The phenotype and genotype of rheumatoid arthritis in the Democratic Republic of Congo

Introduction

Little is known about rheumatoid arthritis in the black, particularly in Congolese, populations. Our objective was to describe the phenotype and genotype of rheumatoid arthritis (RA) in Congolese.

Methods

All consecutive rheumatoid arthritis (RA) patients attending Kinshasa University Hospital in a three-year time period were included. Demographics, clinical features and tobacco consumption were noted. Disease Activity Score (DAS)-28 based on the erythrocyte sedimentation rate (ESR), Health Assessment Questionnaire (HAQ), anti-citrullinated peptide antibodies (CCP) antibodies and rheumatoid factor (RF) were determined. Radiographs were scored according to Sharp-van der Heijde. On a subset of patients and controls HLA-DRB1 typing was performed.

Results

A total of 114 females and 14 males aged 51.2 ± 14.9 were included. Mean duration of symptoms was four years. Moderate tobacco consumption was reported in a minority of patients. DAS-28 at first visit was >5.1 and HAQ ≥0.5 in all patients. X-rays showed joint erosions and/or joint space narrowing, mostly of a moderate grade in 55.8% of patients. Anti-CCP and/or RF were present in 48.6% of patients with available data (n = 72) and in 3.0% of controls (n = 67). Radiographic changes and nodules were more frequent in RF or anti-CCP positive patients. One copy of the shared epitope was found in 13 patients (35.1%) and 3 controls (12.5%). Two copies were found in one patient (2.7%) and in one control (4.2%).

Conclusion

Congolese patients with RA consult long after disease onset. Despite this delay, the majority presents without major damage and is RF, anti-CCP and SE negative. We put forward the hypothesis that besides different environmental factors there is probably also a particular genetic risk profile in Congolese patients, different from the HLA-DRB1 shared epitope.     

Evapotranspiration,crop coefficient and water use efficiency of giant reed (Arundo donax L.) and miscanthus (Miscanthus × giganteus Greef et Deu.) in a Mediterranean environment.

Giant reed (Arundo donax L.) and miscanthus (Miscanthus × giganteus Greef et Deu.) are two perennial rhizomatous grasses (PRGs), considered as promising sources of lignocellulosic biomass for renewable energy production. Although the agronomic performance of these species has been addressed by several studies, the literature dedicated to the crop water use of giant reed and miscanthus is still limited. Our objective was thus to investigate giant reed and miscanthus water use by assessing crop evapotranspiration (ET_c), crop coefficients (K_c) and water use efficiency (WUE). The study was carried out in central Italy and specifically designed water-balance lysimeters were used to investigate the water use of these PRGs during the 2010 and 2011 growing seasons. Giant reed showed the highest cumulative evapotranspiration, with an average consumption of approximately 1100 mm, nearly 20% higher than miscanthus (900 mm). Crop evapotranspiration rates differed significantly between the species, particularly during the midseason (from June to September), when average daily ET_c was 7.4 and 6.2 mm in giant reed and miscanthus respectively. The K_c values determined in our study varied from 0.4 to 1.9 for giant reed and 0.3 to 1.6 for miscanthus. Finally, WUE was higher in miscanthus than in giant reed, with average values of 4.2 and 3.1 g L⁻¹ respectively. Further studies concerning water use under nonoptimal water conditions should be carried out and an assessment of the response to water stress of both crops is necessary to integrate the findings from this study.     

Miscanthus × giganteus nutrient concentrations and uptakes in autumn and winter harvests as influenced by soil texture,irrigation and nitrogen fertilization in the Mediterranean

