Viral and Atypical Bacterial Etiology of Acute Respiratory Infections in Children under 5 Years Old Living in a Rural Tropical Area of Madagascar

Background

In Madagascar, very little is known about the etiology and prevalence of acute respiratory infections (ARIs) in a rural tropical area. Recent data are needed to determine the viral and atypical bacterial etiologies in children with defined clinical manifestations of ARIs.

Methods

During one year, we conducted a prospective study on ARIs in children between 2 to 59 months in the community hospital of Ampasimanjeva, located in the south-east of Madagascar. Respiratory samples were analyzed by multiplex real-time RT-PCR, including 18 viruses and 2 atypical bacteria. The various episodes of ARI were grouped into four clinical manifestations with well-documented diagnosis: “Community Acquired Pneumonia”(CAP, group I), “Other acute lower respiratory infections (Other ALRIs, group II)”, “Upper respiratory tract infections with cough (URTIs with cough, group III)”and “Upper respiratory tract infections without cough (URTIs without cough, group IV)”.

Results

295 children were included in the study between February 2010 and February 2011. Viruses and/or atypical bacteria respiratory pathogens were detected in 74.6% of samples, the rate of co-infection was 27.3%. Human rhinovirus (HRV; 20.5%), metapneumovirus (HMPV A/B, 13.8%), coronaviruses (HCoV, 12.5%), parainfluenza virus (HPIV, 11.8%) and respiratory syncytial virus A and B (RSV A/B, 11.8%) were the most detected. HRV was predominantly single detected (23.8%) in all the clinical groups while HMPV A/B (23.9%) was mainly related to CAP (group I), HPIV (17.3%) to the “Other ALRIs” (group II), RSV A/B (19.5%) predominated in the group “URTIs with cough” (group III) and Adenovirus (HAdV, 17.8%) was mainly detected in the “without cough” (group IV).

Interpretation

This study describes for the first time the etiology of respiratory infections in febrile children under 5 years in a malaria rural area of Madagascar and highlights the role of respiratory viruses in a well clinically defined population of ARIs.     

Regulation of Na+/H+ exchanger 1 allosteric balance by its localization in cholesterol- and caveolin-rich membrane microdomains

The Na+/H+ exchanger 1, which plays an essential role in intracellular pH regulation in most tissues, is also known to be a key actor in both proliferative and apoptotic processes. Its activation by H+ is best described by the Monod-Wyman-Changeux model: the dimeric NHE-1 oscillates between a low and a high affinity conformation, the balance between the two forms being defined by the allosteric constant L(0). In this study, influence of cholesterol- and caveolin-rich microdomains on NHE-1 activity was examined by using cholesterol depleting agents, including methyl-beta-cyclodextrin (MBCD). These agents activated NHE-1 by modulating its L(0) parameter, which was reverted by cholesterol repletion. This activation was associated with NHE-1 relocation outside microdomains, and was distinct from NHE-1 mitogenic and hormonal stimulation; indeed MBCD and serum treatments were additive, and serum alone did not change NHE-1 localization. Besides, MBCD activated a serum-insensitive, constitutively active mutated NHE-1 ((625)KDKEEEIRK(635) into KNKQQQIRK). Finally, the membrane-dependent NHE-1 regulation occurred independently of Mitogen Activated Protein Kinases, especially Extracellular Regulated Kinase activation, although this kinase was activated by MBCD. In conclusion, localization of NHE-1 in membrane cholesterol- and caveolin-rich microdomains constitutes a novel physiological negative regulator of NHE-1 activity.     

Effect of cinnamoyl putrescines on in vitro cell multiplication and differentiation of tobacco explants

Hydroxycinnamoyl putrescines promote the cell multiplication of leaf discs of a tobacco mutant, RMB₇, cultivatedin vitro on the Murashige and Skoog medium. This mutant never accumulates these molecules during its development and does not enter in floweirng. Maximal effect is obtained at 2.5·10^–4M. The same molecules inhibit bud formation ofNicotiana tabacum var. Xanthi nc, at 5·10^–5 M but promote callus formation. From 10^–4 M to 5·10^–3 M they strongly inhibit cell multiplication and bud formation without toxic effect. Their possible role in plant metabolism is discussed.Abbreviations IAA indole 3-acetic-acid - BA benzyladenine     

