Vagal stimulation after acute coronary occlusion: The heart rate matters

Background: There is a well documented causal link between autonomic imbalance and cardiac elec­trical instability. However, the mechanisms underlying the antiarrhythmic effect of vagal stimulation are poorly understood. The vagal antiarrhythmic effect might be modulated by a decrease in heart rate. Methods: The proximal anterior interventricular artery was occluded in 16 pigs by clamping under general anaesthesia. Group 1: heart rates remained spontaneous (n = 6; 12 occlusions); Group 2: heart rates were fixed at 190 bpm with atrial electrical stimulation (n = 10; 20 occlusions). Each pig received two occlusions, 30 min apart, one without and one with vagal stimulation (10 Hz, 2 ms, 5–20 mA). The antiarrhythmic effect of vagal activation was defined as the time to the appearance of ventricular fibrillation (VF) after occlusion. Results: In Group 1, vagal stimulation triggered a significant decrease in basal heart rate (132 ± 4 vs. 110 ± 17 bpm, p < 0.05), and delayed the time to VF after coronary occlusion (1102 ± 85 vs. 925 ± ± 41 s, p < 0.05). In Group 2, vagal stimulation did not modify the time to VF (103 ± 39 vs. 91 ± 20 s). Analyses revealed that heart rate and the time to VF were positively linearly related. Conclusions: Maintaining a constant heart rate with atrial electrical stimulation in pigs prevented vagal stimulation from modifying the time to VF after acute coronary occlusion

Evidence for an optimal level of connectivity for establishment and colonisation

International audienceDispersal is usually associated with the spread of invasive species, but it also has two opposing effects, one decreasing and the other increasing the probability of establishment. Indeed, dispersal both slows population growth at the site of introduction and increases the likelihood of surrounding habitat being colonized. The connectivity of the introduction site is likely to affect dispersal, and, thus, establishment, according to the dispersal behaviour of individuals. Using individual-based models and microcosm experiments on minute wasps, we demonstrated the existence of a hump-shaped relationship between connectivity and establishment in situations in which individual dispersal resembled a diffusion process. These results suggest that there is an optimal level of connectivity for the establishment of introduced populations locally at the site of introduction, and regionally over the whole landscape

Calculated spectra for HeH+ and its effect on the opacity of cool metal poor stars

The wavelength and Einstein A coefficient are calculated for all rotation-vibration transitions of $^4$He$^1$H$^+$, $^3$He$^1$H$^+$, $^4$He$^2$H$^+$ and $^3$He$^2$H$^+$, giving a complete line list and the partition function for $^4$HeH$^+$ and its isotopologues. This opacity is included in the calculation of the total opacity of low-metallicity stars and its effect is analysed for different conditions of temperature, density and hydrogen number fraction. For a low helium number fraction (as in the Sun), it is found that HeH$^+$ has a visible but small effect for very low densities ($\rho\leq 10^{-10}$g cm$^{-3}$), at temperatures around 3500 K. However, for high helium number fraction, the effect of HeH$^+$ becomes important for higher densities ($\rho\leq 10^{-6}$g cm$^{-3}$), its effect being most important for a temperature around 3500 K. Synthetic spectra for a variety of different conditions are presented.Comment: 8 pages, 2 Figures Accepted for publication in Mon.Not.Roy.Astron.So

Utilization of microcosms to test invasion biology hypotheses

Comprendre les facteurs déterminant le succès ou l’échec des processus invasifs est un objectif majeur en biologie de l’invasion. De nombreux travaux théoriques se sont intéressés aux composantes écologiques et évolutives de ces facteurs. Cependant, les tests d’hypothèses associés à une démarche expérimentale restent rares. La plupart des résultats empiriques sont issus de l’analyse a posteriori d’invasions fortuites et ne permettent donc, au mieux, que des approches corrélatives. Dans cet article, nous discutons de la pertinence des microcosmes, i.e. des environnements simplifiés, contrôlés et reproductibles, comme alternatives aux introductions expérimentales en milieu naturel. En nous basant sur une synthèse de la littérature, nous présentons les avantages et limites des approches en microcosmes pour l'étude des invasions biologiques. Notre analyse se concentre sur les publications impliquant des populations en dynamique transitoire après un goulot d’étranglement et/ou soumises à un challenge adaptatif, deux caractéristiques clés des processus invasifs. Malgré le nombre encore réduit de telles études, leur intérêt a été montré pour explorer les influences des caractéristiques de l’aire envahie (les conditions environnementales ainsi que leur hétérogénéité spatiale ou temporelle). Dans une moindre mesure, les microcosmes ont également permis de tester l’influence des caractéristiques des populations introduites et de la communauté envahie. Cependant, ils doivent être utilisés avec précaution car ils ne permettent pas de reproduire la complexité des milieux naturels. Les expériences en microcosmes sont donc complémentaires aux études théoriques et à celles menées en populations naturelles et contribuent à renforcer la valeur prédictive de la biologie de l’invasion en liant théorie et expérimentation.Understanding the factors underlying establishment and spread of exotic species in order to predict invasion risks is a major goal in invasion biology. Many theoretical studies investigated the ecological and evolutionary components of these factors and their impact on the invasive process. Yet, hypothesis tests through experimental approaches are still scarce because of the practical and ethical difficulties associated with the introduction of exotic species in nature. Thus, most empirical results come from a posteriori analyses of fortuitous invasions, which allow correlative approaches at best and give no information about invasion failures. In this paper, we propose microcosms, i.e. reproducible controlled simplified environments, as an alternative to experimental introductions in natura. From a review of the literature, we discuss the distinctive features of microcosms to test theoretical predictions about invasion. Our analysis focuses on studies involving populations in transitory dynamics after a demographic bottleneck and/or subject to an adaptive challenge, two key characteristics of invasive processes. Despite their small number, these studies have been used successfully to explore the influences of various factors, mainly related to the introduction site characteristics (its abiotic conditions and their spatial and temporal heterogeneity), and to a lesser extent to the introduced individuals themselves (propagule pressure, genetic diversity and adaptations in the introduced population) or the invaded community. We argue that microcosms, as model systems, can be powerful tools to test theoretical hypotheses. They must however be used with care, as they do not account for the same complexity as natural systems. They are thus complementary to theoretical studies and field surveys, and contribute to reinforce the predictive value of invasion biology by linking theory and experimentation

