See the Supplemental Experimental Procedures for details To coim

See the Supplemental Experimental Procedures for details. To coimmunoprecipitate EBAX-1 and SAX-3, HEK293T cells transfected with indicated constructs for ∼24 hr were treated with 1 μM bortezomib or 25 μM MG132 for 2 hr and collected in lysis buffer (50 mM Tris [pH 7.0], 150 mM NaCl,

0.5 mM EDTA, and 0.5% NP-50) supplied with protease inhibitors. The lysates were incubated on ice for 30 min and then cleared by centrifugation at 4°C (14,000 rpm, 10 min). The supernatants were incubated with mouse anti-Flag M2 antibodies (Sigma) or mouse IgG for Enzalutamide 4 hr at 4°C, followed by incubation with Protein G agarose beads (Pierce) for 1 hr at 4°C. Protein G beads were then washed with 5 × 1.5 ml lysis buffer and boiled in SDS loading buffer for 15 min at 85°C. Rabbit anti-V5 and HRP-conjugated mouse anti-Flag antibodies (Sigma) were used for immunoblotting. To pulse-chase the degradation of SAX-3(WT)

and SAX-3(P37S), HEK293T cells were transfected with indicated constructs. The next day, transfected cells were treated with 1 μM cycloheximide to block protein synthesis for 0, 2, 4, or 6 hr. Cells were collected in lysis buffer DAPT concentration ∼24 hr after transfection and incubated on ice for 30 min before clearing by centrifugation at 4°C (14,000 rpm, 10 min). Equal amounts of supernatants from different time points were denatured by SDS loading buffer for immunoblotting. A two-tailed Student’s t test was used for comparisons of two groups.

One-way ANOVA with a Bonferroni or Dunnett posttest was used to compare multiple groups. We are grateful to Larry Zipursky for generously sharing unpublished results of Drosophila CG34401 mutants, leading us to work on ebax-1 in C. elegans, and to Aljoscha Nern and Marta Morey-Ramonell for personal communications. We thank David King at the Howard Hughes Medical Institute Mass Spectrometry Lab at UC Berkeley for mass spectrometry analyses. Shohei Mitani, the C. elegans Gene Knockout Consortium, and the Caenorhabditis Genetics Center provided too mutant strains. We thank Cori Bargmann, Gian Garriga, Ian Chin-Sang, Ed Kipreos, William Wadsworth, Xiaofeng Xin, and Charlie Boone for reagents. We value discussions with Randy Hampton, James Moresco, and our lab members. Z.W. was supported by a postdoctoral fellowship from the Jane Coffin Childs Memorial Fund for Medical Research, and X.G. was supported by a postdoctoral fellowship from the Susan G. Komen breast cancer foundation. This work was partly supported by awards from the National Institutes of Health (R01 NS057317 to A.D.C.; Y.J.; R01 NS 035546 to Y.J.). M.B. was supported by a Netherlands Organization for Scientific Research Vidi grant. Y. J. is an investigator of the Howard Hughes Medical Institute.

, 2011) The KO slice cultures suffered less neuronal cell death

, 2011). The KO slice cultures suffered less neuronal cell death than WT cultures subjected to the same duration of OGD, consistent with the idea that the function of these molecules in the brain—in neurons or possibly other resident glial or microglia—normally contributes to damage after stroke. Future experiments involving cell-type-specific knockout mice will help dissect the relative contribution of peripheral immune cells, neurons, and brain glia to damage and impaired recovery. KbDb KO mice, offspring of breeding pairs on a C57BL/6 background, were generously provided Selleck Autophagy Compound Library by H. Ploegh (Vugmeyster et al., 1998 and Ziskin et al., 2007). C57BL/6 (i.e., KbDb WT) controls were purchased

(Charles River). PirB KO and PirB WT controls were previously generated in C.J.S.’s laboratory (Syken et al., 2006). Mice were maintained in a pathogen-free environment. All experiments using animals were performed blind to genotype and in accordance with a protocol approved by the Stanford University Animal Care and Use Committee and in keeping with the National Institutes of Health’s Guide for the Care and Use of Laboratory

Animals. Transient ischemia was induced in male mice (postnatal days 60–90) by using the suture occlusion technique, as previously described (Han et al., 2009), with slight modifications. This age was chosen because it is beyond the developmental critical periods, but the animals are still relatively young adults. See Supplemental

