The % survival at 4 °C was 84 35% and at 37 °C was 33 98% In rea

The % survival at 4 °C was 84.35% and at 37 °C was 33.98%. In real-time stability, the lower

limits of CFU of these RRs are estimated from the expanded uncertainty (95% confidence) of this and previous collaborative studies on cultural viable count [10] and are 3.37, 29.60, 0.95 or 3.10 million per ampoule for Danish 1331, Tokyo 172-1, Russian BCG-I or Moreau-RJ, PCI-32765 respectively. The trend of real time stability collected up to early 2014 is shown in Fig. 4. The current CFU results in 2014 of all four RRs are above the lower limits of the acceptable range, as 4.32, 36.56, 4.01 or 7.27 million per ampoule for Danish 1331, Tokyo 172-1, Russian BCG-I or Moreau-RJ, respectively. As in a previous collaborative study, two methodologies (cultural viable count and modified ATP assays) were used to assess the content of the BCG Moreau-RJ Reference Reagent preparation. The results estimated that there are 6.51 million CFU per ampoule with a SD of 0.72; and 24.69 ng ATP per ampoule

with a SD of 7.41 for this preparation. There was a broad distribution of the mean CFU results received from all participants (Fig. 1). The expanded uncertainty (95% confidence) for this preparation is 3.10–9.92 million. The cultural viable count Cilengitide manufacturer CFU results of lyophilized BCG preparations are usually variable and the data from this study are expected, especially participants’ own in-house routine cultural viable count assay with different solid media and culturing methodologies were used. The CV in each participating laboratory also had a wide range from 7.6% to 46.2% (Table 1). There were large differences in the distribution of the mean ATP (ng) content obtained from all participants as shown in Table 2. The expanded uncertainty (95% confidence)

for this preparation is 1.67–47.71 ng/ampoule. The CV in each participating laboratory ranged from 16.6% to 37.7%. This high variability of the modified ATP results was similar to the previous study [10]. The dilution effect of samples gave inconsistent results leading to only the ATP contents from neat reconstituted samples being used in the estimation of the mean ATP content in this BCG preparation. The results of CFU and ATP content were compared directly. This collaborative study clearly demonstrated that the modified ATP assay was not an improved method in terms of providing more consistent estimation of the viability before in a lyophilized BCG preparation when compared with the cultural viable count assay. Some of the participating laboratories have limited experience in performing this ATP assay and this may, in part, contribute to the high variability of the results. However, this assay remains a rapid method for estimating the viability of lyophilized BCG preparations and has been validated for quality control testing in one of the participating laboratories [6]. There was good agreement of results for the mPCR assay for identification of this BCG sub-strain.

Group data for all outcomes for the experimental and control inte

Group data for all outcomes for the experimental and control interventions are presented in Table 2, while individual data are presented in Table 3 (see eAddenda for Table 3). The weight of the aspirate was significantly

greater after physiotherapy in the experimental group, compared to baseline. However, the control group also showed Selleckchem LBH589 a small increase and overall the difference in effect between the experimental and control groups was not statistically significant, mean difference 0.4 g (95% CI −0.5 to 1.4). After the interventions, peak airway pressure did not significantly differ between the experimental and control groups. Tidal volume was significantly greater after physiotherapy in the experimental group, compared to baseline. However, the control group also showed a small increase and overall the difference in effect between the experimental and control groups was not statistically significant, mean difference 22 mL (95% CI −20 to 65). Similarly, dynamic compliance improved significantly after physiotherapy in the experimental group, but the change was not significantly greater

than in the control group, mean difference 1 cmH2O (95% CI −3 to 4). Heart rate increased significantly in both groups from baseline, but the between-group difference in this change was not statistically significant. The changes in respiratory rate were clinically unimportant, with no statistically significant difference between the groups in the change during the intervention, mean difference 2 breaths per minute (95% CI −4 to 1). GW-572016 in vivo The changes in mean arterial pressure and oxyhaemoglobin saturation were also not statistically significantly different between the experimental Metalloexopeptidase and control groups. Several authors have described the use of hyperinflation to prevent lung collapse, re-expand atelectatic areas, increase oxygenation, improve lung compliance and facilitate the movement of secretions from the small to the larger central airways (Denehy

1999, Savian et al 2006, Singer et al 1994). These effects appear to occur due to an increase in the tidal volume – generated by the hyperinflation that further expands the normal alveoli through the interdependence mechanism, which also re-expands collapsed alveoli (Stiller 2000). Lemes and colleagues (2009) provided data to support this using a randomised crossover trial. A ventilator-induced increase in pressure support improved the volume of secretions aspirated and the static compliance of the respiratory system. Although the difference in the intervention arms in both the Lemes study and the current study was the use of ventilator-induced hyperinflation, the other interventions applied to both groups differed. In the Lemes study, positioning was the only other intervention. In the current study, both groups received positioning and chest wall compression with vibrations.

