Cytomegalovirus (CMV)—Specific T Cell Immunity after Renal Transplantation Mediates Protection from CMV Disease by Limiting the Systemic Virus Load

The role of cytomegalovirus (CMV)—specific cytotoxic T lymphocytes (CTLs) and T helper cells (Th) in controlling CMV infection, as detected by antigenemia assay and polymerase chain reaction (PCR) in blood leukocytes, and CMV disease was investigated in 20 renal transplant recipients. Within 3 months after transplant, CMV-specific CTL and Th responses were demonstrable in 11 (55%) and 15 (75%) patients, respectively; CMV infection was detected by antigenemia and PCR in 19 (95%) patients each. During the month of first CMV detection, there was an inverse correlation between CTL response and antigenemia at ⩾20 positive cells/105 leukocytes (P =.007) but no association with lower antigenemia levels or PCR positivity. CMV disease developed in 7 (35%) patients and was associated with high-level antigenemia but was inversely correlated with detection of CTLs (P = .04). After renal transplantation, CMV-specific CTLs limit the systemic virus load as reflected by antigenemia levels and thereby mediate protection from CMV diseas

Phase I-II Trial of Foscarnet for Prevention of Cytomegalovirus Infection in Autologous and Allogeneic Marrow Transplant Recipients

The safety and efficacy of foscarnet for prevention of cytomegalovirus (CMV) infection was evaluated in 19 CMV-seropositive bone marrow transplant (BMT) recipients. All patients received intermittent intravenous (iv) foscarnet: 40 mg/kg every 8 h from 7 days before to day 30 after BMT, then 60 mg/kg once a day until day 75. The main toxicity was transient renal dysfunction, with a >50 µmol/L increase in serum creatinine above baseline in 5 of the 7 autograft recipients and in 6 of the 12 allograft recipients. Only 4 allograft recipients developed CMV infection during foscarnet prophylaxis, and no patient showed evidenceofCMV disease. Because 3 allograft recipients receiving concomitant iv amphotericin B showed rapid impairment of renal function, foscarnet prophylaxis should not be given to allograft recipients requiring amphotericin B; otherwise, foscarnet prophylaxis at this dose appears safe after BM

Tectonometamorphic history of the Gruf complex (Central Alps): exhumation of a granulite-migmatite complex with the Bergell pluton

We describe field occurrences of sapphirine-bearing granulites, charnockites and migmatites in the Gruf complex, Central Alps and present a new geological map and a structural analysis of the entire Gruf complex for the first time. We have carried out an accurate analysis of the relationships between granulite facies metamorphism, migmatisation and deformation within the complex, in relation to the intrusion of the Bergell pluton. Granulites and charnockites display fabrics different from those defined by the regional foliation and lineation, which are, typically for migmatites, disordered on the mesoscale. On a regional scale, strike variations are also related to the structural complexity of migmatites within which no major antiform could be identified. Irregular interfingering of sub-parallel leucosome veins and back-veining along the contact between the Gruf migmatites and the Bergell tonalite are evidence for contemporaneous emplacement and crystallisation at about 740°C and 6.5-7.5kbar in Oligocene times (ca 30Ma). Metamorphic conditions in the charnockites and granulites (>920°C for 8.5-9.5kbar) largely exceed these regional metamorphic conditions and are dated at 282-260Ma. We propose that the ascending Bergell pluton entrained the polymetamorphic, granulitic lower crust enclosed within the peripheral migmatitic Gruf comple

The role of the antigorite + brucite to olivine reaction in subducted serpentinites (Zermatt, Switzerland)

Metamorphic olivine formed by the reaction of antigorite + brucite is widespread in serpentinites that crop out in glacier-polished outcrops at the Unterer Theodulglacier, Zermatt. Olivine overgrows a relic magnetite mesh texture formed during ocean floor serpentinization. Serpentinization is associated with rodingitisation of mafic dykes. Metamorphic olivine coexists with magnetite, shows high Mg# of 94–97 and low trace element contents. A notable exception is 4 µg/g Boron (> 10 times primitive mantle), introduced during seafloor alteration and retained in metamorphic olivine. Olivine incorporated 100–140 µg/g H2O in Si-vacancies, providing evidence for low SiO2-activity imposed by brucite during olivine growth. No signs for hydrogen loss or major and minor element diffusional equilibration are observed. The occurrence of olivine in patches within the serpentinite mimics the former heterogeneous distribution of brucite, whereas the network of olivine-bearing veins and shear zones document the pathways of the escaping fluid produced by the olivine forming reaction. Relic Cr-spinels have a high Cr# of 0.5 and the serpentinites display little or no clinopyroxene, indicating that they derive from hydrated harzburgitic mantle that underwent significant melt depletion. The enrichment of Mg and depletion of Si results in the formation of brucite during seafloor alteration, a pre-requisite for later subduction-related olivine formation and fluid liberation. The comparison of calculated bulk rock brucite contents in the Zermatt-Saas with average IODP serpentinites suggests a large variation in fluid release during olivine formation. Between 3.4 and 7.2 wt% H2O is released depending on the magnetite content in fully serpentinized harzburgites (average oceanic serpentinites). Thermodynamic modelling indicates that the fluid release in Zermatt occurred between 480 °C and 550 °C at 2–2.5 GPa with the Mg# of olivine varying from 68 to 95. However, the majority of the fluid released from this reaction was produced within a narrow temperature field of < 30 °C, at higher pressures 2.5 GPa and temperatures 550–600 °C than commonly thought. Fluids derived from the antigorite + brucite reaction might thus trigger eclogite facies equilibration in associated metabasalts, meta-gabbros, meta-rodingites and meta-sediments in the area. This focused fluid release has the potential to trigger intermediate depths earthquakes at 60–80 km in subducted oceanic lithosphere. © 2020, The Author(s).ISSN:1661-8734ISSN:1661-872

Role of Gastric Colonization in Nosocomial Infections and Endotoxemia: A Prospective Study in Neurosurgical Patients on Mechanical Ventilation

The role of gastric microbial colonization in nosocomial infections and endotoxemia was investigated prospectively in 40 neurosurgical patients requiring mechanical ventilation for >48 h. Each was studied up to 7 d. Swabs from the nose and oropharynx were cultured at admission, and aspirates from the stomach and trachea were cultured daily until enteral alimentation was started. Patients were evaluated every second day for endotoxemia and coagulation activation. Of 153 gastric aspirates, 66.7% contained microorganisms at a mean quantity of 107 cfu/ml, Nosocomial pneumonia occurred in 15 patients, septicemia in 5, and meningitis in 1. The stomach was the evident source of infection in only 1 patient with pneumonia. Of 140 plasma samples, 12 (8.6%) from 10 patients showed detectable endotoxin levels, but there was no association between endotoxemia or coagulation activation and the presence of microorganisms in the stomach. The stomach was not an important source for nosocomial infections or endotoxemia, even in patients with high gastric p

Formation and preservation of fresh lawsonite: Geothermobarometry of the North Makran Blueschists, southeast Iran

ISSN:0263-4929ISSN:1525-131

Correction to: The role of the antigorite + brucite to olivine reaction in subducted serpentinites (Zermatt, Switzerland)

ISSN:1661-8734ISSN:1661-872