Evaluation of charge and agglomeration behavior of TiO2 nanoparticles in ecotoxicological media.

The dynamic nature of nanoparticle (NP) agglomeration behavior is of paramount interest to many current studies in environmental nanoscience and nano(eco)toxicology because agglomeration affects the NP bioavailability and toxicity. The present study investigates the surface charge and agglomeration behavior of TiO2 NPs in four different ecotoxicological media (OECD algae, OECD L_variegatus, hardwater and plant media) and two different electrolytes KCl (200 mM) and CaCl2 (50 mM). TiO2 NPs were positively charged, and the zeta potential varied from +1.9 mV in hardwater (at pH7.1) to +24.5 mV in CaCl2 electrolyte (at pH7.4) in all media except algae media, where the zeta potential was -6.7 mV (at pH7.7). Despite the differences in the pH and the surface charge of TiO2 NPs in the different media, an immediate agglomeration of the NPs in all standard ecotoxicological media was observed with aggregate sizes in the micrometer scale, as the measured zeta potentials were insufficient to prevent TiO2 NP agglomeration. The isoelectric point (pHiep) of TiO2 NPs in the studied media varied in the range (6.8-7.6), which was attributed to preferential association of anions and cations to TiO2; that is the pHiep decreases with the increased concentration of Cl and increases with the increased concentrations of Na and Mg. Despite the complexity of the ecotoxicological media and the presence of a mixture of different monovalent and divalent electrolytes, the agglomeration kinetics in the media follows the DVLO theory where two distinct agglomeration rates (slow, reaction limited regime and fast, diffusion limited regime) were observable. The critical coagulation concentration (CCC) of TiO2 NPs in the ecotoxicological media varied from 17.6 to 54.0% v/v standard media in UHPW, due to differences in media pH and TiO2 NP surface charge. In the ecotoxicological media (hardwater, L-variegatus and plant), where TiO2 NPs are positively charged, the CCC decrease with the increased divalent anions (act as counter ions) concentration in the media, again in good agreement with the DLVO theory.

Effect of monovalent and divalent cations, anions and fulvic acid on aggregation of citrate-coated silver nanoparticles.

The dynamic nature of nanoparticle (NP) aggregation behavior is of paramount interest to many current studies in environmental and toxicological nanoscience. The present study seeks to elucidate the influence that different electrolytes have on the aggregation of citrate-coated silver NPs (cit-AgNPs). The use of both UV-vis spectroscopy and dynamic light scattering (DLS, both z-average hydrodynamic diameter (z-dh) and size distribution analysis data) allowed improvement in the data quality and interpretation as compared to other studies using only DLS and reporting solely the z-dh, as the change in the z-dh can be related to analytical errors and uncertainties rather than only aggregation or dissolution of NPs. Divalent cations (CaCl2, Ca(NO3)2, CaSO4, MgCl2 and MgSO4) have stronger influence (ca. 50-65 fold) on aggregation of cit-AgNPs as compared to monovalent cations (NaCl, NaNO3, Na2SO4), as expected. For electrolytes with monovalent cations, there was no specific ion effect of nitrate and sulfate anions. However, the addition of chloride anions resulted in enhanced apparent aggregation, possibly due to the formation of AgCl NPs that sorb/attach to the surface of cit-AgNPs. Suwannee River fulvic acid enhances the stability of cit-AgNPs and shifts the critical coagulation concentrations to higher electrolyte concentrations for all types of electrolytes. Aggregation kinetics in the presence of mixture of monovalent and divalent cations is additive and controlled by the dominant cations. An empirical formula (αmixture=αNa+(50 to 65)Ca) is proposed that reproduces the effect of mixtures of electrolytes in the presence of humic substances and cations that can be used to help predict the aggregation behavior of cit-AgNPs in environmental and ecotoxicological media.

Serologic evidence of ehrlichiosis among humans and wild animals in The Netherlands.

