Mechanism of Voriconazole-Induced Transient Visual Disturbance: Reversible Dysfunction of Retinal ON-Bipolar Cells in Monkeys

PURPOSE. To investigate the mechanism of voriconazole-induced transient visual disturbance in humans. METHODS. Standard full-field electroretinograms (ERGs) were recorded from monkeys treated intravenously with voriconazole. In addition, photopic ERGs elicited by long-duration stimuli (ON-OFF response) were also recorded from monkeys receiving intravenous voriconazole or intravitreal 2-amino-4-phosphonobutyric acid (APB). RESULTS. Characteristic changes were observed in the waveform of the standard full-field ERGs obtained immediately after dosing of voriconazole as follows: electronegative combined rod-cone response (markedly attenuated b-wave and oscillatory potentials), undetectable rod response (eliminated b-wave); slightly abnormal single-flash cone response (flattened appearance in the bottom of the a-wave, mildly attenuated b-wave); and slightly abnormal 30 Hz flicker (mildly attenuated b-wave). The above changes fully recovered to baseline 24 hours after each dosing, along with a decrease in plasma voriconazole concentration. In addition, the change in the waveform of the ON-OFF response recorded in voriconazole-treated monkeys was quite similar to that recorded in APB-treated monkeys as follows: the b-wave was eliminated or prominently attenuated; and the a-and d-waves were not apparently attenuated. V oriconazole is a triazole antifungal agent with potent activity against a broad spectrum of clinically significant pathogens. 1-3 Voriconazole has been generally well tolerated in clinical trials 4 and postmarketing surveillances 5-7 with frequently reported adverse events of transient visual disturbances, which are described as enhanced/altered light perception, photopsia, photophobia, blurred vision, or color vision changes without any abnormality in the fundus oculi. Very few studies have focused on the detailed effect of voriconazole on retinal function, although the retina is generally considered to be the site of the visual disturbances because reversible decreases in the amplitude of the electroretinogram (ERG) were noted in voriconazole-treated humans. METHODS Animals A total of ten cynomolgus monkeys (Macaca fascicularis) between three and eight years of age were used in this study. The animals were housed individually in stainless steel cages in an animal study room where the environmental condition was set as follows: room temperature, 24°C; relative humidity, 60%; illumination, 12-hour lighting (7:00 to 19:00) at 150 to 300 luces. The animals were fed 100 g per animal per day of pellet food for monkeys (PS; Oriental Yeast Co., Ltd., Tokyo, Japan). Tap water from a feed-water nozzle was supplied ad libitum to the animals. All experimental procedures adhered to the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research, and were approved by the Institutional Animal Care Committee of DaiichiSankyo Co. Ltd. Drug Administration Voriconazole (VFEND for Intravenous Use; Pfizer Inc., New York, NY) was dissolved in physiologic saline. The dose formulation was administered intravenously at a rate of 0.2 mL/kg per minute for ten minutes to six animals with increasing doses of 0, 3, 6 and 12 mg/kg at intervals of one week or more, and the standard full-field ERGs were recorded as described below. Several months after the 12 mg/kg dosing, voriconazole was administered to three animals at 0 mg/kg and to another three animals at 6 mg/kg in the same manner, and the photopic ERG elicited by a long-duration stimulus (the ON-OFF response) was recorded as described below. Intravitreal injection of 2-amino-4-phosphonobutyric acid (APB) (Sigma-Aldrich; St. Louis, MO) was also conducted in two animals several weeks after the last dosing of voriconazole mentioned above. The techniques for intravitreal injection have been described in detail elsewhere

Hydrothermal Aluminum-Phosphate-Sulfates in Ash from the 2014 Hydrothermal Eruption at Ontake Volcano, Central Honshu, Japan

