MethodsInhibition of FXa by TFPI in plasma was determined by measuring thrombin generation triggered with FXa, the FX activator from Russell’s viper venom (RVV-X), FXIa, or FIXa. TF-independent anticoagulant activities of TFPI and its cofactor, proteinS, were quantified: (i) after neutralization of TFPI and proteinS with anti-TFPI or anti-proteinS antibodies; and (ii) in TFPI-depleted or proteinS-depleted plasmas supplemented with varying amounts of TFPI or proteinS. ResultsBoth anti-TFPI and anti-proteinS antibodies

enhanced thrombin generation in plasma triggered with RVV-X, FXa, FIXa, or FXIa. Anti-TFPI and anti-proteinS antibodies decreased the lag time and increased the peak height of thrombin generation to the buy MRT67307 same extent, indicating that inhibition of FXa by TFPI requires the presence of proteinS. TFPI and proteinS titrations in TFPI-depleted or proteinS-depleted plasma in which thrombin formation was initiated with triggers other than TF also revealed TF-independent anticoagulant activity of TFPI, which was completely dependent on the presence of proteinS. ConclusionDirect inhibition of FXa by TFPI contributes to the downregulation of coagulation.”
“Magnetic resonance imaging is increasingly used to assess neonatal hypoxic-ischemic

injury, and several scoring systems were developed to predict neurologic outcomes in these patients. We examined the magnetic resonance imaging studies of 33 neonates/infants who manifested acute perinatal hypoxicischemic selleck screening library injuries. Using a seven-point susceptibility-weighted imaging categorical grading scale, each patient received a “prominence

of vein” score, which was dichotomized into a “normal” or “abnormal” group. Six-month outcomes were assessed using the Pediatric Cerebral Performance Category Scale. We then determined whether “prominence of vein” scores correlated with neurologic outcomes in patients with hypoxic-ischemic injuries, and compared these results with the Barkovich magnetic resonance imaging scoring system. Patients with “normal” “prominence of vein” scores demonstrated better outcomes (mean Pediatric Cerebral Performance Category Scale value = 2) than patients with “abnormal” “prominence of vein” scores (mean Pediatric Cerebral Performance selleckchem Category Scale value = 4). The dichotomized “prominence of vein” groups demonstrated correlations with the Barkovich magnetic resonance imaging scores of the proton density-weighted basal ganglia, watershed, and combined basal ganglia/watershed regions. The susceptibility-weighted imaging categorical grading scale may aid in predicting neurologic outcomes after hypoxic-ischemic injuries. (C) 2011 Elsevier Inc. All rights reserved.”
“Background: Accurate assessment of probiotics with targeted anti-Salmonella activity requires suitable models accounting for both, microbe-microbe and host-microbe interactions in gut environments.

71 episode per patient per 12 months or one episode per 29.3 +/- A 22.2 patient-months. The time to peritonitis was shorter, and peritonitis was more likely in patients on continuous ambulatory peritoneal dialysis than in automated peritoneal dialysis patients. Patient and technique survival and transplantation

rate were similar in the group with and without peritonitis history. The primary end-point was recorded in 35 % of patients with peritonitis history and in 54 % of those without peritonitis (p = 0.04). In a multivariate analysis, the only variable significantly associated with the primary end-point and with patient survival was patient age at start of peritoneal dialysis.\n\nIn contemporary peritoneal dialysis patients, timely treated Selleckchem Tariquidar peritonitis may not be associated with adverse patient and technique outcomes. The transplantation rate is unaffected by the peritonitis history. Peritoneal dialysis may be promoted as the first dialysis method in appropriate patients.”
“Prolyl oligopeptidase (POP) is a serine protease highly expressed in the brain that hydrolyses peptide bonds at the carboxyl terminal of prolyl residues. There is evidence that this enzyme participates in several functions of the central nervous system. Scutellaria racemosa Pers demonstrated significant Blebbistatin research buy and selective POP inhibition. Fractionation of the hydroalcoholic

