bluuebunny/crossref_metadata_2025 huggingface dataset:
The great deceiver: a case series of ‘double fire’ atrioventricular nodal response
Authors: Leão Sílvia , Luermans Justin , Vernooy Kevin , ter Bekke Rachel , den Uijl Dennis , Linz Dominik , Chaldoupi Sevasti-Maria
Published: April 2023

Background

The ‘double fire’ (DF) atrioventricular (AV) nodal response is a rare mechanism of two ventricular electrical activations following a single atrial beat due to dual AV node physiology. DF AV nodal response is often misdiagnosed and may lead to unnecessary invasive procedures.

Case summary

We describe a series of three cases with distinct clinical manifestations of DF AV nodal response: Patient 1 remained symptomatic after slow pathway modification for common AV nodal re-entry tachycardia. Patient 2 was misdiagnosed as having junctional bigeminy and developed heart failure with reduced left ventricle ejection fraction. Patient 3 was misdiagnosed as having atrial fibrillation (AF) and underwent two pulmonary vein isolation (PVI) procedures, without clinical improvement. All patients underwent an electrophysiological study (EPS) during which DF AV nodal response was confirmed and treated with radiofrequency ablation of the slow pathway. All patients were afterwards relieved from their symptoms.

Discussion and conclusion

DF AV nodal response is a rare electrophysiological phenomenon which can be clinically misinterpreted as other common arrhythmias, such as premature junctional bigeminy or AF and can contribute to tachycardia induced cardiomyopathy. Typical electrocardiogram- and EPS-derived findings can be indicative for DF AV nodal response. DF AV nodal response can be easily and effectively treated by slow pathway ablation.
Left atrial appendage strain predicts subclinical atrial fibrillation in embolic strokes of undetermined source
Authors: Saberniak Jørg , Skrebelyte-Strøm Loreta , Orstad Eivind Bjørkan , Hilde Janne Mykland , Solberg Magnar Gangås , Rønning Ole Morten , Kjekshus Harald , Steine Kjetil
Published: April 2023

Aims

Left atrial (LA) strain is promising in prediction of clinical atrial fibrillation (AF) in stroke patients. However, prediction of subclinical AF is critical in patients with embolic strokes of undetermined source (ESUS). The aim of this prospective study was to investigate novel LA and left atrial appendage (LAA) strain markers in prediction of subclinical AF in ESUS patients.

Methods and results

A total of 185 patients with ESUS, mean age 68 ± 13years, 33% female, without diagnosed AF, were included. LAA and LA function by conventional echocardiographic parameters and reservoir strain (Sr), conduit strain (Scd), contraction strain (Sct), and mechanical dispersion (MD) of Sr were assessed with transoesophageal and transthoracic echocardiography. Subclinical AF was detected by insertable cardiac monitors during follow-up. LAA strain was impaired in 60 (32%) patients with subclinical AF compared to those with sinus rhythm: LAA-Sr, 19.2 ± 4.5% vs. 25.6 ± 6.5% (P < 0.001); LAA-Scd, −11.0 ± 3.1% vs. −14.4 ± 4.5% (P < 0.001); and LAA-Sct, −7.9 ± 4.0% vs. −11.2 ± 4% (P < 0.001), respectively, while LAA-MD was increased, 34 ± 24 ms vs. 26 ± 20 ms (P = 0.02). However, there was no significant difference in phasic LA strain or LA-MD. By ROC analyses, LAA-Sr was highly significant in prediction of subclinical AF and showed the best AUC of 0.80 (95% CI 0.73–0.87) with a sensitivity of 80% and a specificity of 73% (P < 0.001). LAA-Sr and LAA-MD were both independent and incremental markers of subclinical AF in ESUS patients.

