78 research outputs found
Effects of Selenium Supplementation and Chronic Inflammation on Bone Microarchitecture and Strength in Mice
The effects of dietary Se and lipopolysaccharide (LPS)-induced inflammation on microarchitecture and strength of bone were investigated in C57BL/6 mice. Timed-pregnant mice were fed a Torula yeast selenium-depletion diet from the final days of gestation through lactation. At 23 days of age, pups were weaned and randomly assigned to the depletion diet or to diets supplemented with a 0.2, 2 or 4 mg/kg diet of Se added as sodium selenate for 14 weeks. At 96 - 98 days of age mice were randomly assigned to placebo or to lipopolysaccharide (E. coli Serotype 0127:B8) treatment to produce chronic inflammation. Time release pellets (0 or 0.1 g/g body weight/d) were implanted subcutaneously. Mice were killed at 120 days of age after an overnight fast. Bone densitometry and organ and body weights were used to determine health status. Se status was assessed through Gpx3 activity, and plasma and liver Se concentration. Micro-CT was used to assess trabecular bone of the fourth lumbar vertebra (L4) and trabecular and cortical bone of tibia. Using finite element analysis a simulated compression test in the z direction was used to assess strength of trabecular cores. Low dose inflammation did not cause significant loss of body weight by necropsy, but LPS tended to increase thymus weight (p = 0.06). Reduced BMD and BMC showed a catabolic state due to LPS (p = 0.02). LPS-treatment tended (p = 0.06) to reduced tibia cortical thickness and increase cortical porosity (p = 0.07), while significantly reducing many parameters of trabecular bone. Inflammation tended (p = 0.07) to increase von Mises stress in tibia trabecular bone, and significantly reduced stiffness in L4. GPx3 activity as well as plasma and liver Se concentration were significantly higher in the Se adequate group than in the Se deficient group, but didn't differ significantly from mice in the highly supplemented groups. Liver weight was significantly reduced in the 4 mg Se/kg group indicating possible toxicity. Contrary to our hypothesis, tibia and L4 trabecular bone parameters in Se deficient mice were significantly improved compared to Se adequate mice and compared with the Se supplemented groups. Tibia biomechanical measurements showed physiological force (p = 0.04) and stiffness (p = 0.04) to be higher, and von Mises stress (0.0001) to be lower in the Se deficient, 2.0 mg/kg and 2.0 mg/kg compared to the Se adequate mice. Interactive effects between LPS and diet in tibial connectivity density and SMI showed LPS to reduce bone strength only in the Se deficient group. Interactions between diet and LPS in average apparent strain, physiological force and von Mises stress of L4 also showed catabolic LPS effects only in the Se deficient and Se adequate groups. Further study in the mechanism of Se action in growing animals needs to be conducted to better explain these results.Department of Nutritional Science
Perspectives on the Application of Next-generation Sequencing to the Improvement of Africa’s Staple Food Crops
The persistent challenge of insufficient food, unbalanced nutrition, and deteriorating natural resources in the most vulnerable nations, characterized by fast population growth, calls for utilization of innovative technologies to curb constraints of crop production. Enhancing genetic gain by using a multipronged approach that combines conventional and genomic technologies for the development of stress-tolerant varieties with high yield and nutritional quality is necessary. The advent of next-generation sequencing (NGS) technologies holds the potential to dramatically impact the crop improvement process. NGS enables whole-genome sequencing (WGS) and re-sequencing, transcriptome sequencing, metagenomics, as well as high-throughput genotyping, which can be applied for genome selection (GS). It can also be applied to diversity analysis, genetic and epigenetic characterization of germplasm and pathogen detection, identification, and elimination. High-throughput phenotyping, integrated data management, and decision support tools form the necessary supporting environment for effective utilization of genome sequence information. It is important that these opportunities for mainstreaming innovative breeding strategies, enabled by cutting-edge “Omics” technologies, are seized in Africa; however, several constraints must be addressed before the benefit of NGS can be fully realized. African breeding programs must have access to high-throughput genotyping facilities, capacity in the application of genome selection and marker-assisted breeding must be built and supported by capacity in genomic analysis and bioinformatics. This chapter demonstrates how interventions with NGS-enabled innovative strategies can be applied to increase genetic gain with insights from the Consortium of International Agricultural Research (CGIAR) in general and the International Institute of Tropical Agriculture (IITA) in particular
Community based integrated vector management for malaria control : lessons from three years’ experience (2016–2018) in Botor-Tolay district, southwestern Ethiopia
BACKGROUND : Integrated vector management (IVM) remains a key strategy in the fight against vector-borne
diseases including malaria. However, impacts of the strategy should be regularly monitored based on feedback
obtained through research. The objective of this study was to assess the impact of IVM for malaria control in Botor-
Tolay district, southwestern Ethiopia after three years (2016–2018) of IVM implementation.
