Here, we found that

active TB patients exhibited increase

Here, we found that

active TB patients exhibited increases in numbers of Tim-3-expressing CD4(+) and CD8(+) T cells, which preferentially displayed polarized effector memory phenotypes. Consistent with effector phenotypes, Tim-3(+)CD4(+) and Tim-3(+)CD8(+) T-cell subsets showed greater effector functions for producing Th1/Th22 cytokines and CTL effector molecules than Tim-3(-) counterparts, and Tim-3-expressing T cells more apparently limited intracellular Mtb replication in macrophages. The increased effector functions for Tim-3-expressing T cells Pfizer Licensed Compound Library datasheet consisted with cellular activation signaling as Tim-3(+)CD4(+) and Tim-3(+)CD8(+) T-cell subsets expressed much higher levels of phosphorylated signaling molecules p38, stat3, stat5, and Erk1/2 than Tim-3-controls. Mechanistic experiments showed that siRNA silencing of Tim-3 or soluble Tim-3 treatment interfering with membrane Tim-3-ligand interaction reduced de novo production

of IFN-gamma and TNF-alpha by Tim-3-expressing T cells. Furthermore, stimulation of Tim-3 signaling pathways by antibody cross-linking of membrane Tim-3 www.selleckchem.com/products/VX-770.html augmented effector function of IFN-gamma production by CD4(+) and CD8(+) T cells, suggesting that Tim-3 signaling helped to drive stronger effector functions in active TB patients. This study therefore uncovered a previously unknown mechanism for T-cell immune responses regulated by Tim-3, and findings may have implications for potential immune intervention in TB.”
“Young seedlings of maritime pine (Pinus pinaster Soland in At.) were grown in rhizoboxes using intact spodosol soil samples from the southwest of France, in Landes of Gascogne, presenting a large variation of phosphorus (P) availability. Soils were collected from a 93-year-old unfertilized

stand and a 13-year-old P. pinaster stand with regular annual fertilization of either only P or P and nitrogen (N). After 6months of culture in controlled conditions, different morphotypes AZD5582 nmr of ectomycorrhiza (ECM) were used for the measurements of acid phosphatase activity and molecular identification of fungal species using amplification of the ITS region. Total biomass, N and P contents were measured in roots and shoots of plants. Bicarbonate- and NaOH-available inorganic P (Pi), organic P (Po) and ergosterol concentrations were measured in bulk and rhizosphere soil. The results showed that bulk soil from the 93-year-old forest stand presented the highest Po levels, but relatively higher bicarbonate-extractable Pi levels compared to 13-year-old unfertilized stand. Fertilizers significantly increased the concentrations of inorganic P fractions in bulk soil. Ergosterol contents in rhizosphere soil were increased by fertilizer application. The dominant fungal species was Rhizopogon luteolus forming 66.6% of analysed ECM tips.

It allowed a 20% gain in diagnosis of presumptive cases PCR migh

It allowed a 20% gain in diagnosis of presumptive cases. PCR might help in the diagnosis of abdominal angiostrongyliasis, particularly when the pathologists are not experienced with such disease.”
“We previously established a method for differentiating induced pluripotent stem cells and embryonic stem (ES) cells into alpha 2 integrin-positive odontoblast-like cells.

We also reported that interleukin (IL)-1 beta induces matrix metalloproteinase (MMP)-3-regulated cell proliferation and suppresses apoptosis in these cells, suggesting that MMP-3 plays a potentially unique physiological role in the regeneration of odontoblast-like cells. Here, we examined whether up-regulation Volasertib ic50 of MMP-3 activity by IL-1 beta was mediated by Wnt signaling and led to increased proliferation of odontoblast-like cells. IL-1 beta increased mRNA and protein levels of Wnt5a, Wnt5b and the Wnt receptor Lrp5. Exogenous Wnt5a and Wnt5b were found to increase MMP-3 mRNA, protein and activity, and interestingly the rate of proliferation in these cells. Treatment with siRNAs against Wnt5a, Wnt5b and Lrp5 suppressed Captisol concentration the IL-1 beta-induced increase in MMP-3 expression and suppressed cell proliferation, an effect rescued by application of exogenous Wnt5. These results demonstrate the sequential involvement of Wnt5,

