Regional and local environmental conditions do not shape the response to warming of a marine habitat-forming species

The differential response of marine populations to climate change remains poorly understood. Here, we combine common garden thermotolerance experiments in aquaria and population genetics to disentangle the factors driving the population response to thermal stress in a temperate habitatforming species: the octocoral Paramuricea clavata. Using eight populations separated from tens of meters to hundreds of kilometers, which were differentially impacted by recent mortality events, we identify 25 degrees C as a critical thermal threshold. After one week of exposure at this temperature, seven of the eight populations were affected by tissue necrosis and after 30 days of exposure at this temperature, the mean % of affected colonies increased gradually from 3 to 97%. We then demonstrate the weak relation between the observed differential phenotypic responses and the local temperature regimes experienced by each population. A significant correlation was observed between these responses and the extent of genetic drift impacting each population. Local adaptation may thus be hindered by genetic drift, which seems to be the main driver of the differential response. Accordingly, conservation measures should promote connectivity and control density erosion in order to limit the impact of genetic drift on marine populations facing climate change

Exploring the response of a key Mediterranean gorgonian to heat stress across biological and spatial scales

Understanding the factors and processes that shape intra-specific sensitivity to heat stress is fundamental to better predicting the vulnerability of benthic species to climate change. Here, we investigate the response of a habitat-forming Mediterranean octocoral, the red gorgonian Paramuricea clavata (Risso, 1826) to thermal stress at multiple biological and geographical scales. Samples from eleven P. clavata populations inhabiting four localities separated by hundreds to more than 1500 km of coast and with contrasting thermal histories were exposed to a critical temperature threshold (25 degrees C) in a common garden experiment in aquaria. Ten of the 11 populations lacked thermotolerance to the experimental conditions provided (25 days at 25 degrees C), with 100% or almost 100% colony mortality by the end of the experiment. Furthermore, we found no significant association between local average thermal regimes nor recent thermal history (i.e., local water temperatures in the 3 months prior to the experiment) and population thermotolerance. Overall, our results suggest that local adaptation and/or acclimation to warmer conditions have a limited role in the response of P. clavata to thermal stress. The study also confirms the sensitivity of this species to warm temperatures across its distributional range and questions its adaptive capacity under ocean warming conditions. However, important inter-individual variation in thermotolerance was found within populations, particularly those exposed to the most severe prior marine heatwaves. These observations suggest that P. clavata could harbor adaptive potential to future warming acting on standing genetic variation (i.e., divergent selection) and/or environmentally-induced phenotypic variation (i.e., intra- and/or intergenerational plasticity).European Commission SEP-210597628- FutureMARES, MCIU/AEI/FEDER RTI2018-095346-BI00, Spanish government through the `Severo Ochoa Centre of Excellence' accreditation CEX2019-000928-S , Interreg Med Programme 5216|5MED18_3.2_M23_007, 1MED15_3.2_M2_ 337, Spanish Government FPU15/05457, Fundacao para a Ciencia e a Tecnologia (FCT) LA/P/0101/2020 , DivRestore/0013/2020, Marine Conservation research group 2017 SGR 1521, postdoctoral fellowship of project HABMAR - European Maritime and Fisheries Fund of the Operational Program MAR 2020 for Portugal MAR-01.04.02-FEAMP-0018info:eu-repo/semantics/publishedVersio

Comparative population genetics of habitat-forming octocorals in two marine protected areas: eco-evolutionary and management implications

Current efforts to halt the decline of biodiversity are based primarily on protecting species richness. This narrow focus overlooks key components of biological diversity, particularly the infra-species genetic diversity, which is critical to consider with respect to genetic adaptation in changing environments. While comparative population genetics is recognized as a relevant approach to improve biodiversity management, it is still barely considered in practice. Here, a comparative population genetics study was conducted on two key habitat-forming octocoral species, Corallium rubrum and Paramuricea clavata, to contribute to management of two Marine Protected Areas (MPAs) in the northwestern Mediterranean. Contrasting patterns of genetic diversity and structure were observed in the two species, although they share many common biological features and live in similar habitats. Differential genetic drift effects induced by species-specific reproductive strategies and demographic histories most likely explain these differences. The translation of our results into management strategies supports the definition of four management units. We identified a coldspot of genetic diversity, with genetically isolated populations, and a hotspot of genetic diversity that has a central role in the system’s connectivity. Interestingly, they corresponded to the most recent and the oldest protected areas, respectively. This case study shows how moving from a “species pattern” perspective to an “eco-evolutionary processes” perspective can help assess and contribute to the effectiveness of biodiversity management plans.Open access funding provided by FCT|FCCN (b-on). JBL was funded by assistant researcher 2021.00855.CEECIND through national funds provided by FCT—Fundação para a Ciência e a Tecnologia. This research was supported by national funds through FCT within the scope of UIDB/04423/2020 and UIDP/04423/2020, by the MIMOSA project funded by the Foundation Prince Albert II Monaco. This work was supported by the European Union’s Horizon 2020 research and innovation program under grant agreement SEP-210597628 (FutureMARES). This study was also supported by the Spanish Government through the Smart project (CGL2012-32194) the HEATMED project (RTI2018-095346-B-I00, MCIU/AEI/FEDER, UE). RL was supported by the Agence Nationale de la Recherche (projects DISLAND ANR-20-CE32-00XXX, GENOSPACE ANR-16-CE02-0008 and INTROSPEC ANR-19-CE02-0011; and project PROLAG from the CeMEB LabEx;), and by recurrent funding from INRAe and CNRS. This research has been funded from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 869300 “FutureMARES”. SD is supported by the Fonds National de la Recherche Scientifique (FNRS, Belgium). JG and PL acknowledge the funding of the Spanish government through the ‘Severo Ochoa Centre of Excellence’ accreditation (CEX2019-000928-S). CL gratefully acknowledges the financial support by ICREA under the ICREA Academia program.Peer reviewe

