Central Venous-To-Arterial CO2-Gap May Increase in Severe Isovolemic Anemia

Despite blood transfusions are administered to restore adequate tissue oxygenation, transfusion guidelines consider only hemoglobin as trigger value, which gives little information about the balance between oxygen delivery and consumption. Central venous oxygen saturation is an alternative, however its changes reflect systemic metabolism and fail to detect regional hypoxia. A complementary parameter to ScvO₂ may be central venous-to-arterial carbon dioxide difference (CO₂-gap). Our aim was to investigate the change of alternative transfusion trigger values in experimental isovolemic anemia. After splenectomy, anesthetized Vietnamese mini pigs (n = 13, weight range: 18–30 kg) underwent controlled bleeding in five stages (T₁–T₅). During each stage approximately 10% of the estimated starting total blood volume was removed and immediately replaced with an equal volume of colloid. Hemodynamic measurements and blood gas analysis were then performed. Each stage of bleeding resulted in a significant fall in hemoglobin, the O₂-extraction increased significantly from T₃ and ScvO₂ showed a similar pattern and dropped below the physiological threshold of 70% at T₄. By T₄ CO₂-gap increased significantly and well correlated with VO₂/DO₂ and ScvO₂. To our knowledge, this is the first study to show that anemia caused altered oxygen extraction may have an effect on CO₂-gap.     

Subgroups of Paediatric Acute Lymphoblastic Leukaemia Might Differ Significantly in Genetic Predisposition to Asparaginase Hypersensitivity

L-asparaginase (ASP) is a key element in the treatment of paediatric acute lymphoblastic leukaemia (ALL). However, hypersensitivity reactions (HSRs) to ASP are major challenges in paediatric patients. Our aim was to investigate genetic variants that may influence the risk to Escherichia coli-derived ASP hypersensitivity. Sample and clinical data collection was carried out from 576 paediatric ALL patients who were treated according to protocols from the Berlin—Frankfurt—Münster Study Group. A total of 20 single nucleotide polymorphisms (SNPs) in GRIA1 and GALNT10 genes were genotyped. Patients with GRIA1 rs4958351 AA/AG genotype showed significantly reduced risk to ASP hypersensitivity compared to patients with GG genotype in the T-cell ALL subgroup (OR = 0.05 (0.01–0.26); p = 4.70E-04), while no such association was found in pre-B-cell ALL. In the medium risk group two SNPs of GRIA1 (rs2055083 and rs707176) were associated significantly with the occurrence of ASP hypersensitivity (OR = 0.21 (0.09–0.53); p = 8.48E-04 and OR = 3.02 (1.36–6.73); p = 6.76E-03, respectively). Evaluating the genders separately, however, the association of rs707176 with ASP HSRs was confined only to females. Our results suggest that genetic variants of GRIA1 might influence the risk to ASP hypersensitivity, but subgroups of patients can differ significantly in this respect.     

Role of atelomixis in replacement of phytoplankton assemblages in Dom Helvécio Lake, South-East Brazil

Scale and frequency of changes in a lake’s physical structure, light dynamics, and availability of nutrients are closely related to phytoplankton ecology. Since phytoplankton assemblages were first described, phytoplankton ecologists concluded that these assemblages provide insight into phytoplankton responses to environmental changes. Objectives of this study were to investigate ecology of phytoplankton during a complete hydrological cycle in the deepest natural lake in Brazil, Dom Helvécio, and to sort species into the list of assemblages, checking its accordance with environmental changes in a tropical system within the middle Rio Doce Lake district, South-East Brazil. Canonical Correspondence Analysis, t-test, Mann–Whitney U-test, and Kruskal–Wallis test were used to analyze climatological, environmental, and plankton data, which were obtained monthly in 2002. A new phytoplankton assemblage, N_A (atelomixis-dependent desmids), is suggested because atelomixis (robust movement of water occurring once a day) contributed to replacement of species in Dom Helvécio Lake. Stability of stratification, water chemistry, and composition of phytoplankton assemblages characterized two periods. The first period occurred in six rainy months (Jan–Mar and Oct–Dec) when the lake was stratified and phytoplankton was dominated by two assemblages: N_A and F. The second period occurred in six dry months (Apr–Sep) when the lake was nonstratified and phytoplankton was dominated by four assemblages: S2, X1, A, and L_O. Results suggest that phytoplankton in Dom Helvécio Lake was shaped by seasonal and daily changes of water temperature, even with its lower amplitude of variation within 2002 (El Niño year). These changes promoted water column stratification or mixing, reduced light, and increased nutrient availability. Temperature, therefore, is similarly important to phytoplankton ecology in tropical regions as it is in temperate ones. Sorting phytoplankton species into assemblages matched well with environmental changes and periods identified so it is also suggested that this can be further used as an appropriate tool to manage water quality when evaluating tropical lakes.     

Daily and seasonal variations ofAlternaria andCladosporium airborne spores in León (North-West, Spain)

The spores ofAlternaria andCladosporium are present throughout the year in the atmosphere of León (NW Spain), although they show an important seasonal variation. To understand the relationship between the number of spores and climatic factors,Alternaria andCladosporium spores counts for January 1994 to December 1995 were examined by means of correlation analyses. The results of weekly samples of both years showed that the spores concentration of two taxa are significantly and positively correlated with maximum and minimum temperature and sunshine hours and negatively with relative humidity. The statistical analysis of daily samples generally showed the same results. In the hourly distribution of spore concentrations we can see a similar behaviour ofAlternaria andCladosporium, with most spores collected in the 12–14 h period.     

How does hydroxyl introduction influence the double helical structure: the stabilization of an altritol nucleic acid:ribonucleic acid duplex

Altritol nucleic acids (ANAs) are a promising new tool in the development of artificial small interfering ribonucleic acids (siRNAs) for therapeutical applications. To mimic the siRNA:messenger RNA (mRNA) interactions, the crystal structure of the ANA:RNA construct a(CCGUAAUGCC-P):r(GGCAUUACGG) was determined to 1.96?? resolution which revealed the hybrid to form an A-type helix. As this A-form is a major requirement in the RNAi process, this crystal structure confirms the potential of altritol-modified siRNAs. Moreover, in the ANA strands, a new type of intrastrand interactions was found between the O2' hydroxyl group of one residue and the sugar ring O4' atom of the next residue. These interactions were further investigated by quantum chemical methods. Besides hydration effects, these intrastrand hydrogen bonds may also contribute to the stability of ANA:RNA duplexes.