Towards malaria elimination in Savannakhet,Lao PDR: mathematical modelling driven strategy design

Background

The number of Plasmodium falciparum malaria cases around the world has decreased substantially over the last 15 years, but with the spread of resistance against anti-malarial drugs and insecticides, this decline may not continue. There is an urgent need to consider alternative, accelerated strategies to eliminate malaria in countries like Lao PDR, where there are a few remaining endemic areas. A deterministic compartmental modelling tool was used to develop an integrated strategy for P. falciparum elimination in the Savannakhet province of Lao PDR. The model was designed to include key aspects of malaria transmission and integrated control measures, along with a user-friendly interface.

Results

Universal coverage was the foundation of the integrated strategy, which took the form of the deployment of community health workers who provided universal access to early diagnosis, treatment and long-lasting insecticidal nets. Acceleration was included as the deployment of three monthly rounds of mass drug administration targeted towards high prevalence villages, with the addition of three monthly doses of the RTS,S vaccine delivered en masse to the same high prevalence sub-population. A booster dose of vaccine was added 1 year later. The surveillance-as-intervention component of the package involved the screening and treatment of individuals entering the simulated population.

Conclusions

In this modelling approach, the sequential introduction of a series of five available interventions in an integrated strategy was predicted to be sufficient to stop malaria transmission within a 3-year period. These interventions comprised universal access to early diagnosis and adequate treatment, improved access to long-lasting insecticidal nets, three monthly rounds of mass drug administration together with RTS,S vaccination followed by a booster dose of vaccine, and screening and treatment of imported cases.

     

Forced Desynchrony of Orcadian Rhythms of Body Temperature and Activity in Rats

The daily rhythm in body temperature is thought to be the result of the direct effects of activity and the effects of an endogenous circadian clock. Forced desynchrony (FD) is a tool used in human circadian rhythm research to disentangle endogenous and activity-related effects on daily rhythms. In the present study, we applied an FD protocol to rats. We subjected 8 rats for 5 days to a 20h forced activity cycle consisting of lOh of forced wakefulness and lOh for rest and sleep. The procedure aimed to introduce a lOh sleep/ lOh wake cycle, which period was different from the endogenous circadian (about 24h) rhythm. Of the variation in the raw body temperature data, 68-77% could be explained by a summation of estimated endogenous circadian cycle and forced activity cycle components of body temperature. Free-running circadian periods of body temperature during FD were similar to free-running periods measured in constant conditions. The applied forced activity cycle reduced clock-related circadian modulation of activity. This reduction of circadian modulation of activity did not affect body temperature. Also, the effects of the forced activity on body temperature were remarkably small.     

Pollen tubes of flavonol-deficient Petunia show striking alterations in wall structure leading to tube disruption

Despite the vital role that flavonols play in fertilization and pollen tube growth of a number of species such as petunia and maize, their function is still unclear. Pollen tubes of the flavonol-deficient transformant T17.02 of Petunia hybrida L. are able to germinate and start growing in vitro, but eventually disrupt at the tip approximately 2 h after germination. In order to establish the possible role of flavonols in this process, wild-type and flavonol-deficient pollen tubes were subjected to cytological and ultrastructural analyses and screened for differences. The results showed that before disruption of the flavonol-deficient pollen tubes, the structure of the primary wall at the tip dramatically changed from layered to granular. Secretory vesicles at the tip still fused with the wall but lost their capacity to melt into the wall and to form layers. Instead they remained as dark, electron-dense granular structures surrounded by an electron-translucent matrix. Apparently the matrix is not able to sustain the wall's coherence and as a consequence the tube disrupts. No other remarkable cytological or ultrastructural differences between the transformant and the wild-type pollen tubes could be found before tip disruption. Even a morphometric analysis of abundance and distribution of endoplasmic reticulum, dictyosomes and mitochondria did not reveal any significant difference. However, for the first time, obvious morphological differences were observed in the wall of the flavonol-deficient pollen tubes. We conclude that flavonols act on precursors of the pollen tube wall of petunia and interfere with a cross-linking system in the wall, possibly via extensins. Received: 23 February 1998 / Accepted: 13 August 1998     

