Mother's Age and Hatching Phenology Strategy of Heterocypris incongruens (Crustacea: Ostracoda) in Unpredictable Environment

We report experimental evidence of egg polyphenism in clonal lineages of Heterocypris incongruens from an ephemeral pond on a Mediterranean Island (Lampedusa, Italy). In controlled laboratory conditions, clonal females produced three different kinds of eggs: (i) resting and desiccation-resistant eggs, (ii) nonresting eggs that hatched gradually within 2 month hydroperiod, and (iii) nonresting delayed development eggs that hatched synchronously. Clonal females showed a diversified bet-hedging strategy to spread risk of reproduction in ponds with unpredictable hydroperiod. They adjusted proportion of different egg phenotypes in response to experimental temperature and photoperiod that are proxies for different hydroperiod unpredictability. The proportion of resting eggs is not affected by maternal age at deposition, but mother's age has a key role in defining the development time and the hatching phenology of nonresting eggs. Genetically identical eggs kept at the same controlled laboratory conditions showed a U-shaped distribution of development time. Development time variance decreased with mother's age at deposition. The resulting wedge-shaped relationship between development time and mother's age at deposition may be interpreted by considering mother's age as a proxy for the probability of drought onset. The older the mother, the shorter the latency to drought and the shorter is the time for nonresting eggs to hatch. Considering only the delayed development of eggs that hatch synchronously, development time is inversely related to the mother's age at deposition: this relationship generates the observed hatching peak.

Production of Pycnidia and Conidia by Guignardia bidwellii, the Causal Agent of Grape Black Rot, as Affected by Temperature and Humidity

Black rot, caused by the fungus Guignardia bidwellii, is a polycyclic disease affecting grape leaves and berries. In environmentally controlled experiments and in a 3-year field study, the effects of temperature and relative humidity (RH) were assessed on the following growth parameters of G. bidwellii: (i) formation of pycnidia and cirri in grape leaf lesions, (ii) production and germination of conidia, and (iii) length of the period between lesion appearance and pycnidia production. Pycnidia were produced between 5 and 35°C and at 90 to 100% RH but more pycnidia were produced between 20 and 30°C. No pycnidia were produced at RH < 90%. The first pycnidia were produced in approximately 2 days after lesion appearance at ≥20°C and in 8 days at 5°C; pycnidia continued to be produced on the same lesion for 5 to 16 days after lesion appearance, depending on the temperature. Models were developed to describe the effect of temperature and RH on pycnidia production, accounting for 95 and 97% of variability, respectively. Cirri were extruded only between 15 and 35°C and mainly at 100% RH. Field experiments confirmed that pycnidia are produced for several days on a leaf lesion and that the length of the period between lesion appearance and pycnidia production depends on temperature. Overall, the findings showed that production of conidia requires high humidity; under field conditions, some hours at high humidity, which usually occur at nighttime, rather than constant high humidity may be sufficient.

Seasonal niche partitioning and coexistence of amphimictic and parthenogenetic lineages of Heterocypris barbara (Crustacea: Ostracoda)

Sympatry of amphimictic and parthenogenetic lineages in species with mixed reproductive systems is rarely observed in nature. On Lampedusa Island (Pelagie Islands, Italy), amphimictic and parthenogenetic lineages of Heterocypris barbara (Gauthier and Brehm, 1928) co-occur in a temporary pond. Their sympatric persistence calls for an ecological differentiation. We investigated the role of seasonal variation of temperature and photoperiod conditions by two different approaches: microcosms set up by inundation of dry sediments from the temporary pond and life-table experiments. Microcosms recreate conditions similar to the field and in their sediments random samples of resting eggs of both amphimictic and parthenogenetic females are stored. Life-table experiments supplied individual-based estimates of survivorship, adult life span, fecundity, and sex ratio in the progeny. We carried out the experiments at 24 °C and a photoperiod of 12 h light (L) : 12 h dark (D) (simulating fall conditions) and at 16 °C and a photoperiod of 10 h L : 14 h D (simulating winter conditions). Males and amphimictic females were the most numerous forms at 24 °C and 12 h L : 12 h D; parthenogenetic females were dominant at 16 °C and 10 h L : 14 h D. Life-table experiments showed that amphimictic forms do not complete development at 16 °C and 10 h L : 14 h D. Our results suggest that sympatry of amphimictic and parthenogenetic females in the field depends on seasonal niche partitioning and the storage effect of resting eggs that allows survival through adverse-season conditions.

