Limited mate availability decreases reproductive success of fragmented populations of Linnaea borealis, a rare, clonal self-incompatible plant.

BACKGROUND AND AIMS: Small populations of rare plant species are increasingly reported to have high levels of reproductive failure. The objective of this study was to understand the principal constraints on sexual reproduction in small fragmented populations of a rare clonal self-incompatible plant. METHODS: The pollinator spectrum, diversity of flower colour, natural pollination and fruit-set levels of L. borealis were examined in Scotland. Artificially crossed seed production was compared within and between different flower colour types and patches. KEY RESULTS: Linnaea borealis was pollinated by a diverse spectrum of insect species and the principal pollinators were muscid, syrphid and empid flies which mostly moved only small distances (<0.25 m) between flowers when foraging. Natural pollination levels were high, indicating high pollinator effectiveness, but fruit set was very low in most patches. Flower colour diversity was low in most patches and only those with a diversity of flower colour types had high fruiting success. Pollination experiments showed L. borealis to be highly self-incompatible and artificial crosses within and between patches and flower colour types confirmed that low fruit success was the result of a lack of compatible mates and limited pollen movement between them. Evidence of isolation from pollen exchange was apparent at as little as 6 m and severe at 30 m and beyond. CONCLUSIONS: Limited mate availability and isolation from pollen exchange compromise the reproductive success of fragmented populations of L. borealis in Scotland. A diversity of compatible mates situated within close proximity (<6 m) is the key requirement to ensure high natural fruiting success. This study emphasizes that an understanding of the breeding system, pollinator spectrum and potential for interconnectivity via pollinator movement are fundamental to identify isolation distances and to establish when conservation intervention is necessary for rare species.

Mycobacterium chimaera infection following cardiac surgery in the United Kingdom: clinical features and outcome of the first 30 cases.

OBJECTIVES: Mycobacterium chimaera infection following cardiac surgery, due to contaminated cardiopulmonary bypass heater-cooler units, has been reported worldwide. However, the spectrum of clinical disease remains poorly understood. To address this, we report the clinical and laboratory features, treatment and outcome of the first 30 UK cases. METHODS: Case note review was performed for cases identified retrospectively through outbreak investigations and prospectively through ongoing surveillance. Case definition was Mycobacterium chimaera detected in any clinical specimen, history of cardiothoracic surgery with cardiopulmonary bypass, and compatible clinical presentation. RESULTS: Thirty patients were identified (28 with prosthetic material) exhibiting a spectrum of disease including prosthetic valve endocarditis (14/30), sternal wound infection (2/30), aortic graft infection (4/30) and disseminated (non-cardiac) disease (10/30). Patients presented a median of 14 months post surgery (maximum 5 years) most commonly complaining of fever and weight loss. Investigations frequently revealed lymphopenia, thrombocytopenia, liver cholestasis and non-necrotizing granulomatous inflammation. Diagnostic sensitivity for a single mycobacterial blood culture was 68% but increased if multiple samples were sent. In all, 27 patients started macrolide-based combination treatment and 14 had further surgery. To date, 18 patients have died (60%) a median of 30 months (interquartile range 20-39 months) after initial surgery. Survival analysis identified younger age, mitral valve surgery, mechanical valve replacement, higher serum sodium concentration and lower C-reactive protein as factors associated with better survival. CONCLUSIONS: Mycobacterium chimaera infection following cardiac surgery is associated with a wide spectrum of disease. The diagnosis should be considered in all patients who develop an unexplained illness following cardiac surgery.