Light-activated antimicrobial coatings for reducing microbial contamination of surfaces.

Environmental surface contamination can contribute to cross-infection within hospitals by acting as a reservoir from which personnel and patients can soil their hands. It is important, therefore, to develop effective means of reducing the microbial load on such surfaces. One possible approach involves the use of photosensitisers, compounds which generate antimicrobial moieties (e.g. singlet oxygen), when irradiated with an appropriate light source. The overall aim of this study was to develop a coating containing photosensitisers that is able to kill microbes when irradiated with light generated by the type of lamp recommended for use in hospitals in the United Kingdom i.e. a 28 W General Electric fluorescent lamp. After comparing the absorption spectra of candidate compounds with the emission spectrum of the light source, the following photosensitisers were selected for study: Toluidine Blue O (TBO), Methylene Blue (MB), Methylene Violet (MV), Rose Bengal (RB), and Erythrosine B (ErB). The singlet oxygen ('02) producing ability of the selected compounds was then tested using the uric acid assay. All photosensitisers had comparable rates of lOj production but both ErB and RB became photobleached over time. Based on these results, TBO, MB and MV were selected for further study and lethal photosensitisation experiments were carried out using aqueous suspensions of Staphylococcus aureus, Escherichia coli, Candida albicans and Bacteriophage OX 174. All three photosensitisers produced significant kills against these four organisms but, while 2 hours of irradiation was sufficient for bacteria, longer (6 hour) irradiation was necessary to achieve substantial kills of the bacteriophage and yeast. These photosensitisers were then incorporated into cellulose acetate coatings, and the antimicrobial activity of these coatings was investigated. MV was found to be inactive when immobilized in the polymer and was therefore replaced by RB. The optimal coating of those tested contained a combination of 25 uM TBO and 25 uM RB. This coating was able to generate appreciable kills of a range of different microbes both when aliquoted on to the coating as a suspension and when sprayed on using a nebuliser. Significant kills were also achieved in the presence of horse serum and saliva and following prolonged irradiation of the coatings. A study of the environmental contamination present in a dental clinic was carried out using settle plates and revealed that both the number and variety of bacteria were significantly greater on days when clinics were held compared to days when there was no clinical activity. The most frequently encountered species were P. acnes, M. 2 2 luteus, and S. epidermidis and the mean total microbial load was 21.9 x 1(T cfu/m7h. The final stage of the project involved testing the activity of the TBO/RB coatings in this clinical setting. When compared to control (photosensitiser-free) coatings, the TBO/RB coatings achieved reduced counts on 12 out of the 15 days, with median reductions of 63.8 % and 81.8 % for aerobic and anaerobic bacteria respectively. Overall, these coatings show potential as a renewable, self-disinfecting surface and may have a range of applications in the hospital environment

Endurance and Resistance Training in Radically Treated Respiratory Cancer patients: A Pilot Study

Introduction. Respiratory cancer and its treatment are known to contribute to muscle weakness and functional impairment. Aim. To assess the effects of rehabilitation in patients with respiratory cancer. Methods. Radically treated respiratory cancer patients were included in a 12-week multidisciplinary rehabilitation program. Results. 16 patients (age: 61 ± 7 years; FEV1: 57 ± 16% pred.) showed a reduced exercise tolerance (VO2max: 56 ± 15% pred.; 6 MWD: 67 ± 11% pred.), muscle force (PImax: 54 ± 22% pred.; QF: 67 ± 16% pred.), and quality of life (CRDQd: 17 ± 5 points; CRDQf: 16 ± 5 points). Exercise tolerance, muscle force, and quality of life improved significantly after rehabilitation. Conclusion. Radically treated patients with respiratory cancer have a decreased exercise capacity, muscle force, and quality of life. 12 weeks of rehabilitation leads to a significant improvement in exercise capacity, respiratory muscle force, and quality of life

Time to negative throat culture following initiation of antibiotics for pharyngeal group A Streptococcus: a systematic review and meta-analysis up to October 2021 to inform public health control measures

