Cardiac resynchronisation therapy associated with pulmonary artery banding in an adult with severe right ventricular dysfunction after Mustard repair for complete transposition of the great arteries: results after 2 years of follow-up.

Late dysfunction of the systemic right ventricle in patients with complete transposition of the great arteries after Mustard or Senning procedures and progressive deterioration of the clinical status has been demonstrated. However, evidence-based data on the effective therapy for systemic right ventricular dysfunction in these patients are yet to be defined. Our patient shows an improvement in the right ventricular systolic function, with a reduction in tricuspid regurgitation and a consequent better exercise tolerance after a hybrid approach consisting of an upgrading of a previous transvenous-implanted dual-chamber Implantable Cardiac Defibrillator to biventricular pacing associated with pulmonary artery banding via an anterior thoracotomy.

Whole-canopy carbon gain as a result of selection on individual performance of ten genotypes of a clonal plant.

Game theoretical models predict that plant competition for light leads to reduced productivity of vegetation stands through selection for traits that maximize carbon gains of individuals. Using empirical results from a 5-year competition experiment with 10 genotypes of the clonal plant Potentilla reptans, we tested this prediction by analyzing the effects of the existing leaf area values on the carbon gain of the different genotypes and the consequent whole canopy carbon gain. We focused on specific leaf area (SLA) due to its role in the trade-off between light capture area and photosynthetic capacity per unit area. By combining a canopy model based on measured leaf area and light profiles with a game theoretical approach, we analyzed how changes in the SLA affected genotypic and whole-stand carbon gain. This showed that all genotypes contributed to reduced stand productivity. The dominant genotype maximized its share of total carbon gain, resulting in lower than maximal absolute gain. Other genotypes did not maximize their share. Hypothetical mutants of the dominant genotype were not able to achieve a higher carbon gain. Conversely, in other genotypes, some mutations did result in increased carbon gain. Hence, genotypic differences in the ability to maximize performance may determine genotype frequency. It shows how genotypic selection may result in lower carbon gains of the whole vegetation, and of the individual genotypes it consists of, through similar mechanisms as those that lead to the tragedy of the commons.

Virus infection decreases the attractiveness of white clover plants for a non-vectoring herbivore.

Plant pathogens and insect herbivores are prone to share hosts under natural conditions. Consequently, pathogen-induced changes in the host plant can affect herbivory, and vice versa. Even though plant viruses are ubiquitous in the field, little is known about plant-mediated interactions between viruses and non-vectoring herbivores. We investigated the effects of virus infection on subsequent infestation by a non-vectoring herbivore in a natural genotype of Trifolium repens (white clover). We tested whether infection with White clover mosaic virus (WClMV) alters (1) the effects of fungus gnat feeding on plant growth, (2) the attractiveness of white clover for adult fungus gnat females, and (3) the volatile emission of white clover plants. We observed only marginal effects of WClMV infection on the interaction between fungus gnat larvae and white clover. However, adult fungus gnat females clearly preferred non-infected over WClMV-infected plants. Non-infected and virus-infected plants could easily be discriminated based on their volatile blends, suggesting that the preference of fungus gnats for non-infected plants may be mediated by virus-induced changes in volatile emissions. The compound ß-caryophyllene was exclusively detected in the headspace of virus-infected plants and may hence be particularly important for the preference of fungus gnat females. Our results demonstrate that WClMV infection can decrease the attractiveness of white clover plants for fungus gnat females. This suggests that virus infections may contribute to protecting their hosts by decreasing herbivore infestation rates. Consequently, it is conceivable that viruses play a more beneficial role in plant-herbivore interactions than generally thought.

The potential of plant viruses to promote genotypic diversity via genotype x environment interactions.

BACKGROUND AND AIMS: Genotype by environment (G × E) interactions are important for the long-term persistence of plant species in heterogeneous environments. It has often been suggested that disease is a key factor for the maintenance of genotypic diversity in plant populations. However, empirical evidence for this contention is scarce. Here virus infection is proposed as a possible candidate for maintaining genotypic diversity in their host plants. METHODS: The effects of White clover mosaic virus (WClMV) on the performance and development of different Trifolium repens genotypes were analysed and the G × E interactions were examined with respect to genotype-specific plant responses to WClMV infection. Thus, the environment is defined as the presence or absence of the virus. KEY RESULTS: WClMV had a negative effect on plant performance as shown by a decrease in biomass and number of ramets. These effects of virus infection differ greatly among host genotypes, representing a strong G × E interaction. Moreover, the relative fitness and associated ranking of genotypes changed significantly between control and virus treatments. This shift in relative fitness among genotypes suggests the potential for WClMV to provoke differential selection on T. repens genotypes, which may lead to negative frequency-dependent selection in host populations. CONCLUSIONS: The apparent G × E interaction and evident repercussions for relative fitness reported in this study stress the importance of viruses for ecological and evolutionary processes and suggest an important role for viruses in shaping population dynamics and micro-evolutionary processes.

