Interferon alpha-2 treatment reduces circulating neutrophil extracellular trap levels in myeloproliferative neoplasms.

Neutrophil extracellular traps (NETs) may play a pathogenic role in the thrombosis associated with myeloproliferative neoplasms (MPNs). We measured serum NET levels in 128 pretreatment samples from patients with MPNs and in 85 samples taken after 12 months of treatment with interferon alpha-2 (PEG-IFNα-2) formulations or hydroxyurea (HU). No differences in NET levels were observed across subdiagnoses or phenotypic driver mutations. In PV, a JAK2V617F+ allele burden ≥50% associated with increased NET levels (p = 0.006). Baseline NET levels correlated with neutrophil count (r = 0.29, p = 0.001), neutrophil-to-lymphocyte ratio (r = 0.26, p = 0.004) and JAK2V617F allele burden (r = 0.22, p = 0.03), particularly in patients with PV and with allele burden ≥50% (r = 0.50, p = 0.01, r = 0.56, p = 0.002 and r = 0.45, p = 0.03 respectively). In PV, after 12 months of treatment, NET levels decreased on average by 60% in patients with allele burden ≥50%, compared to only 36% in patients with an allele burden <50%. Overall, treatment with PEG-IFNα-2a or PEG-IFNα-2b reduced NETs levels in 77% and 73% of patients, respectively, versus only 53% of HU-treated patients (average decrease across treatments: 48%). Normalization of blood counts did not per se account for these reductions. In conclusion, baseline NET levels correlated with neutrophil count, NLR and JAK2V617F allele burden, and IFNα was more effective at reducing prothrombotic NET levels than HU.

Waterfowl abundance does not predict the dominant avian source of beach Escherichia coli.

The horizontal, fluorophore enhanced, rep-PCR (HFERP) DNA fingerprinting technique was used to identify potential sources of in water, nearshore sand, and sediment at two beaches in the Duluth-Superior Harbor, near Duluth, MN, and Superior, WI, during May, July, and September 2006. An animal or environmental source could be identified for 35, 29, and 30% of strains in water, sand, and sediments, respectively. Waterfowl, including Canada geese, ring-billed gulls, and mallard ducks, were the largest source of that could be identified in water (55-100%), sand (59-100%), and sediment (92-100%) at both beaches. Although ring-billed gulls were more abundant in this harbor, Canada geese were usually the dominant source of waterfowl found at these beaches. The percentage of identified from treated wastewater was always less than the percentage of originating from waterfowl. At both beaches, the percentage of in water contributed by treated wastewater was higher in May compared with July and September. The larger proportion of wastewater-derived seen in May probably reflected a smaller contribution of from geese when these birds were less abundant rather than an absolute increase in from treated wastewater. Microbial source analysis and bird census data both indicated that waterfowl were a major source of at beaches in the Duluth-Superior Harbor. These data also indicated it is risky to assume that the most abundant waterfowl species present in waterways will also be the largest source of avian-derived in water, nearshore sand, and sediments at beaches.

Escherichia coli populations in Great Lakes waterfowl exhibit spatial stability and temporal shifting.

Populations of Escherichia coli from juvenile and adult ring-billed gulls, juvenile common terns, and adult Canada geese were sampled over 6 years at five locations on Lake Superior (Duluth, MN, and Wisconsin) and Lake Michigan (Wisconsin, Illinois, and Indiana) to determine the extent of spatial and temporal variability in E. coli strains. Strain identity was determined using horizontal fluorophore-enhanced repetitive element palindromic DNA fingerprinting. Multivariate statistics were used to determine if spatial or temporal changes in E. coli populations occurred in waterfowl species. Pairwise multivariate analyses of variance revealed that E. coli populations of adult gulls from three regions of Lake Michigan and the Wisconsin shore of Lake Superior were similar to one another but different from an E. coli population of gulls from the Duluth region of Lake Superior. Juvenile and adult gulls from the Duluth area harbored different E. coli populations. The E. coli strains from juvenile gulls, however, were similar to those found in juvenile terns obtained from the same island rookery. Temporal changes in E. coli populations from several waterfowl species were also demonstrated for this site. Although portions of source tracking databases might be successfully used in other geographic regions, it is clear that juvenile birds should not be the sole source of E. coli strains used for source tracking databases, and multiple-year libraries should be constructed in order to identify the potential sources of E. coli in the environment.

