Fulminant hepatitis B virus (HBV) infection in an infant following mother-to-child transmission of an e-minus HBV mutant: Time to relook at HBV prophylaxis in South African infants.

The prevalence of hepatitis B virus (HBV) infection in pregnant women is high in South Africa (SA), yet prophylaxis to prevent mother-to-child transmission (MTCT) falls short of international recommendations. We describe a 10-week-old infant who developed fulminant hepatic failure following MTCT. The mother was hepatitis e-antibody positive and had a viral load of only 760 IU/mL. Genetic analysis of virus from mother and infant showed that both had the G1896A mutation in the preC/C gene, which truncates hepatitis e antigen (HBeAg) during translation, causing an HBeAg-negative phenotype. HBeAg attenuates antiviral immune responses, and its absence was probably responsible for the infant's fulminant hepatitis, due to an uncontrolled immune attack on infected liver cells. Pregnant women are not tested for HBV infection in SA and MTCT rates are unknown. Addition of a birth dose of vaccine, HBV screening of pregnant women and antiviral prophylaxis to positive mothers should be prioritised.

Identification of a single MPV17 nonsense-associated altered splice variant in 24 South African infants with mitochondrial neurohepatopathy.

MPV17-related mitochondrial neurohepatopathy is a rare genetic disorder worldwide. We report on a novel pathogenic variant in the MPV17 gene in 24 unrelated neurohepatopathic infants of non-consanguineous Black South African heritage. Exome sequencing identified homozygosity for a c.106C>T nonsense variant in exon 3 of the human MPV17 gene in 2 unrelated index patients. mRNA analysis revealed transcripts both with and without exon 3, indicating both reduced splice efficiency and premature termination as mechanisms for disease. Carrier frequency in this population was found to be 1 in 68 (95% CI; 1/122-1/38) with an estimated newborn incidence of 1 in 18 496 (95% CI; 1/59 536-1/5776). Affected infants all presented with infantile onset neurohepatopathy with none surviving beyond infancy. This description of a relatively common pathogenic variant underlying a previously uncharacterized severe neurohepatopathy in South Africa will engender increased awareness, earlier diagnosis and possibly improve outcome if preventative or specific therapeutic options can be found.

Investigation into the distinct subcellular effects of docosahexaenoic acid loaded low-density lipoprotein nanoparticles in normal and malignant murine liver cells.

BACKGROUND: Recent studies have shown that low density lipoproteins reconstituted with the natural omega 3 fatty acid docosahexaenoic acid (LDL-DHA) is selectively cytotoxic to liver cancer cells over normal hepatocytes. To date, little is known about the subcellular events which transpire following LDL-DHA treatment. METHODS: Herein, murine noncancer and cancer liver cells, TIB-73 and TIB-75 respectively, were investigated utilizing confocal microscopy, flow cytometry and viability assays to demonstrate differential actions of LDL-DHA nanoparticles in normal versus malignant cells. RESULTS: Our studies first showed that basal levels of oxidative stress are significantly higher in the malignant TIB-75 cells compared to the normal TIB-73 cells. As such, upon entry of LDL-DHA into the malignant TIB-75 cells, DHA is rapidly oxidized precipitating global and lysosomal lipid peroxidation along with increased lysosomal permeability. This leakage of lysosomal contents and lipid peroxidation products trigger subsequent mitochondrial dysfunction and nuclear injury. The cascade of LDL-DHA mediated lipid peroxidation and organelle damage was partially reversed by the administration of the antioxidant, N-acetylcysteine, or the iron-chelator, deferoxamine. LDL-DHA treatment in the normal TIB-73 cells was well tolerated and did not elicit any cell or organelle injury. CONCLUSION: These studies have shown that LDL-DHA is selectively cytotoxic to liver cancer cells and that increased levels of ROS and iron catalyzed reactions promote the peroxidation of DHA which lead to organelle dysfunction and ultimately the demise of the cancer cell. GENERAL SIGNIFICANCE: LDL-DHA selectively disrupts lysosomal, mitochondrial and nuclear function in cancer cells as a novel pathway for eliminating cancer cells.

