Landscape-Scale Biodiversity Impacts Analysis of Côte d'Ivoire's Cocoa Cultivation along Export Supply Chains

Agricultural land use for export commodities leads to significant biodiversity impacts. A spatially detailed assessment of these impacts is crucial for implementing effective mitigation policies. Using cocoa cultivation and exports in Côte d'Ivoire as an example, we present a novel framework that combines earth observations, enhanced landscape-scale biodiversity models, and subnational export supply chain data sets to track the tele-connected potential biodiversity impacts of export groups and importing countries. We found that cocoa cultivation accounts for ∼44% of the biodiversity impacts in Côte d'Ivoire's cocoa cultivation areas, with >90% attributable to cocoa exports. The top 10 importing countries account for ∼84% of these impacts. Our method offers improved spatial detail compared to the existing approaches, facilitating the identification of biodiversity impact hotspots. Additionally, the biodiversity impacts of agroforestry cocoa are not always lower compared to full-sun cocoa, especially when agroforestry systems are established in regions of high biodiversity importance. Our transferable framework provides a comprehensive understanding of biodiversity footprint and promotes informed decision-making for sustainable agricultural production, processing, and trade. Our framework's application is currently constrained by the scarcity of detailed supply chain data sets; we underscore the urgent need for improved supply chain transparency to fully unlock the framework's potential.

Assessing the phosphorus cycle in European agricultural soils: Looking beyond current national phosphorus budgets

Phosphorus (P) is an essential nutrient for all crops, yet its excess negatively affects public health, the environment, and the economy. At the same time, rock P is a critical raw material due to its importance for food production, the finite geological deposits, and its unequal regional distribution. As a consequence, nutrient management is addressed by numerous environmental policies. Process-based biogeochemical models are valuable instruments to monitor the P cycle and predict the effect of agricultural management policies. In this study, we upscale the calibrated DayCent model at European level using data-derived soil properties, advanced input data sets, and representative management practices. Our results depicted a P budget with an average P surplus (0.11 kg P ha-1 year-1), a total soil P (2240.0 kg P ha-1), and available P content (77.4 kg P ha-1) consistent with literature and national statistics. Through agricultural management scenarios, we revealed a range of potential changes in the P budget by 2030 and 2050, influenced by the interlink of P with biogeochemical carbon and nitrogen cycles. Thus, we developed a powerful assessment tool capable of i) identifying areas with P surplus or deficit at high spatial resolution of 1 km2, (ii) pinpointing areas where a change in agricultural management would be most urgent to reach policy goals in terms of environmental pollution, food security and resource efficiency of a critical raw material, and iii) assessing the response of the P cycle to modifications in agricultural management.

Biodiversity Impact Assessment Considering Land Use Intensities and Fragmentation

Land use is a major threat to terrestrial biodiversity. Life cycle assessment is a tool that can assess such threats and thereby support environmental decision-making. Within the Global Guidance for Life Cycle Impact Assessment (GLAM) project, the Life Cycle Initiative hosted by UN Environment aims to create a life cycle impact assessment method across multiple impact categories, including land use impacts on ecosystem quality represented by regional and global species richness. A working group of the GLAM project focused on such land use impacts and developed new characterization factors to combine the strengths of two separate recent advancements in the field: the consideration of land use intensities and land fragmentation. The data sets to parametrize the underlying model are also updated from previous models. The new characterization factors cover five species groups (plants, amphibians, birds, mammals, and reptiles) and five broad land use types (cropland, pasture, plantations, managed forests, and urban land) at three intensity levels (minimal, light, and intense). They are available at the level of terrestrial ecoregions and countries. This paper documents the development of the characterization factors, provides practical guidance for their use, and critically assesses the strengths and remaining shortcomings.

Understanding the needs of women undergoing breast ultrasound: Are male radiologists still needed?

INTRODUCTION

A trend towards less male radiologists specializing in breast ultrasound was observed. A common notion in the field of breast radiology is, that female patients feel more comfortable being treated by female radiologists. The aim of the study was to understand and report the needs of women undergoing breast ultrasound with regards to the sex of the radiologist performing the investigation.

METHODS

Informed consent was obtained from all patients prior to inclusion in a prospective bi-center quality study. At center 1 (72 patients), the women were examined exclusively by female radiologists, at center 2 (100 patients) only by male radiologists. After the examination the patients were asked about their experiences and their wishes for the future.

RESULTS

Overall, women made no distinction between female and male radiologists; 25% of them wanted a female radiologist and 1.2% wanted a male radiologist. The majority (74%) stated that it made no difference whether a female or male radiologist performed the examination. The majority of women in group 2, who were investigated exclusively by male radiologists, stated that they had no preferences with regard to the sex of the radiologist (93%); 5% of the women wished to be investigated solely by a female radiologist and 2% exclusively by a male radiologist.

DISCUSSION

The majority of women undergoing breast ultrasound are unconcerned about the radiologist's sex. It would appear that women examined by male radiologists are less selective about the sex of the examining radiologist.

TRIAL REGISTRATION

Written informed consent was obtained from all patients. All patient data were anonymized. The physicians had no access to any further personal data. National regulations did not require dedicated ethics approval with anonymized lists or retrospective questionnaires.

Global site-specific health impacts of fossil energy, steel mills, oil refineries and cement plants

Climate change and particulate matter air pollution present major threats to human well-being by causing impacts on human health. Both are connected to key air pollutants such as carbon dioxide (CO[Formula: see text]), primary fine particulate matter (PM[Formula: see text]), sulfur dioxide (SO[Formula: see text]), nitrogen oxides (NO[Formula: see text]) and ammonia (NH[Formula: see text]), which are primarily emitted from energy-intensive industrial sectors. We present the first study to consistently link a broad range of emission measurements for these substances with site-specific technical data, emission models, and atmospheric fate and effect models to quantify health impacts caused by nearly all global fossil power plants, steel mills, oil refineries and cement plants. The resulting health impact patterns differ substantially from far less detailed earlier studies due to the high resolution of included data, highlighting in particular the key role of emission abatement at individual coal-consuming industrial sites in densely populated areas of Asia (Northern and North-Eastern India, Java in Indonesia, Eastern China), Western Europe (Germany, Belgium, Netherlands) as well as in the US. Of greatest health concern are the high SO[Formula: see text] emissions in India, which stand out due to missing flue gas treatment and cause a particularly high share of local health impacts despite a limited number of emission sites. At the same time, the massive infrastructure and export capacity build-up in China in recent years is taking a substantial toll on regional and global health and requires more stringent regulation than in the rest of the world due to unfavorable environmental conditions and high population densities. The current phase-out of highly emitting industries in Europe is found not to have started with sites having the greatest health impacts. Our detailed site-specific emission and impact inventory is able to highlight more effective alternatives and to track future progress.

