The wings of the ‘low-crypsis’ targets were uniformly printed wit

The wings of the ‘low-crypsis’ targets were uniformly printed with the lighter colour. The high-crypsis targets were expected to be more cryptic than the low-crypsis selleck chemical targets because they better matched the background, and were also potentially disruptive because of the presence of edge-intersecting patches (Stevens & Cuthill, 2006). The pastry in both the high and low-crypsis targets was dyed with 1 mL of black Wilton® gel icing colour

(http://www.wilton.com/) per 500 g pastry. The wings of the white palatable controls had no colour pattern printed on them, and the pastry (white in colour) was not dyed. The remaining two prey types were modified to have either a low (0.6 g quinine hydrochloride, 1.2 g ground mustardseed, BTK activity 0.012 g Bitrex per 500 g pastry) or high (1.5 g quinine hydrochloride, 3 g ground mustardseed, 0.3 g Bitrex per 500 g pastry) level of unpalatability. Quinine hydrochloride has been shown to be aversive to wild avian predators when combined with pastry (Speed et al., 2000), and is chemically similar to quinine compounds found in species of aposematic insects, arachnids and other arthropods (Eisner, Eisner & Siegler, 2005). Quinine

compounds are not toxic to birds, but are bitter tasting and elicit an emetic response at high doses (Alcock, 1970). Bitrex is a bitter-tasting chemical that has been shown to elicit an aversive response in birds (Skelhorn & Rowe, 2009, 2010), but

is not toxic or emetic even at very large doses (Schafer, Bowles & Hurlbut, 1983), so its only role was to provide an unpleasant or aversive taste to predators. The low and high unpalatability treatments were given conspicuous wings coloured either red or yellow depending on the site, to control for possible pre-existing predator colour find more preferences. In sites 1 and 2, the prey with a low level of unpalatability were given yellow wings while highly unpalatable prey were given red wings; these colours were reversed in sites 3 and 4. Both types of unpalatable pastry were dyed with 1 mL of orange Wilton® gel icing colour per 500 g pastry. Trials were conducted for 5 weeks. Each week, one transect was laid in each of the four sites. Each transect contained 12 replicates of the five prey types, for a total of 60 prey items per transect, or 240 per week over all four sites. Individual prey targets were stapled to tree trunks at a height of 2 m, with the paper wings covering the pastry bodies. Only deciduous trees with a diameter greater than 10 cm were used, and trees with prey targets were a minimum of 3 m apart. Transects were left out for 4 days, and prey targets were surveyed at 24, 48, 72 and 96 h for signs of predation by avian predators.

RIPC was able to mitigate pancreatitis, indicating that it can pr

RIPC was able to mitigate pancreatitis, indicating that it can protect beyond ischemic insults.

Conclusions: We have identified a platelet-serotonin-Vegf-Il10/Mmp8 axis that mediates the protective effects of RIPC. The systemic action, the conservation of RIPC effects among mice and humans, and the protection beyond ischemic insults suggest that the platelet-dependent axis has evolved as a preemptive response to local stress, priming the body against impending harm. (Hepatology 2014;60:1409–1417) “
“A SCH727965 nmr systematic review and meta-analysis were conducted to explore the role of the methylenetetrahydrofolate reductase (MTHFR) C677T gene mutation and hyperhomocysteinemia in patients with Budd–Chiari syndrome (BCS) and portal vein thrombosis (PVT). PubMed, EMBASE, Cochrane Library and ScienceDirect databases were searched. Eligible studies should compare the prevalence of the MTHFR C677T mutation or hyperhomocysteinemia STA-9090 ic50 or the homocysteine levels between BCS or non-cirrhotic PVT patients and healthy controls or between cirrhotic patients with and without PVT. A pooled odds ratio or weighted mean difference with 95% confidence interval was calculated. Of the 484 articles retrieved, 20 were included.