Method: Prior to the implementation of IVM, a survey of socio-demographic, malaria burden, and communities’
perception towards malaria control was conducted in 200 households selected at random from 12 villages using
standard questionnaire. Households were revisited after three years of project implementation for impact
assessment. Compiled malaria case data was obtained from district health bureau for the three years period of the
study while adult mosquito collection was conducted during each year using CDC light traps. Monthly larval
mosquito collections were made each year using standard dipping method. Community education and
mobilization (CEM) was made through different community-based structures.
RESULTS : The proportion of respondents who sought treatment in health facilities showed a significant increase
from 76% in 2015 to 90% in 2018(P < 0.001). An average of 6.3 working and 2.3 school days were lost per year in a
household due to parents and children falling sick with malaria. Malaria costs in a household in Botor-Tolay
averaged 13.3 and 4.5 USD per episode for medical treatment and transportation respectively. Significantly fewer
adult mosquitoes were collected in 2018 (0.37/house/trap-night) as compared to 2015 (0.73/house/trap-night)
(P < .001). Malaria cases significantly declined in 2018 (262) when compared to the record in 2015 (1162) (P < 0.001).
Despite improved human behavioral changes towards mosquito and malaria control, there were many setbacks
too. These include reluctance to seek treatment in a timely manner, low user compliance of LLINs and low net
repairing habit.
CONCLUSION : The coordinated implementation of community-based education, environmental management,
larviciding together with main core vector control interventions in Botor-Tolay district in Southwestern Ethiopia have contributed to significant decline in malaria cases reported from health facilities. However, commitment to
seeking treatment by people with clinical symptoms of malaria and to repair of damaged mosquito nets remained
low.Additional file 1. Cross sectional Survey Questionnaire.Biovision Foundationhttps://bmcpublichealth.biomedcentral.comam2020School of Health Systems and Public Health (SHSPH
Evaluating the impact of larviciding with Bti and community education and mobilization as supplementary integrated vector management interventions for malaria control in Kenya and Ethiopia
BACKGROUND : Malaria prevention in Africa is mainly through the use of long-lasting insecticide treated nets (LLINs).
The objective of the study was to assess the effect of supplementing LLINs with either larviciding with Bacillus thuringiensis
israelensis (Bti) or community education and mobilization (CEM), or with both interventions in the context of
integrated vector management (IVM).
METHODS : The study involved a factorial, cluster-randomized, controlled trial conducted in Malindi and Nyabondo
sites in Kenya and Tolay site in Ethiopia, to assess the impact of the following four intervention options on mosquitoes
and malaria prevalence: LLINs only (arm 1); LLINs and Bti (arm 2); LLINs and CEM (arm 3); and, LLINs combined with Bti
and CEM (arm 4). Between January 2013 and December 2015, CDC light traps were used to sample adult mosquitoes
during the second, third and fourth quarter of each year in 10 houses in each of 16 villages at each of the three study
sites. Larvae were sampled once a fortnight from potential mosquito-breeding habitats using standard plastic dippers.
Cross-sectional malaria parasite prevalence surveys were conducted involving a total of 11,846 primary school children
during the 3-year period, including 4800 children in Tolay, 3000 in Malindi and 4046 in Nyabondo study sites.
RESULTS : Baseline relative indoor anopheline density was 0.11, 0.05 and 0.02 mosquitoes per house per night in
Malindi, Tolay and Nyabondo sites, respectively. Nyabondo had the highest recorded overall average malaria prevalence
among school children at 32.4%, followed by Malindi with 5.7% and Tolay 1.7%. There was no significant reduction
in adult anopheline density at each of the three sites, which could be attributed to adding of the supplementary
interventions to the usage of LLINs. Malaria prevalence was significantly reduced by 50% in Tolay when using LLINs
coupled with application of Bti, community education and mobilization. The two other sites did not reveal significant
reduction of prevalence as a result of combining LLINs with any of the other supplementary interventions.