Toward sustainable reprocessing and valorization of sulfidic copper tailings: Scenarios and prospective LCA

There has been increasing attention recently to reprocessing of mining waste, which aims to recover potentially valuable materials such as metals and other byproducts from untapped resources. Mining waste valorization may offer environmental advantages over traditional make-waste-dispose approaches. However, a quantitative environmental assessment for large-scale reprocessing, accounting for future trends and a broad set of environmental indicators, is still lacking. This article assesses the life cycle impacts and resource recovery potential associated with alternative waste management through mine tailings reprocessing at a regional scale. Sulfidic copper tailings in the EU were selected as a case study. We perform prospective life cycle assessments of future reprocessing scenarios by considering emerging resource recovery technologies, market supply & demand forecasts, and energy system changes. We find that some reprocessing and valorization technologies in future scenarios may have reduction potentials for multiple impact indicators. However, results for indicators such as climate change and energy-related impacts suggest that specific scenarios perform sub-optimally due to energy/resource-intensive processes. The environmental performance of reprocessing of tailings is influenced by technology routes, secondary material market penetration, and choices of displaced products. The trade-off between climate change and energy related impacts, on the one hand, and toxicity impacts, on the other hand, requires critical appraisal by decision makers when promoting alternative tailings reprocessing. Implementing value recovery strategies for building material production, can save up to 3 Mt. CO₂-eq in 2050 compared to business as usual, helping the copper sector mitigate climate impacts. Additional climate mitigation efforts in demand-side management are needed though to achieve the 1.5 °C climate target. This work provides a scientific basis for decision-making toward more sustainable reprocessing and valorization of sulfidic tailings.

Can Forest Management Practices Counteract Species Loss Arising from Increasing European Demand for Forest Biomass under Climate Mitigation Scenarios?

Forests are home to many species and provide biomass for material and energy. Here, we modeled the potential global species extinction risk from future scenarios of climate mitigation and EU28 forest management. We considered the continuation of current practices, the adoption of closer-to-nature management (low-intensity practices), and set-asides (conversion to unharvested forestland) on portions of EU28 forestland under two climate mitigation pathways as well as the consequences for the wood trade. Expanding set-aside to more than 25% of EU28 currently managed forestland by 2100 increased the global extinction risk compared to the continuation of current practices. This outcome stems from a projected increase in EU forest biomass imports, partially from biodiversity-vulnerable regions to compensate for a decrease in domestic harvest. Conversely, closer-to-nature management on up to 37.5% of EU28 forestland lowered extinction risks. Increasing the internal production and partially sourcing imported biomass from low-intensity managed areas lowered the species extinction footprint even further. However, low-intensity practices could not entirely compensate for the increased extinction risk under a high climate mitigation scenario with greater demand for lignocellulosic crops and energywood. When developing climate mitigation strategies, it is crucial to assess forest biomass supply chains for the early detection of extinction risks in non-EU regions and for developing strategies to prevent increase of global impacts.

Hotspots of Mining-Related Biodiversity Loss in Global Supply Chains and the Potential for Reduction through Renewable Electricity

Anticipated infrastructure growth and energy transition may exacerbate biodiversity loss through increased demand for mining products. This study uses an enhanced multiregional input-output database (REX, Resolved EXIOBASE) and supply chain impact mapping (SCIM) method to assess global biodiversity loss associated with mining-related land use. We identify hotspots in the supply chain of mining products, compare the impact of fossil and renewable electricity, and estimate the share of mining in total global impacts. We found that half of the global mining-related biodiversity loss occurs in Indonesia, Australia, and New Caledonia. Major international trade flows of embodied biodiversity loss involve Indonesia's coal exports to China and India, New Caledonia's nickel exports to Japan and Australia, and Australia's iron and bauxite exports to China. Key end-consumers include China's growing infrastructure and the EU's and USA's household consumption. Electricity generation accounted for 10% of global mining-related biodiversity loss in 2014. The impact of coal-fired electricity was 10 times higher than that of renewables per unit of electricity generated. Globally, mining contributes to less than 1% of the total land use-related biodiversity loss, which is dominated by agriculture. Our results provide transparency in sourcing more sustainable mining products and underline synergies in fostering renewables to meet local biodiversity and global climate targets.

Regionalized Life Cycle Inventories of Global Sulfidic Copper Tailings

Worldwide, an issue of copper production is the generation of mine waste with varying characteristics. This waste can pollute natural environments, and in particular, the heavy metal emissions of the tailings may pose long-term consequences. Currently, life cycle assessments of mine tailings are hampered by both limited data availability in the metal production value chain and lack of appropriate methodologies. We collect data from 431 active copper mine sites using a combination of information available from the market research and technical handbooks to develop site-specific life cycle inventories for disposal of tailings. The approach considers the influences of copper ore composition and local hydrology for dynamically estimating leached metals of tailings at each site. The analysis reveals that together, copper tailings from the large (i.e., porphyry) and medium-size copper deposits (i.e., volcanogenic massive sulfide and sediment-hosted) contribute to more than three quarters of the total global freshwater ecotoxicity impacts of copper tailings. This strongly correlates with hydrological conditions, leading to high infiltration rates. The generated inventories vary locally, even within single countries, showcasing the importance of site-specific models. Our study provides site-specific, dynamic emission models and thus improves the accuracy of tailing's inventories and toxicity-related impacts.

Global Assessment of Agricultural Productivity Losses from Soil Compaction and Water Erosion

To guide us toward a sustainable future, the impacts of human activities on natural resources need to be understood and quantified. In this study on global agriculture, we use a Life Cycle Assessment framework to estimate potential long-term soil productivity losses caused by soil compaction and water erosion due to agricultural crop production. We combine several data sets to model spatially resolved Life Cycle Inventory information at the global level and multiply results with characterization factors from a previous publication. The global picture shows a compaction-stressed "Global North" and an erosion-stressed "Global South", with some countries and regions in between, for example, China and parts of South America. Results show that both compaction and water erosion impacts matter at the global level and that overall potential long-term productivity losses of 10-20% can be expected, with high relative impacts on low input production systems. These losses might limit long-term agricultural productivity and lead to additional land use change. Our work adds to and extends the discussion of global assessments of soil degradation. Furthermore, we prove the suggested framework to be applicable and useful for Life Cycle Assessments and other studies and provide results that can be used in such global assessments.

P07.04 Rapid-CNS2: Rapid comprehensive adaptive nanopore-sequencing of CNS tumors, a proof of concept study

BACKGROUND

The WHO classification 2021 includes multiple molecular markers for routine diagnostics in addition to histology. Sequencing setup for complete molecular profiling requires considerable investment, while batching samples for sequencing and methylation profiling can delay turnaround time. We introduce RAPID-CNS2, a nanopore adaptive sequencing pipeline that enables comprehensive mutational, methylation and copy number profiling of CNS tumours with a single third generation sequencing assay. It can be run for single samples and offers highly flexible target selection requiring no additional library preparation.