Targeting two to eighteen year olds, the mean annual numbers of a

Targeting two to eighteen year olds, the mean annual numbers of averted incident infections of influenza A over the 15 years of model simulation were 1.6 million, 4.3 million and 4.9 million at coverage rates of 10%, 50% and 80% respectively. These represent a percentage reduction of 32%, 84% and 96% respectively. The corresponding figures for influenza B were 0.67 million (56%), 0.97 million (81%) and 1.1 million

(90%). Targeting paediatric vaccination at the more restricted age range of pre-school age children (2–4 years of age) at a coverage rate of 80% reduced the mean annual incidence by 1.8 million (36%) and 0.8 million (64%) for influenza A and B respectively. Vaccinating 10% of 2–18 year olds is predicted to prevent, on average, 1 million influenza A and B infections per year in those Raf inhibitor drugs vaccinated, with herd immunity preventing, on average, a further 1.2 million (<2 years: 0.08 million; 19–49 year: 0.8 million; 50–64 years: 0.3 million; 65+ years: 0.07 million) (Fig. 5a). Increasing vaccination coverage in 2–18 year olds to 50% would prevent a mean of 2.3 million influenza A and B infections per annum in this age group and a further 3 million as a result of indirect protection (<2 years: 0.2 million, 19–49 year: 2 million, 50–64 years: 0.7 million, 65+ years: 0.2 million). The model suggests that only

modest Abiraterone research buy additional gains would be made by further increasing vaccine coverage to 80% in 2–18 year olds, preventing an average of approximately 2.4 million influenza A and B infections per annum in this age group, with indirect protection preventing a further 3.5 million infections (<2 years: 0.2 million, 19–49 year: 2.3 million, 50–64 years: 0.8 million, 65+ years: 0.2 million). A high level of vaccination coverage (80%) of pre-school age children aged two to four years is estimated to prevent a similar number

Olopatadine of infections as 10% coverage of 2–18 year olds, with an annual average of 0.2 million infections prevented in the target age group and herd immunity averting a further 2.4 million (<2 years: 106,000; 5–18 years: 1 million; 19–49 year: 840,000; 50–64 years: 310,000; 65+ years: 75,000). The predicted probability of an influenza infection leading to a general practice consultation was approximately 30% in children under five years old. This fell to approximately 10% in five to sixty-four year olds, before rising to approximately 50% in people over sixty-four years of age. The corresponding predicted probabilities for hospitalisations show a similar pattern, with children under the age of five years experiencing a higher annual risk than in individuals who are five to sixty-four years old; 0.7% in children under five years old vs. 0.002% in those five to ten years old, rising to 0.2% in adults who are fifty to sixty-four years old.

S ) (Ogden et al , 2012) Public health authorities are beginning

S.) (Ogden et al., 2012). Public health authorities are beginning to look for cost-effective ways to reduce this epidemic. Increased physical activity is a candidate strategy because of its numerous health benefits, including the potential to attenuate cardiovascular disease and diabetes risk ( Kahn et al., 2002, Norman et al., 2006 and Task Force on Community Preventive Services (USTFCPS), 2001).