BCS and non-cirrhotic PVT patients had a higher prevalence of homozygous MTHFR mutation than healthy controls. The difference was statistically significant in BCS patients, but not in non-cirrhotic PVT

patients. BCS and non-cirrhotic PVT patients had a significantly higher prevalence of hyperhomocysteinemia and homocysteine level than healthy controls. Cirrhotic patients with PVT had a significantly higher prevalence of homozygous MTHFR mutation than those without PVT. However, the association between homocysteine level and PVT in cirrhotic patients was inconsistent among three studies. Homozygous MTHFR mutation and hyperhomocysteinemia may be associated with the occurrence of BCS and non-cirrhotic see more PVT. In addition, homozygous MTHFR mutation may increase the risk of PVT in cirrhotic patients. However, the current evidence failed to support the association of hyperhomocysteinemia with PVT in cirrhotic patients. The methylenetetrahydrofolate reductase (MTHFR) plays an important role in the remethylation pathway of the homocysteine metabolism.[1, 2] MTHFR is responsible for catalyzing the reduction of 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate in the folate cycle, which further produces the active form of folate for the remethylation of homocysteine to methionine.[1] MTHFR gene mutation is associated with the defective function of the MTHFR enzyme.[3] The most common MTHFR mutation is a C to T substitution at the nucleotide position 677 (C677T) of the MTHFR gene, converting from an alanine to valine in this enzyme.

5) Moreover, TZD treatment localized pThr199-NPM in nuclear spec

5). Moreover, TZD treatment localized pThr199-NPM in nuclear speckles (Supporting Information Fig. 5, insets), possibly reflecting a reduction in messenger RNA processing.18 Recently, it has been demonstrated that TZD suppress growth factors tumor-promoting activity via AMPK activation.20 Inhibition of AMPK activity by the specific AMPK inhibitor, compound C,

or the dominant negative AMPKα2(D157A), completely prevented the growth arrest induced by TZD treatment in PPARγ-deficient hepatocytes (Fig. 6A,B). Furthermore, TZD treatment induced phosphorylation of AMPK both in vivo, as documented in freshly-isolated hepatocytes from PPARγ-deficient mice (Fig. 6C) and in vitro, in cultured hepatocytes (Fig. 6D). Consistent with our results, expression of the dominant-negative CHIR 99021 AMPK reverted the TZD-mediated inhibition of NPM expression (Fig. 6E). These results strongly suggest that TZD inhibit hepatocytes proliferation through AMPK activation. In consideration that NPM is involved in cell death and proliferation interacting with the tumor suppressor p53,18 we tested whether NPM

overexpression could antagonize TZD effect via p53. Cultured hepatocytes isolated from Tg(HBV)CreKOγ mice were transfected with vector expressing FLAG-tagged NPM under CMV promoter (WT-NPM) or a mutant variant with a deletion MK 2206 of the 120 c-terminal amino acids of NPM (NPMΔC) required for the binding find more to p53. High levels of FLAG-tagged NPM or NPM mutant proteins were achieved in the transfected cells, whereas no FLAG-tagged proteins were detected in samples transfected with control vector (Fig. 7A, inset). Increased expression of WT-NPM completely abrogated the growth inhibitory effect of TZD but it was not associated with an increase of either thymidine incorporation or incidence of apoptosis in control cultured hepatocytes. On the contrary, expression of the mutant NPMΔC did not modify the antiproliferative and

proapoptotic effects of TZD (Fig. 7A,B) suggesting that these antidiabetic drugs induce cell growth arrest by inhibiting NPM expression and consequently its interaction with p53. It has been shown that NPM interacts with p53 and regulates p53 phosphorylation at the Serine-15 residue which is crucial for p53 transactivation and subsequent apoptotic signals transduction.21 We thus determined whether TZD-inhibited NPM expression may affect p53 activity in PPARγ-deficient hepatocytes. As shown in Fig. 7C, TZD induced both P-p53Ser-15 and its target gene cyclin-dependent kinase inhibitor p21WAF1/CIP1. Strikingly, over expression of NPM significantly reduced the TZD-induced P-p53Ser-15 and p21 expression, whereas overexpression of the mutant NPMΔC failed to oppose TZD effect on p53 activation (Fig. 7D).

