Effects of analogues of adenosine and methyl xanthines on insulin sensitivity in soleus muscle of the rat

The concentration of insulin that produces half-maximal stimulation of glycolysis by stripped soleus muscle preparations is markedly increased by the adenosine analogues, 2-chloroadenosine and N6-phenylisopropyladenosine, but is markedly decreased by the methyl xanthine analogue, 8-phenyltheophylline. 2-Chloroadenosine increases the concentration of insulin required to stimulate glycolysis half maximally, from about 100 to 2000 mu units/ml. 8-Phenyltheophylline decreases this concentration of insulin from about 100 to 10 mu units/ml, an effect which is similar to that produced either by addition of adenosine deaminase to the medium or to exercise-training of the donor animals for 4 weeks.     

Dredging in the Spratly Islands: Gaining Land but Losing Reefs

Coral reefs on remote islands and atolls are less exposed to direct human stressors but are becoming increasingly vulnerable because of their development for geopolitical and military purposes. Here we document dredging and filling activities by countries in the South China Sea, where building new islands and channels on atolls is leading to considerable losses of, and perhaps irreversible damages to, unique coral reef ecosystems. Preventing similar damage across other reefs in the region necessitates the urgent development of cooperative management of disputed territories in the South China Sea. We suggest using the Antarctic Treaty as a positive precedent for such international cooperation.Coral reefs constitute one of the most diverse, socioeconomically important, and threatened ecosystems in the world [1–3]. Coral reefs harbor thousands of species [4] and provide food and livelihoods for millions of people while safeguarding coastal populations from extreme weather disturbances [2,3]. Unfortunately, the world’s coral reefs are rapidly degrading [1–3], with ~19% of the total coral reef area effectively lost [3] and 60% to 75% under direct human pressures [3,5,6]. Climate change aside, this decline has been attributed to threats emerging from widespread human expansion in coastal areas, which has facilitated exploitation of local resources, assisted colonization by invasive species, and led to the loss and degradation of habitats directly and indirectly through fishing and runoff from agriculture and sewage systems [1–3,5–7]. In efforts to protect the world’s coral reefs, remote islands and atolls are often seen as reefs of “hope,” as their isolation and uninhabitability provide de facto protection against direct human stressors, and may help impacted reefs through replenishment [5,6]. Such isolated reefs may, however, still be vulnerable because of their geopolitical and military importance (e.g., allowing expansion of exclusive economic zones and providing strategic bases for military operations). Here we document patterns of reclamation (here defined as creating new land by filling submerged areas) of atolls in the South China Sea, which have resulted in considerable loss of coral reefs. We show that conditions are ripe for reclamation of more atolls, highlighting the need for international cooperation in the protection of these atolls before more unique and ecologically important biological assets are damaged, potentially irreversibly so.Studies of past reclamations and reef dredging activities have shown that these operations are highly deleterious to coral reefs [8,9]. First, reef dredging affects large parts of the surrounding reef, not just the dredged areas themselves. For example, 440 ha of reef was completely destroyed by dredging on Johnston Island (United States) in the 1960s, but over 2,800 ha of nearby reefs were also affected [10]. Similarly, at Hay Point (Australia) in 2006 there was a loss of coral cover up to 6 km away from dredging operations [11]. Second, recovery from the direct and indirect effects of dredging is slow at best and nonexistent at worst. In 1939, 29% of the reefs in Kaneohe Bay (United States) were removed by dredging, and none of the patch reefs that were dredged had completely recovered 30 years later [12]. In Castle Harbour (Bermuda), reclamation to build an airfield in the early 1940s led to limited coral recolonization and large quantities of resuspended sediments even 32 years after reclamation [13]; several fish species are claimed extinct as a result of this dredging [14,15]. Such examples and others led Hatcher et al. [8] to conclude that dredging and land clearing, as well as the associated sedimentation, are possibly the most permanent of anthropogenic impacts on coral reefs.The impacts of dredging for the Spratly Islands are of particular concern because the geographical position of these atolls favors connectivity via stepping stones for reefs over the region [16–19] and because their high biodiversity works as insurance for many species. In an extensive review of the sparse and limited data available for the region, Hughes et al. [20] showed that reefs on offshore atolls in the South China Sea were overall in better condition than near-shore reefs. For instance, by 2004 they reported average coral covers of 64% for the Spratly Islands and 68% for the Paracel Islands. By comparison, coral reefs across the Indo-Pacific region in 2004 had average coral covers below 25% [21]. Reefs on isolated atolls can still be prone to extensive bleaching and mortality due to global climate change [22] and, in the particular case of atolls in the South China Sea, the use of explosives and cyanine [20]. However, the potential for recovery of isolated reefs to such stressors is remarkable. Hughes et al. [20] documented, for instance, how coral cover in several