Conclusion

LAA function by strain and mechanical dispersion predicted subclinical AF in ESUS patients. These novel echocardiographic markers may improve risk stratification in ESUS patients.
Embedded racism: Inequitable niche construction as a neglected evolutionary process affecting health
Authors: Ivey Henry Paula , Spence Beaulieu Meredith R , Bradford Angelle , Graves Joseph L
Published: April 2023

Racial health disparities are a pervasive feature of modern experience and structural racism is increasingly recognized as a public health crisis. Yet evolutionary medicine has not adequately addressed the racialization of health and disease, particularly the systematic embedding of social biases in biological processes leading to disparate health outcomes delineated by socially defined race. In contrast to the sheer dominance of medical publications which still assume genetic ‘race’ and omit mention of its social construction, we present an alternative biological framework of racialized health. We explore the unifying evolutionary-ecological principle of niche construction as it offers critical insights on internal and external biological and behavioral feedback processes environments at every level of the organization. We Integrate insights of niche construction theory in the context of human evolutionary and social history and phenotype-genotype modification, exposing the extent to which racism is an evolutionary mismatch underlying inequitable disparities in disease. We then apply ecological models of niche exclusion and exploitation to institutional and interpersonal racial constructions of population and individual health and demonstrate how discriminatory processes of health and harm apply to evolutionarily relevant disease classes and life-history processes in which socially defined race is poorly understood and evaluated. Ultimately, we call for evolutionary and biomedical scholars to recognize the salience of racism as a pathogenic process biasing health outcomes studied across disciplines and to redress the neglect of focus on research and application related to this crucial issue.
Spontaneous coronary artery dissection: an unpredictable event
Authors: Smirnova Alexandra , Aliberti Flaminia , Cavaliere Claudia , Gatti Ilaria , Vilardo Viviana , Giorgianni Carmelina , Cassani Chiara , Repetto Alessandra , Narula Nupoor , Giuliani Lorenzo , Urtis Mario , Ozaki Yukio , Prati Francesco , Arbustini Eloisa , Ferrari Michela
Published: April 2023

Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of acute coronary syndrome that predominantly affects women in adulthood and is the leading cause of acute myocardial infarction in pregnancy. The most common clinical presentation is ST-segment elevation myocardial infarction (STEMI) or non-STEMI, followed by cardiogenic shock (∼2%), sudden cardiac death (0.8% in autopsy series), cardiac arrest, ventricular arrhythmias (∼5%), and Takotsubo syndrome. The prevalence of SCAD in the general population is largely uncertain due to underdiagnosis. Oral contraceptives, post-menopausal therapy, and infertility treatments are recognized associated factors. The pathological substrates (fibromuscular dysplasia) and triggers (especially emotional stress) are commonly present in affected women. The few cases with a precise genetic aetiology occur in the context of syndromic and non-syndromic connective tissue diseases. The only true certainty in SCAD is the overwhelming prevalence in women. The first event as well as the recurrence (up to 30%, which varies depending on the definition) is largely unpredictable. The treatment strategy is highly individualized and requires extensive additional study in order to optimize outcomes and prevent major adverse cardiovascular events in affected individuals. We have known about SCAD for nearly a century, but we still do not know how best to prevent, diagnose, and treat it, making SCAD a highly important and unmet clinical need.
Long-term follow-up after invasive or conservative management of stable coronary disease: the ISCHEMIA-EXTEND study
Authors: Bolognese Leonardo , Reccia Matteo Rocco , Sabini Alessandra
Published: April 2023

The ISCHEMIA trial found no statistical difference in the primary endpoint between initial invasive and conservative management of patients with chronic coronary disease and moderate-to-severe ischaemia on stress testing. However, an invasive strategy increased peri-procedural myocardial infarction (MI) but decreased spontaneous MI with continued separation of curves over time. Thus, in order to assess the long-term effect of invasive management strategy on mortality, the ISCHEMIA-EXTEND observational study was planned including surviving participants from the initial phase of the ISCHEMIA trial with a projected median follow-up of nearly 10 years. Recently, an interim report of 7-year all-cause, cardiovascular (CV), and non-CV mortality rates has been published showing no difference in all-cause mortality between the two strategies, but with a lower risk of CV mortality and higher risk of non-CV mortality with an initial invasive strategy over a median follow-up of 5.7 years. The trade-offs in CV and non-CV mortality observed in ISCHEMIA-EXTEND raise many important questions regarding the heterogeneity of treatment effect, the drivers of mortality, and the relative importance and reliability of CV vs. all-cause mortality. Overall, findings from ISCHEMIA and ISCHEMIA-EXTEND trials might help physicians in shared decision-making as to whether to add invasive management to guideline-directed medical management in selected patients with chronic coronary artery disease and moderate or severe ischaemia.
Impact of the exposome on cardiovascular disease
Authors: Bonanni Alice , Basile Mattia , Montone Rocco Antonio , Crea Filippo
Published: April 2023

