Antimicrobial Resistance in Invasive Non-typhoid Salmonella from the Democratic Republic of the Congo: Emergence of Decreased Fluoroquinolone Susceptibility and Extended-spectrum Beta Lactamases

Background

Co-resistance against the first-line antibiotics ampicillin, chloramphenicol and trimethoprim/sulphamethoxazole or multidrug resistance (MDR) is common in non typhoid Salmonella (NTS). Use of alternative antibiotics, such as fluoroquinolones or third generation cephalosporins is threatened by increasing resistance, but remains poorly documented in Central-Africa.

Methodology/Principal findings

As part of a microbiological surveillance study in DR Congo, blood cultures were collected between 2007 and 2011. Isolated NTS were assessed for serotype and antimicrobial resistance including decreased ciprofloxacin susceptibility and extended-spectrum beta-lactamase (ESBL) production. In total, 233 NTS isolates (representing 23.6% of clinically significant organisms) were collected, mainly consisting of Salmonella Typhimurium (79%) and Salmonella Enteritidis (18%). The majority of NTS were isolated in the rainy season, and recovered from children ≤2 years old. MDR, decreased ciprofloxacin susceptibility, azithromycin and cefotaxime resistance were 80.7%, 4.3%, 3.0% and 2.1% respectively. ESBL production was noted in three (1.3%) isolates. Decreased ciprofloxacin susceptibility was associated with mutations in codon 87 of the gyrA gene, while ESBLs all belonged to the SHV-2a type.

Conclusions/Significance

Presence of almost full MDR among NTS isolates from blood cultures in Central Africa was confirmed. Resistance to fluoroquinolones, azithromycin and third generation cephalosporins is still low, but emerging. Increased microbiological surveillance in DR Congo is crucial for adapted antibiotic therapy and the development of treatment guidelines.     

Structural changes and relaxations monitored by luminescence

Luminescence data have often been used to study imperfections and to characterize lattice distortions because the signals are sensitive to changes of structure and composition. Previous studies have included intentionally added probe ions such as rare earth ions to sense distortions in local crystal fields caused by modified structural environments. An under‐exploited extension of this approach was to use luminescence to monitor crystalline phase changes. A current overview of this new and powerful technique shows that continuous scanning of the sample temperatures immediately offered at least three types of signatures for phase transitions. Because of high sensitivity, luminescence signals were equally responsive to structural changes from inclusions and nanoparticles. These coupled to the host material via long‐range interactions and modified the host signals. Two frequently observed examples that are normally overlooked are from nanoparticle inclusions of water and CO_2. Examples also indicated that phase transitions were detected in more diverse materials such as superconductors and fullerenes. Finally, luminescence studies have shown that in some crystalline examples, high dose ion implantation of surface layers could induce relaxations and/or structural changes of the entire underlying bulk material. This was an unexpected result and therefore such a possibility has not previously been explored. However, the implications for ion implication are significant and could be far more general than the examples mentioned here. Copyright © 2012 John Wiley & Sons, Ltd.     

Osteogenesis imperfecta

Osteogenesis imperfecta (OI) is the most frequently occurring congenital disorder with an increased fracture rate and systemic skeletal involvement. The vast majority of patients have an autosomal dominant form of OI resulting from a mutation in one of the two type I collagen genes COL1A1 or COL1A2. Since 2006, eight genes for autosomal recessive forms of the disorder have been identified, as well as one additional gene for autosomal dominant OI. Our knowledge concerning molecular pathophysiology has been substantially broadened, such that the paradigm of OI as a pure ??collagenopathy?? no longer applies and the clinical classification system will have to be revised. Standard therapy for the more severe forms of OI comprises intravenous administration of bisphosphonates. Additional elements of a multimodal therapeutic concept include surgical intervention for bone deformities or fractures and physiotherapy.     

Beckwith-Wiedemann-Syndrom

The Beckwith-Wiedemann syndrome (BWS) is a pediatric overgrowth syndrome with a variable clinical appearance. The phenotype normalizes with age but the diagnosis of BWS is important as syndrome-specific complications may develop, in particular as a result of a 400-fold increased risk of patients developing certain tumor entities, predominantly nephroblastomas (Wilms’ tumors) and hepatoblastomas, within the first years of life. BWS displays a clinical overlap with other syndromes so that an unambiguous molecular diagnostic is required for risk assessment and appropriate therapy. At the molecular level BWS is associated with the chromosomal region 11p15.5, where two clusters with imprinted genes are located. In patients both genetic mutations and in most cases aberrant DNA methylation can be observed, which pathogenically affect the gene dosage of functionally available monoallelically expressed 11p15.5 genes. Currently only a very incomplete genotype-phenotype correlation exists for BWS. Current research projects provide insights in the molecular etiopathogenesis of the syndrome by identifying interacting partners which modify the epigenetic regulation of imprinted 11p15.5-genes.     

Die organogenetische und transitorische rolle der vitellophagen in der darmentwicklung von Galathea (Crustacea,Anomura)

The present study of the development of the different organs of the gut, the vitellophags (primary yolk cells) and the other cell-types concerned with the resorption of the yolk gives the first detailed analysis of an Anomuran development.

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Verzeichnis der Abkürzungen in den Abbilduugen A ₁ 1. Antenne - A ₂ 2. Antenne - Ab Abdomen - Au Auge - B Blastoderm - Bb Blastodermbildung - Bl Blutlakunensystem - Bm Blastomer (Furchungszelle) - Bp Blastoporus - BZ Blutzelle - Ca Cardiamagen - Cf Carapaxfalte - Cp Caudalpapille - DI Drüsenfilter (Magen) - zDk zentraler Dotterkörper - Do Dorsalorgan - pDp primare Dotterpyramide - tDp tertiare Dotterpyramide (Vitellophagenepithel) - DR Rest des intraembryonalen Dottersackes - ieDS intraembryonaler Dottersack - bDv blastodermale Dottervakuole - sDZ sekunddre Dotterzelle - tDZ tertiare Dotterzelle - sE sekunddre Epithelialisierung (der Vitellophagen) - Ec Ectoderm - Ed Enddarm - Eh Eihiille (Chorion) - Ep Entodermplatte - Et Entodermtrichter - Ex Extremitdt (bsw. Extremitätenanlage) - Fsp Furchungsspindel (Teilungsspindel) - H Herz - ID Innendotter - Im Immigration (des Mesentoderms) - In Invagination (des Mesentoderms) - Ke Kern - KL Kopflappen (optischer Lobus) - KM Kaumuskulatur - L Darmlumen - M Mitose - Ma Magen - Md Mitteldarm - dMd dorsaler Mitteldarmdivertikel (dorsaler Mitteldarmblindsack) - Me Mesoderm - McEn Mesentoderm - Mddr Mitteldarmdrüse - Ml Mandibel - Mp ₁ 1. Maxilliped (1. Kieferfuß) - Mp ₂ 2. Maxilliped (2. Kieferfuß) - Mp ₃ 3. Maxilliped (3. Kieferfuß) - Mu Muskulatur - M₁ 1. Maxille - M₂ 2. Maxille - N Ganglien des Nervensystems - Ni Niere (Antennendrüse) - Oe Oesophagus - Ol Oberlippe - Pl Plasma - Py Pylorusmagen - Qv Querverbindung zwischen den Kopflappen - pR perivitelliner Raum - Seg Segment - Sf Sternalfurche - Sto Stomodaeum (Anlage des Vorderdarmes) - TA Thoracoabdominalanlage - Te Telson - Ul Urdarmlumen - V Vitellophage (primare Dotterzelle) - V ₁ Vitellophage 1 (1. Vitellophagengeneration) - V ₂ Vitellophage 2 (2. Vitellophagengeneration) - dV degenerierende Vitellophage - V intravitelline Vitellophage - IV Initialvitellophage (Lumenbildung) - pV perivitelline Vitellophage - Va Vakuole - Vi gelöster Dotter (im Darmlumen) - fZ freie Zellen (im perivitellinen Raum) Ausgeführt mit Mitteln des Schweizerischen Nationalfonds zur Förderung der wissenschaftlichen Forschung and der Freiwillig Akademischen Gesellschaft der Stadt Basel.     

