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1.
J Fish Biol ; 89(2): 1271-84, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27346128

ABSTRACT

This research investigated the reproductive biology (sex ratio, hermaphroditic pattern, size and age at maturity) of Cephalopholis argus, known locally in Hawaii by its Tahitian name roi. The results suggest that C. argus exhibits monandric protogyny (female gonad differentiation with female to male sex change) with females reaching sexual maturity at 1.2 years (95% c.i.: 0.6, 1.6) and 20.0 cm total length (LT ; 95% c.i.: 19.6, 21.2). The female to male sex ratio was 3.9:1. The average age and LT at sex change was 11.5 years (95% c.i.: 11.1, 12.9) and 39.9 cm (95% c.i.: 39.5, 41.2), respectively. Current information on spawning seasonality of this species is incomplete, but based on the occurrence of spawning capable and actively spawning females, spawning probably takes place from May to October. Evidence of lunar spawning periodicity was found, with an increased proportion of spawning capable and actively spawning females, and an increased female gonado-somatic index during first quarter and full-moon phases. This information fills a valuable information gap in Hawaii and across the species' native range.


Subject(s)
Bass/physiology , Reproduction/physiology , Animals , Bass/anatomy & histology , Female , Gonads/physiology , Hawaii , Male , Moon , Ovary , Sex Determination Processes/physiology , Sex Ratio , Sexual Maturation
2.
Nat Commun ; 7: 10491, 2016 Feb 03.
Article in English | MEDLINE | ID: mdl-26839155

ABSTRACT

Coral reefs are among the most species-rich and threatened ecosystems on Earth, yet the extent to which human stressors determine species occurrences, compared with biogeography or environmental conditions, remains largely unknown. With ever-increasing human-mediated disturbances on these ecosystems, an important question is not only how many species can inhabit local communities, but also which biological traits determine species that can persist (or not) above particular disturbance thresholds. Here we show that human pressure and seasonal climate variability are disproportionately and negatively associated with the occurrence of large-bodied and geographically small-ranging fishes within local coral reef communities. These species are 67% less likely to occur where human impact and temperature seasonality exceed critical thresholds, such as in the marine biodiversity hotspot: the Coral Triangle. Our results identify the most sensitive species and critical thresholds of human and climatic stressors, providing opportunity for targeted conservation intervention to prevent local extinctions.


Subject(s)
Biodiversity , Climate , Conservation of Natural Resources , Coral Reefs , Ecosystem , Fishes , Seasons , Animals , Body Size , Humans , Stress, Physiological , Temperature
3.
Proc Biol Sci ; 283(1823)2016 01 27.
Article in English | MEDLINE | ID: mdl-26791611

ABSTRACT

Population ecology has classically focused on pairwise species interactions, hindering the description of general patterns and processes of population abundance at large spatial scales. Here we use the metabolic theory of ecology as a framework to formulate and test a model that yields predictions linking population density to the physiological constraints of body size and temperature on individual metabolism, and the ecological constraints of trophic structure and species richness on energy partitioning among species. Our model was tested by applying Bayesian quantile regression to a comprehensive reef-fish community database, from which we extracted density data for 5609 populations spread across 49 sites around the world. Our results indicate that population density declines markedly with increases in community species richness and that, after accounting for richness, energetic constraints are manifested most strongly for the most abundant species, which generally are of small body size and occupy lower trophic groups. Overall, our findings suggest that, at the global scale, factors associated with community species richness are the major drivers of variation in population density. Given that populations of species-rich tropical systems exhibit markedly lower maximum densities, they may be particularly susceptible to stochastic extinction.