Background: Public health guidance recommending isolation of individuals with group A streptococcal (GAS) infection or carriage for 12–24 h from antibiotic initiation to prevent onward transmission requires a strong evidence base. Aim: To estimate the pooled proportion of individuals who remain GAS culture-positive at set intervals after initiation of antibiotics through a systematic literature review (PROSPERO CRD42021290364) and meta-analysis. Methods: We searched Ovid MEDLINE (1946–), EMBASE (1974–) and Cochrane library. We included interventional or observational studies with ≥ 10 participants reporting rates of GAS throat culture positivity during antibiotic treatment for culture-confirmed GAS pharyngitis, scarlet fever and asymptomatic pharyngeal GAS carriage. We did not apply age, language or geographical restrictions. Results: Of 5,058 unique records, 43 were included (37 randomised controlled studies, three non-randomised controlled trials and three before-and-after studies). The proportion of individuals remaining culture-positive on day 1, day 2 and days 3–9 were 6.9% (95% CI: 2.7–16.8%), 5.4% (95% CI: 2.1–13.3%) and 2.6% (95% CI: 1.6–4.2%). For penicillins and cephalosporins, day 1 positivity was 6.5% (95% CI: 2.5–16.1%) and 1.6% (95% CI: 0.04–42.9%), respectively. Overall, for 9.1% (95% CI: 7.3–11.3), throat swabs collected after completion of therapy were GAS culture-positive. Only six studies had low risk of bias. Conclusions: Our review provides evidence that antibiotics for pharyngeal GAS achieve a high rate of culture conversion within 24 h but highlights the need for further research given methodological limitations of published studies and imprecision of pooled estimates. Further evidence is needed for non-beta-lactam antibiotics and asymptomatic individuals

First reported foodborne outbreak associated with microsporidia, Sweden, October 2009

Microsporidia are spore-forming intracellular parasites that infrequently cause disease in immunocompetent persons. This study describes the first report of a foodborne microsporidiosis outbreak which affected persons visiting a hotel in Sweden. Enterocytozoon bieneusi was identified in stool samples from 7/11 case-patients, all six sequenced samples were genotype C. To confirm that this was not a chance finding, 19 stool samples submitted by healthy persons from a comparable group who did not visit the hotel on that day were tested; all were negative for microsporidia. A retrospective cohort study identified 135 case-patients (attack rate 30%). The median incubation period was 9 days. Consumption of cheese sandwiches [relative risk (RR) 4·1, 95% confidence interval (CI) 1·4–12·2] and salad (RR 2·1, 95% CI 1·1–4) were associated with illness. Both items contained pre-washed, ready-to-eat cucumber slices. Microsporidia may be an under-reported cause of gastrointestinal outbreaks; we recommend that microsporidia be explored as potential causative agents in food- and waterborne outbreaks, especially when no other organisms are identified

An outbreak of norovirus GI-6 infection following a wedding in North West England.

In August 2015 a gastroenteritis outbreak occurred following a wedding. An outbreak investigation was undertaken and a cohort study was conducted using an online survey. Of 140 guests, 134 received the survey and 113 responded (84·3% response rate). Seventy respondents met the case definition of vomiting and/or diarrhoea within 72 h of the wedding (61·9% attack rate). Fifteen exposures were associated with illness; on stratification, all were confounded by the ham hock starter. Multivariable analysis showed a significant association with exposure to ham hock (risk ratio 6·62, 95% confidence interval 2·19-20·03). Eight guests and two catering staff submitted stool samples. All tested positive for norovirus GI-6 infection, including a food handler who had vomiting less than 48 h before the wedding. A single genotype was detected among all samples, suggesting a single source of contamination. The transmission pattern suggested point-source exposure. The most plausible cause of the outbreak was transmission from an infected food handler via contaminated food. This highlights the importance of appropriate exclusions for symptomatic food handlers. Additionally, the food handler's stool sample was submitted 7 days after symptom resolution. The potential for extended viral excretion, and the extremely low infective dose of norovirus, may mean that current exclusion guidelines are not of sufficient duration