Aluminum-phosphate-sulfates (APS) of the alunite supergroup occur in igneous rocks within zones of advanced argillic and silicic alteration in porphyry and epithermal ore environments. In this study we report on the presence of woodhouseite-rich APS in ash from the 27 September 2014 hydrothermal eruption of Ontake volcano. Scanning electron microscope coupled with energy dispersive X-ray spectrometer (SEM-EDS) and field emission (FE)-SEM-EDS observations show two types of occurrence of woodhouseite: (a) as cores within chemically zoned alunite-APS crystals (Zoned-alunite-woodhouseite-APS), and (b) as a coherent single-phase mineral in micro-veinlets intergrown with similar micro-veinlets of silica minerals (Micro-wormy-vein woodhouseite-APS). The genetic environment of APS minerals at Ontake volcano is that of a highly acidic hydrothermal system existing beneath the volcano summit, formed by condensation in magmatic steam and/or ground waters of sulfur-rich magmatic volatiles exsolved from the magma chamber beneath Mt. Ontake. Under these conditions, an advanced argillic alteration assemblage forms, which is composed of silica, pyrophyllite, alunite and kaolinite/dickite, plus APS, among other minerals. The discovery of woodhouseite in the volcanic ash of the Ontake 2014 hydrothermal eruption represents the first reported presence of APS within an active volcano. Other volcanoes in Japan and elsewhere with similar phreatic eruptions ejecting altered ash fragments will likely contain APS minerals derived from magmatic-hydrothermal systems within the subvolcanic environment. The presence of APS minerals within the advanced argillic zone below the summit vent of Ontake volcano, together with the prior documentation of phyllic and potassically altered ash fragments, provides evidence for the existence within an active volcano in Japan of an alteration column comparable to that of porphyry copper systems globally

Effects of Temperature and Mobile Phase Condition on Chiral Recognition of Poly(l-phenylalanine) Chiral Stationary Phase

Characteristics of the chiral stationary phase with poly(l-phenylalanine) peptide selector, which was in α-helical state, was reported. Since environmental factors affect peptide conformation, the changes in enantioselectivity were examined depending on column temperature and mobile phase conditions (ionic strength, pH, mobile phase composition). Column temperature and pH drastically affected the enantioselectivity. Based on these changes, the relation between chiral recognition and secondary structure of the peptide selector was discussed. The column stability during sequential analysis under different separation conditions was also evaluated

The whole blood transcriptional regulation landscape in 465 COVID-19 infected samples from Japan COVID-19 Task Force

「コロナ制圧タスクフォース」COVID-19患者由来の血液細胞における遺伝子発現の網羅的解析 --重症度に応じた遺伝子発現の変化には、ヒトゲノム配列の個人差が影響する--. 京都大学プレスリリース. 2022-08-23.Coronavirus disease 2019 (COVID-19) is a recently-emerged infectious disease that has caused millions of deaths, where comprehensive understanding of disease mechanisms is still unestablished. In particular, studies of gene expression dynamics and regulation landscape in COVID-19 infected individuals are limited. Here, we report on a thorough analysis of whole blood RNA-seq data from 465 genotyped samples from the Japan COVID-19 Task Force, including 359 severe and 106 non-severe COVID-19 cases. We discover 1169 putative causal expression quantitative trait loci (eQTLs) including 34 possible colocalizations with biobank fine-mapping results of hematopoietic traits in a Japanese population, 1549 putative causal splice QTLs (sQTLs; e.g. two independent sQTLs at TOR1AIP1), as well as biologically interpretable trans-eQTL examples (e.g., REST and STING1), all fine-mapped at single variant resolution. We perform differential gene expression analysis to elucidate 198 genes with increased expression in severe COVID-19 cases and enriched for innate immune-related functions. Finally, we evaluate the limited but non-zero effect of COVID-19 phenotype on eQTL discovery, and highlight the presence of COVID-19 severity-interaction eQTLs (ieQTLs; e.g., CLEC4C and MYBL2). Our study provides a comprehensive catalog of whole blood regulatory variants in Japanese, as well as a reference for transcriptional landscapes in response to COVID-19 infection