extract resulted in the isolation of four main constituents identified for the first time from S. racemosa Pets, the triterpenoid lupeol (1) and the flavonoids oroxylin A (5,7-dihydroxy-6-methoxyflavone, 2), hispidulin (4′,5,7-trihydroxy-6-methoxyflavone, 3), and oroxyloside (oroxylin A 7-O-glucuronide, 4). Inhibitory assays indicated that 3 and 4 at a concentration of 100 mu M inhibit 43 and 34% of total POP activity, respectively. (C) 2010 Elsevier B.V. All rights reserved.”
“The Mediterranean Sea’s biodiversity and ecosystems face many threats due to anthropogenic pressures. Fludarabine Some of these include human population growth, coastal urbanization, accelerated human activities, and climate change. To enhance the formation of a science-based system of marine protected areas in the Mediterranean Sea,

data on the spatial distribution of ecological features (abiotic variables, species, communities, habitats, and ecosystems) is required to inform conservation scientists and planners. However, the spatial data required is often lacking. In this review, we aimed to address the status of our knowledge for 3 major types of spatial information: bathymetry, classification of marine habitats, and species distributions. To exemplify the data gaps and approaches to bridge them, we examined case studies that systematically prioritize conservation in the Mediterranean Sea. We found that at present the data required for conservation planning is generally more readily available and of better quality for the European countries located in the Western Mediterranean Sea.

\n\nSearch strategy\n\nWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2010, issue 1), which contains the Cochrane Acute Respiratory Infections Group’s Specialised Register, MEDLINE (1966 to April 2010), EMBASE (1974 to April 2010), Chinese Biomedical Literature

Database (CBM) (1978 to April 2010), China National Knowledge Infrastructure (CNKI) (1974 to April 2010), KoreaMed (1997 to April 2010) and Database of Japana Centra Revuo Medicina (1983 to April 2010).\n\nSelection criteria\n\nRandomised controlled trials (RCTs) or quasi-RCTs assessing the effect of macrolides for DPB.\n\nData collection and analysis\n\nTwo review authors independently assessed study quality and subsequent risk of bias according to the Cochrane Collaboration’s tool for assessing risk of bias. The primary outcomes were five-year survival rate, lung function and clinical response. We used risk ratios (RR) for individual https://www.selleckchem.com/products/S31-201.html trial results in the data analysis and measured all outcomes with 95% confidence intervals (CI).\n\nMain results\n\nOnly one RCT (19 participants) with significant methodological limitations was included in this review. It found that the computerised tomography images of all participants treated with a long-term, low-dose macrolide (erythromycin) improved from baseline, while the images of 71.4% of participants in

the control group (with no NSC 617989 HCl treatment) worsened and 28.6% remained unchanged. Adverse effects were not reported.\n\nAuthors’ conclusions\n\nThere is little evidence for macrolides in the treatment of DPB. We are therefore unable to make any new recommendations. It may be reasonable to use low-dose macrolides soon after diagnosis is made and to Vorinostat Epigenetics inhibitor continue this treatment for at least six months, according to current guidelines.”
“ObjectivesTo determine the effects of cognitive training on cognitive abilities and everyday function over 10years.\n\nDesignTen-year follow-up of a randomized,

controlled single-blind trial (Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE)) with three intervention groups and a no-contact control group.\n\nSettingSix U.S. cities.\n\nParticipantsA volunteer sample of 2,832 persons (mean baseline age 73.6; 26% African American) living independently.\n\nInterventionTen training sessions for memory, reasoning, or speed of processing; four sessions of booster training 11 and 35months after initial training.\n\nMeasurementsObjectively measured cognitive abilities and self-reported and performance-based measures of everyday function.\n\nResultsParticipants in each intervention group reported less difficulty with instrumental activities of daily living (IADLs) (memory: effect size=0.48, 99% confidence interval (CI)=0.12-0.84; reasoning: effect size=0.38, 99% CI=0.02-0.74; speed of processing: effect size=0.36, 99% CI=0.01-0.72).

015, 0.007, 0.016 and 0.017, respectively. These values are higher than the Phi(F) of AuO in aqueous solution and are of the same order of magnitude of the Phi(F) found for viscous solvents such as n-hexanol and n-heptanol (0.014

and 0.015). Time-resolved fluorescence spectroscopy studies of adsorbed Auramine on clays revealed multi-exponential decays with components in the 25-36, 219-362 and 1300-1858 ps ranges. The short-lived components can be attributed to species bound to MGCD0103 research buy external surface and the longer lifetime is assigned to dye molecules in interlayer spaces interacting strongly with the clay. It seems clear that the binding of Auramine to clays causes a significant reduction of the rate of internal conversion that does involve rotational diffusion,

