Genome analysis and classification of Xanthomonas bacteriophage AhaSv, a new member of the genus Salvovirus.

Xanthomonas phage AhaSv was isolated from lake water. Genome sequencing showed that its genome is a linear dsDNA molecule with a length of 55,576 bp and a G+C content of 63.23%. Seventy-one open reading frames (ORFs) were predicted, and no tRNAs were found in the genome. Phylogenetic analysis showed that AhaSv is closely related to members of the genus Salvovirus of the family Casjensviridae. Intergenomic similarity values between phage AhaSv and homologous phages were up to 90.6%, suggesting that phage AhaSv should be considered a member of a new species in the genus Salvovirus.

Characteristics and whole-genome analysis of a novel Pseudomonas syringae pv. tomato bacteriophage D6 isolated from a karst cave.

Pseudomonas syringae is a gram-negative plant pathogen that infects plants such as tomato and poses a threat to global crop production. In this study, a novel lytic phage infecting P. syringae pv. tomato DC3000, named phage D6, was isolated and characterized from sediments in a karst cave. The latent period of phage D6 was found to be 60 min, with a burst size of 16 plaque-forming units per cell. Phage D6 was stable at temperatures between 4 and 40 °C but lost infectivity when heated to 70 °C. Its infectivity was unaffected at pH 6-10 but became inactivated at pH ≤ 5 or ≥ 12. The genome of phage D6 is a linear double-stranded DNA of 307,402 bp with a G + C content of 48.43%. There is a codon preference between phage D6 and its host, and the translation of phage D6 gene may not be entirely dependent on the tRNA library provided by the host. A total of 410 open reading frames (ORFs) and 14 tRNAs were predicted in its genome, with 92 ORFs encoding proteins with predicted functions. Phage D6 showed low genomic similarity to known phage genomes in the GenBank and Viral sequence databases. Genomic and phylogenetic analyses revealed that phage D6 is a novel phage. The tomato plants were first injected with phage D6, and subsequently with Pst DC3000, using the foliar spraying and root drenching inoculum approach. Results obtained after 14 days indicated that phage D6 inoculation decreased P. syringae-induced symptoms in tomato leaves and inhibited the pathogen's growth in the leaves. The amount of Pst DC3000 was reduced by 150- and 263-fold, respectively. In conclusion, the lytic phage D6 identified in this study belongs to a novel phage within the Caudoviricetes class and has potential for use in biological control of plant diseases.

CHARACTERISTICS OF 'NOTCH' IN RETINOPATHY OF PREMATURITY FOLLOWING INTRAVITREAL RANIBIZUMAB MONOTHERAPY.

PURPOSE: To explore the clinical features and significance of "notch" in reactivation of retinopathy of prematurity (ROP) post-intravitreal ranibizumab (IVR) monotherapy. METHODS: Ninety-six infants (173 eyes) with type 1 or aggressive ROP (A-ROP) post-IVR monotherapy were retrospectively analyzed; 51 eyes were notch (+) and 122 eyes were notch (-). General demographics and clinical outcomes were compared by notch status for type 1 and A-ROP. RESULTS: The notch primarily appeared in stage 2 ROP (84.4 and 78.9%) at the junction of zones I and II (68.8 and 63.2%) on the temporal side in type 1 ROP and A-ROP. Notch was present in the type 1 ROP group before first IVR but post-treatment in the A-ROP group. A significantly higher reactivation rate, longer follow-up duration, and postmenstrual age at last follow-up were seen in the notch (+) versus the notch (-) group. In the notch (+) ROP group, the mean gestational age (28.34±0.93 vs. 29.94±1.48 weeks) was significantly lower in reactivated versus regressed eyes. CONCLUSION: Notches appeared at different times but similar locations in type 1 ROP and A-ROP. The reactivation rate after IVR was increased in ROP with notches. Notch may be a useful biomarker for reactivation after IVR in ROP.

Peripheral and central pathogenesis of postherpetic neuralgia.

BACKGROUND: Postherpetic neuralgia (PHN) is a classic chronic condition with multiple signs of peripheral and central neuropathy. Unfortunately, the pathogenesis of PHN is not well defined, limiting clinical treatment and disease management. OBJECTIVE: To describe the peripheral and central pathological axes of PHN, including peripheral nerve injury, inflammation induction, central nervous system sensitization, and brain functional and structural network activity. METHODS: A bibliographic survey was carried out, selecting relevant articles that evaluated the characterization of the pathogenesis of PHN, including peripheral and central pathological axes. RESULTS: Currently, due to the complexity of the pathophysiological mechanisms of PHN and the incomplete understanding of the exact mechanism of neuralgia. CONCLUSION: It is essential to conduct in-depth research to clarify the origins of PHN pathogenesis and explore effective and comprehensive therapies for PHN.

First Report of Powdery Mildew on Vitis bryoniifolia Caused by Erysiphe necator in China.

