6 HCV RNA levels were measured using Cobas TaqMan real-time polym

6 HCV RNA levels were measured using Cobas TaqMan real-time polymerase chain reaction (Roche Diagnostics, Palo Alto, CA), with a lower limit of detection of 15 IU/mL. The first-phase virological response was defined as the logarithmic decline in HCV RNA titer during the first 48 hours of therapy. DNA samples were genotyped for the IL-28B rs12979860 polymorphism with a TaqMan genotyping assay (Applied Biosystems Inc., Foster City, CA). GraphPad Prism version 5.0 (GraphPad Software, Inc., La Jolla, CA) and JMP (SAS Institute Inc., Cary, NC) software was used to

see more perform the (1) Mann-Whitney nonparametric two-sample rank test to compare NK cells from healthy subjects and patients, and from patients with strong and weak first-phase responses, (2) repeated

measures analysis of variance (ANOVA) Regorafenib concentration to assess changes in STAT1 and pSTAT1 expression during treatment, (3) Wilcoxon signed rank test to determine changes in pSTAT1 and pSTAT4 levels and pSTAT1/pSTAT4 ratio from baseline to time points during treatment, and (4) Spearman correlation analysis to study changes in pSTAT1 signaling in relation to NK cell function. A two-sided P value of less than 0.05 was considered significant. We have previously described that NK cells are activated in HCV infection, but that activation does not result in equal stimulation of all effector functions.6 Specifically, NK cells of patients with chronic HCV infection display enhanced cytotoxicity, as evidenced by increased degranulation and TRAIL production and decreased IFN-γ production, as compared to uninfected controls.6 We demonstrated

that this phenotype can be reproduced by in vitro stimulation of NK cells from healthy, uninfected controls with IFN-α.6 To evaluate how the IFN-α-based treatment of chronic HCV would modulate NK cell phenotype and function, we first studied the in vivo level of STAT1 in peripheral blood NK cells of chronically HCV-infected patients (Table 1) and healthy controls. The total NK cell MCE公司 population of HCV-infected patients, as well as their CD56bright and CD56dim subsets, showed increased levels of STAT1, when compared to healthy controls (Fig. 1A). This increase in STAT1 expression was not observed for T cells (Supporting Fig. 1A). We then prospectively followed a group of HCV-infected patients during the first 12 weeks of IFN-based therapy for HCV. All patients mounted an early virological response (i.e., serum HCV RNA levels at least 2 log10 lower at week 12 than before treatment). STAT1 expression increased significantly in the total NK cell population and the CD56bright and CD56dim subsets within 24 hours of therapy, and STAT1 levels increased further throughout the study period of 12 weeks (Fig. 1B-D; P < 0.0001 for all populations). The same increase in STAT1 expression was observed in CD3+CD56− T cells (Supporting Fig. 1B).

Written in response to increasingly woolly thinking about the lev

Written in response to increasingly woolly thinking about the level (species, population, group vs. individual) at which natural selection operated, and given further impetus by the publication of Wynne-Edwards’ overtly group selection selleck Animal Dispersion in Relation to Social Behaviour (1962), Williams, together with John Maynard-Smith, and David Lack spearheaded a revolution in evolutionary thinking (Parker, 2006).

An explicit focus on individual selection changed the way certain biologists thought about sexual reproduction and revitalized Darwin’s all-but-dead concept of sexual selection. Ironically, it was T. H. Huxley’s grandson Julian Huxley who had previously sounded the death-knell for sexual selection in the 1930s. Huxley (1938) accepted the existence of male–male buy FK228 competition, but viewed it as an adaptation that allowed the stronger individuals to reproduce and hence benefit the species. As for Darwin’s idea of female choice, Huxley (1938) simply dismissed it (Parker, 2006). Julian Huxley also reinforced Darwin’s view about monogamy, and based on his observations of great crested grebes Podiceps cristatus, suggested that monogamy was

the most harmonious (mating) system and one that humans should emulate (even though Huxley himself could not: Bartley, 1995). More ironically, Huxley (1912) was among the first to perform an explicit study of extra-pair behaviour in birds, but group selection thinking meant that his best interpretation of the forced extra-pair copulations he witnessed in mallards Anas platyrhynchos was that it was ‘disharmonious’. The key architects of the individual selection approach