Experimental Procedures isothipendyl for complete details of experimental procedures. We thank N. Sotelo and P. Kemper for help with laboratory logistics and mice breeding, Dr. H. Lee and Selleck VE822 Y. Kim for additional troubleshooting for qPCR reactions, and S. Cheng for genotyping assistance. The PirB mutant mice were generated by Dr. J. Syken in the Shatz laboratory. Thanks also to Dr. H. Ploegh, MIT, for KbDb KO mice. This work was supported by NIH grants MH07166 and EY02858, the Mathers Charitible Foundation, and the Ellison Foundation to C.J.S., a National Defense Science and Engineering Graduate Fellowship and National Science Foundation Graduate Research Fellowship to J.D.A., and NIH grants RO1 GM49831 and NS 053898 to R.G.G. “
“Activity-evoked and spontaneous vesicle exo-/endocytosis support the two fundamental modes of neurotransmission at synapses. Within our current understanding, the arrival of an action potential at the synapse triggers an increase in the cytosolic Ca2+ concentration, which leads to evoked fusion of vesicles docked at the active zone within a few milliseconds (Sudhof, 2004). Such activity-evoked vesicle fusion supports most of neurotransmitter release and is an essential component of synaptic information transmission. However, it is also known that vesicle fusion and uptake occur even in the absence of activity, albeit at a very low rate of one to two vesicles per minute (Geppert et al., 1994 and Murthy and Stevens, 1999).

Approximately 75% of cases of illness due to C perfringens are a

Approximately 75% of cases of illness due to C. perfringens are attributed to meat, meat products and poultry ( Johnson and Gerding, 1997). Meat products are widely consumed foodstuffs. In addition to appreciable sensory aspects, meat products have a relatively low price when compared to traditional in natura meat cuts. Mortadella is a cured,

emulsified and stuffed meat product that provides lower social classes access to animal proteins, making the minimal recommended protein intake possible ( Feiner, 2006). Cured meat products have nitrite in their composition, a key ingredient in the curing process, which performs the following functions: first, it contributes to the development of the typical cured meat flavor and prevents lipid oxidation, inhibiting the development

of rancid off-flavors; second, it reacts with myoglobin Dasatinib price producing nitrosylhaemochrome, which gives the characteristic pink color of cured meat; third, it allows growth inhibition of spoilage and pathogenic bacteria, specially Clostridium sp. ( Cammack et al., 1999 and Marco et al., 2006). However, a high intake 5 FU of nitrite presents a risk to human health due to possible allergenic effects, vasodilator effects and metamyoglobin production in vivo ( Cammack et al., 1999). In addition, nitrous acid from the hydration of nitrite oxide produced from the reduction of sodium nitrite (NaNO2) may react with secondary 3-mercaptopyruvate sulfurtransferase amines and amino acids naturally present in muscle foods and meat products to form N-nitroso compounds, especially nitrosamines, which are chemical substances with strong toxic, mutagenic, neurotoxic and nephrotoxic and carcinogenic effects ( Rywotycki, 2002 and Karl-Otto, 2008). Due to the potential risk of nitrite addition in foods, the reduction or elimination is desirable. Cassens (1997) suggested two alternatives to control the problem: use of agents that partially or completely replace nitrite

or agents that block formation of nitrosamines in products containing conventional concentrations of nitrite. According to Brazilian legislation for additives and preservatives in meat products, the maximal concentration of sodium or potassium nitrite, with or without nitrate should not exceed 150 ppm or 0.015% in the product ready for consumption ( Brazil, 2009). Consumers increasingly demand natural antimicrobials as alternative preservatives in foods because the safety of additives has been questioned in the last few years. Alternative preservation techniques with such naturally derived ingredients are under investigation for their application in food products. Due to negative consumer perceptions of chemical preservatives, attention is shifting toward alternatives that consumers perceive as natural, especially plant extracts, including the essential oils (EOs) and essences of plant extracts.