Grapes, belonging to the genus Vitis, are one of the world's most economically valuable fruit crops, which are widely used as the source of wine, raisins, and juice. The genus Vitis contains about 60 species mainly distributed in Asia, Europe, and North America to northern South America (Wan et al. 2013). In May 2022, severe powdery mildew symptoms were found on wild Vitis bryoniifolia plants at Guizhou Normal University, Guiyang, China. The incidence observed was approximately 85% among 50 V. bryoniifolia plants. Infected leaves appear white powdery patches, eventually leading to chlorosis to necrosis. Mycelia occurred on adaxial and abaxial leaf surfaces, petioles and young shoots. Upon microscopic observation hyphae were hyaline and 3.5-6 µm wide. Hyphal appressoria were solitary and lobed to multilobed. Conidiophores were erect, straight to somewhat flexuous and 80-130 µm long (n = 30). Foot cells were subcylindrical to curved-sinuous at the base, followed by 2-4 cells. Conidia formed singly (occasionally 2-6 in a chain) and were ellipsoid to ovoid in shape with dimensions of 22.5-38 × 12-19.5 µm (n = 50). No fibrosin bodies were observed on conidia. Based on these morphological characteristics, the powdery mildew fungus strongly resembled Erysiphe necator (Braun and Takamasu 2000; Zheng et al. 1987) that has been shown to cause powdery mildew on Vitis (Gadoury et al. 2012; Gaforio et al. 2011; Qiu et al. 2015). To confirm the identification, the ribosomal DNA internal transcribed spacer (ITS) and the ribosomal large subunit (LSU) region were amplified and sequenced using the ITS1/ITS4 primer pair (White et al. 1990) and the NL1/NL4 primer pair (Ziemiecki et al. 1990), respectively. The spliced 1250-bp ITS-LSU sequence (GenBank accession no. PP188565) shared 99.84-100% identity with ITS-LSU sequences of E. necator (LC028995, LC028996, ON073862, LC777882, and OM033353). Based on the phylogenetic analysis of the combined ITS-LSU dataset of Erysiphe species (Takamasu et al. 2015), PP188565 was grouped in a clade with E. necator strains MUMH530, MUMHs141, and VPRI19719. To perform pathogenicity analysis, leaves of three healthy, potted 1-year-old V. bryoniifolia plants were inoculated by gently pressing with diseased leaves. Three non-inoculated healthy plants served as controls. All plants were incubated in a greenhouse at 25 ± 2°C with 80% relative humidity. Powdery mildew symptoms, similar to field conditions were observed on inoculated plants 13 days after inoculation, whereas control plants remained symptomless. Fungus reisolated from inoculated V. bryoniifolia plants was morphologically identical to that on originally diseased plants, and the spliced ITS-LSU sequence of reisolated fungus shared 100% identity with PP188565, fulfilling Koch's postulates. Based on the morphological and molecular characterizations, the powdery mildew fungus was identified as E. necator. To our knowledge, this is the first report of powdery mildew caused by E. necator on V. bryoniifolia in China. This work further expands the host range of Erysiphe necator on Vitis species.

First Report of Powdery Mildew on Sophora flavescens Caused by Erysiphe diffusa in China.

Sophora flavescens (Fabaceae) is a deciduous subshrub which has been used in Chinese popular medicine for a long history (He et al. 2015). In June 2023, severe powdery mildew symptoms were observed on wild S. flavescens plants on Longwen hill of Guizhou Normal University, Guiyang, China. The incidence was approximately 80% among 100 S. flavescens plants observed. Almost all leaves were infected. Mycelia occurred on both adaxial and abaxial leaf surfaces, petioles, and stems, forming small-to-large patches. Hyphae were hyaline, 5 to 7 µm wide. Hyphal appressoria were solitary. Conidiophores were erect, straight to somewhat flexuous, and 45 to 120 µm long (n = 50). Foot cells were subcylindrical to slightly curved, followed by 2 to 3 shorter cells. Conidia formed singly, were ovoid to cylindrical, 26 to 42 × 12 to18 µm (n = 50). Based on these morphological characteristics, the powdery mildew fungus was tentatively identified as Erysiphe diffusa (Braun and Cook 2012). To confirm the identification, the ribosomal DNA internal transcribed spacer (ITS) and the ribosomal large subunit (LSU) region were amplified and sequenced using primer pairs ITS1/ITS4 (White et al. 1990) and NL1/NL4 (Ziemiecki et al. 1990), respectively. The obtained 647-bp ITS sequence (GenBank accession no. PP130131) displayed 100% identity with the ITS sequences of E. diffusa. The obtained 618-bp LSU sequence (GenBank accession no. PP693303) displayed 100% identity with the ITS sequences of E. diffusa (MT325922 and MT628019) and E. manihoticola (MT106658 and MT106660). Using a phylogenetic tree based on the combined ITS-LSU data, the isolate was grouped in a clade with the E. diffusa strain (GenBank accession no. LC777871). To fulfill Koch's postulates, leaves of three healthy potted S. flavescens plants were inoculated by gently pressing with diseased leaves. Non-inoculated plants were used as controls. All plants were incubated in a greenhouse at 25 ± 2°C, 80% relative humidity. After 15 days, typical powdery mildew symptoms were observed on the inoculated plants, whereas no symptoms were found on the control plants. The reisolated fungus from the inoculated S. flavescens was morphologically identical to that on naturally diseased plants, and the ITS sequence of the reisolated fungus showed 100% identity with PP130131. As the causal fungus of soybean powdery mildew, E. diffusa is known to infect papaya and other legumes, including Lens culinaris and Mimosa caesalpiniifolia (Attanayake et al. 2009; Luz et al. 2019). Particularly, E. diffusa has been previously reported to infect S. flavescens in the United Kingdom (Jones and Baker 2007; Bradshaw et al. 2023), but this is the first report of S. flavescens powdery mildew caused by E. diffusa in China. This work further expands the geographical range of E. diffusa-infected S. flavescens plants.

First Report of Powdery Mildew on Quercus fabri and Q. robur Caused by Erysiphe quercicola in China.

Quercus (Fagaceae) is a genus of ecologically and economically important shrub and tree species (Yin et al. 2018). In April 2022, powdery mildew symptoms were observed on Quercus fabri and Quercus robur leaves on Longwen hill, Guizhou Normal University, Guiyang, China. The incidence was 30% (Q. fabri, n = 50) and 20% (Q. robur, n = 30), respectively. Powdery mildew fungi from these two Quercus species shared similar morphological characteristics. Mycelia occurred on adaxial and abaxial leaf surfaces, forming small to large patches; hyphae were hyaline, 3-7 µm wide; hyphal appressoria were lobed to multilobed, solitary; conidiophores were erect, straight, 36-80 µm long (n = 30); foot cells were followed by 1-2 shorter cells; conidia formed singly, obovoid to ellipsoid, 24-38 × 12-27 µm (n = 50), without fibrosin bodies; no chasmothecia were observed. Based on these characteristics, powdery mildew fungi on both Q. fabri and Q. robur were identified as Erysiphe quercicola (Takamatsu et al. 2007). To confirm the identification, ribosomal DNA internal transcribed spacer (ITS) sequences of two fungal samples from Q. fabri and Q. robur were separately amplified and sequenced using primer pair ITS1/ITS4 (White et al. 1990). The obtained ITS sequences (GenBank accession nos. QR414372 and QR414373, respectively) shared 100% identity, and 99.38-99.84% identity with diverse ITS sequences of E. quercicola (Takamatsu et al. 2015). In a phylogenetic tree based on ITS sequences of Erysiphe species (Takamatsu et al. 2007), QR414372 and QR414373 were grouped in a clade with ITS sequences of E. quercicola. To fulfil Koch's postulates, leaves of three healthy potted Q. fabri plants and three healthy potted Q. robur plants were inoculated by gently pressing diseased Q. fabri and Q. robur leaves onto healthy leaves. Non-inoculated healthy Q. fabri and Q. robur plants served as controls. All plants were incubated in a greenhouse at 25 ± 2°C with 80% relative humidity. Typical powdery mildew symptoms were observed on all inoculated plants 15 days after inoculation, whereas no symptoms were observed on control plants. Fungi separately reisolated from inoculated Q. fabri and Q. robur were morphologically identical to those on their originally diseased plants, and ITS sequences of reisolated fungi shared 100% identity with QR414372 and QR414373. E. quercicola has previously been reported to infect Quercus species, including Q. robur in Australia, Q. crispula, Q. phillyraeoides and Q. serrata in Japan, and Q. phillyraeoides in Korea (Lee et al. 2011). In China, Q. fabri and Q. robur may be infected by E. alphitoides and E. hypophylla, respectively (Zheng et al. 1987). To our knowledge, this is the first report of powdery mildew caused by E. quercicola on Q. fabri and Q. robur in China. This work provides a foundation to protect Quercus plants against this fungal pathogen.