offshore reefs in the region declined from above 80% in the early 1990s to below 6% by 1998 to 2001 (due to a mixture of El Niño and damaging fishing methods that make use of cyanine and explosives) but then recovered to 30% on most reefs and up to 78% in some reefs by 2004–2008. Another important attribute of atolls in the South China Sea is the great diversity of species. Over 6,500 marine species are recorded for these atolls [23], including some 571 reef coral species [24] (more than half of the world’s known species of reef-building corals). The relatively better health and high diversity of coral reefs in atolls over the South China Sea highlights the uniqueness of such reefs and the important roles they may play for reefs throughout the entire region. Furthermore, these atolls are safe harbor for some of the last viable populations of highly threatened species (e.g., Bumphead Parrotfish [Bolbometopon muricatum] and several species of sawfishes [Pristis, Anoxypristis]), highlighting how dredging in the South China Sea may threaten not only species with extinction but also the commitment by countries in the region to biodiversity conservation goals such as the Convention of Biological Diversity Aichi Targets and the United Nations Sustainable Development Goals.Recently available remote sensing data (i.e., Landsat 8 Operational Land Imager and Thermal Infrared Sensors Terrain Corrected images) allow quantification of the sharp contrast between the gain of land and the loss of coral reefs resulting from reclamation in the Spratly Islands (Fig 1). For seven atolls recently reclaimed by China in the Spratly Islands (names provided in Fig 1D, S1 Data for details); the area of reclamation is the size of visible areas in Landsat band 6, as prior to reclamation most of the atolls were submerged, with the exception of small areas occupied by a handful of buildings on piers (note that the amount of land area was near zero at the start of the reclamation; Fig 1C, S1 Data). The seven reclaimed atolls have effectively lost ~11.6 km² (26.9%) of their reef area for a gain of ~10.7 km² of land (i.e., >75 times increase in land area) from February 2014 to May 2015 (Fig 1C). The area of land gained was smaller than the area of reef lost because reefs were lost not only through land reclamation but also through the deepening of reef lagoons to allow boat access (Fig 1B). Similar quantification of reclamation by other countries in the South China Sea (Fig 1Reclamation leads to gains of land in return for losses of coral reefs: A case example of China’s recent reclamation in the Spratly Islands.Table 1List of reclaimed atolls in the Spratly Islands and the Paracel Islands.The impacts of reclamation on coral reefs are likely more severe than simple changes in area, as reclamation is being achieved by means of suction dredging (i.e., cutting and sucking materials from the seafloor and pumping them over land). With this method, reefs are ecologically degraded and denuded of their structural complexity. Dredging and pumping also disturbs the seafloor and can cause runoff from reclaimed land, which generates large clouds of suspended sediment [11] that can lead to coral mortality by overwhelming the corals’ capacity to remove sediments and leave corals susceptible to lesions and diseases [7,9,25]. The highly abrasive coralline sands in flowing water can scour away living tissue on a myriad of species and bury many organisms beyond their recovery limits [26]. Such sedimentation also prevents new coral larvae from settling in and around the dredged areas, which is one of the main reasons why dredged areas show no signs of recovery even decades after the initial dredging operations [9,12,13]. Furthermore, degradation of wave-breaking reef crests, which make reclamation in these areas feasible, will result in a further reduction of coral reefs’ ability to (1) self-repair and protect against wave abrasion [27,28] (especially in a region characterized by typhoons) and (2) keep up with rising sea levels over the next several decades [29]. This suggests that the new islands would require periodic dredging and filling, that these reefs may face chronic distress and long-term ecological damage, and that reclamation may prove economically expensive and impractical.The potential for land reclamation on other atolls in the Spratly Islands is high, which necessitates the urgent development of cooperative management of disputed territories in the South China Sea. First, the Spratly Islands are rich in atolls with similar characteristics to those already reclaimed (Fig 1D); second, there are calls for rapid development of disputed territories to gain access to resources and increase sovereignty and military strength [30]; and third, all countries with claims in the Spratly Islands have performed reclamation in this archipelago (20]. One such possibility is the generation of a multinational marine protected area [16,17]. Such a marine protected area could safeguard an area of high biodiversity and importance to genetic connectivity in the Pacific, in addition to promoting peace in the region (extended justification provided by McManus [16,17]). A positive precedent for the creation of this protected area is that of Antarctica, which was also subject to numerous overlapping claims and where a recently renewed treaty froze national claims, preventing large-scale ecological damage while providing environmental protection and areas for scientific study. Development of such a legal framework for the management of the Spratly Islands could prevent conflict, promote functional ecosystems, and potentially result in larger gains (through spillover, e.g. [31]) for all countries involved.     