Cloning of the fructan biosynthesis pathway of Jerusalem artichoke

To study the regulation of fructan synthesis in plants, we isolated two full-size cDNA clones encoding the two enzymes responsible for fructan biosynthesis in Jerusalem artichoke ( Helianthus tuberosus ): 1-sucrose:sucrose fructosyl transferase (1-SST) and 1-fructan:fructan fructosyl transferase (1-FFT). Both enzymes have recently been purified to homogeneity from Jerusalem artichoke tubers (Koops and Jonker (1994) J. Exp. Bot. 45, 1623–1631; Koops and Jonker (1996) Plant Physiol. 110, 1167–1175) and their amino acid sequences have been partially determined. Using RT–PCR and primers based on these sequences, specific fragments of the genes were amplified from tubers of Jerusalem artichoke. These fragments were used as probes to isolate the cDNAs encoding 1-SST and 1-FFT from a tuber-specific λZAP library. The deduced amino acid sequences of both cDNAs perfectly matched the sequences of the corresponding purified proteins. At the amino acid level, the cDNA sequences showed 61% homology to each other and 59% homology to tomato vacuolar invertase. Based on characteristics of the deduced amino acid sequence, the first 150 bp of both genes encode a putative vacuolar targeting signal. Southern blot hybridization revealed that both 1-SST and 1-FFT are likely to be encoded by single-copy genes. Expression studies based on RNA blot analysis showed organ-specific and developmental expression of both genes in growing tubers. Lower expression was detected in flowers and in stem. In other organs, including leaf, roots and dormant tubers, no expression could be detected. In tubers, the spatial and developmental expression correlates with the accumulation of fructans. Using the 1-sst and 1-fft cDNAs, chimeric genes were constructed driven by the CaMV 35S promoter. Analysis of transgenic petunia plants carrying these constructs showed that both cDNAs encode functional fructosyltransferase enzymes. Plants transformed with the 35S- 1-sst construct accumulated the oligofructans 1-kestose (GF₂), 1,1-nystose (GF₃) and 1,1,1-fructosylnystose (GF₄). Plants transformed with the 35S- 1-fft construct did not accumulate fructans, probably because of the absence of suitable substrates for 1-FFT, i.e. fructans with a degree of polymerization ≥ 3 (GF₂, GF₃, etc.). Nevertheless, protein extracts from these transgenic plants were able to convert GF₃, when added as a substrate, into fructans with a higher degree of polymerization. Progeny of crosses between a 35S- 1-sst -containing plant and a 35S- 1-fft- containing plant, showed accumulation of high-molecular-weight fructans in old, senescent leaves. Based on the comparison of the predicted amino acid sequences of 1-sst and 1-fft with those of other plant fructosyl transferase genes, we postulate that both plant fructan genes have evolved from plant invertase genes.     

Lipopolysaccharide regions involved in the activation of Escherichia coli outer membrane protease OmpT.

OmpT is an integral outer membrane protease of Escherichia coli. Overexpression of OmpT in E. coli and subsequent in vitro folding of the produced inclusion bodies yielded protein with a native-like structure. However, enzymatically active protease was only obtained after addition of the outer membrane lipid lipopolysaccharide (LPS). OmpT is the first example of an enzyme that requires LPS for activity. In this study, we investigated the nature of this activation. Circular dichroism analysis showed that binding of LPS did not lead to large structural changes. Titration of OmpT with LPS and determining the resulting OmpT activity with a fluorimetric assay yielded a dissociation constant of 10-4 m for E. coli K-12 LPS. Determining the dissociation constants for different LPS chemotypes revealed that a fully acylated lipid A part is minimally required for activation of OmpT. The heptose-bound phosphates in the inner core region were also important for activation. The affinity for LPS was not dependent on the concentration of substrate, neither was affinity for the substrate influenced by the concentration of LPS. This indicated that LPS most likely does not act at the level of substrate binding. We hypothesize that LPS induces a subtle conformational change in the protein that is required for obtaining a native active site geometry.     

Increased susceptibility to enemies following introduction in the invasive plant Silene latifolia

One of the influential hypotheses invoked to explain why species become invasive following introduction is that release from natural enemies favours a shift in investment from defence to traits enhancing growth and reproduction. Silene latifolia was introduced from Europe (EU) to North America (NA) c. 200 years ago where it experiences lower damage by natural enemies. A common garden experiment in EU using seeds from 20 EU and 20 NA populations revealed (1) genetically‐based differences in life history between plants from EU and NA; plants from NA have evolved a weedy phenotype that flowers earlier, and has a two‐ to threefold higher reproductive potential; (2) higher susceptibility of NA plants to fungal infection, fruit predation, and aphid infestation. These results suggest that the invasive NA phenotype has evolved at the expense of defensive abilities. Despite this increased susceptibility to enemies, NA populations still outperformed EU populations in this common garden.     

