Alliances were formed between polities and hierarchical relations

Alliances were formed between polities and hierarchical relationships developed between centers were more frequent during the Late Classic (Marcus, 1993, Martin and Grube, 1995 and Martin

and Grube, 2000), but these larger polities were highly unstable. One potential explanation for political collapse was the failure of leaders to find creative ways to maintain network stability either through hierarchical integration or cooperation (Cioffi-Revilla and Landman, 1999). Instead, kings of the largest polities succumbed to immediate self-interest and attempted to obtain greater hegemonic Trichostatin A cell line control (Scarborough and Burnside, 2010). Polities defeated in war went into decline and less effort was invested in maintaining economic and political networks. The frequency and magnitude of war served to destabilize the sociopolitical and economic fabric of the Maya world and, along with environmental degradation and drought, further undermined the institution of kingship. Finally, we return to the concept of rigidity from resilience theory and the character of the classic Maya collapse. Hegmon et al. (2008) compared three societal transformations in the American Southwest (Mimbres, Hohokam, Mesa Verde) using this concept and with Adriamycin molecular weight respect to the scale of demographic change and population

displacement, degree of cultural change, and physical suffering. They used rigidity measures of integration, hierarchy and conformity and found that more rigidly organized societies were more prone to severe transformations that involved human suffering, population decline and displacement, and major cultural changes CYTH4 (evident in both Mesa Verde and Hohokam cases).

Data from the Maya region are consistent with these observations. The Maya collapse was far more severe when compared with these examples from the American Southwest. Many more people were involved and there is evidence for sustained conflict and war over several centuries. Evidence for declining health in the skeletal record is consistent with human suffering and the collapse of each polity was associated ultimately with population decline and dispersal. In the Maya case the rigidity trap was imposed largely by the hierarchical structure of Maya society that was amplified as the landscape was transformed and impacted during the Classic Period (Scarborough and Burnside, 2010). This came at a time when environmental shocks in the form of decadal-scale droughts became more frequent and severe (Kennett et al., 2012). Even in the face of these changes the culturally conservative institution of kingship persisted for centuries, and its rigidity likely contributed to the suppression of innovation in the face of environmental change and instability. Archeologists and earth scientists provide a unique perspective on the cumulative history of anthropogenic environmental change and its potential for destabilizing our society.

26) Only 1% of the area of Europe is considered ‘wilderness’ and

26). Only 1% of the area of Europe is considered ‘wilderness’ and small enclaves of old growth forests are found in Scandinavia, Russia, and Poland (Temple and Terry, 2007). Rivers are fragmented with large dams (over 6000 dams larger than 15 m) and 95% of riverine floodplains and 88% of alluvial forests historically documented no longer exist. Only one of the twenty major rivers is free-flowing (Russia’s northern Dvina; Hildrew and Statzner, ON-1910 2009). Because of the high degree of human modified landscapes, biodiversity in Europe is under

continued threat and conservation challenges abound. Nearly one in six of Europe’s 231 mammal species and over 13% of birds are listed as critically endangered or endangered by the European Union (Temple and Terry, 2007, p. viii). Species biodiversity is a topic of ongoing interest in

modern day Europe. The European Union uses AD 1500 as the chronological marker for identifying baseline biodiversity measures (Temple and Terry, 2007, p. viii). This date coincides with the beginnings of Selleckchem AG 14699 the Columbian Exchange, one of the largest historically documented introductions of species into new environments that included new plants and animals into Europe (Crosby, 2003). Current regional biodiversity assessments compile terrestrial and marine mammal species native to Europe or naturalized in Europe prior to this date (Temple and Terry, 2007). Since AD 1500, only two terrestrial mammal species (ca. 1%) went extinct: aurochs (Bos primigenius; extinct in the wild by 16th century) and Sardinian pika (Prolagus sardus; late 1700s/early 1800s). The history of biodiversity in Europe, however, is long Epothilone B (EPO906, Patupilone) and complex, with evolutions

and extinctions of animal and plant species over thousands and millions of years. The end of the Pleistocene in particular has been an interesting focus of research, with an emphasis on trying to understand the complexities of biogeography, climate change, and human predation for shifts in plant and animal communities and species extinctions at the end of the last Ice Age (Bailey, 2000 and Jochim, 1987). The primary modern biodiversity “hot spots”, i.e., areas with the highest species diversities such as the Balkans, northern Italy, southern France, and the Iberian Peninsula, were refugia during the Last Glacial Maximum. Zoogeographical shifts of plant and animal communities to these key locations created largely isolated ecological regions. The concentration and genetic isolation of species in these areas helped form the basis of early Holocene plant and animal diversity ( Jochim, 1987 and Sofer, 1987). Of these areas, the Balkans today have the largest number of extant mammalian species on the continent, as well as riverine, littoral, and marine organisms ( Hildrew and Statzner, 2009).

