The role of the humoral immune response to Clostridium difficile toxins A and B in susceptibility to C. difficile infection: a case-control study

Antibody levels to Clostridium difficile toxin A (TcdA), but not toxin B (TcdB), have been found to determine risk of C. difficile infection (CDI). Historically, TcdA was thought to be the key virulence factor; however the importance of TcdB in disease is now established. We re-evaluated the role of antibodies to TcdA and TcdB in determining patient susceptibility to CDI in two separate patient cohorts. In contrast to earlier studies, we find that CDI patients have lower pre-existing IgA titres to TcdB, but not TcdA, when compared to control patients. Our findings suggest that mucosal immunity to TcdB may be important in the early stages of infection and identifies a possible target for preventing CDI progression

Phase Equilibria in the Fe-Mo-Ti Ternary System at 1173 K (900 °C) and 1023 K (750 °C)

Alloys with fine-scale eutectic microstructures comprising Ti-based A2 and TiFe B2 phases have been shown to have excellent mechanical properties. In this study, the potential of alloys with further refined A2-B2 microstructures formed through solid-state precipitation has been explored by analyzing a series of six alloys within the Fe-Mo-Ti ternary system. Partial isothermal sections of this system at 1173 K (900 °C) and 1023 K (750 °C) were constructed, from which the ternary solubility limits of the A2 (Ti, Mo), B2 TiFe, D8$_5$ Fe$_7$Mo$_6$ , and C14 Fe$_2$Ti phases were determined. With these data, the change in solubility of Fe in the A2 phase with temperature, which provides the driving force for precipitation of B2 TiFe, was determined and used to predict the maximum potential volume fraction of B2 TiFe precipitates that may be formed in an A2 (Ti, Mo) matrix.Rolls-Royce/EPSRC Strategic Partnership (EP/H022309/1, EP/H500375/1, and EP/M005607/1

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)