High Incidence of Tuberculosis in the Absence of Isoniazid and Cotrimoxazole Preventive Therapy in Children Living with HIV in Northern Ethiopia: A Retrospective Follow-Up Study

ObjectiveTo identify the incidence of and predictors for tuberculosis in children living with HIV in Northern Ethiopia.DesignObservational, retrospective follow-up study.MethodsA total of 645 HIV-infected children were observed between September 2009 and September 2014. Cox regression analysis was used to identify predictors for developing TB.ResultsThe incidence rate of tuberculosis was 4.2 per 100 child-years. Incidence of tuberculosis was higher for subjects who were not on cotrimoxazole preventive therapy, were not on isoniazid preventive therapy, had delayed motor development, had a CD4 cell count below the threshold, had hemoglobin level less than 10 mg/dl and were assessed as World Health Organization (WHO) clinical stage III or IV.ConclusionIncidence of TB in children living with HIV was high. This study reaffirmed that isoniazid preventive therapy is one of the best strategy to reduce incidence of TB in children living with HIV. All children living with HIV should be screened for TB but for children with delayed motor development, advanced WHO clinical stage, anemia or immune suppression, intensified screening is highly recommended.     

Responses in plant, soil inorganic and microbial nutrient pools to experimental fire, ash and biomass addition in a woodland savanna

In order to investigate the effects of savanna fires on nutrient cycling a field experiment was carried out in an open woodland savanna of southwest Ethiopia. This involved manipulations of fire, fuel load and ash fertilisation in a fully factorial design, and recording of responses in plants, soil inorganic and microbial nutrient pools up to 1 year after the disturbances. As plant biomass nitrogen (N) was only 3.5% of that in topsoil the N loss in a single fire event was relatively small. The microbial N pool size in the topsoil was similar to the N pool size in the aboveground part of the plants. Soil microbial biomass carbon increased slightly 12 days after the low severity fire, but the effect was transient and was not accompanied by an increase in microbial N. Instead, the soil inorganic N concentration increased strongly 1 day after the fire, remained higher up to 3 months after the fire and probably caused the 40% higher grass biomass in burned than unburned plots, and the similar sized increase in grass nitrogen, phosphorus and potassium pools in the following rainy season. In contrast, broad-leaved herbs showed less strong increments in biomass and nutrient pool sizes. Fire interacted with fuel load, as burning of plots with double plant biomass led to reduced microbial biomass, plant nutrient pools and herb (but not grass) biomass. Low-severity-fire nutrient losses appear to be moderate and may be replenished from natural sources. However, in areas with frequent fires and high grass biomass (fuel) loads, or with late fires, nutrient losses could be much larger and non-sustainable to the persistence of the woodland savanna ecosystem.     

Fusion of carbohydrate binding modules from <Emphasis Type="Italic">Thermotoga neapolitana</Emphasis> with a family 10 xylanase from <Emphasis Type="Italic">Bacillus halodurans</Emphasis> S7

Xylanase A of Thermotoga neapolitana contains binding domains both at the N- and C-terminal ends of the catalytic domain. In the N-terminal position it contains two carbohydrate-binding modules (CBM) which belong to family 22. These CBMs bind xylan but not to cellulose. The gene encoding the mature peptide of these CBMs was fused with an alkaline active GH10 xylanase from Bacillus halodurans S7 and expressed in Escherichia coli. The (His)₆ tagged hybrid protein was purified by immobilized metal affinity chromatography and characterized. Xylan binding by the chimeric protein was influenced by NaCl concentration and pH of the binding medium. Binding increased with increasing salt concentration up to 200 mM. Higher extent of binding was observed under acidic conditions. The fusion of the CBM structures enhanced the hydrolytic efficiency of the xylanase against insoluble xylan, but decreased the stability of the enzyme. The optimum temperature and pH for the activity of the xylanase did not change.     

Site-directed mutagenesis of an alkaline phytase: influencing specificity, activity and stability in acidic milieu

Site-directed mutagenesis of a thermostable alkaline phytase from Bacillus sp. MD2 was performed with an aim to increase its specific activity and activity and stability in an acidic environment. The mutation sites are distributed on the catalytic surface of the enzyme (P257R, E180N, E229V and S283R) and in the active site (K77R, K179R and E227S). Selection of the residues was based on the idea that acid active phytases are more positively charged around their catalytic surfaces. Thus, a decrease in the content of negatively charged residues or an increase in the positive charges in the catalytic region of an alkaline phytase was assumed to influence the enzyme activity and stability at low pH. Moreover, widening of the substrate-binding pocket is expected to improve the hydrolysis of substrates that are not efficiently hydrolysed by wild type alkaline phytase. Analysis of the phytase variants revealed that E229V and S283R mutants increased the specific activity by about 19% and 13%, respectively. Mutation of the active site residues K77R and K179R led to severe reduction in the specific activity of the enzyme. Analysis of the phytase mutant-phytate complexes revealed increase in hydrogen bonding between the enzyme and the substrate, which might retard the release of the product, resulting in decreased activity. On the other hand, the double mutant (K77R-K179R) phytase showed higher stability at low pH (pH 2.6-3.0). The E227S variant was optimally active at pH 5.5 (in contrast to the wild type enzyme that had an optimum pH of 6) and it exhibited higher stability in acidic condition. This mutant phytase, displayed over 80% of its initial activity after 3 h incubation at pH 2.6 while the wild type phytase retained only about 40% of its original activity. Moreover, the relative activity of this mutant phytase on calcium phytate, sodium pyrophosphate and p-nitro phenyl phosphate was higher than that of the wild type phytase.     