In addition, FLI-1 is also involved in various malignancy formati

In addition, FLI-1 is also involved in various malignancy formation and progression in vitro and/or in vivo, including Ewing’s sarcoma [7], melanoma [8], breast cancer [9], lymphoma [10] and [11] and head and neck squamous cell cancer (HNSCC) [12], and tumor micro-angiogenesis [13]. Studies on the role of FLI-1 expression in NPC are rare. FLI-1 was found to be over-expressed in the metastatic Selleck Crenolanib NPC cell line, the 5-8F cell line, in the research by Yang et al [14]. However, little is known about the FLI-1 expression and prognostication of NPC patients. Therefore, this study aims to detect FLI-1 expression in NPC tissue

samples by immunohistochemistry (IHC), analyze the associations between FLI-1 expression and clinicopathological characteristics, and evaluate the prognostic value of FLI-1 for NPC patients.

This study was approved by the Clinical Ethics Review Board of Sun Yat-sen University Cancer Center. All the patients signed informed consent documents before participating in the study. Patients were recruited according to the following criteria: histologically diagnosed NPC with available biopsy sample; newly proven and non-metastatic NPC; no other malignancy or prior anti-cancer treatment; CDK assay continuously finished at least radiotherapy at the Cancer Centre of Sun Yat-sen University with complete and detailed medical records and regular follow-ups. A total of consecutive 198 patients were eligible, who were diagnosed between May 2005 and December 2006. Medical files were reviewed retrospectively and patients were restaged based on the American Joint Committee on Cancer (AJCC) staging

system 2010 clinical classification (the seventh edition). All 198 patients were histologically diagnosed with differentiated non-keratinized carcinoma or undifferentiated non-keratinized carcinoma. Fossariinae The tumor specimens were obtained by biting biopsy from primary NPC, prior to treatment, and processed through formalin fixation for at least 8 hours and paraffin embedment. Patients underwent a routine pretreatment evaluation including history, physical examination of the head and neck, optic fiber nasopharyngoscopy, nasopharynx and neck magnetic resonance imaging (MRI), chest X-ray, the abdominal ultrasonography, bone scanning, a complete blood count and biochemical profile. The serological titer of Epstein-Barr virus immunoglobulin A antibodies against viral capsid antigen (EBV VCA-IgA) was measured using an immunoenzymic assay. The serum titer of Epstein-Barr virus immunoglobulin A antibodies against early antigen (EBV EA-IgA) was further measured using an immunoenzymic assay by Raji cell line.

2 ± 0 4‰ (8) for barnacles collected in Breton Sound in 2010 In

2 ± 0.4‰ (8) for barnacles collected in Breton Sound in 2010. In particular, the Barataria 2010 collection did not show the expected shifts towards larger 13ɛ values indicative of strong oil incorporation nor the hypothesized stronger oil signals and larger 13ɛ values towards the mouth of the estuary ( Fig. 3). Overall, 13ɛ results for both mussels

and barnacles showed no significant (P > 0.05, unpaired t test) negative shifts towards larger 13ɛ values calculated for use of the −27‰ value measured by Graham et al. (2010) for oil from Deepwater Horizon ( Fig. 2 and Fig. 3). Average shifts selleck were close to zero (+0.5 to +0.1‰ for barnacles and +1.0 to −0.3‰ for mussels), compared to larger 1–4‰ shifts measured previously for plankton samples affected by the Deepwater Horizon oil spill ( Graham et al., 2010). www.selleckchem.com/products/pci-32765.html Sensitivity analyses