Lamina cribrosa perforation during nasotracheal intubation in neonates: case series and review of the literature.

Intracranial penetration during attempted nasotracheal intubation is a potentially devastating complication, which should be carefully evaluated and the risk should be addressed in neonatal resuscitation trainings.

Systemic induced resistance: a risk-spreading strategy in clonal plant networks?

Clonal plant networks consist of interconnected individuals (ramets) of different sizes and ages. They represent heterogeneous ramet assemblages with marked differences in quality and attractiveness for herbivores. Here, feeding preferences of a generalist herbivore (Spodoptera exigua) for differently-aged ramets of Trifolium repens were studied, and changes in herbivore preference in response to systemic defense induction were investigated. Dual-choice tests were used to assess the preference of herbivores for young versus mature ramets of induced and uninduced plants, respectively. Additionally, leaf traits related to nutrition, biomechanics and chemical defense were measured to explain variation in tissue quality and herbivore preference. Young ramets were heavily damaged in control plants. After systemic defense induction, damage on young ramets was greatly reduced, while damage on mature ramets increased slightly. Defense induction increased leaf strength and thickness, decreased leaf soluble carbohydrates and substantially changed phenolic composition of undamaged ramets connected to attacked individuals. Systemic induced resistance led to a more dispersed feeding pattern among ramets of different ages. It is proposed that inducible defense acts as a risk-spreading strategy in clonal plants by equalizing herbivore preference within the clone, thereby avoiding extended selective feeding on valuable plant tissues.

Leaf investment and light partitioning among leaves of different genotypes of the clonal plant Potentilla reptans in a dense stand after 5 years of competition.

BACKGROUND AND AIMS: While within-species competition for light is generally found to be asymmetric - larger plants absorbing more than proportional amounts of light - between-species competition tends to be more symmetric. Here, the light capture was analysed in a 5-year-old competition experiment that started with ten genotypes of the clonal plant Potentilla reptans. The following hypotheses were tested: (a) if different genotypes would do better in different layers of the canopy, thereby promoting coexistence, and (b) if leaves and genotypes with higher total mass captured more than proportional amounts of light, possibly explaining the observed dominance of the abundant genotypes. METHODS: In eight plots, 100 leaves were harvested at various depths in the canopy and their genotype determined to test for differences in leaf biomass allocation, leaf characteristics and the resulting light capture, calculated through a canopy model using the actual vertical light and leaf area profiles. Light capture was related to biomass to determine whether light competition between genotypes was asymmetric. KEY RESULTS: All genotypes could reach the top of the canopy. The genotypes differed in morphology, but did not differ significantly in light capture per unit mass (Phi(mass)) for leaves with the laminae placed at the same light levels. Light capture did increase disproportionately with leaf mass for all genotypes. However, the more abundant genotypes did not capture disproportionately more light relative to their mass than less-abundant genotypes. CONCLUSIONS: Vertical niche differentiation in light acquisition does not appear to be a factor that could promote coexistence between these genotypes. Contrary to what is generally assumed, light competition among genetic individuals of the same species was size-symmetric, even if taller individual leaves did capture disproportionately more light. The observed shifts in genotype frequency cannot therefore be explained by asymmetric competition for light.

Left ventricular dysfunction in repaired tetralogy of Fallot: incidence and impact on atrial arrhythmias at long term-follow up.

