Patient evaluation of the use of follitropin alfa in a prefilled ready-to-use injection pen in assisted reproductive technology: an observational study

<p>Abstract</p> <p>Background</p> <p>Self-administration of recombinant human follicle-stimulating hormone (r-hFSH) can be performed using injection pen devices by women undergoing assisted reproductive technology procedures. The objective of this study was to explore the use of the prefilled follitropin alfa pen in routine assisted reproductive technology procedures in Germany.</p> <p>Methods</p> <p>This prospective, observational study was conducted across 43 German IVF centres over a period of 1.75 years. Patients who had used the prefilled follitropin alfa pen in the current or a previous cycle of controlled ovarian stimulation completed a questionnaire to assess their opinions of the device.</p> <p>Results</p> <p>A total of 5328 patients were included in the study. Of these, 2888 reported that they had previous experience of daily FSH injections. Significantly more patients reported that less training was required to use the prefilled follitropin alfa pen than a syringe and lyophilized powder (1997/3081 [64.8%]; p < 0.001 'less' versus 'more' training). Significantly more patients rated the prefilled follitropin alfa pen as easier in terms of use (2321/3206, 72.4%; p < 0.001 'much more easy' versus 'less easy') and daily injection (2384/3262, 73.1%; p < 0.001 'much more easy' versus 'less easy') than existing injection methods. Approximately one third of respondents rated the prefilled follitropin alfa pen as easier to use than the follitropin beta pen with reloadable cartridges. The majority (3378/4024, 83.9%) of patients had a general preference for the prefilled follitropin alfa pen over other injection methods.</p> <p>Conclusions</p> <p>In this questionnaire-based survey, routine use of the prefilled follitropin alfa pen was well accepted and associated with favourable patient perceptions. Users of the pen found it easier to initially learn how to use, and subsequently use, than other injection methods. In general, the prefilled follitropin alfa pen was the preferred method for self-administration of gonadotrophins. Together with previous findings, the results here indicate a high level of patient satisfaction among users of the prefilled follitropin alfa pen for daily self-administration of r-hFSH.</p

Tumor Suppression by the Fbw7 Ubiquitin Ligase: Mechanisms and Opportunities

Tumor suppressors with widespread impact on carcinogenesis control broad spectra of oncogenic pathways. Protein degradation is an emerging mechanism by which tumor suppressors regulate a diversity of pathways and is exemplified by the SCFFbw7 ubiquitin ligase. Rapidly accumulating data indicate that SCFFbw7 regulates a network of crucial oncoproteins. Importantly, the FBXW7 gene, which encodes Fbw7, is one of the most frequently mutated genes in human cancers. These studies are yielding important new insights into tumorigenesis and may soon enable therapies targeting the Fbw7 pathway. Here, we focus on the mechanisms and consequences of Fbw7 deregulation in cancers and discuss possible therapeutic approaches

Thyroid hormones correlate with resting metabolic rate, not daily energy expenditure, in two charadriiform seabirds

K. Woo, M. Le Vaillant, T. van Nus, and especially A. Wesphal, J. Schultner and I. Dorresteijn, assisted with field work, often under unpleasant conditions. K. Wauthier was instrumental in wrestling the gamma counter into submission. P. Redman and C. Hambly conducted the isotopic analyses. K. Scott and K. Campbell provided the FoxBox. K.H.E. benefited from a Natural Sciences and Engineering Research Council (NSERC) Vanier Scholarship, Association of Canadian Universities for Northern Studies Garfield Weston Northern Studies Award and the Arctic Institute of North America Jennifer Robinson Scholarship. Research support came from Bird Studies Canada/Society of Canadian Ornithologists James Baillie Award, Animal Behavior Society Research Grant, American Ornithologists’ Union Research Grant, Frank Chapman Research Grant, the Waterbird Society Nisbet Grant and NSERC Discovery Grants to J.F.H. and W.G.A. Any use of trade names is for descriptive purposes only and does not imply endorsement by the US Government.Peer reviewedPublisher PD

Identification of CDK2 substrates in human cell lysates

Engineered kinases and thiophosphate enrichment were used to identify many candidate CDK2 substrates in human cell lysates

Inter-Colony Comparison of Diving Behavior of an Arctic Top Predator: Implications for Warming in the Greenland Sea

