Induction of plant somatic embryogenesis in liquid medium

The large scale propagation of plants via somatic embryogenesis, has so far been difficult to achieve. In this thesis research is described leading to embryogenic cell lines that can be maintained for a long period, without loss of genetic stability. It is also described how embryogenic potential of cell lines can be influenced by the addition of specific arabinogalactan-proteins.We consider the large scale production of somatic embryos to consist of five steps; initiation of embryogenic cell lines, proliferation of pro-embryogenic masses (PEMs), formation of embryos, germination of embryos and transfer of germinated embryos to the greenhouse. We have found for three crops, carrot, cyclamen and cucumber, that when the first three steps are performed in liquid medium, embryogenic cell suspensions can be obtained in a very comparable manner. The cell lines produce PEMs, that proliferate at a similar growth rate, for all the three crops, and produce somatic embryos at a high efficiency. The somatic embryos germinate and produce plantlets which grow into mature, fertile plants, again with a high efficiency. Since the first three steps are performed in liquid medium, the process is labour extensive and inexpensive. The major costs in large scale productions will then be associated with the germination of the embryos and the transfer to the greenhouse. The achievement of the research presented in this thesis is that the feasibility of somatic embryogenesis for plant propagation is demonstrated for three different crops, under conditions that preserve genetic stability and embryogenic potential of the cell lines.Essentials for the initiation phase.For the initiation of an embryogenic cell line, directly in liquid medium, an explant has to be chosen, which is able to produce PEMs if incubated in the proper medium. In our experience, an explant derived from a piece of the plant close to the zygotic embryo, both in space and in time, has the best chance of success (Carman 1990, Debeaujon and Branchard 1993, Williams and Maheswaran 1986). Explants from a germinating seed, like root tips from cucumber (Chapter 6) or hypocotyls from cyclamen (Chapter 5), have proven to be very useful, both in our experience and in literature (Carman 1990, Debeaujon and Branchard 1993, Williams and Maheswaran 1986).In initiation, the nutrient composition and the hormone concentrations of the liquid medium in which the explant Was placed, are very important. For each crop we observed a different optimal composition. The ammonium concentration in different media varies greatly, from 2 mM in Gamborgs B5 medium to 25 mM in KK medium. The higher concentrations might be toxic to carrot and cyclamen, but not to cucumber. Carrot and cyclamen could be initiated in B5 medium, but cucumber needed MS medium, which contains 21 mM ammonium, In all cases the media, contained an auxin, 2,4-dichlorophenoxyacetic acid (2,4-D), and usually also kinetin. These hormones were rapidly taken up by the explant (Chapter 5, Fig. 2, Chapter 6, Fig, 1) and we showed that rapid uptake of hormones is likely a prerequisite for induction of embryogenic potential.If root tips or hypocotyls were used, the incubation of the explant resulted in the dispersion of the epidermis and cortex, leaving the vascular bundle and the surrounding cells intact. Probably, the cells surrounding the vascular tissue provide cells able to produce the PEMs. A similar conclusion was drawn by Nadolska-Orczyk and Malepszy (1987), in their study on the initiation of embryogenesis on leaf explants of cucumber. Although these experiments were performed on solid medium, embryo formation was initiated in cells surrounding the vascular tissue.In our experience, PEM formation was achieved within a period of maximal 8 weeks, although differences between crops were observed, carrot always being the fastest and cucumber the slowest. What causes the differences between the three crops in the length of the initiation phase is unknown. PEMs were either formed on the explant or from single cells or cell aggregates in the medium, and were formed in massive amounts at an almost predictable point during the initiation phase.The use of different explants, or media with different nutrients or hormone concentrations could lead to delay, or absence, of PEM formation, resulting in poorly, or non-embryogenic cell lines. In these cases, root formation was often observed. Already in 1966, Halperin reported similar observations in carrot cell lines. In his paper (Halperin 1966) on alternative morphogenetic events in carrot cell suspensions he stated that "Strong circumstantial evidence indicates that the same cells in culture are capable of giving rise to either a rootbearing clump or to an embryo, depending upon the particular chemical environment in which they are grown. The present data suggest that the formation of proembryos depends upon a rapid rate of cell division under conditions which prevent cell enlargement." We have found that this also holds for cyclamen and cucumber cell lines. Indeed, rapid cell division may repress cell enlargement, and thus promote the formation of small cells, which are able to become embryogenic cells.Furthermore we have found that the nutrient composition is equally important as the concentration of the hormones. In a recent paper Preece (1995) concluded "There is an interesting relationship between nutrient salts in the medium and the plant growth regulators (PGR). However, nutrient salts will not wholly substitute for PGR, and neither will PGR completely substitute for nutrient salts. With the improper nutrient medium, chances will be very low that explants will respond as desired, regardless of the PGR and their concentrations tested. Conversely, with the improper PGR type, combination, or concentration, explants will respond poorly if the nutrient salts are less than ideal for that plant genotype or the physiological state of the plant material." Indeed, also in our experience, the type of explant determines which is the ideal combination of nutrients and hormones for obtaining maximal embryogenic potential in the initiation phase. This is further illustrated by the preference of cucumber for MS medium (Chapter 6), while cyclamen (Chapter 5) and carrot prefer B5 medium (de Vries et al. 1988).The induction of embryogenic potential in explants, placed in liquid medium, has been described for only a limited number of plant species. Embryos of cucumber (Ziv and Gadasi 1986), cassava (Raemakers et al. 1993) and melon (Oridate el al. 1992) were obtained, on explants placed in medium containing an auxin. After an induction period in auxin containing medium, the embryos developed on the explants, which were then transferred to hormone free medium. No PEMs were observed, and no embryogenic cell suspensions were formed. This method therefore differed form the one described in this thesis. The importance of the initiation phase was also emphasized for Hevea brasiliensis ( Micheaux-Ferriere and Carron 1989). In this case the length of time of the first two subculture periods on solidified, auxin containing medium, determined whether embryos were formed in the third subculture period, after transfer to auxin-free medium. Although PEMs were not observed, the general conclusion of Micheaux-Ferriere and Carron (1989) is in accordance with the results we have obtained for cyclamen and cucumber. The majority of cases of somatic embryogenesis described in literature use a callus phase on solid medium (Ammirato 1983, Zimmerman 1993). This seems to be the generally accepted method for obtaining somatic embryos, even when subsequently suspension cultures are made by dispersing the callus in liquid medium.It is our conviction that a callus phase should be avoided, since it is unnecessary laborious, and may lead to genetic instability and loss of embryogenic potential, as will be discussed below. Furthermore, with callus controlled growth is hard to establish, and in contrast to starting embryogenic cell lines in liquid medium, which is now possible, the large scale production of somatic embryos from callus cultures may not be feasible.Optimal proliferation of PEMs.Once embryogenic cell lines are obtained the PEMs have to be proliferated in order to produce the number of embryos wanted. For proliferation it is essential that PEMs are arrested in their development to embryos. Moreover, the number of PEMs must be multiplied by growth and subsequent disintegration. A single PEM, with a doubling time of 3.5 days, will produce 1 million PEMs in 10 weeks. The doubling times of plant cells, cultured in vitro , reported for cells of different species, range from 1.0 to 6.3 days, but it is not known whether embryogenic cell lines were used in all cases (Taticek et al. 1991). It will be obvious that the amounts of nutrients required for this proliferation are substantial. In our system, the proliferation was performed in flasks, and the cell lines were subcultured every 14 days. This included the complete replacement of the medium and dilution of the cells to a standard cell density per flask. Apart form the hormones, also the optimal nutrient composition of the maintenance medium differs for various crops. For cyclamen and carrot B5 medium was suitable, but for cucumber KK medium was used. For cucumber the medium composition had to be changed after the initiation phase. Initiation of cucumber cell lines was done in MS medium, but MS medium proved to be inadequate for the long term maintenance of the embryogenic cell line (Chapter 6).During a 14 day subculture period, nutrients are consumed by the growing cells. If the initial concentration of a nutrient in the medium is too low it may get depleted before the end of the subculture period, resulting in a decrease in growth rate. Indeed for cyclamen cell lines, growing in B5 medium, we observed depletion of ammonium after six days and this caused a decrease in growth rate (Chapter 5, Fig. 3). A similar observation was made for alfalfa growing in Schenk and Hildebrandt medium, containing 3 mM ammonium (McDonald and Jackman 1989). Uptake of nutrients were also measured in carrot cell lines growing in B5 medium, and it was found that phosphate could be depleted in 6 days (Ashihara and Nygaard 1989). Carrot cell lines even ceased growing, also known as the stationary phase, 10 days after subculturing due to sugar depletion (starting with 58 mM sucrose, Dijkema et al. 1988). Sugar depletion and subsequent cessation of growth were also observed in cucumber cell lines growing in MS medium with 86 mM of sucrose (Callebout and Motte 1988). Carrot cell lines showed an increased percentage of polyploid cells and loss of embryogenic potential, if subculture