Effects of norfluoxetine and venlafaxine in zebrafish larvae: Molecular data

The data presented herein relates to the article entitled "Norfluoxetine and venlafaxine in zebrafish larvae: single and combined toxicity of two pharmaceutical products relevant for risk assessment" [1]. Recent studies have shown the occurrence of active metabolites of human and veterinary pharmaceuticals in surface and wastewaters. Besides their biological activity, some are predicted to interact with the same molecular targets of their parental compounds, thus showing the potential to elicit detrimental effects on animals. Despite this, limited investigation on their effects on aquatic animals has been done. Genomic material resulting from zebrafish (Danio rerio) larvae exposed to the psychoactive compounds norfluoxetine (main fluoxetine metabolite), venlafaxine, or their mixture was collected for gene expression analysis of a determined pool of genes potentially involved in their mode-of-action and metabolism. Molecular parameters are a cost-effective and reliable way to understand modes-of-action and the potential risk of micropollutants, such as pharmaceutical products, in non-target organisms. Moreover, gene expression patterns can provide crucial complementary information to improve risk assessment, and monitoring of affected systems. The data reported in this article was used to depict the effects of single or combined exposure to norfluoxetine and venlafaxine and identify biomarkers of exposure to these compounds of interest to diagnose exposure and routine monitoring.

Oncofertility case report: live birth 10 years after oocyte in vitro maturation and zygote cryopreservation

PURPOSE

This study aims to report a case of urgent fertility preservation in an oncological patient with collection of immature oocytes in the absence of ovarian stimulation that, through in vitro maturation (IVM), followed by ICSI and cryopreservation of zygotes resulted, 10 years later, in the live birth of a healthy baby.

METHODS

In September 2008, our clinic performed IVM in a 32-year-old woman diagnosed with a ductal invasive carcinoma with positive estradiol receptors, negative progesterone receptors and positive human epidermal growth factor receptor 2. The retrieval of immature oocytes was performed in the absence of ovarian stimulation after a simple mastectomy and prior to any chemotherapy treatment. The compact cumulus-oocyte complexes (COCs) collected were placed in Lag medium for 2 h, followed by incubation in IVM medium, supplemented with heat inactivated patient serum, recombinant FSH, and recombinant LH. After 30 h in culture, cumulus cells were removed, the metaphase II oocytes were microinjected, and the zygotes obtained were cryopreserved. In 2017, the zygotes were thawed and cultured until day 3. One embryo was transferred and the other cryopreserved.

RESULTS

Four compact COCs were collected and subjected to IVM. Two oocytes reached metaphase II and were microinjected. Two zygotes were obtained and were cryopreserved at the two pronuclear stage. Approximately 9 years later, the two zygotes were thawed and cultured until day 3. An embryo with 10 cells was transferred and implanted, resulting in the birth of a healthy baby.

CONCLUSIONS

In cases where urgency to start adjuvant therapy requires immediate oocyte collection, IVM may be the only option to obtain fully competent mature oocytes allowing for effective preservation of the reproductive potential.

An immersive educational tool for dental implant placement: A study on user acceptance

BACKGROUND

Tools for training and education of dental students can improve their ability to perform technical procedures such as dental implant placement. Shortage of training can negatively affect dental implantologists' performance during intraoperative procedures, resulting in lack of surgical precision and, consequently, inadequate implant placement, which may lead to unsuccessful implant supported restorations or other complications.

OBJECTIVE

We designed and developed IMMPLANT a virtual reality educational tool to assist implant placement learning, which allows users to freely manipulate 3D dental models (e.g., a simulated patient's mandible and implant) with their dominant hand while operating a touchscreen device to assist 3D manipulation.

METHODS

The proposed virtual reality tool combines an immersive head-mounted display, a small hand tracking device and a smartphone that are all connected to a laptop. The operator's dominant hand is tracked to quickly and coarsely manipulate either the 3D dental model or the virtual implant, while the non-dominant hand holds a smartphone converted into a controller to assist button activation and a greater input precision for 3D implant positioning and inclination. We evaluated IMMPLANT's usability and acceptance during training sessions with 16 dental professionals.

RESULTS

The conducted user acceptance study revealed that IMMPLANT constitutes a versatile, portable, and complementary tool to assist implant placement learning, as it promotes immersive visualization and spatial manipulation of 3D dental anatomy.

CONCLUSIONS

IMMPLANT is a promising virtual reality tool to assist student learning and 3D dental visualization for implant placement education. IMMPLANT may also be easily incorporated into training programs for dental students.