Subject(s)
Coral Reefs , Energy Metabolism/physiology , Fishes/physiology , Animals , Biodiversity , Fishes/classification , Models, Biological , Population Density
5.
Ecol Lett ; 17(9): 1067-76, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24943721

ABSTRACT

Fishes contribute substantially to energy and nutrient fluxes in reef ecosystems, but quantifying these roles is challenging. Here, we do so by synthesising a large compilation of fish metabolic-rate data with a comprehensive database on reef-fish community abundance and biomass. Individual-level analyses support predictions of Metabolic Theory after accounting for significant family-level variation, and indicate that some tropical reef fishes may already be experiencing thermal regimes at or near their temperature optima. Community-level analyses indicate that total estimated respiratory fluxes of reef-fish communities increase on average ~2-fold from 22 to 28 °C. Comparisons of estimated fluxes among trophic groups highlight striking differences in resource use by communities in different regions, perhaps partly reflecting distinct evolutionary histories, and support the hypothesis that piscivores receive substantial energy subsidies from outside reefs. Our study demonstrates one approach to synthesising individual- and community-level data to establish broad-scale trends in contributions of biota to ecosystem dynamics.


Subject(s)
Ecosystem , Energy Metabolism , Fishes/metabolism , Models, Biological , Animals , Biomass , Population Density
6.
Proc Biol Sci ; 281(1774): 20131835, 2014 Jan 07.
Article in English | MEDLINE | ID: mdl-24258715

ABSTRACT

On coral reefs, herbivorous fishes consume benthic primary producers and regulate competition between fleshy algae and reef-building corals. Many of these species are also important fishery targets, yet little is known about their global status. Using a large-scale synthesis of peer-reviewed and unpublished data, we examine variability in abundance and biomass of herbivorous reef fishes and explore evidence for fishing impacts globally and within regions. We show that biomass is more than twice as high in locations not accessible to fisheries relative to fisheries-accessible locations. Although there are large biogeographic differences in total biomass, the effects of fishing are consistent in nearly all regions. We also show that exposure to fishing alters the structure of the herbivore community by disproportionately reducing biomass of large-bodied functional groups (scraper/excavators, browsers, grazer/detritivores), while increasing biomass and abundance of territorial algal-farming damselfishes (Pomacentridae). The browser functional group that consumes macroalgae and can help to prevent coral-macroalgal phase shifts appears to be most susceptible to fishing. This fishing down the herbivore guild probably alters the effectiveness of these fishes in regulating algal abundance on reefs. Finally, data from remote and unfished locations provide important baselines for setting management and conservation targets for this important group of fishes.


Subject(s)
Coral Reefs , Fishes/physiology , Animals , Biodiversity , Biomass , Conservation of Natural Resources , Fisheries , Geography , Herbivory , Population Density , Population Dynamics
7.
Proc Biol Sci ; 280(1773): 20131684, 2013 Dec 22.
Article in English | MEDLINE | ID: mdl-24197407

ABSTRACT

Increases in the demand and price for industrial metals, combined with advances in technological capabilities have now made deep-sea mining more feasible and economically viable. In order to balance economic interests with the conservation of abyssal plain ecosystems, it is becoming increasingly important to develop a systematic approach to spatial management and zoning of the deep sea. Here, we describe an expert-driven systematic conservation planning process applied to inform science-based recommendations to the International Seabed Authority for a system of deep-sea marine protected areas (MPAs) to safeguard biodiversity and ecosystem function in an abyssal Pacific region targeted for nodule mining (e.g. the Clarion-Clipperton fracture zone, CCZ). Our use of geospatial analysis and expert opinion in forming the recommendations allowed us to stratify the proposed network by biophysical gradients, maximize the number of biologically unique seamounts within each subregion, and minimize socioeconomic impacts. The resulting proposal for an MPA network (nine replicate 400 × 400 km MPAs) covers 24% (1 440 000 km(2)) of the total CCZ planning region and serves as example of swift and pre-emptive conservation planning across an unprecedented area in the deep sea. As pressure from resource extraction increases in the future, the scientific guiding principles outlined in this research can serve as a basis for collaborative international approaches to ocean management.