Research has shown that there is a positive association between proximity to parks/recreational facilities and increased physical activity levels ( Roemmich et al., 2006 and Sallis et al., 2011). Programming Palbociclib ic50 and group activities, for example, have been found to be related to increased usage of school facilities and improved levels of moderate-to-vigorous physical activity ( Lafleur et al., 2013). Having convenient, reliable access to Y 27632 open space/recreational areas or programing that encourages physical activity, however, can be challenging, especially for under-resourced communities ( Marie, 2007, Powell et al., 2006 and Spengler et al., 2007). Shared-use agreements (SUAs) where school property (i.e., the grounds, facilities, or both) and programming are shared between schools and

community-based entities represent a strategy to address this public health problem. A shared-use agreement outlines an agreement between two or more parties that details and enumerates each party’s responsibilities in the partnership. Shared-use encompasses a diverse array of agreement types, including joint-use agreements (JUA) and Memoranda of Understanding (MOUs). These contractual documents may be legally binding or non-binding; but whether or not they are legally binding does not diminish their potential benefits. A formal agreement adds value to each partnership by laying out the expectations of the entering parties, reducing the odds that the relationship would dissolve prematurely. School grounds offer clean, protected, and often underutilized space that community members can use for physical activity

(Maddock et al., 2008). Communities that seek to promote physical activity and improve access to recreational space can partner with school districts. Non-profit organizations are also important MycoClean Mycoplasma Removal Kit partners as they often receive outside funding to provide programming (Lafleur et al., 2013). SUAs offer the opportunity for both parties to clarify their intent and roles in the partnership, as well as to identify their individual interests. Even when state laws generally provide schools strong protection against liability for injuries to recreational users of school properties (California Tort Claims Act, 2012), the perceived threat of tort liability remains an important deterrent to schools’ decisions to participate (Spengler et al., 2007 and Zimmerman et al., 2013).

At 16 h post-infection, cells were scraped off and collected by c

At 16 h post-infection, cells were scraped off and collected by centrifugation (500 g for 5 min). Cell pellets were washed with PBS twice. Total cellular and viral RNAs were isolated from pellets

using the RNeasy mini kit (QIAGEN) following the manufacture’s protocol. First strand cDNA was synthesized from 1 μg of total RNA with using specific primers. The amplification conditions were as follows: 94 °C for 5 min (1 cycle), 94 °C for 1 min, 55 °C 40 s and 72 °C 1 min 40 s (34 cycles, respectively). NP RNA was chosen for detection and the primer sequences used for the detection of viral RNA were 5′-TGC TGG ATT CTC GTT CGG TC (sense) and 5′-CCT TTA TGA CAA AGA AGA AAT AAG GCG (antisense). The β-actin was used as internal control of cellular RNAs, with check details primer sequences of 5′-TCA CCC GAG TCC ATC ACG AT (sense) and 5′-GAA GTA CCC CAT TGA GCA CGG (antisense). The reverse transcription and PCR products were resolved on 1% agarose gels and stained with ethidium bromide. The neuraminidase (NA) activity of the virus was measured

accordingly Protease Inhibitor Library the virus was serially diluted in a two-fold dilution with PBS and incubated with 4-methyl pyrimido (5, 4-c) quinoline-2,5(1H, 6H)-dione at 37 °C for 18 h. Cell lysates were separated by 12% SDS–PAGE and blotted onto nitrocellulose membranes (Millipore). Blots were incubated overnight at 4 °C in TBS [20 mM Tris/HCl (pH 7·5), 150 mM NaCl] supplemented with 3% BSA (Sigma). For protein expression, MDCK cells were infected in TCID50 concentration for 7 h, 14 h, 21 h and 28 h at a cell density of 2 × 106 cells/mL with influenza A/H1N1 (2009). The blots were incubated with the following antibodies diluted in 0.1% Tween 20 in TBS (TBST) mouse monoclonal anti-NA antibody (1: 1000). TCL The blots were scanned with CCD camera and quantified using a Scion Image Software (version 4.0.3. 2,

Scion Corporation, Frederick, MD, USA). The protein expression rates were correlated through the corresponding expression rates of internal control β-actin. The results were expressed as mean ± S.E.M. for three independent experiments. ANOVA test was used to evaluate the difference between the test sample and untreated control. P < 0.05 was considered statistically significant. The cytotoxicity effect of 4-methyl pyrimido (5, 4-c) quinoline-2,5(1H, 6H)-dione was investigated in MDCK cells by measuring the 24 h, 48 h and 72 h treatments with different concentrations between 10 and 100 μM. MTT was then added to the monolayer of the test compound treated host MDCK cells. After incubation at 37 °C for 4 h, absorbance (620 nm) was measured by ELISA reader. We found that initial remarkable cytotoxicity at 24 h treatment whereas 48 h and 72 h treatment was not obviously cytotoxic to the MDCK cells. It may due to the biocompatibility of synthesized compound. The 50% cytotoxic concentration (CC50) of synthetic compound was probable at 45 ± 0.5 μM.

