Depression,Anxiety, Resilience and Coping Pre and Post Kidney Transplantation – Initial Findings from the Psychiatric Impairments in Kidney Transplantation (PI-KT)-Study

Purpose

Depression/anxiety, impaired Health-Related Quality of Life (HRQoL) and coping and resilience structures, are associated with increased mortality/poor outcome in chronic kidney disease (CKD) patients before (CKD/pre-KT) and after kidney (CKD-T) transplantation. Less is known about prevalence rates of psychiatric symptoms and impaired HRQoL of non-transplanted compared with transplanted patients.

Methods

In a cross-sectional study comparing 101 CKD/pre-KT patients with 151 cadaveric-transplanted (CKD-T) patients, we examined prevalence of depression/anxiety (HADS questionnaire) and coping, resilience and HRQoL (SF-12, Resilience-Scale and FKV-questionnaire).

Results

The prevalence of both depressive and anxiety symptoms was not significantly different between different pre-/and CKD-T patient groups. In CKD-T no significant relations of coping strategies with kidney function were identified. Furthermore, the Resilience Scales for acceptance and competence did not suggest any differences between the CKD/pre-KT and CKD-T subgroup. In the CKD/pre-KT patients, significant correlations were identified between the acceptance subscale and partnership, as well as between the competence subscale and older age/partnership.

Conclusions

Both the CKD/pre-KT and CKD-T patients exhibited notable impairments in the HRQoL which which showed a comparable pattern of results. KT itself does not appear to be the main risk factor for the development of mental impairments.     

Insects as vectors of plant pathogens: mutualistic and antagonistic interactions

Interactions between plants and their herbivores and pathogens are mostly analysed separately, thereby neglecting mutualistic or antagonistic interactions between these antagonists and possible joint effects on the host. We studied interactions between the weed Cirsium arvense, the rust fungus Puccinia punctiformis and three herbivorous insects, the aphids Aphis fabae ssp. cirsiiacanthoidis and Uroleucon cirsii, and the beetle Cassida rubiginosa. All three insect species mechanically transported spore material and significantly increased rates of P. punctiformis infection in healthy thistles. The interaction between C. rubiginosa and the fungus was antagonistic. Although C. rubiginosa transferred spores, biomass of adults was significantly reduced, development of adults tended to be prolonged and mortality increased when feeding on plants infected with P. punctiformis. In contrast, the relationship between the aphid U. cirsii and P. punctiformis was mutualistic: U. cirsii profited by fungal infection and formed significantly larger colonies on fungus-infected plants. Although the differences in insect performance suggest that aphids may be better vectors than the beetle, infection rates were similar. This is the first study to demonstrate that the relationship between herbivores, which increase the dispersal of a pathogen, and the pathogen itself can be mutualistic or antagonistic, depending on the species.     

Good manufacturing practice-grade production of unrestricted somatic stem cell from fresh cord blood

Background aimsThe discovery of unrestricted somatic stem cells (USSC), a non-hematopoietic stem cell population, brought cord blood (CB) to the attention of regenerative medicine for defining more protocols for non-hematopoietic indications. We demonstrate that a reliable and reproducible method for good manufacturing practice (GMP)-conforming generation of USSC is possible that fulfils safety requirements as well as criteria for clinical applications, such as adherence of strict regulations on cell isolation and expansion.MethodsIn order to maintain GMP conformity, the automated cell processing system Sepax (Biosafe) was implemented for mononucleated cell (MNC) separation from fresh CB. After USSC generation, clinical-scale expansion was achieved by multi-layered CellSTACKs (Costar/Corning). Infectious disease markers, pyrogen and endotoxin levels, immunophenotype, potency, genetic stability and sterility of the cell product were evaluated.ResultsThe MNC isolation and cell cultivation methods used led to safe and reproducible GMP-conforming USSC production while maintaining somatic stem cell character.ConclusionsTogether with implemented in-process controls guaranteeing contamination-free products with adult stem cell character, USSC produced as suggested here may serve as a universal allogeneic stem cell source for future cell treatment and clinical settings.     

How forest edge-center transitions in the herb layer interact with beech dominance versus tree diversity

Aims Forest fragmentation and the associated augmentation of forest edge zones are increasing worldwide. Forest edges are characterized by altered plant species richness and community composition. As the tree layer and its species composition has been shown to influence herb layer composition, changes in tree species composition or richness may weaken or strengthen edge effects in forest ecosystems. We studied effects of the edge–center transition, tree species composition and their potential interaction on the understory vegetation in the Hainich National Park, Germany's largest connected deciduous forest, allowing to cover large edge–center transects.Methods We established 12 transects in an area of 75 km 2 of continuous forest, 6 beech-dominated and 6 in multispecies forest stands. Each transect reached from the forest edge up to 500 m into the forest interior. Vegetation relevés were conducted in regular, logarithmic distances along each transect.Important findings Herb species richness was influenced by an interaction of edge effects and tree diversity level. With increasing distance from the forest edge, herb species richness remained constant in multispecies forest stands but rapidly decreased in beech-dominated forest stands. Further, herb richness was higher in the interior of multispecies forest stands. Percent forest specialists increased and percent generalists decreased with distance from the edge and this contrasting pattern was much more pronounced in beech-dominated transects. By using structural equation modeling, we identified litter depth mediated by tree species composition as the most important driver of herb layer plant species richness.     

Succession of bee communities on fallows

Wild bee communities were studied on one- to five-year-old set-aside fields with naturally developed vegetation (n = 20). and old orchard meadows (n = 4) to analyse effects of secondary succession on species diversity, resource use and associated life history traits. General theory predicts a steady increase of species richness with age of succession. In contrast, we found a first maximum in species richness of bees on two-year-old set-aside fields and a second on old meadows. Successional changes of bee communities were related to changes of vegetation. The transition from pioneer successional stages, dominated by annuals, to early successional stages, dominated by perennials, resulted in the highest species richness of flowering plants in the second year within the first five years of succession. Species richness of flowering plants was the best predictor variable for species richness of bees, whereas the cover of flowering plants correlated with the abundance of bees. Annual plants were visited more often and perennials less often than expected from their flower cover. Halictidae tended to prefer flowers of annuals, whereas Megachilidae. Apidae and Anthophoridae significantly preferred perennials. In departure from successional theory, body size, proportion of specialised bees and proportion of parasitic bees did not significantly increase with successional age, but number of generations and the proportion of soil-nesting bees decreased with successional age. Comparison of different management types showed that set-aside fields with naturally developed vegetation supported much more specialised and endangered bee species than set-aside fields sown with Phacelia tanacetifolia.