Subject(s)
Conservation of Natural Resources , Mining , Biodiversity , Oceans and Seas
8.
Microbiology (Reading) ; 156(Pt 1): 174-183, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19833771

ABSTRACT

All Bacillus spores are encased in macromolecular shells. One of these is a proteinacious shell called the coat that, in Bacillus subtilis, provides critical protective functions. The Bacillus anthracis spore is the infectious particle for the disease anthrax. Therefore, the coat is of particular interest because it may provide essential protective functions required for the appearance of anthrax. Here, we analyse a protein component of the spore outer layers that was previously designated BxpA. Our data indicate that a significant amount of BxpA is located below the spore coat and associated with the cortex. By SDS-PAGE, BxpA migrates as a 9 kDa species when extracted from Sterne strain spores, and as 11 and 14 kDa species from Ames strain spores, even though it has predicted masses of 27 and 29 kDa, respectively, in these two strains. We investigated the possibility that BxpA is subject to post-translational processing as previously suggested. In B. subtilis, a subset of coat proteins is proteolysed or cross-linked by the spore proteins YabG or Tgl, respectively. To investigate the possibility that similar processing occurs in B. anthracis, we generated mutations in the yabG or tgl genes in the Sterne and Ames strains and analysed the consequences for BxpA assembly by SDS-PAGE. We found that in a tgl mutant of B. anthracis, the apparent mass of BxpA increased. This is consistent with the possibility that Tgl directs the cross-linking of BxpA into a form that normally does not enter the gel. Unexpectedly, the apparent mass of BxpA also increased in a yabG mutant, suggesting a relatively complex role for proteolysis in spore protein maturation in B. anthracis. These data reveal a previously unobserved event in spore protein maturation in B. anthracis. We speculate that proteolysis and cross-linking are ubiquitous spore assembly mechanisms throughout the genus Bacillus.


Subject(s)
Bacillus anthracis/genetics , Bacterial Proteins/metabolism , Animals , Bacillus anthracis/metabolism , Bacterial Proteins/genetics , Female , Gene Expression Regulation, Bacterial , Guinea Pigs , Mice , Mice, Inbred BALB C , Mutation , Protein Structure, Quaternary , Spores, Bacterial/genetics , Spores, Bacterial/metabolism
9.
Infect Immun ; 77(2): 749-55, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19064632

ABSTRACT

Bacillus anthracis lethal toxin (LT) was characterized in plasma from infected African Green monkeys, rabbits, and guinea pigs. In all cases, during the terminal phase of infection only the protease-activated 63-kDa form of protective antigen (PA(63)) and the residual 20-kDa fragment (PA(20)) were detected in the plasma. No uncut PA with a molecular mass of 83 kDa was detected in plasma from toxemic animals during the terminal stage of infection. PA(63) was largely associated with lethal factor (LF), forming LT. Characterization of LT by Western blotting, capture enzyme-linked immunosorbent assay, and size exclusion chromatography revealed that the antiphagocytic poly-gamma-d-glutamic acid (gamma-DPGA) capsule released from B. anthracis bacilli was associated with LT in animal blood in variable amounts. While the nature of this in vivo association is not understood, we were able to determine that a portion of these LT/gamma-DPGA complexes retained LF protease activity. Our findings suggest that the in vivo LT complexes differ from in vitro-produced LT and that including gamma-DPGA when examining the effects of LT on specific immune cells in vitro may reveal novel and important roles for gamma-DPGA in anthrax pathogenesis.


Subject(s)
Antigens, Bacterial/metabolism , Bacillus anthracis/physiology , Bacterial Capsules/metabolism , Bacterial Toxins/metabolism , Aerosols , Animals , Anthrax/blood , Anthrax/microbiology , Antigens, Bacterial/chemistry , Bacterial Capsules/chemistry , Bacterial Toxins/chemistry , Chlorocebus aethiops , Guinea Pigs , Polyglutamic Acid/chemistry , Polyglutamic Acid/metabolism , Rabbits
10.
J Fish Biol ; 75(3): 647-54, 2009 Aug.
Article in English | MEDLINE | ID: mdl-20738562

ABSTRACT

Blacktip reef sharks Carcharhinus melanopterus were the most abundant predator in the lagoons at Palmyra Atoll. They were evenly distributed throughout the lagoons, although there was some evidence of sexual segregation. Males reach sexual maturity between 940-1,020 mm L(T). Bird remains were found in some C. melanopterus stomachs. C. melanopterus at Palmyra appear to be smaller than those at other locations.