Left ventricle (LV) systolic dysfunction in repaired tetralogy of Fallot (TOF) has been identified as a risk factor for functional status and adverse outcome. The aims of this cross-sectional followed by a prospective study were: (1) to evaluate the prevalence of LV systolic dysfunction in a large cohort of adults with repaired tetralogy of Fallot, (2) to test the relationship between LV systolic dysfunction and other known risk factors and (3) to evaluate the impact of LV systolic dysfunction on adverse cardiac events. In a multicenter study, 237 adults repaired TOF (58 % males, age 30 ± 10 years) were evaluated by cardiac magnetic resonance (CMR). Demographics, surgical history, ECG, Echo-Color Doppler and follow-up data were recorded. LV was dilated (Z value >2) in 16 patients (6 %), however 56 patients (23.6 %) had a reduced LV systolic function left ventricle ejection fraction (LVEF) (Z value <-2). Patients with LV systolic dysfunction were mainly males (82 %), had reduced right ventricle ejection fraction (RVEF), and higher right and left Late Gadolinium Enhanced scores. In a multivariate regression analysis male gender and RVEF resulted to be independent factors associated to LV systolic dysfunction. Atrial arrhythmias were the main adverse cardiac event at the follow-up and were associated to higher biventricular volumes and lower biventricular ejection fraction (EF); however multivariable analysis identified age, right ventricle end-diastolic volume (RVEDVi) and tricuspid regurgitation as independents factors associated to atrial arrhythmias. At long term follow-up at least » of repaired TOF has LV dysfunction. Lower LVEF is associated to male gender and lower RVEF.

MRI for local staging of endometrial carcinoma: Is endovenous contrast medium administration still needed?

PURPOSE: To compare the diagnostic performance of T2-weighted images (T2-WI)+contrast-enhanced T1-weighted images (CE T1-WI) with the one of T2-WI+diffusion-weighted images (DWI) in the assessment of myometrial and cervical stromal infiltration by endometrial carcinoma (EC). MATERIALS AND METHODS: Institutional review board approved our retrospective study; requirement for informed consent was waived. 56 patients with histologically proven EC who underwent preoperative MRI and surgery at our Institution over a 34 months period were included. Two radiologists independently evaluated T2-WI+CE T1-WI and T2-WI+DWI of each patient. Confidence in imaging evaluation (0-3), depth of myometrial invasion (0.05) whereas both imaging sequences combinations showed the same diagnostic performance in recognizing cervical stromal infiltration (accuracy, sensitivity and specificity of 0.95, 0.98 and 0.80, p>0.05). CONCLUSION: T2-WI+DWI can reliably replace the "classical" combination T2-WI+CE T1-WI for local staging of endometrial carcinoma.

Environmental heterogeneity and clonal growth: a study of the capacity for reciprocal translocation in Glechoma hederacea L.

Clonal fragments of Glechoma hederacea L. (Lamiaceae) were subjected to environments in which light and nutrients were supplied with a strictly negative association in space, i.e. when one of these resources was in ample supply the other was scarce. Treatments were chosen to simulate environments in which clones grew either within homogeneous conditions or across patch types (heterogeneous conditions). The hypothesis was tested that reciprocal translocation (i.e. exchange of both nutrients and assimilates) between connected groups of ramets would increase biomass production of clones growing under heterogeneous conditions compared to that of clones growing in homogeneous conditions. A cost-benefit analysis was carried out to test this hypothesis. Results suggested that reciprocal translocation did not occur at the structural scale considered in this experiment; no evidence was found for a significant effect on whole clone biomass of assimilate and/or nutrient translocation between clone parts experiencing contrasting levels of resource supply. It is suggested that predominantly acropetal movement of resources and the pattern of integrated physiological unit formation in G. hederacea are the main properties responsible for the lack of mutual physiological support between connected clonal fragments growing in differing habitat conditions. These properties are expected to promote clonal expansion and the exploitation of new territory, rather than sustaining clone parts in sub-optimal patches of habitat for prolonged periods of time.

Shade-induced changes in the branching pattern of a stoloniferous herb: functional response or allometric effect?

Shade-induced changes in the branching pattern of clonal plants can lead to conspicuous modifications of their growth form and architecture. It has been hypothesized that reduced branching in shade may be an adaptive trait, enabling clonal plants to escape from unfavourable patches in a heterogeneous environment by allocating resources preferentially to the growth of the main axis (i.e. linear expansion), rather than to local proliferation by branching. However, such an adaptionist interpretation may be unjustified if (1) branching frequency is a function of the ontogenetic stage of plants, and if (2) shading slows down the ontogenetic development of plants, thereby delaying branch formation. In this case, architectural differences between sun- and shade-grown individuals, harvested at the same chronological age, may not represent a functional response to changes in light conditions, but may be a by-product of effects of shade on the rate of plant development. To distinguish between these two alternatives, individuals of the stoloniferous herb Potentilla reptans were subjected to three experimental light conditions: a control treatment providing full daylight, and two shade treatments: neutral shade (13% of ambient PPFD; no changes in light spectral composition) and simulated canopy shade (13% PPFD and a reduced red:far-red ratio). Plant development was followed throughout the experiment by daily monitoring primary stolon growth as well as branch and leaf initiation. Biomass and clonal offspring production were measured when plants were harvested. At the end of the experiment shaded plants had produced significantly fewer branches than clones grown in full daylight. In all three treatments, however, initiation of secondary stolons occurred at the same developmental stage of individual ramets. Shading significantly slowed down the ontogenetic development of plants and this resulted in the observed differences in branching patterns between sun- and shade-grown individuals, when compared at the same chronological age. These results hence provide evidence that shade-induced changes in the branching pattern of clonal plants can be due to purely allometric effects. Implications for interpreting architectural changes in terms of functional shade-avoidance responses are discussed.