Temporal variability in the response to thermal stress in the red gorgonian, P. clavata: Insights form common garden experiments

4th Mediterranean Symposium on the Conservation of Coralligenous & other Calcareous Bio-Concretions, 20-21 September 2022, Genoa, Italy.-- 6 pages, 2 figuresRecurrent mass mortality events (MMEs) linked to marine heatwaves (MHWs) have been observed in the Mediterranean Sea affecting thousands of kilometers of coastline. Coralligenous habitats were among the most impacted during these events. Information on how the exposure to recurrent MHWs is affecting the coralligenous is critical to anticipate the consequences of climate change and implement actions to enhance their resilience. Combining field surveys with experiments in controlled conditions allowed to dilucidate the differential responses to thermal stress among species, populations and individuals and to explore the spatial and taxonomic variability response to thermal stress linked to MHWs. Yet, the temporal variability in the response to thermal stress remains to be characterized. Thus, we aim to fill this gap focusing on the temporal variability in the response to thermal stress of the coralligenous key habitat-forming species Paramuricea clavata (Plexauridae). We replicated thermal stress experiments during 3 consecutive years following a common garden setup (control vs. thermal stress) involving the same individuals from the same three populations. Considering different phenotypic responses including the level of tissue necrosis during the time of the experiment and the survival of the individuals, we found that the average percentage of tissue necrosis per population variated greatly across years while the probability of survival was considerably reduced in 2017. During the experiments, several individuals from the 3 populations systematically showed reduced level of tissue necrosis suggesting resistance to thermal stress. Overall our data will contribute to help better inform further conservation strategies of habitat-forming coral species in the Mediterranean SeaPeer reviewe

Assessment of health care needs and utilization in a mixed public-private system: the case of the Athens area

BACKGROUND: Given the public-private mix of the Greek health system, the purpose of this study was to assess whether variations in the utilisation of health services, both primary and inpatient care, were associated with underlying health care needs and/or various socio-economic factors. METHODS: Data was obtained from a representative sample (N = 1426) residing in the broader Athens area (response rate 70.6%). Perceived health-related quality of life (HRQOL), as measured by the physical and mental summary component scores of the SF-36 Health Survey, was used as a proxy of health care need. Health care utilization was measured by a) last-month visits to public sector physicians, b) last-month visits to private sector physicians, c) last-year visits to hospital emergency departments and d) last-year hospital admissions. Statistical analysis involved the implementation of logistic regression models. RESULTS: Health care need was the factor most strongly associated with all measures of health care utilization, except for visits to public physicians. Women, elderly, less wealthy and individuals of lower physical health status visited physicians contracted to their insurance fund (public sector). Women, well educated and those once again of lower physical health status were more likely to visit private providers. Visits to hospital emergency departments and hospital admissions were related to need and no socio-economic factor was related to the use of those types of care. CONCLUSION: This study has demonstrated a positive relationship between health care need and utilisation of health services within a mixed public-private health care system. Concurrently, interesting differences are evident in the utilization of various types of services. The results have potential implications in health policy-making and particularly in the proper allocation of scarce health resources

