Pseudomembranous Candidiasis in HIV/AIDS Patients in Cali, Colombia

Candida albicans is the most frequently isolated yeast from the oral cavity of HIV/AIDS individuals. The use of fluconazole has increased the number of resistant or less-sensitive Candida species different than C. albicans. The purpose of this study was to identify the Candida species producing pseudomembranous candidiasis in patients suffering from AIDS, their relationship with CD4⁺ counts and their sensitivity to fluconazole and itraconazole. We studied 71 patients at a hospital in the city of Cali. Samples of white plaque were seeded on CHROMagar Candida, yeast identification was done with API 20C Aux, and susceptibility testing was determined by E test. Ninety-three yeast isolates were obtained, 52 single and 41 mixed. C. albicans was the most isolated, followed by C. glabrata. An increased frequency of isolates and variety of Candida species occurred in patients with a CD4⁺ cell count ≤100 cells/mm³ without significant differences (p = 0.29). The susceptibility study showed that 8 (8.6 %) isolates were resistant to fluconazole and 11 (11.8 %) to itraconazole, while 6 (8.8 %) C. albicans were simultaneously resistant. No association was found between the isolates of C. albicans or Candida species different than C. albicans and the use of fluconazole (p = 0.21). The results of this study indicate that in the tested population, fluconazole continues to be the best treatment option for oropharyngeal candidiasis in patients suffering from AIDS (HIV/AIDS); however, susceptibility tests are necessary in patients who present therapeutic failure.     

Onychomycosis Due to Neoscytalidium Treated with Oral Terbinafine, Ciclopirox Nail Lacquer and Nail Abrasion: A Pilot Study of 25 Patients

Background

Onychomycosis by Neoscytalidium constitutes chronic infection of the nails, and its frequency has increased in recent decades. Currently, no effective standard treatment exists and literature data remain scarce. This work aimed to conduct a pilot project of combined treatment for this infection.

Methods

Thirty patients were divided into three treatment groups: oral terbinafine plus ciclopirox nail lacquer twice a week; ciclopirox nail lacquer twice a week; and ciclopirox nail lacquer 5 days a week, all associated with nail abrasion when required, for 12 months, with 6 months posttreatment follow-up. Clinical and mycological criteria were used for evaluation.

Results

Twenty-five patients completed the study. Significant clinical lesion reduction in disease occurred in all three treatment groups: 21 patients (84 %) entered the study with more than 50 % of diseased nail plate, at the end of treatment, and at 6-month follow-up, 84 and 96 %, respectively, presented less than 25 % nail lesion. Negative microscopy was observed in 36 % of the patients at the end of treatment and in 24 % of the patients at 6-month follow-up. At treatment completion (12 months), culture was negative in 21 patients (84 %) and in 18 (72 %) at follow-up. It was not possible to establish any clinical or mycological statistical differences between groups (p > 0.05). Global medical evaluation upon treatment completion revealed that one patient (4 %) presented complete cure, 8 (32 %) presented partial cure, 16 (64 %) presented therapeutic failure. At the end of follow-up period, 6 patients (24 %) were considered to have recurrence/reinfection.

Conclusions

The results obtained at the 6-month period of follow-up showed marked improvement (96 % of clinical improvement and 72 % of negative culture) of the patients treated for onychomycosis caused by Neoscytalidium in the three tested groups with no statistical differences between them. Multicentric studies with greater number of patients enrolled are necessary to confirm these results.     

Isolation of Sporothrix schenckii GDA1 and functional characterization of the encoded guanosine diphosphatase activity

Sporothrix schenckii is a fungal pathogen of humans and the etiological agent of sporotrichosis. In fungi, proper protein glycosylation is usually required for normal composition of cell wall and virulence. Upon addition of precursor oligosaccharides to nascent proteins in the endoplasmic reticulum, glycans are further modified by Golgi-glycosyl transferases. In order to add sugar residues to precursor glycans, nucleotide diphosphate sugars are imported from the cytosol to the Golgi lumen, the sugar is transferred to glycans, and the resulting nucleoside diphosphate is dephosphorylated by the nucleoside diphosphatase Gda1 before returning to cytosol. Here, we isolated the open reading frame SsGDA1 from a S. schenckii genomic DNA library. In order to confirm the function of SsGda1, we performed complementation assays in a Saccharomyces cerevisiae gda1? null mutant. Our results indicated that SsGDA1 restored the nucleotide diphosphatase activity to wild-type levels and therefore is a functional ortholog of S. cerevisiae GDA1.     

