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Yun S, Kiffer FC, Bancroft GL, Guzman CS, Soler I, Haas HA, Shi R, Patel R, Lara-Jiménez J, Kumar PL, Tran FH, Ahn KJ, Rong Y, Luitel K, Shay JW, Eisch AJ. The longitudinal behavioral effects of acute exposure to galactic cosmic radiation in female C57BL/6J mice: implications for deep space missions, female crews, and potential antioxidant countermeasures. bioRxiv 2024:2024.04.12.588768. [PMID: 38659963 PMCID: PMC11042186 DOI: 10.1101/2024.04.12.588768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
Galactic cosmic radiation (GCR) is an unavoidable risk to astronauts that may affect mission success. Male rodents exposed to 33-beam-GCR (33-GCR) show short-term cognitive deficits but reports on female rodents and long-term assessment is lacking. Here we asked: What are the longitudinal behavioral effects of 33-GCR on female mice? Also, can an antioxidant/anti-inflammatory compound mitigate the impact of 33-GCR? Mature (6-month-old) C57BL/6J female mice received the antioxidant CDDO-EA (400 µg/g of food) or a control diet (vehicle, Veh) for 5 days and either Sham-irradiation (IRR) or whole-body 33-GCR (0.75Gy) on the 4th day. Three-months post-IRR, mice underwent two touchscreen-platform tests: 1) location discrimination reversal (which tests behavior pattern separation and cognitive flexibility, two abilities reliant on the dentate gyrus) and 2) stimulus-response learning/extinction. Mice then underwent arena-based behavior tests (e.g. open field, 3-chamber social interaction). At the experiment end (14.25-month post-IRR), neurogenesis was assessed (doublecortin-immunoreactive [DCX+] dentate gyrus neurons). Female mice exposed to Veh/Sham vs. Veh/33-GCR had similar pattern separation (% correct to 1st reversal). There were two effects of diet: CDDO-EA/Sham and CDDO-EA/33-GCR mice had better pattern separation vs. their respective control groups (Veh/Sham, Veh/33-GCR), and CDDO-EA/33-GCR mice had better cognitive flexibility (reversal number) vs. Veh/33-GCR mice. Notably, one radiation effect/CDDO-EA countereffect also emerged: Veh/33-GCR mice had worse stimulus-response learning (days to completion) vs. all other groups, including CDDO-EA/33-GCR mice. In general, all mice show normal anxiety-like behavior, exploration, and habituation to novel environments. There was also a change in neurogenesis: Veh/33-GCR mice had fewer DCX+ dentate gyrus immature neurons vs. Veh/Sham mice. Our study implies space radiation is a risk to a female crew's longitudinal mission-relevant cognitive processes and CDDO-EA is a potential dietary countermeasure for space-radiation CNS risks.
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Wilson AC, Chiles J, Ashish S, Chanda D, Kumar PL, Mobley JA, Neptune ER, Thannickal VJ, McDonald MLN. Integrated bioinformatics analysis identifies established and novel TGFβ1-regulated genes modulated by anti-fibrotic drugs. Sci Rep 2022; 12:3080. [PMID: 35197532 PMCID: PMC8866468 DOI: 10.1038/s41598-022-07151-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 02/14/2022] [Indexed: 11/29/2022] Open
Abstract
Fibrosis is a leading cause of morbidity and mortality worldwide. Although fibrosis may involve different organ systems, transforming growth factor-β (TGFβ) has been established as a master regulator of fibrosis across organs. Pirfenidone and Nintedanib are the only currently-approved drugs to treat fibrosis, specifically idiopathic pulmonary fibrosis, but their mechanisms of action remain poorly understood. To identify novel drug targets and uncover potential mechanisms by which these drugs attenuate fibrosis, we performed an integrative 'omics analysis of transcriptomic and proteomic responses to TGFβ1-stimulated lung fibroblasts. Significant findings were annotated as associated with pirfenidone and nintedanib treatment in silico via Coremine. Integrative 'omics identified a co-expressed transcriptomic and proteomic module significantly correlated with TGFβ1 treatment that was enriched (FDR-p = 0.04) with genes associated with pirfenidone and nintedanib treatment. While a subset of genes in this module have been implicated in fibrogenesis, several novel TGFβ1 signaling targets were identified. Specifically, four genes (BASP1, HSD17B6, CDH11, and TNS1) have been associated with pirfenidone, while five genes (CLINT1, CADM1, MTDH, SYDE1, and MCTS1) have been associated with nintedanib, and MYDGF has been implicated with treatment using both drugs. Using the Clue Drug Repurposing Hub, succinic acid was highlighted as a metabolite regulated by the protein encoded by HSD17B6. This study provides new insights into the anti-fibrotic actions of pirfenidone and nintedanib and identifies novel targets for future mechanistic studies.