Gabapentin for the Management of Chronic Pelvic Pain in Women (GaPP1): A Pilot Randomised Controlled Trial

Chronic pelvic pain (CPP) affects 2.1–24% of women. Frequently, no underlying pathology is identified, and the pain is difficult to manage. Gabapentin is prescribed for CPP despite no robust evidence of efficacy. We performed a pilot trial in two UK centres to inform the planning of a future multicentre RCT to evaluate gabapentin in CPP management. Our primary objective was to determine levels of participant recruitment and retention. Secondary objectives included estimating potential effectiveness, acceptability to participants of trial methodology, and cost-effectiveness of gabapentin. Women with CPP and no obvious pelvic pathology were assigned to an increasing regimen of gabapentin (300-2700mg daily) or placebo. We calculated the proportion of eligible women randomised, and of randomised participants who were followed up to six months. The analyses by treatment group were by intention-to-treat. Interviews were conducted to evaluate women’s experiences of the trial. A probabilistic decision analytical model was used to estimate cost-effectiveness. Between September 2012–2013, 47 women (34% of those eligible) were randomised (22 to gabapentin, 25 to placebo), and 25 (53%) completed six-month follow-up. Participants on gabapentin had less pain (BPI difference 1.72 points, 95% CI:0.07–3.36), and an improvement in mood (HADS difference 4.35 points, 95% CI:1.97–6.73) at six months than those allocated placebo. The majority of participants described their trial experience favorably. At the UK threshold for willingness-to-pay, the probabilities of gabapentin or no treatment being cost-effective are similar. A pilot trial assessing gabapentin for CPP was feasible, but uncertainty remains, highlighting the need for a large definitive trial.

Trial registration

Controlled-Trials.com ISRCTN45178534     

NADH dehydrogenase subunit 1 and cytochrome c oxidase subunit I sequences compared for members of the genus Taenia (Cestoda)

Nine members of the genus Taenia (Taenia taeniaeformis, Taenia hydatigena, Taenia pisiformis, Taenia ovis, Taenia multiceps, Taenia serialis, Taenia saginata, Taenia solium and the Asian Taenia) were characterised by their mitochondrial NADH dehydrogenase subunit 1 gene sequences and their genetic relationships were compared with those derived from the cytochrome c oxidase subunit I sequence data. The extent of inter-taxon sequence difference in NADH dehydrogenase subunit 1 (5.9–30.8%) was usually greater than in cytochrome c oxidase subunit I (2.5–18%). Although topology of the phenograms derived from NADH dehydrogenase subunit 1 and cytochrome c oxidase subunit I sequence data differed, there was concordance in that T. multiceps, T. serialis (of canids), T. saginata and the Asian Taenia (of humans) were genetically most similar, and those four members were genetically more similar to T. ovis and T. solium than they were to T. hydatigena and T. pisiformis (of canids) or T. taeniaeformis (of cats). The NADH dehydrogenase subunit 1 sequence data may prove useful in studies of the systematics and population genetic structure of the Taeniidae.     