Differential effects of light quantity and spectral light quality on growth, morphology and development of two stoloniferous Potentilla species.

Plant species from open habitats often show pronounced responses to shading. Apart from a reduction in growth, shading can lead to marked changes in morphology and architecture, and it may affect the rate of plant development. Natural shade comprises two basically different features, a reduction in light quantity (amount of radiation) and changes in the spectral light quality. The first aspect represents changes in resource availability, while the latter acts as a source of information for plants and can prompt morphogenetic responses. A greenhouse experiment was carried out to study the effects of changes in light quality and quantity on the growth, morphology and development of two stoloniferous Potentilla species. Individual plants were subjected to three light treatments: (1) full daylight (control); and two shade treatments, in which (2) light quantity (photon flux density) and (3) light spectral quality (red/far-red ratio) were changed independently. Plant development was followed throughout the study. Morphological parameters, biomass and clonal offspring production were measured at the end of the experiment. Morphological traits such as petiole length, leaf blade characteristics and investment patterns into spacers showed high degrees of shade-induced plasticity in both species. With a few exceptions, light quality mainly affected morphological variables, while production parameters were most responsive to changes in light quantity. Potentilla anserina allocated resources preferentially to established rosettes at the cost of stolon growth and branching, while in P. reptans, all parameters related to development and allocation were slowed down to the same extent by light limitation. Light quality changes also positively affected biomass production via changes in leaf allocation. Changes in the spectral light quality had major effects on the size of modular structures (leaves, ramets), whereas changes in light quantity mainly affected their numbers.

Abnormalities of aortic arch shape, central aortic flow dynamics, and distensibility predispose to hypertension after successful repair of aortic coarctation.

BACKGROUND: Systemic hypertension (HT) is a major long-term complication even after successful repair of aortic coarctation (CoA), and many factors are involved in this pathophysiology. OBJECTIVE: To investigate the role of abnormalities in the aortic arch shape, central aortic flow dynamics, and distensibility in developing HT after successful repair of CoA. METHODS: We selected a group of 26 normotensive patients (mean age 16.9±7.3 years, range 9-32 years) with anatomically successful repair of CoA among 140 patients regularly followed after repair of CoA and analyzed their last clinical and echocardiographic data. Bicycle exercise test and ambulatory blood pressure monitoring (ABPM) were also obtained. Mean age at surgical repair was 3.2±3.9 years (range 10 days-15 years); 12 patients underwent surgical correction during the first year of life. Repair of CoA was performed by end-to-end anastomosis (TT) in 23 patients (extended TT in 6 patients with arch hypoplasia), patch aortoplasty in 2, and subcalvian flap aortoplasty in 1. The postsurgical follow-up was 13.8±7.2 years (range 3.5-29.4 years). The shape of the aortic arch was defined by magnetic resonance imaging (MRI) on this global geometry (normal-gothic-crenel), ratio of the height-transverse diameter (A/T), percentage of residual stenosis, and growth index of the transverse arch segments. Flow mapping by phase-contrast imaging in the ascending and descending aorta was performed in order to measure the systolic waveforms and central aortic distensibility. Twenty normal age-matched patients submitted to the same MRI protocol were used as controls. RESULTS: Six patients were found to have a gothic and 20 a normal aortic arch shape. Patients with gothic aortic arch shape had an increased A/T ratio (0.80±0.07 vs 0.58±0.05, P<.001), a greater loss of systolic wave amplitude across the aortic arch (43%±2% vs 34%±5%, P<.001), and a lower distensibility of the ascending aorta compared to those with normal shape (4.87±1.06 mm Hg(-1)×10(-3) vs 7.20±1.73 mm Hg(-1)×10(-3); P=.005) and controls (4.87±1.06 mm Hg(-1)×10(-3) vs 8.57±1.71 mm Hg(-1)×10(-3); P<.001). The maximal systolic blood pressure (SBP) on exercise as well as SBP, diastolic blood pressure, and percentage of >135 mm Hg on ABPM were higher in the gothic than in the normal arch group. There was a correlation between nocturnal SBP, 24 hours pulse pressure on ABPM in the whole group, and different MRI variables (A/T, distensibility of the ascending aorta, and percentage of loss of systolic wave amplitude). CONCLUSIONS: In the long-term follow-up after CoA repair, a gothic arch shape is associated with a decreased ascending aorta distensibility with an increased loss of systolic wave amplitude across the aortic arch. These findings explain at least in part the association between this abnormal arch geometry and late HT at rest and on exercise, left ventricular hypertrophy, and adverse cardiovascular outcome in this group of young adults with successful repair of CoA.