Lrp5 and MMP-3 in effecting IL-1 beta-induced proliferation of ES cell-derived odontoblast-like cells. (C) 2014 Elsevier Inc. All rights reserved.”
“The anti-epileptic drug vigabatrin induces an irreversible constriction of the visual field, but is still widely used to treat infantile spasms and some forms of epilepsy. We recently reported that vigabatrin-induced cone damage is due to a taurine deficiency. However, optic atrophy and thus retinal ganglion cell degeneration was also reported in children treated for infantile spasms. We here show in neonatal rats treated from postnatal

days 4 to 29 that the vigabatrin treatment triggers not only cone photoreceptor damage, disorganisation of the photoreceptor layer and gliosis but also retinal ganglion cell loss. Furthermore, we demonstrate in these neonatal rats that taurine supplementation partially prevents these retinal lesions and Saracatinib in particular the retinal ganglion cell loss. These results provide the first evidence of retinal ganglion cell neuroprotection by taurine. They further confirm that taurine supplementation should be administered with the vigabatrin treatment for infantile spasms or epilepsy. (C) 2010 Elsevier Inc. All rights reserved.”
“Regulation of ovarian steroidogenesis in vitro by recombinant human insulin-like growth factor-I (IGF-I) and bovine insulin (b-insulin) was investigated in intact follicles and isolated follicular cells of carp, Cyprinus carpio at vitellogenic stage of oocyte maturation. In intact follicles, IGF-I and b-insulin stimulated testosterone and 17 beta-estradiol production in vitro.

Hunting also alters granivore communities, resulting in increased

Hunting also alters granivore communities, resulting in increased predation on species favored by insects and small rodents, and changing the spatial template of seed predation, with detrimental effects on many timber species. Large vertebrate herbivores decline with hunting pressure, resulting in the modification of plant competitive interactions. This is disadvantageous to several traits that are common among timber trees,

including relatively slow growth and high wood density. A lack of appreciation for and management of these interactions CX-6258 could threaten forest biodiversity, limit future timber production, and increase the likelihood of forest conversion for other land uses. In this review, I highlight the plant-animal interactions selleck screening library that could influence timber regeneration in tropical forests, as well as how these processes might be expected to change under hunting pressure. The review concludes with recommendations for management and future research priorities. (C) 2014 Elsevier B.V. All rights reserved.”
“BACKGROUND: Functional residual capacity (FRC) measurements may help

to guide respiratory therapy. Using the oxygen washout technique, FRC can be assessed at bedside during spontaneous breathing. High repeatability, crucial for monitoring, has not been shown in ventilated patients. A large step change of inspiratory fraction of oxygen (FIo(2)) (Delta FIo(2)) may impede the clinical use in patients ventilated with high FIo(2). We investigated the repeatability of FRC measurements and the impact of different AFio, on this repeatability.\n\nMETHODS: The LUFU system (Draeger Medical, Luebeck, Germany) estimates FRC by oxygen washout, a variant of multiple-breath-nitrogen-washout during a fast AFio, In 20 postoperative cardiac surgery patients, FRC was Fer-1 purchase measured in duplicate using Delta FIo(2) of 0.1, 0.2, and 0.6.\n\nRESULTS: There were no differences between repeated measurements of FRC, neither using a Delta FIo(2) of 0.1, 0.2 nor 0.6(Delta 0.1 : 2.62 L +/- 0.58, 2.62 L +/- 0.59, P = 0.995; Delta 0.2 : 2.70 L +/- 0.59,

2.66 L +/- 0.56, P = 0.258; Delta 0.6: 2.61 L +/- 0.58, 2.59 L +/- 0.58, P 0,639). Coefficients of variation were 6.6%, 5.6%, and 6.6%, respectively.\n\nCONCLUSIONS: FRC can be measured in ventilated patients using the oxygen washout technique with a clinically acceptable repeatability. Repeatability is not significantly influenced whether using a Delta FIo(2) of 0.1, 0.2, or 0.6.”
“Thioredoxin-binding protein-2 (TBP-2), also known as vitamin D3-up-regulated protein 1 (VDUP1), was identified as an endogenous molecule interacting with thioredoxin (TRX). Here, we show that dendritic cells (DC) derived from TBP-2-deficient mice are defective in the function of T cell activation. To compare TBP-2(-/-) DC function with wild-type (WT) DC, we stimulated DC with lipopolysaccharide (LPS).

