Rapid increase in contaminant burdens following loss of body condition in canvasbacks (Aythya valisineria) overwintering on the Lake St. Clair region of the Great Lakes.

Overwintering canvasbacks were collected in the Lake St. Clair region of the Great Lakes in the winter of 2008/09 and livers were analyzed for organochlorines, mercury (Hg), and selenium (Se). We found dramatic increases in hepatic concentrations of Hg, Se, sum PCBs, p,p'-DDE, and other organochlorines in canvasbacks in which concentrations in February were greater than concentrations in November when overwintering ducks arrived in the study area. Increases in contaminant burdens were generally greatest between December and January which also coincided with the period when ducks from Lake St. Clair (LSC) moved following freeze-up of the Lake to forage on the St. Clair River (SCR), an area of known historic contamination, and upstream of LSC. Body condition estimated using body metrics and measured using lipid reserves (after controlling for body size) increased in LSC ducks but subsequently decreased in SCR ducks. This rapid loss of body condition through loss of lipid reserves was one factor likely driving the dramatic increase in contaminant burdens and particularly for organochlorines which were inversely related to body condition in SCR ducks. Increased exposure due to foraging in closer proximity to contaminant sources and changes in diet associated with the movement of ducks may have also contributed to temporal trends. Concentrations overall were below those associated with toxicity with the exception of Se for which 30% of ducks exceeded the Se threshold that is considered elevated and one duck exceeded the threshold associated with possible toxicity. Fitness consequences of reduced lipid reserves include reduced survival, delayed migration, reduced breeding propensity, and transfer of contaminant burdens to eggs. Food availability, ice cover, and movements of canvasbacks are additional factors influencing contaminant accumulation and lipid reserves in waterfowl utilizing this important wintering location.

Improving screening for alcohol consumption during pregnancy with phosphatidylethanol.

OBJECTIVE: The study objective was to compare rates of alcohol use between urine ethanol testing and self- reporting (Method: 1) and Phosphatidylethanol (PEth) dried blood spot testing and self-reporting (Method: 2). METHODS: This was a prospective observational study in an obstetric clinic with universal alcohol screening. RESULTS: Method: 1 identified 11 patients with alcohol use (5 urine and 6 self-reported); Method: 2 identified 28 (22 PEth and 6 self-reported) out of 315 patients (one patient positive for both urine and PEth). The six patients with self-reported use had negative urine and PEth testing. We had fair agreement between the two methods (282 negative and 7 positive; 289/314=92.0%; Kappa 0.32, p<0.001); method 2 identified significantly more women (McNemar, p<0.001). Combining methods: resulted in an alcohol detection rate of 10.2% (32/314). CONCLUSION: Method: 2 identified more alcohol users than Method: 1. Combining both methods: identified the most alcohol consumption.

Airway epithelium directed gene therapy for cystic fibrosis.

Gene therapy is a promising therapeutic modality for the treatment of cystic fibrosis (CF). Despite a better understanding of the molecular organization of the cystic fibrosis transmembrane conductance regulator (CFTR) gene and mutations resulting in pathophysiological and phenotypic alterations, several forms of treatments including gene therapy have failed to yield clinical success. Major limitations for the delivery of drugs and gene therapy vectors from reaching target cells in CF patients lie in physical and immunological barriers of airway epithelium. Over the last decade, non-viral and viral gene therapy approaches have been tested in preclinical studies and human clinical trials of CF. Outcomes of these studies have helped to identify hurdles that need to be overcome before such approaches can be routinely applied to patients. In addition to the physiological and immunological barriers of airway epithelium, vector transduction is also impaired by the absence or low-abundance of cellular receptors and co-receptors for viral binding and internalization. Thus, the initial enthusiasm for gene replacement therapy for CF following cloning of the CFTR gene dampened, as more limitations were recognized. Research directed towards improving the efficiency of gene transfer technology in CF, is focused on testing of compounds to enhance vector permeability and trafficking, identification and development of vectors which can transduce through alternate pathways, identification of airway epithelium-specific targeting ligands, and the identification of stem cells for combining cell therapy and gene therapy by ex vivo methods. Details provided in this article will give a comprehensive analysis of the prospects and limitations in CF gene therapy using viral and non-viral vectors.

Rotational malposition during laser in situ keratomileusis.