However, only a few strains of A marginale subspecies centrale a

However, only a few strains of A. marginale subspecies centrale are available for analysis. We suggest that resolution of this question should await genomic data on non-U.S. buy PLX3397 strains of both marginale and centrale, particularly strains from Africa. This would resolve whether there is a continuum of strain diversity among marginale strains eventually reaching that of the single currently sequenced centrale strain, originally isolated by Theiler in South Africa. A recent study [47] comparing membrane proteins from a Brazilian strain of A. marginale with Florida and St. Maries determined amino acid sequence

identities of 92–100% for all OMPs investigated except OMP7, compared to 40–70% identities with the A. marginale subspecies centrale orthologs. This suggests that the diversity observed here among U.S. strains of A. marginale may at least be representative of marginale strains in North and South

America. Finally, the data reveal the candidate vaccine antigens conserved among U.S. strains of A. marginale. The catalog includes conserved members of pfam01617, as well selleck chemicals as components of the bacterial type 4 secretion system and proteins identified by surface cross-linking. Interestingly, it does include three proteins identified previously that contain epitopes shared with A. marginale subspecies centrale, namely OMP11 (AM1255), AM779 and AM854 [16]. However, overall the list is broader than just the antigens conserved between A. marginale sensu stricto and subspecies centrale. It also eliminates less conserved proteins and housekeeping genes which share epitopes between centrale and marginale. Additionally, although conserved, OMP6 and OPAG1 can probably be eliminated from consideration as vaccine candidates as no expressed peptides were detected from the encoding genes in any life cycle stages in prior studies [33] and [34]. This revised catalog of 19 antigens (see Table 4) would be readily approachable for synthesis by recombinant expression technology and inclusion in a multi-component Phosphoprotein phosphatase vaccine for testing. The present genomic data and previous experimental data suggest that

such a vaccine may be efficacious against U.S. strains of A. marginale. These data also illustrate the utility of next-generation sequencing techniques for identification of antigens and epitopes conserved between multiple strains. While rapid sequencing has been used extensively, this study shows its utility in examination of repetitive genes. While these techniques cannot yet assemble a genome through extensive repetitive regions, they can show regions where there is genetic similarity or where homologous regions are missing in newly sequenced strains. We thank Drs. Guy Palmer and Katherine Kocan for making available strains of A. marginale and Dr. Savita Shanker for supervision of library construction and pyrosequencing.

In this context, non-clinical seizure liability studies may reduc

In this context, non-clinical seizure liability studies may reduce overall drug development costs and ensure that drugs are advanced in the clinic at doses demonstrated to be safe in relevant models. From a clinical perspective, confirmation that drug-induced seizures are self-limiting

and that conventional anti-convulsive drugs (e.g. diazepam, phenytoin or propofol) can SRT1720 chemical structure successfully treat drug-induced seizure can be of importance. Low safety margins between the anticipated efficacious plasma concentration and plasma levels that have induced seizure in some animals further increase the relevance of emergency seizure treatment confirmation. Interpretation of video-EEG data will typically be

undertaken using automated detection of seizure activity (Authier et al., 2009 and White et al., 2006) combined with manual and qualitative review of EEG by an expert. When using automated tools, a preference is given for high sensitivity over specificity to minimize the incidence of false negative events. False positive activity can be classified during manual qualitative review of EEG. Interrater agreement is recognized to be high for cases with frank seizures as observed with epilepsy (Benbadis et al., 2009). Several features of EEG traces facilitate identification of generalized seizure events including postictal depression characterized by an increase find protocol in slow low voltage activities (Kaufman, 2006). It remains that inter-observer discrepancies

in EEG interpretation are reported (Walczak, Radtke, & Lewis, 1992) especially for more subtle changes suggestive of altered seizure threshold. This highlights the importance of using baseline/pre-drug and time-matched EEG data as a reference for each individual during interpretation of post-dosing EEG traces. Abnormal EEG traces are often associated with behavioral manifestations. Consequently, qualitative EEG review at times when selected behavioral changes (e.g. tremors, myoclonus, ataxia, asymmetric posture, facial twitches, stupor, etc.) were noted is common as part of data interpretation. In some cases, telemetry implantation for EEG monitoring may interfere Thymidine kinase with the primary scientific endpoints as would be the case in general toxicology studies where histopathology is performed on an exhaustive list of organs. Surgical implantation of a telemetry transmitter may induce histopathological changes and is typically avoided in general toxicology. Surface EEG monitoring at selected timepoints for 10–30 min at each occasion based on available pharmacology data represents an alternative strategy to investigate seizure liabilities in toxicology studies. When using surface EEG electrodes, the addition of EEG monitoring immediately upon identification of selected abnormal clinical signs may increase sensitivity of the safety assessments.

AMA1 also contains a transmembrane domain, which spans the plasma

AMA1 also contains a transmembrane domain, which spans the plasma membrane and anchors the protein to the cell surface. Two glycosylation mutants (GM) of AMA1 were constructed by mutation of putative N-glycosylation sites (Fig. 1a). Alignment of all known P. falciparum AMA1 genes revealed that most of the glycosylation sites were conserved. For AMA-GM1, the glycosylation sites that were not conserved between isolates were modified to be similar to the rare non-glycosylated isolates and glycosylation sites that were conserved were modified such that the asparagine (N) residue

was replaced with a glutamine (Q). In AMA1-GM2, all of the potential glycosylation sites were removed by substitutions with amino acids present in other selleck chemicals llc AMA1 alleles among different species of Plasmodium [34] and [39]. Both GM forms retained the native signal sequence. In the intracellular form of AMA1, AMA1-IC, the signal sequence was deleted to retain the protein within the cytoplasm after translation in transduced cells. All forms of AMA1 were engineered for expression from E1/E3/E4-deleted Ad5 vectors with expression cassettes driven by the murine cytomegalovirus (mCMV) immediate early gene promoter inserted at the site of the E4 deletion ( Fig. 1b). The glycosylation status of the four AMA1 variants was monitored by gel migration following digestion with

enzymes that cleave the carbohydrate moieties of glycosylated proteins. We observed a shift in mobility of

the native, but not the modified (GM1, GM2, and IC) AMA1 antigens following treatment of infected only cell lysates with selleck compound PNGase F (Fig. 1c). These results indicate that the native AMA1 antigen is N-glycosylated when expressed in mammalian cells following adenovector delivery and that the mutants with altered glycosylation sites or a deleted signal sequence are not N-glycosylated. To determine the cellular localization of the various adenovectors expressing AMA1, we transduced A549 cells with the adenovectors and then assayed for cell location by immunofluorescence in the presence or in the absence of saponin, using the conformational specific anti-AMA1 monoclonal antibody 4G2. Comparison of the staining pattern in the presence or in the absence of saponin showed that the native as well as the GM1 and GM2 versions of AMA1 are located at the cell surface and that most AMA1-IC is located intracellularly (Fig. 2). To evaluate the immunogenicity of adenovectors expressing the different forms of AMA1, mice were immunized with one or two doses of vector. AMA1-specific T cell responses were evaluated by interferon-γ ELIspot with freshly isolated splenocytes as effectors and transfected A20 target cells as target APCs. Following a single dose of adenovector, all cell surface associated forms of AMA1 induced better T cell responses compared to the intracellular form; there was little difference between the glycosylated or non-glycosylated forms (Fig. 3a).

The PRNT method used was a serum dilution, constant virus PRNT50

The PRNT method used was a serum dilution, constant virus PRNT50 performed in LLC-MK2 cells, as described by Russell et al. [11]. Paired serum samples from all

subjects were tested for antibodies against wild-type Beijing-1 strain. JE viruses belong to JE virus genotype III, the same genotype as LJEV. The end point for neutralization was the highest dilution of serum reducing plaques by 50%, compared with a negative serum control, determined by probit analysis. Seroprotection after LJEV was defined as at least 1:10 dilution as recommended by the World Health Organization (WHO) [12]. GMCs for measles and GMTs for JE were determined by ELISA and PRNT, respectively. Four weeks after measles vaccination, measles seroprotection rates http://www.selleckchem.com/products/ly2835219.html were 88.6% (Group 1), 91.8% (Group 2), and 86.5% (Group 3) (Table 2). As per the pre-specified primary objective, AZD8055 chemical structure Group 2 (concomitant MV and LJEV) measles seroprotection rates were