Early precipitated micropyrite in microbialites: A time capsule of microbial sulfur cycling

Microbialites are organosedimentary rocks that have occurred throughout the Earth’s history. The relationships between diverse microbial metabolic activities and isotopic signatures in biominerals forming within these microbialites are key to understanding modern biogeochemical cycles, but also for accurate interpretation of the geologic record. Here, we performed detailed mineralogical investigations coupled with NanoSIMS (Nanoscale Secondary Ion Mass Spectrometry) analyses of pyrite S isotopes in mineralising microbial mats from two different environments, a hypersaline lagoon (Cayo Coco, Cuba) and a volcanic alkaline crater lake (Atexcac, Mexico). Both microbialite samples contain two distinct pyrite morphologies: framboids and euhedral micropyrites, which display distinct ranges of δ34S values1. Considering the sulfate-sulfur isotopic compositions associated with both environments, micropyrites display a remarkably narrow range of Δpyr (i.e. Δpyr ≡ δ34SSO4 − δ34Spyr) between 56 and 62‰. These measured Δpyr values agree with sulfate-sulfide equilibrium fractionation, as observed in natural settings characterised by low microbial sulfate reduction respiration rates. Moreover, the distribution of S isotope compositions recorded in the studied micropyrites suggests that sulfide oxidation also occurred at the microbialite scale. These results highlight the potential of micropyrites to capture signatures of microbial sulfur cycling and show that S isotope composition in pyrites record primarily the local micro-environments induced by the microbialite

H-Prune through GSK-3β interaction sustains canonical WNT/β-catenin signaling enhancing cancer progression in NSCLC.

H-Prune hydrolyzes short-chain polyphosphates (PPase activity) together with an hitherto cAMP-phosphodiesterase (PDE), the latest influencing different human cancers by its overexpression. H-Prune promotes cell migration in cooperation with glycogen synthase kinase-3 (Gsk-3β). Gsk-3β is a negative regulator of canonical WNT/β-catenin signaling. Here, we investigate the role of Gsk-3β/h-Prune complex in the regulation of WNT/β-catenin signaling, demonstrating the h-Prune capability to activate WNT signaling also in a paracrine manner, through Wnt3a secretion. In vivo study demonstrates that h-Prune silencing inhibits lung metastasis formation, increasing mouse survival. We assessed h-Prune levels in peripheral blood of lung cancer patients using ELISA assay, showing that h-Prune is an early diagnostic marker for lung cancer. Our study dissects out the mechanism of action of h-Prune in tumorigenic cells and also sheds light on the identification of a new therapeutic target in non-small-cell lung cancer

Quantitative importance of staminodes for female reproductive success in Parnassia palustris under contrasting environmental conditions.

The five sterile stamens, or staminodes, in Parnassia palustris act both as false and as true nectaries. They attract pollinators with their conspicuous, but non-rewarding tips, and also produce nectar at the base. We removed staminodes experimentally and compared pollinator visitation rate and duration and seed set in flowers with and without staminodes in two different populations. We also examined the relative importance of the staminode size to other plant traits. Finally, we bagged, emasculated, and supplementary cross-pollinated flowers to determine the pollination strategy and whether reproduction was limited by pollen availability. Flowers in both populations were highly dependent on pollinator visitation for maximum seed set. In one population pollinators primarily cross-pollinated flowers, whereas in the other the pollinators facilitated self-pollination. The staminodes caused increased pollinator visitation rate and duration to flowers in both populations. The staminodes increased female reproductive success, but only when pollen availability constrained female reproduction. Simple linear regression indicated a strong selection on staminode size, multiple regression suggested that selection on staminode size was mainly caused by correlation with other traits that affected female fitness. [ABSTRACT FROM AUTHOR