Novel Pathway for Alcoholic Fermentation of δ-Gluconolactone in the Yeast Saccharomyces bulderi

Under anaerobic conditions, the yeast Saccharomyces bulderi rapidly ferments delta-gluconolactone to ethanol and carbon dioxide. We propose that a novel pathway for delta-gluconolactone fermentation operates in this yeast. In this pathway, delta-gluconolactone is first reduced to glucose via an NADPH-dependent glucose dehydrogenase (EC 1.1.1.47). After phosphorylation, half of the glucose is metabolized via the pentose phosphate pathway, yielding the NADPH required for the glucose-dehydrogenase reaction. The remaining half of the glucose is dissimilated via glycolysis. Involvement of this novel pathway in delta-gluconolactone fermentation in S. bulderi is supported by several experimental observations. (i) Fermentation of delta-gluconolactone and gluconate occurred only at low pH values, at which a substantial fraction of the substrate is present as delta-gluconolactone. Unlike gluconate, the latter compound is a substrate for glucose dehydrogenase. (ii) High activities of an NADP(+)-dependent glucose dehydrogenase were detected in cell extracts of anaerobic, delta-gluconolactone-grown cultures, but activity of this enzyme was not detected in glucose-grown cells. Gluconate kinase activity in cell extracts was negligible. (iii) During anaerobic growth on delta-gluconolactone, CO(2) production exceeded ethanol production by 35%, indicating that pyruvate decarboxylation was not the sole source of CO(2). (iv) Levels of the pentose phosphate pathway enzymes were 10-fold higher in delta-gluconolactone-grown anaerobic cultures than in glucose-grown cultures, consistent with the proposed involvement of this pathway as a primary dissimilatory route in delta-gluconolactone metabolism.     

Microvariation Artifacts Introduced by PCR and Cloning of Closely Related 16S rRNA Gene Sequences

A defined template mixture of seven closely related 16S-rDNA clones was used in a PCR-cloning experiment to assess and track sources of artifactual sequence variation in 16S rDNA clone libraries. At least 14% of the recovered clones contained aberrations. Artifact sources were polymerase errors, a mutational hot spot, and cloning of heteroduplexes and chimeras. These data may partially explain the high degree of microheterogeneity typical of sequence clusters detected in environmental clone libraries.     

Genetic variability of central–western European pine marten (Martes martes) populations

Recent studies highlighted the potential role of cryptic glacial refugia for temperate taxa in Europe beyond the Mediterranean peninsulas. To further investigate phylogeographic features of the European pine marten (Martes martes) in previously identified cryptic refugia located in central–western Europe, we analysed the hyper-variable diagnostic fragment of the mitochondrial control region in a total of 134 specimens, allowing for reliable comparisons with previous genetic studies of the species. We included samples from eight different European countries in central–western Europe (Belgium, France, Luxembourg and the Netherlands), in south–western Europe (Spain), in north–central Europe (Denmark) and in central Europe (Germany and Poland). The sequences collapsed in 17 haplotypes, which allowed us to determine the genetic composition of the pine marten populations throughout central–western Europe. Overall, our results showed that the population genetic variation, estimated by the standardised haplotype diversity, was high (0.400?≤?Hs?≤?0.762), and it was considerably higher in Germany (0.762) and the Netherlands (0.722) compared to the other countries. The nucleotide diversity was relatively low (0.002?≤?π?≤?0.016) even in Germany and the Netherlands (0.016 and 0.014, respectively), suggesting relatively small, long-term effective population sizes or severe bottlenecks. Out of the 17 haplotypes found in our study area, 13 were unique and limited to a single country: one in Denmark, one in Spain, four in Poland and seven in the Netherlands. The pairwise genetic distance ranged from 0.001 to 0.032 and did not show any evident correlation with the geographic distances between the populations. A genealogical relationship network was constructed, which provided evidence for a recent origin of many of the unique haplotypes. Approximately 82 % of the samples analysed in this study belonged to haplotypes grouped into a previously identified central–northern European phylogroup of the species. Our results support previous findings, indicating low contribution of southern refugial populations to the postglacial recolonization of central–western Europe and a predominant contribution of pine marten populations that survived the Last Glacial Maxima in cryptic northern refugia.