Genomic investigations of unexplained acute hepatitis in children

Since its first identification in Scotland, over 1,000 cases of unexplained paediatric hepatitis in children have been reported worldwide, including 278 cases in the UK1. Here we report an investigation of 38 cases, 66 age-matched immunocompetent controls and 21 immunocompromised comparator participants, using a combination of genomic, transcriptomic, proteomic and immunohistochemical methods. We detected high levels of adeno-associated virus 2 (AAV2) DNA in the liver, blood, plasma or stool from 27 of 28 cases. We found low levels of adenovirus (HAdV) and human herpesvirus 6B (HHV-6B) in 23 of 31 and 16 of 23, respectively, of the cases tested. By contrast, AAV2 was infrequently detected and at low titre in the blood or the liver from control children with HAdV, even when profoundly immunosuppressed. AAV2, HAdV and HHV-6 phylogeny excluded the emergence of novel strains in cases. Histological analyses of explanted livers showed enrichment for T cells and B lineage cells. Proteomic comparison of liver tissue from cases and healthy controls identified increased expression of HLA class 2, immunoglobulin variable regions and complement proteins. HAdV and AAV2 proteins were not detected in the livers. Instead, we identified AAV2 DNA complexes reflecting both HAdV-mediated and HHV-6B-mediated replication. We hypothesize that high levels of abnormal AAV2 replication products aided by HAdV and, in severe cases, HHV-6B may have triggered immune-mediated hepatic disease in genetically and immunologically predisposed children

Particle Morphology Dependent Superhydrophobicity In Treated Diatomaceous Earth/Polystyrene Coatings

Superhydrophobic surfaces have been prepared from three different types of diatomaceous earth (DE) particles treated with 3-(heptafluoroisopropoxy)propyltrimethoxysilane (HFIP-TMS) and low molecular mass polystyrene. The untreated particles, consisting of CelTix DE (disk shape), DiaFil DE (rod shape) and EcoFlat DE (irregular), were studied using particle size analysis, bulk density, pore volume and surface area analysis (via Brunauer–Emmett–Teller, BET, methods). The treated particles were characterized with thermogravimetric analysis (TGA), contact angles, scanning electron microscopy, profilometry, and FTIR spectroscopy. The minimum amount of silane coupling agent on the DE surfaces required to obtain superhydrophobicity of the particles was determined and found to be dependent on the particle morphology. In the coatings made from different particles with 2.4 wt% HFIP-TMS, the minimum amounts of treated particles (loadings) for superhydrophobicity was determined with the less dense CelTix DE requiring about 30 wt%, DiaFil DE requiring about 40 wt%, and EcoFlat DE each requiring about 60 wt% loading of treated particles

Particle morphology dependent superhydrophobicity in treated diatomaceous earth/polystyrene coatings

Superhydrophobic surfaces have been prepared from three different types of diatomaceous earth (DE) particles treated with 3-(heptafluoroisopropoxy)propyltrimethoxysilane (HFIP-TMS) and low molecular mass polystyrene. The untreated particles, consisting of CelTix DE (disk shape), DiaFil DE (rod shape) and EcoFlat DE (irregular), were studied using particle size analysis, bulk density, pore volume and surface area analysis (via Brunauer–Emmett–Teller, BET, methods). The treated particles were characterized with thermogravimetric analysis (TGA), contact angles, scanning electron microscopy, profilometry, and FTIR spectroscopy. The minimum amount of silane coupling agent on the DE surfaces required to obtain superhydrophobicity of the particles was determined and found to be dependent on the particle morphology. In the coatings made from different particles with 2.4 wt% HFIP-TMS, the minimum amounts of treated particles (loadings) for superhydrophobicity was determined with the less dense CelTix DE requiring about 30 wt%, DiaFil DE requiring about 40 wt%, and EcoFlat DE each requiring about 60 wt% loading of treated particles