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Affiliation(s)
- Ava C. Wilson
- grid.265892.20000000106344187Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL USA ,grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA
| | - Joe Chiles
- grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA
| | - Shah Ashish
- grid.265892.20000000106344187Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL USA
| | - Diptiman Chanda
- grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA
| | - Preeti L. Kumar
- grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA
| | - James A. Mobley
- grid.265892.20000000106344187Division of Molecular and Translational Biomedicine, Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL USA
| | - Enid R. Neptune
- grid.21107.350000 0001 2171 9311Department of Medicine, Johns Hopkins University, Baltimore, MD USA
| | - Victor J. Thannickal
- grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA ,grid.265219.b0000 0001 2217 8588John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA USA
| | - Merry-Lynn N. McDonald
- grid.265892.20000000106344187Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL USA ,grid.265892.20000000106344187Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA ,grid.265892.20000000106344187Department of Genetics, University of Alabama at Birmingham, Birmingham, AL USA
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Casinga CM, Shirima RR, Mahungu NM, Tata-Hangy W, Bashizi KB, Munyerenkana CM, Ughento H, Enene J, Sikirou M, Dhed'a B, Monde G, Kumar PL, Legg JP. Expansion of the Cassava Brown Streak Disease Epidemic in Eastern Democratic Republic of Congo. Plant Dis 2021; 105:2177-2188. [PMID: 33258425 DOI: 10.1094/pdis-05-20-1135-re] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Cassava plays a key role in ensuring food security and generating income for smallholder farmers throughout Central Africa, particularly in the Democratic Republic of Congo (DRC). This status is threatened, however, by cassava brown streak disease (CBSD), which has expanded its incidence and range in eastern DRC. The study described here comprises the first extensive assessment of temporal change in the occurrence of CBSD and its causal viruses in DRC, based on surveys conducted during 2016 and 2018. Cassava fields were inspected in Ituri, Nord-Kivu, Sud-Kivu, Tanganyika, and Haut-Katanga provinces within eastern DRC to record foliar incidence and severity of CBSD. Leaf samples were collected for virus detection and species-level identification. New occurrences of CBSD, confirmed by virus diagnostic tests, were recorded in two provinces (Haut-Katanga and Sud-Kivu) and nine previously unaffected territories, covering an area of >62,000 km2, and at up to 900 km from locations of previously published reports of CBSD in DRC. Overall, average CBSD incidence within fields was 13.2% in 2016 and 16.1% in 2018. In the new spread zone of Haut-Katanga, incidence increased from 1.7 to 15.9%. CBSD is now present in provinces covering 321,000 km2, which is approximately 14% of the total area of DRC. This represents a major expansion of the CBSD epidemic, which was only recorded from one province (Nord-Kivu) in 2012. Both Cassava brown streak virus (CBSV) and Ugandan cassava brown streak virus were detected in Ituri, Nord-Kivu, and Sud-Kivu, but only CBSV was detected in Haut-Katanga. Overall, these results confirm the increasing threat that CBSD poses to cassava production in DRC and describe an important expansion in the African pandemic of CBSD.
