The geographical distribution of lymphatic filariasis infection in Malawi

Background

Papua New Guinea is the only endemic country in the Western Pacific Region that has not yet introduced a countrywide programme to eliminate lymphatic filariasis. However, on Misima Island in Milne Bay Province, government and private sectors have collaborated to implement a pilot elimination programme. Although interim evaluation indicated that the programme has been parasitologically successful, an appreciation that sustainable health gains depend on understanding and accommodating local beliefs prompted this qualitative study.

Methods

We investigated Misima community members knowledge and attitudes about lymphatic filariasis and the elimination programme. A combination of focus groups and key informant interviews were used to explore participants perceptions of health; knowledge of the aetiology and symptoms of filariasis, elephantiasis and hydrocele; attitudes towards the disease and mass drug distribution; and the social structure and decision-making protocols within the villages.

Results

Focus group discussions proved inferior to key informant interviews for gathering rich data. Study participants did not consider lymphatic filariasis ("pom") a major health problem but were generally positive about mass drug administration campaigns. A variety of conditions were frequently and incorrectly attributed to filariasis. Participants expressed the belief that individuals infected with filariasis always had visible manifestations of disease. A common misconception was that taking drugs during campaigns provided long-term immunity against disease. The role of mosquito vectors in transmission was not generally appreciated and certain clinical presentations, particularly hydrocele, were associated with supernatural forces. Multiple adverse events were associated with mass drug administration campaigns and most study participants mentioned community members who did not participate in campaigns.

Conclusion

Important issues requiring educational intervention and elimination activity modification in the Misima region were identified during this study. Research outcomes should assist Papua New Guinea in developing and implementing a national elimination strategy and inform discussions regarding the appropriateness of current elimination strategies.     

Including albedo in time‐dependent LCA of bioenergy

Albedo change during feedstock production can substantially alter the life cycle climate impact of bioenergy. Life cycle assessment (LCA) studies have compared the effects of albedo and greenhouse gases (GHGs) based on global warming potential (GWP). However, using GWP leads to unequal weighting of climate forcers that act on different timescales. In this study, albedo was included in the time‐dependent LCA, which accounts for the timing of emissions and their impacts. We employed field‐measured albedo and life cycle emissions data along with time‐dependent models of radiative transfer, biogenic carbon fluxes and nitrous oxide emissions from soil. Climate impacts were expressed as global mean surface temperature change over time (?T) and as GWP. The bioenergy system analysed was heat and power production from short‐rotation willow grown on former fallow land in Sweden. We found a net cooling effect in terms of ?T per hectare (?3.8 × 10^–11 K in year 100) and GWP₁₀₀ per MJ fuel (?12.2 g CO₂e), as a result of soil carbon sequestration via high inputs of carbon from willow roots and litter. Albedo was higher under willow than fallow, contributing to the cooling effect and accounting for 34% of GWP₁₀₀, 36% of ?T in year 50 and 6% of ?T in year 100. Albedo dominated the short‐term temperature response (10–20 years) but became, in relative terms, less important over time, owing to accumulation of soil carbon under sustained production and the longer perturbation lifetime of GHGs. The timing of impacts was explicit with ?T, which improves the relevance of LCA results to climate targets. Our method can be used to quantify the first‐order radiative effect of albedo change on the global climate and relate it to the climate impact of GHG emissions in LCA of bioenergy, alternative energy sources or land uses.     

2,4-(13)C]β-hydroxybutyrate metabolism in astrocytes and C6 glioblastoma cells

This study was undertaken to determine if the ketogenic diet could be useful for glioblastoma patients. The hypothesis tested was whether glioblastoma cells can metabolize ketone bodies. Cerebellar astrocytes and C6 glioblastoma cells were incubated in glutamine and serum free medium containing [2,4-¹³C]β-hydroxybutyrate (BHB) with and without glucose. Furthermore, C6 cells were incubated with [1-¹³C]glucose in the presence and absence of BHB. Cell extracts were analyzed by mass spectrometry and media by ¹H magnetic resonance spectroscopy and HPLC. Using [2,4-¹³C]BHB and [1-¹³C]glucose it could be shown that C6 cells, in analogy to astrocytes, had efficient mitochondrial activity, evidenced by ¹³C labeling of glutamate, glutamine and aspartate. However, in the presence of glucose, astrocytes were able to produce and release glutamine, whereas this was not accomplished by the C6 cells, suggesting lack of anaplerosis in the latter. We hypothesize that glioblastoma cells kill neurons by not supplying the necessary glutamine, and by releasing glutamate.     

Decreased CD8<Superscript>+</Superscript>T cell response to Epstein-Barr virus infected B cells in multiple sclerosis is not due to decreased HLA class I expression on B cells or monocytes

Background  

Patients with multiple sclerosis (MS) have a decreased frequency of CD8⁺ T cells reactive to their own Epstein-Barr virus (EBV) infected B cells. We have proposed that this might predispose to the development of MS by allowing EBV-infected autoreactive B cells to accumulate in the central nervous system. The decreased CD8⁺ T cell response to EBV results from a general CD8⁺ T cell deficiency and also a decreased proportion of EBV-specific T cells within the total CD8⁺ T cell population. Because decreased HLA class I expression on monocytes and B cells has been reported in MS and could influence the generation and effector function of EBV-specific CD8⁺ T cells, the present study was undertaken to measure the expression of HLA molecules on B cells and monocytes in patients with MS.     

The effects on immune response of levamisole treatment following infection of U-937 macrophages with Candida albicans

The aim of this study was to investigate the effects on the immune response of levamisole alone and in conjunction with Candida albicans stimulation in human macrophage cell culture by determining the alterations in the levels of cytokine release. Levamisole treatment was performed before, during and after infecting U-937 human macrophage cells with C. albicans. In cell supernatants, interleukin (IL)-1b, IL-12, IL-18, tumour necrosis factor alpha (TNF-α) levels were measured by ELISA. In vitro levamisole treatment accompanied by C. albicans stimulation significantly increased IL-12, IL-1β and IL-18 production in macrophage cells (p < 0.05). It was observed that when administered before C. albicans infection, levamisole significantly increased IL-12 and IL-1β production in macrophage cells (p < 0.05). Another finding was that when applied to macrophage cells simultaneously with C. albicans infection, or before infection with C. albicans, levamisole suppressed the TNF-β production stimulating effect of C. albicans (p < 0.05). These results indicated that levamisole could be useful in treating patients infected with C. albicans or in protecting individuals under the risk of being infected with this pathogen. There is a need for further experimental and clinical studies on this hypothesis.     

Differential response of rye,triticale, bread and durum wheats to zinc deficiency in calcareous soils

Field and greenhouse experiments were carried out to study the response of rye (Secale cereale L. cv. Aslim), triticale (× Triticosecale Wittmark. cv. Presto), two bread wheats (Triticum aestivum L, cvs. Bezostaja-1 and Atay-85) and two durum wheats (Triticum durum L. cvs. Kunduru-1149 and C-1252) to zinc (Zn) deficiency and Zn fertilization in severely Zn-deficient calcareus soils (DTPA-Zn=0.09 mg kg^-1 soil). The first visible symptom of Zn deficiency was a reduction in shoot elongation followed by the appearance of whitish-brown necrotic patches on the leaf blades. These symptoms were either absent or only slight in rye and triticale, but occurred more rapidly and severely in wheats, particularly in durum wheats. The same was true for the decrease in shoot dry matter production and grain yield. For example, in field experiments at the milk stage, decreases in shoot dry matter production due to Zn deficiency were absent in rye, and were on average 5% in triticale, 34% in bread wheats and 70%, in durum wheats. Zinc fertilization had no effect on grain yield in rye but enhanced grain yield of the other cereals. Zinc efficiency of cereals, expressed as the ratio of yield (shoot dry matter or grain) produced under Zn deficiency compared to Zn fertilization were, on average, 99% for rye, 74% for triticale, 59% for bread wheats and 25% for durum wheats.These distinct differences among and within the cereal species in susceptibility to Zn deficiency were closely related to the total amount (content) of Zn per shoot, but not with the Zn concentrations in shoot dry matter. For example, the most Zn-efficient rye and the Zn-inefficient durum wheat cultivar C-1252 did not differ in shoot Zn concentration under Zn deficiency, but the total amount of Zn per whole shoot was approximately 6-fold higher in rye than the durum wheat. When Zn was applied, rye and triticale accumulated markedly more Zn both per whole shoot and per unit shoot dry matter in comparison to wheats.The results demonstrate an exceptionally high Zn efficiency of rye and show that among the cereals studied Zn efficiency declines in the order rye>triticale>bread wheat>durum wheat. The differences in expression of Zn efficiency are possibly related to a greater capacity of efficient genotypes to acquire Zn from the soil compared to inefficient genotypes.     

Role of rye chromosomes in improvement of zinc efficiency in wheat and triticale

Using the disomic wheat-rye addition lines (Triticum aestivum L., cv. Holdfast-Secale cereale L., cv. King-II) and an octoploid triticale line (xTriticosecale Wittmark L. "PlutoxFakon") as well as the respective wheat and rye parents, greenhouse experiments were carried out to study the role of rye chromosomes on the severity of Zn deficiency symptoms, shoot dry matter production, Zn efficiency, shoot Zn concentration and Zn content. Plants were grown in a Zn-deficient calcareous soil with (10 mg Zn kg-1 soil) and without Zn supply. Zinc efficiency was calculated as the ratio of dry weight produced under Zn deficiency to the dry weight produced under Zn fertilization. In the experiments with addition lines, visual Zn deficiency symptoms were slight in the rye cultivar King-II, but were severe in the wheat cultivar Holdfast. The addition of rye chromosomes, particularly 1R, 2R and 7R, into Holdfast reduced the severity of deficiency symptoms. Holdfast showed higher decreases in shoot dry matter production by Zn deficiency and thus had a low Zn efficiency (53 %), while King-II was less affected by Zn deficiency and had a higher Zn efficiency (89 %). With the exception of the 3R line, all addition lines had higher Zn efficiency than their wheat parent: the 1R line had the highest Zn efficiency (80 %). In the experiment with the triticale cultivar and its parents, rye cv. Pluto and wheat cv. Fakon, Zn deficiency symptoms were absent in Pluto, slight in triticale and very severe in Fakon. Zinc efficiency was 88 % for Pluto, 73 % for triticale and 64% for Fakon. Such differences in Zn efficiency were better related to the total amount of Zn per shoot than to the amount of Zn per unit dry weight of shoot. Only in the rye cultivars, Zn efficiency was closely related with Zn concentration. Triticale was more similar to rye than wheat regarding Zn concentration and Zn accumulation per shoot under both Zn-deficient and Zn-sufficient conditions.The results presented in this study show that rye has an exceptionally high Zn efficiency, and the rye chromosomes, particularly 1R and 7R carry the genes controlling Zn efficiency. To our knowledge, the result with triticale and its rye parents is the first report showing that the genes controlling Zn efficiency in rye are transferable into wheat and can be used for development of new wheat varieties with high Zn efficiency for severely Zn-deficient conditions.