Repeated loss of the ability of a wild pepper disease resistance gene to function at high temperatures suggests that thermoresistance is a costly trait.

Specificity in plant-pathogen gene-for-gene (GFG) interactions is determined by the recognition of pathogen proteins by the products of plant resistance (R) genes. The evolutionary dynamics of R genes in plant-virus systems is poorly understood. We analyse the evolution of the L resistance locus to tobamoviruses in the wild pepper Capsicum annuum var. glabriusculum (chiltepin), a crop relative undergoing incipient domestication. The frequency, and the genetic and phenotypic diversity, of the L locus was analysed in 41 chiltepin populations under different levels of human management over its distribution range in Mexico. The frequency of resistance was lower in Cultivated than in Wild populations. L-locus genetic diversity showed a strong spatial structure with no isolation-by-distance pattern, suggesting environment-specific selection, possibly associated with infection by the highly virulent tobamoviruses found in the surveyed regions. L alleles differed in recognition specificity and in the expression of resistance at different temperatures, broad-spectrum recognition of P0 + P1 pathotypes and expression above 32°C being ancestral traits that were repeatedly lost along L-locus evolution. Overall, loss of resistance co-occurs with incipient domestication and broad-spectrum resistance expressed at high temperatures has apparent fitness costs. These findings contribute to understand the role of fitness trade-offs in plant-virus coevolution.

Long-Acting Cabotegravir and Rilpivirine after Oral Induction for HIV-1 Infection.

BACKGROUND: Long-acting injectable regimens may simplify therapy for patients with human immunodeficiency virus type 1 (HIV-1) infection. METHODS: We conducted a phase 3, randomized, open-label trial in which adults with HIV-1 infection who had not previously received antiretroviral therapy were given 20 weeks of daily oral induction therapy with dolutegravir-abacavir-lamivudine. Participants who had an HIV-1 RNA level of less than 50 copies per milliliter after 16 weeks were randomly assigned (1:1) to continue the current oral therapy or switch to oral cabotegravir plus rilpivirine for 1 month followed by monthly injections of long-acting cabotegravir plus rilpivirine. The primary end point was the percentage of participants who had an HIV-1 RNA level of 50 copies per milliliter or higher at week 48 (Food and Drug Administration snapshot algorithm). RESULTS: At week 48, an HIV-1 RNA level of 50 copies per milliliter or higher was found in 6 of 283 participants (2.1%) who received long-acting therapy and in 7 of 283 (2.5%) who received oral therapy (adjusted difference, -0.4 percentage points; 95% confidence interval [CI], -2.8 to 2.1), a result that met the criterion for noninferiority for the primary end point (margin, 6 percentage points). An HIV-1 RNA level of less than 50 copies per milliliter at week 48 was found in 93.6% who received long-acting therapy and in 93.3% who received oral therapy (adjusted difference, 0.4 percentage points; 95% CI, -3.7 to 4.5), a result that met the criterion for noninferiority for this end point (margin, -10 percentage points). Of the participants who received long-acting therapy, 86% reported injection-site reactions (median duration, 3 days; mild or moderate severity, 99% of cases); 4 participants withdrew from the trial for injection-related reasons. Grade 3 or higher adverse events and events that met liver-related stopping criteria occurred in 11% and 2%, respectively, who received long-acting therapy and in 4% and 1% who received oral therapy. Treatment satisfaction increased after participants switched to long-acting therapy; 91% preferred long-acting therapy at week 48. CONCLUSIONS: Therapy with long-acting cabotegravir plus rilpivirine was noninferior to oral therapy with dolutegravir-abacavir-lamivudine with regard to maintaining HIV-1 suppression. Injection-site reactions were common. (Funded by ViiV Healthcare and Janssen; FLAIR ClinicalTrials.gov number, NCT02938520.).

Contents and quality of travel tips on malaria in English and Spanish travel blogs.

