The Benefit of Detecting Reduced Intracellular B12 Activity through Newborn Screening Remains Unclear

Vitamin B12 (B12) deficiency (B12D) can have detrimental effects on early growth and development. The Austrian newborn screening (NBS) program targets inborn errors of cobalamin metabolism and also detects B12D. Of 59 included neonates with B12D suspected by NBS, B12D was not further investigated in 16 (27%) retrospectively identified cases, not confirmed in 28 (48%), and confirmed in 15 (25%) cases. NBS and recall biomarkers were recorded. Age at sampling of the dried blood spots for NBS and the 1st-tier methionine/phenylalanine ratio were the strongest parameters to predict B12D (67.4% correct allocations). No differences between cases with confirmed, unconfirmed, or unknown B12D or differences to norms were observed for growth and psychomotor development (Vineland III scales, phone interviews with parents of children between months 10 and 14 of life). B12 intake was below recommendations in most mothers. NBS can detect reduced intracellular B12 activity. No advantage of NBS detection and treatment regarding infant cognitive development or growth could be proven. Since conspicuous NBS findings cannot be ignored, and to prevent exposing newborns to invasive diagnostics, assessment of maternal B12 status during pregnancy seems advisable

A recurrent mitochondrial p.Trp22Arg NDUFB3 variant causes a distinctive facial appearance, short stature and a mild biochemical and clinical phenotype

Background Isolated Complex I deficiency is the most common paediatric mitochondrial disease presentation, associated with poor prognosis and high mortality. Complex I comprises 44 structural subunits with at least 10 ancillary proteins; mutations in 29 of these have so far been associated with mitochondrial disease but there are limited genotype-phenotype correlations to guide clinicians to the correct genetic diagnosis. Methods Patients were analysed by whole-exome sequencing, targeted capture or candidate gene sequencing. Clinical phenotyping of affected individuals was performed. Results We identified a cohort of 10 patients from 8 families (7 families are of unrelated Irish ancestry) all of whom have short stature (C, p.Trp22Arg NDUFB3 variant. Two sibs presented with primary short stature without obvious metabolic dysfunction. Analysis of skeletal muscle from three patients confirmed a defect in Complex I assembly. Conclusions Our report highlights that the long-term prognosis related to the p.Trp22Arg NDUFB3 mutation can be good, even for some patients presenting in acute metabolic crisis with evidence of an isolated Complex I deficiency in muscle. Recognition of the distinctive facial features—particularly when associated with markers of mitochondrial dysfunction and/or Irish ancestry—should suggest screening for the p.Trp22Arg NDUFB3 mutation to establish a genetic diagnosis, circumventing the requirement of muscle biopsy to direct genetic investigations

The Rotation Graph of k-ary Trees is Hamiltonian

In this paper we show that the graph of k-ary trees, connected by rotations, contains a Hamilton cycle. Our proof is constructive and thus provides a cyclic Gray code for k-ary trees. Furthermore, we identify a basic building block of this graph as the 1-skeleton of the polytopal complex dual to the lower faces of a certain cyclic polytope

The degree-diameter problem in maximal bipartite planar graphs

The (A ,D) (degree/diameter) problem consists of finding the largest possible number of vertices n among all the graphs with maximum degree and diameter D. We consider the (A ,D) problem for maximal planar bipartite graphs, that are simple planar graphs in which every face is a quadrangle. We obtain that for the ( , 2) problem, the number of vertices is n = + 2; and for the ( , 3) problem, n = 3 -1 if is odd and n = 3 -2 if is even. Then, we study the general case ( A ,D) and obtain that an upper bound on n is approximately 3(2D+1)( -2)bD/2c, and another one is C( - 2)bD/2c if D and C is a sufficiently large constant. Our upper bounds improve for our kind of graphs the one given by Fellows, Hell and Seyffarth for general planar graphs. We also give a lower bound on n for maximal planar bipartite graphs, which is approximately ( - 2)k if D = 2k, and 3( - 3)k if D = 2k + 1, for and D sufficiently large in both cases