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Affiliation(s)
- C M Casinga
- International Institute of Tropical Agriculture, Kalambo, Bukavu, Democratic Republic of Congo
- Université de Kisangani, Tshopo, Democratic Republic of Congo
| | - R R Shirima
- International Institute of Tropical Agriculture, Dar es Salaam, Tanzania
| | - N M Mahungu
- International Institute of Tropical Agriculture, Kinshasa, Democratic Republic of Congo
| | - W Tata-Hangy
- International Institute of Tropical Agriculture, Kinshasa, Democratic Republic of Congo
| | - K B Bashizi
- International Institute of Tropical Agriculture, Kalambo, Bukavu, Democratic Republic of Congo
| | - C M Munyerenkana
- International Institute of Tropical Agriculture, Kalambo, Bukavu, Democratic Republic of Congo
| | - H Ughento
- Institut National pour l'Etude et la Recherche Agronomique, Bukavu, Democratic Republic of Congo
| | - J Enene
- International Institute of Tropical Agriculture, Kinshasa, Democratic Republic of Congo
| | - M Sikirou
- International Institute of Tropical Agriculture, Kinshasa, Democratic Republic of Congo
| | - B Dhed'a
- Université de Kisangani, Tshopo, Democratic Republic of Congo
| | - G Monde
- Institut Facultaire des Sciences Agronomiques, Yangambi, Democratic Republic of Congo
| | - P L Kumar
- International Institute of Tropical Agriculture, Ibadan, Nigeria
| | - J P Legg
- International Institute of Tropical Agriculture, Dar es Salaam, Tanzania
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Kolombia Y, Oviasuyi T, Ayisah KD, Ale Gonh-Goh A, Atsu T, Oresanya A, Ogunsanya P, Alabi T, Kumar PL. First report of banana bunchy top virus in banana (Musa spp.) and its eradication in Togo. Plant Dis 2021; 105:3312. [PMID: 33904335 DOI: 10.1094/pdis-03-21-0473-pdn] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Banana (including plantain; Musa spp.) is a vegetatively propagated semi-perennial crop in fields and backyard gardens in Togo. Banana bunchy top disease (BBTD), caused by banana bunchy top virus (BBTV, genus Babuvirus) is the most economically important viral disease, infection of which causes severe stunting and production losses of 90-100% within two seasons. The virus is spread by banana aphid, Pentalonia nigronervosa, and through vegetative propagation from infected sources. BBTV occurrence was first reported in West Africa in 2011 with confirmation in Republic of Benin and in Nigeria in 2012 . A regional alliance (www.bbtvalliance.org) has been established for BBTV surveillance through frequent surveys in countries neighboring those affected, such as Togo. The surveys conducted in September 2018 in banana growing areas in Togo revealed plants with typical symptoms (severe stunting, bunchy growth with shortened petioles with chlorotic streaks and yellow leaf margins) in three banana fields. Locations were Tsévié, Préfecture de Zio, (6.44°N, 1.21028°E), Lilicope, Préfecture de Zio in Maritime region (6.56583°N, 1.18639°E), and Amoutchou, Préfecture de l'Ogou in Plateaux region (7.3775°N, 1.17472°E). Leaf samples were collected from symptomatic (N=8) and asymptomatic plants (N=30) and used for DNA extraction followed by a polymerase chain reaction (PCR) for BBTV detection to amplify ~240 bp sequence of DNA-R encoding for core replicase gene. All samples from symptomatic plants (N=8) tested positive and asymptomatic plants were negative. To ascertain virus identity the 240-bp PCR product was purified and sequenced in both directions. A BLAST search of the sequence (NCBI GenBank Acc.# MK073116) revealed 99% identity with DNA-R sequences of BBTV isolates from Africa (e.g., JQ437549-Benin, JN290301-Nigeria). Further analysis of the 240-bp nucleotide sequence with Maximum-likelihood phylogenetic analysis using MEGA-X software has grouped the BBTV isolate with sub-Saharan African sub-clade of the South Pacific group. To further confirm the virus identity, two samples from symptomatic (PCR positive) and asymptomatic (PCR negative) plants from Tsévié were tested by TAS-ELISA using BBTV ELISA reagent set (Cat. No. SRA24700-1000, Agdia, France) following the manufacturers' protocol. Only samples from two symptomatic plants that were positive in PCR reacted positively in TAS-ELISA; asymptomatic plants were negative. BBTV was not observed in any of the 22 locations surveyed as a follow-up in banana producing areas. To our knowledge, this is the first report of BBTV infecting banana in Togo. The plants detected in the three sites were eradicated in the follow-up action implemented by the alliance team together with the Direction de la Protection des Végétaux of Togo. Follow-up surveys were conducted in the same regions in 2019 and 2020 to ensure disease-free status in these sites and other banana producing regions in Togo. Efforts have been made to raise awareness about BBTD recognition, diagnosis, and eradication. To the best of our knowledge this is the first case of rapid detection and eradication of BBTD in sub-Saharan Africa. This study illustrates the importance of regular surveillance for early detection of invasive virus threats and the value of rapid eradication to contain viruses before spread and establishment in a new territory.