indicated that consistent shifts of at least 0.5–1.0‰ and at least 10–30% incorporation of oil would be necessary before a significant result of detectable oil would be achieved with the δ13C analyses of barnacles or mussels. Based on the δ13C results, selected samples were analyzed further for the more sensitive radiocarbon tracer. The radiocarbon results confirmed low use of oil by the filter feeders, with maximum uptake calculated for paired mussel samples as <1% (Table 1). All the various barnacle tissue and shell samples from control and potential oil impact areas had nearly identical Δ14C results and showed no geographic trends (Fig. 4). We did not detect any size-related Δ14C variation for mussels. The overall average for filter feeder use of oil from the Δ14C results was slightly above zero at 0.4 ± 0.3% (Table 1; mean ± 95% confidence level). Although stranded oil locally coated some marshes in Terrebonne and Barataria Bays, bay-wide respiration rates measured in this study did not show a strong enhancement medroxyprogesterone associated with the oil. Measured respiration rates were within the central median range

of respiration rates observed in unpolluted estuarine waters (Hopkinson and Smith, 2005). Higher respiration rates in Breton Sound may be due to enhanced productivity in that system, which is fertilized by inputs of nutrient-rich Mississippi River water from the Caernarvon diversion (Day et al., 2009). Respiration results were not consistent with ideas of large-scale submarine deposition of oil and subsequent high summertime metabolism of this oil in well-mixed estuaries. Nonetheless, metabolic contributions of 10–30% for oil would not be ruled out by the respiration measurements, making results from isotope analyses of filter feeding barnacles and mussels important additional data for in tracking the fate of oil in these food webs. It was surprising that so little oil (<1%) entered estuarine food webs, but there are several possible factors that could combine to explain the lack of oil incorporation.

It has already been described in the literature that other

It has already been described in the literature that other Selleckchem Nutlin3a congeners, such as BDE-209 and BDE-47, decreased the number of cells with functional mitochondria as assessed by the same MTT method (Hu et al., 2007 and Hu et al., 2009). These same groups also described

the ability of BDE-47 and BDE-209 to induce apoptosis in HepG2 cells. BDE-99 has also been reported to induce cell death in cortical cultured cells at concentrations of 10 and 30 μM (Alm et al., 2010), the same range of concentration that we observed a decrease in HepG2 cell viability. In order to better understand the mechanisms underlying BDE-99 toxicity and to observe if this congener would have the same ability to induce apoptosis in HepG2 cells, its ability to interfere with cell mitochondria was first measured. A decrease in the mitochondrial membrane potential was observed at almost all the concentrations that induced cell death (10–25 μM after 24 h of incubation and 0.5–25 μM after 48 h). This decrease in the mitochondrial membrane potential could occur due to an opening of the mitochondrial permeability transition pores, which would release proteins such as cytochrome c, that trigger the apoptotic pathway ( Grivicich et al., 2007). AZD6244 Our

results also showed a clear relationship between a decrease in the mitochondrial membrane potential and accumulation of ROS. Therefore, just as observed for the BDE-209 and BDE-47 congeners, the toxic effects of BDE-99 are related to ROS accumulation (Hu et al., 2007, Huang

et al., 2010, Shao et al., 2008 and Weihong et al., 2008). We also evaluated the ability of BDE-99 to induce apoptosis. Apoptotic cell death is associated with characteristics such as phosphatidylserine exposure due to selective oxidation (Tyurina et al., 2000 and Matsura et al., 2005). Our results showed that high levels of ROS induced by cell exposure to BDE-99 were followed by phosphatidylserine exposure, suggesting that ROS accumulation induced by BDE-99 can lead to apoptosis. Atezolizumab in vitro In addition, the LDH leakage studies showed no increase in LDH after exposure to BDE-99, which together with the absence of PI stained cells and the continued ability of the cells to exclude trypan blue, suggests that the necrosis pathway is not relevant in BDE-99 induced HepG2 toxicity. However, there is controversy about the ability of PBDEs to induce LDH leakage. BDE-47 and BDE-209 were reported to cause a concentration-dependent inhibition of MTT reduction and LDH leakage in human neuroblastoma cells (He et al., 2008), and HepG2 cells (Hu et al., 2007), whereas BDE-99 (up to 100 μM) did not induce the release of LDH in human astrocytoma cells cultured for 24 h, even though the MTT had decreased significantly (Madia et al., 2004). This last finding is in agreement with the present results for the same BDE congener.

