Primary intimal sarcoma of the left atrium presenting with constitutional symptoms

Intimal (spindle-cell) sarcomas are exceptionally rare and are highly aggressive cardiac tumors. The authors describe a case of a 43-year-old female, presenting with a 3-month history of constitutional symptoms with fever, night sweats, anorexia and weight loss, associated with productive cough and pleural effusion that was admitted with clinical suspicion of pulmonary tuberculosis. The patient developed sudden acute heart failure symptoms during hospitalization, leading to mechanical ventilation. Computed tomography scan with contrast showed a cardiac tumor filling the left atrium causing compression of pulmonary veins. Surgical resection was performed and histologic examination revealed an intimal sarcoma. Although commenced on adjuvant chemotherapy, local tumor recurrence occurred with pericardium invasion. The patient died within 4 months of initial diagnosis. This report aims to describe an unusual presentation of this rare disease entity, and to discuss its highly aggressive clinical course.

Commensal bacteria and essential amino acids control food choice behavior and reproduction

Choosing the right nutrients to consume is essential to health and wellbeing across species. However, the factors that influence these decisions are poorly understood. This is particularly true for dietary proteins, which are important determinants of lifespan and reproduction. We show that in Drosophila melanogaster, essential amino acids (eAAs) and the concerted action of the commensal bacteria Acetobacter pomorum and Lactobacilli are critical modulators of food choice. Using a chemically defined diet, we show that the absence of any single eAA from the diet is sufficient to elicit specific appetites for amino acid (AA)-rich food. Furthermore, commensal bacteria buffer the animal from the lack of dietary eAAs: both increased yeast appetite and decreased reproduction induced by eAA deprivation are rescued by the presence of commensals. Surprisingly, these effects do not seem to be due to changes in AA titers, suggesting that gut bacteria act through a different mechanism to change behavior and reproduction. Thus, eAAs and commensal bacteria are potent modulators of feeding decisions and reproductive output. This demonstrates how the interaction of specific nutrients with the microbiome can shape behavioral decisions and life history traits.

Matching Dietary Amino Acid Balance to the In Silico-Translated Exome Optimizes Growth and Reproduction without Cost to Lifespan

Balancing the quantity and quality of dietary protein relative to other nutrients is a key determinant of evolutionary fitness. A theoretical framework for defining a balanced diet would both reduce the enormous workload to optimize diets empirically and represent a breakthrough toward tailoring diets to the needs of consumers. Here, we report a simple and powerful in silico technique that uses the genome information of an organism to define its dietary amino acid requirements. We show for the fruit fly Drosophila melanogaster that such "exome-matched" diets are more satiating, enhance growth, and increase reproduction relative to non-matched diets. Thus, early life fitness traits can be enhanced at low levels of dietary amino acids that do not impose a cost to lifespan. Exome matching also enhanced mouse growth, indicating that it can be applied to other organisms whose genome sequence is known.

Validation of the Portuguese Severe Respiratory Insufficiency Questionnaire for home mechanically ventilated patients

The aim of this study was to develop and validate the professional translation and cultural adaptation of the Portuguese Severe Respiratory Insufficiency (SRI) Questionnaire. The sample was composed of 93 patients (50 male patients, 53.8%) with a mean age of 66.3 years. The most frequent diagnostic groups were chronic obstructive pulmonary disease, obesity hypoventilation syndrome and restrictive chest wall disorders. The patients were asked to fill in both the SRI and SF-36 questionnaires. Factor analysis of the SRI questionnaire was performed leading to an explained variance of 73%, and resulted in 13 components. When analyzing the reliability, we obtained values for Cronbach's alpha above 0.70 for most subscales with the reliability of the summary scale being even higher (0.84). This professional translation and cultural adaptation of the Portuguese SRI Questionnaire has good psychometric properties which are similar, not only to the original, but also to other translations. These characteristics make this questionnaire applicable to the Portuguese population receiving home mechanical ventilation for severe respiratory insufficiency.

Internal states drive nutrient homeostasis by modulating exploration-exploitation trade-off

Internal states can profoundly alter the behavior of animals. A quantitative understanding of the behavioral changes upon metabolic challenges is key to a mechanistic dissection of how animals maintain nutritional homeostasis. We used an automated video tracking setup to characterize how amino acid and reproductive states interact to shape exploitation and exploration decisions taken by adult Drosophila melanogaster. We find that these two states have specific effects on the decisions to stop at and leave proteinaceous food patches. Furthermore, the internal nutrient state defines the exploration-exploitation trade-off: nutrient-deprived flies focus on specific patches while satiated flies explore more globally. Finally, we show that olfaction mediates the efficient recognition of yeast as an appropriate protein source in mated females and that octopamine is specifically required to mediate homeostatic postmating responses without affecting internal nutrient sensing. Internal states therefore modulate specific aspects of exploitation and exploration to change nutrient selection.