First Report of Powdery Mildew on Berchemia floribunda Caused by Erysiphe berchemiae in China.

The genus Berchemia (family Rhamnaceae), a group of climbing plants, is mainly distributed in Asia, Africa, and South America. Berchemia plants are widely used in traditional medicine in some Asian countries (Inoshiri et al. 1987). For example, in Japan, B. racemosa (synonym B. floribunda) is used for the treatment of gallstones, liver diseases, neuralgia, and stomach cramps, and in China, B. floribunda is used for the treatment of rheumatism and lumbago. In August 2022, typical powdery mildew symptoms were observed on wild B. floribunda plants in Huaxi District, Guiyang, Guizhou Province, China. The incidence was approximately 60% among 100 B. floribunda plants observed outdoors. White colonies almost entirely covered on both adaxial and abaxial surfaces of all leaves on symptomatic plants. Infected leaves appeared curled or chlorotic, infection occasionally leading to defoliation. To describe the pathogen morphologically, fungal samples were collected from two individual B. floribunda plants and microscopically characterized. In these samples, hyphae were flexuous to straight, branched, septate, 3-6 µm wide, with lobed hyphal appressoria. Conidiophores were erect, flexuous to straight, and 50-160 µm long (n = 30). Foot cells were subcylindrical to slightly curved-sinuous at the base, 20-40 µm long (n = 30), followed by 2-3 shorter cells. Conidia formed singly, occasionally 2-3 in a chain. Conidia were ellipsoid to ovoid, 20-42 × 12-18 µm (n = 50), without fibrosin bodies. Chasmothecia were not found. For molecular identification, the ribosomal DNA internal transcribed spacers (ITSs) of the two fungal samples were amplified and sequenced using the ITS1/ITS4 primer pair (White et al. 1990). The obtained 649-bp ITS sequences (GenBank accession nos. OR414364 and OR414365, respectively) shared 100% identity, and they showed 99.52% identity with the ITS sequence (GenBank accession no. LC009934) of Erysiphe berchemiae. Phylogenetic analysis grouped OR414364 and OR414365 in a clade with LC009934. Based on morphological and molecular characteristics, the powdery mildew fungus from B. floribunda was identified as E. berchemiae (Braun and Cook 2012). The voucher specimen (accession no. GZNU-BFEE/0820/2022) were deposited at the School of Life Sciences, Guizhou Normal University. Pathogenicity was assessed by gently pressing naturally diseased leaves of B. floribunda onto leaves of three healthy potted 1-year-old B. floribunda plants. Three non-inoculated healthy plants were used as controls. The plants were incubated in a greenhouse at 25 ± 2°C, 80% relative humidity. Similar powdery mildew symptoms were observed on the inoculated plants 9 days after inoculation, whereas the control plants remained symptomless. The reisolated fungus from inoculated leaves was morphologically identical to that observed on the original diseased leaves, and the ITS sequence of the reisolated fungus shared 100% identity with OR414364 and OR414365, fulfilling Koch's postulates. E. berchemiae has previously been described as a powdery mildew pathogen on B. yunnanensis (Chen et al. 1987) and B. kulingensis (Chen 1993) in China and B. racemosa (synonym B. floribunda) in Japan (Braun and Cook 2012; Takamatsu et al. 2015), but this is the first report of E. berchemiae causing disease of B. floribunda in China. This work suggests that E. berchemiae is an important pathogen of Berchemia plants, at least for some species in the genus Berchemia.

First Report of Powdery Mildew on Viburnum chinshanense Caused by Erysiphe pseudoviburni in China.