Insect ectoparasites from wild passerine birds in the Azores Islands

A total of 266 wild passerine birds (Passeriformes) representing eight species and nine subspecies from three islands of the Archipelago of the Azores were examined for ectoparasites. Two species of louse-flies Ornithomya avicularia and Ornithoica turdi (Diptera: Hippoboscidae), three species of fleas Ceratophyllus gallinae, Ceratophyllus sp. and Dasypsyllus gallinulae (Siphonaptera: Ceratophyllidae), and 11 species of chewing lice belonging to the genera Menacanthus, Myrsidea (Phthiraptera: Menoponidae), Ricinus (Phthiraptera: Ricinidae), Brueelia, Guimaraesiella, Philopterus, Sturnidoecus and Turdinirmus (Phthiraptera: Philopteridae) were recorded. At least one species of ectoparasite was found on 114 birds of six species. Guimaraesiella tovornikae and Myrsidea sylviae from Sylvia atricapilla are redescribed. Records of Ceratophyllus sp. and Sturnidoecus sp. from Turdus merula represent new parasite-host associations. Phoresy of Guimaraesiella amsel on Ornithoica turdi was also found. Parasitological parameters such as prevalence, intensity and abundance and geographic distribution of recorded ectoparasites are provided.

Livestock Wastewater Treatment in Constructed Wetlands for Agriculture Reuse

The aim of this study focused on the evaluation of constructed wetlands (CWs) microcosms, on a laboratory scale, for the removal of metals from a pig industry effluent while maintaining effluent organic matter and nutrients levels for its later used as a fertilizer. CWs with different macrophytes (Phragmites australis and Typha latifolia) and different substrates (light expanded clay aggregate and lava rock) were tested. Results showed high removals of metals during CWs treatment, with removal rates reaching >80% for Cd, Cr, Cu, Fe, Mn, and Zn after 2 days of treatment in CWs planted with T. latifolia and >60% in CWs planted with P. australis. Significant differences were only found between substrates for Fe and Mn in CWs with P. australis. Removal of organic matter (through chemical oxygen demand (COD)) was >77%, with no significant differences between substrates or plants. Removals of ammonium and phosphate ions ranged between 59–84% and 32–92%, respectively, in CWs with P. australis and 62–75% and 7–68% in CWs with T. latifolia, with no significant differences between substrates. Overall, CWs showed potential to be efficient in removing toxic contaminants, as metals, while maintaining moderated levels of nutrients, allowing the use of reclaimed water in agriculture, namely as fertilizer. If one aims for a short CW treatment, CW planted with T. latifolia and expanded clay as substrate could be the more suitable choice.

Iatrogenic transthyretin cardiac amyloidosis after sequential liver transplantation

Introduction

Sequential liver transplantation (SLT) uses livers excised from patients with hereditary transthyretin-related amyloidosis during liver transplantation as grafts to other patients with severe hepatic pathologies and a reserved prognosis. We intended to investigate the development of cardiac manifestations consistent with iatrogenic transthyretin amyloidosis (iATTR).

Methods

We retrospectively analyzed the medical records of 72 consecutive patients submitted to SLT between 2007 and 2010, who received livers with V30M mutation.

Results

Our sample had 79% male patients and a mean age at transplantation of 55±6 years. Median follow-up time was 80 months, were 44% of the patients died. One-year mortality rate after SLT was 7%. Clinical manifestations of iATTR occurred in 29% of individuals, on average 6 years after SLT, and amyloid was seen in 76% of those who underwent a biopsy. Left ventricular hypertrophy (LVH) was identified in 42 (58%) patients at baseline. Considering 39 patients that had an echocardiography at baseline and during follow-up, 22 (61%) presented de novo LVH or basal LVH worsening during follow-up, with a significant increase of wall thickness (11±1 to 13±3 mm; p<0.001). They had similar age at presentation (55±5 vs 58±5, p=0.249) and incidence of hypertension (52% vs 64%, p=0.365) but higher incidence of chronic kidney disease (CKD; 68% vs 29%, p=0.023). Mortality during follow-up was higher in patients with de novo LVH or worsening LVH but not significantly, probably due to the sample size (23% vs 7%, p=0.221, log rank test p=0.262). Considering the global sample, significant conduction changes were rarely seen (1 patient); however, there was a trend towards an increase in PR interval and atrial fibrillation was reported in 8% of cases.