to sexual selection were Geoff Parker at Liverpool, and Robert (Bob) Trivers, then at Harvard, and their contributions are well documented (see Segerstråle, 2000; Alcock, 2001; Birkhead & Monaghan, 2010). Parker’s approach comprised a mixture of theory and an impressive suit of empirical studies of sperm competition in yellow dungflies Scatophaga stercoraria (Parker, 1970, 2006). His paper Sperm competition and its evolutionary consequences in the insects, published in Biological Reviews in 1970, explained the evolutionary logic but medchemexpress also set out the agenda for future sperm competition studies. Trivers’ initial contribution was mainly theoretical, although in the present context, the fact that some of his ideas were inspired by earlier studies of pigeon behaviour (Whitman, 1919) and by the pigeons outside his office window is significant because it demonstrated the feasibility of exploring the behavioural aspects of sperm competition in birds (Trivers, 1972, 2002) (Fig. 2). Parker and Trivers were more than simply the architects of a revival of sexual selection; along with several others, they were also instrumental in developing the enormously successful field of behavioural ecology (e.g. Krebs & Davies, 1978; Segerstråle, 2000; Alcock, 2001).

We therefore assessed glucose homeostasis Oral glucose tolerance

We therefore assessed glucose homeostasis. Oral glucose tolerance tests revealed that Slco1b2−/− mice exhibited a significantly reduced ability to lower glucose levels associated with a significant delay in glucose removal (Fig. 2A). Moreover, knockout animals showed a trend for increased glucose levels (glucose level ± SD: wild-type, 117.41 ± 1.35 [n = 15]; Slco1b2−/−, 131.60 ± 1.46 [n = 15]; adjusted P = 0.056), that was not related to changes in insulin levels after 3 hours of fasting (insulin level ± SD: wild-type, 0.72 ± 0.08 [n = 5]; Slco1b2−/−, 0.62 ± 0.09 [n = 5]; adjusted P = 0.441). Subsequently, the hepatic uptake of [3H]-D-glucose was determined 3 minutes after

AT9283 molecular weight intravenous administration, revealing significantly reduced glucose accumulation in livers of Slco1b2−/− compared with wild-type animals, yet no differences were observed in plasma levels (Fig. 2B). To test whether gluconeogenesis is affected, we measured glucose levels after pyruvate challenge. Whereas wild-type mice responded with significantly increased blood glucose levels 15 minutes after intraperitoneal pyruvate injection, knockout animals did not (Fig. 2C). Hepatic glucose catabolism appeared

similarly disturbed, as shown by a preiodic acid–Schiff staining of livers revealing significant higher glycogen accumulation in hepatocytes of knockout animals, which was confirmed by way of calorimetric

上海皓元 JAK inhibitor analysis (Fig. 2D,E). Examination of the hepatic expression of known TR target genes further supported the reduced hepatic TH activity, showing significant down-regulation of Dio1 and phosphoenolpyruvate carboxykinase (Pepck) (Fig. 3A,B). In addition, determining the TH status comparing wild-type and knockout mice revealed significantly reduced levels of free thyroxine (fT4) in livers associated with significantly elevated plasma levels translating into lower liver/plasma ratios of the latter (Fig. 4A). However, no significant alterations in free triiodothyronine (fT3) levels were detected (Fig. 4A). Similarly, no difference was seen for the pituitary thyroid stimulating hormone (TSH [μg/mL]) comparing wild-type (0.12 ± 0.01) and Slco1b2−/− (0.17 ± 0.09) mice. The interaction of mouse Oatp1b2 with TH was determined performing in vitro experiments using Oatp1b2-overexpressing cells. In accordance with our assumption, THs significantly inhibited the Oatp1b2-mediated uptake of the known substrate E1S. E1S uptake (180.16 ± 14.64% of vector control) was significantly reduced by concomitant exposure with 100 nM T4 (151.99 ± 5.60%), 100 nM T3 (112.46 ± 15.52%), or 100 nM rT3 (96.64 ± 16.30%) (adjusted P = 0.0007). To test whether THs are indeed substrates for mouse Oatp1b2, we used a cell-based reporter gene assay whose luciferase signal was driven by the TR-sensitive DIO1 promoter.

