Long-Term Stability in the Trophic Ecology of a Pelagic Forager Living in a Changing Marine Ecosystem

Natural or human-induced environmental changes can modify the structure of ecological communities and thus alter food web interactions. After the collapse of hake stocks (Merluccius hubbsi) provoked by fisheries over the Patagonian shelf in 1997 profound changes have taken place in the community, including long-term dietary shifts in some marine vertebrate predators. Stable carbon (δ13C) and nitrogen (δ15N) isotope ratios in bone collagen of subadult and adult male South American fur seals (Arctocephalus australis) were measured for the period 1976–2017 to investigate if the changes occurred in the marine community from northern and central Patagonia affected the diet of this predator. Suess corrected δ13C values and δ15N values in bone collagen of fur seals did not change significantly over the study period. According to this, male fur seals have remained as pelagic foragers without changing their trophic position nor switching their main preys in the Patagonian food web over the last four decades. This long-term stability in the diet of fur seals contrasts with dietary changes reported for benthic foragers in the region. Although long-term diet studies are restricted to a few marine predators in the region, current evidence suggests that benthic-demersal foragers were more prone to dietary shifts than pelagic ones after perturbations that occurred in the marine community of northern and central Patagonia.Fil: Vales, Damián Gustavo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Cardona, Luis. Universidad de Barcelona; EspañaFil: Loizaga de Castro, Rocio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: García, Néstor A.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Crespo, Enrique Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentin

COPD classification models and mortality prediction capacity

Our aim was to assess the impact of comorbidities on existing COPD prognosis scores. Patients and methods: A total of 543 patients with COPD (FEV1 < 80% and FEV1/ FVC <70%) were included between January 2003 and January 2004. Patients were stable for at least 6 weeks before inclusion and were followed for 5 years without any intervention by the research team. Comorbidities and causes of death were established from medical reports or information from primary care medical records. The GOLD system and the body mass index, obstruction, dyspnea and exercise (BODE) index were used for COPD classification. Patients were also classified into four clusters depending on the respiratory disease and comorbidities. Cluster analysis was performed by combining multiple correspondence analyses and automatic classification. Receiver operating characteristic curves and the area under the curve (AUC) were calculated for each model, and the DeLong test was used to evaluate differences between AUCs. Improvement in prediction ability was analyzed by the DeLong test, category-free net reclassification improvement and the integrated discrimination index. Results: Among the 543 patients enrolled, 521 (96%) were male, with a mean age of 68 years, mean body mass index 28.3 and mean FEV1% 55%. A total of 167 patients died during the study follow-up. Comorbidities were prevalent in our cohort, with a mean Charlson index of 2.4. The most prevalent comorbidities were hypertension, diabetes mellitus and cardiovascular diseases. On comparing the BODE index, GOLDABCD, GOLD2017 and cluster analysis for pre-dicting mortality, cluster system was found to be superior compared with GOLD2017 (0.654 vs 0.722, P=0.006), without significant differences between other classification models. When cardiovascular comorbidities and chronic renal failure were added to the existing scores, their prognostic capacity was statistically superior (P<0.001). Conclusion: Comorbidities should be taken into account in COPD management scores due to their prevalence and impact on mortalit

Chronic obstructive pulmonary disease subtypes. transitions over time

Background Although subtypes of chronic obstructive pulmonary disease are recognized, it is unknown what happens to these subtypes over time. Our objectives were to assess the stability of cluster-based subtypes in patients with stable disease and explore changes in clusters over 1 year. Methods Multiple correspondence and cluster analysis were used to evaluate data collected from 543 stable patients included consecutively from 5 respiratory outpatient clinics. Results Four subtypes were identified. Three of them, A, B, and C, had marked respiratory profiles with a continuum in severity of several variables, while the fourth, subtype D, had a more systemic profile with intermediate respiratory disease severity. Subtype A was associated with less dyspnea, better health-related quality of life and lower Charlson comorbidity scores, and subtype C with the most severe dyspnea, and poorer pulmonary function and quality of life, while subtype B was between subtypes A and C. Subtype D had higher rates of hospitalization the previous year, and comorbidities. After 1 year, all clusters remained stable. Generally, patients continued in the same subtype but 28% migrated to another cluster. Together with movement across clusters, patients showed changes in certain characteristics (especially exercise capacity, some variables of pulmonary function and physical activity) and changes in outcomes (quality of life, hospitalization and mortality) depending on the new cluster they belonged to Conclusions Chronic obstructive pulmonary disease clusters remained stable over 1 year. Most patients stayed in their initial subtype cluster, but some moved to another subtype and accordingly had different outcomes