Conclusions

In our sample, probable iATTR was often seen within a decade after SLT. Further investigation of LVH needs to be made in these patients, as it can represent amyloid cardiomyopathy, but other contributing factors such as hypertension, CKD and age need to be taken into consideration. In our sample, development of a possible infiltrative pattern was relatively more common and conduction disorders were rarer than one would extrapolate from hereditary early onset ATTR V30M patients. Further studies may help us clarify if indeed these patients behave like late onset ATTR V30M. Our data suggests that these patients should probably undergo periodic cardiac imaging during follow-up.

Funding Acknowledgement

Type of funding source: None

Hereditary transthyretin amyloidosis: predictors of conduction disease

Introduction

Pacemakers are frequently needed due to a high prevalence of conduction disease in mutated ATTR amyloidosis (mATTR). We aimed to identify the variables associated with the need of pacemaker implantation in this population.

Methods

We retrospectively studied 255 patients with suspicion of heart involvement of mATTR observed at our cardiology clinic during the last year. Clinical and outcome data were retrieved by chart review. We have defined the need for pacemaker implantation as: 1) the formal guidelines indications or 2) Ventricular pacing >10% in patients who had prophylactic pacemaker implantation prior to liver transplantation (LT). This way, we have defined 3 different groups: group 1: patients with no evidence of conduction disease; group 2: patients with conduction disease, but no formal indication for pacemaker implantation; and group 3: patients with formal indication for pacemaker implantation or ventricular pacing >10% in patients who had prophylactic pacemaker implantation prior to hepatic transplantation.

Results

We included 255 patients (50±14 years, 53% male, 52.5% treated with tafamidis and 27% had prior LT, and 10% with atrial fibrillation), 43.3% with no evidence of conduction disease, 32.3% with conduction disease, but no formal indication for pacemaker implantation and 24.4% with formal indication for pacemaker implantation. Patients with formal indication for pacemaker implantation were older, with longer duration of neurologic manifestations, with higher concentration of both Troponin T and NT-proBNP and with higher number of organs affected. In multivariate analysis, longer duration of neurologic manifestations (OR 1.090 – 95% IC: 1.036–1.145, p-value 0.001), Left ventricular (LV) maximal wall thickness (OR 1.230 – 95% CI: 1.070–1.414, p-value 0.004), neurologic staging (OR 3.420 – 95% CI: 1.443–8.104, p-value 0.005) and higher number of organs affected (OR 1.719 – 95% CI: 1.218–2.424, p-value 0.002) all showed to be independent predictors of the need for pacemaker implantation, in contrast to LV ejection fraction and serum concentration of Troponin T and NT-proBNP. We've also found a statistical significant association between conduction disease and ophthalmic manifestations.

Conclusions

Our findings suggest that the need for pacemaker implantation in patients with mATTR is closer linked to the duration, severity and affected number of organs than to cardiac biomarkers or echocardiographic findings.

Funding Acknowledgement

Type of funding source: None

Do waiting times in endurance vet gates affect the cardiac recovery index?

The cardiac recovery index (CRI) is currently a key component of veterinary inspections to assess endurance horses metabolic status and fitness. Originally published by Ridgeway, it instructs veterinarians to subtract from the first heart rate (HR1), collected when the horse is initially presented for examination, a second HR (HR2), taken 1 min after the horse starts a 125 feet (38.1 m) out and back trot to assess gait. It is widely believed that an increase of more than 4 bpm from HR1 might be an indicator of fatigue. The FEI rules instruct the veterinarians to start the stopwatch exactly 1 min after the HR1 count instead of trot start, as described previously. The aims of this study were to investigate how time delays in the vet gate affect the HR1 count and the CRI during endurance competitions, and to characterise and compare the time taken by veterinarians to measure the original version of the CRI (tCRIRIDG) and the adapted CRI used in FEI endurance events (tCRIFEI). Data from 972 veterinary inspections of horses that took place in different endurance competitions in three different venues were collected. There was no association between the time elapsed from entering the vet gate to the start of the HR1 count or from the HR1 count to the start of the trot-up and the HR1 or the CRI (P>0.05). However, larger studies involving more venues and different layouts are needed to corroborate our findings and to characterise the sensitivity and specificity of the CRI regarding the baseline heart rate. Although this study did not show an influence of waiting times on the CRI, a reduced deviation from the mean observed across all veterinarians when using the original Ridgeway guidelines to calculate the CRI (tCRIRIDG) seems to point a better time-wise consistency when this version is used.

