Detection of Microbiota in Post Radiation Sinusitis.

OBJECTIVES: A shift in the microbiota of chronic rhinosinusitis has been described after radiotherapy to the sinonasal cavity and skull base. There is a paucity of literature characterizing the bacteriology of post radiation sinusitis using next-generation gene sequencing techniques. This study aims to describe and compare the microbial flora of rhinosinusitis after radiotherapy using both culture and molecular techniques for microbial DNA detection. METHODS: The medical records of patients treated with external beam radiation for sinonasal, nasopharyngeal, or skull base malignancy were reviewed at a tertiary care facility. Patients' sinonasal cavities were swabbed for routine culture or brushed for molecular gene sequencing. Swab specimens were processed for standard microbial culture, and brush specimens were sent for gene sequencing at Micro GenX Laboratory (Lubbock, Texas, USA). RESULTS: Twenty-two patients were diagnosed with chronic sinusitis after undergoing radiotherapy. Staphylococcus aureus was the most common organism identified by both culture and gene sequencing, followed by Pseudomonas aeruginosa. Several additional organisms were detected by gene sequencing that were not isolated by routine culture techniques. Gene sequencing identified pathogens differing from culture results in 50% of patients examined. CONCLUSION: The bacteriology of post radiation sinusitis appears to resemble the microorganisms responsible for chronic sinusitis in healthy adults. Next generation gene sequencing techniques may reveal additional organisms responsible for sinusitis and provide complementary results that may impact the medical treatment of post radiation sinusitis.

Snails from heavy-metal polluted environments have reduced sensitivity to carbon dioxide-induced acidity.

Anthropogenic atmospheric CO2 reacts with water to form carbonic acid (H2CO3) which increases water acidity. While marine acidification has received recent consideration, less attention has been paid to the effects of atmospheric carbon dioxide on freshwater systems-systems that often have low buffering potential. Since many aquatic systems are already impacted by pollutants such as heavy metals, we wondered about the added effect of rising atmospheric CO2 on freshwater organisms. We studied aquatic pulmonate snails (Physella columbiana) from both a heavy-metal polluted watershed and snails from a reference watershed that has not experienced mining pollution. We used gaseous CO2 to increase water acidity and we then measured changes in antipredatory behavior and also survival. We predicted a simple negative additive effect of low pH. We hypothesized that snails from metal-polluted environments would be physiologically stressed and impaired due to defense responses against heavy metals. Instead, snails from populations that acclimated or evolved in the presence of heavy metal mining pollution were more robust to acidic conditions than were snails from reference habitats. Snails from mining polluted sites seemed to be preadapted to a low pH environment. Their short-term survival in acidic conditions was better than snails from reference sites that lacked metal pollution. In fact, the 48 h survival of snails from polluted sites was so high that it did not significantly differ from the 24 h survival of snails from control sites. This suggests that the response of organisms to a world with rising anthropogenic carbon dioxide levels may be complex and difficult to predict. Snails had a weaker behavioral response to stressful stimuli if kept for 1 month at a pH that differed from their lake of origin. We found that snails raised at a pH of 5.5 had a weaker response (less of a decrease in activity) to concentrated heavy metals than did snails raised at their natal pH of 6.5. Furthermore, snails raised a pH of 5.5, 6.0, and 7.0 all had a weaker antipredatory response to an extract of crushed snail cells than did the pH 6.5 treatment snails.