TASK DEFINITION: Given a passage with a context and an answer, construct a question on the basis of the information present in the passage. Construct the question in such a way that (i) it is unambiguous, (ii) it is answerable from the passage, (iii) its answer is unique (iv) it answer uses text phrases from the passage. Avoid creating questions that (i) can't be answered correctly without actually understanding the passage and (ii) uses the same words or phrases given in the passage.
PROBLEM: Context: Inflammatory risk factors in childhood, e.g. obesity, impact on carotid artery intima media thickness (CIMT), an early indicator of atherosclerosis. Little is known on potential infectious origins in childhood. We investigated the association between number of reported different childhood infectious diseases and CIMT in adolescence.', "288 SAPALDIA offspring (8-21years) underwent a clinical examination in 2010-2011: anthropometry, blood pressure, CIMT, blood draw (cardiovascular biomarkers, cotinine). Offspring and parents gave information on individuals' and family health, child's vaccination status, infectious diseases and other early life factors. Life-time prevalence of bronchitis, pneumonia, tonsillitis, otitis, mononucleosis, meningitis, appendicitis, and scarlet fever were investigated, separately, and as cumulative infectious disease score. Multilevel adjusted linear regression analysis on the association between subjects' CIMT average and infectious diseases score was performed, stratifying by sex.", 'Youth (mean age 14.8\xa0yrs; 53% female) reported on average 1.3 of the listed infectious diseases; 22% boys and 15% girls reported ≥3 infectious diseases (p\xa0=\xa00.136). Two-thirds were vaccinated according to recommendations (boys 56%, girls 61.5%, p\xa0=\xa00.567). Sex-stratified analyses yielded significantly increased CIMT in boys with ≥3 infectious diseases vs. none (0.046\xa0mm, 95%CI 0.024; 0.068). In girls, the effect was of same direction but statistically non-significant (0.011\xa0mm, 95%CI\xa0-0.015; 0.036).
Answer: The SAPALDIA Youth study complements current evidence on infectious origins of atherosclerosis in adults. The larger effects observed in boys may relate to a higher vulnerability of the vasculature and/or to infectious pathogens. Our data are suggestive of an early impact of childhood infectious diseases on vascular health.

SOLUTION: Are infectious diseases associated with carotid intima media thickness in adolescence?

PROBLEM: Context: In dialysis patients, volume overhydration is common and is related to increased risk of cardiovascular morbidity and mortality. However, it remains unclear whether volume overload imposes those detrimental effects through endothelial dysfunction.', 'In this cross-sectional study, 81 stable patients on continuous ambulatory peritoneal dialysis in a single center were recruited. Volume status was evaluated by extracellular water, assessed by bioimpedance analysis, and normalized to individual height (nECW). Endothelial function was estimated by endothelial-dependent flow-mediated dilatation (FMD) of the brachial artery and expressed as percentage change relative to baseline diameter.', 'There were 37 male and 44 female patients (mean age 61 +/- 12 years, dialysis vintage 20 +/- 23 months). FMD in female patients was significantly higher than that in male patients (9.17% +/- 6.23% vs 6.31% +/- 5.01%, p < 0.05). FMD was negatively correlated with weight (r = -0.308, p < 0.01), body mass index (r = -0.242, p < 0.05), systolic blood pressure (r = -0.228, p < 0.05), ECW (r = -0.404, p < 0.001), and nECW (r = -0.418, p < 0.001). No correlation was found between FMD and other variables. In multiple stepwise regression analysis, calcium x phosphate product (beta = 0.422, p < 0.001), nECW (beta = -0.343, p < 0.01), and dialysis vintage (beta = -0.237, p < 0.05) were independent determinants of FMD (adjusted R(2) = 0.327 for this model).
Answer: There was independent correlation between index of volume status and FMD, and higher nECW was related to worse endothelial function. The results of this study may help us understand the underlying mechanism of volume overhydration leading to increased cardiovascular morbidity and mortality in dialysis patients.

SOLUTION: Is volume overhydration related to endothelial dysfunction in continuous ambulatory peritoneal dialysis patients?

PROBLEM: Context: Ephrin ligands and Eph receptors play important roles for cell behavior and movement by transducing bidirectional signaling into interacting cells. Since we found that the expression of ephrinB2 in the hematopoietic progenitor cell line was changed by coculture with stromal cells, we tried to examine the function of ephrinB2 in the hematopoietic microenvironment.', "Expression of ephrinB2 was measured by flow cytometry and reverse transcriptase polymerase chain reaction in the bone marrow (BM) hematopoietic cells and the stroma-dependent hematopoietic cell line (DFC-28) cocultured with stromal cells. Effect of ephrinB2 on the cells' behavior was monitored by overexpression of ephrinB2 cDNA in mouse pre-B-cell line (70z/3).", 'EphrinB2 expression in DFC-28 cells was modulated by two different stromal cells; ephrinB2 expression was high in DFC-28 cells when cocultured with MSS62 cells, whereas it was low when they were cocultured with TBR31-1 cells. Expression of EphB4, a receptor for ephrinB2, was detected in MSS62 cells but not in TBR31-1 cells. Similarly, BM hematopoietic cells did not express ephrinB2, but most of the BM cells expressed ephrinB2 after coculture with stromal cells. Ectopic expression of ephrinB2 in 70z/3 cells acquires specific binding to EphB4 and leads to significant decline in the locomotive activity underneath stromal cells.
Answer: These results indicate that expression of ephrinB2 in hematopoietic cells is regulated by interaction with particular stromal cells, and ephrinB2-EphB4 interaction modulates the migration and colonization of the hematopoietic cells in the local stromal microenvironment.

SOLUTION:
Do stromal cells modulate ephrinB2 expression and transmigration of hematopoietic cells?