Cryptic speciation of the zoogonid digenean Diphterostomum flavum n. sp. demonstrated by morphological and molecular data

Diphterostomum brusinae (Zoogonidae) is a digenean species that has been recorded worldwide parasitizing marine fishes. Several species have been synonymized with D. brusinae because they lack conspicuous morphological differences. However, due to the breadth of its geographic distribution and the variety of hosts involved in the life cycles, it is likely to be an assemblage of cryptic species. Diphterostomum flavum n. sp. is described here as a morphologically cryptic relative of D. brusinae, in the fish Pinguipes brasilianus (Pinguipedidae) off the Patagonian coast, Southwestern Atlantic Ocean, and its life cycle is elucidated through morphology and molecular analysis. This species uses the gastropod Buccinanops deformis (Nassariidae) as first and second intermediate host with metacercariae encysting within sporocysts. They also, however, use the polychaete Kinbergonuphis dorsalis (Onuphidae) as second intermediate host. No morphological differences were found between adults of D. flavum n. sp. and D. brusinae; however, the number of penetration glands of the cercariae, a diagnostic feature, differed (9 vs. 3 pairs), as well as the ITS2 sequences for the two species. This work provides morphological and molecular evidence of cryptic diversification among species described as D. brusinae, in which the only clear differences are in larval morphology and host spectrum. The strict specificity to the snail acting as the first intermediate host and the variety of fishes with different feeding habits acting as definitive hosts support the likely existence of multiple cryptic species around the world.

Ferreira I, M.S.M. Bastos M, Medeiros R, Gaivão I, Rosa E, Oliveira PA. Dietary Supplementation with Chestnut (Castanea sativa) Reduces Abdominal Adiposity in FVB/n Mice: A Preliminary Study

The production of chestnut (Castanea sativa Miller) is mostly concentrated in Europe. Chestnut is recognized by its high content of antioxidants and phytosterols. This work aimed to evaluate the effects of dietary chestnut consumption over physiological variables of FVB/n mice. Eighteen FVB/n male 7-month-old mice were randomly divided into three experimental groups (n = 6): 1 (control group) fed a standard diet; 2 fed a diet supplemented with 0.55% (w/w) chestnut; and 3 supplemented with 1.1% (w/w) chestnut. Body weight, water, and food intake were recorded weekly. Following 35 days of supplementation, the mice were sacrificed for the collection of biological samples. Chestnut supplementation at 1.1% reduced abdominal adipose tissue. Lower serum cholesterol was also observed in animals supplemented with chestnut. There were no significant differences concerning the incidence of histological lesions nor in biochemical markers of hepatic damage and oxidative stress. These results suggest that chestnut supplementation may contribute to regulate adipose tissue deposition.

Deep segmentation leverages geometric pose estimation in computer-aided total knee arthroplasty

Knee arthritis is a common joint disease that usually requires a total knee arthroplasty. There are multiple surgical variables that have a direct impact on the correct positioning of the implants, and an optimal combination of all these variables is the most challenging aspect of the procedure. Usually, preoperative planning using a computed tomography scan or magnetic resonance imaging helps the surgeon in deciding the most suitable resections to be made. This work is a proof of concept for a navigation system that supports the surgeon in following a preoperative plan. Existing solutions require costly sensors and special markers, fixed to the bones using additional incisions, which can interfere with the normal surgical flow. In contrast, the authors propose a computer-aided system that uses consumer RGB and depth cameras and do not require additional markers or tools to be tracked. They combine a deep learning approach for segmenting the bone surface with a recent registration algorithm for computing the pose of the navigation sensor with respect to the preoperative 3D model. Experimental validation using ex-vivo data shows that the method enables contactless pose estimation of the navigation sensor with the preoperative model, providing valuable information for guiding the surgeon during the medical procedure.

Footwear insoles with higher frictional properties enhance performance by reducing in-shoe sliding during rapid changes of direction

A novel 3D motion capture analysis assessed the efficacy of insoles in maintaining the foot position on the midsole platform inside the shoe during rapid change of direction manoeuvres used in team sports. An insole (TI) with increased static (35%) and dynamic (49%) coefficient of friction compared to a regular insole (SI) was tested. Change of direction performance was faster (p < .001) and perceived to be faster (p < .001) in TI compared to SI. Participants utilised greater coefficient of friction in TI compared to SI during a complete turn, but not during a 20 degree side-cut. In-shoe foot sliding reduced across the forefoot and midfoot during the braking phase of the turn and in the rearfoot during the side-cut in TI. Greater in-shoe foot sliding occurred in the turn than the side-cut across all foot regions. Results provide guidance for athletic footwear design to help limit in-shoe foot sliding and improve change of direction performance.