BACKGROUND: Europe has about 10,000 imported cases of malaria each year, or around 80 cases per 100,000 trips to endemic areas. Non-use of chemoprophylaxis in travellers remains the main reason for this. The proliferation of online travel blogs as a source of advice (sometimes the only one used) for preparing a trip to an endemic area may play a role in the decision to use chemoprophylaxis. The aim of this study was to analyse the information offered on malaria in the main travel blogs in English and Spanish. METHODS: Five hundred travel blogs in English and 100 in Spanish, considered highly relevant were analysed. The relevance were according to different metrics: (1) Alexa Rank; (2) social networks (RRSS) measuring the total followers of Facebook, Twitter, Instagram and YouTube; (3) number of monthly visits using the SEMrush tool; (4) domain authority; and (5) number of backlinks or incoming links using the SEMrush tool. RESULTS: Of the included travel blogs, 57% of those in English and 64% of those in Spanish offered information on malaria, and 79 and 75%, respectively, featured a discussion on malaria written as a blog post or in forum comments. Information on chemoprophylaxis was available in 56.1% of English-language blogs and 10.7% of Spanish-speaking blogs, while its side effects were discussed in 38.6 and 68.8%, respectively (p < 0.001). Content analysis revealed that the information was usually insufficient, incomplete or, more seriously, inaccurate. In many cases, this could discourage users from taking appropriate preventive measures. CONCLUSIONS: Travel blogs in English and Spanish provide low-quality information on malaria. The so-called "travel influencers" must communicate reliable, verified and quality information on malaria on their channels in a way that could contribute to reducing the burden of the disease in travellers.

Prevalence of strongyloidiasis in Peru: systematic review and meta-analysis.

BACKGROUND: Strongyloidiasis is a disease of great public health significance, caused by the parasitic nematodes Strongyloides stercoralis, Strongyloides fuelleborni, and Strongyloides fuelleborni subsp. kellyi. This systematic review and meta-analysis aimed to assess the prevalence of Strongyloides stercoralis infection in Peru. METHODS: The review was based on a literature search in PubMed, SciELO and Google Scholar using the key words or root words "strongyl*" AND "Peru" on 15 July 2020. Eligible studies were published from 1 January 1981 to 15 July 2020 and written in English, Spanish, Italian, or French. RESULTS: We included 21 papers in the analysis. Studies were heterogeneous in terms of study population and diagnostic methods (e.g. Baermann technique, agar, Dancescu or charcoal cultures, serology, string capsule). Prevalence of S. stercoralis ranged from 0.3 to 45%. The pooled proportion of Strongyloides in the general population was 7.34% (95% CI 4.97 to 10.13%). Half the studies were designed to detect parasites in general. In studies designed to detect S. stercoralis, the most widely used diagnostic method was the Baermann technique. CONCLUSION: Prevalence of S. stercoralis in Peru was high but varied by geographic area, techniques for stool examination, and participant characteristics.

The Role of Central Serotonin Neurons and 5-HT Heteroreceptor Complexes in the Pathophysiology of Depression: A Historical Perspective and Future Prospects.

Serotonin communication operates mainly in the extracellular space and cerebrospinal fluid (CSF), using volume transmission with serotonin moving from source to target cells (neurons and astroglia) via energy gradients, leading to the diffusion and convection (flow) of serotonin. One emerging concept in depression is that disturbances in the integrative allosteric receptor-receptor interactions in highly vulnerable 5-HT1A heteroreceptor complexes can contribute to causing major depression and become novel targets for the treatment of major depression (MD) and anxiety. For instance, a disruption and/or dysfunction in the 5-HT1A-FGFR1 heteroreceptor complexes in the raphe-hippocampal serotonin neuron systems can contribute to the development of MD. It leads inter alia to reduced neuroplasticity and potential atrophy in the raphe-cortical and raphe-striatal 5-HT pathways and in all its forebrain networks. Reduced 5-HT1A auto-receptor function, increased plasticity and trophic activity in the midbrain raphe 5-HT neurons can develop via agonist activation of allosteric receptor-receptor interactions in the 5-HT1A-FGFR1 heterocomplex. Additionally, the inhibitory allosteric receptor-receptor interactions in the 5-HT1AR-5-HT2AR isoreceptor complex therefore likely have a significant role in modulating mood, involving a reduction of postjunctional 5-HT1AR protomer signaling in the forebrain upon activation of the 5-HT2AR protomer. In addition, oxytocin receptors (OXTRs) play a significant and impressive role in modulating social and cognitive related behaviors like bonding and attachment, reward and motivation. Pathological blunting of the OXTR protomers in 5-HT2AR and especially in 5-HT2CR heteroreceptor complexes can contribute to the development of depression and other types of psychiatric diseases involving disturbances in social behaviors. The 5-HTR heterocomplexes are novel targets for the treatment of MD.