Ultrahistochemical and autoradiographic evidence for epithelial transport in the uterus of the ovoviviparous salamander,Salamandra salamandra (L.) (Amphibia,Urodela)

Summary The uterine epithelium of pregnant females of the terrestrial ovoviviparous Salamandra salamandra is characterized by a considerable enlargement of its basolateral surface. Chloride and cations (among others sodium), preferentially within the intercellular spaces, can be demonstrated ultrahistochemically. There is indirect evidence of Na⁺-K⁺-ATPase activity along the basolateral plasma membranes of the epithelial cells using the Sr-technique for demonstration of a K⁺-NPPase and ³H-ouabain autoradiography. Preliminary measurements reveal a potential difference across the uterine wall of 15–25mV, the lumenal (mucosal) surface being negative with respect to the coelomic (serosal) surface, and a short circuit current of 200–300 A. The possibly electrogenic ion transport is ouabain-sensitive. The results are in agreement with the model of a forward transporting, i.e. absorptive epithelium. An active transport of solute out of the uterine lumen across the epithelium to the subjacent connective tissue and the blood vessels may be involved in the regulation of an intrauterine milieu appropriate for the development of the offspring.I am indebted to Miss Dr. U. Beigel, Zoologisches Institut der Universität Münster, for linguistic help     

Evolutionary relationships among the male and female mitochondrial DNA lineages in the Mytilus edulis species complex

A novel form of mitochondrial DNA (mtDNA) inheritance has previously been documented for the blue mussel (Mytilus edulis). Female mussels inherit their mtDNA solely from their mother while males inherit mtDNA from both their mother and their father. In males, the paternal mtDNA is preferentially amplified so that the male gonad is highly enriched for the paternal mtDNA that is then transmitted from fathers to sons. We demonstrate that this mode of mtDNA inheritance also operates in the closely related species M. galloprovincialis and M. trossulus. The evolutionary relationship between the male and female mtDNA lineages is estimated by phylogenetic analysis of 455 nucleotides from the large subunit ribosomal RNA gene. We have found that the male and female lineages are highly divergent; the divergence of these lineages began prior to the speciation of the three species of blue mussels. Further, the separation between the male and female lineages is estimated to have occurred between 5.3 and 5.7 MYA.      

Pränatale Detektion fetaler chromosomaler Aberrationen im 1. und 2. Trimenon

Modern noninvasive methods of prenatal medicine, in particular first-trimester-screening, enable early risk evaluation of the most common forms of aneuploidy. With over 4000 certified gynecologists in Germany, this method nowadays represents the standard in prenatal risk evaluation. The importance of classic genetic sonography during the second trimester by detection of soft markers for aneuploidy has declined. However, detailed sonography during the second trimester remains the gold standard for the detection of congenital anomalies. Therefore, the specialist in prenatal medicine must be able to recognize soft markers during this examination in order to re-evaluate the maternal risk for aneuploidy.     

Isolation and characterization of microsatellite markers for Acacia senegal (L.) Willd., a multipurpose arid and semi-arid tree

Acacia senegal is a multipurpose African tree that improves the soil fertility of degraded areas. The species is exploited mainly for gum arabic, but it also supplies fuel wood and fodder for animals. Despite its wide distribution in Africa, no microsatellite markers have yet been characterized for this species. In this study, we characterized 11 polymorphic microsatellite loci specifically designed for A. senegal and analysed 247 individuals from three populations from Niger. On average, 10.9 alleles per locus were detected and expected heterozygosity ranged from 0.160 to 0.794, showing the ability of the markers to detect genetic diversity in this species.