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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability (1997)
Institute of Medicine (IOM)

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. "20 The Validity of Blood and Urinary Cytokine Measurements for Detecting the Presence of Inflammation." Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability. Washington, DC: The National Academies Press, 1997.

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Emerging Technologies for Nutrition Research: Potential for Assessing Military Performance Capability

ies with the Army or in China, and what we have come to find out now is that if we optimize our sensitivity in a mitogen-induced whole-blood system, the CV [coefficient of variation] values are down at 17 or 20 percent in comparison to the cytokines produced from whole blood in the cultures, which are up in the 50 to 60 percent range.

Actually, we find that IL-2 gives us the poorest data in comparison with interferon gamma and IL-10. So I think when you start looking at the whole area of immunology, if you try to look at the whole big picture it becomes too complex. That is why we try to use the lymphocyte as a sort of cell from the immune system in order to look at its response in vitro. We have found that we get less variation when we take a CBC [complete blood count]; thus, we can calculate the data per volume of blood and also per lymphocyte. Our data actually come out tighter that way than with standard.

GABRIEL VIRELLA: It would be tighter just because you have been standardizing your technique through the years, and obviously that happens. The more we run a technique, the better trained and the more experienced our technicians are, the tighter the coefficient of variation becomes. That is fine.

But I have a problem with this being physiological. I do not think testing whole blood is a physiological way to test immune response. I mean, it does not happen in whole blood. It does not happen that way.

TIM KRAMER: That is right, but if you look at it the other way, I have a question about the physiology when you take lymphocytes and standardize them to a constant number in vitro. You are looking at the activity of the cells on a per cell basis, but then the differences between individuals are hard to interpret because their white blood cell counts are different. So I think you have big flaws [with both methods].

GABRIEL VIRELLA: But in the IL-2 assay, I have tighter results than you do, so each one of us has tighter results in what we like to run, you know.

(Laughter)

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450
Front Matter (R1-R18)
I Committee Summary and Recommendations (1-2)
1 Project Overview and Committee Summary (3-50)
2 Committee Responses to Questions, Conclusions and Recommendations (51-68)
II The Current Army Program and Its Future Needs (69-70)
3 Emerging Technologies in Nutrition Research for the Military: Overview of the Issues (71-78)
III Techniques of Body Composition Assessment (79-80)
4 Military Application of Body Composition Assessment Technologies (81-126)
5 Imaging Techniques of Body Composition: Advantages of Measurement and New Uses (127-150)
6 Dual-Energy X-Ray Absorptiometry: Research Issues, and Equipment (151-168)
7 Bioelectrical Impedance: A History, Research Issues, and Recent Consensus (169-192)
Part III Discussion (193-198)
IV Tracer Techniques for the Study of Metabolism (199-200)
8 Stable Isotope Tracers: Technological Tools That Have Emerged (201-214)
9 Measurement of Energy Substrate Metabolism Using Stable Isotopes (215-230)
10 Combined Stable Isotope-Positron Emission Tomography for In Vivo Assessment of Protein Metabolism (231-258)
11 Nuclear Magnetic Resonance Studies of Liver and Muscle Glycogen Metabolism in Humans (259-272)
Part IV Discussion (273-278)
V Ambulatory Techniques for Measurement of Energy Expenditure (279-280)
12 Doubly Labeled Water for Energy Expenditure (281-296)
13 Measurement of Oxygen Uptake with Portable Equipment (297-314)
14 Advances in Ambulatory Monitoring: Using Foot Contact Time to Estimate the Metabolic Cost of Locomotion (315-344)
15 Noninvasive Measurement of Plasma Metabolites Using Near-Infrared Spectroscopy (359-360)
Part V Discussion (361-362)
VI Molecular and Cellular Approaches to Nutrition (363-374)
16 The Role of Metals in Gene Expression (375-388)
17 Metabolic Regulation of Gene Expression (389-400)
18 Use of Isolated-Cell and Metabolic Techniques Applied to Vitamin Transport and Disposition (401-414)
19 Assessment of Cellular Dysfunction During Physiologic Stress (415-416)
VII Assessment of Immune Function (417-430)
20 The Validity of Blood and Urinary Cytokine Measurements for Detecting the Presence of Inflammation (431-450)
21 New Approaches to the Study of Abnormal Immune Function (451-500)
Part VI and VII Discussion (501-504)
VIII Functional and Behavioral Measures of Nutritional Status (505-506)
23 Involuntary Muscle Contraction to Assess Nutritional Status (507-518)
24 Application of Cognitive Performance Assessment Technology to Military Nutrition Research (519-532)
25 New Techniques for Assessment of Mental Performance in the Field (533-550)
26 The Iowa Driving Simulator: Using Simulation for Human Performance Measurement (551-568)
Part VIII Discussion (569-576)
Appendixes (577-578)
Appendix A: Workshop Agenda (579-584)
Appendix B: Biographical Sketches (585-604)
Appendix C: Abbreviations (605-608)
Appendix D: Emerging Technologies for Nutrition Research - A Selected Biography (609-680)
Index (681-711)