The report did not detail the patients’ diuretic therapy or renal

The report did not detail the patients’ diuretic therapy or renal function, leaving uncertainty as to whether they had been maximally treated with conservative therapy. Although the median hemoglobin at study entry was 120 g/L, the range was wide and one patient had a baseline hemoglobin of 51 g/L. It would appear that a subgroup of patients had significant baseline anemia that might have contributed to their symptoms and might have improved with

specific therapies (e.g., blood transfusions, iron infusions, or nasal surgery). Highly symptomatic patients with HHT are very difficult to treat and an innovative successful strategy would be quite www.selleckchem.com/products/pirfenidone.html important. As mentioned previously, this particular cohort was somewhat healthier than patients referred to some HHT centers with heart Crizotinib cell line failure from LVMs.4 They had a median age of 59 years (maximum 68 years) and most lacked echocardiographic evidence of severe pulmonary hypertension (estimated RV systolic pressure median 33 mmHg, maximum 79 mmHg). Also, the study excluded patients with atrial fibrillation, which generally represents an advanced manifestation of the high output heart

failure syndrome. Whether bevacizumab would be effective in more advanced patients remains to be investigated. In moderately symptomatic patients who fail intensive medical therapy, liver transplantation remains the only established approach to prevent progressive heart failure. Bevacizumab might be considered as a bridge to transplantation, except that it inhibits wound healing and the general recommendations are that treatment be discontinued for at least 1 month prior to surgery. This consideration would preclude cadaveric liver transplant, although elective transplantation would still be feasible with

a living donor. The effects 上海皓元 of bevacizumab on the liver were carefully evaluated in this study with hepatic computed tomography (CT) scans, Doppler ultrasound, and liver function tests (LFTs). A prior case report had suggested that bevacizumab was associated with a dramatic reduction in liver volume,12 raising hope that antiangiogenic therapy would lead to substantial remodeling of the liver AVMs. However, the French study did not show any changes in liver volume, hepatic artery diameter, or peak hepatic arterial flow velocity. There was significant prolongation of the transit time between the hepatic artery and the hepatic veins, perhaps demonstrating some effect on vascular remodeling. LFTs in this cohort at baseline showed only expected minor abnormalities, mostly in the alkaline phosphatase. There was no improvement in LFTs and there was some concern that five patients demonstrated an increase in aminotransferase levels to 1.5 times their initial values. Thus, the French study is a pioneering contribution, supporting the concept that antiangiogenic therapy might be a novel strategy to treat patients with LVMs and symptomatic heart failure.

Methods: Patients with Crohn’s disease, with

more than fi

Methods: Patients with Crohn’s disease, with

more than five years of clinical follow-up, managed at the Royal Brisbane and Women’s hospital between 1994 and 2014 had objective clinical and laboratory data collected. An objective Paclitaxel clinical trial poor outcome was defined as the development of a fistula, a bowel stenosis or a bowel perforation. Cox regression was used to analyse the association between this outcome and serial laboratory values (CRP, platelet count, albumin level, fecal calprotectin, serum ferritin, serum haemoglobin), measured in the complication free period leading up to the development of the outcome. Recognized predictors of poor outcome were added to the model to assess independence of laboratory values. Results: 366 patients were reviewed and 311 had more Dabrafenib than five years of follow-up. 185 had a complete clinical, biochemical and genetic record, yielding 2092 years of patient follow-up. 82 outcome events were observed occurring after a median of 5.54 years, in 167 abdominal surgeries, 485 cross sectional imaging procedures and 708 colonoscopies. 4927 haemoglobin levels, 4928 platelet levels, 4242 albumin levels, 3373 CRP levels, 968 ferritin levels and 733 fecal calprotectin levels were analyzed.

A consistent haemoglobin <105 (male) or 90 (female) (hazard ratio 2.29, p < 0.001), platelet count >360 (HR 2.66, p < 0.001), albumin level <32 (HR 7.047, p < 0.001), CRP > 10 (HR 1.92, p = 0.002), ESR > 18 (HR 1.67, p = 0.02) and ferritin

<150 (HR 6.19, p = 0.013) correlated significantly with a poor outcome on univariate analysis. After multivariate analysis with inclusion of recognized predictor variables, haemoglobin level <105 (male) or 90 (female) (HR 2.16, p = 0.0016), albumin level <32 (HR 3.30, p = 0.01) and platelet count >360 (HR 1.91, p = 0.025) maintained an independent MCE association with outcome. ATG16L1 AG or GG genotype (HR 2.79, p = 0.047) , continued smoking (HR 1.76, p = 0.016) and L1 or L3 Montreal location at diagnosis (HR 2.32, p = 0.015) were also independently associated with outcome in the final model. Conclusion: Longitudinally measured haemoglobin level, albumin level and platelet count correlate with subsequent development of an objective poor outcome in patients with Crohn’s disease. Serial monitoring of these values may aid in therapeutic decision making. Continued smoking, L1 or L3 Montreal location at diagnosis and ATG16L1 AG or GG genotype were also associated with poor outcome.

