Changing Characteristics of Rotavirus Diarrhea in Children Younger than Five Years in Urban Bangladesh

Background

Childhood rotavirus diarrhea is still one of the major public health challenges. The present study aimed to determine changing characteristics of rotavirus diarrhea in under-5 children at two periods of time.

Methods

We enrolled 5,357 under-5 children with rotavirus positive in two different time periods; i) 1993-1997 (n = 2,493), and ii) 2008–2012 (n = 2,864) considering beginning and ending of two decades. These children were enrolled in the urban Dhaka Hospital of icddr,b.

Results

Overall, proportion of rotavirus was about 25% in 1993–97, which was 42% in 2008–12 (68% rise; p<0.001). Significant higher proportion of children were stunted [38% vs. 22%; aOR-1.33 (95% CI-1.09-1.62)], had vomiting [87% vs. 74%; aOR-2.58 (95% CI-2.02-3.28)], fever [10% vs. 8%; aOR-1.31 (95% CI-0.96-1.78)], family members >5 [38% vs. 35%; aOR-1.32 (95% CI-1.10-1.58)] required more intravenous fluid [9% vs. 3%; aOR-4.93 (95% CI-3.19-7.63)], had higher co-infection with Shigella [3% vs. 1%; aOR-3.36 (95% CI-1.61-7.03)], Vibrio cholerae [4% vs. 1%; aOR-3.70 (95% CI-2.12-6.46)]; and ETEC [13% vs. 7%; aOR-2.21 (95% CI-1.65-2.97)]; however, significantly lower proportion of them used sanitary toilets [54% vs. 78%; aOR-0.66 (95% CI-0.54-0.80)], boiled drinking water [16% vs. 38%; aOR-0.60 (95% CI-0.48-0.74)], used antimicrobial at home [63% vs. 82%; aOR-0.56 (95% CI-0.46-0.69)] and had some or severe dehydration [18% vs. 34%; aOR-0.15 (95% CI-0.12-0.20)] in 1^st observation period compared to that of 2^nd.

Conclusion

Proportion of episodes of under-5 rotavirus diarrhea increased over the period. Concomitant changes in host, socio-demographic and clinical characteristics, and co-infections were also observed. Thus, vaccination campaign which is prevailing in private sector should also be introduced in public sector.     

The ?4817 G>A (rs2238136) variant of the vitamin D receptor gene: a probable risk factor for colorectal cancer

Vitamin D appears to have anti-tumor activities in the large bowel. Our aim was to investigate whether -4817 G>A (rs2238136) polymorphism located at 5'-untranslated region (5'-UTR) of the human vitamin D receptor (VDR) gene was associated with colorectal cancer (CRC) risk. We conducted a case-control study and VDR genotypes, determined by Bpu10I restriction endonuclease digestion of PCR-amplified DNA, were performed on 327 cases with CRC and 327 controls. The distribution of VDR -4817 G>A genotypes and alleles differed significantly between cases with CRC and controls even after adjustment for confounding factors such as age, BMI, sex, and smoking status. Individuals carrying the "AA" genotype had a 2.09-fold increased risk compared with those with "GG" genotype (P?=?0.016, OR?=?2.09, 95% CI?=?1.15-3.78) and a 1.87-fold increased risk compared with those with "GG and GA" genotypes (P?=?0.033, OR?=?1.87, 95% CI?=?1.05-3.33) for CRC. Furthermore, the VDR "A" allele was significantly overrepresented in cases with CRC than controls (P?=?0.044; OR?=?1.28, 95% CI?=?1.01-1.63). Interestingly, the analysis of the SNP revealed that all these associations were stronger for women subjects than for all subjects combined. These data indicated for the first time a direct association between "AA" genotype of VDR gene -4817 G>A polymorphism and CRC, with a stronger association for female subjects. However, our findings remain to be confirmed in other populations.     

Quality Control of Photosystem II: THYLAKOID UNSTACKING IS NECESSARY TO AVOID FURTHER DAMAGE TO THE D1 PROTEIN AND TO FACILITATE D1 DEGRADATION UNDER LIGHT STRESS IN SPINACH THYLAKOIDS*