periods were extended and a stationary phase was reached (Bayliss 1975, Halperin 1966). Ashihara and Nygaard (1989) observed a decrease in RNA content of carrot cells during phosphate depletion. It was suggested that cells needed breakdown products of RNA, caused by reduced capacity for de novo synthesis. Depletions during the stationary phase may lead to impaired protein synthesis and affect control mechanisms, and may eventually lead to genetic instability (Bayliss 1975). Apparently it seems advantageous to avoid a stationary phase during a subculture period (Bayliss 1975).In the proliferation phase, it is essential to prevent the formation of embryos from PEMs. When this is not adequately dealt with, premature embryo formation will occur and all PEMs may be lost. The balance between the auxin and the cytokinin, and the concentration of the auxin, determine whether the PEMs will proliferate or develop into an embryo. In contrast to the initiation phase, where the hormones function as inducing compounds of the embryogenic potential, their role in the proliferation phase is totally different. The initial hormone concentration during a subculture period is important, and in general, a high auxin to cytokinin ratio is required. Low auxin to cytokinin ratios or low auxin concentrations may lead to premature embryo formation. We found that for cyclamen this ratio should be about 5 and for cucumber about 20. In cucumber, the increase in the 2,4-D concentration from 5 μM in the initiation phase to 45 μM in the proliferation phase, had an additional effect of a 6-fold increase in the number of PEMs per PCV (Chapter 6). In cyclamen such effect was however not observed (Chapter 5).In other studies on embryogenic cucumber cell lines (reviewed by Debeaujon and Branchard 1993), usually 2 to 5 μM of auxin is used. By comparison, the 45 μM 2,4-D used in our cucumber cell lines is very high. This difference is most probably explained by the rapid growth of our cell lines in KK medium. The actual growth rates of cucumber cell lines in other studies were never reported, but since in most cases callus cultures were used, the growth rates were probably much lower.The proliferation of embryogenic carrot cell lines in hormone-free medium containing ammonium as the sole nitrogen source, which results in low medium pH, was reported by Smith and Krikorian (1990). In that case PEMs were maintained and proliferated without the premature formation of embryos. This remarkable medium may be an example of the relationship between nutrients and hormones, noticed by Preece (1995), and illustrates how nutrients and hormones substitute for each other in specialized circumstances in carrot cell lines.An intriguing phenomenon was observed, in both cyclamen and cucumber cell lines. A large variation in the number of PEMs during a subculture period, in the size fractions 150- 300 μm and 100-150 μm, respectively, was observed (Chapter 5, Fig. 6, Chapter 6, Fig. 3). Due to growth of the cell lines, the number of PEMs increased, but the number of PEMs in a specific fraction varied during a subculture period. The specific fractions were chosen for their ability to produce single embryos, and represent only a small part of the whole biomass. The variation in the number of PEMs in these fractions may represent a small, but significant change in average PEM size during a subculture period. This might be related to the discontinuity of the process and a possible explanation is the following. At the start of the subculture period the nutrient and hormone concentrations in the medium are high, possibly resulting in a disintegration of large PEMs, and as a result, in an increase in the number of small PEMs (Halperin and Jensen 1967). Due to growth of the cells, the concentrations of nutrients and hormones in the medium decrease, possibly preventing PEMs from disintegrating, and consequently, decreasing the number of small PEMs in the specific fractions mentioned above. McDonald and Jackman (1989) measured that during a subculture period nutrients, pH of the medium, hormones and osmotic pressure varied dramatically, possibly explaining the change in the average size of the PEMs. Similar variations in aggregate size were observed for other species, but it was not mentioned whether embryogenic cell lines were used (Taticek et al. 1991).The maintenance of cell lines should be one of the best controlled phases, for the cell line is the source of all the embryos and has to be maintained for a prolonged period. PEMs have to be proliferated without loss of embryogenic potential and without premature embryo formation. We have shown that control of this phase can be achieved by medium adaptations and controlled subculture regimes.Production of somatic embryos.For producing somatic embryos, PEMs are sieved from a cell line, and then inoculated in hormone-free medium. In our studies on carrot, as well as cyclamen and cucumber, we observed that large PEMs tend to produce more than one embryo which are usually interconnected. On the other hand, very small PEMs tend to be less efficient in embryo formation, and a low percentage of these small PEMs actually forms an embryo. Chee and Cantliffe (1992) obtained similar results in sweetpotato, but their cell lines were produced from dispersed callus which may be the reason for the observed low efficiency of embryo formation.In order to produce as