so that the clay will be locked in a conformational geometry unfavourable for internal conversion. (c) 2012 Elsevier B.V. All rights reserved.”
“Objective Danusertib mw To describe 2 cats that developed acute iatrogenic water intoxication, one associated with a continuous infusion of water provided via an esophagostomy tube and one following SC administration of 5% dextrose in water (D5W). Case or Series Summary A 10-year-old cat with squamous cell carcinoma was hospitalized for treatment of dehydration. Rehydration was provided with water via an esophagostomy tube at 5.7 mL/kg/h. After 30 hours of therapy, the cat was found dull and weak. Serum sodium was markedly decreased at 116 mmol/L (116 mEq/L). Supplemental water was stopped, and IV furosemide and mannitol were provided to eliminate free water. Hypertonic saline (1.5%) was admininstered IV to rapidly restore the sodium concentration. The serum sodium concentration corrected over 17 hours, and the cat was discharged without neurological complications. The second cat had previously

received 300 mL D5W subcutaneously and represented BMS-777607 supplier 8 hours later with lethargy and paresis with a serum sodium level of 126 mmol/L (126 mEq/L). Intravenous fluid therapy was provided using 0.9% NaCl. Over the following day, the cat’s mentation and paresis resolved and sodium concentrations normalized. New or Unique Information Provided These 2 cases describe a presumed uncommon iatrogenic complication of severe hyponatremia due to water provided either via an esophagostomy tube or subcutaneously. While oral rehydration is often considered ideal, it may result in signs of water intoxication if not carefully monitored; additionally, D5W is never considered an acceptable fluid choice as a SC bolus. If promptly recognized, acute hyponatremia may be corrected rapidly with no lasting consequences.”
“Oxidative damage is thought to play a pivotal role in the pathogenesis of nonalcoholic fatty liver disease (NAFLD). Glutathione-S-transferases (GSTs) are involved in cell protection against oxidative stress.

The present study suggests that GSK3 may be a novel pharmacological target for the treatment of neuropathic pain and AR-A014418 might be a potential molecule of interest for chronic pain relief. (c) 2012 IBRO. Published by Elsevier Ltd. All rights reserved.”
“The identification of secreted protein markers has been receiving great attention as part of the trend toward noninvasive biomarker discovery. In addition, certain cell membrane proteins are known to be released into the extracellular milieu via ectodomain

shedding. As membrane proteins play an essential role in signaling selleckchem pathways and because most of the cancer biomarkers approved by the FDA today are membrane shed proteins, a tool that can correctly predict these class shed proteins is

valuable. In this study, an in-house predictor, ShedP, was developed to predict the ectodomain shedding events of membrane proteins. ShedP is the first computational method to our knowledge to allow shed membrane protein prediction. By integrating ShedP with other state-of-the-art predictors, a screening pipeline, SecretePipe, has been created that is able to identify secreted nonmembrane proteins on the basis of signal peptides and to identify released membrane proteins on the basis of ectodomain shedding. The predictive results using secretome data sets revealed that SecretePipe outperformed other state-of-the-art secreted protein predictors When evaluated against released membrane proteins, SecretePipe performed better LXH254 than other predictors in identifying membrane-bound Akt inhibitor released proteins due to the presence of ShedP. SecretePipe showed a great potential in assisting the identification of membrane-bound shed

markers in biomarker discovery.”
“Bacteria with the ability to tolerate, remove, and/or degrade several xenobiotics simultaneously are urgently needed for remediation of polluted sites. A previously isolated bacterium with sodium dodecyl sulfate- (SDS-) degrading capacity was found to be able to reduce molybdenum to the nontoxic molybdenum blue. The optimal pH, carbon source, molybdate concentration, and temperature supporting molybdate reduction were pH 7.0, glucose at 1.5% (w/v), between 25 and 30 mM, and 25 degrees C, respectively. The optimum phosphate concentration for molybdate reduction was 5 mM. The Mo-blue produced exhibits an absorption spectrum with a maximum peak at 865 nm and a shoulder at 700 nm. None of the respiratory inhibitors tested showed any inhibition to the molybdenum-reducing activity suggesting that the electron transport system of this bacterium is not the site of molybdenum reduction. Chromium, cadmium, silver, copper, mercury, and lead caused approximately 77, 65, 77, 89, 80, and 80% inhibition of the molybdenum-reducing activity, respectively.