e , laccases, were immobilized onto silica nanoparticles The res

e., laccases, were immobilized onto silica nanoparticles. The resulting nanobiocatalyst produced at kilogram scale was demonstrated to possess a broad substrate spectrum regarding the degradation of recalcitrant pollutants. This nanobiocatalyst was applied in a membrane reactor at technical scale for tertiary wastewater treatment. The system efficiently removed BPA and the results of long-term

field tests illustrated the potential of fumed silica nanoparticles/laccase composites for advanced biological wastewater treatment.”
“Aims: The aim of this study was to evaluate the potential role of laparoscopic appendicectomy in reducing morbidity and length of stay in children compared to open procedures in a UK District General Hospital setting. Methods: A three-year retrospective review of children smaller than = 15 years with histologically confirmed appendicitis selleck who underwent laparoscopic (LA) and/or open (OA) appendicectomy was performed. Choice of operation

was based on individual surgeon’s preference and on patient’s body size. Data collected included rate of histologically complicated appendicitis, post-operative length of stay (LOS), and collective and differential morbidity rates, i.e., AG-881 solubility dmso wound infection, intra-abdominal collection, and ileus. Chi-square and Mann-Whitney tests were used for statistical analysis. P smaller than 0.05 was regarded as significant. Results: Eighty children (70% male) were identified at median age 11 (3-15) years. They could be divided into complicated (n = 18, 22%) and simple appendicitis (n = 62, 78%). Appendicectomy was performed in all as an OPEN (n = 53, 66%) or LAPAROSCOPIC (n = 27, 34%) procedure. Both groups were comparable in gender distribution (P = 0.11)

and rate of complicated appendicitis (30% vs. 19%, respectively; P = 0.27). Median age was significantly lower in the OPEN group [10 (3-15) vs. 12 (7-15) years; P smaller than 0.004]. Laparoscopic appendicectomy had a significantly lower rate of collective morbidity (3.8% vs. 25.9%; P smaller than 0.003), including lower rate of intra-abdominal collection (1.9% vs. 14.8%; P smaller than 0.01). Median LOS was not significantly different (1 day vs. 2 days; https://www.selleckchem.com/products/BMS-777607.html P = 0.14). Conclusion: Laparoscopic appendicectomy in children in a UK District General Hospital is safe and was associated with significantly less post-operative morbidity than the open technique. (C) 2014 Published by Elsevier Inc.”
“Flagella, the helical propellers that extend from the bacterial surface, are a paradigm for how complex molecular machines can be built outside the living cell. Their assembly requires ordered export of thousands of structural subunits across the cell membrane and this is achieved by a type Ill export machinery located at the flagellum base, after which subunits transit through a narrow channel at the core of the flagellum to reach the assembly site at the tip of the nascent structure, up to 20 mu m from the cell surface.

In dermal fibroblasts, accumulation of glucosylceramide

In dermal fibroblasts, accumulation of glucosylceramide click here augments actin polymerization and promotes microtubules persistence, resulting in a

higher number of filopodia and lamellipodia and longer microtubules. Similar cytoskeletal defects were observed in male germ and Sertoli cells from GBA2 knockout-mice. In particular, the organization of F-actin structures in the ectoplasmic specialization and microtubules in the sperm manchette is affected. Thus, glucosylceramide regulates cytoskeletal dynamics, providing mechanistic insights into how glucosylceramide controls signaling pathways not only during sperm development, but also in other cell types.”
“Insulin resistance has been linked to the development of type 2 diabetes mellitus and increased cardiovascular risk in several high-risk populations.

The purpose of this study was to determine if insulin resistance measured by insulin clamp can predict deterioration of glucose metabolism and increased cardiovascular risk in nondiabetic young adult African Americans. Nondiabetic young African American men (n = 60) and women (n = 114),were enrolled. Measurements obtained included blood pressure, anthropometrics, plasma lipids, oral glucose tolerance test, and insulin AC220 concentration sensitivity by insulin clamp. Participants were reexamined 8 years later. The relationship between insulin sensitivity and glucose metabolism was analyzed using a 2-way analysis of variance with body mass index at the initial examination as a covariate. After adjusting for the significant difference of body mass index between the insulin-resistant and insulin-sensitive groups, see more insulin resistance