Fertilization has a great impact on GHG emissions and crop nutrient requirements play an important role on the sustainability of cropping systems. In the case of bioenergy production, low concentration of nutrients in the biomass is also required for specific conversion processes (e.g. combustion). In this work, we investigated the influence of soil texture, irrigation and nitrogen fertilization rate on nitrogen, phosphorus and potassium concentrations and uptakes in Miscanthus × giganteus when harvested at two different times: early (autumn) and late (winter). Our results confirmed winter harvest to significantly reduce nutrient removals by as much as 80% compared to autumn. On the other hand, a few attempts have been made to investigate the role of soil texture and irrigation on nutrients in miscanthus biomass, particularly in the Mediterranean. We observed an effect of soil mainly on nutrient concentrations. Similarly, irrigation led to higher nutrient concentrations, while its effect on nutrient uptakes was less straightforward. Overall, the observed differences in miscanthus nutrient uptakes as determined by the crop management (i.e. irrigation and nitrogen fertilization) were highlighted for autumn harvest only, while uptakes in all treatments were lowered to similar values when winter harvest was performed. This study stressed the importance of the time of harvest on nutrient removals regardless of the other management options. Further investigation on the environmental and economic issues should be addressed to support decisions on higher yields‐higher nutrient requirements (early harvest) vs. lower yields‐lower nutrient requirements (late harvest).     

Poly(ADP-ribose) polymerase activation and cell injury in the course of rat heart heterotopic transplantation

Free radicals and other reactive species generated during reperfusion of ischemic tissues may cause DNA damage and, consequently, the activation of the nuclear enzyme poly(ADP-ribose) polymerase (PARP). An excessive PARP activation may result in a depletion of intracellular NAD + and ATP, hence cell suffering and, ultimately, cell death. The present study is aimed at clarifying the role of PARP in a heart transplantation procedure and the contribution of myocyte necrosis and/or apoptosis to this process. In our experimental model, rat heart subjected to heterotopic transplantation, low temperature global ischemia (2 h) was followed by an in vivo reperfusion (30 or 60 λmin). Under these conditions clear signs of oxidative stress, such as lipoperoxidation and DNA strand breaks, were evident. In addition to a marked activation, accompanied by a significant NAD + and ATP depletion, PARP protein levels significantly increased after 60 λmin of reperfusion. Ultrastructural analysis showed nuclear clearings, intracellular oedema and plasma membrane discontinuity. Other relevant observations were the absence of typical signs of apoptosis like caspase-3 activation and PARP cleavage, random DNA fragmentation, rise in serum levels of heart damage markers. Our results suggest that during heart transplantation, the activation of PARP, causing energy depletion, results in myocardial cell injury whose dominant feature, at least in our experimental model, is necrosis rather than apoptosis.     

Comparison of the evolutionary dynamics of symbiotic and housekeeping loci: a case for the genetic coherence of rhizobial lineages

In prokaryotes, lateral gene transfer across chromosomal lineages may be mediated by plasmids, phages, transposable elements, and other accessory DNA elements. However, the importance of such transfer and the evolutionary forces that may restrict gene exchange remain largely unexplored in native settings. In this study, tests of phylogenetic congruence are employed to explore the range of horizontal transfer of symbiotic (sym) loci among distinct chromosomal lineages of native rhizobia, the nitrogen-fixing symbiont of legumes. Rhizobial strains isolated from nodules of several host plant genera were sequenced at three loci: symbiotic nodulation genes (nodB and nodC), the chromosomal housekeeping locus glutamine synthetase II (GSII), and a portion of the 16S rRNA gene. Molecular phylogenetic analysis shows that each locus generally subdivides strains into the same major groups, which correspond to the genera Rhizobium, Sinorhizobium, and Mesorhizobium. This broad phylogenetic congruence indicates a lack of lateral transfer across major chromosomal subdivisions, and it contrasts with previous studies of agricultural populations showing broad transfer of sym loci across divergent chromosomal lineages. A general correspondence of the three rhizobial genera with major legume groups suggests that host plant associations may be important in the differentiation of rhizobial nod and chromosomal loci and may restrict lateral transfer among strains. The second major result is a significant incongruence of nod and GSII phylogenies within rhizobial subdivisions, which strongly suggests horizontal transfer of nod genes among congenerics. This combined evidence for lateral gene transfer within, but not between, genetic subdivisions supports the view that rhizobial genera are "reproductively isolated" and diverge independently. Differences across rhizobial genera in the specificity of host associations imply that the evolutionary dynamics of the symbiosis vary considerably across lineages in native settings.