Safe food and feed through an integrated toolbox for mycotoxin management: the MyToolBox approach

There is a pressing need to mobilise the wealth of knowledge from the international mycotoxin research conductedover the past 25-30 years, and to perform cutting-edge research where knowledge gaps still exist. This knowledgeneeds to be integrated into affordable and practical tools for farmers and food processors along the chain inorder to reduce the risk of mycotoxin contamination of crops, feed and food. This is the mission of MyToolBox – a four-year project which has received funding from the European Commission. It mobilises a multi-actorpartnership (academia, farmers, technology small and medium sized enterprises, food industry and policystakeholders) to develop novel interventions aimed at achieving a significant reduction in crop losses due tomycotoxin contamination. Besides a field-to-fork approach, MyToolBox also considers safe use options ofcontaminated batches, such as the efficient production of biofuels. Compared to previous efforts of mycotoxin reduction strategies, the distinguishing feature of MyToolBox is to provide the recommended measures to theend users along the food and feed chain in a web-based MyToolBox platform (e-toolbox). The project focuseson small grain cereals, maize, peanuts and dried figs, applicable to agricultural conditions in the EU and China. Crop losses using existing practices are being compared with crop losses after novel pre-harvest interventionsincluding investigation of genetic resistance to fungal infection, cultural control (e.g. minimum tillage or cropdebris treatment), the use of novel biopesticides suitable for organic farming, competitive biocontrol treatment and development of novel modelling approaches to predict mycotoxin contamination. Research into post-harvestmeasures includes real-time monitoring during storage, innovative sorting of crops using vision-technology, novelmilling technology and studying the effects of baking on mycotoxins at an industrial scale.

Urological complications following kidney transplantation in pediatric age: A single-center experience

Surgical complications during kidney transplantation can seriously affect renal outcomes. We assess occurrence, risk factors, and results of all urological complications in a series of renal transplants in a single center. Children who underwent renal transplant between January 2008 and December 2014 were retrospectively evaluated. Postoperative urological complications were reviewed. Demographic details, cause of ESRD, donor type, and surgical procedures at transplant were analyzed. For statistical analysis, the chi-square test or Fisher's exact test were used as appropriate. One hundred and twenty-one kidney transplants were performed in 117 children (median age 12 yr). Sixty-two of 121 (53%) had an underlying urological malformation. At a median follow-up of three yr, 28 urological complications were recorded (23%): 12 lymphocele (10%), 10 ureteral obstruction (8%), three urinary leakage (2.5%), two symptomatic VUR (1.7%), and one hydropyonephrosis. When lymphocele was excluded, the complication incidence rate dropped to 13%. Ureteral obstruction mostly occurred late after transplant (more than six months). Presence of urological malformation was the only factor related to increased occurrence of urological complication (p = 0.007) and, in particular, ureteral obstruction (p = 0.018). Children with urological malformations presented a statistically significant risk of developing urological complications after kidney transplantation, ureteral obstruction being the most common complication.

Germination of Fusarium graminearum Ascospores and Wheat Infection are Affected by Dry Periods and by Temperature and Humidity During Dry Periods

The effects of temperature and relative humidity (RH) on germination of Fusarium graminearum ascospores, and of dry periods (DP) of different lengths and of temperature and RH during DP on ascospore survival were studied both in vitro and in planta. Optimal temperatures for ascospore germination at 100% RH were 20 and 25°C; germination was ≤5% when ascospores were incubated at 20°C and RH ≤ 93.5%. Viable ascospores were found at all tested combinations of DP duration (0 to 48 h) × temperature (5 to 40°C) or RH (32.5 to 100% RH). Germination declined as DP duration and temperature increased. Germination was lower for ascospores kept at 65.5% RH during the DP than at 76.0, 32.5, or 93.5% RH. Equations were developed describing the relationships between ascospore germination, DP duration and temperature or RH during DP. Durum wheat spikes were inoculated with ascospores and kept dry for 0 to 48 h at approximately 15°C and 65% RH; plants were then kept in saturated atmosphere for 48 h to favor infection. Fungal biomass, measured as F. graminearum DNA by quantitative polymerase chain reaction, declined as DP increased to 24 and 48 h at 3 and 9 days postinfection but not in spikes at maturity.

