Frequent Transient Hepatitis C viremia without Seroconversion among Healthcare Workers in Cairo,Egypt

Backgrounds

With 10% of the general population aged 15–59 years chronically infected with hepatitis C virus (HCV), Egypt is the country with the highest HCV prevalence worldwide. Healthcare workers (HCWs) are therefore at particularly high risk of HCV infection. Our aim was to study HCV infection risk after occupational blood exposure among HCWs in Cairo.

Methodology/Principal Findings

The study was conducted in 2008–2010 at Ain Shams University Hospital, Cairo. HCWs reporting an occupational blood exposure at screening, having neither anti-HCV antibodies (anti-HCV) nor HCV RNA, and exposed to a HCV RNA positive patient, were enrolled in a 6-month prospective cohort with follow-up visits at weeks 2, 4, 8, 12 and 24. During follow-up, anti-HCV, HCV RNA and ALT were tested. Among 597 HCWs who reported a blood exposure, anti-HCV prevalence at screening was 7.2%, not different from that of the general population of Cairo after age-standardization (11.6% and 10.4% respectively, p = 0.62). The proportion of HCV viremia among index patients was 37%. Of 73 HCWs exposed to HCV RNA from index patients, nine (12.3%; 95%CI, 5.8–22.1%) presented transient viremia, the majority of which occurred within the first two weeks after exposure. None of the workers presented seroconversion or elevation of ALT.

Conclusions/Significance

HCWs of a general University hospital in Cairo were exposed to a highly viremic patient population. They experienced frequent occupational blood exposures, particularly in early stages of training. These exposures resulted in transient viremic episodes without established infection. These findings call for further investigation of potential immune protection against HCV persistence in this high risk group.     

Efficacy of two intervention approaches on functional walking capacity and balance in children with Duchene muscular dystrophy

Objectives:Children with Duchene muscular dystrophy have weak muscles, which may impair postural adjustments. These postural adjustments are required for gait and dynamic balance during the daily living activities. The aim was to compare between the effect of bicycle ergometer versus treadmill on functional walking capacity and balance in children with Duchenne muscular dystrophy.Methods:Thirty boys aged from 6 to 10 years old diagnosed as Duchene muscular dystrophy participated in this study. Children were assigned randomly into two groups (A&B). Children in group (A) underwent a designed program of physical therapy plus aerobic exercise training in form of bicycle ergometer while, group (B) received the same program as group (A) and aerobic exercise training by treadmill for one hour, at three times a week for three successive months. Functional walking capacity and balance were assessed before and after treatment by using the 6-minute walk test and Biodex balance system equipment respectively.Results:The post treatment results revealed significant difference in all measured variables (P<0.05) as compared with its pre-treatment results. Post-treatment values indicated that there was a significant difference in all measured variables in favor of group B.Conclusions:treadmill training as an aerobic exercise can improve walking capacity and balance more effectively than bicycle ergometer in children with Duchenne muscular dystrophy.     

The effects of enhanced UV-B radiation on physiological activity and growth of Norway spruce planted outdoors over 5 years

The responses of Norway spruce [Picea abies (L.) Karst.] to enhanced UV-B radiation during the 5-year treatment performed outdoors have been subjected to ecophysiological and growth analysis. The plants were exposed to UV-B radiation, simulating 17% ozone depletion. Ecophysiological parameters were monitored three times a year on three needle age classes, while growth was analysed at the end of each growth season. Spruce exhibited great variability in the amounts of photosynthetic pigments and methanol-soluble UV-B absorbing compounds, light use efficiency, photosynthesis and respiratory potential. The needle, branch and plant biomass production was not significantly affected during the 5-year treatment. The repeated-measures procedure comparing growth parameters through subsequent seasons, revealed a decrease of branch diameter under enhanced UV-B, which could be interpreted as a cumulative UV-B effect. The effects of UV-B radiation depended on needle development stage, interaction with environmental conditions and stresses. A reduced negative effect of UV-B radiation was observed during the prolonged drought in 2003, which was hypothesised as an alleviating effect. The tolerance of Norway spruce to elevated UV-B was to a large extent due to the high content of methanol-soluble UV-B absorbing compounds that was related neither to environmental conditions, including UV-B dose, nor to the developmental stage of the needles. The current year needles exhibited a tendency to increased production of UV-B absorbing compounds under elevated UV-B radiation. The outdoor study performed under variable environmental conditions showed great complexity of spruce response to enhanced UV-B.     