predicted statistically significant worsening glucose metabolism, developing diabetes, and increasing risk factors for cardiovascular disease. (C) 2009 Elsevier Inc. All rights reserved.”
“Orb-weaving spiders (Araneidae) are commonly regarded as generalist insect predators but resources provided by plants such as pollen may be an important dietary supplementation. Their webs snare insect prey, but can also trap aerial plankton like pollen and fungal spores. When recycling their orb webs, the spiders may therefore also feed on adhering pollen grains or fungal spores via extraoral digestion. In this study we measured stable isotope ratios in the bodies of two araneid species (Aculepeira ceropegia and Araneus diadematus), their potential prey and pollen to determine the relative contribution of pollen to their diet. We found that about 25% of juvenile orb-weaving spiders’ diet consisted of pollen, the other 75% of flying insects, mainly small dipterans and hymenopterans. The pollen grains in our study were too large to be taken up accidentally by the spiders and had first to be digested extraorally by enzymes in an active act of consumption. Therefore, pollen can be seen as a substantial component of the spiders’ diet.

In a two-step thermal/photoirradiation treatment under dilute con

In a two-step thermal/photoirradiation treatment under dilute conditions, the ABA block copolymer forms both BTA-based helical aggregates and UPy dimers intramolecularly.

The sequential association of the two self-assembling motifs results in single-chain folding of the polymer, affording nanometer-sized particles with a compartmentalized interior. Variable-temperature NMR studies showed that the BTA and UPy self-assembly steps take place orthogonally (i.e., without mutual interference) in dilute solution. In addition, monitoring of the intramolecular self-assembly of BTA moieties into helical aggregates by circular dichroism spectroscopy showed Nepicastat cost that the stability of the aggregates is almost independent of UPy dimerization. Size-exclusion chromatography (SEC) and small-angle X-ray scattering analysis provided evidence of significant

reductions in the hydrodynamic volume and radius of gyration, respectively, 5-Fluoracil ic50 after photoinduced deprotection of the UPy groups; a 30-60% reduction in the size of the polymer chains was observed using SEC in CHCl3. Molecular imaging by atomic force microscopy (AFM) corroborated significant contraction of individual polymer chains due to intramolecular association of the BTA and UPy groups. The stepwise folding process resulting from orthogonal self-assembly-induced supramolecular interactions yields compartmentalized SCPNs comprised of distinct microdomains that mimick two secondary-structuring elements in proteins.”
“The geometric and subcellular organization of axon arbors distributes and regulates electrical signaling in neurons and networks, but the

underlying mechanisms have remained elusive. In rodent cerebellar cortex, stellate interneurons elaborate characteristic axon arbors that selectively innervate Purkinje cell dendrites and likely regulate dendritic integration. We used GFP BAC transgenic reporter mice to examine the cellular processes and molecular mechanisms underlying the development of stellate cell axons and their innervation pattern. We show that stellate axons are organized and guided towards Purkinje cell dendrites by an intermediate scaffold of Bergmann glial LY411575 purchase ( BG) fibers. The L1 family immunoglobulin protein Close Homologue of L1 ( CHL1) is localized to apical BG fibers and stellate cells during the development of stellate axon arbors. In the absence of CHL1, stellate axons deviate from BG fibers and show aberrant branching and orientation. Furthermore, synapse formation between aberrant stellate axons and Purkinje dendrites is reduced and cannot be maintained, leading to progressive atrophy of axon terminals. These results establish BG fibers as a guiding scaffold and CHL1 a molecular signal in the organization of stellate axon arbors and in directing their dendritic innervation.

Methods: An analysis of secondary deaths from gluteal lipoinjecti

Methods: An analysis of secondary deaths from gluteal lipoinjection

procedures was performed in Mexico and Colombia over periods of 10 and 15 years, respectively. In Mexico, the study was performed through a survey of all members of the Mexican Association of Reconstructive, Plastic and Aesthetic Surgery. In Colombia, Panobinostat the study was performed through an analysis of deaths and autopsies documented by the National Institute of Legal Medicine and Forensic Sciences Regional Bogota. Results: A total of 413 Mexican plastic surgeons reported 64 deaths related to liposuction, with 13 deaths caused by gluteal lipoinjection. In Colombia, nine deaths were documented. Of the 13 deaths in