Viburnum chinshanense, a deciduous shrub in the family Caprifoliaceae, is a dominant tree distributed mainly in the North-Central and South-Central regions of China (Zhu et al. 2023). Because of its lush white flowers and vibrant red fruits, V. chinshanense is used widely as ornamental tree in China. In May 2022, severe powdery mildew symptoms were observed on V. chinshanense on the Huaxi Campus of Guizhou Normal University, Guiyang, China. The incidence was approximately 75% among 80 V. chinshanense plants observed. White mycelia were present on both adaxial and abaxial leaf sides, but not on fruits, petioles, or stems. Infected leaves showed slight chlorosis and twisting. The mycelia were amphigenous, forming small-to-large patches, often sparse on the upper leaf surface, but mostly confluent on the lower leaf surface. Hyphae were hyaline, 4-7 µm wide. Hyphal appressoria were lobed to multilobed, in opposite pairs or solitary. Conidiophores were erect, straight, or somewhat flexuous, 60-130 µm long (n = 30). Foot cells were subcylindrical to slightly curved-sinuous at the base, 20-40 × 6-10 µm (n = 30) in size, followed by 1-3 shorter cells. Conidia formed singly, occasionally two to three in a chain. Conidia were ellipsoid to ovoid, cylindrical, and 24-40 × 16-20 µm (n = 50). No fibrosin bodies were observed on the conidia. Chasmothecia were subglobose, 56-115 µm in diameter. The appendages were 35-70 µm long. Based on these morphological characteristics, the powdery mildew fungus was identified as Erysiphe pseudoviburni (Bradshaw et al. 2020). To confirm the identification, the ribosomal DNA internal transcribed spacer (ITS) and the ribosomal large subunit (LSU) region were amplified and sequenced using the ITS1/ITS4 primer pair (White et al. 1990) and the NL1/NL4 primer pair (Ziemiecki et al. 1990), respectively. The obtained 643-bp ITS sequence (GenBank accession no. ON729292) had 99.84% identity with E. pseudoviburni strains KUS-F27310 (MN431595) and MUMH0001 (LC009904). The obtained 593-bp LSU sequence (ON729293) had 99.83% identity with E. pseudoviburni (LC009904 and MN431595). Based on the phylogenetic analysis of the combined ITS and LSU dataset (Bradshaw et al. 2020), the isolate (GZVD-1) was grouped in a clade with the E. pseudoviburni strains KUS-F27319, KUS-F27310, and MUMH0001. To fulfill Koch's postulates, leaves of three healthy potted V. chinshanense plants were inoculated by gently pressing with diseased leaves. Non-contact plants were used as controls. All plants were incubated in a greenhouse at 25 ± 2°C, 80% relative humidity. Similar powdery mildew symptoms were observed on the inoculated plants 12 days after inoculation, whereas the control plants remained symptomless. The reisolated fungus from the inoculated plants was morphologically identical to that on originally diseased plants. ITS and LSU sequences of the reisolated fungus showed 100% identity with ON729292 and ON729293, respectively. E. pseudoviburni has previously been reported to infect some Viburnum species, including V. sieboldii in Japan (Takamatsu et al. 2015) and V. odoratissimum in South Korea (Bradshaw et al. 2020). To the best of our knowledge, this is the first report of powdery mildew caused by E. pseudoviburni on V. chinshanense in China. This work expands the known host range of E. pseudoviburni in the Viburnum genus.

First Report of Rust Disease on Alcea rosea caused by Puccinia modiolae in China.

Alcea rosea, belonging to the Alcea genus in the Malvaceae family, originated from China, but it is now grown worldwide. A. rosea has been widely used in traditional Chinese medicine to alleviate constipation, pain, swelling, and sores. In February 2023, typical symptoms of fungal infection were observed on A. rosea at Guizhou Normal University in Guiyang, Guizhou Province, China. The disease incidence was over 90% (n = 100) for the surveyed A. rosea plants, and the disease severity range from 30% to 90%. The initial symptoms of A. rosea rust were the appearance of chlorotic spots on the leaves. Subsequently, numerous reddish to dark-brown erumpent pustules (telia) were observed. Gradually, the entire plant was covered by rust and the center of each lesion turned brown, necrotic, and ruptured over times, eventually causing defoliation. Voucher specimens of infected A. rosea leaves as representative samples have been deposited at Guizhou Normal University (GNU2023LS008). Telia are round in shape, mostly aggregated in mass, with a diameter of 0.28-0.78 mm (0.46 mm, n = 20). They range in color from reddish-brown to dark brown, and are mainly hypophyllous but occasionally formed on the adaxial leaf surface. The teliospores are fusoid with dimensions of 31.3-93.8 × 10.9-21.3 µm (57.5 × 15.1 µm average, n = 50), hyaline or yellowish to light-brown in color, mostly two-celled, with a smooth wall (1.5-3.0 µm) and a thickened apex (3.0-9.0 µm). However, teliospores which are one-, three-, or four-celled with a notch at the apex, are rarely observed. The morphological characteristics of host symptoms and teliospores were similar to those of Puccinia modiolae (Aime and Abbasi 2018; Albu et al. 2019). For phylogenetic analysis, genomic DNA was extracted from the teliospores of infected leaves. To confirm the species-level identification, PCR was performed on the extracted DNA to amplify the ribosomal DNA internal transcribed spacer (ITS) and large subunit (LSU) regions using primer pairs ITS1/ITS4 (Schoch et al. 2012) and NL1/NL4 (Ziemiecki et al. 1990), respectively. The resulting ITS DNA sequence (GenBank accession no. OR607960) showed 100% identity with P. modiolae sequences (OP369291.1), when the query coverage was 100%. The LSU DNA sequence obtained (OR607961.2) shared 99.85% similarity with P. modiolae (MK458702.1). A phylogenetic tree was constructed using MEGA7.0 and the maximum likelihood method based on the ITS and LSU sequences. The fungal isolates collected in this study and several reference sequences of P. modiolae were grouped within a clade that included the isolates reported on A. rosea in Korea (Ryu et al. 2023), with 100% bootstrap support. Pathogenicity testing was conducted by gently pressing spore powder of naturally diseased leaves onto young leaves of three healthy A. rosea plants, with three noninoculated healthy plants serving as controls. The inoculated and noninoculated plants were kept in a growth chamber at the 26°C with a 12 hour light/dark cycle and 80% humidity. After 2 weeks, all inoculated A. rosea plants showed characteristic disease symptoms of rust infection and telia of P. modiolae, while control plants remained symptomless. The pathogen was identical to that observed on the original diseased leaves. The study results indicate that the causal fungus responsible for the disease is P. modiolae, which has been previously reported on Malvaceae plants (Farr and Rossman 2022). To the best of our knowledge, this is the first report of P. modiolae on A. rosea in China. This study will contribute to an increased understanding of the host range of Puccinia modiolae.

[Comparison of initiation of antihypertensive therapy strategies for primary prevention of cardiovascular diseases in Chinese population: A decision-analytic Markov modelling study].

