A global transcriptional analysis of Plasmodium falciparum malaria reveals a novel family of telomere-associated lncRNAs

Background: Mounting evidence suggests a major role for epigenetic feedback in Plasmodium falciparum transcriptional regulation. Long non-coding RNAs (lncRNAs) have recently emerged as a new paradigm in epigenetic remodeling. We therefore set out to investigate putative roles for lncRNAs in P. falciparum transcriptional regulation. Results: We used a high-resolution DNA tiling microarray to survey transcriptional activity across 22.6% of the P. falciparum strain 3D7 genome. We identified 872 protein-coding genes and 60 putative P. falciparum lncRNAs under developmental regulation during the parasite's pathogenic human blood stage. Further characterization of lncRNA candidates led to the discovery of an intriguing family of lncRNA telomere-associated repetitive element transcripts, termed lncRNA-TARE. We have quantified lncRNA-TARE expression at 15 distinct chromosome ends and mapped putative transcriptional start and termination sites of lncRNA-TARE loci. Remarkably, we observed coordinated and stage-specific expression of lncRNA-TARE on all chromosome ends tested, and two dominant transcripts of approximately 1.5 kb and 3.1 kb transcribed towards the telomere. Conclusions: We have characterized a family of 22 telomere-associated lncRNAs in P. falciparum. Homologous lncRNA-TARE loci are coordinately expressed after parasite DNA replication, and are poised to play an important role in P. falciparum telomere maintenance, virulence gene regulation, and potentially other processes of parasite chromosome end biology. Further study of lncRNA-TARE and other promising lncRNA candidates may provide mechanistic insight into P. falciparum transcriptional regulation.Organismic and Evolutionary BiologyStem Cell and Regenerative BiologyOther Research Uni

A genomic and evolutionary approach reveals non-genetic drug resistance in malaria

Background: Drug resistance remains a major public health challenge for malaria treatment and eradication. Individual loci associated with drug resistance to many antimalarials have been identified, but their epistasis with other resistance mechanisms has not yet been elucidated. Results: We previously described two mutations in the cytoplasmic prolyl-tRNA synthetase (cPRS) gene that confer resistance to halofuginone. We describe here the evolutionary trajectory of halofuginone resistance of two independent drug resistance selections in Plasmodium falciparum. Using this novel methodology, we discover an unexpected non-genetic drug resistance mechanism that P. falciparum utilizes before genetic modification of the cPRS. P. falciparum first upregulates its proline amino acid homeostasis in response to halofuginone pressure. We show that this non-genetic adaptation to halofuginone is not likely mediated by differential RNA expression and precedes mutation or amplification of the cPRS gene. By tracking the evolution of the two drug resistance selections with whole genome sequencing, we further demonstrate that the cPRS locus accounts for the majority of genetic adaptation to halofuginone in P. falciparum. We further validate that copy-number variations at the cPRS locus also contribute to halofuginone resistance. Conclusions: We provide a three-step model for multi-locus evolution of halofuginone drug resistance in P. falciparum. Informed by genomic approaches, our results provide the first comprehensive view of the evolutionary trajectory malaria parasites take to achieve drug resistance. Our understanding of the multiple genetic and non-genetic mechanisms of drug resistance informs how we will design and pair future anti-malarials for clinical use. Electronic supplementary material The online version of this article (doi:10.1186/s13059-014-0511-2) contains supplementary material, which is available to authorized users

A randomized controlled trial to assess the clinical and cost effectiveness of a nurse-led Antenatal Asthma Management Service in South Australia (AAMS study)

Background: Pregnancy presents a unique situation for the management of asthma as it can alter the course of asthma severity and its treatment, which in turn can affect pregnancy outcomes. Despite awareness of the substantial adverse effects associated with asthma during pregnancy, little has been done to improve its management and reduce associated perinatal morbidity and mortality. The aim of this randomized controlled trial is to evaluate the clinical and cost effectiveness of an Antenatal Asthma Management Service. Methods/design: Design: Multicentre, randomized controlled trial. Inclusion criteria: Women with physician diagnosed asthma, which is not currently in remission, who are less than 20 weeks gestation with a singleton pregnancy and do not have a chronic medical condition. Trial entry and randomization: Eligible women with asthma, stratified by treatment site, disease severity and parity, will be randomized into either the ‘Standard Care Group’ or the ‘Intervention Group’. Study groups: Both groups will be followed prospectively throughout pregnancy. Women in the ‘Standard Care Group’ will receive routine obstetric care reflecting current clinical practice in Australian hospitals. Women in the ‘Intervention Group’ will receive additional care through the nurse-led Antenatal Asthma Management Service, based in the antenatal outpatient clinic. Women will receive asthma education with a full assessment of their asthma at 18, 24, 30 and 36 weeks gestation. Each antenatal visit will include a 60 min session where asthma management skills are assessed including: medication adherence and knowledge, inhaler device technique, recognition of asthma deterioration and possession of a written asthma action plan. Furthermore, subjects will receive education about asthma control and management skills including trigger avoidance and smoking cessation counseling when appropriate. Primary study outcome: Asthma exacerbations during pregnancy. Sample size: A sample size of 378 women will be sufficient to show an absolute reduction in asthma exacerbations during pregnancy of 20% (alpha 0.05 two-tailed, 90% power, 5% loss to follow-up). Discussion: The integration of an asthma education program within the antenatal clinic setting has the significant potential to improve the participation of pregnant women in the self-management of their asthma, reduce asthma exacerbations and improve perinatal health outcomes.Luke E Grzeskowiak, Gustaaf Dekker, Karen Rivers, Kate Roberts-Thomson, Anil Roy, Brian Smith, Jeffery Bowden, Robert Bryce, Michael Davies, Justin Beilby, Anne Wilson, Philippa Middleton, Richard Ruffin, Jonathan Karnon, Vicki L Clifton and for the AAMS study grou

The CIPRUS study, a nurse-led psychological treatment for patients with undifferentiated somatoform disorder in primary care: study protocol for a randomised controlled trial

Background: Up to a third of patients presenting medically unexplained physical symptoms in primary care may have a somatoform disorder, of which undifferentiated somatoform disorder (USD) is the most common type. Psychological interventions can reduce symptoms associated with USD and improve functioning. Previous research has either been conducted in secondary care or interventions have been provided by general practitioners (GPs) or psychologists in primary care. As efficiency and cost-effectiveness are imperative in primary care, it is important to investigate whether nurse-led interventions are effective as well. The aim of this study is to examine the effectiveness and cost-effectiveness of a short cognitive behavioural therapy (CBT)-based treatment for patients with USD provided by mental health nurse practitioners (MHNPs), compared to usual care. Methods: In a cluster randomised controlled trial, 212 adult patients with USD will be assigned to the intervention or care as usual. The intervention group will be offered a short, individual CBT-based treatment by the MHNP in addition to usual GP care. The main goal of the intervention is that patients become less impaired by their physical symptoms and cope with symptoms in a more effective way. In six sessions patients will receive problem-solving treatment. The primary outcome is improvement in physical functioning, measured by the physical component summary score of the RAND-36. Secondary outcomes include health-related quality of life measured by the separate subscales of the RAND-36, somatization (PHQ-15) and symptoms of depression and anxiety (HADS). Problem-solving skills, health anxiety, illness perceptions, coping, mastery and working alliance will be assessed as potential mediators. Assessments will be done at 0, 2, 4, 8 and 12 months. An economic evaluation will be conducted from a societal perspective with quality of life as the primary outcome measure assessed by the EQ-5D-5L. Health care, patient and lost productivity costs will be assessed with the Tic-P. Discussion: We expect that the intervention will improve physical functioning and is cost-effective compared to usual care. If so, more patients might successfully be treated in general practice, decreasing the number of referrals to specialist care. Trial registration: Dutch Trial Registry, identifier: NTR4686, Registered on 14 July 2014. © 2017 The Author(s)

Dominant native and non-native graminoids differ in key leaf traits irrespective of nutrient availability

Aim: Nutrient enrichment is associated with plant invasions and biodiversity loss. Functional trait advantages may predict the ascendancy of invasive plants following nutrient enrichment but this is rarely tested. Here, we investigate (a) whether dominant native and non-native plants differ in important morphological and physiological leaf traits, (b) how their traits respond to nutrient addition, and (c) whether responses are consistent across functional groups. Location: Australia, Europe, North America and South Africa. Time period: 2007–2014. Major taxa studied: Graminoids and forbs. Methods: We focused on two types of leaf traits connected to resource acquisition: morphological features relating to light-foraging surfaces and investment in tissue (specific leaf area, SLA) and physiological features relating to internal leaf chemistry as the basis for producing and utilizing photosynthate. We measured these traits on 503 leaves from 151 dominant species across 27 grasslands on four continents. We used an identical nutrient addition treatment of nitrogen (N), phosphorus (P) and potassium (K) at all sites. Sites represented a broad range of grasslands that varied widely in climatic and edaphic conditions. Results: We found evidence that non-native graminoids invest in leaves with higher nutrient concentrations than native graminoids, particularly at sites where native and non-native species both dominate. We found little evidence that native and non-native forbs differed in the measured leaf traits. These results were consistent in natural soil fertility levels and nutrient-enriched conditions, with dominant species responding similarly to nutrient addition regardless of whether they were native or non-native. Main conclusions: Our work identifies the inherent physiological trait advantages that can be used to predict non-native graminoid establishment, potentially because of higher efficiency at taking up crucial nutrients into their leaves. Most importantly, these inherent advantages are already present at natural soil fertility levels and are maintained following nutrient enrichment

Strand-specific RNA sequencing in Plasmodium falciparum malaria identifies developmentally regulated long non-coding RNA and circular RNA