Damaging the Integrated HIV Proviral DNA with TALENs.

HIV-1 integrates its proviral DNA genome into the host genome, presenting barriers for virus eradication. Several new gene-editing technologies have emerged that could potentially be used to damage integrated proviral DNA. In this study, we use transcription activator-like effector nucleases (TALENs) to target a highly conserved sequence in the transactivation response element (TAR) of the HIV-1 proviral DNA. We demonstrated that TALENs cleave a DNA template with the HIV-1 proviral target site in vitro. A GFP reporter, under control of HIV-1 TAR, was efficiently inactivated by mutations introduced by transfection of TALEN plasmids. When infected cells containing the full-length integrated HIV-1 proviral DNA were transfected with TALENs, the TAR region accumulated indels. When one of these mutants was tested, the mutated HIV-1 proviral DNA was incapable of producing detectable Gag expression. TALEN variants engineered for degenerate recognition of select nucleotide positions also cleaved proviral DNA in vitro and the full-length integrated proviral DNA genome in living cells. These results suggest a possible design strategy for the therapeutic considerations of incomplete target sequence conservation and acquired resistance mutations. We have established a new strategy for damaging integrated HIV proviral DNA that may have future potential for HIV-1 proviral DNA eradication.

The use of fly larvae for organic waste treatment.

The idea of using fly larvae for processing of organic waste was proposed almost 100 years ago. Since then, numerous laboratory studies have shown that several fly species are well suited for biodegradation of organic waste, with the house fly (Musca domestica L.) and the black soldier fly (Hermetia illucens L.) being the most extensively studied insects for this purpose. House fly larvae develop well in manure of animals fed a mixed diet, while black soldier fly larvae accept a greater variety of decaying organic matter. Blow fly and flesh fly maggots are better suited for biodegradation of meat processing waste. The larvae of these insects have been successfully used to reduce mass of animal manure, fecal sludge, municipal waste, food scrapes, restaurant and market waste, as well as plant residues left after oil extraction. Higher yields of larvae are produced on nutrient-rich wastes (meat processing waste, food waste) than on manure or plant residues. Larvae may be used as animal feed or for production of secondary products (biodiesel, biologically active substances). Waste residue becomes valuable fertilizer. During biodegradation the temperature of the substrate rises, pH changes from neutral to alkaline, ammonia release increases, and moisture decreases. Microbial load of some pathogens can be substantially reduced. Both larvae and digested residue may require further treatment to eliminate pathogens. Facilities utilizing natural fly populations, as well as pilot and full-scale plants with laboratory-reared fly populations have been shown to be effective and economically feasible. The major obstacles associated with the production of fly larvae from organic waste on an industrial scale seem to be technological aspects of scaling-up the production capacity, insufficient knowledge of fly biology necessary to produce large amounts of eggs, and current legislation. Technological innovations could greatly improve performance of the biodegradation facilities and decrease production costs.

Estimating levels of inbreeding using AFLP markers.

In the absence of detailed pedigree records, researchers have attempted to estimate individuals' levels of inbreeding using molecular markers, generally making use of heterozygosity measures based on microsatellite markers. Here we report and validate a method for estimating an individual's inbreeding coefficient, f, using amplified fragment length polymorphism (AFLP) markers. We use simulations to confirm that our measure scales appropriately with f when allele frequencies can be estimated from a subset of outbred individuals. We also present an approach for obtaining satisfactory estimates even in the absence of an independent set of known outbred individuals from which to estimate allele frequencies. We then test our method against empirical data from 179 wild and captive-bred old-field mice, Peromyscus polionotus subgriseus, comprising pedigree-based estimates of f, along with genetic data from 94 AFLP markers and 12 microsatellites. Inbreeding estimates based on both AFLP and microsatellite markers were found to correlate strongly with pedigree-based inbreeding coefficients. Owing to their ease of amplification in any species, AFLP markers may prove to be a valuable new tool for estimating f in natural populations and for examining correlations between heterozygosity and fitness.