OBJECTIVE: To evaluate the health benefits and intervention efficiency of different strategies of initiating antihypertensive therapy for the primary prevention of cardiovascular diseases in a community-based Chinese population from the Chinese electronic health records research in Yinzhou (CHERRY) study. METHODS: A decision-analytic Markov model was used to simulate and compare different antihypertensive initiation strategies, including: Strategy 1, initiation of antihypertensive therapy for Chinese adults with systolic blood pressure (SBP) ≥140 mmHg (2020 Chinese guideline on the primary prevention of cardiovascular diseases); Strategy 2, initiation of antihypertensive therapy for Chinese adults with SBP ≥130 mmHg; Strategy 3, initiation of antihypertensive therapy for Chinese adults with SBP≥140 mmHg, or with SBP between 130 and 140 mmHg and at high risk of cardiovascular diseases (2017 American College of Cardiology/American Heart Association guideline for the prevention, detection, evaluation, and management of high blood pressure in adults); Strategy 4, initiation of antihypertensive therapy for Chinese adults with SBP≥160 mmHg, or with SBP between 140 and 160 mmHg and at high risk of cardiovascular diseases (2019 United Kingdom National Institute for Health and Care Excellence guideline for the hypertension in adults: Diagnosis and management). The high 10-year cardiovascular risk was defined as the predicted risk over 10% based on the 2019 World Health Organization cardiovascular disease risk charts. Different strategies were simulated by the Markov model for ten years (cycles), with parameters mainly from the CHERRY study or published literature. After ten cycles of simulation, the numbers of quality-adjusted life years (QALY), cardiovascular events and all-cause deaths were calculated to evaluate the health benefits of each strategy, and the numbers needed to treat (NNT) for each cardiovascular event or all-cause death could be prevented were calculated to assess the intervention efficiency. One-way sensitivity analysis on the uncertainty of incidence rates of cardiovascular disease and probabilistic sensitivity analysis on the uncertainty of hazard ratios of interventions were conducted. RESULTS: A total of 213 987 Chinese adults aged 35-79 years without cardiovascular diseases were included. Compared with strategy 1, the number of cardiovascular events that could be prevented in strategy 2 increased by 666 (95% UI: 334-975), while the NNT per cardiovascular event prevented increased by 10 (95% UI: 7-20). In contrast to strategy 1, the number of cardiovascular events that could be prevented in strategy 3 increased by 388 (95% UI: 194-569), and the NNT per cardiovascular event prevented decreased by 6 (95% UI: 4-12), suggesting that strategy 3 had better health benefits and intervention efficiency. Compared to strategy 1, although the number of cardiovascular events that could be prevented decreased by 193 (95% UI: 98-281) in strategy 4, the NNT per cardiovascular event prevented decreased by 18 (95% UI: 13-37) with better efficiency. The results were consistent in the sensitivity analyses. CONCLUSION: When initiating antihypertensive therapy in an economically developed area of China, the strategy combined with cardiovascular risk assessment is more efficient than those purely based on the SBP threshold. The cardiovascular risk assessment strategy with different SBP thresholds is suggested to balance health benefits and intervention efficiency in diverse populations.

Strategies to inTerrupt RAbies Transmission for the Elimination Goal by 2030 In China (STRATEGIC): a modelling study.

BACKGROUND: A global plan has been set to end human deaths from dog-mediated rabies by 2030 ("Zero-by-30"), but whether it could be achieved in some countries, such as China, remains unclear. Although elimination strategies through post-exposure prophylaxis (PEP) use, dog vaccination, and patient risk assessments with integrated bite case management (IBCM) were proposed to be cost-effective, evidence is still lacking in China. We aim to evaluate the future burdens of dog-mediated human rabies deaths in the next decade and provide quantitative evidence on the cost-effectiveness of different rabies-control strategies in China. METHODS: Based on data from China's national human rabies surveillance system, we used decision-analytic modelling to estimate dog-mediated human rabies death trends in China till 2035. We simulated and compared the expected consequences and costs of different combination strategies of the status quo, improved access to PEP, mass dog vaccination, and use of IBCM. RESULTS: The predicted human rabies deaths in 2030 in China will be 308 (95%UI: 214-411) and remain stable in the next decade under the status quo. The strategy of improved PEP access alone could only decrease deaths to 212 (95%UI: 147-284) in 2028, remaining unchanged till 2035. In contrast, scaling up dog vaccination to coverage of 70% could eliminate rabies deaths by 2033 and prevent approximately 3,265 (95%UI: 2,477-3,687) extra deaths compared to the status quo during 2024-2035. Moreover, with the addition of IBCM, the "One Health" approach through mass dog vaccination could avoid unnecessary PEP use and substantially reduce total cost from 12.53 (95%UI: 11.71-13.34) to 8.73 (95%UI: 8.09-9.85) billion US dollars. Even if increasing the total costs of IBCM from 100 thousand to 652.10 million US dollars during 2024-2035, the combined strategy of mass dog vaccination and use of IBCM will still dominate, suggesting the robustness of our results. CONCLUSIONS: The combined strategy of mass dog vaccination and IBCM requires collaboration between health and livestock/veterinary sectors, and it could eliminate Chinese rabies deaths as early as 2033, with more deaths averted and less cost, indicating that adding IBCM could reduce unnecessary use of PEP and make the "One Health" rabies-control strategy most cost-effective.

Cancer stem cells and their niche in cancer progression and therapy.

High recurrence and metastasis rates and poor prognoses are the major challenges of current cancer therapy. Mounting evidence suggests that cancer stem cells (CSCs) play an important role in cancer development, chemoradiotherapy resistance, recurrence, and metastasis. Therefore, targeted CSC therapy has become a new strategy for solving the problems of cancer metastasis and recurrence. Since the properties of CSCs are regulated by the specific tumour microenvironment, the so-called CSC niche, which targets crosstalk between CSCs and their niches, is vital in our pursuit of new therapeutic opportunities to prevent cancer from recurring. In this review, we aim to highlight the factors within the CSC niche that have important roles in regulating CSC properties, including the extracellular matrix (ECM), stromal cells (e.g., associated macrophages (TAMs), cancer-associated fibroblasts (CAFs), and mesenchymal stem cells (MSCs)), and physiological changes (e.g., inflammation, hypoxia, and angiogenesis). We also discuss recent progress regarding therapies targeting CSCs and their niche to elucidate developments of more effective therapeutic strategies to eliminate cancer.

Arthrobacter cavernae sp. nov., a novel actinobacterium isolated from sediment of karst cave.