Mexico, eight (61.6 percent) occurred during lipoinjection, whereas the remaining five (38.4 percent) occurred within the first 24 hours. In Colombia, six deaths (77.7 percent) occurred during surgery and three occurred (22.2 percent) immediately after surgery. In the Colombian autopsy results, seven cases of macroscopic fat embolism and two cases with a microscopic embolism were reported, with abundant fatty tissue in the infiltrated gluteal muscles. Conclusions: In this study, the authors found that intramuscular gluteal www.selleckchem.com/products/Fludarabine(Fludara).html lipoinjection is associated with mortality caused by gluteal blood vessel damage allowing macroscopic and microscopic fat embolism; therefore, buttocks lipoinjection should be performed very carefully, avoiding injections into deep muscle planes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.”
“Transportin 3 (TNPO3 or TRN-SR2) has been

shown to be an important cellular factor for early steps of lentiviral replication. However, separate studies have implicated distinct mechanisms for TNPO3 either through its interaction with HIV-1 integrase or capsid. Here we have carried out YH25448 research buy a detailed biophysical characterization of TNPO3 and investigated its interactions with viral proteins. Biophysical analyses including circular dichroism, analytical ultracentrifugation, small-angle x-ray scattering, and homology modeling provide insight into TNPO3 architecture and indicate that it is highly structured and exists in a mon-omer-dimer equilibrium in solution. In vitro biochemical binding assays argued against meaningful direct interaction between TNPO3 and the capsid cores. Instead, TNPO3 effectively bound to the functional intasome but not to naked viral DNA, suggesting that TNPO3 can directly engage the HIV-1 IN tetramer pre-bound to the cognate DNA. Mass spectrometry-based protein footprinting and site-directed mutagenesis studies have enabled us to map several interacting amino acids in the HIV-1 IN C-terminal domain and the cargo binding domain of TNPO3.

(C) 2012 American Association

(C) 2012 American Association PI3K inhibitor of Physicists in Medicine. [http://dx.doi.org.library.tamiu.edu:2048/10.1118/1.4752205]“
“As sessile organisms growing in an ever-changing environment, plants must integrate multiple regulatory inputs to promote the appropriate developmental responses. One such nutritional signal is cellular sugar levels, which rise and fall throughout the day and affect a variety of developmental processes. To uncover signaling pathways that modulate sugar perception, compounds from the Library of Active Compounds in Arabidopsis were screened for the ability to perturb developmental responses to sucrose

(Suc) in Arabidopsis (Arabidopsis thaliana) seedlings. This screen found that sulfonamides, which inhibit folate biosynthesis in plants, restrict hypocotyl elongation in a sugar-dependent fashion. Transcriptome analysis identified a small set of transcripts Selleck HIF inhibitor that respond to the interaction between sulfonamide and Suc, including a number of transcripts encoding Auxin/Indole-3-Acetic Acids, negative regulators of auxin signal transduction. Chemical inhibition of auxin transport or genetic disruption of auxin signaling relieved this interaction, suggesting that responses to these two nutritional stimuli are mediated by auxin. Reporter systems used to track auxin signaling and distribution showed

enhanced activity in the vascular region of the hypocotyl in response to cotreatment of Suc and sulfonamide, yet no change in auxin abundance was observed. Taken together, these findings suggest that the interplay between Suc and folates acts to fine-tune auxin sensitivity and influences auxin distribution during seedling development.”
“Real world tasks involving moving targets, such as driving a vehicle, are performed based on continuous decisions thought to depend

upon the temporal derivative of the expected utility (partial derivative V/partial derivative t), where the expected utility (V) is the effective value of a future reward. However, the neural mechanisms that underlie dynamic decision-making are not well understood. This study investigates human neural correlates of both V and partial derivative V/partial derivative t using fMRI and a novel experimental paradigm Caspase activation based on a pursuit-evasion game optimized to isolate components of dynamic decision processes. Our behavioral data show that players of the pursuit-evasion game adopt an exponential discounting function, supporting the expected utility theory. The continuous functions of V and partial derivative V/partial derivative t were derived from the behavioral data and applied as regressors in fMRI analysis, enabling temporal resolution that exceeded the sampling rate of image acquisition, hyper-temporal resolution, by taking advantage of numerous trials that provide rich and independent manipulation of those variables.