A multicomponent decision support system to manage Fusarium head blight and mycotoxins in durum wheat

Mycotoxin contamination is of great concern in durum wheat and pasta production in Italy. A long-term project was conducted to improve mycotoxin management, and this project had six stages, from basic research to large-scale application. In stage 1, research was conducted on the biology and epidemiology of the fungal species involved in the Fusarium head blight (FHB) complex. The results were used in stage 2 to develop a multispecies, mechanistic model that included the effect of host and weather on: (1) inoculum production and dispersal; (2) infection and disease onset; and (3) mycotoxin accumulation. The weather-driven model was then validated under different epidemiological conditions. In stage 3, the model was expanded to include those crop management options that influence the risk of FHB and mycotoxin contamination, i.e. growing area, host species and resistance level of the cultivar, previous crop, and soil tillage. In stage 4, the complete model was included in a web-based decision support system (DSS) named granoduro.net®. The DSS provides plot-specific and up-to-date decision supports about weather, fertilisation, crop growth, weed control, and disease and mycotoxin risk. In stage 5, the DSS, together with Good Agricultural Practices, was applied for 2 years in 25 pilot farms across Italy. DSS use reduced external inputs (i.e. seeds, fungicides, and fertilisers) and costs, maintained or increased crop yield and quality, and kept mycotoxin contamination below the legal limit. Thus, the DSS significantly increased farmer income and reduced emission of greenhouse gasses. In stage 6, in an agreement with Barilla (a pasta producing company), the DSS was successfully used to manage 18,000 ha of durum wheat across Italy during 2013-2014. The DSS is currently being improved to include additional Fusarium species and related toxins, and the sexual stage of Fusarium graminearum. DSSs for common wheat and barley are also under development.

Early and late maternal effects on hatching phenology of Heterocypris incongruens (Crustacea: Ostracoda)

In ephemeral ponds, the hatching asynchrony of resting eggs may be adaptive and the result of a maternal bet-hedging strategy. A mother can influence the progeny phenology through conditions experienced during life cycle even in early development stages. We investigated the consequences of a hatching delay for offspring and compared early and late maternal effects in a clonal lineage of Heterocypris incongruens. We used females from genetically identical, 40 months old, resting eggs that hatched, asynchronically, after a first (FI) or a second (SI) inundation event. Maternal origin (FI or SI) was considered an early effect involving the maternal response to hatching stimuli during the embryological dormant stage. Maternal age at deposition and egg size were considered late effects that account for maternal conditions during active stage. We compared size and development time of eggs produced by FI and SI females under laboratory condition (24°C 12:12 L:D photoperiod). Maternal origin affected development time to adulthood which was later in FI than in SI females, and fecundity that was higher in FI than in SI females. SI eggs were smaller than FI eggs: size was affected by maternal age at deposition and was directly related to the egg development time. Development time varied from 1 to 117 days and was shorter in SI eggs than in FI eggs. Our results showed that maternal response during embryological stage affects the performance in successive active stages and suggested that hatching asynchrony may be considered a risk spread strategy.

Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

BACKGROUND/PURPOSE

Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration.

METHODS

This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients' charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients' relatives to confirm the long-term outcome.

RESULTS

One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months-7.5 years). Thirteen patients (13/124 = 10.5 %) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p < 0.05). We observed 10 % of complications, including 2.7 % testicular atrophy and 4.5 % recurrence. Atrophy proved to occur more frequently in patients who experienced preoperative incarceration (p < 0.05). No other risk factors were identified.

CONCLUSIONS

The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.

Lifetime response of contemporary versus resurrected Daphnia galeata Sars (Crustacea, Cladocera) to Cu(II) chronic exposure

Resurrecting legacy lineages of organisms from sediment cores of known geological age allows us to understand how environmental change can cause selection pressures that constrain the variation of populations over time. We quantified the lifetime tolerance and effects of Cu(II) exposure on Daphnia galeata in a polluted subalpine lake by comparing extant individuals with those resurrected from ephippia extracted from ca. 30-years-old sediments. Laboratory experiments were conducted using two Cu(II) concentrations, 40 and 10 µg L(-1), corresponding to the levels recorded in the lake, during chemical recovery, when Daphnia first re-appeared and succeeded. Contemporary Daphnia were unable to survive after the 10th day at either of the Cu(II) concentrations, and were unable to successfully reproduce. Daphnia cohorts from the past performed better in low Cu(II) concentrations than in copper-free, control conditions. The copper-adapted, tolerant Daphnia strains grew faster under non-toxic conditions, but were unable to survive new pollution events.

Evaluation in usual practice of the bevacizumab-FOLFIRI combination for the first-line treatment of patients with unresectable metastatic colorectal cancer treated in 2006: focus on resected patients and oncogeriatrics: AVASTIN OUEST cohort of the Observatory of Cancer of the Brittany and Pays de la Loire Areas (Observatoire dédié au Cancer Bretagne / Pays de la Loire)

BACKGROUND

In 2006, bevacizumab, a targeted therapy agent was combined with FOLFIRI for the firstline treatment of patients with unresectable metastatic colorectal cancer.