Many women also put their career aspirations on hold or give them

Many women also put their career aspirations on hold or give them up altogether when they reach the period of their lives where they want to start a family, based on the idea that family-work commitments will impact their careers and place them at a disadvantage in academia. In fact, many young women in science opt out of a competitive academic career path in order to spend more time with their families. In Asia, the problem has been more acute due to the fact that there have been few training opportunities available locally. Until recently, most aspiring

scientists had to leave their home countries for the US or Europe for further training and to pursue a credible career in science. As many Asian societies are patriarchic, this would be see more difficult, requiring mutual family consensus. Docetaxel cost Furthermore, in Asian families,

women are expected to shoulder more of the responsibilities of taking care of the family, so unless they have family support, it is very difficult for them to invest the time and dedication required for the demands of a career in the sciences. Thus, the gender disparity has stemmed from insufficient role models and the relative lack of support for women who strive for a career and a family. Recent societal changes in Asia aim to improve the situation, though. In countries such as China and Singapore, there is greater shared responsibility within the family structure, allowing women the freedom to pursue a career they desire. Policy implementation may also make a difference. The report commissioned by the InterAcademy Council has identified the following strategies to increase the number of women in science. Greater commitment from the top levels of the organization, establishment of an infrastructure such as a diversity committee, reviewing policies GPX6 and procedures to ensure there are no differential impact on men and women, transparency in all communication,

recruitment, promotion and awards, widening the inner circle, leadership training and mentoring, supporting a healthy work-family balance, and regular collecting of sex-disaggregated data and monitoring of progress (InterAcademy Council, 2004). However, it is up to the individual institutions to implement these strategies. Thus, to promote gender parity, many universities now provide maternity pay and child care facilities, and equal opportunities are enshrined in law. Furthermore, many schemes have been developed both on a global scale as well as locally. One well-known global initiative is the L’Oréal-UNESCO Awards (L’Oréal-UNESCO, 2011). Jointly established by L’Oréal Corporate Foundation and UNESCO, over the past 13 years under the umbrella of “For Women in Science,” the awards aim to promote women researchers who have made outstanding contributions to their field of work.

However, it is noteworthy that essential and nonessential AAs can

However, it is noteworthy that essential and nonessential AAs can compete with each other for entry through the

blood-brain barrier (Oldendorf and Szabo, 1976), and thus a rise in nonessential AA levels in the brain may signal a fall in essential AA levels in the blood. Another physiological situation that may, potentially, benefit from increased BMS-777607 cell line stimulation of orx/hcrt neurons by AAs is prolonged starvation, where a rise in extracellular AA levels occurs as proteins are broken down to AAs for fuel (Adibi, 1968 and Felig et al., 1969). More fundamentally, our data suggest that orx/hcrt neurons are under “push-pull” control by glucose and AAs, and that nutrient mixtures dominated by glucose would suppress the orx/hcrt system, while nutrient mixtures dominated by AAs would increase its activity. Interestingly, there is accumulating evidence that underactivity and overactivity of the orx/hcrt system may lead to depression and anxiety, respectively (Boutrel et al., 2005, Brundin et al., 2007, Ito et al., 2008 and Suzuki et al., 2005). While a definitive investigation of behavioral see more effects is beyond the scope of the present study, it is noteworthy that some existing psychological analyses are

consistent with our cellular data. For example, protein-rich meals have been reported to be more effective at promoting cognitive arousal than carbohydrate-rich meals (Fischer et al., 2002 and Spring et al., 1982-1983). In summary, our data show that the activity in the orx/hcrt system is regulated by macronutrient balance, rather than simply by the caloric content of the diet. We propose that the distinct effects of different macronutrients on orx/hcrt cells may allow these neurons to translate different diets into different patterns of activity in

their widespread projection targets. Animal procedures were performed according to the Animals (Scientific Procedures) Act, 1986 (UK). Transgenic orx/hcrt-eGFP mice were used to identify and study orx/hcrt neurons in electrophysiological experiments, as previously described (Williams et al., 2007 and Williams et al., 2008). These mice express eGFP under the control of the prepro-orexin promoter, resulting in highly specific Thiamine-diphosphate kinase targeting of eGFP only to orx/hcrt cells ( Burdakov et al., 2006 and Yamanaka et al., 2003). For lateral hypothalamic control experiments shown in Figure 1D, we used GAD65-GFP mice, which were of C57BL/6 background and expressed GFP gene fused to the first or third exon of the GAD65 gene; these mice express GFP exclusively in GABAergic GAD65-containing neurons, as previously characterized ( Bali et al., 2005 and López-Bendito et al., 2004). Mice were maintained on a 12 hr light:dark cycle (lights on at 0800 hr) and had free access to food and water. Coronal slices (250 μm thick) containing the lateral hypothalamus were prepared from 13- to 29-day-old animals. Experiments in Figures 1G, 7C, and 7D were replicated in adult mice (37–64 days old).

