Bestimmung der Wirksamkeit eines inaktivierten One-Shot Impfstoffes bei Ferkeln in der 1. oder 3. Lebenswoche mit Porcilis® PCV gegen das porcine Circovirus Typ 2 (PCV2) in zwei süddeutschen Betrieben

Efficacy of an inactivated one-shot piglet vaccine at either one or three weeks of age with Porcilis® PCV against porcine circovirus type 2 (PCV2) at two farms in southern GermanyThe goal of this study was to determine the efficacy of piglet vaccine with Porcilis® PCV administered at different times when compared to the placebo group receiving Diluvac® Forte. Two farms were selected where PMWS was diagnosed based on clinical symptoms, pathology and serology. A total of 627 piglets (209 per group) were used in this random blinded study. Group A animals were vaccinated in the third week of life, group C piglets in the first week and group B animals received a placebo. Parameters used to assess vaccine efficacy were average daily weight gain (ADWG), mortality, health status and the treatment index. Local reactions due to the vaccination were considered in order to asses the vaccine compatibility. Blood samples were taken in regular intervals from 34 animals per group and antibody levels were estimated using ELISA and antigen determination by qPCR. Both vaccine groups showed considerably improved ADWG although even better growth performance would have probably been achieved when vaccinated and non-vaccinated animals were separately housed in comparison to the group B placebos. Furthermore a significant decrease during the fattening period could be observed in both vaccine groups compared to the group B placebos. A significant reduction in mortality in both finishing farms was observed due to continued vaccination in the third week of life after the study began. Generally, the animals exhibited a favourable health status. Clinical examinations showed that the animals of the placebo group B in farm G had significantly higher score values in the categories lameness and body condition during the finishing period in comparison to both vaccine groups. An analysis of the treatment index documented the most individual treatment in the placebo group B. Only few local reactions occurred from the vaccination. The vaccination in the third week of life (group A) produced a very strong immune response. This led to a clear reduction in viremia during field infection with PCV2. With the aid of serological and molecular biological results from the placebo group B, it was possible to determine that the infection with PCV2 occurred in the nursery period. A considerable rise in the PCV2-antibodies was seen because of the viremia in placebo group B. The viremia was not prevented in all animals from group C. High maternal antibodies in individual piglets appear to interfere with the vaccination done in the first week of life in group C. This study reaffirmed the detection of vaccine induced antibodies against PCV2 using INGEZIM lgG/lgM ELISA. In order to identify the optimal time for vaccination, the determination of the PCV2 infection time by INGEZIM lgG/lgM ELISA and qPCR including antibody titre of the suckling piglet with ELISA appears to be invaluable. A field infection occurred in both farms whereas this led to noticeable effects early in the nursery period. The vaccination with Porcilis® PCV at both vaccine times emerged to be very effective. The present study proves that vaccination in the third week of life is most worthwhile since in addition to improved ADWG, reduced mortality and improved health status, a noticeable reduction in viremia after PCV2 field infection was also evident

Asymmetric Imides as Electrolyte Additive for Lithium‐Ion Batteries with NCM111 Cathode

The synthesis, spectroscopic and electrochemical characterization of Li[N(SiMe3)(SO2RF)] (RF=CF3, n‐C4F9) as well their behavior as electrolyte additive in lithium ion batteries (LIBs) is reported. The lithium salts were obtained by deprotonation of the corresponding acids HN(SiMe3)(SO2RF) with n‐butyllithium in n‐pentane. The electrochemical investigations suggested potential as additives for LIBs. Thus, NCM111/graphite cells (NCM111=Li[Ni0.33Co0.33Mn0.33]O2) with LP57 as electrolyte (LP57=1.0 M LiPF6 in EC/EMC 3 : 7) were built to test the performance. Cells with Li[N(SiMe3)(SO2RF)] as additives show coulombic efficiencies of over 99.6 %, less capacity fading over 55 cycles and a significantly lower cell impedance built up

Cilengitide treatment of newly diagnosed glioblastoma patients does not alter patterns of progression

The integrin antagonist cilengitide has been explored as an adjunct with anti-angiogenic properties to standard of care temozolomide chemoradiotherapy (TMZ/RT→TMZ) in newly diagnosed glioblastoma. Preclinical data as well as anecdotal clinical observations indicate that anti-angiogenic treatment may result in altered patterns of tumor progression. Using a standardized approach, we analyzed patterns of progression on MRI in 21 patients enrolled onto a phase 2 trial of cilengitide added to TMZ/RT→TMZ in newly diagnosed glioblastoma. Thirty patients from the experimental treatment arm of the EORTC/NCIC pivotal TMZ trial served as a reference. MRIcro software was used to map location and extent of initial preoperative and recurrent tumors on MRI of both groups into the same stereotaxic space which were then analyzed using an automated tool of image analysis. Clinical and outcome data of the cilengitide-treated patients were similar to those of the EORTC/NCIC trial except for a higher proportion of patients with a methylated O6-methylguanyl-DNA-methyltransferase gene promoter. Analysis of recurrence pattern revealed neither a difference in the size of the recurrent tumor nor in the distance of the recurrences from the preoperative tumor location between groups. Overall frequencies of distant recurrences were 20% in the reference group and 19% (4/21 patients) in the cilengitide group. Compared with TMZ/RT→TMZ alone, the addition of cilengitide does not alter patterns of progression. This analysis does not support concerns that integrin antagonism by cilengitide may induce a more aggressive phenotype at progression, but also provides no evidence for an anti-invasive activity of cilengitide in patients with newly diagnosed glioblastoma

Myeloid cell iron uptake pathways and paramagnetic rim formation in multiple sclerosis

In multiple sclerosis (MS), sustained inflammatory activity can be visualized by iron-sensitive magnetic resonance imaging (MRI) at the edges of chronic lesions. These paramagnetic rim lesions (PRLs) are associated with clinical worsening, although the cell type-specific and molecular pathways of iron uptake and metabolism are not well known. We studied two postmortem cohorts: an exploratory formalin-fixed paraffin-embedded (FFPE) tissue cohort of 18 controls and 24 MS cases and a confirmatory snap-frozen cohort of 6 controls and 14 MS cases. Besides myelin and non-heme iron imaging, the haptoglobin-hemoglobin scavenger receptor CD163, the iron-metabolizing markers HMOX1 and HAMP as well as immune-related markers P2RY12, CD68, C1QA and IL10 were visualized in myeloid cell (MC) subtypes at RNA and protein levels across different MS lesion areas. In addition, we studied PRLs in vivo in a cohort of 98 people with MS (pwMS) via iron-sensitive 3 T MRI and haptoglobin genotyping by PCR. CSF samples were available from 38 pwMS for soluble CD163 (sCD163) protein level measurements by ELISA. In postmortem tissues, we observed that iron uptake was linked to rim-associated C1QA-expressing MC subtypes, characterized by upregulation of CD163, HMOX1, HAMP and, conversely, downregulation of P2RY12. We found that pwMS with [Formula: see text] 4 PRLs had higher sCD163 levels in the CSF than pwMS with [Formula: see text] 3 PRLs with sCD163 correlating with the number of PRLs. The number of PRLs was associated with clinical worsening but not with age, sex or haptoglobin genotype of pwMS. However, pwMS with Hp2-1/Hp2-2 haplotypes had higher clinical disability scores than pwMS with Hp1-1. In summary, we observed upregulation of the CD163-HMOX1-HAMP axis in MC subtypes at chronic active lesion rims, suggesting haptoglobin-bound hemoglobin but not transferrin-bound iron as a critical source for MC-associated iron uptake in MS. The correlation of CSF-associated sCD163 with PRL counts in MS highlights the relevance of CD163-mediated iron uptake via haptoglobin-bound hemoglobin. Also, while Hp haplotypes had no noticeable influence on PRL counts, pwMS carriers of a Hp2 allele might have a higher risk to experience clinical worsening

Novel Genetic Tools for Diaminopimelic Acid Selection in Virulence Studies of Yersinia pestis

Molecular studies of bacterial virulence are enhanced by expression of recombinant DNA during infection to allow complementation of mutants and expression of reporter proteins in vivo. For highly pathogenic bacteria, such as Yersinia pestis, these studies are currently limited because deliberate introduction of antibiotic resistance is restricted to those few which are not human treatment options. In this work, we report the development of alternatives to antibiotics as tools for host-pathogen research during Yersinia pestis infections focusing on the diaminopimelic acid (DAP) pathway, a requirement for cell wall synthesis in eubacteria. We generated a mutation in the dapA-nlpB(dapX) operon of Yersinia pestis KIM D27 and CO92 which eliminated the expression of both genes. The resulting strains were auxotrophic for diaminopimelic acid and this phenotype was complemented in trans by expressing dapA in single and multi-copy. In vivo, we found that plasmids derived from the p15a replicon were cured without selection, while selection for DAP enhanced stability without detectable loss of any of the three resident virulence plasmids. The dapAX mutation rendered Y. pestis avirulent in mouse models of bubonic and septicemic plague which could be complemented when dapAX was inserted in single or multi-copy, restoring development of disease that was indistinguishable from the wild type parent strain. We further identified a high level, constitutive promoter in Y. pestis that could be used to drive expression of fluorescent reporters in dapAX strains that had minimal impact to virulence in mouse models while enabling sensitive detection of bacteria during infection. Thus, diaminopimelic acid selection for single or multi-copy genetic systems in Yersinia pestis offers an improved alternative to antibiotics for in vivo studies that causes minimal disruption to virulence