Background: The human malaria parasite Plasmodium falciparum has a complex and multi-stage life cycle that requires extensive and precise gene regulation to allow invasion and hijacking of host cells, transmission, and immune escape. To date, the regulatory elements orchestrating these critical parasite processes remain largely unknown. Yet it is becoming increasingly clear that long non-coding RNAs (lncRNAs) could represent a missing regulatory layer across a broad range of organisms. Results: To investigate the regulatory capacity of lncRNA in P. falciparum, we harvested fifteen samples from two time-courses. Our sample set profiled 56 h of P. falciparum blood stage development. We then developed and validated strand-specific, non-polyA-selected RNA sequencing methods, and pursued the first assembly of P. falciparum strand-specific transcript structures from RNA sequencing data. This approach enabled the annotation of over one thousand lncRNA transcript models and their comprehensive global analysis: coding prediction, periodicity, stage-specificity, correlation, GC content, length, location relative to annotated transcripts, and splicing. We validated the complete splicing structure of three lncRNAs with compelling properties. Non-polyA-selected deep sequencing also enabled the prediction of hundreds of intriguing P. falciparum circular RNAs, six of which we validated experimentally. Conclusions: We found that a subset of lncRNAs, including all subtelomeric lncRNAs, strongly peaked in expression during invasion. By contrast, antisense transcript levels significantly dropped during invasion. As compared to neighboring mRNAs, the expression of antisense-sense pairs was significantly anti-correlated during blood stage development, indicating transcriptional interference. We also validated that P. falciparum produces circRNAs, which is notable given the lack of RNA interference in the organism, and discovered that a highly expressed, five-exon antisense RNA is poised to regulate P. falciparum gametocyte development 1 (PfGDV1), a gene required for early sexual commitment events. Electronic supplementary material The online version of this article (doi:10.1186/s12864-015-1603-4) contains supplementary material, which is available to authorized users

Resilience of the Zooplankton Community in the Northeast Gulf of Mexico during and After the Deepwater Horizon Oil Spill

We evaluated the resilience of the zooplankton community to the Deepwater Horizon oil spill in the northeast Gulf of Mexico, by assessing abundance, biomass, spatial distribution, species composition, and diversity indices during spring, summer, and winter, May 2010 to August 2014. SEAMAP samples collected between spring and summer 2005–2009 were analyzed as a baseline. Our results did not indicate that there was a long-term impact from the oil spill, but did demonstrate that environmental variability and riverine processes strongly governed zooplankton community dynamics. Zooplankton abundances during the oil spill (spring 2010) were not significantly different from abundances during spring 2011 and 2012. Summer 2010 abundances were the highest observed for the 2005 to 2014 period, due to high river discharge, high chlorophyll, and aggregation in eddies. High densities of the dinoflagellate, Noctiluca, during the oil spill, and the copepod, Centropages velificatus, and larvaceans in all years, suggest that these taxa warrant further investigation. Ecosystem connectivity (zooplankton transport by currents into the oil spill region), high fecundity, relatively short generation times, and refugia in deeper depths are key factors in zooplankton resilience to major perturbations. This study serves as a baseline for assessment of future impacts to this system

Dominant native and non‐native graminoids differ in key leaf traits irrespective of nutrient availability

Aim: Nutrient enrichment is associated with plant invasions and biodiversity loss. Functional trait advantages may predict the ascendancy of invasive plants following nutrient enrichment but this is rarely tested. Here, we investigate (a) whether dominant native and non-native plants differ in important morphological and physiological leaf traits, (b) how their traits respond to nutrient addition, and (c) whether responses are consistent across functional groups. Location: Australia, Europe, North America and South Africa. Time period: 2007–2014. Major taxa studied: Graminoids and forbs. Methods: We focused on two types of leaf traits connected to resource acquisition: morphological features relating to light-foraging surfaces and investment in tissue (specific leaf area, SLA) and physiological features relating to internal leaf chemistry as the basis for producing and utilizing photosynthate. We measured these traits on 503 leaves from 151 dominant species across 27 grasslands on four continents. We used an identical nutrient addition treatment of nitrogen (N), phosphorus (P) and potassium (K) at all sites. Sites represented a broad range of grasslands that varied widely in climatic and edaphic conditions. Results: We found evidence that non-native graminoids invest in leaves with higher nutrient concentrations than native graminoids, particularly at sites where native and non-native species both dominate. We found little evidence that native and non-native forbs differed in the measured leaf traits. These results were consistent in natural soil fertility levels and nutrient-enriched conditions, with dominant species responding similarly to nutrient addition regardless of whether they were native or non-native. Main conclusions: Our work identifies the inherent physiological trait advantages that can be used to predict non-native graminoid establishment, potentially because of higher efficiency at taking up crucial nutrients into their leaves. Most importantly, these inherent advantages are already present at natural soil fertility levels and are maintained following nutrient enrichment