Air pollution, noise pollution, and light pollution have emerged as important but often overlooked risk factors for cardiovascular disease. In this review, we examine the emerging concept of the exposome, highlighting the close relationship between environmental exposure (e.g. PM2.5, traffic noise, and night light) and cardiovascular disease, finally addressing the possible mitigation strategies that should be implemented to reduce the impact of air, noise, and light pollution on cardiovascular morbidity and mortality.
The new in anticoagulation: factor XI inhibitors
Authors: Muscente Francesca , De Caterina Raffaele
Published: April 2023

Haemostasis and thrombosis are closely linked, so that any anticoagulant strategy available today that reduces the thrombotic risk inevitably increases the bleeding risk. However, epidemiological and experimental evidence suggests that inhibiting the contact pathway—the first phase of the intrinsic coagulation pathway—and especially factor XI (FXI) achieves the objective of preventing thrombosis with minimal interference on the haemostatic process. Several pharmacological strategies that act by inhibiting FXI are being studied in clinical trials. Specifically, Phase 2 clinical trials in patients undergoing major orthopaedic surgery, end-stage renal disease, atrial fibrillation (AF), and acute coronary syndrome have shown promising results, allowing clinical research to advance into Phase 3 clinical trials. FXI inhibitors will not necessarily replace currently available direct oral anticoagulants: this would appear too ambitious as of today. However, it is possible to hypothesize that FXI inhibitors are a useful addition to our therapeutic armamentarium in contexts where current anticoagulants have failed or have not been adequately tested, as well as in categories of patients who are at a high risk of bleeding even with current direct oral anticoagulants.
The metaverse in medicine
Authors: Massetti Massimo , Chiariello Giovanni Alfonso
Published: April 2023

The metaverse is an alternative digital world, accessed by means of dedicated audiovisual devices. In this parallel world, various forms of artificial intelligence meet, including individuals in the form of digital copies of real people (avatars), able to interact socially. Metaverse in medicine may be used in many different ways. The possibility to perform surgery at a distance of thousands of miles separating the patient from the surgeon, who could have also the possibility to visualize in real-time patient’s clinical data, including diagnostic images, obviously is very appealing. It would be also possible to perform medical treatments and to adopt pharmacological protocols on human avatars clinically similar to the patients, thus observing treatment effects in advance and significantly reducing the clinical trials duration. Metaverse may reveal an exceptional educational tool, offering the possibility of interactive digital lessons, allowing to dissect and to study an anatomical apparatus in detail, to navigate within it, not only to study, but also to see the evolution of the pathological process, and to simulate in advance surgical or medical procedures on virtual patients. However, while artificial intelligence is now an established reality in the clinical practice, the metaverse is still in its initial stages, and to figure out its potential usefulness and reliability, further developments are expected.
Acute coronary syndromes: hospital management of dyslipidaemia with proprotein convertase subtilisin/kexin 9 inhibitors: time to act
Authors: Musumeci Giuseppe , Annibali Gianmarco , Delnevo Fabrizio
Published: April 2023

Atherosclerotic cardiovascular disease (ASCVD) in its countless clinical presentations is, in industrialized countries, the most frequent cause of death and, in recent years, a leading role in the prevention of ASCVD has been attributed to the treatment of dyslipidaemias. If statins and ezetimibe remain the cornerstone of pharmacological treatment, an increasingly relevant role is attributed to the inhibitors of the proprotein convertase subtilisin/kexin 9 (PCSK9i), as a result of the excellent results obtained in their respective trials, not only on the reduction of low-density lipoprotein (LDL) or LDL cholesterol (LDL-C) but also on plaque stabilization and regression. The addition of PCSK9 inhibitors leads to a further reduction in LDL levels and a consequent improvement in prognosis and it is recommended in ‘fast-track’ administration (intrahospital/discharge) in patients with acute coronary syndromes (ACSs) or multiple cardiovascular events already on statin therapy and LDL >70 mg/dL and in statin-naïve ACS patients and LDL >140 mg/dL. By applying guidelines and fast-track, ∼25% of patients with ACS should receive PCSK9i at discharge but unfortunately patients are currently undertreated.
Takotsubo syndrome: more frequent in women, more dangerous in men
Authors: Natale Enrico , Mistrulli Raffaella
Published: April 2023