CTNSmRNA as a potential treatment for nephropathic cystinosis

Messenger RNA (mRNA) therapies are emerging in different disease areas, but have not yet reached the kidney field. Our aim was to study the feasibility to correct the genetic defect in nephropathic cystinosis using synthetic mRNA. Cystinosis is a prototype disorder of proximal tubular dysfunction caused by mutations in the CTNS gene, encoding the lysosomal cystine-H+ symporter cystinosin, and leading to cystine accumulation in all cells of the body. The kidneys are the first and most severely affected organs, presenting glomerular and proximal tubular dysfunction. Cysteamine is the current therapeutic standard that reduces cellular cystine levels, but has many side effects and does not restore kidney function. Here, we show that synthetic mRNA is safe and effective to reintroduce functional cystinosin using lipofection in CTNS-/- kidney cells and following direct injection in ctns-/- zebrafish larvae. CTNS mRNA therapy results in prompt lysosomal expression of the functional protein and decreases cellular cystine accumulation for up to 14 days. In the ctns-/- zebrafish, CTNS mRNA therapy improves proximal tubular reabsorption, reduces proteinuria, and restores brush border expression of the multi-ligand receptor megalin. We propose that mRNA-based therapy, if sufficient kidney targeting can be achieved, may be a new approach to treat cystinosis

Patient, tumor, and healthcare factors associated with regional variability in lung cancer survival: a Spanish high‑resolution population‑based study

Purpose The third most frequently diagnosed cancer in Europe in 2018 was lung cancer; it is also the leading cause of cancer death in Europe. We studied patient and tumor characteristics, and patterns of healthcare provision explaining regional variability in lung cancer survival in southern Spain. Methods A population-based cohort study included all 1196 incident first invasive primary lung cancer (C33–C34 according to ICD-10) cases diagnosed between 2010 and 2011 with follow-up until April 2015. Data were drawn from local population-based cancer registries and patients’ hospital medical records from all public and private hospitals from two regions in southern Spain. Results There was evidence of regional differences in lung cancer late diagnosis (58% stage IV in Granada vs. 65% in Huelva, p value < 0.001). Among patients with stage I, only 67% received surgery compared with 0.6% of patients with stage IV. Patients treated with a combination of radiotherapy, chemotherapy, and surgery had a 2-year mortality risk reduction of 94% compared with patients who did not receive any treatment (excess mortality risk 0.06; 95% CI 0.02–0.16). Geographical differences in survival were observed between the two regions: 35% vs. 26% at 1-year since diagnosis. Conclusions The observed geographic differences in survival between regions are due in part to the late cancer diagnosis which determines the use of less effective therapeutic options. Results from our study justify the need for promoting lung cancer early detection strategies and the harmonization of the best practice in lung cancer management and treatment.Maria Jose Sanchez Perez is supported by the Andalusian Department of Health: Research, Development, and Innovation Office project grant PI-0152/2017. Miguel Angel Luque-Fernandez is supported by the Spanish National Institute of Health, Carlos III Miguel Servet I Investigator Award (CP17/00206)

Equity in the delivery of community healthcare to older people: findings from 10/66 Dementia Research Group cross-sectional surveys in Latin America, China, India and Nigeria

<p>Abstract</p> <p>Background</p> <p>To describe patterns of recent health service utilisation, and consequent out-of-pocket expenses among older people in countries with low and middle incomes, and to assess the equity with which services are accessed and delivered.</p> <p>Methods</p> <p>17,944 people aged 65 years and over were assessed in one-phase population-based cross-sectional surveys in geographically-defined catchment areas in nine countries - urban and rural sites in China, India, Mexico and Peru, urban sites in Cuba, Dominican Republic, Puerto Rico and Venezuela, and a rural site in Nigeria. The main outcome was use of community health care services in the past 3 months. Independent associations were estimated with indicators of need (dementia, depression, physical impairments), predisposing factors (age, sex, and education), and enabling factors (household assets, pension receipt and health insurance) using Poisson regression to generate prevalence ratios and fixed effects meta-analysis to combine them.</p> <p>Results</p> <p>The proportion using healthcare services varied from 6% to 82% among sites. Number of physical impairments (pooled prevalence ratio 1.37, 95% CI 1.26-1.49) and ICD-10 depressive episode (pooled PR 1.21, 95% CI 1.07-1.38) were associated with service use, but dementia was inversely associated (pooled PR 0.93, 95% CI 0.90-0.97). Other correlates were female sex, higher education, more household assets, receiving a pension, and health insurance. Standardisation for age, sex, physical impairments, depression and dementia did not explain variation in service use. There was a strong borderline significant ecological correlation between the proportion of consultations requiring out-of-pocket costs and the prevalence of health service use (r = -0.50, p = 0.09).</p> <p>Conclusions</p> <p>While there was little evidence of ageism, inequity was apparent in the independent enabling effects of education and health insurance cover, the latter particularly in sites where out-of-pocket expenses were common, and private health insurance an important component of healthcare financing. Variation in service use among sites was most plausibly accounted for by stark differences in the extent of out-of-pocket expenses, and the ability of older people and their families to afford them. Health systems that finance medical services through out-of-pocket payments risk excluding the poorest older people, those without a secure regular income, and the uninsured.</p