Metals and Metalloids in Feathers of Neotropic Cormorants (Phalacrocorax brasilianus) Nesting in Lake Livingston and Richland Creek, Texas, USA.

Breast feathers of Neotropic Cormorants (Phalacrocorax brasilianus) from two nesting colonies in Lake Livingston (LALIV) and Richland Creek, Texas, were collected during 2014 and were analyzed for metals and metalloids. Mean concentrations of Al, As, Cr, Cu, Fe, Pb, Sb, and Se were not significantly different in breast feathers of cormorants from the two locations or between sexes. However, mean concentrations of Co, Mn, Ni, and V were significantly greater in feathers of cormorants from Richland Creek than in those from LALIV; and Zn concentrations were greater in cormorants from LALIV than in those from Richland Creek (p < 0.05). Overall, except for a few outliers for Pb, concentrations of heavy metals and metalloids in feathers were similar or lower than those reported in other species of cormorants from all over the world and were below levels of concern for lethal or sublethal effects on the species.

Persistent Organic Pollutants in Livers and Hg in Feathers of Neotropic Cormorants (Phalacrocorax brasilianus) from the Trinity River Watershed (Texas, USA).

The Trinity River (Texas, USA) has been historically known as a polluted river because of its proximity to the Dallas-Fort Worth area and because of known discharges of sewage and agricultural irrigation waters to the river. Surprisingly, there are no studies regarding the presence of legacy contaminants in the river and their impacts to wildlife. The objectives of this study were to determine accumulation and potential impacts of persistent organic pollutants, such as organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs), on Neotropic cormorants (Phalacrocorax brasilianus) nesting along the Trinity River. Adult and first-year cormorants were collected from two sites on the Trinity River Watershed during 2014 and 2015. Tissue sections from liver, spleen, kidneys, and gonads were used for histopathology analysis, and a portion of the liver was analyzed for OCPs, PCBs, and PBDEs. Breast feathers were analyzed for Hg. Surprisingly, all the contaminants were present at low concentrations, p,p'-DDE (2-724 ng/g ww), PCBs (28-851 ng/g ww), PBDEs (1-85 ng/g ww), Hg (1.9-3.4 µg/g dw), and below those that could be associated with adverse effects. Also, histological analysis of liver and kidney samples did not reveal morphologic changes consistent with acute or chronic toxicosis. The majority of the histologic changes were inflammatory and were related to parasitic infestation. Our results suggest that aquatic birds using the Trinity River watershed are not at risk for adverse effects due to the contaminants studied. These results should be useful to wildlife managers regarding concerns over contaminant impacts on wildlife of the Trinity River.

Using Feathers to Evaluate Adverse Effects of Metals on Northern Bobwhites (Colinus virginianus) in Texas.

Northern bobwhites (Colinus virginianus) have been declining across the range of the species primarily due to habitat loss and habitat fragmentation. There is increasing concern regarding effects related to elevated environmental contaminants, including pesticides and metals. Elevated concentrations of some metals are known to have adverse effects on reproduction, development, and survival in birds; however, little research has been conducted on metal exposure in wild bobwhites. We analyzed metal concentrations in the feathers of 60 bobwhites from 3 ecoregions in Texas and evaluated differences between age-class, gender, and location with the objective of determining if bobwhites in Texas are at increased risk of exposure to elevated metal concentrations. We found feather Pb concentrations above the established effect threshold of 4.0 µg/g dry weight at which sublethal and reproductive effects have been reported in birds. More than 25% (n = 16) of the samples analyzed had Pb concentrations above the effect threshold, including four that were five times above the threshold. We also observed slightly elevated feather Cd concentrations, above 0.1 µg/g dry weight, in 17% (n = 11) of the bobwhites analyzed. On average, juvenile bobwhites had higher concentrations of Ba, Co, Fe, Mn, Sr, and V compared to adults (p < 0.05). Additionally, concentrations of Al, Be, Co, Fe, Hg, Ni, Se, Sr, and Tl differed significantly between sampling locations, indicating a potential relationship between metal levels and local agricultural practices. The results of our study indicate a potential risk of sublethal effects of Pb and to a lesser extent Cd in bobwhites in Texas.