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Conserved white-rot enzymatic mechanism for wood decay in the Basidiomycota genus Pycnoporus

White-rot (WR) fungi are pivotal decomposers of dead organic matter in forest ecosystems and typically use a large array of hydrolytic and oxidative enzymes to deconstruct lignocellulose. However, the extent of lignin and cellulose degradation may vary between species and wood type. Here, we combined comparative genomics, transcriptomics and secretome proteomics to identify conserved enzymatic signatures at the onset of wood-decaying activity within the Basidiomycota genus Pycnoporus. We observed a strong conservation in the genome structures and the repertoires of protein-coding genes across the four Pycnoporus species described to date, despite the species having distinct geographic distributions. We further analysed the early response of P. cinnabarinus, P. coccineus and P. sanguineus to diverse (ligno)-cellulosic substrates. We identified a conserved set of enzymes mobilized by the three species for breaking down cellulose, hemicellulose and pectin. The co-occurrence in the exo-proteomes of H2O2-producing enzymes with H2O2-consuming enzymes was a common feature of the three species, although each enzymatic partner displayed independent transcriptional regulation. Finally, cellobiose dehydrogenase-coding genes were systematically co-regulated with at least one AA9 lytic polysaccharide monooxygenase gene, indicative of enzymatic synergy in vivo. This study highlights a conserved core white-rot fungal enzymatic mechanism behind the wood-decaying process.Peer reviewe

Symptom-based stratification of patients with primary Sjögren's syndrome: multi-dimensional characterisation of international observational cohorts and reanalyses of randomised clinical trials

Background Heterogeneity is a major obstacle to developing effective treatments for patients with primary Sjögren's syndrome. We aimed to develop a robust method for stratification, exploiting heterogeneity in patient-reported symptoms, and to relate these differences to pathobiology and therapeutic response. Methods We did hierarchical cluster analysis using five common symptoms associated with primary Sjögren's syndrome (pain, fatigue, dryness, anxiety, and depression), followed by multinomial logistic regression to identify subgroups in the UK Primary Sjögren's Syndrome Registry (UKPSSR). We assessed clinical and biological differences between these subgroups, including transcriptional differences in peripheral blood. Patients from two independent validation cohorts in Norway and France were used to confirm patient stratification. Data from two phase 3 clinical trials were similarly stratified to assess the differences between subgroups in treatment response to hydroxychloroquine and rituximab. Findings In the UKPSSR cohort (n=608), we identified four subgroups: Low symptom burden (LSB), high symptom burden (HSB), dryness dominant with fatigue (DDF), and pain dominant with fatigue (PDF). Significant differences in peripheral blood lymphocyte counts, anti-SSA and anti-SSB antibody positivity, as well as serum IgG, κ-free light chain, β2-microglobulin, and CXCL13 concentrations were observed between these subgroups, along with differentially expressed transcriptomic modules in peripheral blood. Similar findings were observed in the independent validation cohorts (n=396). Reanalysis of trial data stratifying patients into these subgroups suggested a treatment effect with hydroxychloroquine in the HSB subgroup and with rituximab in the DDF subgroup compared with placebo. Interpretation Stratification on the basis of patient-reported symptoms of patients with primary Sjögren's syndrome revealed distinct pathobiological endotypes with distinct responses to immunomodulatory treatments. Our data have important implications for clinical management, trial design, and therapeutic development. Similar stratification approaches might be useful for patients with other chronic immune-mediated diseases. Funding UK Medical Research Council, British Sjogren's Syndrome Association, French Ministry of Health, Arthritis Research UK, Foundation for Research in Rheumatology

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication