library IBD-independent sporadic polypoid and nonpolypoid adenomas. All these lesions may proceed to colorectal carcinoma (CRC). Information concerning the histogenesis of CRC in IBD is derived from studies done in patients with UC. At present, 7 alternative pathways have been proposed:

(1) from UC-dependent histologically detected dysplastic gland, referred to as dysplasia in flat mucosa in the literature; (2) from UC-dependent adenomatoid neoplastic growths1; (3) from UC-independent, age-dependent, sporadic adenomas1; (4) from gut-associated lymphoid tissue (GALT)2; (5) from nonpolypoid (UC-dependent and UC-independent) adenomas3; (6) from UC-dependent discrete villous dysplastic changes4; or (7) from apparently nondysplastic mucosa (de novo carcinomas). 1 Histologically detected dysplasia in IBD

may be found in colorectal glands exhibiting parallel tubules Selleckchem ATM/ATR inhibitor or bifurcations; in those instances, the dysplasia is initially found in the basal aspect of the crypts and progresses gradually toward the superficial aspect of the crypts (base-to-surface progression). In mucosa with advanced atrophy without crypts, dysplasia may be found in the superficial epithelium. A recent search in the literature revealed that most of the publications on flat adenomas in IBD concerned dysplasia in flat mucosa, flat dysplasia, flat dysplastic tissue, or flat low-grade dysplasia. These terms Morin Hydrate should not be confused with nonpolypoid adenomas, as these adenomas

are also flat dysplasias albeit showing a circumscribed clustering of abnormal crypts lined with dysplastic cells. It is crucial to distinguish between these 2 different histologic alterations, as cases of nonpolypoid adenomas are even today being referred to in the literature as flat adenomas. In this article the term “flat” is reserved for nonpolypoid adenomas. In 1975, Mr Bussey from the St. Mark’s Hospital, London, UK published a monograph on colectomy specimens from patients with familial adenomatous polyposis (FAP). The caption in one of the illustrations reads as follows: “a lesion consisting of adenomatous tubules, which have not produced any thickening of the mucosa”. This appears to be the first description of nonpolypoid (flat) colonic adenomas in FAP.5 In 1985, Muto and colleagues6 launched the colonoscopic-histologic concept “flat adenoma-carcinoma sequence”, uncovering thereby an alternative route to sporadic colorectal carcinogenesis. Hurlstone postulated that the variability in histologic diagnostic criteria used by Western and Japanese pathologists have made comparative studies difficult.

The slope of the curve is almost the same in every case The rang

The slope of the curve is almost the same in every case. The range of values of parameters σLT and σST or DeLT and DeST might suggest

the erroneous conclusion that they too are correlated, but the evidence for the non-dependence of these parameters is the quantitative distribution of all possible pairs of σLT and σST ( Figure 4d). Pairs of these parameters lie within almost the whole area below the linear relation describing the equivalence of σST and σLT. A similar click here analysis was conducted for the relationship between σ and SLR ( Figures 4e, 4f, 4g): this is exponential. A negative linear relationship was also found between CMV0 and SLRMV ( Figure 4h). The unequivocal inference from the Proteasome purification foregoing is that for every deviation only one of these parameters contributes clearly independent information on the morphological diversity of the seabed. Spectral moments (Mi) and spectral skewness (γ) were found to be the most significant spectral parameters. The higher the order of a spectral moment, the lower the difference between the values. These features are highlighted by the correlation coefficients for Mi and Mj pairs for each deviation ( Figure 5). There is also a correlation between the spectral moments for LT and ST ( Figure 5);

the coefficient of this correlation, of the 2nd order, is close to 1. In view of the above, it was decided that only 0 to 3rd order spectral moments would be used for every deviation. The similarities between σ and M0 were also investigated. Detailed analysis showed that for every type of deviation there exists a linear dependence between σ2 and M0. It is clear from the above relationship that when spectral analysis was used, the addition of characteristics emerging from statistical parameters did not contribute any new knowledge regarding the sea bottom morphology in Brepollen. Determination

of the wavelet energy for successive scaling parameters is an excellent method for isolating morphological forms on a bathymetric profile, as it takes the magnitude of forms into consideration CYTH4 on the basis of the scaling parameter’s size. To verify the applicability of wavelet energies, the correlations between them were calculated (Figure 6). The correlation for every type of wavelet was much less than 1, even in the case of adjacent scaling parameters for the same type of wave. Analysis of the wavelet energies calculated for the example profile showed that the wavelet energy determined using the mexh wavelet for the scaling parameter a = 2i resembled that of the db7 wavelet for the scaling parameter a = 2i + 2 when i = 1,…,5. This observation was confirmed by wavelet correlation analysis ( Figure 6). The final point in the discussion of the application of wavelets to bathymetric profile analysis is the possible use of asymmetric wavelets, such as db7.

The latter approach has the advantage of being able to validate p

The latter approach has the advantage of being able to validate peptide selection by assessing in vitro recall responses using peripheral blood mononuclear cells (PBMC) from normal healthy donors. While a broad range of

potential universal epitopes have Selleck BMN-673 been identified for both TT and DT [3], [4], [5], [6] and [7], a considerable amount of work has focused on TT830–844[8], [9] and [10]. Experimental evidence suggests that TT830–844 can be presented by up to ten different MHC class II alleles [3] and [6], although this has been disputed [11]. TT830–844 has been used as a helper peptide in various animal species including mice [12], [13] and [14], rats [15], rabbits [16] and rhesus macaques [17]. The predominant focus has been on using a helper peptide to improve a cytotoxic T lymphocyte (CTL) response for treating viruses and cancer [13], [14] and [15], rather than for enhancement of humoral immunity. Angiogenesis inhibitor In one primate study, a CTL response was induced to simian immunodeficiency virus peptides from Nef and Gag proteins [17]. However, only two of eight primates demonstrated a proliferative response to the peptide. Helper peptides have been used in several clinical studies, again primarily focusing on inducing CTL responses for the treatment of human viruses or cancer. TT830–844

has been tested in vaccines to induce CTL responses for treatment of chronic hepatitis B virus [18] and human immunodeficiency virus infection before [19], [20] and [21]. In addition, the helper peptide has been used to enhance CTL responses for the treatment of melanoma [22] and [23]. Those publications demonstrating recall response to TT830–844 report an average range of 60–75% of subjects responding [18] and [22]. However, in one report 91% of patients that received an immunization containing MHC class I restricted melanoma peptides plus TT830–844 demonstrated a recall response to the helper peptide, but 18% that did not receive the helper peptide also responded, presumably due to previous immunization with TT [23]. We have rationally designed a fully synthetic nanoparticle-based vaccine against nicotine for smoking cessation. However neither the B cell antigen, nicotine

nor the nanoparticle polymer contain T cell epitopes needed to provide help for B cell differentiation and antibody affinity maturation. Here we describe a ‘universal’ memory CD4 helper peptide that was designed and included in synthetic nanoparticle vaccines to provide promiscuous binding to a broad range of the most common MHC class II alleles in order to provide CD4 T cell help for B cell maturation and antibody production. We hypothesized that inclusion of a dimeric CD4 helper memory peptide (TpD) containing both TT and DT epitopes linked by a cathepsin linkage site, would result in improved antibody responses. We demonstrate that all 20 of tested normal human blood donors generated an in vitro memory recall response to the chimeric peptide.