Signaling in dopamine D2 receptor-oxytocin receptor heterocomplexes and its relevance for the anxiolytic effects of dopamine and oxytocin interactions in the amygdala of the rat.

Dopamine D2 receptor (D2R)-oxytocin receptor (OTR) interactions exist within heterocomplexes with facilitatory effects on D2R recognition and Gi/o coupling. In this work the hypothesis is tested using cotransfected HEK293 cells whether allosteric reciprocal D2R-OTR interactions can enhance signaling of D2R-OTR heterocomplexes along the CREB, MAPK and PLC pathways and whether the anxiolytic effects of OT may involve facilitatory D2R-OTR interactions within the central amygdaloid nucleus (CeA). Oxytocin enhanced the D2-like agonist quinpirole induced inhibition of the AC-PKA-pCREB signaling cascade and increased its signaling over the RAS-MAPK-pELK pathway. Quinpirole enhanced the oxytocin induced increases in the activity of the PLCbeta-IP3-calcineurin and RAS-MAPK-pELK cascades. Bilateral infusion of oxytocin (0.9-150ng/side) into the CeA of the rat elicited anxiolytic effects in the Shock-Probe Burying test, an unconditioned model of fear/anxiety. This action was not observed when oxytocin (25ng/side) was simultaneously co-infused with raclopride (neither 250 nor 500ng/side), a D2/D3 antagonist, into the CeA. Based on the current findings, the blockade of the anxiolytic effects of oxytocin by the simultaneous intra-CeA administration of raclopride can be explained by a lack of facilitatory protomer interactions in D2R-OTR heterocomplexes. Dysfunction and/or disruption of such interactions in the central amygdala may lead to anxiety development. Restoration of such interactions may represent a new strategy for development of novel anxiolytic drugs.

Seasonal Differences in Contaminant Accumulation in Neotropical Migrant and Resident Songbirds.

For many years, it has been hypothesized that Neotropical migrants breeding in the United States and Canada accumulate organochlorine pesticides (OCPs) while on their wintering grounds in Latin America. We investigated the seasonal accumulation of persistent organic pollutant (POPs) in migrant and resident passerines in Texas, Yucatán, and Costa Rica collected during the fall, winter, and spring from 2011 to 2013. A total of 153 birds were collected, and all contained detectable levels of polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), and OCPs with dichlorodiphenyldichloroethylene (DDE) being the most predominant pesticide. OCPs and PCBs were the predominant contaminants, accounting for ≥80 % of the total POPs burden, whereas PBDEs accounted for ≤16 %. Only spring migrants from Texas had significantly greater DDE concentrations (64.6 ng/g dry weight [dw]) than migrants collected in Costa Rica (23.2 ng/g dw). Resident birds in Texas had significantly greater levels of DDE (121 ng/g dw) and ΣPBDEs (34.8 ng/g dw) compared with residents in Yucatán and Costa Rica. For ΣPCBs, resident birds from Costa Rica had significantly lower concentrations (9.60 ng/g dw) compared with their migrant counterparts (43.7 ng/g dw) and residents from Texas (48.3 ng/g dw) and the Yucatán (32.1 ng/g dw). Migrant and resident passerines had similar congener profiles for PCBs and PBDEs suggesting similar exposure and retention of these contaminants. No significant accumulation of DDE was observed in migrants while on their wintering grounds. Relatively high concentrations of PBDEs in resident birds from Costa Rica warrant future studies of PBDE contamination in Latin America.