The goal of this study was to assess how diverse oceanographic conditions and prey communities affect the foraging behavior of little auks Alle alle. The Greenland Sea is characterized by 3 distinct water masses: (1) the East Greenland Current (EGC), which carries Arctic waters southward; (2) the Sørkapp Current (SC), which originates in the Arctic Ocean but flows north along the west coast of Spitsbergen; and (3) the West Spitsbergen Current (WSC), which carries warm Atlantic-derived water north. Each of these 3 water masses is characterized by a distinct mesozooplankton community. Little auks breeding adjacent to the EGC have access to large, lipid-rich Calanus copepods, whereas those adjacent to the SC have medium sized prey, while those near the WSC are limited to even smaller, less profitable prey. We used time−depth recorders to compare the time allocation and diving behavior of little auks adjacent to each of these 3 water masses. We predicted that birds in the EGC would not have to forage as intensively as those in the SC or WSC. We found that little auks foraging in the EGC spent less time at sea, spent less time flying, dived less often, made fewer long, deep dives, and made fewer V-shaped searching dives. This indicates that the EGC provides a more favorable foraging environment than do the warmer water masses to the east. Comparing the foraging behavior of little auk populations confined to Arctic versus Atlantic-influenced waters can provide insight into the potential impacts of future warming in the Greenland Sea

Consequences of Atlantification on a Zooplanktivorous Arctic Seabird

Global warming, combined with an increasing influence of Atlantic Waters in the European Arctic, are causing a so-called Atlantification of the Arctic. This phenomenon is affecting the plankton biomass and communities with potential consequences for the upper trophic levels. Using long-term data (2005-2020) from a high Arctic zooplanktivorous seabird, the little auk (Alle alle), we tested the hypothesis that the Atlantification affects its diet, body condition and demography. We based our study on data collected in three fjords in West Spitsbergen, Svalbard, characterized by distinct oceanographic conditions. In all three fjords, we found a positive relationship between the inflow of Atlantic Waters and the proportion of Atlantic prey, notably of the copepod Calanus finmarchicus, in the little auk chick diet. A high proportion of Atlantic prey was negatively associated with adult body mass (though the effect size was small) and with chick survival (only in one fjord where chick survival until 21 days was available). We also found a negative and marginally significant effect of the average proportion of Atlantic prey in the chick diet on chick growth rate (data were available for one fjord only). Our results suggest that there are fitness costs for the little auk associated with the Atlantification of West Spitsbergen fjords. These costs seem especially pronounced during the late phase of the chick rearing period, when the energetic needs of the chicks are the highest. Consequently, even if little auks can partly adapt their foraging behaviour to changing environmental conditions, they are negatively affected by the ongoing changes in the Arctic marine ecosystems. These results stress the importance of long-term monitoring data in the Arctic to improve our understanding of the ongoing Atlantification and highlight the relevance of using seabirds as indicators of environmental change.publishedVersio

Consequences of Atlantification on a Zooplanktivorous Arctic Seabird

Global warming, combined with an increasing influence of Atlantic Waters in the European Arctic, are causing a so-called Atlantification of the Arctic. This phenomenon is affecting the plankton biomass and communities with potential consequences for the upper trophic levels. Using long-term data (2005-2020) from a high Arctic zooplanktivorous seabird, the little auk (Alle alle), we tested the hypothesis that the Atlantification affects its diet, body condition and demography. We based our study on data collected in three fjords in West Spitsbergen, Svalbard, characterized by distinct oceanographic conditions. In all three fjords, we found a positive relationship between the inflow of Atlantic Waters and the proportion of Atlantic prey, notably of the copepod Calanus finmarchicus, in the little auk chick diet. A high proportion of Atlantic prey was negatively associated with adult body mass (though the effect size was small) and with chick survival (only in one fjord where chick survival until 21 days was available). We also found a negative and marginally significant effect of the average proportion of Atlantic prey in the chick diet on chick growth rate (data were available for one fjord only). Our results suggest that there are fitness costs for the little auk associated with the Atlantification of West Spitsbergen fjords. These costs seem especially pronounced during the late phase of the chick rearing period, when the energetic needs of the chicks are the highest. Consequently, even if little auks can partly adapt their foraging behaviour to changing environmental conditions, they are negatively affected by the ongoing changes in the Arctic marine ecosystems. These results stress the importance of long-term monitoring data in the Arctic to improve our understanding of the ongoing Atlantification and highlight the relevance of using seabirds as indicators of environmental change.publishedVersio

