Ideal cardiovascular health and inflammation in European adolescents: The HELENA study

Background and aims Inflammation plays a key role in atherosclerosis and this process seems to appear in childhood. The ideal cardiovascular health index (ICHI) has been inversely related to atherosclerotic plaque in adults. However, evidence regarding inflammation and ICHI in adolescents is scarce. The aim is to assess the association between ICHI and inflammation in European adolescents. Methods and results As many as 543 adolescents (251 boys and 292 girls) from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study, a cross-sectional multi-center study including 9 European countries, were measured. C-reactive protein (CRP), complement factors C3 and C4, leptin and white blood cell counts were used to compute an inflammatory score. Multilevel linear models and multilevel logistic regression were used to assess the association between ICHI and inflammation controlling by covariates. Higher ICHI was associated with a lower inflammatory score, as well as with several individual components, both in boys and girls (p < 0.01). In addition, adolescents with at least 4 ideal components of the ICHI had significantly lower inflammatory score and lower levels of the study biomarkers, except CRP. Finally, the multilevel logistic regression showed that for every unit increase in the ICHI, the probability of having an inflammatory profile decreased by 28.1% in girls. Conclusion Results from this study suggest that a better ICHI is associated with a lower inflammatory profile already in adolescence. Improving these health behaviors, and health factors included in the ICHI, could play an important role in CVD prevention

Phytophthora stem rot of purple passionfruit in Vietnam

In August 2012 a severe stem rot (stem canker) disease was observed in a purple-fruit variety of passionfruit, Passiflora edulis, in Nghe An province, Vietnam. The stem rot progressed rapidly along the stem affecting branches and fruit, leading to chlorosis, wilting and death of the distal part of the stem. It did not progress below the graft junction into the stem or roots of the rootstock, Passiflora edulis var. flavicarpa. The disease spread within and between plantings causing 100 % loss of some plantings. Phytophthora nicotianae was consistently isolated from diseased tissue and the morphological identification was confirmed by sequencing, and two cultures were deposited in the Murdoch University Culture Collection as MUCC707 and MUCC708. The former culture proved pathogenic in stem inoculations and P. nicotianae was reisolated fulfilling Koch’s postulates. This report represents a new record of Phytophthora stem rot of purple passionfruit in Vietnam

Host preferences of tabanid flies based on identification of blood meals by ELISA

Tabanid flies in Australia are potential vectors of the parasite Trypanosoma evansi which causes the animal disease surra. It is endemic to most of south-east Asia and could enter Australia, but evaluation of the potential impact of a surra incursion requires identification of the major hosts of Australian tabanids. This study investigated the natural pattern of feeding and host preference by tabanid flies of Townsville, north Queensland by identification of ingested blood in trap-caught tabanids using ELISA. The assays were developed for identification of horse, cow, macropod and pig blood meals. Macropods were the most frequent food source for each of six major tabanid species in the area. This did not vary with location for one species, Tabanus pallipennis, despite macropod densities being lower than other hosts such as cattle and horses in some locations. Feeding patterns on other hosts generally depended on availability and density of animals. All tabanid species fed on at least three of the host species tested and mixed meals were also commonly encountered, suggesting a level of opportunistic feeding in addition to a preference for macropods. Some of the blood meals detected were possibly from previous gonotrophic cycles. The results indicate that all tabanid species examined could potentially transmit surra and all the host types investigated could be affected, but macropods face the highest transmission risk

Brain alterations in regions associated with end‐organ diabetic microvascular disease in diabetes mellitus: A UK Biobank study

Background Diabetes mellitus (DM) is associated with structural grey matter alterations in the brain, including changes in the somatosensory and pain processing regions seen in association with diabetic peripheral neuropathy. In this case-controlled biobank study, we aimed to ascertain differences in grey and white matter anatomy in people with DM compared with non-diabetic controls (NDC). Methods This study utilises the UK Biobank prospective, population-based, multicentre study of UK residents. Participants with diabetes and age/gender-matched controls without diabetes were selected in a three-to-one ratio. We excluded people with underlying neurological/neurodegenerative disease. Whole brain, cortical, and subcortical volumes (188 regions) were compared between participants with diabetes against NDC corrected for age, sex, and intracranial volume using univariate regression models, with adjustment for multiple comparisons. Diffusion tensor imaging analysis of fractional anisotropy (FA) was performed along the length of 50 white matter tracts. Results We included 2404 eligible participants who underwent brain magnetic resonance imaging (NDC, n = 1803 and DM, n = 601). Participants with DM had a mean (±standard deviation) diagnostic duration of 18 ± 11 years, with adequate glycaemic control (HbA1C 52 ± 13 mmol/mol), low prevalence of microvascular complications (diabetic retinopathy prevalence, 5.8%), comparable cognitive function to controls but greater self-reported pain. Univariate volumetric analyses revealed significant reductions in grey matter volume (whole brain, total, and subcortical grey matter), with mean percentage differences ranging from 2.2% to 7% in people with DM relative to NDC (all p < 0.0002). The subcortical (bilateral cerebellar cortex, brainstem, thalamus, central corpus callosum, putamen, and pallidum) and cortical regions linked to sensorimotor (bilateral superior frontal, middle frontal, precentral, and postcentral gyri) and visual functions (bilateral middle and superior occipital gyri), all had lower grey matter volumes in people with DM relative to NDC. People with DM had significantly reduced FA along the length of the thalamocortical radiations, thalamostriatal projections, and commissural fibres of the corpus callosum (all; p < 0·001). Interpretation This analysis suggests that anatomic differences in brain regions are present in a cohort with adequately controlled glycaemia without prevalent microvascular disease when compared with volunteers without diabetes. We hypothesise that these differences may predate overt end-organ damage and complications such as diabetic neuropathy and retinopathy. Central nervous system alterations/neuroplasticity may occur early in the natural history of microvascular complications; therefore, brain imaging should be considered in future mechanistic and interventional studies of DM