The degree-diameter problem in maximal bipartite planar graphs

The (A ,D) (degree/diameter) problem consists of finding the largest possible number of vertices n among all the graphs with maximum degree and diameter D. We consider the (A ,D) problem for maximal planar bipartite graphs, that are simple planar graphs in which every face is a quadrangle. We obtain that for the ( , 2) problem, the number of vertices is n = + 2; and for the ( , 3) problem, n = 3 -1 if is odd and n = 3 -2 if is even. Then, we study the general case ( A ,D) and obtain that an upper bound on n is approximately 3(2D+1)( -2)bD/2c, and another one is C( - 2)bD/2c if D and C is a sufficiently large constant. Our upper bounds improve for our kind of graphs the one given by Fellows, Hell and Seyffarth for general planar graphs. We also give a lower bound on n for maximal planar bipartite graphs, which is approximately ( - 2)k if D = 2k, and 3( - 3)k if D = 2k + 1, for and D sufficiently large in both cases.Postprint (published version

Brachiopods in early Mesozoic cryptic habitats: Continuous colonization, rapid adaptation, and wide geographic distribution

Late Triassic and early Jurassic dikes and fissures in the Dachstein Limestone in the Northern Calcareous Alps harbor mass occurrences of the rhynchonellide brachiopods Sulcirostra juvavica and Halorella amphitoma. To test recent hypotheses about their paleoecology, we characterized these habitats using petrography, carbon stable isotopes, and trace element patterns, and found no evidence for hydrocarbon seepage or hydrothermal venting. Thus the brachiopods lived under normal-marine conditions, in darkness and absence of local photosynthetic primary production, hence relying on the supply of limited and presumably small-sized food washed into the dikes and fissures. Because Halorella and Sulcirostra occur in dikes and fissures since the beginning of their stratigraphic ranges, these rhynchonellides are not relics of formerly widely distributed taxa, but instead are two genera that rapidly adapted to these habitats. Both Halorella and Sulcirostra occur also in late Triassic and early Jurassic deep-water settings such as deep-marine sills and hydrocarbon seeps, indicating that close phylogenetic relationships between submarine cave faunas and deep-sea faunas, as seen today, existed also in the early Mesozoic, albeit among very different taxa. Another analogy to the modern cave fauna is the wide but disjunct geographic distribution of Sulcirostra and Halorella, both found throughout the Tethys and Panthalassa oceans. Our findings support the view that submarine cave habitats were continuously colonized by new taxa throughout Earth’s history.Financial support was provided by the Fonds zur Förderung der wissenschaftlichen Forschung (FWF) through grant M1779-N29 to Kiel and Peckmann</p

Translational Psychiatry / Prefrontal networks dynamically related to recovery from major depressive disorder: a longitudinal pharmacological fMRI study

Due to lacking predictors of depression recovery, successful treatment of major depressive disorder (MDD) is frequently only achieved after therapeutic optimization leading to a prolonged suffering of patients. This study aimed to determine neural prognostic predictors identifying non-remitters prior or early after treatment initiation. Moreover, it intended to detect time-sensitive neural mediators indicating depression recovery. This longitudinal, interventional, single-arm, open-label, phase IV, pharmacological functional magnetic resonance imaging (fMRI) study comprised four scans at important stages prior (day 0) and after escitalopram treatment initiation (day 1, 28, and 56). Totally, 22 treatment-free MDD patients (age mean SD: 31.5 7.7; females: 50%) suffering from a concurrent major depressive episode without any comorbid DSM-IV axis I diagnosis completed the study protocol. Primary outcome were neural prognostic predictors of depression recovery. Enhanced de-activation of anterior medial prefrontal cortex (amPFC, single neural mediator) indicated depression recovery correlating with MADRS score and working memory improvements. Strong dorsolateral PFC (dlPFC) activation and weak dlPFC-amPFC, dlPFC-posterior cingulate cortex (PCC), dlPFC-parietal lobe (PL) coupling (three prognostic predictors) hinted at depression recovery at day(VLID)493364

Bioanalytical Characterization of Apple Juice from 88 Grafted and Nongrafted Apple Varieties Grown in Upper Austria