PURPOSE: To investigate the degree of rotational malposition in eyes undergoing laser in situ keratomileusis. DESIGN: Prospective observational study. METHODS: We measured the rotational position of 240 eyes of 169 patients who underwent treatment for myopic or hyperopic astigmatism with the Alcon Summit Autonomous (Orlando, Florida) LADARVision excimer laser. Immediately preoperatively, each eye was marked while the patient was seated upright. Rotational position was measured on the supine patient immediately before beginning the laser exposure. RESULTS: For all 240 eyes, mean +/- standard deviation (SD) torsional misalignment was 4.1 +/- 3.7 degrees (right eye 3.8 +/- 3.7 degrees, left eye 4.2 +/- 3.6 degrees). A total of 20 eyes (8%) had a deviation of greater than 10 degrees. CONCLUSIONS: A 4 degree and 10 degree misalignment would theoretically result in a 14% and 35% undercorrection of astigmatism, respectively. Preoperative marking of the upright patient and subsequent rotational alignment of the supine patient before laser treatment may reduce the error in correction of astigmatism during excimer laser vision correction surgery.

The identification of free cysteine residues within antibodies and a potential role for free cysteine residues in covalent aggregation because of agitation stress.

Human immunoglobulin G1 (IgG1) and immunoglobulin G2 (IgG2) antibodies contain multiple disulfide bonds, which are an integral part of the structure and stability of the protein. Open disulfide bonds have been detected in a number of therapeutic and serum derived antibodies. This report details a method that fluorescently labels free cysteine residues, quantifies, and identifies the proteolytic fragments by liquid chromatography coupled to online mass spectrometry. The majority of the open disulfide bonds in recombinant and serum derived IgG1 and IgG2 antibodies were in the constant domains. This method was applied to the identification of cysteines in an IgG2 antibody that are involved in the formation of covalent intermolecular bonds because of the application of a severe agitation stress. The free cysteine in the CH 1 domain of the IgG2 decreased upon application of the stress and implicates open disulfide bonds in this domain as the likely source of free cysteines involved in the formation of intermolecular disulfide bonds. The presence of comparable levels of open disulfide bonds in recombinant and endogenous antibodies suggests that open disulfide bonds are an inherent feature of antibodies and that the susceptibility of intermolecular disulfide bond formation is similar for recombinant and serum-derived IgG antibodies.

Genetic modification of adeno-associated viral vector type 2 capsid enhances gene transfer efficiency in polarized human airway epithelial cells.

Cystic fibrosis (CF) is a common genetic disease characterized by defects in the expression of the CF transmembrane conductance regulator (CFTR) gene. Gene therapy offers better hope for the treatment of CF. Adeno-associated viral (AAV) vectors are capable of stable expression with low immunogenicity. Despite their potential in CF gene therapy, gene transfer efficiency by AAV is limited because of pathophysiological barriers in these patients. Although a few AAV serotypes have shown better transduction compared with the AAV2-based vectors, gene transfer efficiency in human airway epithelium has still not reached therapeutic levels. To engineer better AAV vectors for enhanced gene delivery in human airway epithelium, we developed and characterized mutant AAV vectors by genetic capsid modification, modeling the well-characterized AAV2 serotype. We genetically incorporated putative high-affinity peptide ligands to human airway epithelium on the GH loop region of AAV2 capsid protein. Six independent mutant AAV were constructed, containing peptide ligands previously reported to bind with high affinity for known and unknown receptors on human airway epithelial cells. The vectors were tested on nonairway cells and nonpolarized and polarized human airway epithelial cells for enhanced infectivity. One of the mutant vectors, with the peptide sequence THALWHT, not only showed the highest transduction in undifferentiated human airway epithelial cells but also indicated significant transduction in polarized cells. Interestingly, this modified vector was also able to infect cells independently of the heparan sulfate proteoglycan receptor. Incorporation of this ligand on other AAV serotypes, which have shown improved gene transfer efficiency in the human airway epithelium, may enhance the application of AAV vectors in CF gene therapy.

Notch1 augments intracellular trafficking of adeno-associated virus type 2.

We report here the significance of the Notch1 receptor in intracellular trafficking of recombinant adeno-associated virus type 2 (rAAV2). RNA profiling of human prostate cancer cell lines with various degrees of AAV transduction indicated a correlation of the amount of Notch1 with rAAV transgene expression. A definitive role of Notch1 in enhancing AAV transduction was confirmed by developing clonal derivatives of DU145 cells overexpressing either full-length or intracellular Notch1. To discern stages of AAV2 transduction influenced by Notch1, competitive binding with soluble heparin and Notch1 antibody, intracellular trafficking using Cy3-labeled rAAV2, and blocking assays for proteasome and dynamin pathways were performed. Results indicated that in the absence or low-level expression of Notch1, only binding of virus was found on the cell surface and internalization was impaired. However, increased Notch1 expression in these cells allowed efficient perinuclear accumulation of labeled capsids. Nuclear transport of the vector was evident by transgene expression and real-time PCR analyses. Dynamin levels were not found to be different among these cell lines, but blocking dynamin function abrogated AAV2 transduction in DU145 clones overexpressing full-length Notch1 but not in clones overexpressing intracellular Notch1. These studies provide evidence for the role of activated Notch1 in intracellular trafficking of AAV2, which may have implications in the optimal use of AAV2 in human gene therapy.