The Hsp90-binding peptidylprolyl isomerase FKBP52 potentiates glucocorticoid signaling in vivo

Hsp90 is required for the normal activity of steroid receptors, and in steroid receptor complexes it is typically bound to one of the immunophilin-related co-chaperones: the peptidylprolyl isomerases FKBP51, FKBP52 or CyP40, or the protein phosphatase PP5. The physiological roles of the immunophilins in regulating steroid receptor function have not been well defined, and so we examined in vivo the influences of immunophilins on hormone-dependent gene activation in the Saccharomyces cerevisiae model for glucocorticoid receptor (GR) function. FKBP52 selectively potentiates hormone-dependent reporter gene activation by as much as 20-fold at limiting hormone concentrations, and this potentiation is readily blocked by co-expression of the closely related FKBP51. The mechanism for potentiation is an increase in GR hormone-binding affinity that requires both the Hsp90-binding ability and the prolyl isomerase activity of FKBP52.     

Late effects of ionizing radiation on the microvascular networks in normal tissue

Damage to the microvascular networks constitutes one of the most important components of ionizing radiation damage to normal tissue. Previously, we have reported the early (3, 7 and 30 days postirradiation) effects of ionizing radiation on the structure and function of normal tissue microvascular networks. Here we report on the late effects of ionizing radiation on the structural and functional changes in microvascular networks in locally irradiated (single 10-Gy dose) hamster cremaster muscles observed 60, 120 and 180 days postirradiation; age-matched animals were used as controls. As in the previous study, intravital microscopy was used to measure structural and functional parameters in complete microvascular networks in vivo. A factorial design was used to examine the effects of radiation status, time postirradiation, and network vessel type on the structure and function of microvascular networks. Our results indicate that the progression of radiation-induced microvascular damage continues during the late times but that there is partial recovery from radiation damage within 6 months postirradiation. Red blood cell flux, red blood cell velocity, and capillary blood flow in irradiated networks at 180 days postirradiation were significantly greater than control levels. As at the early times, all vessel types were not damaged equally by radiation at every time.     

Biodiversity of bacterial ecosystems in traditional Egyptian Domiati cheese

Bacterial biodiversity occurring in traditional Egyptian soft Domiati cheese was studied by PCR-temporal temperature gel electrophoresis (TTGE) and PCR-denaturing gradient gel electrophoresis (DGGE). Bands were identified using a reference species database (J.-C. Ogier et al., Appl. Environ. Microbiol. 70:5628-5643, 2004); de novo bands having nonidentified migration patterns were identified by DNA sequencing. Results reveal a novel bacterial profile and extensive bacterial biodiversity in Domiati cheeses, as reflected by the numerous bands present in TTGE and DGGE patterns. The dominant lactic acid bacteria (LAB) identified were as follows: Leuconostoc mesenteroides, Lactococcus garvieae, Aerococcus viridans, Lactobacillus versmoldensis, Pediococcus inopinatus, and Lactococcus lactis. Frequent non-LAB species included numerous coagulase-negative staphylococci, Vibrio spp., Kocuria rhizophila, Kocuria kristinae, Kocuria halotolerans, Arthrobacter spp./Brachybacterium tyrofermentans. This is the first time that the majority of these species has been identified in Domiati cheese. Nearly all the dominant and frequent bacterial species are salt tolerant, and several correspond to known marine bacteria. As Domiati cheese contains 5.4 to 9.5% NaCl, we suggest that these bacteria are likely to have an important role in the ripening process. This first systematic study of the microbial composition of Domiati cheeses reveals great biodiversity and evokes a role for marine bacteria in determining cheese type.     