Myxozoan biodiversity in mullets (Teleostei, Mugilidae) unravels hyperdiversification of Myxobolus (Cnidaria, Myxosporea)

Mullets are ecologic and commercially important fish species. Their ubiquitous nature allows them to play critical roles in freshwater and marine ecosystems but makes them more vulnerable to diseases and parasitic infection. In this study, a myxozoan survey was performed on three species of mullet captured from a northern Portuguese river. The results disclose a high biodiversity, specifically due to the hyperdiversification of Myxobolus. Thirteen new species of this genus are described based on microscopic and molecular procedures: 7 from the thinlip grey mullet Chelon ramada, 2 from the thicklip grey mullet Chelon labrosus, and 4 from the flathead grey mullet Mugil cephalus. Myxobolus exiguus and Ellipsomyxa mugilis are further registered from their type host C. ramada, as well as six more myxospore morphotypes that possibly represent distinct Myxobolus species. Overall, the results obtained clearly show that the number of host-, site- and tissue-specific Myxobolus spp. is much higher than what would be expected in accordance to available literature. This higher biodiversity is therefore discussed as either being the result of the usage of poor discriminative criteria in previous studies, or as being a direct consequence of the biological and ecological traits of the parasite and of its vertebrate and invertebrate host communities. Bayesian inference, maximum likelihood and maximum parsimony analyses position the new species within a clade comprising all other Myxobolus spp. that infect mugiliform hosts, thus suggesting that this parasitic group has a monophyletic origin. Clustering of species in relation to the host genus is also revealed and strengthens the contention that the evolutionary history of mugiliform-infecting Myxobolus reflects that of its vertebrate hosts. In this view, the hyperdiversification of Myxobolus in mullet hosts is hypothesized to correlate with the processes of speciation that led to the ecological plasticity of mullets.

Fish Allergy Management: From Component-Resolved Diagnosis to Unmet Diagnostic Needs

Purpose of review

Fish is a common elicitor of IgE-mediated food allergy. Fish includes a large variety of foods, in terms of species and food processing, with marked distinction in local diets around the globe. Fish-allergic patients present with phenotypic diversity and major differences in levels of clinical cross-reactivity, features that pose an important challenge for the clinical diagnosis and management.

Recent findings

Parvalbumin is the major fish allergen. However, a single molecule is not sufficient but several homologs, allergens different from parvalbumin and allergen extracts, are needed for IgE-based diagnosis.

Summary

Parvalbumin-specific IgE are markers for clinical cross-reactions. Added value is provided by IgE typing to parvalbumin homologs from distantly related fish. IgE co-sensitization profiles (parvalbumin, enolase, aldolase) are referred as severity markers. The allergen panel seems to be not yet complete why fish extracts still play a crucial role in serum IgE analysis. Further clinical validation of a multiplex approach in molecular fish allergy diagnosis is needed for striving to avoid unnecessary food restrictions and in a further sense, improved patient care.

Systematic Overview of Neuroanatomical Differences in ADHD: Definitive Evidence

Date Presented 04/05/19

Neuroanatomical differences in ADHD is one of the most investigated topics. Therefore, we aimed to identify these differences through the first published Systematic Overview of Systematic Reviews, using Cochrane guidelines and PRISMA to criteria. We propose a hypothesis of an unbalanced multinetwork neurofunctioning and the scientific evidence that OT must be integrated in primary-care teams to assess how a multiskill involvement impacts functional and occupational performance.

Primary Author and Speaker: Bruno Vieira de Melo

Contributing Authors: Maria João Trigueiro, Pedro Rodrigues

Lymnaea stagnalis as a freshwater model invertebrate for ecotoxicological studies

Lymnaea stagnalis, also referred to as great or common pond snail, is an abundant and widespread invertebrate species colonizing temperate limnic systems. Given the species importance, studies involving L. stagnalis have the potential to produce scientifically relevant information, leading to a better understanding of the damage caused by aquatic contamination, as well as the modes of action of toxicants. Lymnaea stagnalis individuals are easily maintained in laboratory conditions, with a lifespan of about two years. The snails are hermaphrodites and sexual maturity occurs about three months after egg laying. Importantly, they can produce a high number of offspring all year round and are considered well suited for use in investigations targeting the identification of developmental and reproductive impairments. The primary aims of this review were two-fold: i) to provide an updated and insightful compilation of established toxicological measures determined in both chronic and acute toxicity assays, as useful tool to the design and development of future research; and ii) to provide a state of the art related to direct toxicant exposure and its potentially negative effects on this species. Relevant and informative studies were analysed and discussed. Knowledge gaps in need to be addressed in the near future were further identified.