MATERIAL AND METHODS

Utilising ReadFish, a toolkit enabling targeted nanopore sequencing, we sequenced DNA from 22 diffuse glioma patient samples on a MinION device. Target regions comprised our Heidelberg brain tumour NGS panel and pre-selected CpG sites for methylation classification by an adapted random forest classifier. Pathognomonic alterations, copy number profiles, and methylation classes were called using a custom bioinformatics pipeline. Results were compared to their corresponding NGS panel-seq and EPIC array outputs.

RESULTS

Complete concordance with the EPIC array was found for copy number profiles from RAPID-CNS2. 94% pathognomonic mutations were congruent with NGS panel-seq. MGMT promoter status was correctly identified in all samples. Methylation families were detected with 96% congruence. Among the alterations decisive for rendering a classification-compatible integrated diagnosis, 97% of the alterations were consistent over the entire cohort (completely congruent in 19/22 cases and sufficient for unequivocal diagnosis in all).

CONCLUSION

RAPID-CNS2 provides a swift and highly flexible alternative to conventional NGS and array-based methods for SNV/Indel analysis, detection of copy number alterations and methylation classification. The turnaround time of ~4 days can be further shortened to <12h by altering target sizes. It offers a low-capital approach that would be cost-efficient for low throughput settings and invaluable in cases requiring immediate diagnoses.

A highly resolved MRIO database for analyzing environmental footprints and Green Economy Progress

Moving towards a greener economy requires detailed information on the environmental impacts of global value chains. Environmentally-extended multi-regional input-output (MRIO) analysis plays a key role in providing this information, but current databases are limited in their spatial (e.g. EXIOBASE3) or sectoral resolution (e.g. Eora26 and GTAP) as well as their indicator coverage. Here, we present an automated, transparent, and comparably time-efficient approach to improve the resolution, quality, and indicator coverage of an existing MRIO database. Applied on EXIOBASE3, we disaggregate and improve the limited spatial resolution by weighting each element with country and sector specific shares derived from Eora26, FAOSTAT, and previous studies. The resolved database covers 189 countries, 163 sectors, and a cutting-edge set of environmental and socio-economic indicators from the years 1995 to 2015. The importance of our improvements is highlighted by the EU-27 results, which reveal a significant increase in the EU's water stress and biodiversity loss footprint as a result of the spatial disaggregation and regionalized assessment. In 2015, a third of the EU's water stress and half of its biodiversity loss footprint was caused in the countries aggregated as rest of the world in EXIOBASE3. This was mainly attributed to the EU's food imports, which induce comparably high water stress and biodiversity loss in Egypt and Madagascar, respectively. In a second example, we use our database to add carbon, water stress and biodiversity loss footprints to the Green Economy Progress (GEP) Measurement Framework. Most countries have not achieved their environmental target and many countries, facing strong future population growth, show increasing footprints. Our results demonstrate that far more action is needed to move towards a greener economy globally, especially through supply chain management. The attached database provides detailed information on the environmental impacts of global value chains to plan efficient strategies for a greener economy.

Globally Regionalized Monthly Life Cycle Impact Assessment of Particulate Matter

This work provides a globally regionalized approach for quantifying particulate matter (PM_2.5) health impacts. Atmospheric transport and pollutant chemistry of primary particulate matter, sulfur dioxide (SO₂), nitrogen oxide (NO_x), and ammonia (NH₃) from stack emissions were modeled and used to calculate monthly high-resolution maps of global characterization factors that can be used for life cycle impact assessment (LCIA) and risk assessment. These characterization factors are applied to a global data set of coal power emissions. The results show large regional and temporal differences in health impacts per kg of emission and per amount of coal power generation (5-1300 DALY TWh^-1). While small emission reductions of PM_2.5 and SO₂ from coal power lead to similar health benefits across densely populated areas of Asia and Europe, we find that larger emission reductions result in up to three times higher health benefits in parts of Asia because of the nonlinear health responses to pollution exposure changes. Hence, many regions in Asia benefit disproportionately much from large coal power PM_2.5 and SO₂ emission reductions. NO_x emission reductions can lead to equally high health benefits, where unfavorable atmospheric conditions coincide with elevated NH₃ background pollution and large population (e.g., in Central Europe, Indonesia, or Japan but also numerous other places).

Regional Carrying Capacities of Freshwater Consumption-Current Pressure and Its Sources

Sustainable freshwater management is an essential target for sustainability. The concept of planetary boundaries evaluates whether the environmental loads from humans are within the carrying capacity of the environment at a global level, while the region-specific assessment of carrying capacities of freshwater consumption can complement the global-scale sustainability assessment by shedding light on regional sustainability. We show that 24% of the total freshwater consumption exceeds the regional carrying capacities based on spatially and temporally explicit analysis (monthly data for around 11 000 watersheds). Although 19% of the current total freshwater consumption is determined as "luxury consumption" beyond basic needs, approximately 60% of the exceedance is attributed to basic needs of freshwater for sustaining human life. International trade alleviates the overall pressure on carrying capacity by approximately 4.8% (18.9 billion m³) at a global level through virtual water trade; however, several producer countries demonstrate additional overconsumption beyond the regional carrying capacities, while importer countries that can do so mitigate overconsumption. Appropriate irrigation water management and the location of crop production are the keys to maintain our freshwater consumption levels within the regional carrying capacities on a global scale. However, measures that necessitate the consideration of watershed-specific environmental and economic conditions are desirable.

Water scarcity footprint of hydropower based on a seasonal approach - Global assessment with sensitivities of model assumptions tested on specific cases

According to ISO 14046 the quantification of the water scarcity footprint (WSFP) of hydropower reservoirs has to consider (1) the evaporation of water from the surface of the reservoir, (2) the baseline evaporation of water of the same area before the reservoir has been built, and (3) the water scarcity index of the location of the reservoir on a spatially and temporally explicit level. When a reservoir has a storing function, e.g., for irrigation in the dry season, monthly water scarcity indexes have to be used in order to calculate the WSFP, since storage in wet seasons and release in dry seasons can counteract water scarcity and lead to a reduction of overall water scarcity in the watershed. This paper builds on previous research regarding detailed hydropower modeling and extends the water scarcity assessment to include and advance new methods for identifying sensitivities in monthly WSFP of hydropower due to the choice of impact assessment methods. We applied the global analysis to 1473 hydropower plants covering >100 countries, and added a detailed assessment for a subset of important power plants to discuss the limitations of global assessments. We thereby provide the most complete WSFP of global hydropower with state-of-the-art methods, assess the robustness of the global model and different methodological choices, and provide new monthly average AWARE CFs on watershed level. The results show that water scarcity can often be mitigated if the net evaporation is compensated by the storage effects. The two water scarcity metrics applied lead to larger differences than expected, since the monthly dynamics of dams can lead to stronger differences than the differences in the applied water scarcity factors. The new insights help to better understand the WSFP of hydropower and its uncertainties.