A novel, Gram-stain-positive, aerobic, non-endospore-forming, non-motile and rod-shaped bacterium designated PO-11T was isolated from sediment of karst cave collected in Libo county, Guizhou Province, PR China. The isolate grew optimally on R2A agar at 25 °C, pH 8.0 and with 0.5 % (w/v) NaCl. Phylogenetic analysis based on 16S rRNA gene sequences showed that PO-11T belonged to the genus Arthrobacter and was most closely related to Arthrobacter methylotrophus TGAT (98.3 % sequence similarity), Arthrobacter alkaliphilus LC6T (97.7 %) and Arthrobacter ramosus CCM1646T (97.1 %). Genome sequencing revealed a genome size of 4 073 119 bp and the genomic DNA G+C content was 66.16 mol%. Its DNA-DNA relatedness values with A. methylotrophus TGAT, A. alkaliphilus LC6T and A. ramosus CCM1646T were 23.0, 22.9 and 23.2 %, respectively. The main fatty acids were anteiso-C15 : 0, anteiso-C17 : 0 and iso-C16 : 0. The major respiratory quinone was MK-9(H2). The polar lipids comprised diphosphatidylglycerol, phosphatidylglycerol, glycolipid, phosphatidylethanolamine, phosphatidylinositol and unidentified lipids. Thus, based on phylogenetic and phenotypic and chemotaxonomic data, strain PO-11T represents a novel species of the genus Arthrobacter, for which the name Arthrobacter cavernae sp. nov. is proposed. The type strain is strain PO-11T (=CCTCC AB 2021070T=LMG 32459T).

Development and validation of MRI-based radiomics signatures models for prediction of disease-free survival and overall survival in patients with esophageal squamous cell carcinoma.

OBJECTIVES: To develop and validate an optimal model based on the 1-mm-isotropic-3D contrast-enhanced StarVIBE MRI sequence combined with clinical risk factors for predicting survival in patients with esophageal squamous cell carcinoma (ESCC). METHODS: Patients with ESCC at our institution from 2015 to 2017 participated in this retrospective study based on prospectively acquired data, and were randomly assigned to training and validation groups at a ratio of 7:3. Random survival forest (RSF) and variable hunting methods were used to screen for radiomics features and LASSO-Cox regression analysis was used to build three models, including clinical only, radiomics only and combined clinical and radiomics models, which were evaluated by concordance index (CI) and calibration curve. Nomograms and decision curve analysis (DCA) were used to display intuitive prediction information. RESULTS: Seven radiomics features were selected from 434 patients, combined with clinical features that were statistically significant to construct the predictive models of disease-free survival (DFS) and overall survival (OS). The combined model showed the highest performance in both training and validation groups for predicting DFS ([CI], 0.714, 0.729) and OS ([CI], 0.730, 0.712). DCA showed that the net benefit of the combined model and of the clinical model is significantly greater than that of the radiomics model alone at different threshold probabilities. CONCLUSIONS: We demonstrated that a combined predictive model based on MR Rad-S and clinical risk factors had better predictive efficacy than the radiomics models alone for patients with ESCC. KEY POINTS: • Magnetic resonance-based radiomics features combined with clinical risk factors can predict survival in patients with ESCC. • The radiomics nomogram can be used clinically to predict patient recurrence, DFS, and OS. • Magnetic resonance imaging is highly reproducible in visualizing lesions and contouring the whole tumor.

Gut microbiota mediated the toxicity of high concentration of dietary nitrite in C57BL/6 mice.

Growing evidence indicates that exposure to high levels of nitrite for a prolonged time has adverse health effects. Although gut microbiota is responsible for the transformation of nitrite in the gut, the evidence concerning whether gut microbiota mediates the toxicity of nitrite is still lacking. The present study addressed the long-term effects of dietary nitrite on male C57BL/6 mice and employed fecal microbiota transplantation (FMT) to reveal whether gut microbiota mediated the effects of nitrite. Furthermore, the effect of azoxymethane (AOM) on gut microbiota was detected for mice drinking normal or nitrite-containing water. High nitrite had toxic effects on C57BL/6 mice. Meanwhile, high nitrite induced skin lesions in mice, accompanied with increased serum ALT, colon IL-6, TNF-α, and MDA levels, together with decreased serum Cr, colon sIgA, and T-AOC levels. After fecal microbiota was transplanted into the normal mice, the nitrite-regulated gut microbiota could also induce skin lesions, coupled with reduced serum Cr, and increased colon MDA. The high dose of nitrite caused the upregulations of Alistipes, Prevotella, and Ruminococcus, which could be transplanted into normal mice through FMT. Inversely, gut microbiota from normal mice reduced the effects of nitrite on serum ALT and Cr, together with colon sIgA and MDA. Gut microbiota from normal mice could also upregulate metabolic genes and downregulate stress genes in the nitrite-treated mice. It might due to the upregulation of Akkermansia and Parabacteroides caused by FMT from normal water-treated mice to nitrite-treated mice. In addition, AOM exhibited to be more toxic to the colon in the nitrite-treated mice in comparison with normal water-treated mice, and it might be due to the expression of Hspa1a and Hspa1b in the colon. Interestingly, gut microbiota was more influenced by AOM in the normal water-treated mice than the nitrite-treated mice. Overall, these data demonstrated that gut microbiota mediated the toxicity of a high concentration of dietary nitrite.

First Report of Powdery Mildew on Rosa cymosa Caused by Podosphaera pannosa in Guizhou Province, China.