CONCLUSION : Combining LLINs with larviciding with Bti and CEM further reduced malaria infection in a low prevalence
setting in Ethiopia, but not at sites with relatively higher prevalence in Kenya. More research is necessary at the selected sites in Kenya to periodically determine the suite of vector control interventions and broader disease
management strategies, which when integrated would further reduce adult anopheline populations and malaria
prevalence beyond what is achieved with LLINs.The work was conducted with funding from Biovision Foundation (Grant No.
BV HH-07/2013-2015), UK’s Foreign, Commonwealth & Development Office
(FCDO); the Swedish International Development Cooperation Agency (Sida);
the Swiss Agency for Development and Cooperation (SDC); the Federal
Democratic Republic of Ethiopia; and the Government of the Republic of
Kenya.Biovision Foundation; UK’s Foreign, Commonwealth & Development Office (FCDO); the Swedish International Development Cooperation Agency (Sida); the Swiss Agency for Development and Cooperation (SDC); the Federal Democratic Republic of Ethiopia; and the Government of the Republic of Kenya.http://www.malariajournal.comam2021School of Health Systems and Public Health (SHSPH
Recommended from our members
In Vivo Efficacy of Artemether-Lumefantrine and Chloroquine against Plasmodium vivax: A Randomized Open Label Trial in Central Ethiopia
Background
In vivo efficacy assessments of antimalarials are essential for ensuring effective case management. In Ethiopia, chloroquine (CQ) without primaquine is the first-line treatment for Plasmodium vivax in malarious areas, but artemether-lumefantrine (AL) is also commonly used.
Methods and Findings
In 2009, we conducted a 42-day efficacy study of AL or CQ for P. vivax in Oromia Regional State, Ethiopia. Individuals with P. vivax monoinfection were enrolled. Primary endpoint was day 28 cure rate. In patients with recurrent parasitemia, drug level and genotyping using microsatellite markers were assessed. Using survival analysis, uncorrected patient cure rates at day 28 were 75.7% (95% confidence interval (CI) 66.8–82.5) for AL and 90.8% (95% CI 83.6–94.9) for CQ. During the 42 days of follow-up, 41.6% (47/113) of patients in the AL arm and 31.8% (34/107) in the CQ arm presented with recurrent P. vivax infection, with the median number of days to recurrence of 28 compared to 35 days in the AL and CQ arm, respectively. Using microsatellite markers to reclassify recurrent parasitemias with a different genotype as non-treatment failures, day 28 cure rates were genotype adjusted to 91.1% (95% CI 84.1–95.1) for AL and to 97.2% (91.6–99.1) for CQ. Three patients (2.8%) with recurrent parasitemia by day 28 in the CQ arm were noted to have drug levels above 100 ng/ml.
Conclusions
In the short term, both AL and CQ were effective and well-tolerated for P. vivax malaria, but high rates of recurrent parasitemia were noted with both drugs. CQ provided longer post-treatment prophylaxis than AL, resulting in delayed recurrence of parasitemia. Although the current policy of species-specific treatment can be maintained for Ethiopia, the co-administration of primaquine for treatment of P. vivax malaria needs to be urgently considered to prevent relapse infections.
Trial Registration
ClinicalTrials.gov NCT0105258
Burden of malaria among adult patients attending general medical outpatient department and HIV care and treatment clinics in Oromia, Ethiopia: a comparative cross-sectional study
Background
Malaria and HIV/AIDS constitute major public health problems in Ethiopia, but the burden associated with malaria-HIV co-infection has not been well documented. In this study, the burden of malaria among HIV positive and HIV negative adult outpatients attending health facilities in Oromia National Regional State, Ethiopia was investigated.
Methods
A comparative cross-sectional study among HIV-positive patients having routine follow-up visits at HIV care and treatment clinics and HIV-seronegative patients attending the general medical outpatient departments in 12 health facilities during the peak malaria transmission season was conducted from September to November, 2011. A total of 3638 patients (1819 from each group) were enrolled in the study. Provider initiated testing and counseling of HIV was performed for 1831 medical outpatients out of whom 1819 were negative and enrolled into the study. Malaria blood microscopy and hemoglobin testing were performed for all 3638 patients. Data was analyzed using descriptive statistics, Chi square test and multivariate logistic regression.