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Affiliation(s)
- Yao Kolombia
- International Institute of Tropical Agriculture, 105528, Ibadan, Oyo, Nigeria;
| | - Taiwo Oviasuyi
- International Institute of Tropical Agriculture, 105528, Ibadan, Oyo, Nigeria;
| | - Kwasi Dzola Ayisah
- Université de Lomé - Ecole Supérieure d'Agronomie, Production Végétale, Université de Lomé- Ecole Supérieure d'Agronomie, Laboratoire de Virologie et de Biotechnologie Végétales, Lomé, Togo, 1515;
| | | | - Tagba Atsu
- Direction de la Protection des Végétaux, Lome, Togo;
| | - Adedamola Oresanya
- International Institute of Tropical Agriculture, 105528, Ibadan, Oyo, Nigeria;
| | | | - Tunrayo Alabi
- International Institute of Tropical Agriculture, 105528, Ibadan, Oyo, Nigeria;
| | - P L Kumar
- IITA, Virology & Molecular Diagnostics, Oyo Road, Ibadan, OYO, Nigeria, PMB 5320;
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Wilson AC, Kumar PL, Lee S, Parker MM, Arora I, Morrow JD, Wouters EFM, Casaburi R, Rennard SI, Lomas DA, Agusti A, Tal-Singer R, Dransfield MT, Wells JM, Bhatt SP, Washko G, Thannickal VJ, Tiwari HK, Hersh CP, Castaldi PJ, Silverman EK, McDonald MLN. Heme metabolism genes Downregulated in COPD Cachexia. Respir Res 2020; 21:100. [PMID: 32354332 PMCID: PMC7193359 DOI: 10.1186/s12931-020-01336-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 03/11/2020] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION Cachexia contributes to increased mortality and reduced quality of life in Chronic Obstructive Pulmonary Disease (COPD) and may be associated with underlying gene expression changes. Our goal was to identify differential gene expression signatures associated with COPD cachexia in current and former smokers. METHODS We analyzed whole-blood gene expression data from participants with COPD in a discovery cohort (COPDGene, N = 400) and assessed replication (ECLIPSE, N = 114). To approximate the consensus definition using available criteria, cachexia was defined as weight-loss > 5% in the past 12 months or low body mass index (BMI) (< 20 kg/m2) and 1/3 criteria: decreased muscle strength (six-minute walk distance < 350 m), anemia (hemoglobin < 12 g/dl), and low fat-free mass index (FFMI) (< 15 kg/m2 among women and < 17 kg/m2 among men) in COPDGene. In ECLIPSE, cachexia was defined as weight-loss > 5% in the past 12 months or low BMI and 3/5 criteria: decreased muscle strength, anorexia, abnormal biochemistry (anemia or high c-reactive protein (> 5 mg/l)), fatigue, and low FFMI. Differential gene expression was assessed between cachectic and non-cachectic subjects, adjusting for age, sex, white blood cell counts, and technical covariates. Gene set enrichment analysis was performed using MSigDB. RESULTS The prevalence of COPD cachexia was 13.7% in COPDGene and 7.9% in ECLIPSE. Fourteen genes were differentially downregulated in cachectic versus non-cachectic COPD patients in COPDGene (FDR < 0.05) and ECLIPSE (FDR < 0.05). DISCUSSION Several replicated genes regulating heme metabolism were downregulated among participants with COPD cachexia. Impaired heme biosynthesis may contribute to cachexia development through free-iron buildup and oxidative tissue damage.
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Affiliation(s)
- Ava C Wilson
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Preeti L Kumar
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Sool Lee
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Margaret M Parker
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Itika Arora
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Jarrett D Morrow
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Emiel F M Wouters
- Centre of expertise for chronic organ failure, Horn, the Netherlands
| | - Richard Casaburi
- Rehabilitation Clinical Trials Center, Los Angeles Biomedical Research Institute at Harbor Harbor-UCLA Medical Center, Torrance, CA, USA
| | - Stephen I Rennard
- Department of Medicine, Nebraska Medical Center, Omaha, NE, USA
- BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK
| | - David A Lomas
- UCL Respiratory, Division of Medicine, University College London, London, UK
| | - Alvar Agusti
- Fundació Investigació Sanitària Illes Balears (FISIB), Ciber Enfermedades Respiratorias (CIBERES), Barcelona, Catalunya, Spain
- Thorax Institute, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain
| | | | - Mark T Dransfield
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - J Michael Wells
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Surya P Bhatt
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - George Washko
- Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Victor J Thannickal
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Hemant K Tiwari
- Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Craig P Hersh
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
- Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Peter J Castaldi
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
- Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Edwin K Silverman
- Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA
- Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Merry-Lynn N McDonald
- Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
- Department of Genetics, University of Alabama at Birmingham, Birmingham, AL, USA.