A discrepant result involves the auditory network that shows in M

A discrepant result involves the auditory network that shows in MEG a

drop of α and β BLP correlation, but an increased correlation in fMRI. This discrepancy is likely due to difference in the experimental environment between MEG and fMRI (Supplemental Information). Finally, interactions between Visual and Language RSN were characterized by small yet significant mean decrease in fMRI as opposed to an enhancement of BLP correlation, especially in θ and β (and γ) bands. The pattern of fMRI connectivity for the Selleck Epacadostat default-mode network was similar to that of the visual network. Within-network fMRI connectivity decreased during movie in parallel to α/β BLP correlation decrements; cross-network fMRI connectivity decreased (from negative toward zero) with dorsal attention and visual networks in parallel to α BLP correlation decrements; finally, increases of BLP correlation between DMN and language in the γ band corresponded to a slight decrease in fMRI connectivity, similarly to what observed between visual and language networks (Figure 6). An important finding is that modulations of BLP correlation in different frequencies

were accompanied by an overall preservation of the large-scale topography of MEG and fMRI RSN across conditions, i.e., similar spatial patterns of correlation were observed in fixation and movie in both methods. This can be appreciated Dabrafenib manufacturer by inspecting separately MEG and fMRI covariance matrices in fixation and movie conditions (Figure 7A). In both methods the correlation was stronger within than across networks, a classic result in fMRI. Moreover even the local structure of correlation showed strong similarities.

For example, nodes like left and right FEF displayed relative low interregional correlation in both methods; conversely, right vIPS displayed strong correlation with most visual nodes in both modalities. To quantify these effects, we computed the spatial correlation on group-level Z score covariance Sclareol matrices using the Pearson product moment formula separately for fixation and movie. In each modality (fMRI or MEG) the spatial correlation between conditions (fixation, movie) was very high, except for the auditory network (visual network fMRI: r = 0.85 p < 0.001; MEG α BLP: r = 0.98, p < 0.001; auditory network fMRI: r = 0.45, p > 0.05; MEG α BLP: r = 0.99, p < 0.001; dorsal attention network fMRI: r = 0.93, p < 0.001; MEG α BLP: 0.96, p < 0.001). In addition, the covariance matrices between fMRI and MEG were similar within each condition (fixation or movie). The strongest correlation was within visual and dorsal attention RSN across multiple bands (Figure 7B; visual network; all p values < 0.01; Table S2). In terms of cross-network interaction, MEG and fMRI covariance matrices were similar for visual-dorsal attention, and visual-language interaction matrices across multiple bands (Table S2). Interestingly, the correlation between visual and language nodes across modalities was significant during movie watching (p < 0.

When i = j, ri,j was set to 1 When i≠j, ri,j was assigned accord

When i = j, ri,j was set to 1. When i≠j, ri,j was assigned according to a linear relationship between noise and signal correlation: equation(5) ri,j=avestibular×rsignal,vestibular,i,j+avisual×rsignal,visual,i,j+bri,j=avestibular×rsignal,vestibular,i,j+avisual×rsignal,visual,i,j+bWe Ceritinib manufacturer minimized the orthogonal distance between

the fit plane and the raw data using type II regression. This work was supported by grants from National Institutes of Health (EY019087 to D.E.A., and EY016178 to G.C.D.). “
“In many regions of the mammalian CNS, inhibitory microcircuits are wired with high precision, fine-tuning synaptic input and modulating neural output (Stepanyants et al., 2004). The assembly of functional inhibitory microcircuits can be considered in several independent steps: the selection of membrane subdomains on specific neuronal targets, the assignment of appropriate synaptic innervation densities, and the regulation

of transmitter phenotype and level (Williams et al., 2010). How these diverse cellular processes are orchestrated at individual synapses within defined CNS microcircuits remains unclear. One informative instance of the subcellular targeting of inhibitory synapses is found in primary sensory systems, where sensory terminals serve SKI-606 purchase both as presynaptic structures that innervate recipient CNS neurons and as the postsynaptic target of local inhibitory interneurons at axoaxonic