Mathematical modeling of collagen turnover in biological tissue

We present a theoretical and computational model for collagen turnover in soft biological tissues. Driven by alterations in the mechanical environment, collagen fiber bundles may undergo important chronic changes, characterized primarily by alterations in collagen synthesis and degradation rates. In particular, hypertension triggers an increase in tropocollagen synthesis and a decrease in collagen degradation, which lead to the well-documented overall increase in collagen content. These changes are the result of a cascade of events, initiated mainly by the endothelial and smooth muscle cells. Here, we represent these events collectively in terms of two internal variables, the concentration of growth factor TGF- $\beta $ and tissue inhibitors of metalloproteinases TIMP. The upregulation of TGF- $\beta $ increases the collagen density. The upregulation of TIMP also increases the collagen density through decreasing matrix metalloproteinase MMP. We establish a mathematical theory for mechanically-induced collagen turnover and introduce a computational algorithm for its robust and efficient solution. We demonstrate that our model can accurately predict the experimentally observed collagen increase in response to hypertension reported in literature. Ultimately, the model can serve as a valuable tool to predict the chronic adaptation of collagen content to restore the homeostatic equilibrium state in vessels with arbitrary micro-structure and geometry.     

Estimation of a monotone percentile residual life function under random censorship

In this paper, we introduce a new estimator of a percentile residual life function with censored data under a monotonicity constraint. Specifically, it is assumed that the percentile residual life is a decreasing function. This assumption is useful when estimating the percentile residual life of units, which degenerate with age. We establish a law of the iterated logarithm for the proposed estimator, and its ‐equivalence to the unrestricted estimator. The asymptotic normal distribution of the estimator and its strong approximation to a Gaussian process are also established. We investigate the finite sample performance of the monotone estimator in an extensive simulation study. Finally, data from a clinical trial in primary biliary cirrhosis of the liver are analyzed with the proposed methods. One of the conclusions of our work is that the restricted estimator may be much more efficient than the unrestricted one.     

Overexpression of GlyI and GlyII genes in transgenic tomato (Solanum lycopersicum Mill.) plants confers salt tolerance by decreasing oxidative stress

The glyoxalase system plays an important role in various physiological processes in plants, including salt stress tolerance. We report the effects of overexpressing glyoxalase I and glyoxalase II genes in transgenic tomato (Solanum lycopersicum Mill.) cv. Ailsa Craig. Stable expression of both transgenes was detected in the transformed tomato plants under salt stress. The transgenic lines overexpressing GlyI and GlyII under a high NaCl concentration (800 mM) showed reduced lipid peroxidation and the production of H₂O₂ in leaf tissues. A greater decrease in the chlorophyll a+b content in wild-type (WT) compared with transgenic lines was also observed. These results suggest that the over expression of two genes, GlyI and GlyII, may enhance salt stress tolerance by decreasing oxidative stress in transformed tomato plants. This work will help our understanding of the putative role of the glyoxalase system in the tolerance to abiotic stress in tomato plants.     

Larval biomass and chemical composition at hatching in two geographically isolated clades of the shrimp Macrobrachium amazonicum: intra- or interspecific variation?

The shrimp Macrobrachium amazonicum (Heller 1862) has an extremely large geographic range (>4000?km across) in northern and central South America, comprising estuarine and fully limnic inland populations, which are hydrologically isolated from each other. Significant variations in ecology, physiology, reproduction, and larval development suggest an at least incipient allopatric speciation due to limited genetic exchange. In a comparative experimental investigation with shrimps from the Pantanal (upper Paraguay River basin) and the Amazon delta, respectively, we measured larval body size, dry weight (W), biochemical (total protein; lipid; fatty acids, FA), and elemental composition (carbon, hydrogen, nitrogen; collectively CHN) at hatching. All these early larval traits are relevant for the degree of developmental dependence on planktonic food sources. Various consistent differences were observed between the two populations: Newly hatched larvae produced by shrimps from the Amazon delta were significantly smaller and showed lower values of W, CHN, protein, and unsaturated FA compared to those from the Pantanal. On the other hand, they contained significantly higher quantities of total lipid and saturated FA and, in consequence, higher ratios of lipid:protein, C:N, and saturated:unsaturated FA. All these differences in biomass and chemical composition suggest that the larvae of the Amazon population are energetically better adapted to planktonic food limitation, which likely occurs during riverine downstream transport toward coastal marine waters, also explaining previous observations of much stronger initial starvation tolerance in larvae from the Amazon versus those from the Pantanal. The latter develop in highly productive lentic inland waters, where large body size, an early onset of feeding, and a strong musculature (indicated by a high protein content) should facilitate their role as planktonic predators and allow for fast growth. An initial independence from food (lecithotrophy in the zoea I stage) as well as a preference for oligohaline rather than fully limnic conditions observed in the Pantanal larvae are interpreted as traits that have persisted from an ancestral coastal marine clade. Altogether, consistent ontogenetic differences between shrimps from the Pantanal and the Amazon estuary support the hypothesis that the taxon M. amazonicum comprises a complex of closely related but separate species.     