The seroprevalence of antibodies directed against granulocytic and monocytic Ehrlichia was determined by use of human granulocytic ehrlichiosis agent and Ehrlichia chaffeensis as surrogate antigens. Seven hundred twenty-one serum samples were collected between 1992 and 1999 from febrile patients with unresolved aetiology (n=108), patients suspected of having Lyme disease (n=174), forestry workers (n=154) and healthy controls (n=54) as well as from wild deer (n=96), hares (n=60), wild boar (n=15) and red foxes (n=60). Reactive antibodies against granulocytic Ehrlichia were detected in 4% of febrile patients with unresolved aetiology and in 4% of patients suspected of having Lyme disease. Among the forestry workers, 1% tested positive for antibodies against granulocytic Ehrlichia, whereas all the healthy controls were negative. Antibody reaction against monocytic Ehrlichia was detected in only 2% of the febrile patients. Granulocytic Ehrlichia and monocytic Ehrlichia-reactive serum antibodies were detected in 22% and 3% of the deer samples, respectively, and in 2% of the hares. In wild boars and in red foxes, only serum antibodies reactive against monocytic Ehrlichia were detected in 13% and 7%, respectively. The demonstration of the presence of both granulocytic and monocytic Ehrlichia-reactive serum antibodies among humans and wild animals in The Netherlands indicates that patients suspected of having Lyme disease and febrile patients with unresolved aetiology should be tested for the presence of granulocytic and monocytic Ehrlichia antibodies or by polymerase chain reaction. Furthermore, granulocytic Ehrlichia are most prevalent in humans and animals in The Netherlands.

Diagnosing visceral leishmaniasis with the recombinant K39 strip test: experience from the Sudan.

We compared a strip test employing recombinant K39 (rK39) antigen and protein A/colloidal gold as read-out agents with the rK39 ELISA for IgM and IgG antibodies and the direct agglutination test (DAT) using 55 sera from patients with parasitologically confirmed visceral leishmaniasis (VL). The rK39 strip test was positive in 37/55 (67%), the DAT in 50/55 (91%) at > or = 1 : 1600 cut-off value and in 47/55 (85%) at > or = 1 : 6400 cut-off value. The rK39-ELISA gave positive IgG results for all sera; those who had a positive strip test had significantly higher IgG levels than those with a negative strip test (31.1 (SD=3.6) and 17.7 U/ml (SD=9.8), respectively, P < 0.0001). A total of 31/55 (56%) sera showed a positive IgM result; of these 27 (49%) had a positive strip test. We tested 115 apparently cured VL patients with the strip test during follow-up; 68 were also tested with DAT. In the strip test, 25-43% of patients had a positive result at time points 3, 6, 9 and 12 months after treatment; for DAT (cut-off > or = 1 : 1600) these results were 67-83%. In neither test did a significant decrease in positivity rates occur over time (P=0.37 for the strip test, P=0.17 for the DAT). No correlation (P=0.33) was found between a positive strip test and a positive DAT result (cut-off > or = 1: 1600), indicating that the strip test and DAT are complementary rather than interchangeable. Of 61 endemic controls two (3%) had a positive strip test result; both had a positive leishmanin skin test. The rK39 strip test has the ideal format for use in the field, but its sensitivity is limited; like DAT, but to a lesser extent, it remains positive after treatment.

Combination of reverse transcriptase PCR analysis and immunoglobulin M detection on filter paper blood samples allows diagnostic and epidemiological studies of measles.

As measles control and elimination campaigns progress, laboratory confirmation of clinically diagnosed measles cases becomes increasingly important. However, in many tropical countries collection and storage of clinical specimens for this purpose are logistically complicated. In this study it is shown that blood samples spotted on filter paper are suitable for the laboratory diagnosis of measles using a combination of reverse transcriptase PCR (RT-PCR) analysis and immunoglobulin M (IgM) detection. First, it was shown that in vitro measles virus (MV)-infected cells diluted in human blood and spotted on filter paper can be detected by RT-PCR. Small amounts of infected cells remained detectable after 25 weeks of storage of the filter paper at room temperature, 4 weeks at 37 degrees C, or 2 weeks at 45 degrees C. Subsequently, this RT-PCR was applied to filter paper blood samples collected from 117 clinically diagnosed measles patients in Sudan in 1997 and 1998. Prior laboratory diagnosis had confirmed 90 cases as acute MV infections, while 27 proved to be nonmeasles rash disease cases. Positive RT-PCR signals were detected in filter paper blood samples of 43 of the 90 confirmed cases (48%) but in none of the 27 nonmeasles cases. In addition, MV-specific IgM levels measured in reconstituted filter paper samples correlated well with those measured in plasma samples. Measles diagnosis based on the combination of filter paper RT-PCR and IgM detection had a sensitivity and specificity of 99 and 96%, respectively. An advantage of this diagnostic approach is that sequencing of RT-PCR products allows phylogenetic analysis of the MV strain involved.