Increased IL-17, a Pathogenic Link between Hepatosplenic Schistosomiasis and Amyotrophic Lateral Sclerosis: A Hypothesis.

The immune system protects the organism from foreign invaders and foreign substances and is involved in physiological functions that range from tissue repair to neurocognition. However, an excessive or dysregulated immune response can cause immunopathology and disease. A 39-year-old man was affected by severe hepatosplenic schistosomiasis mansoni and by amyotrophic lateral sclerosis. One question that arose was, whether there was a relation between the parasitic and the neurodegenerative disease. IL-17, a proinflammatory cytokine, is produced mainly by T helper-17 CD4 cells, a recently discovered new lineage of effector CD4 T cells. Experimental mouse models of schistosomiasis have shown that IL-17 is a key player in the immunopathology of schistosomiasis. There are also reports that suggest that IL-17 might have an important role in the pathogenesis of amyotrophic lateral sclerosis. It is hypothesized that the factors that might have led to increased IL-17 in the hepatosplenic schistosomiasis mansoni might also have contributed to the development of amyotrophic lateral sclerosis in the described patient. A multitude of environmental factors, including infections, xenobiotic substances, intestinal microbiota, and vitamin D deficiency, that are able to induce a proinflammatory immune response polarization, might favor the development of amyotrophic lateral sclerosis in predisposed individuals.

Timing of induced resistance in a clonal plant network.

After local herbivory, plants can activate defense traits both at the damaged site and in undamaged plant parts such as in connected ramets of clonal plants. Since defense induction has costs, a mismatch in time and space between defense activation and herbivore feeding might result in negative consequences for plant fitness. A short time lag between attack and defense activation is important to ensure efficient protection of the plant. Additionally, the duration of induced defense production once the attack has stopped is also relevant in assessing the cost-benefit balance of inducible defenses, which will depend on the absence or presence of subsequent attacks. In this study we quantified the timing of induced responses in ramet networks of the stoloniferous herb Trifolium repens after local damage by Mamestra brassicae larvae. We studied the activation time of systemic defense induction in undamaged ramets and the decay time of the response after local attack. Undamaged ramets became defense-induced 38-51 h after the initial attack. Defense induction was measured as a reduction in leaf palatability. Defense induction lasted at least 28 days, and there was strong genotypic variation in the duration of this response. Ramets formed after the initial attack were also defense-induced, implying that induced defense can extend to new ramet generations, thereby contributing to protection of plant tissue that is both very vulnerable to herbivores and most valuable in terms of future plant growth and fitness.

Plants as green phones: Novel insights into plant-mediated communication between below- and above-ground insects.

Plants can act as vertical communication channels or 'green phones' linking soil-dwelling insects and insects in the aboveground ecosystem. When root-feeding insects attack a plant, the direct defense system of the shoot is activated, leading to an accumulation of phytotoxins in the leaves. The protection of the plant shoot elicited by root damage can impair the survival, growth and development of aboveground insect herbivores, thereby creating plant-based functional links between soil-dwelling insects and insects that develop in the aboveground ecosystem. The interactions between spatially separated insects below- and aboveground are not restricted to root and foliar plant-feeding insects, but can be extended to higher trophic levels such as insect parasitoids. Here we discuss some implications of plants acting as communication channels or 'green phones' between root and foliar-feeding insects and their parasitoids, focusing on recent findings that plants attacked by root-feeding insects are significantly less attractive for the parasitoids of foliar-feeding insects.

