Diagnostics and prognostic evaluation in renal cell tumors: the German S3 guidelines recommendations

The German guidelines on renal cell carcinoma (RCC) have been developed at highest level of evidence based on systematic literature review. In this paper, we are presenting the current recommendations on diagnostics including preoperative imaging and imaging for stage evaluation as well as histopathological classification. The role of tumor biopsy is further discussed. In addition, different prognostic scores and the status of biomarkers in RCC are critically evaluated

An In Vitro Analysis of TKI-Based Sequence Therapy in Renal Cell Carcinoma Cell Lines

The tyrosine kinase inhibitor (TKI) cabozantinib might impede the growth of the sunitinibresistant cell lines by targeting MET and AXL overexpression in metastatic renal cell carcinoma (mRCC). We studied the role of MET and AXL in the response to cabozantinib, particularly following long-term administration with sunitinib. Two sunitinib-resistant cell lines, 786-O/S and Caki-2/S, and the matching 786-O/WT and Caki-2/WT cells were exposed to cabozantinib. The drug response was cell-line-specific. The 786-O/S cells were less growth-inhibited by cabozantinib than 786-O/WT cells (p-value = 0.02). In 786-O/S cells, the high level of phosphorylation of MET and AXL was not affected by cabozantinib. Despite cabozantinib hampering the high constitutive phosphorylation of MET, the Caki-2 cells showed low sensitivity to cabozantinib, and this was independent of sunitinib pretreatment. In both sunitinib-resistant cell lines, cabozantinib increased Src-FAK activation and impeded mTOR expression. The modulation of ERK and AKT was cell-line-specific, mirroring the heterogeneity among the patients. Overall, the MET- and AXL-driven status did not affect cell responsiveness to cabozantinib in the second-line treatment. The activation of Src-FAK might counteract cabozantinib activity and contribute to tumor survival and may be considered an early indicator of therapy response

Rhabdias (Nematoda: Rhabdiasidae) from Chamaeleonidae (Sauria): two new species from Trioceros ellioti in East Africa and one from Brookesia superciliaris in Madagascar.

International audience; Rhabdias casiraghii n. sp. and R. kibiraensis n. sp. are described from Trioceros ellioti from Burundi and co-infection was observed in one of the host specimens. Distinctive characters between these species are, among others, the mouth and buccal capsule in front view, both of which are round in the former and laterally flattened in the latter species. Both species have a complete set of submedian head papillae (three in each submedian axis) as observed in the fourth stage larva of R. americanus from anurans. This primitive character opposes them to other species parasitic in Chamaeleonidae that have a single papilla per axis. The third species is the first described from the primitive chamaeleonid genus Brookesia; R. brygooi n. sp. from B. superciliaris from Madagascar can be distinguished from other Rhabdias in Chamaeleonidae by the small diameter of its mouth and buccal capsule. In this character, it resembles parasites from anurans. However, its infective larva has a rounded caudal extremity ornated with buds, as described in species of Rhabdias parasitic in Chamaeleonidae

Ufudia, a replacement name for Pelonia Junker & Boomker, 2002 (Pentastomida: Sebekidae) from South African terrapins

In order to accommodate a new species of pentastomid parasite, Pelonia africana Junker & Boomker, 2002 (Sebekidae), Junker & Boomker (2002) described the new genus Pelonia. This genus name is, however, preoccupied by Pelonia Grube, 1859 (Acari). Grube (1859) did not designate a type species, but Oudemans (1900: 141) recorded Pelonia as a possible synonym of Cepheus Koch, 1835 and listed P. foliosa as its type species, allegedly designated by Grube. Subías et al. (2012), accepted the synonymy of Pelonia with Cepheus Koch, 1835 (Acari: Compactozetidae). Norton & Ermilov (2014) provided a brief summary of the nomenclatural history of the mite genus Pelonia and proposed P. foliosa as being the nymph of Cepheus cepheiformis (Nicolet, 1855).http://www.mapress.com/zootaxahb2016Veterinary Tropical Disease

Endoparasites of the spiny mouse (Acomys spinosissimus) from South Africa

The endoparasite fauna of the spiny mouse (Acomys spinosissimus) was studied for the first time from April 2007 until April 2009 in a population from the Limpopo Province of South Africa. In a total of 129 mice examined, only 6 endoparasite taxa were found, 2 nematode species (Syphacia minuta, Monanema joopi), 1 genus of cestodes (Rodentolepis spp.), and unidentified hymenolepidid fragments. In addition, 1 pentastomid species (Armillifer grandis) as well as unidentified porocephalid specimens were recovered. The overall prevalence was low, at 15.5%, and only 1 individual harbored more than 1 parasite species. With 12.4% prevalence, S. minuta was the most prevalent parasite. Its prevalence and abundance were significantly higher during the dry and cooler season than during the wet and warm season, while a female-biased burden was observed during the wet season only. For the remaining parasite species, low prevalence prevented meaningful statistical analyses. The observed parasite species richness, prevalence, and abundance for A. spinosissimus were low compared to values reported for other Acomys spp. This may be linked to the lack of anthropogenic influences in the study population as well as the small size of A. spinosissimus.http://www.journalofparasitology.org/loi/parahb201

