Increased indoleamine-2,3-dioxygenase activity is associated with poor clinical outcome in adults hospitalized with influenza in the INSIGHT FLU003Plus study

BACKGROUND: Indoleamine-2,3-dioxygenase (IDO) mediated tryptophan (TRP) depletion has antimicrobial and immuno-regulatory effects. Increased kynurenine (KYN)-to-TRP (KT) ratios, reflecting increased IDO activity, have been associated with poorer outcomes from several infections. METHODS: We performed a case-control (1:2; age and sex matched) analysis of adults hospitalized with influenza A(H1N1)pdm09 with protocol-defined disease progression (died/transferred to ICU/mechanical ventilation) after enrollment (cases) or survived without progression (controls) over 60 days of follow-up. Conditional logistic regression was used to analyze the relationship between baseline KT ratio and other metabolites and disease progression. RESULTS: We included 32 cases and 64 controls with a median age of 52 years; 41% were female, and the median durations of influenza symptoms prior to hospitalization were 8 and 6 days for cases and controls, respectively (P = .04). Median baseline KT ratios were 2-fold higher in cases (0.24 mM/M; IQR, 0.13-0.40) than controls (0.12; IQR, 0.09-0.17; P ≤ .001). When divided into tertiles, 59% of cases vs 20% of controls had KT ratios in the highest tertile (0.21-0.84 mM/M). When adjusted for symptom duration, the odds ratio for disease progression for those in the highest vs lowest tertiles of KT ratio was 9.94 (95% CI, 2.25-43.90). CONCLUSIONS: High KT ratio was associated with poor outcome in adults hospitalized with influenza A(H1N1)pdm09. The clinical utility of this biomarker in this setting merits further exploration. CLINICALTRIALSGOV IDENTIFIER: NCT01056185

Overview of recent TJ-II stellarator results

The main results obtained in the TJ-II stellarator in the last two years are reported. The most important topics investigated have been modelling and validation of impurity transport, validation of gyrokinetic simulations, turbulence characterisation, effect of magnetic configuration on transport, fuelling with pellet injection, fast particles and liquid metal plasma facing components. As regards impurity transport research, a number of working lines exploring several recently discovered effects have been developed: the effect of tangential drifts on stellarator neoclassical transport, the impurity flux driven by electric fields tangent to magnetic surfaces and attempts of experimental validation with Doppler reflectometry of the variation of the radial electric field on the flux surface. Concerning gyrokinetic simulations, two validation activities have been performed, the comparison with measurements of zonal flow relaxation in pellet-induced fast transients and the comparison with experimental poloidal variation of fluctuations amplitude. The impact of radial electric fields on turbulence spreading in the edge and scrape-off layer has been also experimentally characterized using a 2D Langmuir probe array. Another remarkable piece of work has been the investigation of the radial propagation of small temperature perturbations using transfer entropy. Research on the physics and modelling of plasma core fuelling with pellet and tracer-encapsulated solid-pellet injection has produced also relevant results. Neutral beam injection driven Alfvénic activity and its possible control by electron cyclotron current drive has been examined as well in TJ-II. Finally, recent results on alternative plasma facing components based on liquid metals are also presented. ISSN:0029-5515 ISSN:1741-432

The effect of pre-release captivity on the stress physiology of a reintroduced population of wild eastern bettongs

Stress is important in reintroduction biology because it can influence mortality, dispersal and recruitment and determine establishment success. As stress is unavoidable during reintroduction, it requires deliberate management. Release tactics (e.g. ‘delayed- and immediate-release’) are often selected specifically based on their presumed effect on physiological stress, yet, the actual physiological effects are seldom tested. Delayed-release involves pre-release confinement (in situ), or captivity (ex situ), which can improve post-release performance in some cases, or induce a detrimental effect in others, especially in wild animals. Quarantine is another common pre-release practice that requires captivity/confinement carrying similar post-release physiological implications. We use faecal glucocorticoid metabolite concentrations (FGM) to evaluate how a delayed-release involving 95–345 days in captivity influences the stress physiology of wild eastern bettongs (Bettongia gaimardi), compared to an immediate-release (within 24 h of capture), across the initial 18 months post-release. The results suggest that FGM concentrations were relatively higher in the delayed-release group at release, but significantly lower after ca. 2 months of release. We assessed seasonal fluctuations in FGM concentrations, the effect of release tactics on in-trap behaviour, and the relationship between those behaviours and FGM concentrations. We found that FGM concentrations fluctuated seasonally, but release tactics did not influence behaviour, and that behavioural variations had no relationship with FGM concentrations. Overall our results, coupled with previous research, suggest that an immediate-release is preferable when quarantine is not required