Decreased susceptibility of Plasmodium falciparum to both dihydroartemisinin and lumefantrine in northern Uganda.

Artemisinin partial resistance may facilitate selection of Plasmodium falciparum resistant to combination therapy partner drugs. We evaluated 99 P. falciparum isolates collected in 2021 from northern Uganda, where resistance-associated PfK13 C469Y and A675V mutations have emerged, and eastern Uganda, where these mutations are uncommon. With the ex vivo ring survival assay, isolates with the 469Y mutation (median survival 7.3% for mutant, 2.5% mixed, and 1.4% wild type) and/or mutations in Pfcoronin or falcipain-2a, had significantly greater survival; all isolates with survival >5% had mutations in at least one of these proteins. With ex vivo growth inhibition assays, susceptibility to lumefantrine (median IC50 14.6 vs. 6.9 nM, p < 0.0001) and dihydroartemisinin (2.3 vs. 1.5 nM, p = 0.003) was decreased in northern vs. eastern Uganda; 14/49 northern vs. 0/38 eastern isolates had lumefantrine IC50 > 20 nM (p = 0.0002). Targeted sequencing of 819 isolates from 2015-21 identified multiple polymorphisms associated with altered drug susceptibility, notably PfK13 469Y with decreased susceptibility to lumefantrine (p = 6 × 10-8) and PfCRT mutations with chloroquine resistance (p = 1 × 10-20). Our results raise concern regarding activity of artemether-lumefantrine, the first-line antimalarial in Uganda.

A prefrontal-bed nucleus of the stria terminalis circuit limits fear to uncertain threat.

In many cases of trauma, the same environmental stimuli that become associated with aversive events are experienced on other occasions without adverse consequence. We examined neural circuits underlying partially reinforced fear (PRF), whereby mice received tone-shock pairings on half of conditioning trials. Tone-elicited freezing was lower after PRF conditioning than fully reinforced fear (FRF) conditioning, despite an equivalent number of tone-shock pairings. PRF preferentially activated medial prefrontal cortex (mPFC) and bed nucleus of the stria terminalis (BNST). Chemogenetic inhibition of BNST-projecting mPFC neurons increased PRF, not FRF, freezing. Multiplexing chemogenetics with in vivo neuronal recordings showed elevated infralimbic cortex (IL) neuronal activity during CS onset and freezing cessation; these neural correlates were abolished by chemogenetic mPFC→BNST inhibition. These data suggest that mPFC→BNST neurons limit fear to threats with a history of partial association with an aversive stimulus, with potential implications for understanding the neural basis of trauma-related disorders.

While walking home alone late one night, you hear footsteps behind you. Your heart starts to beat faster as you wonder whether someone might be following you. Being able to identify and evade threats is essential for survival. A key part of this process is learning to recognize signals that predict potential danger: the sound of footsteps behind you, for example. But many such cues are unreliable. The person behind you might simply be heading in the same general direction as you. And if you spend too much time and energy responding to such false alarms, you may struggle to complete other essential tasks. To be useful, responses to cues that signal potential threats must thus be proportionate to the likelihood that danger is actually present. By studying threat detection in mice, Glover et al. have identified a brain circuit that helps ensure that this is the case. Two groups of mice learned to fear a tone that predicted the delivery of a mild footshock. In one group of animals, the tone was followed by a shock on every trial (it was said to be 'fully reinforced'). But in the other group, the tone was followed by a shock on only 50% of trials ('partially reinforced'). After training, both groups of mice froze whenever they heard the tone ­ freezing being a typical fear response in rodents. But the animals trained with the partially reinforced tone showed less freezing than their counterparts in the fully reinforced group. Moreover, freezing in response to the partially reinforced tone was accompanied by activity in a specific neural pathway connecting the frontal part of the brain to an area called the bed nucleus of the stria terminalis. Inhibiting this pathway made mice respond to the partially reinforced tone as though it had been reinforced on every trial. This suggests that activity in this pathway helps dampen responses to unpredictable threat cues. In people with anxiety disorders, cues that become associated with unpleasant events can trigger anxiety symptoms, even if the association is unreliable. The findings of Glover et al. suggest that reduced activity of circuits that constrain excessive responses to threats might contribute to anxiety disorders.

Female Collegiate Dancers Body Composition, Macronutrient and Micronutrient Intake Over Two Academic Years: A Longitudinal Analysis.

Collegiate dancers face unique challenges to maintain a lean aesthetic, optimal diet, and a high-performance level due to the various stressors in college. The purpose of this study was to examine changes in body composition (BC) and diet over two years. Participants (N = 17, 19.6 ± 1.6 years) completed two laboratory sessions per semester. Sessions included height and weight, BC, dietary intake, and a health history questionnaire. Regardless of rigorous dance training and variations in the academic calendar, no significant changes in BC or diet were observed within semesters of over two years. BMI was normal (24.9 ± 4.1 kg/m2) with fat mass exceeding 30% at all timepoints. Fat mass was negatively correlated with carbohydrate, fat, and protein intake (g/kg/day; r = -0.291, p = 0.004; r = -0.372, p < 0.0001; r = -0.398, p < 0.0001; respectively). Energy intake was within the recommended daily allowance (2040 ± 710 kcal/day), however may be insufficient for an active dance population. Protein (1.1 ± 0.5 g/kg), carbohydrate (3.7 ± 1.6 g/kg), calcium (835 ± 405 mg/day), iron (17 ± 15 mg/day), and potassium (1628 ± 1736 mg/day) intake fell below recommendations for an active population. Alterations in dance training and the demands of the academic calendar may be contributing to suboptimal dietary intake and BC in female collegiate dancers.