CD4 cell responses to combination antiretroviral therapy in patients starting therapy at high CD4 cell counts

Objective: To examine CD4 cell responses to combination antiretroviral therapy (cART) in patients enrolled in the Australian HIV Observational Database who commenced cART at CD4 cell counts >350 cells per microliter. Methods: CD4 cell counts were modelled using random effects, repeated measurement models in 432 HIV-infected adults from Australian HIV Observational Database who commenced their first cART regimen and had a baseline CD4 count >350 cells per microliter. Using published AIDS and/or death incidence rates combined with the data summarized by time and predicted CD4 cell count, we calculated the expected reduction in risk of an event for different starting baseline CD4 strata. Results: Mean CD4 counts increased above 500 cells per microliter in all baseline CD4 strata by 12 months (means of 596, 717, and 881 cells/μL in baseline CD4 strata 351-500, 501-650, and >650 cells/μL, respectively) and after 72 months since initiating cART, mean CD4 cell counts (by increasing baseline CD4 strata) were 689, 746, 742 cells per microliter. The expected reduction in risk of mortality for baseline CD4 counts >650 cells per microliter relative to 351-500 cells per microliter was approximately 8%, an absolute risk reduction 0.33 per 1000 treated patient-years. Conclusions: Patients starting cART at high CD4 cell counts (>650 cells/μL) tend to maintain this immunological level over 6 years of follow-up. Patients starting from 351 to 500 CD4 cells per microliter achieve levels of >650 cells per microliter after approximately 3 years of cART. Initiating cART with a baseline CD4 count 501-650 or >650 cells per microliter relative to 351-500 cells per microliter indicated a minimal reduction in risk of AIDS incidence and/or death. Copyright © 2011 Lippincott Williams & Wilkins

A Demonstration Project of the Action-Oriented Stakeholder Engagement for a Resilient Tomorrow (ASERT) Framework: Effectiveness

Poster presentation by the Research Team of the ODU Resilience Collaborative used from March-May, 201

A Demonstration Project of the Action-Oriented Stakeholder Engagement for a Resilient Tomorrow (ASERT) Framework: Efficacy

Poster presentation by the Research Team of the ODU Resilience Collaborative used March-May 2016. This poster focuses on efficacy of the ASERT Framework and includes charts

Resistance to quambalaria shoot blight and myrtle rust in Corymbia calophylla seedlings

Abstract Corymbia calophylla (marri), an endemic keystone tree species in southwest Western Australia, is increasingly impacted by the introduced basidiomycete smut Quambalaria pitereka. The basidiomycete rust Austropuccinia psidii (myrtle rust), an invasive pathogen recently introduced to Eastern Australia, is expected to spread to the southwest of Western Australia eventually. Austropuccinia psidii has similar epidemiology to Q. pitereka, and there is concern that C. calophylla may be susceptible. Preliminary pathogenicity tests showed significant differences in aggressiveness between twelve Q. pitereka isolates, and there was evidence of interactions between isolates and C. calophylla provenances. Seedlings from 59 open-pollinated families from 11 provenances covering the natural range of marri were screened for resistance to Q. pitereka and A. psidii under controlled glasshouse conditions. Resistance of seedlings within provenances to Q. pitereka and A. psidii differed significantly. There was no significant correlation between resistance to Q. pitereka and resistance to A. psidii. Seedlings of provenances from wetter regions were more resistant to both pathogens, but the correlation coefficients were insignificant. Seedlings of four families in three provenances (Serpentine, Chidlow, and Kingston) showed 100% resistance to Q. pitereka. Narrow-sense heritability estimates were 0.07 for quambalaria shoot blight resistance and 0.34 for myrtle rust resistance. The results indicate the potential to use selected families/individuals resistant to Q. pitereka and A. psidii for tree improvement programs and adaptive management strategies

Towards a best practice methodology for the detection of Phytophthora species in soils

The genus Phytophthora contains species that are major pathogens worldwide, affecting a multitude of plant species across agriculture, horticulture, forestry, and natural ecosystems. Here, we concentrate on those species that are dispersed through soil and water, attacking the roots of the plants, causing them to rot and die. The intention of this study was to compare the soil baiting protocol developed by the Centre for Phytophthora Science and Management (CPSM) with two other baiting methods used in Australia. The aim was to demonstrate the effectiveness of each protocol for soil baiting Phytophthora species in different substrates. Three experiments were conducted: the first to test the sensitivity of each method to detect Phytophthora cinnamomi, the second to test the effect of substrate type (sand or loam), and the third to test the detection of species (P. cinnamomi, P. multivora, or P. pseudocryptogea). The specificity of different plant species baits was compared within and between the methods. Substrate type influenced isolation in all methods; however, the CPSM method was superior regardless of substrate, albeit slower than one of the other methods for one substrate. Comparing bait species between the three methods, Quercus ilex was the most attractive bait for P. cinnamomi, particularly in the CPSM method. The choice of protocol affected the isolation associated with each bait type. Overall, the multiple bait system used by CPSM was shown to provide the most sensitive and reliable detection of Phytophthora species from soil samples.info:eu-repo/semantics/publishedVersio

Transmission of mitochondrial DNA following assisted reproduction and nuclear transfer

Review of the articleMitochondria are the organelles responsible for producing the majority of a cell's ATP and also play an essential role in gamete maturation and embryo development. ATP production within the mitochondria is dependent on proteins encoded by both the nuclear and the mitochondrial genomes, therefore co-ordination between the two genomes is vital for cell survival. To assist with this co-ordination, cells normally contain only one type of mitochondrial DNA (mtDNA) termed homoplasmy. Occasionally, however, two or more types of mtDNA are present termed heteroplasmy. This can result from a combination of mutant and wild-type mtDNA molecules or from a combination of wild-type mtDNA variants. As heteroplasmy can result in mitochondrial disease, various mechanisms exist in the natural fertilization process to ensure the maternal-only transmission of mtDNA and the maintenance of homoplasmy in future generations. However, there is now an increasing use of invasive oocyte reconstruction protocols, which tend to bypass mechanisms for the maintenance of homoplasmy, potentially resulting in the transmission of either form of mtDNA heteroplasmy. Indeed, heteroplasmy caused by combinations of wild-type variants has been reported following cytoplasmic transfer (CT) in the human and following nuclear transfer (NT) in various animal species. Other techniques, such as germinal vesicle transfer and pronuclei transfer, have been proposed as methods of preventing transmission of mitochondrial diseases to future generations. However, resulting embryos and offspring may contain mtDNA heteroplasmy, which itself could result in mitochondrial disease. It is therefore essential that uniparental transmission of mtDNA is ensured before these techniques are used therapeutically