Subject(s)
Body Size/physiology , Ecosystem , Sex Ratio , Sharks/anatomy & histology , Sharks/physiology , Animals , Female , Male , Pacific Ocean , Predatory Behavior
11.
Carbohydr Res ; 343(16): 2783-8, 2008 Nov 03.
Article in English | MEDLINE | ID: mdl-18558401

ABSTRACT

We developed a microarray platform by immobilizing bacterial 'signature' carbohydrates onto epoxide modified glass slides. The carbohydrate microarray platform was probed with sera from non-melioidosis and melioidosis (Burkholderia pseudomallei) individuals. The platform was also probed with sera from rabbits vaccinated with Bacillus anthracis spores and Francisella tularensis bacteria. By employing this microarray platform, we were able to detect and differentiate B. pseudomallei, B. anthracis and F. tularensis antibodies in infected patients, and infected or vaccinated animals. These antibodies were absent in the sera of naïve test subjects. The advantages of the carbohydrate microarray technology over the traditional indirect hemagglutination and microagglutination tests for the serodiagnosis of melioidosis and tularemia are discussed. Furthermore, this array is a multiplex carbohydrate microarray for the detection of all three biothreat bacterial infections including melioidosis, anthrax and tularemia with one, multivalent device. The implication is that this technology could be expanded to include a wide array of infectious and biothreat agents.


Subject(s)
Antibodies, Bacterial/analysis , Bacillus anthracis/immunology , Burkholderia pseudomallei/immunology , Carbohydrates/chemistry , Francisella tularensis/immunology , Microarray Analysis/methods , Antibodies, Bacterial/immunology , Bacillus anthracis/chemistry , Burkholderia pseudomallei/chemistry , Francisella tularensis/chemistry
12.
Vaccine ; 24(17): 3469-76, 2006 Apr 24.
Article in English | MEDLINE | ID: mdl-16519970

ABSTRACT

The next-generation human anthrax vaccine developed by the United States Army Medical Research Institute of Infectious Diseases (USAMRIID) is based upon purified Bacillus anthracis recombinant protective antigen (rPA) adsorbed to aluminum hydroxide adjuvant (Alhydrogel). In addition to being safe, and effective, it is important that such a vaccine be fully characterized. Four major protein isoforms detected in purified rPA by native PAGE during research and development were reduced to two primary isoforms in bulk material produced by an improved process performed under Good Manufacturing Practices (GMP). Analysis of both rPA preparations by a protein-isoaspartyl-methyl-transferase assay (PIMT) revealed the presence of increasing amounts of iso-aspartic acid correlating with isoform content and suggesting deamidation as the source of rPA charge heterogeneity. Additional purification of GMP rPA by anion exchange chromatography separated and enriched the two principal isoforms. The in vitro and in vivo biological activities of each isoform were measured in comparison to the whole GMP preparation. There was no significant difference in the biological activity of each isoform compared to GMP rPA when analyzed in the presence of lethal factor using a macrophage lysis assay. Vaccination with the two individual isoforms revealed no differences in cytotoxicity neutralization antibody titers when compared to the GMP preparation although one isoform induced more anti-PA IgG antibody than the GMP material. Most importantly, each of the two isoforms as well as the whole GMP preparation protected 90-100% of rabbits challenged parenterally with 129 LD50 of B. anthracis Ames spores. The equivalent biological activity and vaccine efficacy of the two isoforms suggests that further processing to separate isoforms is unnecessary for continued testing of this next-generation anthrax vaccine.


