Repeated Measurements of Hepatitis B Surface Antigen Identify Carriers of Inactive HBV During Long-term Follow-up

BACKGROUND & AIMS: Measurements of hepatitis B surface antigen (HBsAg) and hepatitis B virus (HBV) DNA might help to identify carriers of inactive HBV. We assessed the performance of repeated measurements of HBsAg over a median time period of 8 years. METHODS: We performed a retrospective study of 292 HBe antigen-negative patients with chronic HBV infection, normal levels of alanine aminotransferase (ALT), levels of HBV DNA 2000 IU/mL and/or abnormal levels of ALT) after each year of follow-up. Patients were followed for a median time of 8 years (range, 4-9 years). Dynamic regression analysis was used to study changes in level of HBsAg and HBV phase and to update the risk of HBV activity. RESULTS: One year after study enrollment, 189 patients (65%) had inactive HBV and 103 patients (35%) had HBV activity. Based on dynamic analysis, the probability that a patient would have HBV at any following year differed according to level of HBsAg; odds were 97% for patients with initial level of HBsAg 1000 IU/mL (P 100 IU/mL had HBV activity in the third year. The combination of HBsAg level <100 IU/mL and HBV DNA level <2000 IU/mL identified patients whose virus remained inactive for the entire follow-up period, with 98% specificity and a positive predictive value of 97%, for all HBV genotypes. Patients with HBV activity who had levels of HBV DNA < 5000 IU/mL and decreases in HBsAg of 0.5 log IU/mL or more for 1 year had a high probability of becoming carriers of inactive HBV in the next year. CONCLUSIONS: In a retrospective, dynamic analysis of almost 300 patients with chronic HBV infection, we found that levels of HBsAg <100 IU/mL identify patients with inactive virus with a high level of specificity. HBsAg levels should therefore be used to define phases of HBV infection in HBe antigen-negative patients

Molecular characterization and pathogenicity of Pythium species associated with damping-off in greenhouse cucumber (Cucumis sativus) in Oman

A study was undertaken in 2004 and 2005 to characterize pathogens associated with damping-off of greenhouse-grown cucumber seedlings in 13 districts in Oman. Identification of Pythium to the species level was based on sequences of the internal transcribed spacer (ITS) of the ribosomal DNA. Of the 98 Pythium isolates collected during the survey, Pythium aphanidermatum, P. spinosum, P. splendens and P. oligandrum accounted for 76%, 22%, 1% and 1%, respectively. Pythium aphanidermatum was isolated from all of the districts, while P. spinosum was isolated from seven districts. Pathogenicity tests showed inter- and intraspecific variation in aggressiveness between Pythium species. Pythium aphanidermatum, P. spinosum and P. splendens were found to be highly aggressive at 25 degrees C. However, the aggressiveness of P. spinosum decreased when the temperature was raised to 30 degrees C, which was found to correspond to the lower frequency of isolation of P. spinosum in the warmer seasons, compared to the cooler time of the year. Pythium aphanidermatum exhibited limited intraspecific variation in the sequences of the ITS region of the rDNA and showed 100% similarity to the corresponding P. aphanidermatum sequences from GenBank. The ITS sequence data, as well as morphological characteristics of P. spinosum isolates, showed a high level of similarity within and between P. spinosum and P. kunmingense, and suggested that the two species were synonymous. This study represents the first report of P. spinosum, P. splendens and P. oligandrum in Oman

The oxygen isotope composition of Karoo and Etendeka picrites: High δ18O mantle or crustal contamination?

Olivine and orthopyroxene phenocrysts from picrite and picrate basalt lavas and dykes (Mg# 64-80) from the Tuli and Mwanezi (Nuanetsi) regions of the ~180 Ma Karoo Large Igneous province (LIP) have δ18O values that range from 6.0 to 6.7 ‰ (Fig. 1), suggesting that they crystallized from magmas having δ18O values about 1 to 1.5 ‰ higher than expected in an entirely mantle-derived magma. Olivines from picrite and picrite basalt dykes from the 135 Ma Etendeka LIP of Namibia and Karoo-age picrite dykes from Dronning Maud Land, Antarctica do not have such elevated δ18O values. The Etendeka picrites show good correlations between δ18O value and Sr-, Nd- and Pb-isotope ratios that are consistent with previously proposed models of crustal contamination (e.g. Thompson et al., 2007). Explanations for the high δ18O values in Tuli/Mwenezi picrites are limited to (i) alteration, (ii) crustal contamination, and (iii) derivation from mantle with an abnormally high δ18O. The lack of variation in olivine and orthopyroxene δ18O values, together with the lack of correlation between mineral and whole-rock δ18O values are not consistent with alteration being the cause of high δ18O values. The high δ18O values in selected olivine cores have been confirmed by SIMS, and aggressive cleaning of crystals with HF makes no difference to the δ18O value obtained. Average εNd and εSr values of -8 and +16, and high concentrations of incompatible elements such as K are typical of picrites from the Mwanezi (Nuanetsi) region, which have been explained by a variety of models that range from crustal contamination to derivation from the ‘enriched’ mantle lithosphere. The primitive character of the magmas combined with the lack of correlation between δ18O values and radiogenic isotope composition and MgO content or Mg# are inconsistent with crustal contamination, and lend weight to arguments in favour of an 18O-enriched mantle source having high incompatible trace element concentration and enriched radiogenic isotope composition. Although elevated initial Sr isotope ratios, εNd values of -8, and δ18O values about 1 ‰ higher than expected for mantle-derived magma are also a feature of the Bushveld mafic and ultramafic magmas, it is unlikely that a long-lived 18O-enriched mantle source would have survived for nearly 2 Ga. Incorporation of crustal material into the mantle by subduction or delamination of the lower crust are the most likely mechanisms for enriching the mantle in 18O