Summary We report a kindred with heritable protein C (PC) deficiency in which two siblings with severe thrombosis showed a composite type I and IIb PC deficiency phenotype, identified using commercial PC assays (proband: PC antigen 42 u/dl, amidolytic activity 40 u/dl, anticoagulant activity 9 u/dl). The independent PROC nucleotide variations c.669C>A (predictive of Ser181Arg) and c.131C>T (predictive of Asn2Ile) segregated with the type I and type IIb PC deficiency phenotypes respectively, but co‐segregated in the siblings with severe thrombosis. Soluble thrombomodulin (sTM)‐mediated inhibition of plasma thrombin generation from an individual with PC‐Asn2Ile was lower (endogenous thrombin potential (ETP) 56 ± 1% that of ETP determined without sTM) than control plasma (ETP 15 ± 2%) indicating reduced PC anticoagulant activity. Recombinant APC‐Asn2Ile exhibited normal amidolytic activity but impaired anticoagulant activity. Protein S (PS)‐dependent anticoagulant activity of recombinant APC‐Asn2Ile and binding of recombinant APC‐Asn2Ile to endothelial protein C receptor (EPCR) were reduced compared to recombinant wild‐type APC. Asn2 lies within the ω‐loop of the PC/APC Gla domain and this region is critical for calcium‐induced folding and subsequent interactions with anionic phospholipids, EPCR and PS. The disruption of these interactions in this naturally‐occurring PC variant highlights their collective importance in mediating APC anticoagulant activity in vivo.

UVB exposure of skin results in various biologic responses either through direct or indirect damage to DNA and non-DNA cellular targets via the formation of free radicals, reactive oxygen species (ROS) and inflammation. Bucillamine [N-(2-mercapto-2-methylpropionyl)-l-cysteine] is a cysteine-derived compound that can replenish endogenous glutathione due to its two donatable thiol groups, and functions as an antioxidant. In this study, we investigated the effects of bucillamine on UVB-induced photodamage using the SKH-1 hairless mouse model. We have demonstrated that UVB exposure (two consecutive doses, 230 mJ cm(-2)) on the dorsal skin of SKH-1 mice induced inflammatory responses (edema, erythema, dermal infiltration of leukocytes, dilated blood vessels) and p53 activation as early as 6 h after the last UVB exposure. Bucillamine pretreatment (20 mg kg(-1) of body weight, administered subcutaneously) markedly attenuated UVB-mediated inflammatory responses and p53 activation. We have also demonstrated that the stabilization and upregulation of p53 by UVB correlated with phosphorylation of Ser-15 and Ser-20 residues of p53 protein and that bucillamine pretreatment attenuated this effect. We propose that bucillamine has potential to be effective as a photoprotective agent for the management of pathologic conditions elicited by UV exposure.

When big steel left Bethlehem, Pennsylvania, thousands of workers were out of jobs. A community-based theatre project adapts Aeschylus's Prometheus Bound to recollect and deal with the situation. But is Bethlehem Steel off the hook?

Reappropriating the iconography of “America” as portrayed in Melville's Moby-Dick, the New York-based Radiohole offers in Fluke what Steve Luber dubs a hyperreal performance. The hyperreal is also what happened to Sara Brady when she rode through Dublin with the international trio Rimini Protokoll as they reimagined the journey as a trek from Bulgaria to Ireland. The last Critical Act takes place in Tangier where Khalid Amine found Zoubeir Ben Bouchta's Lalla J'mila a negotiation of the terrains of law, gender, and “place-specific” theatre.