Continuous SiC reinforced aluminum composites (3D-SiC/Al) have hi

Continuous SiC reinforced aluminum composites (3D-SiC/Al) have higher thermal conductivities and lower coefficients of thermal expansion (CETs) JIB-04 research buy than those of particulate SiC reinforced aluminum composites (SiCp /Al) with the same SiC volume fraction. The co-continuous structures of both the SiC reinforcement and the Al matrix in 3D-SiC/Al can be the reason behind

this phenomena. As a result, when SiC volume fraction values were the same, 3D-SiC/Al composites will be more suitable for electronic packaging applications comparing with SiCp/Al composite. (c) 2013 Elsevier Ltd. and Techna Group S.r.l. All rights reserved.”
“Background: Uncorrected refractive errors are the main cause of vision impairment in school-aged children. The current study focuses on the effectiveness of school eye screening in correcting

refractive errors. Objectives: 1. To study the magnitude of visual impairment among school children. 2. To assess the compliance of students for refraction testing, procurement and use of spectacles. Materials and Methods: An intervention study was conducted in schools of the north-west district of Delhi, in the rural field practice area of a medical college. Students studying in five government schools in the field practice area were chosen as the study subjects. Results: Out of 1123 students enrolled, 1075 (95.7%) students were screened for refractive errors. Low vision (visual acuity <20/60) in CRT0066101 cost the better eye was observed in 31 (2.9%) children this website and blindness (visual acuity <20/200) in 10 (0.9%) children. Compliance with referral for refraction was very low as only 51 (41.5%) out of 123 students could be tested for refraction. Out of 48 students, 34 (70.8%) procured spectacles from family resources but its regular

use was found among only 10 (29.4%) students. The poor compliance among students stems out of various myths and perceptions regarding use of spectacles prevalent in the community. Conclusion: Refractive error is an important cause of avoidable blindness among rural school children. Behavior change communication among rural masses by spreading awareness about eye health and conducting operational research at school and community level to involve parent’s teachers associations and senior students to motivate students for use of spectacles may improve utilization of existing eye health services in rural areas.”
“Previously, we found a significant association between photosystem II efficiency (I broken vertical bar PSII) and photochemical reflectance index (PRI) measured at predawn among different species at different elevations and throughout several seasons. However, this relationship has not been evaluated under varied levels of illumination. Here, we used the Taiwan species Pinus taiwanensis (a conifer distributed at 750-3,000 m a.s.l.), Stranvaesia niitakayamensis (an evergreen tree, 1,700-3,100 m) and two Miscanthus spp.

Total bird density did not differ between landscape types but was

Total bird density did not differ between landscape types but was marginally higher on organic compared to conventional farms. When including taxonomic status in the model (passerines vs non-passerines), we found significantly more birds on organic farms, and more non-passerines in the homogeneous landscapes. The effect of farming practice and landscape type on density differed between functional groups. Omnivore

density was higher in the homogeneous landscapes, and invertebrate feeders were marginally more abundant on organic farms. The effects of farming practice on the overall species richness and on the density of granivorous birds were landscape dependent. Aurora Kinase inhibitor In the homogeneous landscapes, organic farms held

a higher number of species and density of granivorous birds than conventional farms, but there was no such difference in the heterogeneous landscapes. Thus, organic farming can enhance abundance and species richness of farmland birds during migration, but the effect differs between landscape types and species. The effectiveness of organic farming was highest in the homogeneous landscape making it important to promote organic selleck chemical farming there. However, for some species during migration, increased heterogeneity in homogeneous landscapes may have negative effects. We propose that migratory bird diversity in homogeneous landscapes may be best preserved by keeping the landscape open, but that a reduced agricultural intensity, such as organic farming, should be encouraged.”
“Background: Cancer-related fatigue (CRF) is a common symptom affecting patients with cancer. There are an increasing number of trials examining potential treatments for CRF. Methylphenidate represents one of the most researched drugs and an up-to-date assessment of PFTα the evidence for its use is needed. Trials of methylphenidate for CRF provided inconsistent results. This meta-analysis was aimed at assessing the effect and safety of methylphenidate

on CRF. Methods: We comprehensively searched the Pubmed, EMBASE, PSYCHInfo and the Cochrane databases in order to identify published studies on the effect of methylphenidate on CRF. Primary outcomes included fatigue. Secondary outcomes included depression, cognition and adverse effects. Findings: A meta-analysis was conducted on five randomized controlled trials and 498 patients were enrolled. Despite a large placebo effect observed in the studies included, pooled data suggested therapeutic effect of methylphenidate on CRF. Subgroup Analyses showed that the efficacy of methylphenidate on CRF is getting better with prolonging treatment duration, with a MD of -3.70 (95% CI -7.03- -0.37, p = 0.03) for long-time group and a MD of -2.49 (95% CI -6.01-1.03, p = 0.17) for short-time group.