Multiancestry analysis of the HLA locus in Alzheimer’s and Parkinson’s diseases uncovers a shared adaptive immune response mediated by HLA-DRB1*04 subtypes

Across multiancestry groups, we analyzed Human Leukocyte Antigen (HLA) associations in over 176,000 individuals with Parkinson’s disease (PD) and Alzheimer’s disease (AD) versus controls. We demonstrate that the two diseases share the same protective association at the HLA locus. HLA-specific fine-mapping showed that hierarchical protective effects of HLA-DRB1*04 subtypes best accounted for the association, strongest with HLA-DRB1*04:04 and HLA-DRB1*04:07, and intermediary with HLA-DRB1*04:01 and HLA-DRB1*04:03. The same signal was associated with decreased neurofibrillary tangles in postmortem brains and was associated with reduced tau levels in cerebrospinal fluid and to a lower extent with increased Aβ42. Protective HLA-DRB1*04 subtypes strongly bound the aggregation-prone tau PHF6 sequence, however only when acetylated at a lysine (K311), a common posttranslational modification central to tau aggregation. An HLA-DRB1*04-mediated adaptive immune response decreases PD and AD risks, potentially by acting against tau, offering the possibility of therapeutic avenues

Centrality evolution of the charged-particle pseudorapidity density over a broad pseudorapidity range in Pb-Pb collisions at root s(NN)=2.76TeV

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Transposable elements in the genome of Anopheles gambiae

Made available in DSpace on 2011-05-04T12:42:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2009Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Até hoje não existem mecanismos eficientes de controle da malaria, uma das doenças infecciosas mais importantes do mundo. Nas últimas décadas, a transformação genética dos mosquitos transmissores tem sido proposta como uma alternativa para o controle de esta doença. Para isso, além do desenvolvimento de técnicas para a introdução de DNA em células germinais dos mosquitos e da identificação de genes capazes de bloquear ou reduzir a transmissão de parasitas aos humanos, é necessário o desenvolvimento de métodos eficientes para a introdução e fixação de genes refratários à malaria nas populações naturais de mosquitos. O uso de elementos de transposição tem sido sugerido para tais fins pelas características biológicas de invasão e propagação em genomas eucariotas que presentão estes elementos. Na presente tese, analisaram-se os elementos de transposição presentes no genoma do mosquito Anopheles gambiae, um dos principais vetores da malaria no mundo. Os resultados apresentados se encontram divididos em três partes, primeiramente a descrição de AnoTExcel, uma base de dados com informação detalhada dos elementos de transposição presentes neste genoma. Por outra, a partir desta base, foram identificados e caracterizados elementos novos, não detectados previamente em nenhum genoma. Por último, foram analisados elementos representativos pertencentes às diferentes classes de elementos de transposição desde uma perspectiva evolutiva e foi proposta uma análise de redes (Network analysis) para inferir as inter-relações entre elementos de transposição pertencentes à mesma família.Up today, there are no efficient mechanisms for the control of Malaria, one of the most important diseases in the world. In the last decades, the genetic transformation of the malaria vectors have been proposed as an alternative. For achieving so, besides the development of techniques for the introduction of foreign DNA into the mosquitoes germinal cells and the identification of genes able to block or reduced the parasites transmission to human, the development of efficient methods for the introduction and fixation of the refractory genes into the mosquitoes natural populations is needed. In this regard, the use of transposable elements has been suggested as a driver system due to their biological characteristics of eukaryotic genomes invasion and propagations. In this thesis the analysis of the transposable elements in the genome of Anopheles gambiae, one of the most important vectors of malaria, has been proposed. The results are divided in three parts, first of all a description of AnoTExcel, a database with detailed information of the transposable elements present in the mosquito genome. The characterization of Novel elements that have not been described before is also described. Last, an evolutionary analysis of representative elements from different classes and families of elements has been performed. Finally, we have also proposed a network analysis for inferring the relationships between elements within the same family

Algunas reflexiones sobre la clasificación de los organismos vivos Some reflections on the classification of living organisms

Clasificar es una manera de organizar la información que puede ser definida como una actividad donde diferentes objetos, conceptos o seres son asignados a categorías según algún criterio. Los criterios de clasificación de los organismos vivos han mudado a lo largo del tiempo. En el presente trabajo, a partir de un recorrido histórico se presentan las diferentes formas que han existido de clasificar a los organismos vivos. Se presentan también algunas discusiones existentes en relación a la forma en que se agrupan los organismos hoy en día, así como también los supuestos sobre los cuales se realiza dicha clasificación, como la noción de ancestro común, de jerarquía y divergencia, las nociones de categoría natural y de clasificaciones naturales dentro de las ciencias biológicas.<br>Classifying is a way of organizing information, which can be defined as an activity where different objects, concepts or beings are assigned to categories according to a given criterion. The criteria for classification of living organisms have changed over the course of time. In this paper, based on a historical survey, the different ways that have existed for classifying living organisms are presented. Some current discussions regarding how organisms are grouped today are also presented, as well as the premises upon which such classifications are made, such as the notion of common ancestry, hierarchy and divergence, the notions of natural category and natural classifications within the biological sciences

Genome-wide analysis of transposable elements in the coffee berry borer Hypothenemus hampei (Coleoptera: Curculionidae): description of novel families

Peer Revie

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort.

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies

Stoma-free survival after anastomotic leak following rectal cancer resection: worldwide cohort of 2470 patients

Background: The optimal treatment of anastomotic leak after rectal cancer resection is unclear. This worldwide cohort study aimed to provide an overview of four treatment strategies applied. Methods: Patients from 216 centres and 45 countries with anastomotic leak after rectal cancer resection between 2014 and 2018 were included. Treatment was categorized as salvage surgery, faecal diversion with passive or active (vacuum) drainage, and no primary/secondary faecal diversion. The primary outcome was 1-year stoma-free survival. In addition, passive and active drainage were compared using propensity score matching (2: 1). Results: Of 2470 evaluable patients, 388 (16.0 per cent) underwent salvage surgery, 1524 (62.0 per cent) passive drainage, 278 (11.0 per cent) active drainage, and 280 (11.0 per cent) had no faecal diversion. One-year stoma-free survival rates were 13.7, 48.3, 48.2, and 65.4 per cent respectively. Propensity score matching resulted in 556 patients with passive and 278 with active drainage. There was no statistically significant difference between these groups in 1-year stoma-free survival (OR 0.95, 95 per cent c.i. 0.66 to 1.33), with a risk difference of -1.1 (95 per cent c.i. -9.0 to 7.0) per cent. After active drainage, more patients required secondary salvage surgery (OR 2.32, 1.49 to 3.59), prolonged hospital admission (an additional 6 (95 per cent c.i. 2 to 10) days), and ICU admission (OR 1.41, 1.02 to 1.94). Mean duration of leak healing did not differ significantly (an additional 12 (-28 to 52) days). Conclusion: Primary salvage surgery or omission of faecal diversion likely correspond to the most severe and least severe leaks respectively. In patients with diverted leaks, stoma-free survival did not differ statistically between passive and active drainage, although the increased risk of secondary salvage surgery and ICU admission suggests residual confounding

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P &lt; 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)