noninferior to Group 3 (MV alone) seroprotection rates with the lower bound of the 95% CI of the difference ≥−10% [difference (95% CI) = 5.3% (−0.9%; 11.5%)]. The GMCs for measles antibodies in Groups 1, 2, and 3 were 319, 302, and 263 mIU/mL, respectively (Table 2). JE seroprotection rates at 4 weeks postvaccination were 92.1% (Group 1), 90.5% (Group 2), and 90.6% (Group 3). Group 2 (concomitant MV and LJEV) was noninferior to Group 1 (LJEV alone) in terms of JE seroprotection rates [difference (95% CI) = −1.5% (−8.3%; 5.3%)] with the lower interval of the 95% CI ≥−10%. The GMTs for JE antibodies in Groups 1, 2, and 3 were 203, 155, and 139, respectively (Table 2). “
“The authors regret the

following errors in Sections 2.7, Isotretinoin 3.5 and 3.6 of their article Karanam et al., Vaccine 27 (2009) 1040–1049, and apologize for any confusion: at study entry, the three macaques numbered 746, 831 and 811 were aged 20.9, 10.5 and 14.4 years, respectively, and weighed 20.8 lbs, 19.2 lbs and 22.8 lbs, respectively. Each animal was vaccinated i.m. the deltoid on days 0, 26, 60 and the final bleed was day 89. The corrected values are underlined. “
“During the past decade an unprecedented number of important new vaccines were approved for use in economically advantaged countries but subsequent population access was seldom speedily achieved. The process by which new vaccines gain approval and ultimately reach consumers is increasingly complex as vaccine technology advances and costs increase. The approval process begins with in-depth review of vaccine properties and performance by the national biologics regulator, the successful conclusion of which is marketing authorization (or licensure in some countries). In theory, vaccine consumption can begin at this point. However, vaccines are best provided to populations through funded public programs, consideration of which requires additional review, usually by the national immunization technical advisory group (NITAG) [1].

Ranking of the importance of input variables (clinical parameters

Ranking of the importance of input variables (clinical parameters and SNPs) was achieved by ranking their influence on neural network error score.

If the presence of a particular SNP or clinical variable (among the neural network’s input variables) reduced the error score, that SNP or variable can be considered to make a positive contribution to the performance of the network (ie, it is of useful predictive value). The BMES cohort consisted of 1986 individuals with follow-up phenotype data at either the 5-year, 10-year, or both visits with genotypes available (Table 2). Of the 1986 participants, Luminespib clinical trial there were 67 incident OAG cases over the full 10-year follow-up period. At baseline, the incident OAG cases were significantly older than controls click here (P < .001) and had a higher proportion of female subjects (P = .009). IOP and VCDR at the baseline visit were also significantly different between those who later developed OAG and those who did not ( Table 2), as was systolic blood pressure. These features of this cohort have been previously reported. 11 Association analysis indicates that incident OAG was associated with SNPs at 3 of the 5 loci tested (Table 3). Significant association under an allelic test was seen at rs1412892 (P = .006) at the 9p21 locus

as well as rs10483727 (P = .004) at the SIX1/SIX6 locus. Additional SNPs at 9p21 and also at TMCO1 were nominally significant but did not survive after correction for multiple comparisons. The SNPs at the 8q22 and CAV1/CAV2 loci did not Phosphoprotein phosphatase show association with incident glaucoma. Adjustment for covariates under an additive genetic model showed association at the same SNPs, although only SIX1/SIX6 remained significant after correction for testing 7 SNPs (P ≤ .007) ( Table 3). When all covariates and

the 3 associated loci (TMCO1, 9p21, and SIX1/SIX6) were included in a single regression model, all variables except blood pressure contributed significantly to the model ( Table 4). The population of neural networks was used to compare the rank importance of variables in the predictive model both with and without age matching between controls and incident cases (Table 5). As expected, when not age matched, vertical cup-to-disc ratio, age, and intraocular pressure rank the highest for predicting incident OAG. The top-ranked SNP in this analysis is at the SIX1/SIX6 locus, which also showed the strongest genetic association. When cases and controls were closely age matched the rank order of variables changed, likely indicating an interaction between age and the other variable, although vertical cup-to-disc ratio and intraocular pressure are still the most predictive variables. In this situation the SNP at the TMCO1 locus was most predictive. Of note, in both analyses, all SNPs significantly associated with incident OAG under the traditional statistics contribute positively to the neural network and improve its ability to predict incident OAG.