Assessing Impacts on the Natural Resource Soil in Life Cycle Assessment: Methods for Compaction and Water Erosion

There are currently limited life cycle impact assessment methods existing for assessing impacts on the natural resource soil. In this paper, we develop methods for the assessment of compaction and water erosion impacts within one framework, which can be expanded with additional degradation processes in the future. Our methods assess potential long-term impacts from agricultural activities on the production capacity of soils and are able to distinguish between different management choices such as machinery selection and tillage practices. Characterization factors are provided as global raster data sets at high spatial resolution (∼1 km) and for larger geographic units including uncertainties of spatial aggregation. Uncertainties due to variability of climate and weather are provided where possible. The application of the methods is demonstrated and discussed in a simplified case study. Results show that in a highly mechanized scenario of global agriculture without any conservation measures, long-term yearly soil productivity losses due to compaction and water erosion can amount to up to double-digit percentages for major crops. This confirms the relevance of compaction and water erosion impacts for agricultural LCAs.

Improving water ecosystem sustainability of urban water system by management strategies optimization

Water management strategies play an important role in water shortage alleviation. This study evaluates the cost and water ecosystem benefit of 14 water management strategies in Beijing in the future scenarios for 2020 and 2035. In addition, optimal implements of abatement strategies are obtained within the context of legislated targets, with the consideration of interaction among strategies. The result shows that Beijing can meet its commitments for total water use and pollution control by the water management strategies implementation in both 2020 and 2035. For 14 water management strategies analyzed in this study, 5 options with negative abatement cost value achieve 12.2-24.1% of the total water ecosystem benefit in 2020 and 2035. Wastewater reclamation is the most efficient strategy in water ecosystem impact (WEI) reduction, which contributes 38.4% of the total WEI reduction with an abatement cost of 1.6 Yuan/m³ H₂O -eq. However, the sequence of optimal strategy implementation rate is not in accordance with the abatement cost of the strategies. The most cost-effective option is the water-efficient shower head, while the highest implementation rate is found for promotion of production technologies. A comparison between water management optimization with and without the consideration of interactions among strategies shows that taking the interaction among strategies into account imposes almost no influence on the total WEI reduction. But it has impacts on optimal implementation rate of each water management option and the cost estimation (+10.8%) of water management implementation. Such a systematic analysis of water management strategies provides general recommendations on sustainable water resource management in water scarce regions.

Environmental impacts of an advanced oxidation process as tertiary treatment in a wastewater treatment plant

Due to global water scarcity, the use of reclaimed wastewater for crop irrigation is required; however, if the wastewater treatment is inadequate, it can be a source of environmental pollution. In order to improve wastewater reclamation, advanced oxidation processes (AOPs) have been tested. At full scale, ozonation is one such process that effectively removes micropollutants, despite its high-energy consumption. At pilot scale, other technologies such as the solar photo-Fenton process are being developed. This process is under consideration as a sustainable technology because it uses sunlight as a source of radiation. However, there is little information available on its environmental performance. In this work, we perform a comparative analysis between the ozonation and the photo-Fenton process as tertiary wastewater treatment processes used to reclaim wastewater for agricultural irrigation. We apply the Life Cycle Assessment (LCA) methodology for quantifying environmental impacts with ReCiPe and USEtox as life cycle impact assessment (LCIA) methods. The results show that both tertiary treatment options reduce water stress locally. Ozonation has a better overall environmental performance compared to the photo-Fenton process because the environmental impact of the required ozone is smaller than of the reactants involved in the solar photo-Fenton. Moreover, the first can be operated both day and night, and therefore needs no additional storage for collecting the nightly secondary effluent, and thus has lower infrastructure related impacts. Additionally, when the solar photo-Fenton process operates at an acidic pH, there are environmental drawbacks related to the pH adjustment, which consumes a large amount of acid thus liberating CO₂. Finally, the environmental impacts associated with the discharge of micropollutants to soil through the use of reclaimed water are very small compared to the other impacts generated by the treatment. However, due to the current LCIA method limitations of micropollutant impact assessment, these are subject to major uncertainty.

Bevacizumab plus hypofractionated radiotherapy versus radiotherapy alone in elderly patients with glioblastoma: the randomized, open-label, phase II ARTE trial

Background

The addition of bevacizumab to temozolomide-based chemoradiotherapy (TMZ/RT → TMZ) did not prolong overall survival (OS) in patients with newly diagnosed glioblastoma in phase III trials. Elderly and frail patients are underrepresented in clinical trials, but early reports suggested preferential benefit in this population.

Patients and methods

ARTE was a 2 : 1 randomized, multi-center, open-label, non-comparative phase II trial of hypofractionated RT (40 Gy in 15 fractions) with bevacizumab (10 mg/kg×14 days) (arm A, N = 50) or without bevacizumab (arm B, N = 25) in patients with newly diagnosed glioblastoma aged ≥65 years. The primary objective was to obtain evidence for prolongation of median OS by the addition of bevacizumab to RT. Response was assessed by RANO criteria. Quality of life (QoL) was monitored by the EORTC QLQ-C30/BN20 modules. Exploratory studies included molecular subtyping by 450k whole methylome and gene expression analyses.

Results

Median PFS was longer in arm A than in arm B (7.6 and 4.8 months, P = 0.003), but OS was similar (12.1 and 12.2 months, P = 0.77). Clinical deterioration was delayed and more patients came off steroids in arm A. Prolonged PFS in arm A was confined to tumors with the receptor tyrosine kinase (RTK) I methylation subtype (HR 0.25, P = 0.014) and proneural gene expression (HR 0.29, P = 0.025). In a Cox model of OS controlling for established prognostic factors, associations with more favorable outcome were identified for age <70 years (HR 0.52, P = 0.018) and Karnofsky performance score 90%-100% (HR 0.51, P = 0.026). Including molecular subtypes into that model identified an association of the RTK II gene methylation subtype with inferior OS (HR 1.73, P = 0.076).

Conclusion

Efficacy outcomes and exploratory analyses of ARTE do not support the hypothesis that the addition of bevacizumab to RT generally prolongs survival in elderly glioblastoma patients. Molecular biomarkers may identify patients with preferential benefit from bevacizumab.

Clinical trial registration number

NCT01443676.