Glycogen Synthase Kinase (GSK) 3β phosphorylates and protects nuclear myosin 1c from proteasome-mediated degradation to activate rDNA transcription in early G1 cells

Nuclear myosin 1c (NM1) mediates RNA polymerase I (pol I) transcription activation and cell cycle progression by facilitating PCAF-mediated H3K9 acetylation, but the molecular mechanism by which NM1 is regulated remains unclear. Here, we report that at early G1 the glycogen synthase kinase (GSK) 3β phosphorylates and stabilizes NM1, allowing for NM1 association with the chromatin. Genomic analysis by ChIP-Seq showed that this mechanism occurs on the rDNA as active GSK3β selectively occupies the gene. ChIP assays and transmission electron microscopy in GSK3β-/- mouse embryonic fibroblasts indicated that at G1 rRNA synthesis is suppressed due to decreased H3K9 acetylation leading to a chromatin state incompatible with transcription. We found that GSK3β directly phosphorylates the endogenous NM1 on a single serine residue (Ser-1020) located within the NM1 C-terminus. In G1 this phosphorylation event stabilizes NM1 and prevents NM1 polyubiquitination by the E3 ligase UBR5 and proteasome-mediated degradation. We conclude that GSK3β-mediated phosphorylation of NM1 is required for pol I transcription activation

Allele-Specific Deletions in Mouse Tumors Identify Fbxw7 as Germline Modifier of Tumor Susceptibility

Genome-wide association studies (GWAS) have been successful in finding associations between specific genetic variants and cancer susceptibility in human populations. These studies have identified a range of highly statistically significant associations between single nucleotide polymorphisms (SNPs) and susceptibility to development of a range of human tumors. However, the effect of each SNP in isolation is very small, and all of the SNPs combined only account for a relatively minor proportion of the total genetic risk (5–10%). There is therefore a major requirement for alternative routes to the discovery of genetic risk factors for cancer. We have previously shown using mouse models that chromosomal regions harboring susceptibility genes identified by linkage analysis frequently exhibit allele-specific genetic alterations in tumors. We demonstrate here that the Fbxw7 gene, a commonly mutated gene in a wide range of mouse and human cancers, shows allele-specific deletions in mouse lymphomas and skin tumors. Lymphomas from three different F1 hybrids show 100% allele-specificity in the patterns of allelic loss. Parental alleles from 129/Sv or Spretus/Gla mice are lost in tumors from F1 hybrids with C57BL/6 animals, due to the presence of a specific non-synonymous coding sequence polymorphism at the N-terminal portion of the gene. A specific genetic test of association between this SNP and lymphoma susceptibility in interspecific backcross mice showed a significant linkage (p = 0.001), but only in animals with a functional p53 gene. These data therefore identify Fbxw7 as a p53-dependent tumor susceptibility gene. Increased p53-dependent tumor susceptibility and allele-specific losses were also seen in a mouse skin model of skin tumor development. We propose that analysis of preferential allelic imbalances in tumors may provide an efficient means of uncovering genetic variants that affect mouse and human tumor susceptibility

Duration of female parental care and their survival in the little auk Alle alle - are these two traits linked?

Desertion of offspring before its independence by one of the parents is observed in a number of avian species with bi-parental care but reasons for this strategy are not fully understood. This behaviour is particularly intriguing in species where bi-parental care is crucial to raise the brood successfully. Here, we focus on the little auk, Alle alle, a small seabird with intensive bi-parental care, where the female deserts the brood at the end of the chick rearing period. The little auk example is interesting as most hypotheses to explain desertion of the brood by females (e.g. “re-mating hypothesis”, “body condition hypothesis”) have been rejected for this species. Here, we analysed a possible relationship between the duration of female parental care over the chick and her chances to survive to the next breeding season. We performed the study in two breeding colonies on Spitsbergen with different foraging conditions – more favourable in Hornsund and less favourable in Magdalenefjorden. We predicted that in Hornsund females would stay for shorter periods of time with the brood and would have higher survival rates in comparison with birds from Magdalenefjorden. We found that indeed in less favourable conditions of Magdalenefjorden, females stay longer with the brood than in the more favourable conditions of Hornsund. Moreover, female survival was negatively affected by the length of stay in the brood. Nevertheless, duration of female parental care over the chick was not related to their parental efforts, earlier in the chick rearing period, and survival of males and females was similar. Thus, although females brood desertion and winter survival are linked, the relationship is not straightforward