low olive oil consumption. Several studies conducted in Southern Europe reported olive oil consumption as a favourable indicator of breast, digestive tract, and particularly upper aero-digestive tract cancers. For the latter, after adjustment for alcohol Metabolisms tumor and tobacco use, the RRs between extreme levels of olive oil consumption were 0.3-0.4, and there was an over 5-fold difference in risk between subjects consuming mainly olive oil and those consuming mainly butter. The summary RR of breast cancer was 0.62 (95% CI, 0.44-0.88) for the highest vs. lowest level of olive oil consumption. Thus, preferring olive oil to other added lipids,

particularly those rich in saturated fats, can decrease the risk of upper digestive and respiratory tract neoplasms, breast and, possibly, colorectal and other cancer sites.”
“Adrenocortical carcinoma (ACC) is a rare neoplasm characterized by poor prognosis. First-line systemic treatments in advanced disease include mitotane, either alone or in combination with chemotherapy. Studies evaluating second-line therapy options have obtained disappointing results. This trial assessed buy Etomoxir the activity and toxicity of gemcitabine plus metronomic fluoropyrimidines in heavily pretreated advanced ACC patients. From

1998 to 2008, 28 patients with advanced ACC progressing after mitotane plus one or two systemic chemotherapy lines were enrolled. They received a combination of i.v. gemcitabine (800 mg/m(2), on days 1 and 8, every 21 days) and i.v. 5-fluorouracil protracted infusion

(200 mg/m(2)/daily without interruption until progression) in the first six patients, or oral capecitabine (1500 mg/daily) in the subsequent patients. Mitotane administration was maintained in all cases. The rate of non-progressing patients after 4 months of treatment was 46.3%. A complete response was observed in 1 patient (3.5%); 1 patient (3.5%) obtained a partial regression, 11 patients (39.3%) obtained a disease stabilization and 15 patients (53.7%) progressed. Treatment was well tolerated, with grade III and IV toxicities consisting of leukopenia in six patients (21.4%), thrombocytopenia in one patient (3.5%), and mucositis in one patient (3.5%). Median time to progression and overall survival find more in the patient population were 5.3 (range: 1-43) and 9.8 months (range: 3-73) respectively. Gemcitabine plus metronomic fluoropyrimidines is a well-tolerated and moderately active regimen in heavily pretreated ACC patients. Endocrine-Related Cancer (2010) 17 445-453″
“Background: Acquisition of metastatic ability by prostatic cancer cells is the most lethal aspect of prostatic cancer progression. (-)-Gossypol, a polyphenolic compound present in cottonseeds, possesses anti-proliferative and proapoptotic effects in various cancer cells.

\n\nConclusion:\n\nHigh daily life reward experience

increases resilience after environmental adversity; modification of reward experience may constitute a novel area of therapeutic intervention.”
“Ascorbic acid (AA) and copper have been increasingly employed in flow cytometry (FCM) and high content analysis (HCA) since the introduction of click chemistry as a non-destructive alternative to classical 5-bromo-2-deoxyuridine (BrdU) immunodetection for DNA synthesis and proliferation assays. Mixtures of ascorbate and catalytic copper, under certain Selisistat datasheet experimental conditions, act as oxidizing agent, catalyzing the formation of reactive hydroxyl radicals through hydrogen peroxides decomposition via Fenton reaction. We developed a procedure for BrdU incorporation detection based on the use of AA and cupric ions as DNA damaging agents. Optimal DNA damaging conditions were identified and found to provide results comparable with click 5-ethynyl-deoxyuridine CYT387 purchase (EdU) cycloaddition approach and classical BrdU immunodetection. Scavenger agents were found to prevent hydroxyl-induced DNA damages, providing the proof-of-concept for the use of this procedure for DNA denaturation prior to BrdU detection. We demonstrated hydroxyl

radicals’ reaction to be readily applicable to HCA and FCM assays, for both classical BrdU immunostaining and EdU cycloaddition procedure. This technique was successfully employed for BrdU pulse-chase experiments and in multiparametric immunofluorescence assays for the simultaneous detection of labile phosphoproteins in intact cells. The use of AA/Cu prior to immunodetection for BrdU incorporation assays is a viable alternative to chemical/physical DNA denaturing agents (acids or heat), since it allows preservation of labile epitopes such as phosphoproteins, and over enzymatic agents (digestion with DNases) for its lower cost. (c) 2013 International Society for Advancement of Cytometry”
“Objective: Mycophenolic acid requires routine therapeutic drug monitoring. We