many single embryos as possible, and at the same time a high efficiency of embryo formation, for cyclamen and cucumber the best results with PEMs between 50 and 300 μm. The formation of embryos from PEMs, does not require exogenous hormones or other specific compounds, indicating that PEMs are fully capable of producing an embryo-like structure with as well a root and a shoot meristern. After transfer to hormonefree medium and dilution, the morphogenetic potential is 'released' and the embryo is formed, almost by itself. Successively, the PEMs develop into a globular, heart and torpedo shaped embryo. In cyclamen this is difficult to recognize due to the monocot-like nature of this dicot. It is our view that PEMs can be regarded as embryos arrested in their development, and the induction of embryo formation is therefore not induced in the hormone-free medium, but already during the initiation phase.The efficiency of embryo formation, expressed as the percentage of PEMs forming an embryo, can be high. In cucumber this usually was 10 to 20%, but in carrot and cyclamen it was more than 60%. Dijkema et al. (1988) showed that the efficiency of embryo formation of carrot cell lines, varied during a subculture period, with an optimum at 7 days. We have never observed such variation during a subculture period with cyclamen and cucumber. This might be related to the observed cessation of growth of the carrot cells at the end of the subculture period, under the conditions used by Dijkema et al. (1988). Suboptimal growth conditions during the proliferation phase apparently decreased the ability of PEMs to form embryos. It suggests that the quality of the PEMs is related to the growth circumstances in the proliferation phase.In our experience the nutrient composition required for optimal embryo development, may differ from that of the maintenance medium. With both cyclamen and cucumber the maintenance medium, B5 medium for cyclamen and KK medium for cucumber, had to be changed into MS medium for optimal embryo development. The low initial cell density during embryo development will undoubtedly determine the suitability of a medium. Apparently the developing embryo has nutrient demands different from the proliferating PEMs. For cucumber ABA has been reported to improve embryo morphology (Ladyman and Girard 1992), but ABA is not generally applied (Debeaujon and Branchard 1993). For cyclamen, a high sucrose content favoured the formation of embryos, and prevented the formation of only roots (Chapter 5, Fig. 8). High sucrose concentrations were also used by Wicart et al. (1984) in the formation of cyclamen embryos on callus. Specific additions, like hormones (ABA) or high sucrose concentrations, may be required to improve the efficiency or germination, but we found that, in principle, hormone-free medium and low cell densities are sufficient for embryo development.Genetic stability is essential.In Chapter 5 and 6 we showed that, when the generation of embryogenic cell lines was performed in liquid medium, genetic stable embryogenic cell lines were obtained, which could be maintained for years without loss of embryogenic potential.For the large scale propagation of plants, using in vitro techniques, genetic stability is an essential prerequisite, since plants that differ from the mother plant, have little value. In tissue culture, somaclonal variation is widespread (Bayliss 1980, Lee and Phillips 1988), and often found when 'undifferentiated' tissue, designated callus, is propagated on solidified medium. Whether callus is undifferentiated can be argued, but it is clear that growth of cell clumps on a solidified medium differs from growth of PEMs in liquid medium. Callus on agar plates often shows polyploidization (Ashmore and Shapcott 1989, Custers et al. 1990, Ezura and Oosawa 1994, Pijnacker et al. 1989, Schwenkel and Grunewald 1991). In Haplopappus gracilis it was demonstrated that callus cultures resulted in more polyploidization than suspension cultures (Ashmore and Shapcott 1989). In a callus clump, only a minor part of the cells is in contact with the medium and directly receives the nutrients required for growth. The majority of the cells will receive nutrients via the intercellular spaces or via cell-cell contact. The supply of nutrients will therefore be limited by diffusion and concentration gradients, and there may be shortages of essential nutrients. This may result in a lower growth rate, or even absence of exponential growth. The stress imposed on the cells in this way, may possibly result in polyploidization or other deviations in genetic constitution.Our observation that during the initiation of cucumber cell lines, growth of tetraploid cells is favoured above diploid cells, is remarkable. Starting from chimaeric explants, consisting of diploid and tetraploid cells, fully tetraploid cell lines could be obtained. No octaploid PEMs were detected, showing that polyploidization did not occur, and that the cell lines were genetically stable. The ploidy level of cell lines of a mixed ploidy level did not change after removing the explant during proliferation of the PEMs in the maintenance medium. As was shown in Chapter 6, the growth rate of diploid and tetraploid cells was therefore equal. PEMs are either diploid or tetraploid and fully diploid cucumber cell lines could be obtained by selection and further proliferation of individ