Photosystem II is vulnerable to light damage. The reaction center-binding D1 protein is impaired during excessive illumination and is degraded and removed from photosystem II. Using isolated spinach thylakoids, we investigated the relationship between light-induced unstacking of thylakoids and damage to the D1 protein. Under light stress, thylakoids were expected to become unstacked so that the photodamaged photosystem II complexes in the grana and the proteases could move on the thylakoids for repair. Excessive light induced irreversible unstacking of thylakoids. By comparing the effects of light stress on stacked and unstacked thylakoids, photoinhibition of photosystem II was found to be more prominent in stacked thylakoids than in unstacked thylakoids. In accordance with this finding, EPR spin trapping measurements demonstrated higher production of hydroxyl radicals in stacked thylakoids than in unstacked thylakoids. We propose that unstacking of thylakoids has a crucial role in avoiding further damage to the D1 protein and facilitating degradation of the photodamaged D1 protein under light stress.In the chloroplasts of higher plants and green algae, thylakoid membranes are closely associated and stack to form grana. Under electron microscopy, cylindrical grana consisting of 10–20 layers of thylakoids have been observed. They have a diameter of 300–600 nm and are interconnected by lamellae of several hundred nm in length (1, 2). The structure of grana in the chloroplasts of higher plants is well known, but the precise role of grana is incompletely understood. Their possible functions in primary photochemical reactions and subsequent events have been discussed extensively (3–9). Photosystem I (PSI)³ and II (PSII) complexes are segregated from each other in thylakoids, showing lateral heterogeneity in their distribution. The PSII complex is a multisubunit pigment-protein complex responsible for the photochemical oxidation of water and reduction of plastoquinone (8, 10–13). It comprises >25 protein subunits and other low molecular weight cofactors, including chlorophylls, carotenoids, plastoquinones, and manganeses. In the chloroplasts of higher plants, PSII complexes and the associated light-harvesting antenna complex LHCII are not present throughout the thylakoid membranes but are abundant in the grana (2, 14). A densely packed array of PSII complexes in the grana was visualized by electron microscopy (8, 15). Grana formation is more prominent in shade leaves (or shade plants) than in sun leaves (or sun plants), so it has been suggested that enrichment of the PSII·LHCII complex in grana is a strategy of plants to collect excitation energy by PSII under weak light (16). The grana structure probably provides an organized environment for PSII. PSI and ATP synthase are located exclusively in the stroma-exposed thylakoids, including the stroma thylakoids, grana end membranes, and grana margins, because these complexes protrude into the stroma. Cytochrome b₆/f complexes without this protrusion are present uniformly throughout the thylakoids (3). It has been suggested that separation of PSI and PSII complexes on the thylakoids through grana formation is important to prevent “spillover” of excitation energy from PSII to PSI, which lowers photosynthesis efficiency (17).An active PSII complex comprises a homodimer of PSII monomers (13). When thylakoids are exposed to excessive visible light, the PSII dimer dissociates into two monomers (18), but the most significant change takes place inside the monomeric PSII, where the reaction center-binding D1 protein is photodamaged and degraded by specific proteases (19, 20). The photodamage to the D1 protein is a photooxidative process. This is caused by reactive oxygen species (ROS), most probably singlet oxygen (¹O₂) or the hydroxyl radical (HO^•) produced by overreduction of the acceptor side of PSII under excessive illumination or by endogenous cationic radicals, such as the oxidized forms of the primary electron donor P680 and the secondary electron donor Tyr_Z (Tyr¹⁶¹ of D1) to PSII (21). Strong illumination of the grana may readily cause damage to the PSII complexes by ROS and endogenous cationic radicals, because the grana is rich in PSII complexes. Segregation of PSI and PSII in the stacked thylakoids should make the electron transport between PSI and PSII a rate-limiting step in the electron flow, and overexcitation of PSII under these conditions may stimulate ROS production at the acceptor side of PSII. Close association of LHCII with the PSII core complexes should also stimulate ROS generation in the grana. Unstacking of the thylakoids, which is also expected to lead to random distribution of PSI and PSII on the thylakoids and dissociation of the LHCII from the PSII core, may be important to avoid photodamage to PSII.In the proteolysis of the damaged D1 protein in the chloroplasts of higher plants, the N-terminal Thr of the D1 protein is dephosphorylated, and the subsequent degradation produces 23- and 9-kDa fragments as the primary cleavage products (19, 20). The protease(s) and phosphatase(s) involved in these steps are presumably localized in the stroma thylakoids, grana end membranes, and grana margin. Lateral migration of the damaged PSII complexes from the grana to the membrane regions where the damaged PSII complexes are repaired is therefore important for degradation of the D1 protein. Thylakoid unstacking, if it occurs under light stress, should stimulate diffusion of the protein complexes on the thylakoids, thereby stimulating D1 turnover.First, we examined if excessive visible light can induce unstacking of the thylakoids. Second, we studied the effects of strong illumination on stacked and unstacked thylakoids to see if they showed different responses to excessive light. We strongly suggest that unstacking of the thylakoids caused by light stress is necessary to avoid further photodamage to the D1 protein and to facilitate degradation and removal of the photodamaged D1 protein from PSII complexes.     

Relationship between anthropometric measures and body composition among Muslim females of West Bengal, India

The human body composition is assessed to determine percent body fat (PBF), fat mass (FM), and lean body mass or fat free mass (FFM). The topological distribution of body fat has been the subject of many studies in the world and India. To the best of our knowledge the present paper is the first report on the body composition in terms of PBF and FM, and their relationship with anthropometric measures in Muslim females in India. The present study examines anthropometric measurements and their relationship with the body composition among Muslim females of West Bengal, India. A cross-sectional study of 100 female, Muslim students of Howrah and Kolkata was undertaken to compare the relationships of biceps and triceps skinfold, waist, hip and upper arm circumference, waist hip ratio and conicity index with their body composition variables (PBF and FM). All anthropometric measures displayed significant (p < 0.05) correlation with body composition measures. The triceps skinfold, however, demonstrated a significant correlation with PBF (r = 0.90) and FM (r = 0.93). The greatest amount of variation of PBF (81.3 %) and FM (89.2 %) was explained by the triceps skinfold. In addition, a considerable amount of variation of PBF (72.8 %) and FM (86.0 %) was explained by the mid upper arm circumference. In conclusion, the present study displays a tendency of regional adiposity in the upper arm, triceps skinfold and mid upper arm circumference are much more strongly associated with body fat.     