Impacts of Heronries on Water Quality as Evaluated through Escherichia coli and Fecal Sterol Analyses.

The authors used fecal sterol analysis to determine the potential contribution of E. coli from heronries to waterbodies in east-central Texas. They analyzed E. coli and fecal sterol concentrations in samples from four heronries during the breeding seasons in 2011-2013. The highest E. coli concentrations were in water samples from the two largest heronries established directly over water. The main sterols in fecal samples were cholesterol and stigmasterol, and in water, cholesterol, coprostanol, and cholestanol. Total sterols ranged 979 to 5838 ng/g dry weight in fecal samples, and 13 to 600 ng/L in water samples. There was a positive correlation between E. coli and the sum of bird sterols in water exposed directly to fecal deposition, but not in water surrounding the heronries. The authors found a strong association between E. coli and stigmasterol, suggesting that the presence of stigmasterol in water could be used for predicting E. coli sources from heronries nesting close to waterbodies.

Environment and host genotype determine the outcome of a plant-virus interaction: from antagonism to mutualism.

It has been hypothesized that plant-virus interactions vary between antagonism and conditional mutualism according to environmental conditions. This hypothesis is based on scant experimental evidence, and to test it we examined the effect of abiotic factors on the Arabidopsis thaliana-Cucumber mosaic virus (CMV) interaction. Four Arabidopsis genotypes clustering into two allometric groups were grown under six environments defined by three temperature and two light-intensity conditions. Plants were either CMV-infected or mock-inoculated, and the effects of environment and infection on temporal and resource allocation life-history traits were quantified. Life-history traits significantly differed between allometric groups over all environments, with group 1 plants tolerating abiotic stress better than those of group 2. The effect of CMV infection on host fitness (virulence) differed between genotypes, being lower in group 1 genotypes. Tolerance to abiotic stress and to infection was similarly achieved through life-history trait responses, which resulted in resource reallocation from growth to reproduction. Effects of infection varied according to plant genotype and environment from detrimental to beneficial for host fitness. These results are highly relevant and demonstrate that plant viruses can be pleiotropic parasites along the antagonism-mutualism continuum, which should be considered in analyses of the evolution of plant-virus interactions.

An Evaluation of the Contribution of Macro- and Microelements from Colonial Nesting Waterbirds to Surface Water.

Macro- and microelements contained in the feces of cattle egrets () and other colonial birds in heronries can be sources of contamination of nearby waterways. Concentrations of the macroelements potassium (K), calcium (Ca), magnesium (Mg), sodium (Na), sulfur (S) and the microelements zinc (Zn), copper (Cu), iron (Fe), manganese (Mn), and boron (B) were measured in water and fecal samples collected from four locations containing heronries during the breeding seasons of 2011, 2012, and 2013. Nitrogen and phosphorus were measured but not reported in this study. Concentrations of K in feces ranged from 8.19 × 10 ± 4.38 × 10 to 4.88 × 10 ± 7.57 × 10 mg kg, and concentrations in water ranged from 3.92 ± 0.05 to 17.93 ± 0.37 mg L. Similarly, concentrations of Ca in feces ranged from 4.17 × 10 ± 1.84 × 10 to 1.16 × 10 ± 4.14 × 10 mg L, and concentrations in water ranged from 25.28 ± 0.89 to 67.88 ± 2.02 mg L. When birds nested directly over water, concentrations of K, Ca, and Mg in water were significantly higher ( < 0.05) than concentrations in water adjacent to birds nesting on islands. The results from this study show that macroelements from avian feces have the potential to enrich surface water and to negatively affect surface water quality. These results provide information regarding the contribution of nutrients from heronries (comprised primarily by cattle egrets) to watersheds.

[Geohelminths]. / Geohelmintos.