evaluated the suitability of a new PETINIA (particle enhanced turbidimetric inhibition immunoassay) assay on the Dimension EXL analyzer for monitoring of mycophenolic acid by comparing values obtained by this assay with a HPLC-UV method.\n\nDesign and methods: Mycophenolic acid concentrations determined in sera of 60 organ transplant recipients using high performance MI-503 manufacturer liquid chromatography combined with ultraviolet detection (HPLC-UV, reference method) and the new immunoassay on the Dimension RxL analyzer.\n\nResults: The within and between run precision of the new PETINIA assay was <10%. The assay was linear for a mycophenolic acid concentration up to 301 mu g/mL. When mycophenolic acid concentrations in 60 transplant recipients obtained by the HPLC-UV (x-axis) method were compared with corresponding values obtained by the PETINIA assay (y-axis), the following regression equation was obtained: y=1.1204 x + 0.

9% and the other two patients belonged to Engel class I I during the mean follow-up period of 44.1 months. There was no worsening of the seizure after one year of surgery. Associated CD was found in 18 cases (81.8%) and in the 80% (8 of 10 cases) of the additionally resected areas according to the electrophysiologic

studies. Conclusions: The CD associated with DNT appears to have its own epileptogenicity. Therefore, complete removal of the CD with tumor itself is important for patient outcome. A thorough surgical approach can be accomplished by comprehensive presurgical evaluations and extensive surgery with the aid of the intraoperative ECoG or intracranial Doramapimod price recording. (C) 2008 Elsevier B.V. All rights reserved.”
“Application of natural antimicrobial substances (such as bacteriocins) combined with novel technologies provides new opportunities for the control of pathogenic

bacteria, improving food safety and quality. Bacteriocin-activated films and/or in combination with food processing technologies (high-hydrostatic pressure, high-pressure homogenization, in-package pasteurization, food irradiation, pulsed electric fields, or pulsed light) may increase microbial inactivation and avoid food cross-contamination. Bacteriocin variants developed by genetic engineering and novel bacteriocins with broader inhibitory spectra offer new biotechnological opportunities. In-farm application of bacteriocins, bacterial protective cultures, or bacteriophages, can decrease the incidence of food-borne pathogens in livestock, animal INCB028050 AZD1390 ic50 products and fresh produce items, reducing the risks for transmission through the food chain. Biocontrol of fungi, parasitic protozoa and viruses is still a pending issue.”
“Stem cell-based therapy holds great potential for future treatment of multiple sclerosis (MS). Bone marrow mesenchymal

stem cells (MSCs) were previously reported to ameliorate symptoms in mouse MS models (experimental autoimmune encephalomyelitis, EAE). In this study, we induced MSCs to differentiate in vitro into neurotrophic factor-producing cells (NTFCs). Our main goal was to examine the clinical use of NTFCs on EAE symptoms. The NTFCs and MSCs were transplanted intracerebroventricularly (ICV) to EAE mice. We found that NTFCs transplantations resulted in a delay of symptom onset and increased animal survival. Transplantation of MSCs also exerted a positive effect but to a lesser extent. In vitro analysis demonstrated the NTFCs’ capacity to suppress mice immune cells and protect neuronal cells from oxidative insult. Our results indicate that NTFCs-transplanted ICV delay disease symptoms of EAE mice, possibly via neuroprotection and immunomodulation, and may serve as a possible treatment to MS.”
“During the development of tissues, complex programs take place to reach terminally differentiated states with specific gene expression profiles.

Rod loss was greater than cone loss. An inverse relationship existed between the quantity of autofluorescent inclusions in the RPE and the thickness of sub-RPE basal laminar deposit. Integrity of the choroid varied from one eye to another and was not related strictly to photoreceptor survival. In some

eyes, photoreceptor loss existed in the absence https://www.selleckchem.com/products/pf-06463922.html of obvious morphological changes in the Bruch membrane or RPE. CONCLUSIONS AND RELEVANCE The findings support the view that photoreceptor loss occurs early in AMD in a proportion of cases and imply that photoreceptor-cell loss may contribute to the functional loss recorded in early stages of AMD at least in part. The variation of changes from one eye to another implies that patients selected for a specific prophylactic therapy for early AMD should be chosen on the basis of the characteristics of their disease.”
“Parkinson’s disease (PD) patients and the 6-hydroxydopamine (6-OHDA) lesioned rat model share blink abnormalities. In view of the evolutionarily conserved organization of blinking,