Hesperidin modulates dextran sulfate sodium‐induced ulcerative colitis in rats: Targeting sphingosine kinase‐1‐ sphingosine 1 phosphate signaling pathway,mitochondrial biogenesis,inflammation, and apoptosis

Ulcerative colitis (UC) is a chronic gastrointestinal disorder interfering with life quality. A total of 60 male Wistar rats were divided into four equal groups: Control (group I), hesperidin only (group II), UC untreated (group III), and UC treated with hesperidin (group IV). Hesperidin had modulatory effects on UC pathogenesis, which might be through alleviating colonic sphingosine phosphate phosphatase 2 messenger RNA expression and sphingosine kinase‐1 levels, thus suppressing the subsequent downstream inflammatory and apoptotic cascades represented by decreased macrophage inflammatory protein‐1α and enhancement of B‐cell lymphoma 2 immunohistochemistry expression. Also, it improved mitochondrial biogenesis by increasing the peroxisome proliferator‐activated receptor‐gamma‐coactivator 1‐α level. It successfully restored redox potential as evidenced by marked alleviations of the nitric oxide and peroxynitrite levels, increasing total antioxidant capacity, and activating the superoxide dismutase enzyme. Also, hesperidin alleviated the UC disease activity index and improved the histopathological picture. These findings may offer a new therapeutic strategy for UC treatment.     

Stabilization of the bio-membrane by small molecules: interaction of trehalose with the phospholipid bilayer

Anhydrobiotic organisms undergo periods of acute dehydration during their life cycle. It is of interest to understand how the biomembrane remains intact through such stress. A disaccharide, trehalose, which is metabolised during anhydrobiosis is found to prevent disruption of model membrane systems. Molecular modelling techniques are used to investigate the possible mode of interaction of trehalose with a model monolayer. The objective is to maximise hydrogen bonding between the two systems. A phospholipid matrix consisting of 1,2-dimyristoyl-sn-glycero-3-phosphatidylcholine (DMPC) is chosen to represent the monolayer. The crystal structure of DMPC reveals that there are two distinct conformers designated as A and B. An expansion of the monolayer, coplanar with its surface, results in the trehalose molecule being accommodated in a pocket formed by four B conformers. One glucose ring of the sugar rests on the hydrophobic patch provided by the choline methyls of an A conformer. Five hydrogen bonds are formed involving the phosphate oxygens of three of the surrounding B conformers. The model will be discussed with reference to relevant experimental data on the interaction.     

Habitat characteristics of an alien species <Emphasis Type="Italic">Elodea canadensis</Emphasis> in Slovenian watercourses

The distribution, abundance and habitat characteristics of an alien species, Elodea canadensis, were surveyed in watercourses in Slovenia. The accompanying plant community was also examined. Distribution and abundance of macrophytes were assessed in reaches of different length, and habitat assessment is based on 12 parameters of the Riparian, Channel, and Environmental (RCE) Inventory. E. canadensis thrived in 132 out of 1,227 reaches examined and in 12 of the 39 watercourses surveyed. It grew in the company of a variety of species, most frequently with different species of Potamogeton. It was rarely found as the prevailing, and never as the only species in any reach. Canonical correspondence analysis (CCA) of reaches with E. canadensis revealed that the presence of detritus, retention structures and properties of the riparian zone explained most of the variance in community composition. Habitat analysis of well-established stands of E. canadensis showed that its preferred habitats were watercourses flowing through agricultural landscape, with a narrow, more or less disturbed riparian zone, with moderate presence of retention structures, and with sediment that was a mixture of gravel, sand and silt with either coarse or fine organic matter. It was not found in the parts of streams with the most dynamic flow, and was absent from watercourses in the karst region, due to the frequent and extreme water level fluctuations. The alien species E. canadensis did not express its invasive character in heterogeneous watercourses with rich macrophyte communities.     

Photon-harvesting efficiency and arbuscular mycorrhiza in amphibious plants

The amphibious plant species of intermittent aquatic habitats thrive both submerged and emerged. In order to outline the adaptive characters of these two life forms photochemical efficiency of photosystem 2, leaf contents of chlorophyll (Chl) a and b, carotenoids (Car), anthocyanins (Ant), and UV-B absorbing compounds (UV-B abs), and root aerenchyma and arbuscular mycorrhizal (AM) colonisation were studied in Glyceria fluitans, Gratiola officinalis, Ranunculus lingua, Teucrium scordium, Sium latifolium, Sparganium emersum, and Veronica anagallis-aquatica. Water level fluctuations did not exert a severe effect on photon harvesting efficiency. Submerged specimens had higher contents of Car and Ant whereas higher contents of UV-B abs were found in emerged specimens indicating efficient protection against the harmful effects of solar radiation. Roots of all species studied had extensive aerenchyma and were colonised by AM fungi, which were significantly more abundant in emerged specimens. This is the first report on AM symbiosis in S. latifolium and S. emersum.