First record of cestode cysts of Phyllobothrium delphini (Phyllobothriidae) from dusky dolphins (Lagenorhynchus obscurus) off Argentine coast

The dusky dolphin, Lagenorhynchus obscurus, is a coastal small cetacean widespread in the southern hemisphere. Here, we present the first record of cestode parasites present in the blubber of dusky dolphin off Argentine coast. The host examined, corresponded to a 15 years old mature female and measured 171 cm long. Cysts of helminths belonging to Cestoda were found on the subcutaneous blubber of the ventral surface; parasites were determined as Phyllobothrium delphini (Phyllobothriidae). Probably the presence of this parasite is related to deep pelagic foraging habitats where the most important prey are the squids. In the stomach contents 25 Type II larvae of Anisakis were found and 12 cephalopod beaks, belonging to argentine shortfin squid, Illex argentinus. Nematodes were found in the intestines, Type II larvae of Anisakis, and another from the genus Stenurus (family, Pseudaliidae). Here a new record of cestodes cysts is described, enriching the parasite-host record for dusky dolphins, enlarging the scarce parasitological information for cetaceans of Argentina

Investigation of a mass stranding of 68 short-beaked common dolphins in Golfo Nuevo, Península Valdés, Argentina

We report on the investigation of a mass stranding of 68 short-beaked common dolphins (Delphinus delphis) that occurred in Golfo Nuevo, Península Valdés, Argentina in March 2018. Twenty-one of the stranded dolphins were returned alive to the sea, while 47 animals died. Dead dolphins included all ages, with more males than females (29 males and 18 females). The cause of death investigation reported here is restricted to 15 adult individuals and one fetus on which a full set of diagnostics was prioritized due to limited funding. Our results demonstrate that the death of 16 dolphins assessed in this study was not due to obvious human effects (e.g. bycatch) or underlying pathologies, as all animals were in good body condition and had no external evidence of injuries. Infections by Morbillivirus, Influenza A virus, Sarcocystis spp., Toxoplasma gondii, or Neospora caninum, as well domoic acid (DA) toxicity were ruled out as ethiologies in this event. Notably, results on exposure to paralytic shelfish toxins (PSP) were the only investigated cause of death found positive. This is the first documentation of exposure to PSP toxins in short-beaked common dolphins from the Argentine Sea. At present our results are insufficient to assess whether PSP toxin exposure played a role in the death of the stranded dolphins. Notwithstanding, the full documentation and investigation of the most commonly reported pathogens and toxins involved in cetacean mass strandings allowed us to clear the most relevant health differentials and suggests areas for future study. Additional potential hypothesis related to factors known or speculated to cause cetacean mass strandings are currently being explored within the ecological context at the time of the event

The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with &gt;80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes

COPD classification models and mortality prediction capacity

Amaia Aramburu,1 Inmaculada Arostegui,2&ndash;4 Javier Moraza,1 Irantzu Barrio,2 Myriam Aburto,1 Amaia Garc&iacute;a-Loizaga,1 Ane Uranga,1 Txomin Zabala,1 Jos&eacute; Mar&iacute;a Quintana,3,5 Crist&oacute;bal Esteban1,3 1Respiratory Department, Hospital Galdakao-Usansolo, Galdakao, Bizkaia, Spain; 2Department of Applied Mathematics, Statistics and Operative Research, University of the Basque Country (UPV/EHU), Basque Country, Spain; 3Health Services Research on Chronic Patients Network (REDISSEC), Galdakao-Usansolo Hospital, Bizkaia, Spain; 4Basque Center for Applied Mathematics (BCAM), University of Basque Country, Leioa, Bizkaia, Spain;&nbsp;5Research Unit, Hospital Galdakao-Usansolo, Galdakao, Bizkaia, Spain Objective: Our aim was to assess the impact of comorbidities on existing COPD prognosis scores. Patients and methods: A total of 543 patients with COPD (FEV1 &lt;80% and FEV1/FVC &lt;70%) were included between January 2003 and January 2004. Patients were stable for at least 6 weeks before inclusion and were followed for 5 years without any intervention by the research team. Comorbidities and causes of death were established from medical reports or information from primary care medical records. The GOLD system and the body mass index, obstruction, dyspnea and exercise (BODE) index were used for COPD classification. Patients were also classified into four clusters depending on the respiratory disease and comorbidities. Cluster analysis was performed by combining multiple correspondence analyses and automatic classification. Receiver operating characteristic curves and the area under the curve (AUC) were calculated for each model, and the DeLong test was used to evaluate differences between AUCs. Improvement in prediction ability was analyzed by the DeLong test, category-free net reclassification improvement and the integrated discrimination index. Results: Among the 543 patients enrolled, 521 (96%) were male, with a mean age of 68 years, mean body mass index 28.3 and mean FEV1% 55%. A total of 167 patients died during the study follow-up. Comorbidities were prevalent in our cohort, with a mean Charlson index of 2.4. The most prevalent comorbidities were hypertension, diabetes mellitus and cardiovascular diseases. On comparing the BODE index, GOLDABCD, GOLD2017 and cluster analysis for predicting mortality, cluster system was found to be superior compared with GOLD2017 (0.654 vs 0.722, P=0.006), without significant differences between other classification models. When cardiovascular comorbidities and chronic renal failure were added to the existing scores, their prognostic capacity was statistically superior (P&lt;0.001). Conclusion: Comorbidities should be taken into account in COPD management scores due to their prevalence and impact on mortality. Keywords: comorbidities, COPD, mortality, GOLD, cluster analysis, BODE inde