Need to increase awareness among family doctors and medical specialists of rickettsioses as an import disease in non-endemic areas.

Europeans travelling to (sub)-tropical countries have an increased risk for infections with Rickettsia. As serious consequences are associated with delay in specific antibiotic therapy, unequivocal diagnosis of this condition is needed. We focus here on the benefits of early, and consequences of late laboratory diagnosis, and emphasise the need of an increased awareness of rickettsioses among family doctors, as well as medical specialists, in non-endemic areas when evaluating patients with travel associated fever.

Prevalence of serum antibodies against bloodborne and sexually transmitted agents in selected groups in Somalia.

Somalia has suffered from a civil war during the last 10 years. In this period the use of whole blood has increased at least twofold in Mogadishu, Somalia compared with pre-war. Screening possibilities are limited. Recent data concerning the prevalence of infections with blood-borne and sexually transmitted agents are not available from this country. To investigate the spread of human immunodeficiency virus (HIV-1/2) and other blood-borne or sexually transmitted agents we tested a total of 256 serum samples collected in the summer of 1995 from blood donors, hospitalized children and adults in Mogadishu. The hepatitis B surface antigen (HbsAg) carrier rate was 191%, 5.6% and 21.3 % among blood donors, hospitalized children and hospitalized adults, respectively. However, no children under 2 years of age were HbsAg positive. The overall presence of antibodies against hepatitis C virus (HCV) was 2.4% (6/256). In blood donors this was 0.6% (1/157). In none of the samples tested, antibodies against HIV 1 and 2 or human T-cell lymphotropic viruses (HTLV I and II) were detected. Our results indicate that, during the civil war in Somalia, no evidence of an increase of HIV infections was found. Our findings indicate that preventive measures in Somalia should focus mainly on prevention of HBV-infections. HBV-vaccine could be administered within the framework of the expanded programme on immunization, as none of the children less than 2 years of age were HbsAg positive.

IgM antibodies in hospitalized children with febrile illness during an inter-epidemic period of measles, in Somalia.

BACKGROUND: In the context of the measles elimination programme, endorsed by the expanded programme on immunization of the World Health Organization, the identification of infections which may be confused with measles is a major challenge. OBJECTIVE: To determine the causes of febrile illness in children in an inter-epidemic period of measles in a Somalian hospital. STUDY DESIGN: Serological tests were performed on sera from 23 Somali children with febrile illness and from 23 age matched children, to measure the specific IgM and IgG antibodies against measles virus, mumps virus, rubella virus, human herpes-6 virus, Epstein Barr virus, parvovirus B19, dengue virus, Mycoplasma pneumoniae and Rickettsia conorii. RESULTS: In about one third of the cases of febrile illness viral, mycoplasmal and rickettsial agents could be identified serologically as the probable cause of the disease. CONCLUSIONS: Although febrile illness with rash in children needing hospitalization is usually assumed to be due to measles, there are several other important virological causes of this condition which need to be considered in the differential diagnosis. Moreover there is a growing need to develop a simple, sensitive, specific and ready to use test to identify each case of measles, if this disease is to be eliminated.

An outbreak of West Nile fever among migrants in Kisangani, Democratic Republic of Congo.

In February 1998, an outbreak of acute febrile illness was reported from the Kapalata military camp in Kisangani, the Democratic Republic of Congo. The illness was characterized by an acute onset of fever associated with severe headache, arthralgia, backache, neurologic signs, abdominal pain, and coughing. In 1 individual, hemorrhagic manifestations were observed. The neurologic signs included an altered level of consciousness, convulsions, and coma. Malaria was initially suspected, but the patients showed negative blood films and failed to respond to antimicrobial drugs. A total of 35 sera collected from the military patients in the acute phase were tested for the presence of IgM against vector-borne agents. Serum IgM antibodies against West Nile fever virus were found in 23 patients (66%), against Chikungunya virus in 12 patients (34%), against dengue virus in 1 patient (3%), and against Rickettsia typhi in 1 patient (3%). All sera were negative for IgM antibody against Rift Valley fever virus, Crimean Congo hemorrhagic fever virus, and Sindbis virus. These data suggest that infections with West Nile fever virus have been the main cause of the outbreak.