Age-standardized incidence and mortality rates of oral and pharyngeal cancer in Puerto Rico and among Non-Hispanics Whites, Non-Hispanic Blacks, and Hispanics in the USA

<p>Abstract</p> <p>Background</p> <p>In the American region, Puerto Rico (PR) has the highest incidence of oral and pharyngeal cancer (OPC), but racial/ethnic differences have never been assessed and compared with other groups in the United States of America (USA). We compared the age-adjusted incidence and mortality rates of OPC between PR and among USA Hispanics (USH), Non-Hispanic Whites (NHW), and Non-Hispanic Blacks (NHB) to assess the burden of this cancer in PR.</p> <p>Methods</p> <p>Analysis of the age-standardized rates (per 100,000) was performed using the direct method with the world standard population (ASR(World)) from 1998–2002. Annual percent change (APC) and Relative Risks (RR) were calculated using the Poisson regression model.</p> <p>Results</p> <p>The incidence ASR(World) for men in PR was constant (APC ≈ 0.0%), in contrast, a decrease was observed among NHW, NHB, and USH men, although only USH showed statistical significance (APC = -4.9%, p < 0.05). In women, the highest increase in incidence (APC = 5.3%) and the lowest decrease in mortality (APC = -1.4%) was observed in PR. The ratio of the ASR(World) showed that in all racial/ethnic groups, men had approximately 2–4 fold increased incidence and mortality risk of OPC than women (p < 0.05). Men in PR had a higher mortality risk (p < 0.05) of OPC as compared to USH, NHW, and NHB; but among women, PR showed a significant excess of mortality only as compared to USH (est. SRR = 1.82, 95% CI = 1.41, 2.33).</p> <p>Conclusion</p> <p>The overall higher incidence of OPC in men in PR as compared to USH, NHB, and NHW could be explained by the effect of gene-environment interactions. Meanwhile, the higher mortality from OPC in PR suggests limitations in the health-care access within this population. Further research is warranted to elucidate these findings.</p

Informe Programas de Seguimiento en España: Especies Marinas Amenazadas

DISPONIBLE PRÓXIMAMENTEEste informe tiene como objetivo identificar por primera vez el grado de implementación y la tipología de los programas de seguimiento presentes en las costas españolas. Para ello, se han analizado los programas de seguimiento puestos en marcha por las comunidades autónomas de España mediante una exhaustiva revisión bibliográfica y un proceso de consulta con los administradores de los servicios responsables de la gestión de la biodiversidad correspondientes. El análisis se realizó sobre una selección de 255 especies (78% del total). Este conjunto incluye diversos grupos taxonómicos y consideramos que su análisis ofrece una imagen representativa del grado de implementación y tipología de los programas de seguimiento en las costas españolas. Los resultados obtenidos muestran que, de esas 255 especies amenazadas de España, sólo 76 cuentan con algún tipo de seguimiento en alguna comunidad autónoma, lo que constituye solo un 29,8% del total de especies analizadas. Por otra parte, si consideramos los programas de seguimiento a nivel de cada comunidad autónoma donde están presentes las especies amenazadas, los resultados muestran que de los 1837 programas de seguimiento que deberían haber sido implementados en España, solamente se realizan 214, lo que representa sólo un 11,6%. Ante la evidente falta de programas de seguimiento, este informe analiza también el potencial de aportar información sobre la distribución y estado de las poblaciones de las especies amenazadas en dos de las principales plataformas de ciencia ciudadana marina en España: Observadores del Mar y RedPROMAR. Hasta la fecha del presente análisis, las plataformas Observadores del Mar y RedPROMAR han reportado información sobre 66 y 104 especies respectivamente, lo que representa un 40,7% y un 60,8% de las especies amenazadas potencialmente reportables por cada plataforma. En conclusión, el grado de implementación de los programas de seguimiento de especies amenazadas en España es deficiente. Durante la realización de este informe se ha puesto claramente de manifiesto la falta de un sistema de comunicación dedicado al reporte de la información, en concreto, sobre los programas de seguimiento de las especies incluidas en el marco de los diferentes Convenios nacionales e internacionales. Ante esta falta de información, es urgente dar un impulso decidido a la implementación de programas de seguimiento en las diferentes comunidades autónomas, reforzando aquellos existentes e iniciando aquellos que faltan. Igualmente, se recomienda desarrollar un sistema de reporte de información de los seguimientos (u optimizar los existentes). También se recomienda incluir las iniciativas de ciencia ciudadana marina como Observadores del Mar y RedPROMAR para contribuir de forma complementaria a los programas de seguimiento. La adopción de estas recomendaciones permitirá evaluar de forma más eficaz el estado de conservación de las especies amenazadas en España y poder adptar medidas más efectivas.Peer reviewe