Methods: Patients with Crohn’s disease, with

more than fi

Methods: Patients with Crohn’s disease, with

more than five years of clinical follow-up, managed at the Royal Brisbane and Women’s hospital between 1994 and 2014 had objective clinical and laboratory data collected. An objective Selleck AZD6244 poor outcome was defined as the development of a fistula, a bowel stenosis or a bowel perforation. Cox regression was used to analyse the association between this outcome and serial laboratory values (CRP, platelet count, albumin level, fecal calprotectin, serum ferritin, serum haemoglobin), measured in the complication free period leading up to the development of the outcome. Recognized predictors of poor outcome were added to the model to assess independence of laboratory values. Results: 366 patients were reviewed and 311 had more Selleck Copanlisib than five years of follow-up. 185 had a complete clinical, biochemical and genetic record, yielding 2092 years of patient follow-up. 82 outcome events were observed occurring after a median of 5.54 years, in 167 abdominal surgeries, 485 cross sectional imaging procedures and 708 colonoscopies. 4927 haemoglobin levels, 4928 platelet levels, 4242 albumin levels, 3373 CRP levels, 968 ferritin levels and 733 fecal calprotectin levels were analyzed.

A consistent haemoglobin <105 (male) or 90 (female) (hazard ratio 2.29, p < 0.001), platelet count >360 (HR 2.66, p < 0.001), albumin level <32 (HR 7.047, p < 0.001), CRP > 10 (HR 1.92, p = 0.002), ESR > 18 (HR 1.67, p = 0.02) and ferritin

<150 (HR 6.19, p = 0.013) correlated significantly with a poor outcome on univariate analysis. After multivariate analysis with inclusion of recognized predictor variables, haemoglobin level <105 (male) or 90 (female) (HR 2.16, p = 0.0016), albumin level <32 (HR 3.30, p = 0.01) and platelet count >360 (HR 1.91, p = 0.025) maintained an independent MCE公司 association with outcome. ATG16L1 AG or GG genotype (HR 2.79, p = 0.047) , continued smoking (HR 1.76, p = 0.016) and L1 or L3 Montreal location at diagnosis (HR 2.32, p = 0.015) were also independently associated with outcome in the final model. Conclusion: Longitudinally measured haemoglobin level, albumin level and platelet count correlate with subsequent development of an objective poor outcome in patients with Crohn’s disease. Serial monitoring of these values may aid in therapeutic decision making. Continued smoking, L1 or L3 Montreal location at diagnosis and ATG16L1 AG or GG genotype were also associated with poor outcome.

[6] When excess cholesterol accumulates in the ER membranes, it c

[6] When excess cholesterol accumulates in the ER membranes, it changes Scap to an alternate conformation, allowing it to bind to resident ER proteins, insulin-induced gene (Insig)-1, and Insig-2.[9] This binding precludes the binding of COPII. Consequently, the SREBP2-Scap complex remains in the ER, transcription of the target genes declines, and cholesterol synthesis and uptake fall.[4, 6] Furthermore, recent studies have shown that the primary transcript of SREBP2

also encodes miR-33a, a microRNA that regulates cholesterol metabolism by way of factors such as adenosine triphosphate-binding cassette A1 (ABCA1) and Niemann-Pick C1 (NPC1), suggesting transcriptional regulation by SREBF2 modulates the cellular capacity for producing not only an active transcription factor but also the expression CHIR-99021 cell line of miR-33a.[10] By studying two mouse models of NASH, we attempted to clarify the precise role of cholesterol in the pathophysiology Midostaurin solubility dmso of NASH. As we found that the major causes of the exacerbation of liver fibrosis in NASH involved FC accumulation in HSCs, we investigated the underlying mechanisms of FC accumulation in HSCs and its role in the pathogenesis of NASH. Please refer to the Supporting Materials and Methods

for more detailed descriptions. Reagents were obtained as follows: low density lipoprotein (LDL), methyl-β-cyclodextrin (MβCD)/cholesterol complex, lipopolysaccharide (LPS), chloroquine, and MG-132 were from Sigma (St. Louis, MO). 25-HC was from Wako Pure Chemical Industries (Osaka, Japan). Transforming growth factor beta (TGFβ) was from R&D Systems (Minneapolis, MN). Peroxisome proliferator-activated receptor gamma (PPARγ)-small interfering RNA (siRNA), SREBP2-siRNA, LDLR-siRNA, Scap-siRNA, Insig-1-siRNA, bone morphogenetic protein and activin membrane-bound inhibitor 上海皓元医药股份有限公司 (Bambi)-siRNA, and control-siRNA were from Invitrogen (Carlsbad, CA). Anti-miR33a, pre-miR33a, and control-miR33a were from Ambion (Austin, TX). Nine-week-old male C57BL/6J mice (CLEA Japan,

Tokyo, Japan) were fed a CE-2 (control; CLEA Japan), CE-2 with 1% cholesterol (HC), methionine-choline-deficient (MCD; Cat. No. 960439; ICN, Aurora, OH), or MCD with 1% cholesterol (MCD+HC) diet for 12 weeks. As another animal model of NASH, 9-week-old male C57BL/6J mice were also fed a CE-2, HC, high-fat (HF; prepared by CLEA Japan according to the #101447 composition of Dyets, Bethlehem, PA), or HF with 1% cholesterol (HF+HC) diet for 24 weeks. In the same way, 7-8-week-old C57BL/6 Toll-like receptor (TLR)4-deficient mice (Oriental BioService, Kyoto, Japan) were fed the control, HC, MCD, or MCD+HC diets for 8 weeks or the control, HC, HF, or HF+HC diets for 20 weeks. All animals received humane care in compliance with the criteria outlined in the “Guide for the Care and Use of Laboratory Animals,” prepared by the US National Academy of Sciences and published by the US National Institutes of Health.

However, factors predicting its development are still controversi

However, factors predicting its development are still controversial. This study was conducted to evaluate the frequency of antituberculosis therapy-induced hepatotoxicity and the risk factors related to its development. Methods: The author reviewed retrospectively the medical records of the 2,204 patients who had taken ATT for 2 weeks or longer from January 1, 2005 through June 30, 2010 in Gyeong-Sang National university, South Korea. The patients’ demographic, social, clinical and laboratory

data were collected and analyzed for the relationships between hepatotoxicity and these various parameters. Hepatotoxicity was determined by investigation of liver tests at the time of pretreatment Akt inhibitor and 7, 14, 30, 60, and 90 days of

ATT. Results: Two-hundred two (9.2%) out of 2,204 patients taken ATT developed hepatotoxicity. Mean age of the patients with ATT-induced hepatotoxicity was 52.5 ± 18.7 years and 130 (64.6%) patients were male. The frequency of ATT-induced hepatotoxicity was higher in the patients with abnormal baseline liver function than the ones with normal liver function (88/541, 16.3% vs. 114/1,663, 6.9%, p = 0.000), hepatitis B virus (HBV) or hepatitis C virus (HCV) infected than non-infected (28/150, 18.7% vs. 174/2,054, 8.5%, p = 0.000) www.selleckchem.com/products/acalabrutinib.html patients, and the patients with primary hepatocellular carcinoma (HCC) than the ones without it (7/17, 41.2% vs. 195/2,187, 8.9%, p = 0.000).

There was no significant relationship between the frequency medchemexpress of ATT-induced hepatotoxicity and gender, old age over 60 years or 35 years, body mass index, alcohol drink, indication of ATT, underlying diseases except HCC, and past history of ATT. Baseline LFT abnormality, underlying HCC and HBV or HCV infections were risk factors for ATT-induced hepatotoxicity on univariate and multivariate analysis. The majority of patients with ATT-induced hepatotoxicity (170/202, 84.2%) were identified within first 30 days of ATT, and hepatotoxicity occurred within first 7 days in 64 patients (31.7%). Conclusion: The frequency of ATT-induced hepatotoxicity was 9.2%, and its risk factors were abnormal baseline liver function, and underlying HBV or HCV infection and hepatocellular carcinoma. Closed monitoring should be required for the patients who have these risk factors during first 30 days of ATT, especially first 7 days. Key Word(s): 1. antituberculosis; 2. hepatotoxicity; 3. frequency; 4.

However, factors predicting its development are still controversi

However, factors predicting its development are still controversial. This study was conducted to evaluate the frequency of antituberculosis therapy-induced hepatotoxicity and the risk factors related to its development. Methods: The author reviewed retrospectively the medical records of the 2,204 patients who had taken ATT for 2 weeks or longer from January 1, 2005 through June 30, 2010 in Gyeong-Sang National university, South Korea. The patients’ demographic, social, clinical and laboratory

data were collected and analyzed for the relationships between hepatotoxicity and these various parameters. Hepatotoxicity was determined by investigation of liver tests at the time of pretreatment BAY 57-1293 nmr and 7, 14, 30, 60, and 90 days of

ATT. Results: Two-hundred two (9.2%) out of 2,204 patients taken ATT developed hepatotoxicity. Mean age of the patients with ATT-induced hepatotoxicity was 52.5 ± 18.7 years and 130 (64.6%) patients were male. The frequency of ATT-induced hepatotoxicity was higher in the patients with abnormal baseline liver function than the ones with normal liver function (88/541, 16.3% vs. 114/1,663, 6.9%, p = 0.000), hepatitis B virus (HBV) or hepatitis C virus (HCV) infected than non-infected (28/150, 18.7% vs. 174/2,054, 8.5%, p = 0.000) PD-0332991 order patients, and the patients with primary hepatocellular carcinoma (HCC) than the ones without it (7/17, 41.2% vs. 195/2,187, 8.9%, p = 0.000).

There was no significant relationship between the frequency 上海皓元 of ATT-induced hepatotoxicity and gender, old age over 60 years or 35 years, body mass index, alcohol drink, indication of ATT, underlying diseases except HCC, and past history of ATT. Baseline LFT abnormality, underlying HCC and HBV or HCV infections were risk factors for ATT-induced hepatotoxicity on univariate and multivariate analysis. The majority of patients with ATT-induced hepatotoxicity (170/202, 84.2%) were identified within first 30 days of ATT, and hepatotoxicity occurred within first 7 days in 64 patients (31.7%). Conclusion: The frequency of ATT-induced hepatotoxicity was 9.2%, and its risk factors were abnormal baseline liver function, and underlying HBV or HCV infection and hepatocellular carcinoma. Closed monitoring should be required for the patients who have these risk factors during first 30 days of ATT, especially first 7 days. Key Word(s): 1. antituberculosis; 2. hepatotoxicity; 3. frequency; 4.

This process involves a series of orderly steps including compone

This process involves a series of orderly steps including components of the vasculature, platelets (primary haemostasis) and coagulation proteins

(secondary haemostasis), leading to the formation of a platelet plug and culminating in the formation of a stable fibrin clot. Congenital defects of platelets or plasma proteins involved in this process generally lead to lifelong bleeding disorders [1,2]. Haemophilia A and haemophilia Regorafenib supplier B, both of which are X-chromosome linked and caused by a defect of coagulation factor (F) VIII or FIX, are more common [3–5]. Other bleeding disorders, with the exception of von Willebrand disease, are relatively rare (Table 1). Molecular genetic diagnosis of bleeding disorders remains an important and integral part of the evaluation of this condition.

There are two different approaches to the genetic evaluation of bleeding disorders: analysis of single nucleotide polymorphism (SNP) or microsatellite short tandem repeat (STR) markers in the gene of interest to track the defective chromosome in the family (linkage analysis), or identification of the disease-causing mutation in the patient’s coagulation factor gene (direct mutation detection) [6,7]. Before embarking on genetic testing, it is imperative check details that detailed clinical evaluation and conclusive phenotypic diagnosis be available. In this review, the authors trace the evolution and the applications of molecular genetics in bleeding disorders. The current protocols available for genetic testing is a convergence of intense research and development of genetic tools over the last 50 years (Prof. Tuddenham) and which has benefited immensely 上海皓元 from the availability of a vast repertoire of bio-informatics and molecular biology tools over the last decade or so (Dr. Anne Goodeve). With a steady growth in the number of

laboratories that offer genetic testing for disorders of haemostasis worldwide, the availability of rigorous external quality assessment programmes (Dr. David Perry) and reference materials to run such programmes (Dr. Elaine Gray) have helped to maintain the quality and integrity of reporting data during the genetic testing of various bleeding disorders. Since 1962 is the starting point of this short history, one asks oneself, ‘What was it like back then?’ Personally I had been accepted into Westminster Medical School and was studying mathematics during what is now called ‘the gap year’. Although I was in London, the famous 60s passed me by almost completely. Genetics as a science was still in its formal era as defined by Haldane in the Croonian lecture of 1948.