The main symptoms included greyish green to brownish grey and zon

The main symptoms included greyish green to brownish grey and zonate leaf spots without border lines, which mostly led to premature defoliation. The morphological characteristics

of the causal agent were consistent with Hinomyces pruni. Identification was supported by analysing the sequence of the internal transcribed spacer region of ribosomal DNA from an isolate. The pathogenicity of the isolate was confirmed by artificial inoculation. This is the first report of zonate leaf spot caused by H. pruni Everolimus on Manchurian apricot globally as well as in Korea. “
“A frosty mildew was observed on leaves of Salix koreensis in two localities of Korea during 2011 and 2012. The main signs and symptoms were expressed as conical white to cream coloured tufts of the causal fungus on the brown lesions, followed Roscovitine cost by premature defoliation. Based on morphological observations, cultural characteristics and phylogenetic analyses of rDNA-ITS, the fungus was identified as Mycopappus alni, which has been known to be associated with frosty mildews on Alnus spp., Betula spp., Crataegus chlorosarca and Pyrus pyrifolia. Pathogenicity

test was conducted twice with the same results, fulfilling Koch’s postulates. This is the first case of Salix–Mycopappus association as well as the first report of frosty mildew on S. koreensis. “
“Blueberry red ringspot virus (BRRSV) isolates have been investigated for genetic diversity. Nucleotide sequences of the coat protein (CP) gene of 19 isolates from Poland, Czech Republic, Slovenia and the United States were analysed. The nucleotide and amino acid sequence identity were 92–100% and 89–100%, respectively. Estimations of the distribution of synonymous and non-synonymous check details changes indicated negative selection within the analysed CP gene and confirmed the genetic stability of the virus. At a capsid protein level, our results revealed

BRRSV to be distinct from other, recombination-prone pararetroviruses. “
“A new severe disease on Anthurium andraeanum Lind. was observed in the summer of 2011 in Beijing, China. The fungus was isolated from symptomatic leaves, and its pathogenicity was confirmed. Based on the morphological characteristics and molecular analysis, the pathogen was identified as Myrothecium roridum Tode ex Fr. This is the first report of M. roridum causing leaf spot on A. andraeanum in China. “
“A leaf spot and leaf blight disease was observed on Aloe vera plants as small, circular to oval dark brown necrotic sunken spots on leaves. Infected tissues collected from different sites in diseased fields were cultured on potato carrot agar medium, and the pathogen was identified as Alternaria alternata on the basis of morphological and cultural characteristics. The conidiophores were branched, straight, golden brown, smooth-walled, measuring up to μm long by 3 μm wide with one conidial scar.

In 2000, using a theoretical model, Colowick et al hypothesized

In 2000, using a theoretical model, Colowick et al. hypothesized that ITI was more cost effective over an individual’s normal lifetime than on-demand bypassing therapy in patients

with severe haemophilia A who had acquired alloantibody inhibitors [44]. In this section, preliminary methodology is presented of a proposed decision analytic model that Selleck Napabucasin can realistically compare the lifetime costs and outcomes of treating individuals with severe haemophilia A complicated by alloantibody inhibitors with either ITI or bypassing therapy (either on-demand or prophylaxis). The decision analytic model is presented in Fig. 3. At entry into the model, patients have newly diagnosed (previously untreated) severe haemophilia A. The assumption is that patients may develop an allo-FVIII antibody inhibitor early in the course of treatment. This scenario differs from that proposed by Colowick et al. in that their model assumed a 5-year old boy with severe haemophilia was being treated with ITI or on-demand bypassing agents due to the development of inhibitors at age 5 years [44]. ZD1839 clinical trial In the newer decision analytic model, the presumed time of inhibitor development is based on current best evidence in the literature and knowledge that patients who develop inhibitors are generally treated in one of the following ways:

On demand with a bypassing agent. Prophylaxis with a bypassing agent. Primary ITI with a FVIII concentrate. Patients who receive bypassing therapy are assumed to be treated in that manner for the remainder of their lives. selleck chemicals llc Patients initiating primary ITI therapy are classified as having a good or poor risk of ITI success based on pre-ITI inhibitor titres (<10 BU [good prognosis], ≥10 BU [poor prognosis])

[13]. The model takes into account how patients will be treated to achieve the target titre of <10 BU; for example, given that it may be more cost-effective for a patient to achieve <10 BU before initiating ITI, the model considers use of immunoabsorption via plasmapharesis or factors in the amount of time it would take for an individual to dissipate the inhibitor using only bypassing agents until their inhibitor titre is <10 BU. If primary ITI is successful, patients are assumed to resume FVIII prophylaxis for the rest of their life. If primary ITI is not successful, the decision analytic model assumes a rescue ITI regimen. If rescue ITI is not successful, prophylaxis with bypassing agents is assumed for the rest of the patient’s life. Additional model assumptions include the fact that successful ITI patients may relapse; data from the ITI registry indicate a potential relapse rate of up to about 15% after 15 years [10]. Over the course of the model patients may experience bleed rates consistent with those from clinical trials and may require arthropathy surgery.