METHODS/RESULTS

A study on a homogenous series of 111 patients from the Brittany and Pays de la Loire areas who received bevacizumab-FOLFIRI as first-line treatment in 2006 showed the following results: 51 responses, 29 stabilisations, 21 progressions and 10 cases of toxicity prior to assessment. Median overall survival (OS) was 25.1 months and median progression-free survival was 10.2 months. Surgery secondary to treatment tripled median OS which reached 59.2 months in resected patients versus 18.8 months in unresected patients. Comparison of patients aged more or less than 70 years showed no differences in terms of benefits or risks.

CONCLUSION

Bevacizumab-FOLFIRI could be administered as part of a routine care protocol to elderly patients previously evaluated by a geriatric assessment and validated by a multidisciplinary staff.

[Severe 25-OH vitamin D deficiency in patients on chronic hemodialysis]

INTRODUCTION

25-OH vitamin D deficiency is associated with increased cardiovascular mortality in general population and in chronic kidney disease. The aim of this study was to evaluate 25-OH-Vitamin D (25-D) serum levels in chronic hemodialysis (HD) patients and its relationship with cardiovascular and non-cardiovascular risk factors.

MATERIAL AND METHODS

We performed a cross-sectional study with 187 prevalent HD patients (106 M/ 81 F) in chronic hemodialysis. 25-D were measured in January and blood samples were collected for analysis before a midweek HD session.

RESULTS AND CONCLUSIONS

The mean age of patients was 67 15 years with the mean HD time of 73 68 months. Forty-six patients (25%) were diabetics. 31% of the patients were taking i.v. paricalcitol and 22% were taking calciomimetics. None of patients were receiving native vitamin D. Serum levels of 25-OH-Vitamin D were low (11,77,5 ng/ml). Only 4% of patients had values of 25- OH-Vitamin D considered normal by the guidelines KDOQI. Levels of 25-D were deficient and insufficient respectively in 73% and 23% of the patients. In univariate analysis, serum levels of 25-D were negatively correlated with female sex and diabetes and positively correlated with albumin. In multivariate analysis dialysis vintage, lower serum calcium, hypoalbuminemia, higher BMI and treatment with paricalcitol were independently associated with lower levels of 25-OH-Vitamin D. Deficiency of 25-D is extremely common in chronic hemodialysis. It is still to be investigated by randomized prospective studies if native vitamin D supplementation is able to improve clinical outcomes in dialysis.

Metastatic breast cancer subtypes and central nervous system metastases

BACKGROUND

Breast cancer (BC) subtypes have different survival and response to therapy. We studied predictors of central nervous system metastases (CNS-M) and outcome after CNS-M diagnosis according to tumor subtype.

PATIENTS AND METHODS

488 patients with diagnosis of metastatic BC were retrospectively evaluated. According to the combination of hormone receptors (HR) and HER2 status, tumors were grouped in: Luminal (Lum), Luminal/HER2+, pure HER2-positive (pHER2+) and triple negative (TN). Time to CNS progression, CNS-M free interval and Overall Survival (OS) after CNS-M occurrence were compared by the log-rank test. Cox-proportional hazard models were used to study predictor factors associated with CNS progression, including tumor subtype and all potentially clinical relevant variables.

RESULTS

115 patients (pts) developed CNS-M with a median time to CNS progression of 31 months. The rate of CNS-M by subtype was: Lum 14%, Lum/HER2+ 35%, pHER2+ 49%, TN 22% (p < 0.001). Compared with Lum tumors, Lum/HER2+ (HR 2.514, p < 0.001), pHER2+ (HR 6.799, p < 0.0001) and TN (HR = 3.179, p < 0.001) subtypes were at higher risk of CNS-M. Median OS in months after CNS-M was: Lum 7.4, Lum/HER2+ 19.2, pHER2+ 7, TN 4.9 (p < 0.002). Belonging to the Lum/HER2+ subtype (HR 0.48, p < 0.037) and having isolated CNS (HR 0.37, p < 0.004) predicted significantly reduced risk of death.

CONCLUSIONS

After CNS-M, the Lum/HER2+ subtype appears associated with the longest OS. Prospective clinical trials would be required for evaluating the potential role of screening for asymptomatic CNS lesions and of more aggressive CNS-M treatment in Lum/HER2+ subtype.