Production of haloduracin by <Emphasis Type="Italic">Bacillus halodurans</Emphasis> using solid-state fermentation

Bacillus halodurans was cultivated on wheat bran as a solid-state substrate and produced haloduracin, a bacteriocin, at about 245 AU per wheat bran. Supplementation of the bran with Lauria-Bertani broth decreased haloduracin production. However, production was stimulated by addition of Mg₂SO₄ and K₂HPO₄. The highest production was achieved at a wheat bran/moisture ratio of 1:1.8 and in the presence of 10% (w/w) Na₂CO₃. Under optimum conditions, the organism produced about 3,000 AU per gram dry bran.     

Influence of heat shock on seed germination of plants from regularly burnt savanna woodlands and grasslands in Ethiopia

The effect of heat shock on the germination of seeds of 21 plant speciesfrom fire-prone wooded savanna ecosystems in western Ethiopia was analysed inorder to examine the possible implications of fire upon plant regenerationafterthis disturbance. Seeds were subjected to 6 different heat intensities (20, 60,90, 120, 150 and 200°C) for 1 or 5 minutes, in ordertosimulate the situation in the upper soil layers or on the soil surface duringfires. Germination tests were carried out in pots in a greenhouse over 20weeks.After 9 weeks no more seedlings emerged. There was wide interspecific variationin the responses of seeds to the different treatments. In all species,germination was significantly affected by the temperature treatment level.Shortexposure of seeds to high temperatures generally stimulated germination whereasprolonged exposure reduced seed germination. However, some species eventolerated 5 min treatment at 200°C. Seedheat resistance was positively correlated with seed length and mass among thespecies. Hence, production of large seeds with protective tissues promotessurvival in fire-prone savanna areas. Also, the seeds of some species showedboth a low and a high temperature optimum which ensures that at least someseedsgerminate in the absence of fire, but also that viable seeds still remain ifsubsequent late fires kill emerging seedlings. Frequent and light burning inwooded savanna grasslands seems to stimulate and enhance germination of most ofthe studied plant species.     

Post-fire regeneration strategies and tree bark resistance to heating in frequently burning tropical savanna woodlands and grasslands in Ethiopia

Regeneration mechanisms of vegetation and the role of tree bark resistance to frequent fire were studied in savanna woodlands and grasslands in Gambella, Western Ethiopia. Data were collected from four sites, each with three replicate plots. The variation between sites in species composition and biomass correlated with the differences in fire intensity. Foliar cover was recorded for individual plant species regenerating by sprouting from older parts of plants that had survived fire or by seedlings; records were made during the dry season and at the beginning of the wet season. Data on bark thickness and tree diameters of 12 dominant tree species were also recorded. Both facultative and obligate sprouters significantly contributed to post‐fire recovery, comprising 98.5 % of total vegetation cover. The contribution of seedlings to cover and abundance immediately following fire was negligible, but seedling density increased in the beginning of the rainy season, 4 to 5 months after fire. The importance of the sprouting and seeding strategies varied between the different plant growth forms. The highest contribution to cover and frequency was made by the most abundant grass species, which reproduced in both ways. Facultative sprouters made up 67.3 % of the vegetation cover, out of which 54 % consisted of grasses. Broad‐leaved herbs and trees/shrubs regenerating mainly by sprouting made up 31.3 % of the vegetation cover. Adaptations to fire in tree species seemed to include the development of a thick bark, once the tree has passed seedling stages. Tree bark thickness and tree diameter at breast height were strongly correlated with the time taken for cambium to reach an assumed lethal temperature of 60°C when exposed to fire, which indicated that mature trees with thick barks might resist stronger fire better than, e.g., small or young trees and trees with thin bark. However, for a given bark thickness the cambium resistance to heat varied three‐fold among species. Hence, site differences in fire intensity seemed to influence the distribution of trees depending on their bark characteristics and resistance to fire.     