Subject(s)
Anthrax Vaccines/immunology , Anthrax/prevention & control , Antigens, Bacterial/immunology , Bacterial Toxins/immunology , Vaccines, Synthetic/immunology , Animals , Antigens, Bacterial/analysis , Antigens, Bacterial/isolation & purification , Bacterial Toxins/analysis , Bacterial Toxins/isolation & purification , Protein Isoforms , Rabbits , Recombinant Proteins/immunology , Spores, Bacterial
13.
Proc Natl Acad Sci U S A ; 102(22): 7958-63, 2005 May 31.
Article in English | MEDLINE | ID: mdl-15911756

ABSTRACT

The primary virulence factor of Bacillus anthracis is a secreted zinc-dependent metalloprotease toxin known as lethal factor (LF) that is lethal to the host through disruption of signaling pathways, cell destruction, and circulatory shock. Inhibition of this proteolytic-based LF toxemia could be expected to provide therapeutic value in combination with an antibiotic during and immediately after an active anthrax infection. Herein is shown the crystal structure of an intimate complex between a hydroxamate, (2R)-2-[(4-fluoro-3-methylphenyl)sulfonylamino]-N-hydroxy-2-(tetrahydro-2H-pyran-4-yl)acetamide, and LF at the LF-active site. Most importantly, this molecular interaction between the hydroxamate and the LF active site resulted in (i) inhibited LF protease activity in an enzyme assay and protected macrophages against recombinant LF and protective antigen in a cell-based assay, (ii) 100% protection in a lethal mouse toxemia model against recombinant LF and protective antigen, (iii) approximately 50% survival advantage to mice given a lethal challenge of B. anthracis Sterne vegetative cells and to rabbits given a lethal challenge of B. anthracis Ames spores and doubled the mean time to death in those that died in both species, and (iv) 100% protection against B. anthracis spore challenge when used in combination therapy with ciprofloxacin in a rabbit "point of no return" model for which ciprofloxacin alone provided 50% protection. These results indicate that a small molecule, hydroxamate LF inhibitor, as revealed herein, can ameliorate the toxemia characteristic of an active B. anthracis infection and could be a vital adjunct to our ability to combat anthrax.


Subject(s)
Anthrax/drug therapy , Antigens, Bacterial/toxicity , Bacillus anthracis/pathogenicity , Bacterial Toxins/antagonists & inhibitors , Bacterial Toxins/toxicity , Hydroxamic Acids/pharmacology , Models, Molecular , Animals , Antigens, Bacterial/metabolism , Bacillus anthracis/metabolism , Bacterial Toxins/metabolism , Ciprofloxacin/therapeutic use , Crystallography , Cytotoxicity Tests, Immunologic , DNA Primers , Drug Therapy, Combination , Hydroxamic Acids/metabolism , Hydroxamic Acids/therapeutic use , Macrophages/metabolism , Mice , Mice, Inbred BALB C , Rabbits
14.
Infect Immun ; 71(8): 4563-79, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12874336

ABSTRACT

Bacillus anthracis (Ames strain) chromosome-derived open reading frames (ORFs), predicted to code for surface exposed or virulence related proteins, were selected as B. anthracis-specific vaccine candidates by a multistep computational screen of the entire draft chromosome sequence (February 2001 version, 460 contigs, The Institute for Genomic Research, Rockville, Md.). The selection procedure combined preliminary annotation (sequence similarity searches and domain assignments), prediction of cellular localization, taxonomical and functional screen and additional filtering criteria (size, number of paralogs). The reductive strategy, combined with manual curation, resulted in selection of 240 candidate ORFs encoding proteins with putative known function, as well as 280 proteins of unknown function. Proteomic analysis of two-dimensional gels of a B. anthracis membrane fraction, verified the expression of some gene products. Matrix-assisted laser desorption ionization-time-of-flight mass spectrometry analyses allowed identification of 38 spots cross-reacting with sera from B. anthracis immunized animals. These spots were found to represent eight in vivo immunogens, comprising of EA1, Sap, and 6 proteins whose expression and immunogenicity was not reported before. Five of these 8 immunogens were preselected by the bioinformatic analysis (EA1, Sap, 2 novel SLH proteins and peroxiredoxin/AhpC), as vaccine candidates. This study demonstrates that a combination of the bioinformatic and proteomic strategies may be useful in promoting the development of next generation anthrax vaccine.