B cell crossmatching was performed for 80% of the patients; howev

B cell crossmatching was performed for 80% of the patients; however a positive B cell crossmatch

was not considered an absolute contraindication to transplantation. Sera collected at the time of transplant were screened retrospectively for anti-HLA class I and/or class II antibodies using the Luminex Mixed Screen assay (OneLambda Inc.) and those with a positive screen were characterised for HLA class check details I and/or class II antibodies specificity using single antigen beads (LABScreen Single Antigen beads, OneLambda Inc.). Antibodies were considered to be positive if the normalised mean fluorescence intensity (MFI) value for a particular bead was greater than 500. HLA antibodies with an MFI > 500 directed against a donor HLA antigen were considered to be DSA. Transfusion history was recorded as never transfused (No-RBCT), transfused at any time prior to renal transplant but not after GDC-0449 renal transplant surgery (Pre-RBCT), not transfused prior to transplant but transfused at the time of, or within 30 days of transplant surgery (Post-RBCT) and transfused both prior to and within 30 days of the transplant (Pre + Post-RBCT). Delayed

graft function (DGF) was defined as the need for dialysis within the first 48 h of transplantation. Graft loss was defined as the return to dialysis (i.e. death-censored) unless otherwise indicated. Dapagliflozin All rejection episodes were proven by biopsy (BPAR) and the first BPAR was used to construct time to event analysis and where multiple rejections occurred, the highest reported grade was recorded. Time to AMR was recorded as a separate event to allow analysis by rejection type (AMR vs Non-AMR). Treatment of rejection was at the treating clinician’s discretion and was not mandated by protocol. Histological reporting of renal biopsies was undertaken by the local

histopathologists as part of routine clinical care and was initially made without information as to the presence or absence of DSA (due to varying laboratory testing and reporting changes over the period of study). The biopsy findings were graded according to the Banff classification 2003. AMR was defined as C4d positivity in PTC alone or in conjunction with transplant glomerulitis and/or peri-tubular capillaritis and/or arteritis, and also in the absence of C4d when transplant glomerulitis and peri-tubular capillaritis were detected. Statistical analyses were performed by using SPSSv18 (SPSS Inc., Chicago IL, USA). For categorical data Fisher’s exact test or Pearson’s chi-square tests were used. Parametric data were compared by ANOVA or t-test, and for non parametric data Mann–Whitney U test or Kruskal–Wallis one-way ANOVA was used. Comparisons of within group differences by z-test were made with Bonferroni adjustment reported at the p < 0.05 level.

6 and 7 It is crucial to distinguish WOPN from the other mentione

6 and 7 It is crucial to distinguish WOPN from the other mentioned fluid collections, and most importantly the presence of solid debris inside the collection since this is critical to determine the best therapeutic proposal.8 There are multiple ways of managing these collections, depending on their size, location, clinical symptoms and imaging findings.1, 2, 6 and 8 Accepted indications for drainage include chronic abdominal pain, upper GI obstruction (gastric or biliary), intolerance to oral feeding, significant weight loss and infection.1, 2 and 6 Infected necrosis is virtually always an indication for intervention since it is the main determinant

of multiple organ failure after necrotizing pancreatitis.1, 4, 5, 6, 7, 8 and 9 Infection can be suspected or confirmed in the presence of fever, increased inflammatory serum parameters (such as leucocytosis or C-reactive protein), positive bacterial PD0332991 in vitro cultures of blood or fluid sample or presence of gas inside the collection on a CT scan.1 and 8 Necrotic collections drainage is amenable to distinct therapeutic modalities: surgery, endoscopy or percutaneous interventional radiology. Although surgery has been regarded as the most definitive and standard treatment procedure, it is also well recognized that it carries high mortality (6–39%) and considerable morbidity (19–69%)

rates.5, 8 and 10 For the past 15 years, in selected Metformin cases, endoscopic transluminal drainage with complete removal of infected necrotic tissue has Thalidomide been considered an alternative option to surgery. Results have been very promising and it has been consistently regarded to