'Education, education, education' : legal, moral and clinical

This article brings together Professor Donald Nicolson's intellectual interest in professional legal ethics and his long-standing involvement with law clinics both as an advisor at the University of Cape Town and Director of the University of Bristol Law Clinic and the University of Strathclyde Law Clinic. In this article he looks at how legal education may help start this process of character development, arguing that the best means is through student involvement in voluntary law clinics. And here he builds upon his recent article which argues for voluntary, community service oriented law clinics over those which emphasise the education of students

Hypoxia Inducible Factor-2Alpha and Prolinhydroxylase 2 Polymorphisms in Patients with Acute Respiratory Distress Syndrome (ARDS)

Hypoxia-inducible-factor-2 alpha (HIF-2 alpha) and HIF-2 degrading prolyl-hydroxylases (PHD) are key regulators of adaptive hypoxic responses i.e., in acute respiratory distress syndrome (ARDS). Specifically, functionally active genetic variants of HIF-2 alpha (single nucleotide polymorphism (SNP) [ch2:46441523(hg18)]) and PHD2 (C/T;SNP rs516651 and T/C;SNP rs480902) are associated with improved adaptation to hypoxia i.e., in high-altitude residents. However, little is known about these SNPs' prevalence in Caucasians and impact on ARDS-outcome. Thus, we tested the hypotheses that in Caucasian ARDS patients SNPs in HIF-2 alpha or PHD2 genes are (1) common, and (2) independent risk factors for 30-day mortality. After ethics-committee approval, 272 ARDS patients were prospectively included, genotyped for PHD2 (Taqman SNP Genotyping Assay) and HIF-2 alpha-polymorphism (restriction digest + agarose-gel visualization), and genotype dependent 30-day mortality was analyzed using Kaplan-Meier-plots and multivariate Cox-regression analyses. Frequencies were 99.62% for homozygous HIF-2 alpha CC-carriers (CG: 0.38%;GG: 0%), 2.3% for homozygous PHD2 SNP rs516651 TT-carriers (CT: 18.9%;CC: 78.8%), and 3.7% for homozygous PHD2 SNP rs480902 TT-carriers (CT: 43.9%;CC: 52.4%). PHD2 rs516651 TT-genotype in ARDS was independently associated with a 3.34 times greater mortality risk (OR 3.34, CI 1.09-10.22;p = 0.034) within 30-days, whereas the other SNPs had no significant impact (p = ns). The homozygous HIF-2 alpha GG-genotype was not present in our Caucasian ARDS cohort;however PHD2 SNPs exist in Caucasians, and PHD2 rs516651 TT-genotype was associated with an increased 30-day mortality suggesting a relevance for adaptive responses in ARDS

The use of insecticide treated nets by age: implications for universal coverage in Africa

BACKGROUND: The scaling of malaria control to achieve universal coverage requires a better understanding of the population sub-groups that are least protected and provide barriers to interrupted transmission. Here we examine the age pattern of use of insecticide treated nets (ITNs) in Africa in relation to biological vulnerabilities and the implications for future prospects for universal coverage. METHODS: Recent national household survey data for 18 malaria endemic countries in Africa were assembled to identify information on use of ITNs by age and sex. Age-structured medium variant projected population estimates for the mid-point year of the earliest and most recent national surveys were derived to compute the population by age protected by ITNs. RESULTS: All surveys were undertaken between 2005 and 2009, either as demographic health surveys (n = 12) or malaria indicator surveys (n = 6). Countries were categorized into three ITN use groups: or =20% and projected population estimates for the mid-point year of 2007 were computed. In general, the pattern of overall ITNs use with age was similar by country and across the three country groups with ITNs use initially high among children <5 years of age, sharply declining among the population aged 5-19 years, before rising again across the ages 20-44 years and finally decreasing gradually in older ages. For all groups of countries, the highest proportion of the population not protected by ITNs (38% - 42%) was among those aged 5-19 years. CONCLUSION: In malaria-endemic Africa, school-aged children are the least protected with ITNs but represent the greatest reservoir of infections. With increasing school enrollment rates, school-delivery of ITNs should be considered as an approach to reach universal ITNs coverage and improve the likelihood of impacting upon parasite transmission