Subject(s)
Anthrax Vaccines/genetics , Antigens, Bacterial/genetics , Antigens, Surface/genetics , Bacillus anthracis/genetics , Bacillus anthracis/immunology , Adhesins, Bacterial/genetics , Adhesins, Bacterial/immunology , Animals , Anthrax Vaccines/immunology , Bacillus anthracis/pathogenicity , Bacterial Proteins/genetics , Bacterial Proteins/immunology , Computational Biology , Enzymes/genetics , Enzymes/immunology , Genes, Bacterial , Genome, Bacterial , Humans , Open Reading Frames , Proteome , Virulence
15.
Curr Top Microbiol Immunol ; 271: 33-60, 2002.
Article in English | MEDLINE | ID: mdl-12224523

ABSTRACT

The only impetus for the development of new anthrax vaccines is to protect humans against the intentional use of Bacillus anthracis as a bioterrorist or warfare agent. Live attenuated vaccines against anthrax in domesticated animals were among the very first vaccines developed. This was followed by the development of nonliving component vaccines leading to the eventual licensure of protein-based vaccines for human use in the 1970s. This chapter will review the recent advances in developing protein, live attenuated, and genetic vaccines against anthrax.


Subject(s)
Anthrax Vaccines , Anthrax/prevention & control , Antigens, Bacterial , Bacillus anthracis/immunology , Adjuvants, Immunologic , Animals , Anthrax Vaccines/genetics , Anthrax Vaccines/immunology , Antibodies, Bacterial/biosynthesis , Bacterial Toxins/genetics , Bacterial Toxins/immunology , Humans , Mutation , Vaccination , Vaccines, Attenuated , Vaccines, DNA/immunology , Vaccines, Subunit/immunology , Vaccines, Synthetic/immunology
16.
Vaccine ; 20(5-6): 972-8, 2001 Dec 12.
Article in English | MEDLINE | ID: mdl-11738765

ABSTRACT

Bacillus anthracis is the major terrorist and biological warfare agent of concern to civilian and military medical planners. The licensed anthrax vaccine, adsorbed (AVA) is believed to be an effective prophylactic medical countermeasure against this threat. Our objective in this report was to expand the safety database for this vaccine by assessing data on self-reported, short-term safety of AVA during more than 25 years of use, measured by local and systemic adverse events temporally associated with the administration of AVA. A minority of AVA recipients reported systemic and injection site reactions. Females reported a higher incidence of injection site and systemic adverse events than males. Data show a difference in incidence of local reactions between lots. A prospective, randomized, placebo-controlled study to actively examine reactogenicity is needed to more completely define the extent and nature of reactions associated with receipt of AVA in humans as well as to confirm the gender lot differences in local reaction rates.


Subject(s)
Anthrax Vaccines/adverse effects , Adolescent , Adult , Anthrax Vaccines/isolation & purification , Female , Humans , Male , Risk Factors , Safety , Sex Characteristics , Time Factors
18.
Clin Lab Med ; 21(3): 435-73, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11572137

ABSTRACT

Concern regarding the use of biological agents (bacteria, viruses, or toxins) as tools of warfare or terrorism has led to measures to deter their use or, failing that, to deal with the consequences. Unlike chemical agents, which typically lead to severe disease syndromes within minutes at the site of exposure, diseases resulting from biological agents have incubation periods of days. Rather than a paramedic, it will likely be a physician who is first faced with evidence of the results of a biological attack. Provided here is an updated primer on 11 classic BW and potential terrorist agents to increase the likelihood of their being considered in a differential diagnosis. Although the resultant diseases are rarely seen in many countries today, accepted diagnostic and epidemiologic principles apply; if the cause is identified quickly, appropriate therapy can be initiated and the impact of a terrorist attack greatly reduced.