be as proficuous as surgery in controlling infection while being less invasive.1, 4, 6, 7 and 8 This technique was pioneered by Baron and colleagues7 using stents and gastrocystic vigorous lavage through a nasocystic catheter. Few years later, Seifert9 first described an unprecedented direct retroperitoneal endoscopic necrosectomy, changing since then the course of endotherapy. This procedure may be accomplished by passing Roth-nets, snares, Dormia baskets or even the endoscope itself through the transmural entry site into the necrotic-containing cavity. These innovations set the path for the advent of natural orifice transluminal endoscopic surgery (NOTES).1, 4, 5, 6, 8, 9 and 10 Resolution of necrotic infected collections improves with this strategy and has been reported to reach 81–93% with over 12-month follow-up periods.1, 4 and 8 Case 1: A 30-year-old female was sent to our department after an episode of severe acute lithiasic pancreatitis three months earlier. Her current medication was oral pancreatic enzymes. The patient had been complaining, for the previous weeks, of diffuse abdominal discomfort, occasional vomiting, progressive intolerance to oral feeding and weight loss. She had not noticed fever during this period. Laboratory data were as follows: haemoglobin 11.9 g/dL; leucocytes 4.6 × 103/μL, platelets 320 × 103/μL, INR 1.

SETs were previously evaluated using EUS for size management, mor

SETs were previously evaluated using EUS for size management, morphological characterization and pulsed-Doppler scanning to scan the area for vessels. A needle-knife was used in blended current at 30-60W, to perform a 6-12 mm linear incision over the hoghest convexity area of the lesion. Then, a conventional biopsy forceps was deeply introduced through the hole and 3 to 5 tissue samples were retrieved and placed in formalin. Mitotic index (MI) and IH analysis were perfromed when it was feasible. Nutlin-3a clinical trial Eight patients out the first thirteen underwent both 22G-EUS FNA and SINK. Prophylactic

hemostatic procedures (endoclips) were used only in the first 15 cases. 41 patients (M/F:20/21) were included (mean age: 59.60; range 22-87).On EUS, mean diameter of the SETS was 2.77 cm (0.65-9.3).Layer location: 4th/3th/2nd: 19/17/5. Organ location: Esophagus (2), Stomach (24), Duodenum (5). Yield of biopsies after SINK: 38/41 (92.68%). There were no cautery

artifacts. FNA was diagnostic in only 1 of 8 cases (12.5%). Biopsies reveales GIST (17), heterotopic pancreas (7), lipoma (5),inflammatory C646 fibroid polyp (3) leiomyoma (2), gangliocytic paraganglioma (1),neuroendocrine tumor (1), duplication cyst (1), splenic rest (1) and non-diagnostic (3).IH analyses (CD-17) was positive in 16/17 GISTs (94.11%) and MI determination was feasible in 13/17 (76.47%). Selleckchem RG7420 There were no procedural related immediate or late complications. 1: SINK-biopsy of upper GI SETs appears to be an easy and safe technique even without prophylactic hemostatic methods. 2: The histologic yield of SINK biopsy is quite high 3: SINK may represent a reliable alternative

to EUS-FNA specially for smaller SETs “
“Endoscopic Ultrasound (EUS) has an evolving role in the evaluation of patients with undetermined abdominal pain, and idiopathic recurrent pancreatitis. These patients exhaust medical services, including voluminous laboratory studies, cross sectional imaging, and standard endoscopy (upper and lower endoscopy). Advanced endoscopic procedures ultimately may be recommended including Sphincter of Oddi Manometry (SOM) and EUS in limited tertiary centers. While these procedures are often done during separate encounters, it may be cost effective to perform simultaneously leading to a more accurate and expedient diagnosis. To determine the role of EUS in patients with ARP, PCS and chronic abdominal pain during the evaluation of SOM. Over a 6 year period, 522 patients underwent simultaneous SOM and EUS at St. Luke’s Medical Center, Pancreatic Biliary Center, Milwaukee, WI.

3) Thus Jinja was relatively stable for CBSD-RN The most stable

3). Thus Jinja was relatively stable for CBSD-RN. The most stable genotype for CBSD-RN was TME14, followed by NASE14, CT4