Serotyping of Toxoplasma gondii: striking homogeneous pattern between symptomatic and asymptomatic infections within Europe and South America

Field isolates of Toxoplasma gondii in Europe and North America have been grouped into three clonal lineages that display different virulence in mice. Whether the genetic structure of the parasite is related to clinical expression in humans has not yet been demonstrated. We developed an enzyme-linked immunosorbent assay which uses lineage-specific, polymorphic polypeptides derived from the dense granule antigens, GRA5 and GRA6. Our goal was to compare serotypical patterns observed in asymptomatic versus symptomatic (ocular disease and severe infection in human immunodeficiency virus (HIV)-positive patients) infections among patients from Europe and South America. Independent of the clinical presentation of the disease, serotypes differed according to geographical origin, with a homogeneous distribution of serotype II in Europe and of serotypes I and III in South America. We conclude that GRA5-GRA6 serotyping is an interesting tool to study serotype prevalence in populations but it is not an accurate marker of pathogenicity of Toxoplasma infection in humans.     

Modeling indirect N2O emissions along the N cascade from cropland soils to rivers

The frequently observed discrepancy between estimations of N₂O emissions at regional or global scale based either on field data or inventories (bottom-up) or on direct atmospheric observations (top-down) suggests that riparian areas and river surfaces play a significant role as hot spots of emission. We developed a modeling procedure to assess N₂O emissions occurring during the transfer of water masses from the subroot water pool of the watershed to the outlet of the river drainage network, including their passage through riparian wetlands. The model was applied to three river basins of increasing size located in the sedimentary geological area of the Paris basin (France) and validated by its capability to predict river N₂O concentrations and fluxes across the river–atmosphere interface. At the scale of the Seine watershed, indirect emissions, i.e. emissions linked to agricultural practices but occurring elsewhere than directly at the field plot, are estimated to represent approximately 20% of the direct emissions from the watershed soils, in good agreement with previous estimates based on empirical accounting approaches. Denitrification in riparian zones is responsible for the largest share of these indirect emissions. The model results are very sensitive to the value of the ratio of N₂O versus (N₂ + N₂O), in the final products of denitrification in rivers and wetlands. By calibration on river N₂O concentrations, a value of 0.015 ± 0.05 is proposed for this ratio, in agreement with recent studies. This represents the main uncertainty factor of the model. In basins with conditions prone to increasing the value of this ratio, higher proportions of indirect N₂O emissions might possibly be observed.

     

Kinetics of zooplankton in an aquatic continuum: from the Marne River and reservoir to the Seine estuary

A study was carried out within a 700-km river sector, including three types of ecosystems (a reservoir, a river and its estuary) to characterise the major features of zooplankton communities in the Seine Basin. In rivers, zooplankton biomass becomes significant only when the growth rate of the organisms is higher than the dilution rate (4-5th orders rivers, according to River Continuum Concept). Upstream, short residence times favour the development of small species (Rotifers) with low individual body weight and biomass. Conversely, larger species (microcrustaceans) develop more downstream, where increased residence time leads to autochthonous production (Riverine Productivity Model). Such a pattern is greatly modified by human impact. Zooplankton input from the Marne reservoir represents one type of disruption in the general upstream-downstream trend (according to the Serial Discontinuity Concept). This reservoir is a source of microcrustaceans; they rapidly disappear mainly through fish predation, and therefore have little impact on the river phytoplankton. Discontinuities, such as confluences, have a relatively small effect on the stock of zooplankton with regard to the water release from the reservoir, but they persist more downstream, because they have the same lotic origin. A few microhabitats with macrophytes play a small role for this canalised river, but they can modify locally the plankton community structure and composition. As a whole, the flux of zooplankton rises exponentially, whereas discharge increases linearly from upstream (4th order) to downstream (8th order). In the canalised sectors, Dreissena larvae build up an important biomass, adding to that of the zooplankton sensu stricto. Especially abundant in the downstream sector of the Marne and Seine Rivers, the larvae show a widespread colonisation of the benthic substrates by the adult Dreissena. One of the largest mussel colonies in the middle estuary can contribute to a rapid decrease of zooplankton. Estuary ecosystems form a transitional zone between freshwater and seawater, with zooplankton dynamics closely linked to the particular conditions on this part of the river system.