A Visitor of Tropical Waters: First Record of a Clymene Dolphin (Stenella clymene) Off the Patagonian Coast of Argentina, With Comments on Diet and Metazoan Parasites

The poorly known Clymene dolphin (Stenella clymene) is a small oceanic cetacean distributed in tropical and subtropical waters of the Atlantic Ocean. In this study, we report, for the first time, a vagrant individual of Clymene dolphin in Argentina (Rada Tilly) that represents the current southern-most record for this cetacean species. We provide a molecular identification of the dolphin, based on partial sequences of the mitochondrial cytochrome b gene, generated from DNA extracted from its metazoan parasites. Three prey species, namely Argentine hake, Patagonian squid and lobster krill were identified from hard pieces collected in the stomach. Seven metazoan parasite taxa (three in adult stage, one immature stage and three in larval stage) were identified using morphological and molecular data, i.e., the digenean Pholeter gastrophilus (new host record), the cestodes Tetrabothrius (Tetrabothrius) forsteri, Clistobothrium grimaldii unidentified phyllobothriid plerocercoids, the nematodes Anisakis pegreffii (new host record), Halocercus delphini and the acanthocephalan Corynosoma australe (new host record). Our study provides the first molecular exploration of the metazoan parasite diversity in delphinids from the southwestern Atlantic, and contributes significantly to understand the poorly known parasite fauna of the Clymene dolphin.Fil: Hernández-Orts, Jesús S.. Academy of Sciences of the Czech Republic. Biology Centre. Institute of Parasitology; República ChecaFil: Hernández-Mena, David I.. Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional; MéxicoFil: Pantoja, Camila. Academy of Sciences of the Czech Republic. Biology Centre. Institute of Parasitology; República Checa. Nature Research Centre; LituaniaFil: Kuchta, Roman. Academy of Sciences of the Czech Republic. Biology Centre. Institute of Parasitology; República ChecaFil: García, Néstor A.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Crespo, Enrique Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; ArgentinaFil: Loizaga de Castro, Rocio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Centro para el Estudio de Sistemas Marinos; Argentin

METTL1 promotes tumorigenesis through tRNA-derived fragment biogenesis in prostate cancer

Newly growing evidence highlights the essential role that epitranscriptomic marks play in the development of many cancers; however, little is known about the role and implications of altered epitranscriptome deposition in prostate cancer. Here, we show that the transfer RNA N7-methylguanosine (m7G) transferase METTL1 is highly expressed in primary and advanced prostate tumours. Mechanistically, we find that METTL1 depletion causes the loss of m7G tRNA methylation and promotes the biogenesis of a novel class of small non-coding RNAs derived from 5'tRNA fragments. 5'tRNA-derived small RNAs steer translation control to favour the synthesis of key regulators of tumour growth suppression, interferon pathway, and immune effectors. Knockdown of Mettl1 in prostate cancer preclinical models increases intratumoural infiltration of pro-inflammatory immune cells and enhances responses to immunotherapy. Collectively, our findings reveal a therapeutically actionable role of METTL1-directed m7G tRNA methylation in cancer cell translation control and tumour biology