and Akena in that order. The least stable genotypes for the trait were CT5, CT2, NASE3 and CT1. In terms of Forskolin cost the mean CBSD-RN scores, the best genotypes were NASE4, NASE3, Nyaraboke and Bukalasa11 and the worst were Akena, CT2, NASE14 and CT5. The GSI ranked TME14 and NASE4 as best genotypes, combining low CBSD-RN and high stability, followed by Bukalasa 11 and Nyaraboke with the same rank of 3 (Table 5). The majority of the genotypes were relatively stable for CMD-S, but Bukalasa 11 and Nyaraboke were highly unstable (Fig. 4). The most stable genotypes for this trait were Akena, CT3, NASE14, CT1 and NASE4. Nakasongola was the most stable location for CMD-S, considering its low IPCA1 score. With high IPCA1 scores of opposite sign, Namulonge and Jinja had very high contrasting interactions with the genotypes. With GSI rankings of 1 the overall best genotypes combining low CMD-S and high stability were NASE14, TME14 and CT3, followed by Akena with a rank of 4 (Table 6). Early FSRY was positively and highly

significantly (P < 0.001) correlated with SRN, but negatively and highly significantly (P < 0.001) correlated with CMD-S ( Table 7). The correlation between early FSRY and CBSD-RN was negative and non-significant. Storage root number had a negative and highly significant Selleck Venetoclax (P < 0.001) correlation with CMD-S and non-significant correlation with CBSD-RN. The correlation between CMD-S and CBSD-RN was negative, but non-significant. Genotype effects were significantly different for early FSRY and all other traits, indicating significant variation in the performance of the genotypes for early FSRY and the other traits assessed. This variation, in turn, indicated that the genotypes used in this study constituted Ergoloid a pool of germplasm with sufficient genetic variation and that

by selecting and hybridising among the constituent genotypes, good progress in the improvement of cassava for early FSRY and related traits should be achieved. Location effects were also significantly different for all traits except CBSD-RN, indicating that the overall mean performances of the genotypes in each location were significantly different for most traits. This variation underlines the need to conduct multi-locational trials in order to identify both generally and specifically adapted genotypes with good performance for the traits. Significant location effects for early FSRY, SRN and CMD-S have been similarly reported elsewhere [23] and [24]. The significant genotype × location interaction effects for SRN, CBSD-RN and CMD-S again indicates a need to test genotypes in multi-location trials in order to identify generally and specifically adapted genotypes.

Overall, it was observed that the OvCa glycomes had increased tri

Overall, it was observed that the OvCa glycomes had increased tri- and tetra-branched structure with variable sialylation and fucosylation. Further analysis of the immunoglobulin G-associated glycans revealed an increase

in α-galactosylated structures in the OvCa glycomes and together, these glycan patterns could be used to distinguish the OvCa patients from the healthy controls. It was however noted that cancer patients were all diagnosed with late-stage cancer and further studies with serum from women with stage I/II cancer are needed to truly assess whether these glycomic patterns can be used as early detection markers. In another related study, Saldova et al. analyzed SCH727965 clinical trial total serum N-linked glycans in the serum of healthy controls and patients with OvCa, benign gynaecological conditions and other gynaecological cancers using MALDI MS and electrospray ionization (ESI) MS [34]. From these analyses, it was reported that the OvCa glycome had

an increased expression of core fucosylated, α-galactosyl biantennary glycans and sialyl Lewis x. As well, the authors identified altered glycosylation patterns selleck inhibitor on acute-phase proteins such as haptoglobin, α1-acid glycoprotein, α1-antichymotrypsin and IgG. Li et al. had also utilized MALDI MS to characterize glycome of serum derived from OvCa patients and healthy controls [35]. In the subsequent analyses, four glycoproteins of 517, 370, 250 and 163 kilodalton corresponding to two forms of apolipoprotein B-199, fibronectin and immunoglobulin A1, respectively, were identified as upregulated

in the serum of OvCa patients compared to controls. The glycans subsequently isolated from these parent proteins consisted of O- and N-linked glycans that were distinguishable from the corresponding glycans present in the serum of healthy controls. Despite the wealth of information Carnitine palmitoyltransferase II that has been accumulated, glycomic-based biomarkers have yet to pass any clinical validation in OvCa. As mentioned previously, global investigation of glycosylation and subsequent identification of putative biomarkers remains hampered by biological and technical limitations. While numerous authors have identified unique glycomic profiles for OvCa, it is unclear whether such changes are truly OvCa-driven or simply a result of the metabolic phenomena that ensues after malignancy and inflammation. Thus, additional studies that clearly demonstrate such glycomic changes as being specific to OvCa are required. Due to the heterogeneity and complexity of glycosylation, a prominent technical limitation of glycomics that has been recognized is the limited ability of current MS platforms to distinguish glycome isomers [31].