Background Calf circumference (CC) is used in geriatric studies as a simple and practical skeletal muscle (SM) marker for diagnosing low SM and sarcopenia. Currently applied CC cutoff points were developed in samples including older participants; values representative of the full adult lifespan are lacking. Objectives We aimed to develop CC cutoff points and to identify relevant confounding factors from the large and diverse NHANES 1999–2006 population sample. Methods Demographic, anthropometric, and imaging data (DXA, appendicular lean mass) from the adult (age ≥18 y) NHANES sample were partitioned into subgroups according to sex, age, ethnicity, and race. Adults aged 18–39 y and BMI (in kg/m2) 18.5–24.9 were set as a reference population; CC cutoff points were derived at 1 and 2 SDs below the mean. Results The sample included 17,789 participants, 51.3% males and 48.7% females, with respective ages (mean ± SD) of 43.3 ± 16.1 y and 45.5 ± 16.9 y. CC was strongly correlated with appendicular lean mass, r = 0.84 and 0.86 for males and females (both P < 0.001), respectively. Significant differences in mean CC were present across sex, ethnic, self-reported race, and BMI groups. Adjusting CC for adiposity using BMI revealed a decrease in CC beginning after the second decade in males and third decade in females. Rounded CC cutoff values for moderately and severely low CC were 34 cm and 32 cm (males), and 33 cm and 31 cm (females), respectively. Our findings support the use of BMI-adjusted CC values for participants outside the normal-weight BMI range (18–24.9). Conclusions This study defined CC values in a diverse population sample along with a BMI-adjustment approach that helps to remove the confounding effects of adiposity and thereby improves CC as a useful clinical estimate of SM mass.

Recent advances in mechanobiology have accumulated strong evidence showing close correlations between the physiological conditions and mechanical properties of cells. In this paper, a novel optomechanical technique to characterize the stiffness of single adherent cells attached on a substrate is reported. The oscillation in a cell’s height on a vertically vibrating reflective substrate is measured with a laser Doppler vibrometer as apparent changes in the phase of the measured velocity. This apparent phase shift and the height oscillation are shown to be affected by the mechanical properties of human colorectal adenocarcinoma cells (HT-29). The reported optomechanical technique can provide high-throughput stiffness measurement of single adherent cells over time with minimal perturbation.

Exosomes are small extracellular microvesicles that are secreted by cells when intracellular multivesicular bodies fuse with the plasma membrane. We have previously demonstrated that Nischarin inhibits focal adhesion formation, cell migration, and invasion, leading to reduced activation of focal adhesion kinase. In this study, we propose that the tumor suppressor Nischarin regulates the release of exosomes. When cocultured on exosomes from Nischarin-positive cells, breast cancer cells exhibited reduced survival, migration, adhesion, and spreading. The same cocultures formed xenograft tumors of significantly reduced volume following injection into mice. Exosomes secreted by Nischarin-expressing tumors inhibited tumor growth. Expression of only one allele of Nischarin increased secretion of exosomes, and Rab14 activity modulated exosome secretions and cell growth. Taken together, this study reveals a novel role for Nischarin in preventing cancer cell motility, which contributes to our understanding of exosome biology. Significance: Regulation of Nischarin-mediated exosome secretion by Rab14 seems to play an important role in controlling tumor growth and migration. See related commentary by McAndrews and Kalluri, p. 2099

Purpose: Anthropometry is a method for quantifying body size and shape often used to derive body composition and health risk prediction models. Recent technology advancements led to development of three-dimensional (3D) optical scanners that can overcome most of the limitations associated with manual anthropometric data collection. However, each of the currently available devices offers proprietary measurements that do not match conventional anthropometric definitions. The aim of the current study was to develop and then evaluate the precision and accuracy of new "universal" 3D optical analysis software that calculates digital anthropometric volumes using identical standard landmarks across scanners. Methods: Dual-energy x-ray absorptiometry (DXA) and air displacement plethysmography (ADP) total body and regional volume and fat mass reference measurements and 3D optical scans from two proprietary devices were collected from 356 participants to evaluate the robustness of total body and regional volume and fat mass measurements calculated by the developed software. Linear regression modeling with threefold cross validation was used to evaluate total body and regional fat masses from 3D scans. Results: Total body and regional volumes measured by DXA and ADP had strong associations with corresponding estimates from the commercial 3D optical scanners coupled with the universal software (e.g., R 2 = 0.98 for Styku and R 2 = 1.00 for SS20, for both DXA and ADP comparisons). Regional body volumes also had strong correlation between DXA and the 3DO scanners (e.g., for arm, leg and trunk, respective R 2 s of 0.75, 0.86, and 0.97 for Styku and 0.79, 0.89, and 0.98 for SS20). Similarly, there were strong associations between DXA-measured total body and regional fat mass and 3D optical estimates calculated by the universal software (e.g., for total body, arm, leg and trunk, respective R 2 s of 0.86, 0.72, 0.77, and 0.88 for Styku and 0.84, 0.76, 0.78, and 0.85 for SS20). Absolute differences in volumes and fat mass between the reference methods and the universal software values revealed underlying proprietary scanner differences that can be improved when designing future devices. Conclusions: The current study suggests that, when compared against values calculated using DXA and ADP, the universal software was able to measure total and regional body volumes reliably from scans obtained by two different scanners. The universal software, with future refinements, combined with potential optical scanner design improvements, creates new opportunities for developing large multicenter anthropometric databases with uniformly defined body dimensions that can be used for modeling health risks. Clinical Trial Registration ID: Shape Up! Adults Study, NCT0363785.

The accuracy of physical parameters of a tunable MEMS capacitor, as the major part of MEMS AC voltage reference, is of great importance to achieve an accurate output voltage free of the malfunctioning noise and disturbance. Even though strenuous endeavors are made to fabricate MEMS tunable capacitors with desiderated accurate physical characteristics and ameliorate exactness of physical parameters' values, parametric uncertainties ineluctably emerge in fabrication process attributable to imperfections in micromachining process. First off, this paper considers applying an adaptive sliding mode controller design in the MEMS AC voltage reference source so that it is capable of giving off a well-regulated output voltage in defiance of jumbling parametric uncertainties in the plant dynamics and also aggravating external disturbance imposed on the system. Secondly, it puts an investigatory comparison with the designed model reference adaptive controller and the pole-placement state feedback one into one's prospective. Not only does the tuned adaptive sliding mode controller show remarkable robustness against slow parameter variation and external disturbance being compared to the pole-placement state feedback one, but also it immensely gets robust against the external disturbance in comparison with the conventional adaptive controller. The simulation results are promising.