Bacteria endemic to saline coastal belt and their ability to mitigate the effects of salt stress on rice growth and yields

Increase in soil salinity adversely affects the metabolism and lowers the yield of rice (Oryza sativa L). Application of plant growth-promoting rhizobacteria (PGPR) to ameliorate the effects of salt stress on sensitive rice can be both effective and sustainable. In this study, 20 bacterial strains were isolated from the soil of saline-prone regions of Satkhira, north of the Sundarbans in coastal Bangladesh. Three bacteria among these grew well in the presence of 3 M salt (NaCl) and were Gram positive and non-motile. Their 16S rRNA sequence revealed that they belong to the Halobacillus genus. Two of them were identified as Halobacillus dabanensis strain SB-26 and the other one as Halobacillus sp. GSP 34. A couple of mechanisms by which these microbes could play beneficial role if associated with plants, such as nitrogen fixation and indole acetic acid (IAA) production, were identified. The two bacterial strains showed positive results for nitrogen fixation and indole acetic acid (IAA) activity under salt stress. Their effect on the physiology and yield of a farmer popular but sensitive BRRI dhan 28 rice variety was investigated under both control and salt stress. At the seedling stage, inoculated plants had significantly greater root length, shoot height, total weight, chlorophyll content, but lower electrolyte leakage both in control and salt stress (0, 40, and 80 mM). Performance of the plants was even better when both bacteria were used in combination. At the reproductive stage, the plants also showed better phenology in presence of the inoculated bacteria. Under stress (50 mM NaCl), these plants showed significantly greater plant height, lower spikelet damage, and yield reduction compared to untreated plants. The identified Halobacillus strains can therefore be used to improve the yield of rice by exploiting their plant growth promotion activities in coastal areas affected by moderate salinity, such as those with an ionic conductivity of up to 5 dS m^?1.     

Correction to: Music of metagenomics—a review of its applications,analysis pipeline,and associated tools

Functional & Integrative Genomics -     

Identification and partial characterization of a highly active and stable phospholipase D from Brassica juncea seeds

Phospholipase D (PLD) activity has been identified in some new plant sources i.e. Brassica juncea (mustard) seeds, Zingibar officinale (ginger) rhizomes and Azadirachta indica (neem) leaves with the aim of identifying PLDs that possess high catalytic activity and stability. PLD from mustard seeds (PLD(ms)) exhibited the highest PLD specific activity, which was highly pH and temperature tolerant. PLD(ms) unlike many plant PLDs exhibited high thermal stability. The activity of PLD(ms) is optimum in the millimolar concentration of calcium ions and is independent of phosphatidylinositol-4,5-bisphosphate (PIP2). An active and stable enzyme like PLD(ms) may be utilized in the lipid industry.     

Quality control of Photosystem II: cleavage and aggregation of heat-damaged D1 protein in spinach thylakoids

Moderate heat stress (40 degrees C, 30 min) on spinach thylakoids induced cleavage of the D1 protein, producing an N-terminal 23-kDa fragment, a C-terminal 9-kDa fragment, and aggregation of the D1 protein. A homologue of Arabidopsis FtsH2 protease, which is responsible for degradation of the damaged D1 protein, was abundant in the stroma thylakoids. Two processes occurred in the thylakoids in response to heat stress: dephosphorylation of the D1 protein in the stroma thylakoids, and aggregation of the phosphorylated D1 protein in the grana. Heat stress also induced the release of the extrinsic PsbO, P and Q proteins from Photosystem II, which affected D1 degradation and aggregation significantly. The cleavage and aggregation of the D1 protein appear to be two alternative processes influenced by protein phosphorylation/dephosphorylation, distribution of FtsH, and intactness of the thylakoids.     

Effect of chewing betel nut on measurements of salivary progesterone and estradiol

The measurement of steroids in saliva is both simple and non-invasive and has been widely used in field and clinical-based research. The observance of particular cultural practices by some populations, however, may hamper accurate hormonal analyses. The present study evaluated the effects of one such practice-the chewing of betel nut-on the accurate measurement of salivary progesterone and estradiol. A time series experiment was conducted among Bangladeshi women who are regular users of betel nut. Salivary steroids were analyzed by radioimmunoassay in samples collected prior to and then 30, 60, 120, and 240 min following betel quid use. Results show no significant difference between basal steroid levels and those obtained 60, 120, and 240 min after chewing betel nut. We conclude that with specific collection protocols that take into account time since chewing, salivary steroid analyses can be undertaken in populations among whom the practice of chewing betel nut is endemic.