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Otti G, Bouvaine S, Kimata B, Mkamillo G, Kumar PL, Tomlins K, Maruthi MN. High-throughput multiplex real-time PCR assay for the simultaneous quantification of DNA and RNA viruses infecting cassava plants. J Appl Microbiol 2016; 120:1346-56. [PMID: 26743662 DOI: 10.1111/jam.13043] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 01/04/2016] [Accepted: 01/04/2016] [Indexed: 11/30/2022]
Abstract
AIMS To develop a multiplex TaqMan-based real-time PCR assay (qPCR) for the simultaneous detection and quantification of both RNA and DNA viruses affecting cassava (Manihot esculenta) in eastern Africa. METHODS AND RESULTS The diagnostic assay was developed for two RNA viruses; Cassava brown streak virus (CBSV) and Uganda cassava brown streak virus (UCBSV) and two predominant DNA viruses; African cassava mosaic virus (ACMV) and East African cassava mosaic virus (EACMV), which cause the economically important cassava brown streak disease (CBSD) and cassava mosaic disease (CMD) respectively. Our method, developed by analysing PCR products of viruses, was highly sensitive to detect target viruses from very low quantities of 4-10 femtograms. Multiplexing did not diminish sensitivity or accuracy compared to uniplex alternatives. The assay reliably detected and quantified four cassava viruses in field samples where CBSV and UCBSV synergy was observed in majority of mixed-infected varieties. CONCLUSIONS We have developed a high-throughput qPCR diagnostic assay capable of specific and sensitive quantification of predominant DNA and RNA viruses of cassava in eastern Africa. SIGNIFICANCE AND IMPACT OF THE STUDY The qPCR methods are a great improvement on the existing methods and can be used for monitoring virus spread as well as for accurate evaluation of the cassava varieties for virus resistance.
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Affiliation(s)
- G Otti
- Natural Resources Institute, University of Greenwich, Chatham Maritime, Kent, UK
| | - S Bouvaine
- Natural Resources Institute, University of Greenwich, Chatham Maritime, Kent, UK
| | - B Kimata
- Naliendele Agricultural Research Institute, Naliendele, Tanzania
| | - G Mkamillo
- Naliendele Agricultural Research Institute, Naliendele, Tanzania
| | - P L Kumar
- International Institute of Tropical Agriculture, Ibadan, Nigeria
| | - K Tomlins
- Natural Resources Institute, University of Greenwich, Chatham Maritime, Kent, UK
| | - M N Maruthi
- Natural Resources Institute, University of Greenwich, Chatham Maritime, Kent, UK
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Bosque-Pérez NA, Thresh JM, Jones RAC, Melcher U, Fereres A, Kumar PL, Gray SM, Lecoq H. Ecology, evolution and control of plant viruses and their vectors. Virus Res 2014; 186:1-2. [PMID: 24930054 DOI: 10.1016/j.virusres.2014.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- N A Bosque-Pérez
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA.
| | - J M Thresh
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - R A C Jones
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - U Melcher
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - A Fereres
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - P L Kumar
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - S M Gray
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
| | - H Lecoq
- University of Idaho, Department of Plant, Soil and Entomological Sciences, Moscow, ID 83844-2339, USA
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Abstract
BACKGROUND In today's mobile society, international travel and immigration are becoming increasingly more common. This poses an additional challenge to the clinician to expand the differential diagnosis to include diseases endemic to the area of travel. OBSERVATION We present a case of malaria and tuberculosis in a 16-year-old African male immigrant. He had several encounters with the health care system for complaints of nonspecific symptoms for which he was treated with antibiotics without follow-up. CONCLUSION Clinicians should take a complete history and expand their differential diagnosis to include diseases endemic to the country of origin and/or travel when treating an international patient. This not only will allow prompt treatment of the patient's condition but also will address public health concerns.
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Affiliation(s)
- C W Worley
- Department of Pediatrics, East Tennessee State University, Johnson City, TN 37614-0578, USA
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