A new method for analyzing sustainability performance of global supply chains and its application to material resources

Supply chains become increasingly globalized. Multi-regional input-output databases contain all the information to assess impacts along the value chain, but standard calculation routines to track the impacts of any sector along the global upstream and downstream value chain are missing. Mapping the impacts of materials has been a particular challenge owing to difficulties with double-counting. This is attributed to the strong intertwining of the material supply chain meaning that different materials occur in the supply chains of other materials. Here, we present a new method which can be applied to any MRIO system to track the impacts of any sector or region without double-counting upstream and downstream the global value chain. We apply this approach to EXIOBASE3 and implement a cutting-edge set of regionalized environmental impact categories and socio-economic indicators. Applied to global material production, our method shows that the issue of double-counting (prevented in this study) would overestimate global impacts of materials by up to 30%. In contrast, assessing only the direct impacts would lead to an underestimation by ~20%. Our evaluation further reveals that 25-35% of global material-related impacts are embodied in trade among ten world regions. Thereby, we identify the major international trade relations of key materials and found a clear trend of industrialized nations causing impacts in less developed economies. It was further revealed that during 1995-2011, the share of materials in total global climate change impacts has remained almost constant at ~50%, but total impacts have significantly increased for minerals and fossils. Our results demonstrate the importance for improved environmental policy strategies that target several stages of the global value chain. The methodology is provided as Matlab tool and can be applied to any material, industrial sector and region to track the related impacts upstream and downstream the global value chain.

Overview and recommendations for regionalized life cycle impact assessment

PURPOSE

Regionalized life cycle impact assessment (LCIA) has rapidly developed in the past decade, though its widespread application, robustness, and validity still faces multiple challenges. Under the umbrella of UNEP/SETAC Life Cycle Initiative, a dedicated cross-cutting working group on regionalized LCIA aims to provides an overview of the status of regionalization in LCIA methods. We give guidance and recommendations to harmonize and support regionalization in LCIA for developers of LCIA methods, LCI databases, and LCA software.

METHOD

A survey of current practice among regionalized LCIA method developers was conducted. The survey included questions on chosen method spatial resolution and scale, the spatial resolution of input parameters, choice of native spatial resolution and limitations, operationalization and alignment with life cycle inventory data, methods for spatial aggregation, the assessment of uncertainty from input parameters and model structure, and variability due to spatial aggregation. Recommendations are formulated based on the survey results and extensive discussion by the authors.

RESULTS AND DISCUSSION

Survey results indicate that majority of regionalized LCIA models have global coverage. Native spatial resolutions are generally chosen based on the availability of global input data. Annual modelled or measured elementary flow quantities are mostly used for aggregating characterization factors (CFs) to larger spatial scales, although some use proxies, such as population counts. Aggregated CFs are mostly available at the country level. Although uncertainty due to input parameter, model structure, and spatial aggregation are available for some LCIA methods, they are rarely implemented for LCA studies. So far, there is no agreement if a finer native spatial resolution is the best way to reduce overall uncertainty. When spatially differentiated models CFs are not easily available, archetype models are sometimes developed.

CONCLUSIONS

Regionalized LCIA methods should be provided as a transparent and consistent set of data and metadata using standardized data formats. Regionalized CFs should include both uncertainty and variability. In addition to the native-scale CFs, aggregated CFs should always be provided, and should be calculated as the weighted averages of constituent CFs using annual flow quantities as weights whenever available. This paper is an important step forward for increasing transparency, consistency and robustness in the development and application of regionalized LCIA methods.

Defining freshwater as a natural resource: A framework linking water use to the area of protection natural resources

PURPOSE

While many examples have shown unsustainable use of freshwater resources, existing LCIA methods for water use do not comprehensively address impacts to natural resources for future generations. This framework aims to (1) define freshwater resource as an item to protect within the Area of Protection (AoP) natural resources, (2) identify relevant impact pathways affecting freshwater resources, and (3) outline methodological choices for impact characterization model development.

METHOD

Considering the current scope of the AoP natural resources, the complex nature of freshwater resources and its important dimensions to safeguard safe future supply, a definition of freshwater resource is proposed, including water quality aspects. In order to clearly define what is to be protected, the freshwater resource is put in perspective through the lens of the three main safeguard subjects defined by Dewulf et al. (2015). In addition, an extensive literature review identifies a wide range of possible impact pathways to freshwater resources, establishing the link between different inventory elementary flows (water consumption, emissions and land use) and their potential to cause long-term freshwater depletion or degradation.

RESULTS AND DISCUSSION

Freshwater as a resource has a particular status in LCA resource assessment. First, it exists in the form of three types of resources: flow, fund, or stock. Then, in addition to being a resource for human economic activities (e.g. hydropower), it is above all a non-substitutable support for life that can be affected by both consumption (source function) and pollution (sink function). Therefore, both types of elementary flows (water consumption and emissions) should be linked to a damage indicator for freshwater as a resource. Land use is also identified as a potential stressor to freshwater resources by altering runoff, infiltration and erosion processes as well as evapotranspiration. It is suggested to use the concept of recovery period to operationalize this framework: when the recovery period lasts longer than a given period of time, impacts are considered to be irreversible and fall into the concern of freshwater resources protection (i.e. affecting future generations), while short-term impacts effect the AoP ecosystem quality and human health directly. It is shown that it is relevant to include this concept in the impact assessment stage in order to discriminate the long-term from the short-term impacts, as some dynamic fate models already do.

CONCLUSION

This framework provides a solid basis for the consistent development of future LCIA methods for freshwater resources, thereby capturing the potential long-term impacts that could warn decision makers about potential safe water supply issues in the future.

Would it be safe to have a dog in the MRI scanner before your own examination? A multicenter study to establish hygiene facts related to dogs and men

OBJECTIVES

To determine whether it would be hygienic to evaluate dogs and humans in the same MRI scanner.

METHODS

We compared the bacterial load in colony-forming units (CFU) of human-pathogenic microorganisms in specimens taken from 18 men and 30 dogs. In addition, we compared the extent of bacterial contamination of an MRI scanner shared by dogs and humans with two other MRI scanners used exclusively by humans.

RESULTS

Our study shows a significantly higher bacterial load in specimens taken from men's beards compared with dogs' fur (p = 0.036). All of the men (18/18) showed high microbial counts, whereas only 23/30 dogs had high microbial counts and 7 dogs moderate microbial counts. Furthermore, human-pathogenic microorganisms were more frequently found in human beards (7/18) than in dog fur (4/30), although this difference did not reach statistical significance (p = 0.074). More microbes were found in human oral cavities than in dog oral cavities (p < 0.001). After MRI of dogs, routine scanner disinfection was undertaken and the CFU found in specimens isolated from the MRI scanning table and receiver coils showed significantly lower bacteria count compared with "human" MRI scanners (p < 0.05).

CONCLUSION

Our study shows that bearded men harbour significantly higher burden of microbes and more human-pathogenic strains than dogs. As the MRI scanner used for both dogs and humans was routinely cleaned after animal scanning, there was substantially lower bacterial load compared with scanners used exclusively for humans.