Subject(s)
Biological Warfare , Communicable Diseases/diagnosis , Communicable Diseases/therapy , Humans
19.
Vaccine ; 19(32): 4768-73, 2001 Sep 14.
Article in English | MEDLINE | ID: mdl-11535328

ABSTRACT

A serological correlate of vaccine-induced immunity was identified in the rabbit model of inhalational anthrax. Animals were inoculated intramuscularly at 0 and 4 weeks with varying doses of Anthrax Vaccine Adsorbed (AVA) ranging from a human dose to a 1:256 dilution in phosphate-buffered saline (PBS). At 6 and 10 weeks, both the quantitative anti-protective antigen (PA) IgG ELISA and the toxin-neutralizing antibody (TNA) assays were used to measure antibody levels to PA. Rabbits were aerosol-challenged at 10 weeks with a lethal dose (84-133 LD(50)) of Bacillus anthracis spores. All the rabbits that received the undiluted and 1:4 dilution of vaccine survived, whereas those receiving the higher dilutions of vaccine (1:16, 1:64 and 1:256) had deaths in their groups. Results showed that antibody levels to PA at both 6 and 10 weeks were significant (P<0.0001) predictors of survival.


Subject(s)
Anthrax Vaccines/immunology , Anthrax/immunology , Antibodies, Bacterial/immunology , Bacillus anthracis/immunology , Models, Animal , Administration, Inhalation , Aerosols , Animals , Anthrax/prevention & control , Anthrax/transmission , Antibodies, Bacterial/biosynthesis , Antigens, Bacterial/immunology , Bacterial Capsules/immunology , Bacterial Toxins/immunology , Enzyme-Linked Immunosorbent Assay , Female , Immunoglobulin G/biosynthesis , Immunoglobulin G/immunology , Injections, Intramuscular , Male , Mammals , Neutralization Tests , Rabbits , Species Specificity , Specific Pathogen-Free Organisms , Spores, Bacterial , Virulence
20.
JAMA ; 285(21): 2763-73, 2001 Jun 06.
Article in English | MEDLINE | ID: mdl-11386933

ABSTRACT

OBJECTIVE: The Working Group on Civilian Biodefense has developed consensus-based recommendations for measures to be taken by medical and public health professionals if tularemia is used as a biological weapon against a civilian population. PARTICIPANTS: The working group included 25 representatives from academic medical centers, civilian and military governmental agencies, and other public health and emergency management institutions and agencies. EVIDENCE: MEDLINE databases were searched from January 1966 to October 2000, using the Medical Subject Headings Francisella tularensis, Pasteurella tularensis, biological weapon, biological terrorism, bioterrorism, biological warfare, and biowarfare. Review of these references led to identification of relevant materials published prior to 1966. In addition, participants identified other references and sources. CONSENSUS PROCESS: Three formal drafts of the statement that synthesized information obtained in the formal evidence-gathering process were reviewed by members of the working group. Consensus was achieved on the final draft. CONCLUSIONS: A weapon using airborne tularemia would likely result 3 to 5 days later in an outbreak of acute, undifferentiated febrile illness with incipient pneumonia, pleuritis, and hilar lymphadenopathy. Specific epidemiological, clinical, and microbiological findings should lead to early suspicion of intentional tularemia in an alert health system; laboratory confirmation of agent could be delayed. Without treatment, the clinical course could progress to respiratory failure, shock, and death. Prompt treatment with streptomycin, gentamicin, doxycycline, or ciprofloxacin is recommended. Prophylactic use of doxycycline or ciprofloxacin may be useful in the early postexposure period.


Subject(s)
Biological Warfare , Civil Defense/standards , Disease Outbreaks/prevention & control , Tularemia/prevention & control , Anti-Bacterial Agents/therapeutic use , Bacterial Vaccines , Bioterrorism , Decontamination , Francisella tularensis/pathogenicity , Humans , Infection Control , Tularemia/diagnosis , Tularemia/epidemiology , Tularemia/etiology , United States/epidemiology , Vaccination , Vaccines, Attenuated , Virulence
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