The Effects of Ocean Acidification on Modern Benthic Foraminifera

Some chapters of this thesis were prepared as papers and have now been published: Pettit, L. R., Smart, C. W, Hart, M. B., Milazzo, M. and Hall-Spencer, J. M. (2015). Seaweed fails to prevent ocean acidification impact on foraminifera. Ecology and Evolution. DOI: 10.1002/ece3.1475. Pettit, L. R., Hart, M. B., Medina-Sánchez, A., Smart, C. W., Rodolfo-Metalpa, R., Hall-Spencer, J. M. and Prol-Ledesma, R. M. (2013). Benthic foraminifera show some resilience to ocean acidification in the northern Gulf of California, Mexico. Marine Pollution Bulletin. 73: 452-462.Ocean acidification may cause biodiversity loss, alter ecosystems and impact food security, yet uncertainty over ecological responses to ocean acidification remains considerable. Most work on the impact of ocean acidification on foraminifera has been short-term laboratory experiments on single species. To expand this, benthic foraminiferal assemblages were examined across shallow water CO2 gradients in the Gulf of California, off the islands of Ischia and Vulcano in Italy and off Papua New Guinea. Living assemblages from the Gulf of California did not appear to show a response across a pH range of 7.55 – 7.88, although the species assemblage was impoverished in all locations and the dead assemblage was less diverse at the lowest pH sites where there was evidence of post mortem dissolution. At Vulcano, the small macroalga, Padina pavonica, did not protect calcareous foraminifera from the adverse effects of ocean acidification. Calcareous taxa disappeared from the assemblage and were replaced by agglutinated foraminifera as mean pH reduced from 8.19 to 7.71. Settlement of benthic foraminifera onto artificial collectors off Vulcano was adversely affected in the acidified water, with few species as pCO2 increased and evidence of post-mortem dissolution. The foraminiferal tests, collected off Papua New Guinea, had lower δ11B as mean pH decreased from 7.99 – 7.82 for small (250 – 500 µm) Amphistegina lessonii, but not for A. lessonii or Calcarina spengleri >500 µm. In the larger foraminifera, photosynthetic activity by symbionts may begin to dominate the boron isotopic signature. Overall, the responses of foraminiferal assemblages to ocean acidification are complex, but there was an overall reduction in species diversity in infaunal, epifaunal and epiphytic assemblages as pCO2 increased. This raises serious concerns for the survival of shallow water calcareous benthic foraminifera as the oceans continue to acidify, with implications for benthic ecosystems and inorganic carbon cycling.Natural Environment Research Council UKOA Research Programm

Radiotherapy plus cisplatin or cetuximab in low-risk human papillomavirus-positive oropharyngeal cancer (De-ESCALaTE HPV):an open-label randomised controlled phase 3 trial

Background The incidence of human papillomavirus (HPV)-positive oropharyngeal cancer, a disease affecting younger patients, is rapidly increasing. Cetuximab, an epidermal growth factor receptor inhibitor, has been proposed for treatment de-escalation in this setting to reduce the toxicity of standard cisplatin treatment, but no randomised evidence exists for the efficacy of this strategy. Methods We did an open-label randomised controlled phase 3 trial at 32 head and neck treatment centres in Ireland, the Netherlands, and the UK, in patients aged 18 years or older with HPV-positive low-risk oropharyngeal cancer (non-smokers or lifetime smokers with a smoking history of <10 pack-years). Eligible patients were randomly assigned (1: 1) to receive, in addition to radiotherapy (70 Gy in 35 fractions), either intravenous cisplatin (100 mg/m(2) on days 1, 22, and 43 of radiotherapy) or intravenous cetuximab (400 mg/m(2) loading dose followed by seven weekly infusions of 250 mg/m(2)). The primary outcome was overall severe (grade 3-5) toxicity events at 24 months from the end of treatment. The primary outcome was assessed by intention-to-treat and per-protocol analyses. This trial is registered with the ISRCTN registry, number ISRCTN33522080. Findings Between Nov 12, 2012, and Oct 1, 2016, 334 patients were recruited (166 in the cisplatin group and 168 in the cetuximab group). Overall (acute and late) severe (grade 3-5) toxicity did not differ significantly between treatment groups at 24 months (mean number of events per patient 4.8 [95% CI 4.2-5.4] with cisplatin vs 4.8 [4.2-5.4] with cetuximab; p=0.98). At 24 months, overall all-grade toxicity did not differ significantly either (mean number of events per patient 29.2 [95% CI 27.3-31.0] with cisplatin vs 30.1 [28.3-31.9] with cetuximab; p=0.49). However, there was a significant difference between cisplatin and cetuximab in 2-year overall survival (97.5% vs 89.4%, hazard ratio 5.0 [95% CI 1.7-14.7]; p=0.001) and 2-year recurrence (6.0% vs 16.1%, 3.4 [1.6-7.2]; p=0.0007). Interpretation Compared with the standard cisplatin regimen, cetuximab showed no benefit in terms of reduced toxicity, but instead showed significant detriment in terms of tumour control. Cisplatin and radiotherapy should be used as the standard of care for HPV-positive low-risk patients who are able to tolerate cisplatin. Funding Cancer Research UK. Copyright (c) 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

Benthic foraminiferal assemblage counts from the Gulf of California

Extensive CO2 vents have been discovered in the Wagner Basin, northern Gulf of California, where they create large areas with lowered seawater pH. Such areas are suitable for investigations of long-term biological effects of ocean acidification and effects of CO2 leakage from subsea carbon capture storage. Here, we show responses of benthic foraminifera to seawater pH gradients at 74-207 m water depth. Living (rose Bengal stained) benthic foraminifera included Nonionella basispinata, Epistominella bradyana and Bulimina marginata. Studies on foraminifera at CO2 vents in the Mediterranean and off Papua New Guinea have shown dramatic long-term effects of acidified seawater. We found living calcareous benthic foraminifera in low pH conditions in the northern Gulf of California, although there was an impoverished species assemblage and evidence of post-mortem test dissolution