KEY POINTS

• Bearded men harbour significantly more microbes than dogs. • Dogs are no risk to humans if they use the same MRI. • Deficits in hospital hygiene are a relevant risk for patients.

A Multimedia Hydrological Fate Modeling Framework To Assess Water Consumption Impacts in Life Cycle Assessment

Many new methods have recently been developed to address environmental consequences of water consumption in life cycle assessment (LCA). However, such methods can only partially be compared and combined, because their modeling structure and metrics are inconsistent. Moreover, they focus on specific water sources (e.g., river) and miss description of transport flows between water compartments (e.g., from river to atmosphere via evaporation) and regions (e.g., atmospheric advection). Consequently, they provide a partial regard of the local and global hydrological cycle and derived impacts on the environment. This paper proposes consensus-based guidelines for a harmonized development of the next generation of water consumption LCA indicators, with a focus on consequences of water consumption on ecosystem quality. To include the consideration of the multimedia water fate between compartments of the water cycle, we provide spatial regionalization and temporal specification guidance. The principles and recommendations of the paper are applied to an illustrative case study. The guidelines set the basis of a more accurate, novel way of modeling water consumption impacts in LCA. The environmental relevance of this LCA impact category will improve, yet much research is needed to make the guidelines operational.

Ecosystem quality in LCIA: status quo, harmonization, and suggestions for the way forward

PURPOSE

Life cycle impact assessment (LCIA) results are used to assess potential environmental impacts of different products and services. As part of the UNEP-SETAC life cycle initiative flagship project that aims to harmonize indicators of potential environmental impacts, we provide a consensus viewpoint and recommendations for future developments in LCIA related to the ecosystem quality area of protection (AoP). Through our recommendations, we aim to encourage LCIA developments that improve the usefulness and global acceptability of LCIA results.

METHODS

We analyze current ecosystem quality metrics and provide recommendations to the LCIA research community for achieving further developments towards comparable and more ecologically relevant metrics addressing ecosystem quality.

RESULTS AND DISCUSSION

We recommend that LCIA development for ecosystem quality should tend towards species-richnessrelated metrics, with efforts made towards improved inclusion of ecosystem complexity. Impact indicators-which result from a range of modeling approaches that differ, for example, according to spatial and temporal scale, taxonomic coverage, and whether the indicator produces a relative or absolute measure of loss-should be framed to facilitate their final expression in a single, aggregated metric. This would also improve comparability with other LCIA damage-level indicators. Furthermore, to allow for a broader inclusion of ecosystem quality perspectives, the development of an additional indicator related to ecosystem function is recommended. Having two complementary metrics would give a broader coverage of ecosystem attributes while remaining simple enough to enable an intuitive interpretation of the results.

CONCLUSIONS

We call for the LCIA research community to make progress towards enabling harmonization of damage-level indicators within the ecosystem quality AoP and, further, to improve the ecological relevance of impact indicators.

Framework for integrating animal welfare into life cycle sustainability assessment

PURPOSE

This study seeks to provide a framework for integrating animal welfare as a fourth pillar into a life cycle sustainability assessment and presents three alternative animal welfare indicators.

METHODS

Animal welfare is assessed during farm life and during slaughter. The indicators differ in how they value premature death. All three consider (1) the life quality of an animal such as space allowance, (2) the slaughter age either as life duration or life fraction, and (3) the number of animals affected for providing a product unit, e.g. 1 Mcal. One of the indicators additionally takes into account a moral value denoting their intelligence and self-awareness. The framework allows for comparisons across studies and products and for applications at large spatial scales. To illustrate the framework, eight products were analysed and compared: beef, pork, poultry, milk, eggs, salmon, shrimps, and, as a novel protein source, insects.

RESULTS AND DISCUSSION

Insects are granted to live longer fractions of their normal life spans, and their life quality is less compromised due to a lower assumed sentience. Still, they perform worst according to all three indicators, as their small body sizes only yield low product quantities. Therefore, we discourage from eating insects. In contrast, milk is the product that reduces animal welfare the least according to two of the three indicators and it performs relatively better than other animal products in most categories. The difference in animal welfare is mostly larger for different animal products than for different production systems of the same product. This implies that, besides less consumption of animal-based products, a shift to other animal products can significantly improve animal welfare.

CONCLUSIONS

While the animal welfare assessment is simplified, it allows for a direct integration into life cycle sustainability assessment. There is a trade-off between applicability and indicator complexity, but even a simple estimate of animal welfare is much better than ignoring the issue, as is the common practice in life cycle sustainability assessments. Future research should be directed towards elaborating the life quality criterion and extending the product coverage.

LCIA framework and cross-cutting issues guidance within the UNEP-SETAC Life Cycle Initiative

Increasing needs for decision support and advances in scientific knowledge within life cycle assessment (LCA) led to substantial efforts to provide global guidance on environmental life cycle impact assessment (LCIA) indicators under the auspices of the UNEP-SETAC Life Cycle Initiative. As part of these efforts, a dedicated task force focused on addressing several LCIA cross-cutting issues as aspects spanning several impact categories, including spatiotemporal aspects, reference states, normalization and weighting, and uncertainty assessment. Here, findings of the cross-cutting issues task force are presented along with an update of the existing UNEP-SETAC LCIA emission-to-damage framework. Specific recommendations are provided with respect to metrics for human health (Disability Adjusted Life Years, DALY) and ecosystem quality (Potentially Disappeared Fraction of species, PDF). Additionally, we stress the importance of transparent reporting of characterization models, reference states, and assumptions, in order to facilitate cross-comparison between chosen methods and indicators. We recommend developing spatially regionalized characterization models, whenever the nature of impacts shows spatial variability and related spatial data are available. Standard formats should be used for reporting spatially differentiated models, and choices regarding spatiotemporal scales should be clearly communicated. For normalization, we recommend using external normalization references. Over the next two years, the task force will continue its effort with a focus on providing guidance for LCA practitioners on how to use the UNEP-SETAC LCIA framework as well as for method developers on how to consistently extend and further improve this framework.

Cerebrospinal fluid CXCL13 as a diagnostic marker of neuroborreliosis in children: a retrospective case-control study

Background

Lyme neuroborreliosis (LNB) is a frequent manifestation of Lyme disease in children and its current diagnosis has limitations. The elevation of the chemokine CXCL13 in the cerebrospinal fluid (CSF) of adult patients with LNB has been demonstrated and suggested as a new diagnostic marker. Our aim was to evaluate this marker in the CSF of children with suspected LNB and to determine a CXCL13 cut-off concentration that would discriminate between LNB and other central nervous system (CNS) infections.

