Identifying a target group for selenium supplementation in high-risk cardiac surgery: a secondary analysis of the SUSTAIN CSX trial.

BACKGROUND: Recent data from the randomized SUSTAIN CSX trial could not confirm clinical benefits from perioperative selenium treatment in high-risk cardiac surgery patients. Underlying reasons may involve inadequate biosynthesis of glutathione peroxidase (GPx3), which is a key mediator of selenium's antioxidant effects. This secondary analysis aimed to identify patients with an increase in GPx3 activity following selenium treatment. We hypothesize that these responders might benefit from perioperative selenium treatment. METHODS: Patients were selected based on the availability of selenium biomarker information. Four subgroups were defined according to the patient's baseline status, including those with normal kidney function, reduced kidney function, selenium deficiency, and submaximal GPx3 activity. RESULTS: Two hundred and forty-four patients were included in this analysis. Overall, higher serum concentrations of selenium, selenoprotein P (SELENOP) and GPx3 were correlated with less organ injury. GPx3 activity at baseline was predictive of 6-month survival (AUC 0.73; p = 0.03). While selenium treatment elevated serum selenium and SELENOP concentrations but not GPx3 activity in the full patient cohort, subgroup analyses revealed that GPx3 activity increased in patients with reduced kidney function, selenium deficiency and low to moderate GPx3 activity. Clinical outcomes did not vary between selenium treatment and placebo in any of these subgroups, though the study was not powered to conclusively detect differences in outcomes. CONCLUSIONS: The identification of GPx3 responders encourages further refined investigations into the treatment effects of selenium in high-risk cardiac surgery patients.

Characterisation of pathogen-specific regions and novel effector candidates in Fusarium oxysporum f. sp. cepae.

A reference-quality assembly of Fusarium oxysporum f. sp. cepae (Foc), the causative agent of onion basal rot has been generated along with genomes of additional pathogenic and non-pathogenic isolates of onion. Phylogenetic analysis confirmed a single origin of the Foc pathogenic lineage. Genome alignments with other F. oxysporum ff. spp. and non pathogens revealed high levels of syntenic conservation of core chromosomes but little synteny between lineage specific (LS) chromosomes. Four LS contigs in Foc totaling 3.9 Mb were designated as pathogen-specific (PS). A two-fold increase in segmental duplication events was observed between LS regions of the genome compared to within core regions or from LS regions to the core. RNA-seq expression studies identified candidate effectors expressed in planta, consisting of both known effector homologs and novel candidates. FTF1 and a subset of other transcription factors implicated in regulation of effector expression were found to be expressed in planta.

Facilitated hydride binding in an Fe-Fe hydrogenase active-site biomimic revealed by X-ray absorption spectroscopy and DFT calculations.

Iron-only hydrogenases are high-efficiency biocatalysts for the synthesis and cleavage of molecular hydrogen. Their active site is a diiron center, which carries CO and CN ligands. Remarkably, the two iron atoms likely are connected by a non-protein azadithiolate (adt = S-CH2-NH-CH2-S). To dwell on the role of the adt in H2 catalysis, a specific biomimetic diiron compound, 1 = [Fe2(mu-adt-CH2-Ph)(CO)4(PMe3)2], with unprecedented positive reduction potential, has been synthesized and crystallized previously. It comprises two protonation sites, the N-benzyl-adt nitrogen that can hold a proton (H) and the Fe-Fe bond that will formally carry a hydride (Hy). We investigated changes in the solution structure of 1 in its four different protonation states (1', [1H]+, [1HHy]2+, and [1Hy]+) by X-ray absorption spectroscopy at the iron K-edge. EXAFS reveals that already protonation at the adt nitrogen atom causes a change of the ligand geometry involving a significant lengthening of the Fe-Fe distance and CO and PMe3 repositioning, respectively, thereby facilitating the subsequent binding of a bridging hydride. Hydride binding clearly is discernible in the XANES spectra of [1HHy]2+ and [1Hy]+. DFT calculations are in excellent agreement with the experimentally derived structural parameters and provide complementary insights into the electronic structure of the four protonation states. In the iron-only hydrogenases, protonation of the putative adt ligand may cause the bridging CO to move to a terminal position, thereby preparing the active site for hydride binding en route to H2 formation.