In a prospective study, Thervet et al divided

In a prospective study, Thervet et al. divided BAY 57-1293 molecular weight kidney transplantation patients into groups that did and did not have the initial Tac dose set based on CYP3A5 polymorphism and studied the subsequent pharmacokinetics.[20] The percentage of patients achieving the optimal trough level after six oral administrations, which was the primary end-point, was significantly higher in the group with the initial Tac dose set based on CYP3A5 polymorphism than in the group with the dose not set based on CYP3A5 polymorphism (43.2% vs 29.1%). There have been no such studies in the field of IBD; this is the first such report. In the present study,

the trough and dose-adjusted trough levels were significantly higher on days 2–5 and 7–10 in the CYP3A5 Non-Exp group than in the CYP3A5 Exp group. Moreover, on both days 2–5 and 7–10, the percentage of patients achieving the optimal trough level was significantly higher in the Non-Exp group than in the Exp group. Higher trough levels were also

obtained with low Tac doses in the Non-Exp group than in the Exp group among UC patients, and the optimal trough level was shown to be achieved at an early time. In an analysis of factors involved in achieving the optimal trough level on days 2–5, CYP3A5 genetic polymorphisms and food intake/non-intake were significant factors on multivariate analysis. Only CYP3A5 genetic polymorphisms were significant on days 7–10. Although the effects of both CYP3A5 and fasting became weak with time, CYP3A5

Navitoclax polymorphism was the only significant factor because of its strong impact. Thus, the results showed that consideration of CYP3A5 genetic polymorphisms is important for early induction of the optimal trough level. ABCB1 is also reported to be associated with Tac pharmacokinetics, although its effect is smaller than that of CYP3A5 genetic polymorphisms.[21] However, involvement of ABCB1 and click here CYP3A4 genetic polymorphisms in the trough level was not seen in the present study. Clinical remission was evaluated 4 weeks after the start of therapy in the present study using the pDAI score, which excluded the endoscopy score. The partial Mayo score has also been used to determine clinical efficacy in recent large-scale studies.[22, 23] Judging clinical efficacy with an activity index that excludes the endoscopy score is thought to have a certain level of validity.[24] Because the Mayo score and DAI are essentially the same score, in this study, DAI, which can be determined in a single day, was adopted.[25] The remission rate was significantly higher in the Non-Exp group than in the Exp group. All four patients who underwent surgery within 4 weeks after the start of therapy were in the Exp group. These results are interpreted as showing a higher likelihood of achieving the optimal trough level, resulting in a tendency for a better therapeutic response, in the Non-Exp group. Herrlinger et al.

Finally, the more recent European effort through the EUHASS progr

Finally, the more recent European effort through the EUHASS programme is also a very good example of observational data collection that is much more comprehensive and is likely to provide data on the management of haemophilia that would simply http://www.selleckchem.com/products/pf-06463922.html not have been possible otherwise [63]. We need to recognize though that these efforts cover only some parts of the world. Can similar systems be created in other parts of the world? The WFH has been collecting basic information on haemophilia care in all its member countries for over a decade. This process has been better defined and enhanced in the last 2 years. This is truly a remarkable source for further data collection and an opportunity that should be tapped to help

all PWH in the world get better

care. Towards this end, the WFH is initiating a programme of data collection that will focus on specific questions and find the right centres in the world that can provide such data over a period of time or even as a cross sectional survey. In conclusion, while we applaud the many advances in the management of haemophilia over the last five decades, we must also recognize that not enough effort has gone into creating strong evidence around the most important aspect of the treatment of this disease Rapamycin chemical structure – prophylactic replacement therapy. There is lack of good evidence for all the core issues – time for starting, doses and duration and the associated outcomes. Only selleck chemical recently have appropriate instruments been developed for systematic outcomes assessment