Methods

For this single-center retrospective case-control study we used a diagnostic-approved ELISA to measure CXCL13 concentrations in the CSF of 185 children with LNB suspicion at presentation. Patients were classified into definite LNB (cases), non-LNB (controls with other CNS affections), and possible LNB. A receiver-operating characteristic curve was generated by comparison of cases and controls.

Results

CXCL13 was significantly elevated in the CSF of 53 children with definite LNB (median 774.7 pg/ml) compared to 91 control patients (median 4.5 pg/ml, p < 0.001). A cut-off of 55 pg/ml resulted in a sensitivity of 96.7% and a specificity of 98.1% for the diagnosis of definite LNB and the test exhibited a diagnostic odds ratio of 1525.3. Elevated CSF CXCL13 levels were also detected in three controls with viral meningitis (enterovirus n = 1, varicella-zoster virus n = 2) while other CNS affections such as idiopathic facial palsy did not lead to CXCL13 elevation. Of the 41 patients with possible LNB, 27% had CXCL13 values above the cut-off of 55 pg/ml (median 16.7 pg/ml).

Conclusions

CSF CXCL13 is highly elevated in children during early LNB as previously shown in adults. CXCL13 is a highly sensitive and specific marker that helps to differentiate LNB from other CNS affections in children.

BOARD-INVITED REVIEW: Quantifying water use in ruminant production

The depletion of water resources, in terms of both quantity and quality, has become a major concern both locally and globally. Ruminants, in particular, are under increased public scrutiny due to their relatively high water use per unit of meat or milk produced. Estimating the water footprint of livestock production is a relatively new field of research for which methods are still evolving. This review describes the approaches used to quantify water use in ruminant production systems as well as the methodological and conceptual issues associated with each approach. Water use estimates for the main products from ruminant production systems are also presented, along with possible management strategies to reduce water use. In the past, quantifying water withdrawal in ruminant production focused on the water demand for drinking or operational purposes. Recently, the recognition of water as a scarce resource has led to the development of several methodologies including water footprint assessment, life cycle assessment, and livestock water productivity to assess water use and its environmental impacts. These methods differ with respect to their target outcome (efficiency or environmental impacts), geographic focus (local or global), description of water sources (green, blue, and gray), handling of water quality concerns, the interpretation of environmental impacts, and the metric by which results are communicated (volumetric units or impact equivalents). Ruminant production is a complex activity where animals are often reared at different sites using a range of resources over their lifetime. Additional water use occurs during slaughter, product processing, and packaging. Estimating water use at the various stages of meat and milk production and communicating those estimates will help producers and other stakeholders identify hotspots and implement strategies to improve water use efficiency. Improvements in ruminant productivity (i.e., BW and milk production) and reproductive efficiency can also reduce the water footprint per unit product. However, given that feed production makes up the majority of water use by ruminants, research and development efforts should focus on this area. More research and clarity are needed to examine the validity of assumptions and possible trade-offs between ruminants' water use and other sustainability indicators.

Analysis of the 148Gd and 154Dy Content in Proton-Irradiated Lead Targets

This work presents the determination of the ¹⁴⁸Gd and ¹⁵⁴Dy content in Pb targets irradiated by 220-2600 MeV protons. It includes the chemical separation of lanthanides, followed by the preparation of proper samples, by molecular plating technique, for α-spectrometry measurements. The experimental cross section results were compared with theoretical predictions, calculated with the INCL++-ABLA07 code. The comparisons showed a satisfactory agreement for ¹⁴⁸Gd (less than within a factor two), while measured ¹⁵⁴Dy cross sections are higher than the theoretical values.

Pediatric low-grade gliomas: implications of the biologic era

For the past decade, it has been recognized that pediatric low-grade gliomas (LGGs) and glial-neuronal tumors carry distinct molecular alterations with resultant aberrant intracellular signaling in the Ras-mitogen-activated protein kinase pathway. The conclusions and recommendations of a consensus conference of how best to integrate the growing body of molecular genetic information into tumor classifications and, more importantly, for future treatment of pediatric LGGs are summarized here. There is uniform agreement that molecular characterization must be incorporated into classification and is increasingly critical for appropriate management. Molecular-targeted therapies should be integrated expeditiously, but also carefully into the management of these tumors and success measured not only by radiographic responses or stability, but also by functional outcomes. These trials need to be carried out with the caveat that the long-term impact of molecularly targeted therapy on the developing nervous system, especially with long duration treatment, is essentially unknown.

Water scarcity assessments in the past, present and future

Water scarcity has become a major constraint to socio-economic development and a threat to livelihood in increasing parts of the world. Since the late 1980s, water scarcity research has attracted much political and public attention. We here review a variety of indicators that have been developed to capture different characteristics of water scarcity. Population, water availability and water use are the key elements of these indicators. Most of the progress made in the last few decades has been on the quantification of water availability and use by applying spatially explicit models. However, challenges remain on appropriate incorporation of green water (soil moisture), water quality, environmental flow requirements, globalization and virtual water trade in water scarcity assessment. Meanwhile, inter- and intra- annual variability of water availability and use also calls for assessing the temporal dimension of water scarcity. It requires concerted efforts of hydrologists, economists, social scientists, and environmental scientists to develop integrated approaches to capture the multi-faceted nature of water scarcity.

Assessing the environmental impacts of freshwater thermal pollution from global power generation in LCA

Freshwater heat emissions from power plants with once-through cooling systems constitute one of many environmental pressures related to the thermoelectric power industry. The objective of this work was to obtain high resolution, operational characterization factors (CF) for the impact of heat emissions on ecosystem quality, and carry out a comprehensive, spatially, temporally and technologically differentiated damage-based environmental assessment of global freshwater thermal pollution. The aggregation of CFs on a watershed level results in 12.5% lower annual impacts globally and even smaller differences for the most crucial watersheds and months, so watershed level CFs are recommended when the exact emission site within the basin is unknown. Long-range impacts account for almost 90% of the total global impacts. The Great Lakes, several Mississippi subbasins, the Danube, and the Yangtze are among the most thermally impacted watersheds globally, receiving heat emissions from predominantly coal-fuelled and nuclear power plants. Globally, over 80% of the global annual impacts come from power plants constructed during or before the 1980s. While the impact-weighted mean age of the power plants in the Mississippi ranges from 38 to 51years, in Chinese watersheds including the Yangtze, the equivalent range is only 15 to 22years, reflecting a stark contrast in thermal pollution mitigation approaches. With relatively high shares of total capacity from power plants with once-through freshwater cooling, and tracing a large part of the Danube, 1kWh of net electricity mix is the most impactful in Hungary, Bulgaria and Serbia. Monthly CFs are provided on a grid cell level and on a watershed level for use in Life Cycle Assessment. The impacts per generating unit are also provided, as part of our effort to make available a global dataset of thermoelectric power plant emissions and impacts.