Rosa cymosa is a traditional Chinese medicine and an ornamental plant in China (Fan et al. 2020). In April 2022, powdery mildew symptoms were observed on R. cymosa in Guiyang, Guizhou Province, China. The incidence was approximately 5% among all observed one hundred R. cymosa plants. On average, 20% of the twig tips per diseased R. cymosa plant were affected. Powdery mildew colonies covered the adaxial and abaxial surfaces of leaves. Infected young leaves rolled up along the main vein. Stems and mature leaves occasionally had signs of powdery mildew. The hyphae were straight to flexuous, branched, septate, 3 to 6 µm in width. Conidiophores were erect, straight or somewhat flexuous, and 100 to 235 µm long. Foot cells (n = 30) were cylindrical or subcylindrical, straight or somewhat flexuous, and measured 20 to 48 µm (length) × 4.5 to 5.5 µm (width). Foot cells were followed by one to two shorter cells (n = 30) that measured 8 to 12 µm (length) × 4.5 to 5.8 µm (width). The shorter cells were followed by a chain of four to eight conidia. The conidia (n = 50) were hyaline, cylindrical to ovoid, with fibrosin bodies, and measured 20 to 28 µm (length) × 10.5 to 16.5 µm (width). No chasmothecia were observed on the surface of diseased leaves. For molecular identification, the ribosomal DNA internal transcribed spacer (ITS) was amplified and sequenced using primers ITS1/ITS4 (White et al. 1990). The obtained 508-bp ITS sequence was deposited in GenBank (Accession No. ON316871). The subsequent phylogeny grouped the ITS sequence within a clade of Podosphaera pannosa sequences. Based on both morphological and phylogenetic characteristics, the powdery mildew pathogen was identified as P. pannosa (Braun et al. 2002). The voucher specimen (Accession No. GZNU-RCPP/0804/2022) were deposited at the School of Life Sciences, Guizhou Normal University, China. Pathogenicity was assessed by gently pressing naturally diseased leaves onto young leaves of three healthy, potted 2-year-old R. cymosa plants, with three non-inoculated plants as controls. Powdery mildew symptoms were observed on all inoculated plants after incubation for 10 days at 21°C, 75% relative humidity, and 12 h/12 h light/dark cycle in a greenhouse. The control plants remained symptomless. The re-isolated powdery mildew colonies on inoculated leaves were morphologically identical to those observed on the original diseased leaves, fulfilling Koch's postulates. Podosphaera pannosa has been described as the most frequent species causing powdery mildew on the Rosaceae family, particularly on Rosa spp. and Prunus spp. (Hubert et al. 2012; Félix-Gastélum et al. 2014). The occurrence of powdery mildew on R. cymosa caused by P. pannosa could pose a potential disease threat to other Rosa crops or Prunus spp.

First Report of Powdery Mildew on Photinia × fraseri Caused by Podosphaera leucotricha in Guizhou Province, China.

The evergreen shrub Photinia × fraseri is a Photinia glabra × Photinia serrulata hybrid belonging to the family Rosaceae that is widely used in ornamental landscaping. In March 2022, severe powdery mildew symptoms were observed on shrubs of Photinia × fraseri in Huaxi University Town, Guiyang, Guizhou Province, China. All observed Photinia × fraseri plants in the green belts of both roads and parks in University Town showed powdery mildew symptoms. Almost all young branches of each Photinia × fraseri individual was infected. Powdery mildew colonies covered twig tips entirely, including the stems, petioles, and the adaxial and abaxial surfaces of leaves. Infected leaves were rolled up and had irregular, dark red spots. Fungal hyphae were straight to flexuous, branched, septate, 3 to 6 µm in width, and had nipple-shaped appressoria. Conidiophores were erect, straight or somewhat flexuous, and measured 90 to 300 µm × 7 to 10.5 µm (n = 30). Foot-cells were cylindrical or subcylindrical, straight or somewhat flexuous, and measured 25 to 50 × 7 to 9.5 µm (n = 30). Foot-cells were followed by one to two shorter cells, these being 10 to 16 × 7 to 9.5 µm in size (n = 50). Shorter cells were followed by one to six conidia (most often five conidia). Conidia formed in chains, ellipsoid to ovoid in shape, having dimensions of 22.5 to 30 × 12.5 to 16 µm (n = 50), and containing fibrosin bodies. No chasmothecia (fruiting bodies) were observed. Based on these morphological characteristics, the pathogen was identified as Podosphaera leucotricha (Ellis & Everh.) E.S. Salmon (Braun & Cook 2012). To confirm this species-level identification, the ribosomal DNA internal transcribed spacer (ITS) was amplified using the primers ITS1/ITS4 (White et al. 1990). The resulting sequence was deposited in GenBank (Accession No. ON325389). When the query coverage is 100%, the obtained ITS sequence showed 99.8% identity with P. leucotricha (AB027231, MT180425, MZ298746, KX842350, and KY661036) and 100% with P. leucotricha (HM242221, KY661017, KY661028, KY661050, KY661076, KR048110, MW364489, MW364490, MZ343479, OM022112, ON073894, and ON325389), respectively. Based on the ITS sequences of Podosphaera spp., phylogenetic tree was constructed with MEGA7.0 using the Maximum Likelihood method. The ML analysis supported our isolate's putative identification as P. leucotricha. To fulfill Koch's postulates, pathogenicity testing was conducted by gently pressing naturally diseased leaves onto young leaves of three healthy, potted 1-year-old Photinia × fraseri plants; three non-inoculated healthy plants served as control. Powdery mildew symptoms were observed on 100% inoculated Photinia × fraseri plants after 12 days (in a growth chamber at 21°C under a 12 h/12 h light/dark cycle), whereas the control plants remained symptomless. The powdery mildew colonies on inoculated leaves were morphologically identical to those observed on the original diseased leaves. It is known that P. leucotricha causes powdery mildew on Photinia × fraseri in Italy (Garibaldi et al. 2005). Moreover, this fungus reportedly infected Photinia serrulata in New Zealand, Ukraine, Italy, the United States, Japan, and in East China's Shandong Province (Liang et al. 2012). To the best of our knowledge, this is the first report of powdery mildew caused by P. leucotricha on Photinia × fraseri in Southwest China's Guizhou Province. This finding is significant as P. leucotricha is the causal agent of powdery mildew on apple and pear (Strickland et al. 2021). The occurrence of said disease on Photinia × fraseri could pose a potential disease threat to these fruit crops if nearby ornamental shrubs were able to act as reservoirs for the fungus, and a means to escape agricultural management efforts.

First Report of Leaf Blight on Dumasia villosa Caused by Boeremia exigua in China.