DOI:http://dx.doi.org/10.7554/eLife.19920.001

When making decisions, animals, including humans, do not always choose the same option. One reason for this is that their “internal state” changes the value of different options. This is particularly evident when deciding what type of food to eat. Depending on which nutrients the animal needs, it will choose to eat different foods.

Amino acids are key nutrients that affect health, lifespan and reproduction. Female fruit flies that have recently mated, for example, eat more amino acids in order to obtain the raw materials required to produce eggs. Despite the importance of amino acids, little was known about how animal behavior changes in response to a lack of this nutrient.

Corrales-Carvajal et al. used a video tracking system to measure the time that fruit flies – some of which had a need for amino acids – spent feeding on patches of yeast (which are rich in amino acids) versus patches of sucrose. Recently mated females – and virgins that had been fed a diet lacking in amino acids – consumed more yeast than sucrose, whereas virgin females that were not amino acid deficient showed the opposite pattern. To bias the fly toward eating the right food for their needs, several aspects of the fly’s behavior changed, including the number and length of individual feeding bouts. These different behaviors did not all change at the same time.

The pattern of exploration taken by the flies also depended on their need for amino acids. Amino acid deficient flies spent most of their time near known yeast patches. By contrast, fully fed flies adopted a riskier foraging strategy, moving away from known sources of food to explore their environment more widely. In common with humans, the flies relied upon their sense of smell to efficiently identify different types of food.

Overall, the results presented by Corrales-Carvajal et al. provide us with a detailed understanding about how changes to the internal state of the fly affect its behavior. The next step will be to use the powerful genetic tools available for studying fruit flies to reveal the neural circuits and molecular mechanisms that help animals find the types of food that they need.

DOI:http://dx.doi.org/10.7554/eLife.19920.002

Proline levels, oxidative metabolism and photosynthetic pigments during in vitro growth and acclimatization of Pitcairnia encholirioides L.B. Sm. (Bromeliaceae)

This study aimed to evaluate the variation in the levels of proline, oxidative metabolism and photosynthetic pigments in plants of Pitcairnia encholirioides grown in vitro under different conditions and after acclimatization. The analyses were performed after 150 days of in vitro cultivation in MS media supplemented with 10 µM GA3 or 0.2 µM NAA, sucrose at 15 or 30 g L-1, in test tubes which allowed gas exchange or in a hermetically sealed system, and 180 days after acclimatization. The in vitro maintenance in hermetically sealed flasks, with GA3 and 15 g L-1 sucrose had adverse metabolic effects, which was demonstrated by the lower proline and photosynthetic pigments accumulation and by the increase in antioxidant enzymes activities. After acclimatization, differences for proline and photosynthetic pigments were no longer found and the enzymatic activities ranged unevenly. The results suggest that the in vitro cultivation in media with 0.2 µM NAA and 30 g L-1 sucrose, in test tubes capped with closures which allowed gas exchange, is more suitable for micropropagation of P. encholirioides, providing a prolonged maintenance of in vitro cultures and plantlets with superior quality for ex vitro development.

Arsenic-induced responses in Pityrogramma calomelanos (L.) Link: Arsenic speciation, mineral nutrition and antioxidant defenses

Arsenic (As) hyperaccumulation trait has been described in a limited number of fern species. The physiological basis of hyperaccumulation remains unclear, especially in non-Pteris species such as Pityrogramma calomelanos. Aiming at a better understanding of As-induced responses, P. calomelanos plants were exposed to 1 mM As for 21 days and compared with control plants. Chemical analyses revealed that As accumulation was ten times higher in pinnae then in roots and stipes. In pinnae, As was present mainly as arsenite, whereas arsenate was the dominant form in stipes and roots. Arsenic promoted an increase in antioxidant enzyme activities in both fern parts and several alterations in mineral nutrition, especially with regard to P and K. A higher content of non-protein thiols was observed in pinnae of plants exposed to As, whereas As induced the increase in lipid peroxidation in roots. The results showed that Pityrogramma calomelanos shares with Pteris vittata several aspects of As metabolism. High root-shoot As translocation showed to be essential to avoid toxic effects in roots, since the root is more sensitive to the metalloid. The higher capacity of P. calomelanos to sequester arsenite in the pinna and its efficient antioxidant system maintain the reactive oxygen species at a low level, thus enhancing the continuous accumulation of As. Molecular investigations are needed to elucidate the evolution of As-tolerance mechanisms in Pteridaceae species, especially with regard to membrane transporters and ROS signaling.