The compositional characteristics of untreated pure juice prepared from 88 apple varieties grown in the region of Eferding/Upper Austria were determined. Many of the analyzed varieties are noncommercial, old varieties not present in the market. The aim of the study was to quantitate the mineral, phosphate, trace elements, and polyphenolic content in order to identify varieties that are of particular interest for a wider distribution. Great variations among the investigated varieties could be found. This holds especially true for the total polyphenolic content (TPC) ranging from 103.2 to 2,275.6 mg/L. A clear dependence of the antioxidant capacity on the TPC levels was detected. Bioinformatics was employed to find specific interrelationships, such as Mg²⁺/Mn²⁺ and PO₄^3–/K⁺, between the analyzed bio- and phytochemical parameters. Furthermore, special attention was drawn on putative effects of grafting on the phytochemical composition of apple varieties. By grafting 27 different apple varieties on two trees grown close to each other, it could be shown that the apple fruits remain their characteristic phytochemical composition. Finally, apple juice prepared from selected varieties was further characterized by additional biochemical analysis including cytotoxicity, epidermal growth factor receptor (EGFR) inhibition, and α-amylase activity tests. Cytotoxicity and inhibition of EGFR activation were found to be dependent on the TPC, while α-amylase activity was reduced by the apple juices independent of the presence of polyphenolic substances. Taken together selected apple varieties investigated within this study might serve as preferable sources for the development of apple-based food with a strong focus on health beneficial effects

Serine-threonine phosphoregulation by PknB and Stp contributes to quiescence and antibiotic tolerance in Staphylococcus aureus

Staphylococcus aureus can cause infections that are often chronic and difficult to treat, even when the bacteria are not antibiotic resistant because most antibiotics act only on metabolically active cells. Subpopulations of persister cells are metabolically quiescent, a state associated with delayed growth, reduced protein synthesis, and increased tolerance to antibiotics. Serine-threonine kinases and phosphatases similar to those found in eukaryotes can fine-tune essential bacterial cellular processes, such as metabolism and stress signaling. We found that acid stress-mimicking conditions that S. aureus experiences in host tissues delayed growth, globally altered the serine and threonine phosphoproteome, and increased threonine phosphorylation of the activation loop of the serine-threonine protein kinase B (PknB). The deletion of stp, which encodes the only annotated functional serine-threonine phosphatase in S. aureus, increased the growth delay and phenotypic heterogeneity under different stress challenges, including growth in acidic conditions, the intracellular milieu of human cells, and abscesses in mice. This growth delay was associated with reduced protein translation and intracellular ATP concentrations and increased antibiotic tolerance. Using phosphopeptide enrichment and mass spectrometry-based proteomics, we identified targets of serine-threonine phosphorylation that may regulate bacterial growth and metabolism. Together, our findings highlight the importance of phosphoregulation in mediating bacterial quiescence and antibiotic tolerance and suggest that targeting PknB or Stp might offer a future therapeutic strategy to prevent persister formation during S. aureus infections

Quantification of within-patient Staphylococcus aureus phenotypic heterogeneity as a proxy for the presence of persisters across clinical presentations

OBJECTIVES: Difficult-to-treat infections caused by antibiotic-susceptible strains have been linked to the occurrence of persisters, a subpopulation of dormant bacteria that tolerate antibiotic exposure despite lacking genetic resistance. These persisters can be identified phenotypically by plating on nutrient agar because of their altered growth dynamics, resulting in colony-size heterogeneity. The occurrence of within-patient bacterial phenotypic heterogeneity in various infections and clinical determinants of persister formation remains unknown. METHODS: We plated bacteria derived from 132 patient samples of difficult-to-treat infections directly on nutrient-rich agar and monitored colony growth by time-lapse imaging. We retained 36 Staphylococcus aureus monocultures for further analysis. We investigated clinical factors associated with increased colony growth-delay with regression analyses. We corroborated the clinical findings using in vitro grown static biofilms exposed to distinct antibiotics. RESULTS: The extent of phenotypic heterogeneity of patient-derived S. aureus varied substantially between patients (from no delay to a maximum of 57.6 hours). Increased heterogeneity coincided with increased median colony growth-delay. Multivariable regression showed that rifampicin treatment was significantly associated with increased median growth-delay (13.3 hours; 95% CI 7.13-19.6 hours; p < 0.001). S. aureus grown in biofilms and exposed to high concentrations of rifampicin or a combination of rifampicin with clindamycin or levofloxacin exhibited prolonged growth-delay (p < 0.05 for 11 of 12 comparisons), correlating with a strain-dependent increase in antibiotic tolerance. DISCUSSION: Colony-size heterogeneity upon direct sampling of difficult-to-treat S. aureus infections was frequently observed. Hence, future studies are needed to assess the potential benefit of phenotypic heterogeneity quantification for staphylococcal infection prognosis and treatment guidelines