synapses (Rudomin, 2009). Such axoaxonic arrangements provide an anatomical substrate for selective filtering of sensory information (Rudomin and Schmidt, 1999). In the ventral spinal cord, the central terminals of proprioceptive sensory neurons are studded with numerous synaptic boutons that derive from a discrete set of GABAergic inhibitory interneurons, termed GABApre neurons (Betley et al., 2009 and Hughes et al., 2005). This set of spinal inhibitory interneurons can be distinguished by Phosphatidylinositol diacylglycerol-lyase expression of the GABA synthetic enzyme glutamic acid decarboxylase-2 (GAD2/GAD65) (Betley et al., 2009 and Hughes et al., 2005), an essential determinant of sustained GABA release (Tian et al., 1999). High-level expression of GAD65 in GABApre neurons is directed by a sensory source of brain-derived neurotrophic factor (BDNF) (Betley et al., 2009). Moreover, sensory terminals in the ventral spinal cord represent the sole target of GABApre neurons (Betley et al., 2009), implying stringent recognition specificity in the assembly and organization of this specialized inhibitory microcircuit. The molecular mediators of stringent axoaxonic specificity have remained unclear, however.

VENs in humans are immunopositive for a host of proteins that may

VENs in humans are immunopositive for a host of proteins that may be Dasatinib ic50 variably related to the role of AIC in the control of autonomic functions (e.g., serotonin receptor 2b [5ht2br]) (Allman et al., 2005), as well as in neuropsychiatric disorders such as schizophrenia (e.g., disrupted-in-schizophrenia-1 [DISC-1]) (Allman et al., 2010), and also craving and addiction (e.g., dopamine D3 receptor [D3]) (Allman et al., 2005). Many macaque VENs are immunopositive for DISC-1 (Figures

2C and 2C′), 5ht2br (Figure 2E), and D3 (Figure 2F). DISC-1 immunopositive VENs are clearly conspicuous, because there are few immunopositive pyramidal neurons (Figure 2C). A stereological estimate as to whether the DISC-1 population in monkeys represents a large fraction of the total number of VENs in the insula, as it does in humans (∼95%) (Allman et al., 2010), would make an

interesting future study. Although all of the proteins examined here are also present in local pyramidal neurons (and are thus not specific markers of the VENs), the similarity in the immunohistochemical characteristics of monkey and human VENs Hydroxychloroquine ic50 suggests that subtle, rather than marked, phylogenetic variation may reflect the hypothesized more sophisticated role of the VENs in humans, as suggested in prior examinations of hominoids (Stimpson et al., 2011). Thus, a dedicated stereological analysis of protein expression in the VENs of humans and macaques could help establish the much-needed primate neurochemical model for disorders such as schizophrenia and addiction. Prior comparative studies concluded that concentrations of VENs in primates occur exclusively in humans and great apes (Nimchinsky et al., 1999 and Allman et al., 2010). The present report provides compelling evidence that there is at least a primal anatomical homolog of the human VEN in the monkey AAI (and ACC). There are at least three possible

explanations for this discrepancy Dichloromethane dehalogenase with earlier observations. First, the large human VENs unambiguously stand out at low microscope magnifications. Searching for relatively smaller VENs among the densely packed cell population in layer 5 in the monkey required the highest microscope magnification, which would be unusual for anyone accustomed to examining the more obvious VENs in hominids. Second, the cytoskeletal matrix of the small monkey VENs might be more fragile during histological processing than that of the larger human VENs. In the course of this work, we rejected many cases because swelling of the perikarya prevented morphological differentiation. Third, in the major prior study, the number of VENs in humans and great apes was counted in consecutive sections that were apparently spaced at 1 mm intervals (Nimchinsky et al., 1999).

, 2010; Portugues and Engert, 2011) provide an opportunity for di

, 2010; Portugues and Engert, 2011) provide an opportunity for dissecting the neural mechanism and behavioral relevance of cross-modal modulation. Here, we focus on a sound-evoked escape behavior, which is called C-type fast-start (C-start) due to the “C” shape of the body at the end of the first stage of this behavior (Eaton et al., 2001; Korn and Faber, 2005). The C-start behavior, widely employed

by fish and amphibians (Eaton MK-8776 supplier et al., 2001), is executed through the neural circuit consisting of auditory afferents (VIIIth nerves) and command-like neurons, which are called Mauthner cells (M-cells) (Eaton et al., 2001; Korn and Faber, 2005; Liu and Fetcho, 1999). The spiking activity of Mauthner cells

