On October 26, 2002, Russian Special Forces deployed a chemical aerosol against Chechen terrorists to rescue hostages in the Dubrovka theatre. Its use confirmed Russian military interest in chemicals with effects on personnel and caused 125 deaths through a combination of the aerosol and inadequate medical care. This study provides evidence from liquid chromatography–tandem mass spectrometry analysis of extracts of clothing from two British survivors, and urine from a third survivor, that the aerosol comprised a mixture of two anaesthetics—carfentanil and remifentanil—whose relative proportions this study was unable to identify. Carfentanil and remifentanil were found on a shirt sample and a metabolite called norcarfentanil was found in a urine sample. This metabolite probably originated from carfentanil.
Genome-wide association studies have been tremendously successful in identifying genetic variants associated with complex diseases. The majority of association signals are intergenic and evidence is accumulating that a high proportion of signals lie in enhancer regions. We use Capture Hi-C to investigate, for the first time, the interactions between associated variants for four autoimmune diseases and their functional targets in B- and T-cell lines. Here we report numerous looping interactions and provide evidence that only a minority of interactions are common to both B- and T-cell lines, suggesting interactions may be highly cell-type specific; some disease-associated SNPs do not interact with the nearest gene but with more compelling candidate genes (for example, FOXO1, AZI2) often situated several megabases away; and finally, regions associated with different autoimmune diseases interact with each other and the same promoter suggesting common autoimmune gene targets (for example, PTPRC, DEXI and ZFP36L1). ; We thank Frank Dudbridge for providing the R scripts to analyse the interaction data. We would like to acknowledge the Faculty of Life Sciences Genomics Facility, the assistance given by IT Services and the use of the Computational Shared Facility at The University of Manchester. This work was funded by Arthritis Research UK (grant numbers 20385, 20571 (K.D.)); Wellcome Trust Research Career Development Fellowship (G.O., AM 095684); Wellcome Trust (097820/Z/11/B); S.E. is supported through the European Union's FP7 Health Programme, under the grant agreement FP7-HEALTH-F2-2012-305549 (Euro-TEAM). A.Y. is supported by the Innovative Medicines Initiative (BeTheCure project 115142); C.W. by the Wellcome Trust (089989); C.W. and N.C. by the Wellcome Trust (091157), JDRF (9-2011-253) and the National Institute for Health Research (NIHR) Cambridge Biomedical Research Centre. The Cambridge Institute for Medical Research (CIMR) is in receipt of a Wellcome Trust Strategic Award (100140). The research leading to ...