Millions of people in in rural areas and deprived tropical and subtropical regions are infected by soil-transmitted helminths: Ascaris lumbricoides, Trichuris trichiura, hookworms (Ancylostoma duodenale and Necator americanus), and Strongyloides stercoralis. Large migratory flows have made their worldwide distribution easier. Besides being debilitating and producing a significant mortality, they cause high morbidity, leading to physical and intellectual impairment in millions of children who live in poverty. Along with the use of benzimidazoles (albendazole and mebendazole), large-scale international campaigns for treatment and prevention have decreased the number of affected individuals. However, re-infestations and benzimidazole-resistance are frequent, so there needs to be awareness about the importance and consequences of these neglected parasites.

IBD or strongyloidiasis?

INTRODUCTION: Strongyloides has been shown to infrequently mimic inflammatory bowel disease (IBD) or to disseminate when a patient with IBD and unrecognized strongyloides is treated with immunosupression. CASE REPORT: A man from Ecuador, living in Spain for years, with a history of type 2 diabetes mellitus and psoriasis treated with topical corticosteroids, was admitted to the hospital with an 8-month history of diarrhoea. Blood tests showed hyperglycemia, hyponatremia, elevated CRP and faecal calprotectin. Colonoscopy suggested IBD. The patient improved with steroids, pending biopsy results, and he was discharged. Biopies were compatible with IBD, but careful examination revealed strongyloides. He was given a prescription of albendazole. He had to be readmitted due to SIADH, which resolved with fluid restriction. Upon discharge albendazole was prescribed again. The patient skipped most of the out-patient-clinic visits. He returned a year later on 10 mg/week methotrexate, asymptomatic, with 20% eosinophilia, and admitting he had never taken the strongyloides treatment for economical reasons. He then received a week of oral albendazol at the hospital. Biopsies and blood cell count were afterwards normal (eosinophils 3.1%) and serology for strongyloides antibodies was negative. DISCUSSION: This case is of interest for four rarely concurring reasons. It´s a worm infection that mimics IBD; the infection was diagnosed by colon biopsy; the infection caused a SIADH; and, most interestingly, even though the patient is on immunosupression, he remains asymptomatic.

Tracking Metal Pollution in Lake Chapala: Concentrations in Water, Sediments, and Fish.

We measured concentrations of selected metals (Al, Ba, Cu, Mn, Hg, Sr, V, and Zn) in water, sediments, and fish from Lake Chapala and a reference site to evaluate potential negative effects on wildlife, particularly fish-eating birds. Fish metal concentrations ranged from 0.05 µg/g wet weight (ww) for Al and Cu to 64.70 µg/g ww for Sr. There was a positive and significant correlation between fish length and metals particularly for Ba, Cu, Mn, and Zn in Lake Chapala (p < 0.05). However, there were no significant correlations between metal concentrations and δ(15)N values in fish indicating no biomagnification through the food web. Overall, metal concentrations in water, sediments, and fish were similar to and in some cases below those reported for Lake Chapala over the last 20 years. Also, metal concentrations were below those that could be of concern for negative effects on fish and wildlife of Lake Chapala.

Glycolytic activity with 18F-FDG PET/CT predicts final neoadjuvant chemotherapy response in breast cancer.

The purpose of the present study is to explore the relation between glycolytic metabolism assessed by (18)F-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography ((18)F-FDG PET/CT) and final neoadjuvant chemotherapy (NC) response in locally advanced breast tumors. Of women with breast cancer, 126 were prospectively evaluated. All patients underwent (18)F-FDG PET/CT previous to NC. Standard uptake value (SUV) max was calculated in the primary tumor. After NC, residual primary tumor specimen was histopathologically classified according to Miller and Payne tumor regression grades (TRG), from G1 to G5 and in response groups as good responders (G4 or G5), partial responders (G2 or G3), and non-responders (G1). Furthermore, residual lesions were classified following a binary assessment as responders (G4 or G5) and non-responders (the rest of cases). The relationship between SUV max with TRG and response groups was evaluated. Of tumors, 127 were assessed (a patient had bilateral breast lesions). TRG were as follows: G1 (27), G2 (27), G3 (32), G4 (11), and G5 (30). Forty-one were classified as good responders, 59 as partial responders, and 27 as non-responders. For the binary assessment, 41 lesions were classified as responders and 86 as non-responders. We found statistical differences (p=0.02) between the mean SUV max and TRG with greater SUV values for G5 compared to the other TRG. Good responders showed greater mean SUV max ± SD compared to partial responders and non-responders (10.51 ± 6.64 for good responders, 6.94 ± 5.81 for partial responders, and 5.23 ± 2.76 for non-responders; p=0.001). Baseline tumor metabolism assessing by FDG PET/CT was associated with the final histopathologic status after neoadjuvant chemotherapy, with greater SUV max values for good responders compared to the less responder cancers.