Costs and benefits of induced resistance in a clonal plant network.

Plant defense theory suggests that inducible resistance has evolved to reduce the costs of constitutive defense expression. To assess the functional and potentially adaptive value of induced resistance it is necessary to quantify the costs and benefits associated with this plastic response. The ecological and evolutionary viability of induced defenses ultimately depends on the long-term balance between advantageous and disadvantageous consequences of defense induction. Stoloniferous plants can use their inter-ramet connections to share resources and signals and to systemically activate defense expression after local herbivory. This network-specific early-warning system may confer clonal plants with potentially high benefits. However, systemic defense induction can also be costly if local herbivory is not followed by a subsequent attack on connected ramets. We found significant costs and benefits of systemic induced resistance by comparing growth and performance of induced and control plants of the stoloniferous herb Trifolium repens in the presence and absence of herbivores.

Importance of plasticity and decision-making strategies for plant resource acquisition in spatio-temporally variable environments.

* Plants must cope with environmental variation in space and time. Phenotypic plasticity allows them to adjust their form and function to small-scale variations in habitat quality. Empirical studies have shown that stoloniferous plants can exploit heterogeneous habitats through plastic ramet specialization and internal resource exchange (division of labour). * Here we present a spatially explicit simulation model to explore costs and benefits of plasticity in spatio-temporally heterogeneous environments. We investigated the performance of three plant strategies in pairwise competition. The nonplastic strategy was unable to specialize. The autonomous plastic strategy displayed localized responses to external resource signals. In the coordinated plastic strategy, localized responses could be modified by internal demand signals from connected modules. * Plasticity in resource uptake proved beneficial in a broad range of environments. Modular coordination was beneficial under virtually all realistic conditions, especially if resource supplies did not closely match resource needs. * The benefits of division of labour extend considerably beyond the parameter combination covered by empirical studies. Our model provides a general framework for evaluating the benefits, costs and limits of plasticity in spatio-temporally heterogeneous habitats.

The effects of mechanical stress and spectral shading on the growth and allocation of ten genotypes of a stoloniferous plant.

BACKGROUND AND AIMS: Because plants protect each other from wind, stand density affects both the light climate and the amount of mechanical stress experienced by plants. But the potential interactive effects of mechanical stress and canopy shading on plant growth have rarely been investigated and never in stoloniferous plants which, due to their creeping growth form, can be expected to respond differently to these factors than erect plants. METHODS: Plants of ten genotypes of the stoloniferous species Potentilla reptans were subjected to two levels of mechanical stress (0 or 40 daily flexures) and two levels of spectral shading (15 % of daylight with a red:far red ratio of 0.3 vs. 50 % daylight and a red:far red ratio of 1.2). KEY RESULTS: Mechanically stressed plants produced more leaves with shorter more flexible petioles, more roots, and more but less massive stolons. Responses to spectral shading were mostly in the opposite direction to thigmomorphogenesis, including the production of thinner, taller petioles made of more rigid tissue. The degree of thigmomorphogenesis was either independent of light climate or stimulated by spectral shading. At the genotypic level there were no clear correlations between responses to shade and mechanical stress. CONCLUSIONS: These results suggest that in stoloniferous plants mechanical stress results in clones with a more compact, shorter shoot structure and more roots. This response does not appear to be suppressed by canopy shading, which suggests that wind shielding (reduced mechanical stress) by neighbours in dense vegetation serves as a cue that induces shade avoidance responses such as increased petiole elongation.

Members only: induced systemic resistance to herbivory in a clonal plant network.

The stoloniferous herb Trifolium repens was used to study the expression of induced systemic resistance (ISR) to the generalist caterpillar Spodoptera exigua in interconnected ramets of clonal fragments. The ISR was assessed as caterpillar preference in dual choice tests between control and systemically induced plants. The ISR was detected in young ramets, after inducing older sibling ramets on the same stolon by a controlled herbivore attack. However, older ramets did not receive a defense induction signal from younger ramets unless the predominant phloem flow was reversed by means of basal shading. This provides evidence for the notion that in T. repens the clone-internal expression of ISR is coupled to phloem transport and follows source-sink gradients. The inducibility of the genotypes was not linked to their constitutive ability to produce cyanide, implying the absence of a trade-off between these two defense traits. To our knowledge, this is the first study that explores ISR to herbivory in the context of physiological integration in potentially extensive clonal plant networks.