Bariatric surgery and changes in metformin distribution: About a fatal case.

A 65 year-old woman, suffering from mellitus type 2 diabetes and obesity, died at home, three days after bariatric surgery (Roux-en-Y gastric by-pass: RYGB). Her treatment, including metformin and dapagliflozin, was stopped before surgery and not postoperatively reinstalled. A forensic autopsy, toxicological and histological analyses were performed. No macroscopic or microscopic evidence of digestive perforation or peritonitis was identified, excluding an early surgery complication as the cause of death. Toxicological analysis revealed the presence of Metformin in all matrices tested, with a potentially fatal blood concentration. Death was attributed to lactic acidosis caused by a metformin overdose. With no evidence for suicide by ingestion of metformin, the authors supposed that the bariatric surgery might have caused changes in the absorption of metformin, leading to a rapid overdose and death. The only study in the literature on this subject, demonstrated a significant increase in the bioavailability of metformin following oral administration in gastric bypass patients. Thus, it can be anticipated that a therapeutic dose can become toxic when administrated to a subject who recently modified her digestive equipment. As this represents the first case of metformin overdose following bariatric surgery, further cases will be needed to confirm our initial observations.

Colonization of the biomass energy crop miscanthus by the three aphid species, Aphis fabae, Myzus persicae, and Rhopalosiphum padi.

Miscanthus is a perennial C4-grass that has received much interest as a potential of impact on the local agroecosytem. In this context, laboratory experiments were conducted to investigate the potential colonization of this new exotic plant species by three of the main aphid pest species of common crops in Picardie, northern France. In host preference experiments, the two polyphagous aphid species studied, Aphis fabae (Scop) and Myzus persicae (Sulzer), exhibited an xclusive preference for their host plant, whereas the cereal specialist Rhopalosiphum padi (L.) showed no preference between its host plant and miscanthus. When assessed by electrical penetration graph technique, plant tissue probing activity by all three species always was characterized by pathway phases including potential drops that are typically associated to the transmission of noncirculative viruses. Phloem ingestion was observed in 5% of the polyphagous aphid individuals tested and in 20% of the R. padi tested. Aphids kept in clip-cages on miscanthus had a low survival rate and were unable to reproduce. These results demonstrate that miscanthus is not a suitable host for these three main aphid pest species but could act as a potential host for some viruses transmitted in a noncirculative manner and also in a circulative nonpropagative manner. The use of miscanthus as a barrier crop to limit the flow of aphid vectors and their phytoviruses is discussed.

Modulation of Aphid Vector Activity by Potato virus Y on In Vitro Potato Plants.

The effects of the infection of potato (Solanum tuberosum) plants by the nonpersistent Potato virus Y (PVY) were studied on the host plant colonization behavior of different colonizing (Myzus persicae) and noncolonizing (Aphis fabae, Brevicoryne brassicae, and Sitobion avenae) aphid species. The underlying questions of this study were to know how aphids respond when faced with PVY-infected plants and whether plant infection can modify the aphid behavior involved in PVY spread. Short-range orientation behavior was observed using a dual-choice set-up and aphid feeding behavior was monitored using the electrical penetration graph technique. None of the aphid species discriminated between healthy and PVY-infected plants. Nevertheless, most individuals of M. persicae landed on and probed only in one plant whereas noncolonizing aphid species exhibited interplant movements. Study of the aphid feeding behavior showed that PVY infection essentially modified phloem and xylem ingestion. M. persicae and S. avenae exhibited an increased duration of phloem phases on PVY-infected plants whereas A. fabae showed a decreased duration of phloem phases that benefited from an increased duration of xylem ingestion phases. None of these parameters were changed in B. brassicae. These data present evidence that aphids can respond to plants infected by nonpersistent viruses. Such behavioral modifications are discussed within the context of PVY spread in potato crops.

Remobilization of leaf S compounds and senescence in response to restricted sulphate supply during the vegetative stage of oilseed rape are affected by mineral N availability.

The impact of sulphur limitation on the remobilization of endogenous S compounds during the rosette stage of oilseed rape, and the interactions with N availability on these processes, were examined using a long-term (34)SO(4)(2-) labelling method combined with a study of leaf senescence progression (using SAG12/Cab as a molecular indicator) and gene expression of the transporters, BnSultr4;1 and BnSultr4;2, involved in vacuolar sulphate efflux. After 51 d on hydroponic culture at 0.3 mM (34)SO(4)(2-) (1 atom% excess), the labelling was stopped and plants were subject for 28 d to High S-High N (HS-HN, control), Low S-High N (LS-HN) or Low S-Low N (LS-LN) conditions. Compared with the control, LS-HN plants showed delayed leaf senescence and, whilst the shoot growth and the foliar soluble protein amounts were not affected, S, (34)S, and SO(4)(2-) amounts in the old leaves declined rapidly and were associated with the up-regulation of BnSultr4;1. In LS-LN plants, shoot growth was reduced, leaf senescence was accelerated, and the rapid S mobilization in old leaves was accompanied by decreased (34)S and SO(4)(2-), higher protein mobilization, and up-regulation of BnSultr4;2, but without any change of expression of BnSultr4;1. The data suggest that to sustain the S demand for growth under S restriction (i) vacuolar SO(4)(2-) is specifically remobilized in LS-HN conditions without any acceleration of leaf senescence, (ii) SO(4)(2-) mobilization is related to an up-regulation of BnSultr4;1 and/or BnSultr4;2 expression, and (iii) the relationship between sulphate mobilization and up-regulation of expression of BnSultr4 genes is specifically dependent on the N availability.

Comparative studies of female sex pheromone components and male response of the corn stalk borer Sesamia nonagrioides in three different populations.

Studies to determine possible differences in the pheromone communication system of three different populations of the corn stalk borer Sesamia nonagrioides (Lef.) in France. Spain. and Greece were carried out. The two main pheromone components (Z)-11-hexadecenyl acetate (Z11-16:Ac) and (Z)-11-hexadecenol (Z11-16:OH), were detected in all analyses with very small differences in the three populations. Among the minor components, analyzed by GC-MS on concentrated gland extracts from French and Greek origin females, (Z)-l1-hexadecenal (Z11-16:Ald) was detected in minor amounts. Wind-tunnel and field studies revealed similar a male response in the three populations to pheromone glands extracts and synthetic pheromone regardless of the female/male origin. The results do not support the assumption of the existence of different pheromone types of the corn stalk borer S. nonagrioides due to geographic isolation.