Endoparasites of the eastern rock sengi (Elephantulus myurus) from South Africa

The endoparasite fauna of the eastern rock sengi (Elephantulus myurus Thomas and Schwann) was studied for the first time for any sengi species from September 2007 until August 2008 in the Limpopo Province of South Africa. From the 121 sengis examined, we recovered 11 endoparasite taxa including 9 nematodes, 1 cestode family (Hymenolepididae) and 1 pentastomid species [Armillifer armillatus (Wyman, 1834)]. The overall endoparasites prevalence was high at 100% and largely attributable to the nematode Maupasina weissi Seurat, 1913, with only a single individual being parasite free. Despite the high diversity, species richness was low (1.58 ± 0.06) and only M. weissi and spiruroid larvae occurred at a prevalence exceeding 8%. The abundance of M. weissi varied significantly between seasons and was lowest in summer and autumn. In contrast, the abundance of spiruroid larvae remained relatively constant across seasons in males but was significantly higher in spring and summer compared to winter in females. These patterns may be generated by an accumulation of M. weissi with age as well as sex-specific seasonal shifts in diet. An updated list on the hosts and geographic range of parasites of sengis is provided.NRF and the University of Pretoria.http://digitalcommons.unl.edu/jrnlparasitologyhb201

Description of Pelonia africana n. g., n. sp. (Pentastomida: Sebekidae) from the lungs of Pelomedusa subrufa and Pelusios sinuatus (Chelonia) in South Africa

The terrapins Pelomedusa subrufa and Pelusios sinuatus taken from a water reservoir in the Northern Province, South Africa, were examined for pentastome infections. Two immature specimens, a patent female and a mature male, were obtained from the lungs of four hosts, each of which harboured a single specimen. Based on the morphology of the specimens the new monospecific genus, Pelonia africana n. g., n. sp., is described. It is characterized by smooth, dorsally convex hooks with sharply bent blades. The oral cadre is more or less U-shaped. Delicate chitinous fibres, which can be difficult to see, connect the lateral prongs anteriorly. In this, as well as the morphology of the copulatory spicules, it is most like Sebekia wedli. The latter, however, possesses spinous hooks, which are absent in P. africana. The hooks are slightly and the copulatory spicules markedly larger in P. africana than in S. wedli. The lack of a double-hooked collar at the terminal end of the cowry-shell shaped base of each copulatory spicule and the absence of a peg-like extension of the oral cadre into the oesophagus, distinguishes P. africana from members of the genus Alofia. The oral cadre of the South American species Diesingia megastoma, from aquatic chelonians, is more than twice the size than that of Pelonia and there is a distinct difference in shape. The hooks of the genus Diesingia are flat-topped and both the anterior as well as the posterior fulcra carry cowl-like extensions. The number of annuli, 55-60 in D. megastoma and approximately 30 in P. africana, further separates the two genera. The most striking feature of Diesingia which sets it apart from Pelonia and the other genera of the family Sebekidae is the configuration of its copulatory spicules. Pelonia and Diesingia share morphological features with all the other sebekiids but it is the unique combination of diagnostic characters that separates the two genera from those, as well as from each other.The articles have been scanned in colour with a HP Scanjet 5590; 600dpi. Adobe Acrobat v.9 was used to OCR the text and also for the merging and conversion to the final presentation PDF-format.Landesgraduiertenforderung, Baden-Wurttemberg, Germany. Deutscher Akademischer Austausch Dienst, Germany.mn201

Characterization of CD147, CA9, and CD70 as Tumor-Specific Markers on Extracellular Vesicles in Clear Cell Renal Cell Carcinoma

Extracellular vesicles (EVs) are secreted by healthy and tumor cells and are involved in cell–cell communication. Tumor-released EVs could represent a new class of biomarkers from liquid biopsies. The aim of this study was to identify tumor-specific EV markers in clear cell renal carcinoma (ccRCC) using cell lines and patient-derived tissue samples. EVs from ccRCC cell lines (786-O, RCC53, Caki1, and Caki2) and patient tissues were isolated via ultracentrifugation. EVs were characterized using transmission electron microscopy, nanoparticle tracking analysis, and Western blotting using exosome and putative tumor markers (epithelial cell adhesion molecule (EpCAM), carbonic anhydrase 9 (CA9), CD70, CD147). The tumor markers were verified using immunohistochemistry. CA9 was expressed in Caki2 cells and EVs, and CD147 was found in the cells and EVs of all tested ccRCC cell lines. In tumor tissues, we found an increased expression of CA9, CD70, and CD147 were increased in cell lysates and EV fractions compared to normal tissues. In contrast, EpCAM was heterogeneously expressed in tumor samples and positive in normal tissue. To conclude, we developed an effective technique to isolate EVs directly from human tissue samples with high purity and high concentration. In contrast to EpCAM, CA9, CD70, and CD147 could represent promising markers to identify tumor-specific EVs in ccRCC

Age- and sex-based variation in helminth infection of helmeted guineafowl (Numida meleagris) with comments on Swainson's spurfowl (Pternistis swainsonii) and Orange River francolin (Scleroptila levaillantoides)

Gastrointestinal tracts from 48 helmeted guineafowl (Numida meleagris), five Swainson's spurfowl (Pternistis swainsonii) and a single Orange River francolin (Scleroptila levaillantoides) were examined for helminth parasites. Twelve species of helminths were found in helmeted guineafowl, comprising six nematodes, five cestodes and a single acanthocephalan. Six species of nematodes were recovered from Swainson's spurfowl and a single nematode was recovered from the Orange River francolin. First-year guineafowl had more than twice the intensity of infection than did adult guineafowl, particularly regarding the acanthocephalan Mediorhynchus gallinarum, the caecal nematodes Subulura dentigera and S. suctoria, and the cestodes Octopetalum numida, Hymenolepis cantaniana and Numidella numida. Female guineafowl had significantly higher intensities of infection than males, especially concerning M. gallinarum, S. dentigera and N. numida and the nematode Gongylonema congolense. The recovery of the cestode Retinometra sp. from helmeted guineafowl constitutes a new host-parasite record