Fractal-based autonomous partial discharge pattern recognition method for MV motors

On-line partial discharge (PD) monitoring is being increasingly adopted to improve the asset management and maintenance of medium-voltage (MV) motors. This study presents a novel method for autonomous analysis and classification of motor PD patterns in situations where a phase-reference voltage waveform is not available. The main contributions include a polar PD (PPD) pattern and a fractal theory-based autonomous PD recognition method. PPD pattern that is applied to convert the traditional phase-resolved PD pattern into a circular form addresses the lack of phase information in on-line PD monitoring system. The fractal theory is then presented in detail to address the task of discrimination of 6 kinds of single source and 15 kinds of multi-source PD patterns related to motors, as outlined in IEC 60034. The classification of known and unknown defects is calculated by a method known as centre score. Validation of the proposed method is demonstrated using data from laboratory experiments on three typical PD geometries. This study also discusses the application of the proposed techniques with 24 sets of on-site PD measurement data from 4 motors in 2 nuclear power stations. The results show that the proposed method performs effectively in recognising not only the single-source PD but also multi-source PDs

Positive diagnostic values and histological detection ratios from the Rotterdam cervical cancer screening programme

BACKGROUND: In organized screening programmes for cervical cancer, pre-cancerous lesions are detected by cervical smears. However, during follow-up after a positive smear these pre-cancerous lesions are not always found. The purpose of the study is to analyse positive diagnostic values of smears of at least mild dysplasia, made under the organized screening programmes in the Rotterdam area (1979-1991), and detection ratios of histologically confirmed CIN > or =3, among women participating in these screening programmes. METHODS: Positive diagnostic values and histological detection ratios, by age and history of previous smears, recorded during the national screening programme (1989-1991), were compared with those of the experimental cervical cancer screening project (1976-1984). RESULTS: The positive diagnostic value of a smear with at least severe dysplasia (histologically confirmed CIN > or =3) remains approximately 78%. For smears with mild and moderate dysplasia only lower limits of the diagnostic value could be determined. This was 9% for a smear with mild dysplasia obtained during the national screening programme and 25% and 35% for smears with moderate dysplasia taken during the experimental and national screening programmes respectively. Histological detection ratios for CIN > or =3 in the three rounds of the experimental screening project were 4.7, 2.9 and 1.9. In the first round of the national screening programme the ratio was 4.7, and about three times higher in younger compared to older women. CONCLUSION: Immediate referral for colposcopy after a smear showing moderate dysplasia seems questionable. Whether the increased detection ratio among young women indicates a rise in the risk of cervical cancer is unclear

Endoplasmic reticulum stress enhances fibrosis through IRE1α-mediated degradation of miR-150 and XBP-1 splicing