Dumasia (Fabaceae, tribe Phaseoleae, subtribe Glycininae), a genus of trifoliate vines, is widely distributed in tropical and subtropical regions of Asia and Africa (Pan & Zhu 2010). In October 2021, lesions were observed on Dumasia villosa leaves on Longwen mountain of Guizhou Normal University, Guiyang City, Guizhou Province, China. The incidence of leaf blight on observed D. villosa leaves was 10%. All necrotic spots were close to insect-feeding sites. Necrotic spots were grey or black, and circular (2 to 10 mm in diameter) or irregular (2 to 20 mm long) in shape. Stems and pods showed no disease symptoms. Pathogen isolation was conducted following surface sterilization with ethanol. After growth for 5 days on potato dextrose agar in a moist climate chamber at 26°C under a 16 h/8 h light/dark cycle, colonies were 5.2 to 5.6 cm in diameter, olivaceous grey in colour, and sparse, white, aerial mycelia with irregular margins were evident. Conidia were hyaline, ellipsoidal to oblong, mostly 1-septate, and occasionally aseptate with dimensions ranging from 3.5 to 7.0 × 1.5 to 3.5 µm (n = 30). To confirm the species of the isolate, ribosomal DNA internal transcribed spacer (ITS) and ß-tubulin (tub2) genes were amplified and sequenced using primers ITS1/ITS4 and Btub2Fd/Btub4Rd (White et al. 1990), respectively. The obtained 529 bp ITS sequence (GenBank accession no. OL872186) shares 99.61% identity with the sequences of Boeremia exigua (MF662797 and GU395499). The obtained 299 bp tub2 sequence (OM830712) shares 100% identity with the sequence of B. exigua (KR653201). Based on morphology and DNA sequence analysis, the isolate was identified as B. exigua. To fulfil Koch's postulates, healthy leaves of 8-week-old D. villosa plants (n = 6) were wounded with a sterilized hypodermic needle and inoculated with 2 µL of a conidial suspension (106 conidia/mL). Six plants were inoculated with 2 µL of sterile distilled water as controls. After 3 days in a moist climate chamber at 26°C under a 16 h/8 h light/dark cycle, dark spots were only present on conidia-inoculated leaves, while controls remained healthy. Boeremia exigua was reisolated from disease spots and confirmed using the same morphological and molecular methods described above. To our knowledge, this is the first report of leaf blight on D. villosa caused by B. exigua, although this fungus has been reported to infect leguminous plants, including field pea (Li et al. 2012), white clover (Wang et al. 2020), and soybean (Schaffrath et al. 2020). In China, B. exigua has also been reported to infect other plants, such as walnut (Cai et al. 2021; Wang et al. 2021) and Japanese ginseng (You et al. 2015). This identification suggests that D. villosa could be a potential reservoir for the pathogen affecting other leguminous crops that might be economically important.

First Report of Colletotrichum boninense Causing Anthracnose on Aucuba japonica in Guizhou Province of China.

Aucuba japonica is a plant with colorful leaves that is widely used in landscaping. Due to its shade tolerance and cold resistance (Li et al. 2013), A. japonica has become a dominant plant species in Guiyang city, China. From 2018 to 2021, an anthracnose disease was observed on A. japonica in Huaxi District (26°23'03'' N, 106°37'58'' E), Guiyang, Guizhou Province. The incidence of anthracnose in newly planted A. japonica reached 90%, resulting in a mortality rate of 30%. This has become a major disease for A. japonica in Guiyang. Typical symptoms include faded spots that initially appear at the infection center, followed by black-brown lesions with irregular edges. At the latter stage, slightly raised black spots are seen arranged in a wheel pattern. In severe cases, diseased leaves fall off. To identify the pathogen, leaf pieces (5 mm × 3 mm) containing symptomatic tissue with healthy margins were excised. The pieces were sterilized with 75% ethanol for 1 min, rinsed three times with sterile water, and cultured on potato dextrose agar (PDA) in Petri dishes at 26°C. White to cream colonies were developed after growth on PDA for 2 days. Mycelial growth ranged from 4.8 to 5.0 mm/day. Conidia were cylindrical, obtuse apex, and protruding base, with dimensions of 18.5 to 20.0 × 7.0 to 9.0 µm (n = 20). Conidial length:breadth ratio was 2-3 (n = 20). Acervuli and sclerotia had not been seen on PDA. To confirm the species of the isolate, PCR was performed on extracted DNA to amplify the ribosomal DNA internal transcribed spacer (ITS), a 200-bp intron of the glyceraldehyde-3-phosphate dehydrogenase (GAPDH), a partial sequence of the calmodulin (CAL) gene, and the large subunit (LSU) region by using the primer pairs ITS1/ITS4 (Schoch et al. 2012), GDF1/GDR1 (Guerber et al. 2003), CAL228F/CAL737R (Carbone & Kohn 1999), and NL1/NL4 (Ziemiecki et al. 1990), respectively. The obtained 553 bp ITS sequence (Genbank accession no. MZ424503) showed 99.82% similarity with several C. boninense sequences (MN429163, MN542218, KM520024, and KM520014). The obtained 233 bp GAPDH sequence (OM643394) showed 99.07% similarity with C. boninense (MT602277, GQ221769, MK544890, and MK544888). The obtained 763 bp CAL sequence (OM313386) showed 99.32% similarity with C. boninense (MK569127). The obtained 584 bp LSU sequence (OK513272) showed 99.83% similarity with C. boninense (MH876452, MH877053, and MH876450). Phylogenic trees based on the sequences of ITS, GAPDH, and CAL (Damm et al. 2012), the species of isolate was confirmed as C. boninense. To confirm pathogenicity and to fulfill Koch's postulates, leaves of five A. japonica plants were wounded with a sterilized hypodermic needle and inoculated with 1 µL of a conidial suspension (106 conidia/mL). As control, 5 plants were inoculated with 1 µL of sterile water. After 7 days in a moist climate chamber at 26°C under a 16 h/8 h light/dark cycle, symptoms appeared on all inoculated leaves, while the control leaves remained healthy. The pathogen was reisolated from the inoculated leaves, and was confirmed to be C. boninense using the same morphological and molecular methods as before. C. boninense has been reported to infect many plant species, including Capsicum annuum, Rosa chinensis, and Eucalyptus robusta (Ding et al. 2021; Tozze et al. 2009; Zhang et al. 2018). Another Colletotrichum pathogen, C. fructicola, was reported to cause anthracnose on A. japonica in China (Gong et al. 2016). To our knowledge, this is the first report of A. japonica anthracnose disease caused by C. boninense in Guizhou province, China. Identifying this pathogen provides a foundation to prevent this complex disease and to reduce economic loss.