A thermostable phytase from Bacillus sp. MD2: cloning, expression and high-level production in Escherichia coli

Phytase is used as a feed additive for degradation of antinutritional phytate, and the enzyme is desired to be highly thermostable for it to withstand feed formulation conditions. A Bacillus sp. MD2 showing phytase activity was isolated, and the phytase encoding gene was cloned and expressed in Escherichia coli. The recombinant phytase exhibited high stability at temperatures up to 100°C. A higher enzyme activity was obtained when the gene expression was done in the presence of calcium chloride. Production of the enzyme by batch- and fed-batch cultivation in a bioreactor was studied. In batch cultivation, maintaining dissolved oxygen at 20–30% saturation and depleting inorganic phosphate below 1 mM prior to induction by IPTG resulted in over 10 U/ml phytase activity. For fed–batch cultivation, glucose concentration was maintained at 2–3 g/l, and the phytase expression was increased to 327 U/ml. Induction using lactose during fed-batch cultivation showed a lag phase of 4 h prior to an increase in the phytase activity to 71 U/ml during the same period as IPTG-induced production. Up to 90% of the total amount of expressed phytase leaked out from the E. coli cells in both IPTG- and lactose-induced fed-batch cultivations.     

Effect of Different Interferonα2 Preparations on IP10 and ET-1 Release from Human Lung Cells

Background

Alfa-interferons (IFNα2a, IFNα2b, 40KDa-PEGIFNα2a and 12KDa-PEGIFNα2b) are effective treatments for chronic hepatitis C infection. However, their usage has been associated with a variety of adverse events, including interstitial pneumonitis and pulmonary arterial hypertension. Although rare, these adverse events can be severe and potentially life-threatening, emphasizing the need for simple biomarkers of IFN-induced lung toxicity.

Methods

Human lung microvascular endothelial cells (HLMVEC), human pulmonary artery smooth muscle (HPASM) cells and A549 cells were grown under standard conditions and plated into 96- or 6-well plates. Cells were stimulated with various concentrations of different IFNs in hydrocortisone-free medium. After 24 and 48 hours, IP10 and ET-1 were measured by ELISA in conditioned medium. In a second set of experiments, cells were pre-treated with tumour necrosis factor-α (TNF-α) (10 ng/mL).

Results

IFNα2a, IFNα2b, 40KDa-PEGIFNα2a and 12KDa-PEGIFNα2b, but not IFNλ, induced IP10 (CXCL10) release and increased IP10 gene induction in HLMVEC. In addition, all four IFNα preparations induced IP10 release from HPASM cells and A549 cells pre-treated with TNFα. In each of these cell types, 40KDa-PEGIFNα2a was significantly less active than the native forms of IFNα2a, IFNα2b or 12KDa-PEGIFNα2b. Similarly, IFNα2a, IFNα2b and 12KDa-PEGIFNα2b, but not 40KDa-PEGIFNα2a, induced endothelin (ET)-1 release from HPASM cells.

Conclusions

Consistent with other interstitial pulmonary diseases, both IP10 and ET1 may serve as markers to monitor IFN-induced lung toxicity in patients. In addition, both markers may also serve to help characterize the risk associated with IFNα preparations to induce lung toxicity.     

Thermostable alkaline phytase from Bacillus sp. MD2: effect of divalent metals on activity and stability

Phytate, the major source of phosphorus in seeds, exists as a complex with different metal ions. Alkaline phytases are known to dephosphorylate phytate complexed with calcium ions in contrast to acid phytases that act only on phytic acid. A recombinant alkaline phytase from Bacillus sp. MD2 has been purified and characterized with respect to the effect of divalent metal ions on the enzyme activity and stability. The presence of Ca²⁺ on both the enzyme and the substrate is required for optimal activity and stability. Replacing Ca²⁺ with Ba²⁺, Mn²⁺, Mg²⁺ and Sr²⁺ in the phytase resulted in the expression of > 90% of the maximal activity with calcium-phytate as the substrate, while Fe²⁺ and Zn²⁺ rendered the enzyme inactive. On the other hand, the calcium loaded phytase showed significant activity (60%) with sodium phytate and lower activity (17-20%) with phytate complexed with only Mg²⁺, Sn²⁺ and Sr²⁺, respectively. On replacing Ca²⁺ on both the enzyme and the substrate with other metal ions, about 20% of the maximal phytase activity was obtained only with Mg²⁺ and Sr²⁺, respectively. Only Ca²⁺ resulted in a marked increase in the melting temperature (T_m) of the enzyme by 12-21 °C, while Ba²⁺, Mn²⁺, Sr²⁺ or Cu²⁺ resulted in a modest (2-3.5 °C) increase in T_m. In the presence of 1-5 mM Ca²⁺, the optimum temperature of the phytase activity was increased from 40 °C to 70 °C, while optimum pH of the enzyme shifted by 0.4-1 pH unit towards the acidic region.