Induction of ovarian growth in the red claw crayfish,Cherax quadricarinatus,by the enkephalinergic antagonist naloxone: in vivo and in vitro studies

Summary

The effects of spiperone and domperidone (dopaminergic antagonists), as well as naloxone (enkephalinergic antagonist) on ovarian growth of the crayfish Cherax quadricarinatus, were evaluated during the non-reproductive period. In vivo assays were carried out by administering these compounds by adding them to the crayfish food, and subsequently measuring the oocyte diameter (oocytes in secondary vitellogenesis). Only naloxone produced a significantly (p <0.05) higher oocyte diameter than that of the controls, suggesting that this antagonist was blocking the effects of endogenous enkcephalins on the secretion of one or more neurohormones involved in crustacean reproduction. To test this hypothesis, an in vitro incubation of ovarian pieces with thoracic ganglion (TG), a source of the gonad stimulating hormone (GSH), or eyestalk tissue (ET), the source of the gonad inhibiting hormone (GIH), with or without naloxone added to the incubation medium, was done. A significant increase of ovarian growth was observed when TG was present. Moreover, the addition of naloxone to this preparation was able to further increase the ovarian growth, presumably by preventing enkephalinergic inhibition of GSH secretion.     

Effects of different thermal treatments during embryonic development on the artificial incubation efficiency of crayfish (Austropotamobius pallipes Lereboullet) eggs. Control of the embryogenetic duration and implications for commercial production

Summary

The development and improvement of artificial incubation techniques for freshwater crayfish eggs and their incorporation into the working schedule of breeding centres is of great interest for commercial production. Factors such as the water circulation system, flow rate, thermal treatment, etc., could strongly influence the success of the process. The present study attempts to test the possible influence of one of these variables, the thermal regime, on both the duration of embryonic development and the efficiency rates obtained in the artificial incubation of white-clawed crayfish (Austropotamobius pallipes) eggs. Four different thermal treatments were tested (three of them included a period at low temperature: 4°-5°C). Survival rates to juvenile stage 2 were similar in the four cases, ranging between 66.7 and 72.7%. We conclude that water cooling (an expensive management procedure) is not necessary in astacid breeding centres provided that egg development takes place at moderately low temperatures (8°-10°C) with a subsequent increase of up to 15°C from the eyed stage. However, the inclusion of periods at low temperature (4°-5°C) allows the staggered production of juvenile batches throughout a 3-week period without adverse effects on efficiency rates. This could be useful to breeding centres in meeting seasonal market requirements. In our study, egg and juvenile losses (mortality rate: 15–20%) were concentrated during the last phases of embryogenesis, particularly from the eyed stage to juvenile stage 2, during which they amounted to more than 90% of the overall mortality which took place during the artificial incubation process.     

Mathematical modelling and computer simulation of Brownian motion and hybridisation of nanoparticle–bioprobe–polymer complexes in the low concentration limit

A wide variety of nano-biotechnological applications are being developed for nanoparticles based on in vitro diagnostic and imaging systems. Some of these systems allow highly sensitive detection of molecular biomarkers. Frequently, the very low concentration of the biomarkers makes very difficult the mathematical simulation of the motion of nanoparticles based on classical, partial differential equations. We address the issue of incubation times for low concentration systems using Monte Carlo simulations. We describe a mathematical model and computer simulation of Brownian motion of nanoparticle–bioprobe–polymer contrast agent complexes and their hybridisation to immobilised targets. We present results for the dependence of incubation times on the number of particles available for detection, and the geometric layout of the DNA-detection assay on the chip.