but now the challenge is to convince all stakeholders to use them. These are not easy tasks and will require considerable motivation, resources and international collaboration to achieve the goals. It is good that we have begun to move in that direction. These efforts must be coordinated and international organizations such as the WFH and ISTH, as well as regional organizations, could play important roles in helping those efforts. Such data will not only help establish evidence-based haemophilia care all over the world, but will also allow for better healthcare planning to be done and informed choices to be made with the resources available. The data from the WFH Global survey and the figure were kindly provided by Mark Brooker and Aicha Traore from the World Federation of Hemophilia. I am grateful to Mike Makris and Marijke van den Berg for their comments on this article. AS has received a competitive research grant from and serves on the grants review committee of the Bayer Hemophilia Awards Program. He is a member of the international advisory boards of Bayer HealthCare, Baxter and Novo Nordisk. “
“Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self-monitoring of home exercise for haemophiliacs.


“High levels of intraspecific variability are often associ


“High levels of intraspecific variability are often associated with HAB species, and this variability is likely an important factor in their competitive success. Heterosigma akashiwo (Hada) Hada ex Y. Hara et M. Chihara is an ichthyotoxic raphidophyte capable

of forming dense surface-water blooms in temperate coastal regions throughout the world. We isolated four strains of H. akashiwo from fish-killing northern Puget Sound blooms in 2006 and 2007. By assessing numerous aspects of biochemistry, physiology, and toxicity, we were able to describe distinct ecotypes GSI-IX supplier that may be related to isolation location, source population, or bloom timing. Contrasting elements among strains were cell size, maximum growth and photosynthesis rates, tolerance of low salinities, amino acid use, Bafilomycin A1 molecular weight and toxicity to the ciliate grazer Strombidinopsis acuminatum (Fauré-Fremiet). In addition, the rDNA sequences and chloroplast genome of each isolate were examined, and while all rDNA sequences were identical, the chloroplast genome identified differences among the strains that

tracked differences in ecotype. H. akashiwo strain 07A, which was isolated from an unusual spring bloom, had a significantly higher maximum potential photosynthesis rate (28.7 pg C · cell−1 · h−1) and consistently exhibited the highest growth rates. Strains 06A and 06B were not genetically distinct from one another and were able to grow

on the amino acids glutamine and alanine, while the other two strains could not. Strain 07B, which is genetically distinct from the other three strains, exhibited the only nontoxic effect. Thus, molecular tools may support identification, tracking, and prediction of strains and/or ecotypes using distinctive chloroplast gene signatures. “
“This study provides the first morphological features of resting cysts of Cochlodinium polykrikoides collected from Korean coastal sediments. Evidence for the existence of resting cysts of C. polykrikoides is based on the morphological and selleck molecular phylogenetic data of the germinated cells and a resting cyst. The morphology of the resting cysts differed from that reported previously in sediments and culture experiments. The distinct feature is that the cyst body was covered by the reticulate ornaments and spines. “
“The diatoms (Bacillariophyta) from a coastal lagoon from the Diablas wetlands (Isla Isabela, the Galápagos Islands) were studied in material from surface samples and a sediment core spanning the past 2,700 years in order to examine evidence of diatom evolution under geographic isolation. The total number of taxa found was ∼100. Ultrastructural variation in valve morphology between members of Galápagos taxa was used to describe 10 species from the genus Navicula sensu stricto, which are new to science.

The answer to this issue is intervention at the molecular level

The answer to this issue is intervention at the molecular level. There are several current options that may be considered, but all have significant risks. Low-dose radiation postoperatively will initially inhibit fibrous tissue formation;

however, it has implications in terms of wound healing and may make any future surgeries more difficult with late accelerated fibrosis buy Trichostatin A and poor healing. Intra-articular steroids will inhibit fibrous tissue formation and will also reduce the host defences to infection, which, if it were to occur either through inoculation at the time of surgery or haematogenous seeding, would require further surgery and possibly implant removal. Were this necessary, it would invite recurrence of severe arthrofibrosis. A short course of oral steroids is more attractive than intra-articular steroids, but may not be adequate to reverse the AZD3965 ic50 fibroplastic process. Namazi and co-investigators have studied arthrofibrosis of the knee in New Zealand White Rabbits by dividing the anterior cruciate ligament [22]. They were able to prevent the development of intra-articular scar by injecting botulinum toxin (Botox). They theorize that the mechanism of action is by inactivation of interlukin-1 which is a pro-inflammatory cytokine implicated in arthrofibrosis. Karen Lyons and co-investigators at the Orthopaedic Hospital Research Center at UCLA have developed a transgenic