(M-cells), a pair of large reticulospinal neurons bilaterally located in the rhombomere 4 of the hindbrain, is necessary and sufficient for initiating C-start behavior (Korn and Faber, 2005; Liu and Fetcho, 1999). The C-start behavior is an important audiomotor function for Ivacaftor cost animal survival (Korn and Faber, 2005), and its occurrence can be modulated by environmental context (Burgess and Granato, 2007; Eaton and Emberley, 1991). We hypothesize that the fish may optimize this auditory behavior by combining cues received through other sensory modalities, such as the visual system. In the present study, we first established a behavioral paradigm in which a preceding light flash can enhance sound-evoked C-start behavior in larval zebrafish. We then applied a multidisciplinary approach to dissect the synaptic and circuit mechanism underlying this visual modulation of audiomotor function by combining in vivo whole-cell and unit recordings, behavioral assay, pharmacological

treatment, genetic manipulation, two-photon laser ablation, and neural circuit tracing. We found that a flash presented within 0.2– 0.6 s prior to the sound onset enhances sound-evoked responses of M-cells, resulting in facilitated C-start behavior. At the synaptic level, this visual modulation can be accounted for by the increase in tuclazepam both the signal-to-noise (S/N) ratio of sound-evoked VIIIth nerve spiking activity and the transmission efficacy of synapses formed by VIIIth nerves on M-cells. Furthermore, the visual modulation is abolished by two-photon laser ablation of the caudal hypothalamus (HC), or by genetic impairment of dopamine (DA) synthesis or dopaminergic neuron development in the HC. Consistent with its essential role in the visual modulation, HC dopaminergic neurons exhibit bursting activity in response to flashes. Finally, the activation of D1 dopamine receptors (D1Rs) is required for the visual modulation of audiomotor function.

6 months after injury

and the other 7 at between 2 and 5

6 months after injury

and the other 7 at between 2 and 5 years. At 5 years, the change in KOOS in the early ACL reconstruction group was 42.9 units and the change in the comparison group was 44.9 units (mean difference 2.0 units, 95% CI −8.5 to 4.5 units). There were no between-group differences for any of the KOOS subscales, SF-36, numbers returning to pre-injury activity level (n = 14 in early ACL reconstruction, n = 12 in delayed optional ACL reconstruction group), or radiographic osteoarthritis (n = 9 in early ACL reconstruction group, n = 4 in delayed optional ACL reconstruction group). Conclusion: After rupture of the ACL ligament early ACL reconstruction surgery did not provide better results than providing a program of rehabilitation selleck chemical with the option of having delayed surgery. Not all young active adults who rupture their ACL ligament require ACL reconstruction surgery. Identifying the best treatment approach for an acute anterior cruciate ligament (ACL) injury is a holy grail for clinicians and researchers. ACL reconstruction has long been considered the treatment of choice for young, active people

with an ACL injury. Surprisingly there are few randomised studies comparing the efficacy of surgery to other treatments. A recent systematic review suggests one in three people may not return to their previous level of sport after surgery (Ardern et al 2011). In the Frobell study a comprehensive assessment of knee impairments, activities, participation, and Protein Tyrosine Kinase inhibitor contextual factors was completed. There nearly was no difference at 5 years between people who had early ACL

reconstruction surgery and those who had rehabilitation with the option of delayed surgery, which echoed earlier positive results from the same cohort when they were assessed at 2 years (Frobell et al 2010). People who never had surgery also did just as well as people who had early or delayed surgery. Therefore, for a young, physically active adult with an acute ACL rupture, structured rehabilitation with the option for delayed surgery may be an appropriate approach, and may help avoid unnecessary surgery without compromising short- to medium-term outcomes. Patients who had early surgery had more stable knees when compared to those who had rehabilitation with or without delayed surgery. Damage to the meniscus, rather than the ACL injury or treatment provided, may be a critical factor in the development of post-traumatic osteoarthritis (Oiestad et al 2009). There may be risk in delaying or avoiding surgery, because there is more chance for an unstable knee to sustain meniscal injury. While no differences were found in radiographic signs of osteoarthritis at 5 years, subtle changes associated with long-term disability and disease may not be visible on X-ray (Chu et al 2010). Five years follow-up may not be long enough to make judgements about the efficacy of operative or non-operative treatment in stalling the progression of osteoarthritis.