Early and delayed prediction of axillary lymph node neoadjuvant response by (18)F-FDG PET/CT in patients with locally advanced breast cancer.

PURPOSE: To determine the utility of (18)F-FDG (FDG) PET/CT performed in an early and delayed phase during neoadjuvant chemotherapy in the prediction of lymph node histopathological response in patients with locally advanced breast cancer. METHODS: FDG PET/CT studies performed in 76 patients (mean age 53 years) at baseline (PET-1), after the second course of chemotherapy (PET-2) and after the last course of chemotherapy (PET-3) were prospectively analysed. Inclusion criteria were lymph node involvement detected by PET/CT and non-sentinel node biopsy before or after the baseline PET/CT scan. Following the recommendations of the 12th International Breast Conference (St. Gallen), the patients were divided into five subgroups in relation to biological prognostic factors by immunohistochemistry. For diagnosis visual and semiquantitative analyses was performed. Absence of detectable lymph node uptake on the PET-2 or PET-3 scan with respect to the PET-1 scan was considered metabolic complete response (mCR). Lymph nodes were histopathologically classified according the lymph node regression grade and in response groups as pathological complete response (pCR) or not pCR (type A/D or B/C of the Smith grading system, respectively). ROC analysis was performed to determine a cut-off value of Δ% SUV1-2 and SUV1-3 for prediction of nodal status after chemotherapy. An association between mCR and pCR was found (Cohen's kappa analysis), and associations between phenotypes and metabolic behaviour and the final histopathological status were also found. RESULTS: Lymph node pCR was seen in 34 patients. The sensitivity, specificity, and positive and negative predictive values of PET-2 and PET-3 in establishing the final status of the axilla after chemotherapy were 52 %, 45 %, 50 % and 47 %, and 33 %, 84 %, 67 % and 56 %, respectively. No significant relationship was observed between mCR on PET-2 and PET-3 and pCR (p = 0.31 and 0.99, respectively). Lymph node metabolism on PET-1 was not able to predict the final histopathological status, whereas basal carcinomas showed a higher rate of pCR (70.6 %) than the other groups (p = 0.03). CONCLUSION: FDG PET/CT seems to have limitations in both the early and delayed evaluation of lymph node status after chemotherapy, with reduced predictive values.

Accumulation and hazard assessment of mercury to waterbirds at Lake Chapala, Mexico.

Lake Chapala is the largest tropical lake in Mexico. The objectives of this study were to determine bioaccumulation of Hg in fish and to evaluate the potential impacts of Hg in the diet of aquatic birds, particularly the American white pelican (AWPE), in Lake Chapala. Hg concentrations in three fish species ranged from 0.021 to 0.568 µg/g wet weight. Mercury in fish was positively and significantly correlated with total fish length (R2=0.44, P<0.05). The δ15N values in fish were significantly correlated with Hg concentrations in Chapala and the San Antonio Reservoir (R2=0.69, P<0.001 and R2=0.40, P<0.001, respectively). However, Hg concentrations in bird feathers were not significantly different between years, among locations, or among species. Hg concentrations in fish from Lake Chapala were within values reported in many parts of the world. The Hg (mean range of 2.75 to 4.54 µg/g dw) and δD (mean range of -62‰ to -11‰) values in bird feathers suggested a wide pattern of exposure for highly migratory AWPE and egrets, although birds with lower δD values in feathers appeared to have greater concentrations of Hg than those with higher δD values. Contaminant exposure in aquatic birds in Chapala during the breeding season should be monitored next to better determine the potential effects of Hg on resident aquatic birds.