Intrinsically disordered proteins: modes of binding with emphasis on disordered domains

Our notions of protein function have long been determined by the protein structure–function paradigm. However, the idea that protein function is dictated by a prerequisite complementarity of shapes at the binding interface is becoming increasingly challenged. Interactions involving intrinsically disordered proteins (IDPs) have indicated a significant degree of disorder present in the bound state, ranging from static disorder to complete disorder, termed ‘random fuzziness’. This review assesses the anatomy of an IDP and relates how its intrinsic properties permit promiscuity and allow for the various modes of interaction. Furthermore, a mechanistic overview of the types of disordered domains is detailed, while also relating to a recent example and the kinetic and thermodynamic principles governing its formation.     

Soil-transmitted helminth infections and nutritional indices among Filipino schoolchildren

BackgroundSoil-transmitted helminth (STH) infections are still prevalent among schoolchildren in the Philippines. We evaluated the risk factors associated with STH and the relationship between STH and nutritional indices among schoolchildren aged 9–10 years in Laguna province, the Philippines.MethodsWe used the baseline data from 40 schools enrolled in a randomised controlled trial of the Magic Glasses Philippines health education package. Data on demographic and socio-economic variables, and STH related knowledge, attitudes and practices, were obtained through a questionnaire. Stool samples were collected and assessed for STH egg presence using the Kato-Katz technique. Haemoglobin levels and height and weight of study participants were also determined. The generalized estimating equations approach was used to construct logistic regression models to assess STH-associated risk factors, and the association between any STH infection and anaemia, child stunting, wasting and being underweight. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12616000508471).FindingsAmong 1,689 schoolchildren, the prevalence of any STH was 23%. The prevalence of anaemia, stunting, being underweight and wasting was 13%, 20.2%, 19% and 9.5%, respectively. Age, socio-economic status, rural/urban classification of schools and knowledge of STH were significant risk factors for acquiring a STH infection. Moreover, infections with any STH were significantly associated with stunting (P = <0.001) and being underweight (P = <0.003), but not wasting (P = 0.375) or anaemia (P = 0.462) after controlling for confounding covariates.ConclusionThe study findings emphasise the need for sustainable deworming in tandem with other measures such as the provision of health education, improvements in sanitation and hygiene, and nutritional programs in order to control STH infections and improve morbidity outcomes in schoolchildren.Trial registrationAustralian New Zealand Clinical Trials Registry (ACTRN12616000508471).     

Proteolysis of Mutant Huntingtin Produces an Exon 1 Fragment That Accumulates as an Aggregated Protein in Neuronal Nuclei in Huntington Disease

Huntingtin proteolysis has been implicated in the molecular pathogenesis of Huntington disease (HD). Despite an intense effort, the identity of the pathogenic smallest N-terminal fragment has not been determined. Using a panel of anti-huntingtin antibodies, we employed an unbiased approach to generate proteolytic cleavage maps of mutant and wild-type huntingtin in the HdhQ150 knock-in mouse model of HD. We identified 14 prominent N-terminal fragments, which, in addition to the full-length protein, can be readily detected in cytoplasmic but not nuclear fractions. These fragments were detected at all ages and are not a consequence of the pathogenic process. We demonstrated that the smallest fragment is an exon 1 huntingtin protein, known to contain a potent nuclear export signal. Prior to the onset of behavioral phenotypes, the exon 1 protein, and possibly other small fragments, accumulate in neuronal nuclei in the form of a detergent insoluble complex, visualized as diffuse granular nuclear staining in tissue sections. This methodology can be used to validate the inhibition of specific proteases as therapeutic targets for HD by pharmacological or genetic approaches.