Results
Of the 3638 patients enrolled in the study, malaria parasitaemia was detected in 156 (4.3 %); malaria parasitaemia prevalence was 0.7 % (13/1819) among HIV-seropositive patients and 7.9 % (143/1819) among HIV-seronegative patients. Among HIV-seropositive individuals 65.4 % slept under a mosquito bed net the night before data collection, compared to 59.4 % of HIV-seronegative individuals. A significantly higher proportion of HIV-seropositive malaria-negative patients were on co-trimoxazole (CTX) prophylaxis as compared to HIV-malaria co-infected patients: 82 % (1481/1806) versus 46 % (6/13) (P = 0.001). HIV and malaria co-infected patients were less likely to have the classical symptoms of malaria (fever, chills and headache) compared to the HIV-seronegative and malaria positive counterparts. Multivariate logistic regression showed that HIV-seropositive patients who come for routine follow up were less likely to be infected by malaria (OR = 0.23, 95 % CI = 0.09–0.74).
Conclusion
The study documented lower malaria prevalence among the HIV-seropositive attendants who come for routine follow up. Clinical symptoms of malaria were more pronounced among HIV-seronegative than HIV-seropositive patients. This study also re-affirmed the importance of co-trimoxazole in preventing malaria symptoms and parasitaemia among HIV- positive patients
Identification of candidate flowering and sex genes in white Guinea yam (D. rotundata Poir.) by SuperSAGE transcriptome profiling
Open Access JournalDioecy (distinct male and female individuals) combined with scarce to non-flowering are common features of cultivated yam (Dioscorea spp.). However, the molecular mechanisms underlying flowering and sex determination in Dioscorea are unknown. We conducted SuperSAGE transcriptome profiling of male, female and monoecious individuals to identify flowering and sex-related genes in white Guinea yam (D. rotundata). SuperSAGE analysis generated a total of 20,236 unique tags, of which 13,901 were represented by a minimum of 10 tags. Of these, 88 tags were significantly differentially expressed in male, female and monoecious plants. Of the 88 differentially expressed SuperSAGE tags, 18 corresponded to genes previously implicated in flower development and sex determination in multiple plant species. We validated the SuperSAGE data with quantitative real-time PCR (qRT-PCR)-based analysis of the expression of four candidate genes. Our findings suggest that mechanisms of flowering and sex determination are likely conserved in Dioscorea. We further investigated the flowering patterns of 1938 D. rotundata accessions representing diverse geographical origins over two years, revealing that over 85% of the accessions are either male or non-flowering, and that less than 15% are female, while monoecious plants are rare. Intensity of flowering appeared to be a function of sex, with male plants flowering more abundantly than female ones. Candidate genes identified in this study can be targeted with the aim to induce regular flowering in poor to non-flowering cultivars. Findings of the study provide important inputs for further studies aiming to overcome the challenge of flowering in yams and to improve the efficiency of yam breeding
An assessment of participatory integrated vector management for malaria control in Kenya
BACKGROUND : The World Health Organization (WHO) recommends integrated vector management
(IVM) as a strategy to improve and sustain malaria vector control. However, this approach has not
been widely adopted.
OBJECTIVES : We comprehensively assessed experiences and findings on IVM in Kenya with a view
to sharing lessons that might promote its wider application.
METHODS : The assessment used information from a qualitative external evaluation of two malaria
IVM projects implemented between 2006 and 2011 and an analysis of their accumulated entomological
and malaria case data. The project sites were Malindi and Nyabondo, located in coastal and
western Kenya, respectively. The assessment focused on implementation of five key elements of IVM:
integration of vector control methods, evidence-based decision making, intersectoral collaboration,
advocacy and social mobilization, and capacity building.
RESULTS : IVM was more successfully implemented in Malindi than in Nyabondo owing to greater
community participation and multistakeholder
engagement. There was a significant decline in
the proportion of malaria cases among children admitted to Malindi Hospital, from 23.7% in
2006 to 10.47% in 2011 (p < 0.001). However, the projects’ operational research methodology
did not allow statistical attribution of the decline in malaria and malaria vectors to specific IVM
interventions or other factors.
CONCLUSIONS : Sustaining IVM is likely to require strong participation and support from multiple
actors, including community-based groups, non-governmental organizations, international and
national research institutes, and various government ministries. A cluster-randomized controlled
trial would be essential to quantify the effectiveness and impact of specific IVM interventions, alone
or in combination.Grants from the Biovision Foundation
(Switzerland) through the International Centre of
Insect Physiology and Ecology (ICIPE).http://ehp.niehs.nih.govam2016School of Health Systems and Public Health (SHSPH
- …