ER stress results in activation of the unfolded protein response and has been implicated in the development of fibrotic diseases. In this study, we show that inhibition of the ER stress-induced IRE1α signaling pathway, using the inhibitor 4μ8C, blocks TGFβ-induced activation of myofibroblasts in vitro, reduces liver and skin fibrosis in vivo, and reverts the fibrotic phenotype of activated myofibroblasts isolated from patients with systemic sclerosis. By using IRE1α(-/-) fibroblasts and expression of IRE1α-mutant proteins lacking endoribonuclease activity, we confirmed that IRE1α plays an important role during myofibroblast activation. IRE1α was shown to cleave miR-150 and thereby to release the suppressive effect that miR-150 exerted on αSMA expression through c-Myb. Inhibition of IRE1α was also demonstrated to block ER expansion through an XBP-1-dependent pathway. Taken together, our results suggest that ER stress could be an important and conserved mechanism in the pathogenesis of fibrosis and that components of the ER stress pathway may be therapeutically relevant for treating patients with fibrotic diseases

Short-Term Thermal Acclimation Modifies the Metabolic Condition of the Coral Holobiont

The nutritional symbiosis between coral hosts and photosynthetic dinoflagellates is fundamental to the functioning of coral reefs. Rising seawater temperatures destabilize this relationship, resulting in drastic declines in world-wide coral cover. Thermal history is thought to play an important role in shaping a coral\u27s response to subsequent thermal stress. Here, we exposed Pocillopora damicornis to two thermal acclimation regimes (ambient vs. warm) and compared the effect that acclimation had on the coral holobiont\u27s response to a subsequent seven day heat stress event. We conducted daily physiological measurements at the holobiont level (gross photosynthesis, respiration, host protein content, symbiont density and chlorophyll content) throughout the heating event, as well as cellular-level imaging of 13C-bicarbonate and 15N-nitrate assimilation (using NanoSIMS) at the end of the heat stress event. Thermal acclimation history had a negligible effect on the measurements conducted at the holobiont level during the heat stress event. No differences were observed in the O2-budget between ambient and warm-acclimated corals and only small fluctuations in host protein, symbiont density and chlorophyll content were detected. In contrast, this lack of differential response, was not mirrored at the cellular level. Warm-acclimated corals had substantially higher 13C enrichment in the host gastrodermis and lipid bodies, but significantly lower 15N-nitrate assimilation in the symbionts and the host tissue layers, relative to the ambient-acclimated corals. We discuss potential reasons for the disconnect that occurred between symbiont bicarbonate and nitrate assimilation (in the absence of photosynthetic breakdown) in the warm-acclimated corals. We suggest this represents either a shift in nitrogen utilization, or supply limitation by the host. Our findings raise several interesting hypotheses regarding the role that nitrogen metabolism plays in thermal stress, which will warrant further investigation if we are to understand the acclimatization capacity of the coral holobiont

The consumption of protein-rich foods in older adults: An exploratory focus group study

Objective: Many older adults consume inadequate protein for their needs. This study explored the factors associated with the consumption of high-protein foods in older adults. Methods: Participants over the age of 65 years (n = 28) took part in 1 of 4 focus group discussions on meat, fish, eggs, dairy products, nuts, and pulses. Discussions were audio taped, transcribed, and analyzed using thematic analysis. Results: Numerous and various reasons for the consumption and non-consumption of high-protein foods were reported. Many of these reasons result from reductions in chemosensory, dental and physical abilities, and changes in living situation in the older population, and have impact specifically on high-protein foods because of their often hard, perishable and need-to-be-cooked nature, and high cost. Conclusions and Implications: Further work is required to establish the importance of each of thesereasons in relation to protein intakes, to prioritize those of likely greatest impact for increasing intakes. © 2013 Society for Nutrition Education and Behavior

HLA-matched platelet transfusions are effective only in refractory patients with positive HLA antibody screening