characterization of blink reflex circuits in rodents may elucidate the neural mechanisms of PD reflex abnormalities. We examine the extent of this shared pattern of blink abnormalities by measuring blink reflex excitability, blink reflex plasticity, and spontaneous blinking in 6-OHDA lesioned rats. We also investigate whether 130-Hz subthalamic nucleus deep brain stimulation (STN DBS) affects blink abnormalities, as it does in PD patients. Like

PD patients, 6-OHDA-lesioned rats exhibit reflex blink hyperexcitability, impaired Selleck BMS-777607 blink plasticity, and a reduced spontaneous blink rate. At 130 Hz, but not 16 Hz, STN DBS eliminates reflex blink hyperexcitability and restores both short- and long-term blink plasticity. Replicating its lack of effect in PD patients, 130-Hz STN DBS does not reinstate a normal temporal pattern or rate to spontaneous blinking in 6-OHDA lesioned rats. These data show that the 6-OHDA lesioned rat is an ideal model system for investigating the neural bases of reflex abnormalities in PD and highlight the complexity of PD’s effects on motor control, by showing that dopamine depletion does not affect all blink systems via the same neural mechanisms.”
“Objective. The aim of this study was to investigate the metabolic function of intestinal microflora in children with Ro-3306 screening-detected celiac disease (CD) to see if there is an aberrant gut flora in screening-detected CD similar to symptomatic CD and contrary to healthy controls. Materials and methods. As part of a Swedish multicenter screening for CD, 912 12-year-old children were screened with serum anti-human tissue transglutaminase-IgA. Small bowel biopsy specimens from children with positive serology revealed 17 individuals with CD. The functional status of the intestinal microflora was evaluated by gas liquid chromatography of short chain fatty acids (SCFAs) in fecal samples.

The estimated economic costs of UDM in 2007 is $18 billion ($2864 per person with UDM), including medical costs of $11 https://www.selleckchem.com/products/Lapatinib-Ditosylate.html billion and indirect costs of $7 billion. Although the high prevalence of UDM makes it an important health issue to be studied, data limitations have contributed to a dearth of information on the health care use patterns and economic costs of UDM. By omitting UDM, estimates of the total national cost of diabetes are underestimated. (Population Health Management 2009;12:95-101)”
“Background: The configuration of the distal surface of the femur would be more important in terms of the patellofemoral (PF) joint contact because the patella

generally contacts with the distal surface of the femur in knee flexion. Some total knee arthroplasty (TKA) designs configurate medially prominent asymmetric femoral condyles. This difference in the design of distal femoral condyle may affect the PF joint congruity in knee flexion. Furthermore, some surgeons advocate a concept aligning the symmetric components parallel SHP099 to the native joint inclination, not perpendicular to the mechanical axis. This concept would also make a difference on the PF joint congruity at the distal femur in

knee flexion. However, no fundamental study has been reported on the PF congruity at the distal femur to discuss the theoretical priority of these concepts. The current study investigated the angular relationship between the tibial attachment of the patellar tendon and the distal surface of the femur at 90 degrees of flexion selleck chemical in normal knees. Methods: The open magnetic resonance images of 45 normal knees at 90 degrees of flexion were used to measure the angles between the tibial attachment of the patellar tendon, the equatorial line

of the patella, and the distal surface of femoral condyles. Results: The distal surface of femoral condyles was internally rotated relative to the tibial attachment of the patellar tendon and the equatorial line of the patella in all the knees (8.2 degrees +/- 3.5 degrees and 5.8 degrees +/- 2.5 degrees, respectively), not parallel. Conclusions: Distal femoral condyle is internally rotated to the patellar tendon at 90 degrees of flexion in normal knees. When the symmetric femoral component is aligned perpendicular to the femoral mechanical axis, the patellar tendon would be possibly more twisted than the condition in normal knees, and the deviation of the PF contact force on the patellar component might be caused. The configuration and alignment of the distal condyle of the femoral component can affect the PF joint congruity in knee flexion. In this respect, our results provide important information in considering designs and alignment in the distal femur of TKA and the PF joint congruity in knee flexion.