Poroma: estudio clínico-patológico de 45 casos / Poroma: a clinico-pathologic study of 45 cases

Introducción. El poroma es un tumor benigno generalmente solitario cuya localización se considera más frecuente en palmas y plantas. Comprende un grupo histológico de cuatro tipos de poroma. Su origen parece descansar en las células pluripotenciales de la zona transicional entre los segmentos dérmico e intraepidérmico del ducto ecrino, aunque existen evidencias de diferenciación apocrina. Material y métodos. Estudio retrospectivo, transversal, descriptivo y observacional de los casos de poromas reunidos en 25 años en nuestro departamento, para conocer su epidemiología y características clínicas e histológicas. Se compara la información contenida en la literatura con nuestros resultados. Resultados. Los 45 poromas encontrados corresponden al 0.23 por ciento de todas las biopsias de nuestro departamento. Todos solitarios, la mayoría asintomáticos y más frecuentes en mujeres, se encontraron en pacientes de 10 a 83 años. Las piernas fueron la principal localización. La mayoría fueron del tipo histológico poroma ecrino, 17 tumores presentaban características de los otros tipos histológicos de poroma; tres presentaron diferenciación apocrina y uno, folicular. Conclusión. El poroma es un tumor benigno, raro, de predominio en mujeres, en la edad adulta media y cuya localización más frecuente fueron las piernas. De características clínicas inespecíficas, debe diferenciarse de otras neoplasias. El tipo histológico más frecuente es el poroma ecrino, las otras variedades se encuentran en asociación. Pueden presentar diferenciación apocrina y folicular. Pueden dar origen a porocarcinomas. Su extirpación completa es curativa (AU)

Illicit alcohol (moonshine) consumption in West Alabama revisited.

BACKGROUND: Lacy and Wintemitz in 1984 and Pegues in 1991 showed the presence of moonshine-related lead poisoning in Alabama. METHODS: This study was a 10-year follow-up to the Lacy and Wintemitz study and used a similar inpatient retrospective chart review methodology. We looked at cases occurring between 1989 and 1992, which were positive for either a history of moonshine consumption or lead intoxication and cases suspicious for the diagnoses, based on the Lacy and Wintemitz epidemiologic parameters. RESULTS: A declining, yet continuing, presence of moonshine-related lead intoxication still exists in west Alabama. CONCLUSIONS: The findings suggest the current at-risk patients may continue to be middle-aged to elderly men from rural settings. Furthermore, appropriate screening tests were not always ordered, which suggests a possible lack of awareness of the disorder by care givers.

Effects of inbreeding on skeletal development of Rattus villosissimus.

In a species of Australian native rat, Rattus villosissimus, which experiences extreme population fluctuations and possibly episodes of local inbreeding in the wild, generations of inbreeding in a laboratory colony led to altered skull shape and increased fluctuating asymmetry in some skeletal characters. Although inbreeding was closely associated with the number of generations in captivity, the effect of inbreeding after controlling statistically for the generation number was to decrease skull length and width. The effect of generations in captivity after controlling for inbreeding was to increase skull length and width. The joint effect of these confounded determinants was to produce rats with increasingly broad and short skulls through generations of inbreeding. Developmental anomalies of the incisors and feet appeared in the population. The average effects of inbreeding on fluctuating asymmetry were not strong, as most inbred and noninbred rats were not detectably asymmetric. Asymmetry appeared to be a threshold phenomenon, as significantly asymmetric animals were more prevalent among the more highly inbred rats of later generations. We detected no trend for a lessening impact of inbreeding after many generations, as would have been expected if selection had been purging the population of its genetic load. Individual heterozygosity across five polymorphic allozyme loci was correlated with size and asymmetry metrics, but only in so far as could be accounted for by the correlation of sample heterozygosity with the level of inbreeding and the effect of inbreeding on size and asymmetry.

Behavior predicts genes structure in a wild primate group.

The predictability of genetic structure from social structure and differential mating success was tested in wild baboons. Baboon populations are subdivided into cohesive social groups that include multiple adults of both sexes. As in many mammals, males are the dispersing sex. Social structure and behavior successfully predicted molecular genetic measures of relatedness and variance in reproductive success. In the first quantitative test of the priority-of-access model among wild primates, the reproductive priority of dominant males was confirmed by molecular genetic analysis. However, the resultant high short-term variance in reproductive success did not translate into equally high long-term variance because male dominance status was unstable. An important consequence of high but unstable short-term variance is that age cohorts will tend to be paternal sibships and social groups will be genetically substructured by age.

Genome resource banking for species conservation: selection of sperm donors.

The systematic banking of genome resources using cryopreserved germ plasm offers the opportunity to further conservation strategies of endangered species by assisting in the effective genetic management of captive populations. Cryopreserved germ plasm will allow indefinite preservation of the presently available gene diversity represented in either captive or wild populations. If properly utilized, genome resource banks have the potential to decelerate the loss of gene and allelic diversity in captive populations through reintroducing "original" genetic material through time to counter genetic drift. However, in order for any genome resource bank to be effective, strategies need to be developed to identify genetically valuable individuals to bank which will represent optimal gene diversity of the specific population. Four selection strategies were evaluated to identify individual donors from four North American captive populations representing differently structured pedigrees. The strategies consisted of selecting: (1) all males in the population ("All Male Bank"); (2) only living founders and early generation descendents ("Founder Method Bank," FMB); (3) males remaining after culling to minimize mean kinship ("Culled Male Bank 1"); and (4) males remaining after culling to minimize mean kinship, with the males reduced to the number in the FMB ("Culled Male Bank 2"). The effectiveness of each strategy was based on the comparison of genetic variation metrics in each bank with the genetic variation in the present living managed population. Although maximal retention of allelic diversity was achieved by banking genes from all living animals, nearly optimal retention of allelic and gene diversity was obtained by utilizing the selection strategy based on minimizing mean kinships. As a consequence, properly designed and utilized, genome resource banks can become effective tools for preserving gene diversity in future generations of living populations.

An experimental study of inbreeding depression in a natural habitat.

Inbreeding is known to lead to decreased survival and reproduction in captive populations of animals. It is also important to know whether inbreeding has deleterious effects in natural habitats. An estimate was made of the effects of inbreeding in white-footed mice, Peromyscus leucopus noveboracensis, derived from a wild population. This study demonstrates that inbreeding had a significant detrimental effect on the survivorship of mice reintroduced into a natural habitat. This effect was more severe than the effect observed in laboratory studies of the population.

Relations of intimal-medial thickness among sites within the carotid artery as evaluated by B-mode ultrasound. ARIC Investigators. Atherosclerosis Risk in Communities.

BACKGROUND AND PURPOSE: B-mode ultrasound is a widely used technique for the clinical and epidemiological assessment of carotid atherosclerosis. This article describes the relation between arterial intimal-medial thickness (IMT) at different sites within the extracranial carotid artery. METHODS: IMT was measured by B-mode real-time ultrasound as an index of atherosclerotic involvement in the extracranial carotid arteries as part of the population-based Atherosclerosis Risk in Communities (ARIC) study. The relation between IMT at different sites was described by correlation coefficients and percentile regression techniques based on between 4034 and 9386 pairs of measurements (variation in sample size depending on the paired sites). RESULTS: Increased IMT at one site was associated with increased IMT at other sites. The correlation between right and left IMT at the same anatomic location in the carotid artery ranged from .34 to .49; the correlation at different anatomic locations in the carotid artery on the same side ranged from .25 to .43. The distribution of IMT, described by the percentiles of IMT at the inference site as a function of IMT at the index site, showed constricted percentiles of IMT at the inference site for small IMT at the index site and an increase in the spread of percentiles with increasing IMT. CONCLUSIONS: Although increased carotid IMT at one site is positively associated with thickened walls at other carotid sites, the ability to accurately predict wall thickness at a site given the wall thickness at other sites is modest. The general association between sites supports the systemic nature of atherosclerosis, while the lack of tight agreement between sites supports the focal nature of the atherosclerotic process.

Patience is a virtue.

Family members learn a lot about intervention while caring for Alzheimer's patients. Nutrition and safety are two aspects of Alzheimer's care that family caregivers can influence on their own, day to day.

Inbreeding depression in insular and central populations of Peromyscus mice.

We tested the hypothesis that small, isolated populations would show less depression in fitness when inbred than would large, central populations. Laboratory stocks of Peromyscus leucopus and P. polionotus were established from insular, peninsular, and central populations. The isolated populations had one-third to one-half the genic diversity of central populations. Responses to inbreeding were highly varied: some populations had smaller litters, others experienced higher mortality, some showed slower growth rates, and one displayed no measurable effects when inbred. These results suggest that inbreeding depression is controlled by a small number of genes and that the size of the genetic load depends on which alleles are present in the founders of a population. The severity of fitness depression in inbred litters did not correlate with initial genic diversity of the stocks nor, therefore, with the size of the wild populations. Fitness measures appeared linearly related to the inbreeding coefficient of the liters, with no diminution of deleterious effects through subsequent generations of inbreeding. Thus overdominance of fitness traits probably contributed as much to the genetic load as did deleterious recessive alleles. The inbreeding level of the dam negatively affected the size, growth, and survival of litters only in genetically diverse populations, indicating that the load of recessive alleles negatively impacting maternal care may have been reduced by selection in the more peripheral populations during past bottlenecks.

Basal metabolic rates in mammals: taxonomic differences in the allometry of BMR and body mass.

No single equation adequately describes the allometric relation between body mass and BMR for mammals. Least squares regression of log-transformed data for 248 eutherian species results in a line with a slope (-0.30) significantly different from that of Kleiber's line (-0.25). Interordinal comparisons of least squares regressions of log-transformed BMR and mass suggest that the Insectivora have a significantly steeper slope to their allometric relationship than do most other orders, while the non-insectivore orders are statistically homogeneous with respect to slope. With respect to elevation, Edentata have the lowest BMRs; Marsupialia, Primates and Chiroptera are indistinguishable from each other but above the edentates; Primates, Chiroptera, Rodentia, Lagomorpha and Carnivora form the next highest homogeneous grouping; and Artiodactyla have the highest BMRs, significantly greater than all but Lagomorpha and Carnivora. Analysis of intraordinal variation within the Rodentia suggests significant heterogeneity among families in BMR-mass allometry.

Structure of Genetic Variation within and between Populations of Mycophagous Drosophila.

Patterns of genetic variation within and between populations of five species of mycophagous Drosophila were examined by gel electrophoresis of several polymorphic loci. Populations of the five species could not be shown to be subdivided into sympatric host-adapted races. Statistically significant, but small, between-host differences in gene frequencies were observed at three of 15 loci. Mean gene frequencies at all loci were similar in New York and Tennessee, and, with one exception, relatively little genetic differentiation was observed among study sites within those two regions. Gene frequencies generally were stable over several years of collecting as well. The unpredictable nature of the fungal hosts may preclude the site fidelity and continuity of diversifying selection necessary for adaptive divergence of populations.

Quantitative Genetic Analysis of Temperature Regulation in MUS MUSCULUS. I. Partitioning of Variance.

Heritabilities (from parent-offspring regression) and intraclass correlations of full sibs for a variety of traits were estimated from 225 litters of a heterogeneous stock (HS/Ibg) of laboratory mice. Initial variance partitioning suggested different adaptive functions for physiological, morphological and behavioral adjustments with respect to their thermoregulatory significance. Metabolic heat-production mechanisms appear to have reached their genetic limits, with little additive genetic variance remaining. This study provided no genetic evidence that body size has a close directional association with fitness in cold environments, since heritability estimates for weight gain and adult weight were similar and high, whether or not the animals were exposed to cold. Behavioral heat conservation mechanisms also displayed considerable amounts of genetic variability. However, due to strong evidence from numerous other studies that behavior serves an important adaptive role for temperature regulation in small mammals, we suggest that fluctuating selection pressures may have acted to maintain heritable variation in these traits.