BACKGROUND Recipients of platelet transfusions with 1-hour corrected count increments (1hCCIs) of 7.5 or less on two subsequent platelet transfusions with random platelets may benefit from human leukocyte antigen (HLA)-matched platelet concentrates. We aimed to quantify the efficacy of HLA-matched platelets concentrates expressed in 1hCCIs. METHODS We performed a cohort study among consecutive refractory patients who received HLA-matched platelet concentrates in the Netherlands between 1994 and 2017. We performed mixed-model linear regression comparing 1hCCIs after HLA split-antigen-matched transfusions with 1hCCIs after HLA-mismatched transfusions, adjusted for within-patient correlations. A donor-to-patient match was categorized as a split-match if all donor HLA-A and -B antigens were present in the patient as well; that is, donor and patient were HLA identical or compatible. Subgroup analyses were performed for patients with positive or negative HLA antibody screens. Finally, the additional effect of ABO mismatches on 1hCCIs was investigated. RESULTS The 1hCCI after an HLA-matched transfusion was 14.09 (95% reference interval, 1.13-29.89). This was 1.94 (95% confidence interval [CI], 0.74-3.15) higher than 1hCCI after HLA-mismatched transfusions. In patients with negative HLA antibody screening tests, HLA matching did not affect 1hCCIs. Conditional on HLA matching, 1hCCIs decreased by 3.70 (95% CI, -5.22 to -2.18) with major ABO mismatches. CONCLUSION Matched platelet concentrates yielded maximal 1hCCIs, whereas mismatched transfusions still resulted in adequate increments. There is no indication for HLA-matched platelets in patients with negative antibody screens

Ensuring HLA-matched platelet support requires an ethnic diverse donor population

BACKGROUND: Patients refractory for platelet transfusions benefit from human leukocyte antigen (HLA)-matched platelet transfusions. Differences in ethnic background of patients and donors could hamper the availability of sufficient numbers of HLA-matched donors for all patients. We evaluated our HLA-matched donor program and explored the role of ethnic background of patients related to the number of available donors. METHODS: We performed a cohort study among consecutive patients who received HLA-matched platelet concentrates in the Netherlands between 1994 and 2017. The number of available matched donors was determined per patient. Haplotypes were constructed from genotypes with computer software (PyPop). Based on haplotypes, HaploStats, an algorithm from the National Marrow Donor Program, was used to assess the most likely ethnic background for patients with 5 or fewer and 30 or more donors. RESULTS: HLA typing was available for 19,478 donors in September 2017. A total of 1206 patients received 12,350 HLA-matched transfusions. A median of 83 (interquartile range, 18-266) donors were available per patient. For 95 (10.3%) patients, 5 or fewer donors were available. These patients were more likely to have an African American background, whereas patients with 30 or more donors were more often from Caucasian origin, compared with Caucasian origin for patients with 30 donors. CONCLUSION: Adequate transfusion support could be guaranteed for most but not all refractory patients. More non-Caucasian donors are required to ensure the availability of HLA-matched donors for all patients in the Netherlands

Outflows of very ionized gas in the center of Seyfert galaxies: kinematics and physical conditions

Mid-resolution spectra are used to deduce the size and kinematics of the coronal gas in a sample of Seyfert galaxies by means of observations of the [FeXI], [FeX], [FeVII], [SiVI] and [SiVII] lines. These coronal lines (CL) extend from the unresolved nucleus up to a few tens to a few hundreds of parsecs. The region of the highest ionized ions studied, [FeXI] and [FeX], is the least spatially extended, and concentrates at the center; intermediate ionization lines extend from the nucleus up to a few tens to a few hundred parsecs; lower [OIII]-like ions are known to extendin the kpc range. All together indicates a stratification in the ionized gas, usually interpreted in terms of nuclear photoionization as the driving ionization mechanism. However, CL profiles show various peculiarities: they are broader by a factor of two than lower ionization lines, the broadening being in terms of asymmetric blue wings, and their centroid position at the nucleus is blueshifted by a few hundreds of km/s. Moreover, in NGC1386 and NGC1068, a double peak [FeVII] line is detected in the nuclear and extended coronal region, this being the first report in of such type of profile in CL in active galactic nuclei. If interpreted as outflow signatures, the total broadening of the lines at zero intensity levels implies gas velocities up to 2000 km/s. Although the stratification of ions across the coronal region means that photoionization is the main power mechanism, the high velocities deduced from the profiles, the relatively large spatial extension of the emission, and the results from photoionization models indicate that an additional mechanism is at work. We suggest that shocks generated by the outflow could provide the additional required power for line formation.Comment: Accepted for publication in the Astrophysical Journal. 40 pages, 15 figures. Minor changes made on the affiliation of one co-autho