DOCK2 is involved in the host genetics and biology of severe COVID-19

「コロナ制圧タスクフォース」COVID-19疾患感受性遺伝子DOCK2の重症化機序を解明 --アジア最大のバイオレポジトリーでCOVID-19の治療標的を発見--. 京都大学プレスリリース. 2022-08-10.Identifying the host genetic factors underlying severe COVID-19 is an emerging challenge. Here we conducted a genome-wide association study (GWAS) involving 2, 393 cases of COVID-19 in a cohort of Japanese individuals collected during the initial waves of the pandemic, with 3, 289 unaffected controls. We identified a variant on chromosome 5 at 5q35 (rs60200309-A), close to the dedicator of cytokinesis 2 gene (DOCK2), which was associated with severe COVID-19 in patients less than 65 years of age. This risk allele was prevalent in East Asian individuals but rare in Europeans, highlighting the value of genome-wide association studies in non-European populations. RNA-sequencing analysis of 473 bulk peripheral blood samples identified decreased expression of DOCK2 associated with the risk allele in these younger patients. DOCK2 expression was suppressed in patients with severe cases of COVID-19. Single-cell RNA-sequencing analysis (n = 61 individuals) identified cell-type-specific downregulation of DOCK2 and a COVID-19-specific decreasing effect of the risk allele on DOCK2 expression in non-classical monocytes. Immunohistochemistry of lung specimens from patients with severe COVID-19 pneumonia showed suppressed DOCK2 expression. Moreover, inhibition of DOCK2 function with CPYPP increased the severity of pneumonia in a Syrian hamster model of SARS-CoV-2 infection, characterized by weight loss, lung oedema, enhanced viral loads, impaired macrophage recruitment and dysregulated type I interferon responses. We conclude that DOCK2 has an important role in the host immune response to SARS-CoV-2 infection and the development of severe COVID-19, and could be further explored as a potential biomarker and/or therapeutic target

Hydrothermal Aluminum-Phosphate-Sulfates in Ash from the 2014 Hydrothermal Eruption at Ontake Volcano, Central Honshu, Japan

Aluminum-phosphate-sulfates (APS) of the alunite supergroup occur in igneous rocks within zones of advanced argillic and silicic alteration in porphyry and epithermal ore environments. In this study we report on the presence of woodhouseite-rich APS in ash from the 27 September 2014 hydrothermal eruption of Ontake volcano. Scanning electron microscope coupled with energy dispersive X-ray spectrometer (SEM-EDS) and field emission (FE)-SEM-EDS observations show two types of occurrence of woodhouseite: (a) as cores within chemically zoned alunite-APS crystals (Zoned-alunite-woodhouseite-APS), and (b) as a coherent single-phase mineral in micro-veinlets intergrown with similar micro-veinlets of silica minerals (Micro-wormy-vein woodhouseite-APS). The genetic environment of APS minerals at Ontake volcano is that of a highly acidic hydrothermal system existing beneath the volcano summit, formed by condensation in magmatic steam and/or ground waters of sulfur-rich magmatic volatiles exsolved from the magma chamber beneath Mt. Ontake. Under these conditions, an advanced argillic alteration assemblage forms, which is composed of silica, pyrophyllite, alunite and kaolinite/dickite, plus APS, among other minerals. The discovery of woodhouseite in the volcanic ash of the Ontake 2014 hydrothermal eruption represents the first reported presence of APS within an active volcano. Other volcanoes in Japan and elsewhere with similar phreatic eruptions ejecting altered ash fragments will likely contain APS minerals derived from magmatic-hydrothermal systems within the subvolcanic environment. The presence of APS minerals within the advanced argillic zone below the summit vent of Ontake volcano, together with the prior documentation of phyllic and potassically altered ash fragments, provides evidence for the existence within an active volcano in Japan of an alteration column comparable to that of porphyry copper systems globally