Understanding the LCA and ISO water footprint: A response to Hoekstra (2016) "A critique on the water-scarcity weighted water footprint in LCA"

Water footprinting has emerged as an important approach to assess water use related effects from consumption of goods and services. Assessment methods are proposed by two different communities, the Water Footprint Network (WFN) and the Life Cycle Assessment (LCA) community. The proposed methods are broadly similar and encompass both the computation of water use and its impacts, but differ in communication of a water footprint result. In this paper, we explain the role and goal of LCA and ISO-compatible water footprinting and resolve the six issues raised by Hoekstra (2016) in "A critique on the water-scarcity weighted water footprint in LCA". By clarifying the concerns, we identify both the overlapping goals in the WFN and LCA water footprint assessments and discrepancies between them. The main differing perspective between the WFN and LCA-based approach seems to relate to the fact that LCA aims to account for environmental impacts, while the WFN aims to account for water productivity of global fresh water as a limited resource. We conclude that there is potential to use synergies in research for the two approaches and highlight the need for proper declaration of the methods applied.

Hydropower's Biogenic Carbon Footprint

Global warming is accelerating and the world urgently needs a shift to clean and renewable energy. Hydropower is currently the largest renewable source of electricity, but its contribution to climate change mitigation is not yet fully understood. Hydroelectric reservoirs are a source of biogenic greenhouse gases and in individual cases can reach the same emission rates as thermal power plants. Little is known about the severity of their emissions at the global scale. Here we show that the carbon footprint of hydropower is far higher than previously assumed, with a global average of 173 kg CO₂ and 2.95 kg CH₄ emitted per MWh of electricity produced. This results in a combined average carbon footprint of 273 kg CO_2e/MWh when using the global warming potential over a time horizon of 100 years (GWP100). Nonetheless, this is still below that of fossil energy sources without the use of carbon capture and sequestration technologies. We identified the dams most promising for capturing methane for use as alternative energy source. The spread among the ~1500 hydropower plants analysed in this study is large and highlights the importance of case-by-case examinations.

Global Biodiversity Loss by Freshwater Consumption and Eutrophication from Swiss Food Consumption

We investigated water-related resource use, emissions and ecosystem impacts of food consumed in Switzerland. To do so, we coupled LCA methodologies on freshwater consumption, freshwater eutrophication and the consequent local and global biodiversity impacts with Swiss customs data and multiregional input-output analysis. Most of the resource use, emissions and impacts occur outside the national boundaries which illustrates the extent of environmental outsourcing facilitated by international trade. Countries that are severely affected by Swiss food consumption include Spain, the United States and Ecuador. Cocoa, coffee, and almonds stood out as products with high impacts. By identifying spatial hotspots and impactful products, awareness of policy-makers as well as individual consumers can be raised and efforts of detailed assessments can be streamlined. However, political and economic constraints and the resistance by individual consumers limit the high potential of changes in diets and trade relations to decrease the environmental impacts of food.

No Significant Cytotoxic Effect of the EZH2 Inhibitor Tazemetostat (EPZ-6438) on Pediatric Glioma Cells with Wildtype Histone 3 or Mutated Histone 3.3

BACKGROUND

Glioblastoma multiforme (GBM) and diffuse intrinsic pontine glioma (DIPG) belong to the most aggressive cancers in children with poor prognosis and limited therapeutic options. Therapeutic targeting of epigenetic proteins may offer new treatment options. Preclinical studies identified Enhancer of Zeste Homolog 2 (EZH2) within polycomb repressor complex 2 (PRC2) as a potential epigenetic anti-tumor target in adult GBM cells but similar inhibition studies in pediatric GBM/DIPG were still missing. Moreover, approximately 30% of pediatric high grade gliomas (pedHGG) including GBM and DIPG harbor a lysine 27 mutation (K27M) in histone 3.3 (H3.3) which is correlated with poor outcome and was shown to influence EZH2 function.

PATIENTS, MATERIALS AND METHODS

The present study investigated the correlation of expression of EZH2 and other PRC2 genes (EZH1, SUZ12, EED) with overall survival of pediatric GBM patients and the cytotoxic impact of EZH2 inhibition by the novel agent Tazemetostat in pediatric GBM/DIPG cells harboring either a H3.3 mutation or a H3 wildtype.

RESULTS

EZH2 gene expression does not correlate with survival of pedHGG patients, and EZH2 inhibition does not induce significant cytotoxicity in pedHGG cells independently of H3.3 mutations.

DISCUSSION AND CONCLUSION

We suggest that EZH2 inhibition might not offer an effective single agent treatment option for paedHGG patients. However, the therapeutic efficacy in combination with cytotoxic and/or other epigenetically active agents still has to be elucidated.

Spatially Explicit Analysis of Biodiversity Loss Due to Global Agriculture, Pasture and Forest Land Use from a Producer and Consumer Perspective

Anthropogenic land use to produce commodities for human consumption is the major driver of global biodiversity loss. Synergistic collaboration between producers and consumers in needed to halt this trend. In this study, we calculate species loss on 5 min × 5 min grid level and per country due to global agriculture, pasture and forestry by combining high-resolution land use data with countryside species area relationship for mammals, birds, amphibians, and reptiles. Results show that pasture was the primary driver of biodiversity loss in Madagascar, China and Brazil, while forest land use contributed the most to species loss in DR Congo and Indonesia. Combined with the yield data, we quantified the biodiversity impacts of 1 m(3) of roundwood produced in 139 countries, concluding that tropical countries with low timber yield and a large presence of vulnerable species suffer the highest impact. We also calculated impacts per kg for 160 crops grown in different countries and linked it with FAO food trade data to assess the biodiversity impacts embodied in Swiss food imports. We found that more than 95% of Swiss consumption impacts rest abroad with cocoa, coffee and palm oil imports being responsible for majority of damage.

Criticality of Water: Aligning Water and Mineral Resources Assessment

The concept of criticality has been used to assess whether a resource may become a limiting factor to economic activities. It has been primarily applied to nonrenewable resources, in particular to metals. However, renewable resources such as water may also be overused and become a limiting factor. In this paper, we therefore developed a water criticality method that allows for a new, user-oriented assessment of water availability and accessibility. Comparability of criticality across resources is desirable, which is why the presented adaptation of the criticality approach to water is based on a metal criticality method, whose basic structure is maintained. With respect to the necessary adaptations to the water context, a transparent water criticality framework is proposed that may pave the way for future integrated criticality assessment of metals, water, and other resources. Water criticality scores were calculated for 159 countries subdivided into 512 geographic units for the year 2000. Results allow for a detailed analysis of criticality profiles, revealing locally specific characteristics of water criticality. This is useful for the screening of sites and their related water criticality, for indication of water related problems and possible mitigation options and water policies, and for future water scenario analysis.