A randomized,phase 3 trial of naltrexone SR/bupropion SR on weight and obesity‐related risk factors (COR‐II)

Objective:

To examine the effects of naltrexone/bupropion (NB) combination therapy on weight and weight‐related risk factors in overweight and obese participants.

Design and Methods:

CONTRAVE Obesity Research‐II (COR‐II) was a double‐blind, placebo‐controlled study of 1,496 obese (BMI 30‐45 kg/m²) or overweight (27‐45 kg/m² with dyslipidemia and/or hypertension) participants randomized 2:1 to combined naltrexone sustained‐release (SR) (32 mg/day) plus bupropion SR (360 mg/day) (NB32) or placebo for up to 56 weeks. The co‐primary endpoints were percent weight change and proportion achieving ≥5% weight loss at week 28.

Results:

Significantly (P < 0.001) greater weight loss was observed with NB32 versus placebo at week 28 (?6.5% vs. ?1.9%) and week 56 (?6.4% vs. ?1.2%). More NB32‐treated participants (P < 0.001) experienced ≥5% weight loss versus placebo at week 28 (55.6% vs. 17.5%) and week 56 (50.5% vs. 17.1%). NB32 produced greater improvements in various cardiometabolic risk markers, participant‐reported weight‐related quality of life, and control of eating. The most common adverse event with NB was nausea, which was generally mild to moderate and transient. NB was not associated with increased events of depression or suicidality versus placebo.

Conclusion:

NB represents a novel pharmacological approach to the treatment of obesity, and may become a valuable new therapeutic option.

     

Origin-related, environmental, sex, and age determinants of immunocompetence, susceptibility to ectoparasites, and disease symptoms in the barn owl

Knowledge of the role of origin‐related, environmental, sex, and age factors on host defence mechanisms is important to understand variation in parasite intensity. Because alternative components of parasite defence may be differently sensitive to various factors, they may not necessarily covary. Many components should therefore be considered to tackle the evolution of host–parasite interactions. In a population of barn owls (Tyto alba), we investigated the role of origin‐related, environmental (i.e. year, season, nest of rearing, and body condition), sex, and age factors on 12 traits linked to immune responses [humoral immune responses towards sheep red blood cells (SRBC), human serum albumin (HSA) and toxoid toxin TT, T‐cell mediated immune response towards the mitogen phytohemagglutinin (PHA)], susceptibility to ectoparasites (number and fecundity of Carnus haemapterus, number of Ixodes ricinus), and disease symptoms (size of the bursa of Fabricius and spleen, proportion of proteins that are immunoglobulins, haematocrit and blood concentration in leucocytes). Cross‐fostering experiments allowed us to detect a heritable component of variation in only four out of nine immune and parasitic parameters (i.e. SRBC‐ and HSA‐responses, haematocrit, and number of C. haemapterus). However, because nestlings were not always cross‐fostered just after hatching, the finding that 44% of the immune and parasitic parameters were heritable is probably an overestimation. These experiments also showed that five out of these nine parameters were sensitive to the nest environment (i.e. SRBC‐ and PHA‐responses, number of C. haemapterus, haematocrit and blood concentration in leucocytes). Female nestlings were more infested by the blood‐sucking fly C. haemapterus than their male nestmates, and their blood was less concentrated in leucocytes. The effect of year, season, age (i.e. reflecting the degree of maturation of the immune system), brood size, position in the within‐brood age hierarchy, and body mass strongly differed between the 12 parameters. Different components of host defence mechanisms are therefore not equally heritable and sensitive to environmental, sex, and age factors, potentially explaining why most of these components did not covary. © 2007 The Linnean Society of London, Biological Journal of the Linnean Society, 2007, 90 , 703–718.     

Estimating death rates from transect counts

Abstract.

• 1 The time course of abundance of adult insects emerging in discrete generations is modelled, assuming the absence of net migration and a constant death rate. The time till emergence is assumed to be logistically distributed.
• 2 The qualitative features of the model depend on one dimensionless parameter only, namely the product of the death rate and a dispersion measure for the symmetric emergence distribution.
• 3 The model is fitted to data on the abundance of five butterfly species. The tit is excellent; moreover, the estimated death rates are well within the range given in the literature (mostly 0.1–0.2 day^-1). Death rates are generally obtained by mark-recapture methods. The present model gives the opportunity to evaluate some assumptions of these methods.

     

Do voles make agricultural habitat attractive to Montagu's Harrier Circus pygargus?

Loss and degradation of habitat threatens many bird populations. Recent rural land-use changes in the Netherlands have led to a shift in habitat use by breeding Montagu's Harriers Circus pygargus . Since the 1990s, unprecedented numbers of this species have bred in farmland compared with numbers in natural habitat. Destruction of nests by agricultural operations, however, compromises breeding success. Between 1992 and 2005, the number of breeding pairs in the northeastern Netherlands was positively, though weakly, correlated with previous-year estimated abundance of voles, mostly Microtus arvalis . In good vole years, the onset of laying was earlier and mean clutch size was larger. Vole abundance was relatively higher in set-aside land and in high and dense vegetation. We suggest that agri-environmental schemes aimed at increasing the availability of voles in agricultural breeding areas may be an effective management tool for the conservation of Montagu's Harriers in the northeastern Netherlands.     

Diurnal and seasonal variation of carbon dioxide exchange from a former true raised bog

Carbon dioxide exchange was measured, using the eddy covariance technique, during a one and a half year period in 1994 and 1995. The measurements took place over a former true raised bog, characterized by a shallow peat layer and a vegetation dominated by Molinia caerulea. The growing season extended from May until late October, with a maximum LAI in August of 1.7. The carbon balance shows a net release of 97 g C m^–2 y^–1 (265 kg C ha^–1 y^–1) from the peat bog ecosystem to the atmosphere. During June, July and August there is net consumption of CO₂, while during the rest of the year there is net production of CO₂. The average daytime assimilation rates ranged between – 0.2 and – 0.5 mg CO₂ m^–2 s^–1 (– 45 and –11.3 μmol CO₂ m^–2 s^–1), in a period where the LAI ranged between 1 and 1.7. A high vapour pressure deficit (> 15 hPa) corresponding with high temperatures was found to reduce the assimilation rate by on average 50%. Apart from these factors, LAI and the soil temperature codetermine the net exchange of CO₂. The total nocturnal respiration during the growing season lies within the same order as the average daytime net assimilation rate. Temperature was found to be the main factor controlling soil respiration, with a Q₁₀ of 4.8.