mouse biochemical model of severe arthrofibrosis that seems analogous selleck compound to clinically severe cases that may allow us to develop other more effective therapies. Surgery releases connective tissue growth factor (CTGF), which stimulates fibroplasia. Antibodies against CTGF may inhibit arthrofibrosis. Haemophilic arthropathy is consistently associated with arthrofibrosis resulting in restricted motion of the involved joint. Early in the process, preservation of functional range of motion through prevention of recurrent bleeding and physical therapy is essential. In more advanced cases requiring surgery,

especially knee replacement, technical factors and aggressive rehabilitation are critical. Even then arthrofibrosis may recur. The ultimate solution in these severe cases lies in the realm of molecular biology. “
“Acquired haemophilia A is a rare bleeding disorder caused by autoantibodies against factor VIII (FVIII). There is a scarcity of acquired haemophilia A studies from Asian countries. The aim of this study was to evaluate clinical characteristics and outcomes of acquired haemophilia A among Asian populations. Data were collected from a retrospective case series and combined with a systematic review. The case series included all patients with acquired haemophilia A from 1999 to 2012 at Chiang Mai University Hospital. The systematic review searched MEDLINE and EMBASE databases for relevant keywords. A total of 111 patients were reviewed in this study (including 26 patients from the present series). There were 56 male (50.5%) and 55 female (49.5%) patients.

8%) compared with

the PTPBD group (4, 71%; P < 005) Co

8%) compared with

the PTPBD group (4, 7.1%; P < 0.05). Complete bile duct clearance was achieved in 98.2% of PTPBD group and 97.1% of EPBD group. The rates of post-procedural pancreatitis and hyperamylasemia were significantly higher after retrograde dilation with EPBD than after antegrade dilation with PTPBD for the removal of bile duct stones. Although the mechanism of pancreatitis following papillary balloon dilation remains unclear, post-EPBD pancreatitis may be associated with procedures before and after balloon dilation similar to mechanical lithotripsy rather than balloon dilation itself. "
“Background and Aim:  Precut sphincterotomy (PS) is usually indicated in failed standard biliary cannulation (BC). PS requires experienced endoscopists, and contains significant risk. Double-guidewire (DG) cannulation seems to be easier, and might be useful after failed standard BC. We aimed to compare cannulation time, success CAL-101 mouse rate, and complication rates between the two techniques. Methods:  Patients who failed standard BC within 10 min by the expert were defined as truly difficult

BC and randomized into both groups. In the DG group, the first guidewire was left in the pancreatic duct, and then a catheter, pre-inserted with another guidewire, was used for the BC. In the PS group, a fistulotomy technique was used. Results:  From June 2008 to October 2009, 534 patients underwent endoscopic retrograde cholangiopancreatography. Forty-four patients (8.2%) who failed standard BC were randomized into the DG group (n = 23) and the PS group (n = 21). Median cannulation Vemurafenib manufacturer times and success rates in the DG and PS groups were 172 versus 394 s (P < 0.001), and 73.9% versus 80.9% (P = 0.724), respectively.

The pancreatitis rate and serum amylase at 24 h in the DG and PS groups were 21.7% versus 14.3% (P = 0.701) and 937 versus 195 mg/dL (P = 0.020), respectively. Two from each group developed mild bleeding. No perforation occurred. Conclusion:  In truly difficult BC, the DG technique requires a significant shorter duration for BC, with a comparable success rate to the PS technique. The post-procedure serum selleck screening library amylase level in the DG group was significantly higher, and there was a trend of more pancreatitis. “
“The purpose of this review is to provide a concise view of the existing knowledge of autoimmune pancreatitis (AIP) for practicing clinicians. AIP is a rare disease whose recognition and understanding are evolving. It is a type of chronic pancreatitis that often presents as obstructive jaundice, has a distinctive histology, and is exquisitely sensitive to steroid therapy. This form of chronic pancreatitis has a unique clinical, biochemical, and radiological profile. The term “AIP” encompasses two subtypes: types 1 and 2. Type 1 AIP is the pancreatic manifestation of a systemic fibro-inflammatory disease called immunoglobulin G4-associated systemic diseases.