Identifying traffic accident black spots with Poisson-Tweedie models.

This paper aims at the identification of black spots for traffic accidents, i.e. locations with accident counts beyond what is usual for similar locations, using spatially and temporally aggregated hospital records from Funen, Denmark. Specifically, we apply an autoregressive Poisson-Tweedie model, which covers a wide range of discrete distributions and handles zero-inflation as well as overdispersion. The estimated power parameter of the model was 1.6 (SE=0.06) suggesting a distribution close to the Pólya-Aeppli distribution. We identified nine black spots consistently standing out in all six considered calendar years and calculated by simulations a probability of p=0.03 for these to be chance findings. Altogether, our results recommend these sites for further investigation and suggest that our simple approach could play a role in future area based traffic accident prevention planning.

Factors controlling long-term survival and growth of naturalized Escherichia coli populations in temperate field soils.

While Escherichia coli is widely used as an indicator of fecal contamination of waterways, recent studies suggest that this bacterium may become "naturalized" to soils. In this study, we investigated the survival and growth of naturalized E. coli in temperate soil in northern Minnesota. A spontaneously-occurring, antibiotic resistant E. coli strain, KS7-NR, was added to a field site at 10(3) cells (g soil)(-1). The survival and growth of E. coli KS7-NR were followed from June to October, by using colony counts on agar plates supplemented with antibiotics, and by using quantitative PCR (qPCR) with strain-specific primers developed based on suppressive subtractive hybridization. Both plate count and qPCR analyses indicated that E. coli KS7-NR survived for more than 2 months in the field soil. Laboratory experiments showed that soil temperature, moisture, nutrients, and the presence of other soil organisms influenced growth and survival of E. coli KS7-NR in soil. Moreover, our results indicated that summer drought conditions that occurred during the field study likely limited in situ growth of E. coli at the field site. Taken together, these results suggest that E. coli strains can survive long-term and grow in soils, provided that abiotic factors are within their tolerance limits.

Beach sand and sediments are temporal sinks and sources of Escherichia coli in Lake Superior.

The Duluth Boat Club (DBC) Beach, located in the Duluth-Superior harbor of Lake Superior, is frequently closed in summer due to high counts of Escherichia coli, an indicator of fecal contamination. However, the sources of bacteria contributing to beach closure are currently unknown. In this study, we investigated the potential sources of E. coli contaminating the DBC beach by using modified rep-PCR (HFERP) DNA fingerprinting. Over 3600 E. coli strains were obtained from 55 lake water, 25 sediment, and 135 sand samples taken from five transects at the DBC beach at 11 different times during the summer through fall months of 2004 and 2005. Potential sources of E. coli at this beach were determined by using a known-source DNA fingerprint library containing unique E. coli isolates from wildlife, waterfowl, and treated wastewater obtained near Duluth, MN. Amounts E. coli in the samples were enumerated by membrane filtration counting, and the presence of potentially pathogenic E. coli was determined by using multiplex PCR. E. coli counts in all samples increased during the summer and early fall (Julyto September). While E. coli in spring samples originated mainly from treated wastewater effluent, the percentage of E. coli from waterfowl increased from summer to fall. DNA fingerprint analyses indicated that some E. coli strains may be naturalized, and autochthonous members of the microbial community in the beach sand and sediments were examined. However, multiplex PCR results indicated that <1% of the E. coli strains at the DBC was potentially pathogenic. Our results also suggest that wave action may influence the early colonization and homogeneous distribution of E. coli in beach sand and the subsequent release of sand or sediment-borne E. coli into lake water. Taken together, these results indicate that sand and sediment serve as temporal sources and sinks of human and waterfowl-derived E. coli that contribute to beach closures.