Takotsubo syndrome (TTS) is an acute myocardial disease characterized by reversible left ventricular dysfunction, in the absence of obstructive coronary artery disease, caused by adrenergic overactivity and associated with non-negligible morbidity and mortality. Takotsubo syndrome, by far more frequent in women, who account for 9 out of 10 cases, is generally triggered by intense psychoemotional stress. In men, TTS has different, though not yet fully defined, characteristics and clinical course. In fact, men have a higher prevalence of a physical trigger and comorbidities, such as bronchopulmonary or cerebral pathologies, diabetes mellitus, and malignant neoplasms. The hospital course is burdened by a higher rate of cardiogenic shock and mortality. The long-term prognosis is also less favourable in men. Takotsubo syndrome in men characterizes a higher-risk phenotype, which requires close monitoring during hospitalization and careful surveillance during follow-up.
Dilemmas in cardiology: when to recanalize a chronic total occlusion
Authors: Stazi Filippo
Published: April 2023

The decision whether or not to recanalize a chronic total occlusion (CTO) of a coronary artery is truly a dilemma for the cardiologist. The procedure is in fact complex, with a non-negligible rate of complications and with a probability of success lower than that of non-obstructive lesions. The analysis of the data available in the literature, with the significant discrepancy between the results of the randomized studies and the observational studies, does not currently allow conclusive statements on the role of the percutaneous coronary interventions in CTO. It is therefore essential to incorporate clinical, anatomical and procedural elements into the decision-making algorithm. While awaiting new randomized clinical trials of greater dimensions and better methodology, a careful selection of patients is certainly essential, limiting the procedure to those who are symptomatic or who have a high ischaemic burden and excluding those who have no evidence of vitality, without which it is not legitimate to expect any benefit from the intervention. Finally, the presence of the collateral circulation does not in itself appear to be an element that should have a significant decision-making role.
Dietary intake and cardiovascular outcomes in patients with chronic vascular disease: insights from the COMPASS trial cohort
Authors: Wan Darryl , Dehghan Mahshid , de Souza Russell J , Ramasundarahettige Chinthanie , Eikelboom John W , Bosch Jackie , Maggioni Aldo P , Bhatt Deepak L , Yusuf Salim , Anand Sonia S
Published: April 2023

Aims

Patients with coronary artery disease (CAD) and patients with peripheral artery disease (PAD) are at risk for major adverse cardiovascular events (MACE) and major adverse limb events (MALE). There are limited data regarding dietary patterns and the risk of recurrent MACE and MALE in CAD and PAD patients. We aimed to identify dietary patterns associated with MACE and MALE in patients with CAD and/or PAD.

Methods and results

We analysed data collected from patients enrolled into the Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) trial, in which diet was assessed by a short food frequency questionnaire (FFQ) at baseline. Two dietary pattern scores, the modified Alternate Healthy Eating Index (mAHEI) and Mediterranean Diet Score (mMDS), were calculated. We tested the association between mAHEI and mMDS and the incidence of MACE and/or MALE. The mean mAHEI score was 23.0 ± 7.7 (out of 70) overall and was similar comparing CAD and PAD patients. The incidence of MACE or MALE was 6.3% in the lowest diet quality quartile (as assessed by mAHEI) compared with 4.2% in the highest quartile over 30 months. In the fully adjusted model, the hazard ratio of a low diet quality (Quartile 1) compared with the highest (Quartile 4) for MACE or MALE was 1.27 (95% CI: 1.08–1.49; P = 0.004, Q1 vs. Q4). This excess hazard was primarily driven by higher MACE in both the CAD and PAD cohorts.

Conclusions

Poor diet quality as assessed by the mAHEI is independently associated with a higher risk of recurrent MACE and MALE in patients with chronic CAD and/or PAD.
The role of recognition error in the stability of green-beard genes
Authors: Choi Jibeom , Lee Seoeun , Kim Hyun , Park Junpyo
Published: April 2023

The empirical examples of the green-beard genes, once a conundrum of evolutionary biology, are accumulating, while theoretical analyses of this topic are occasional compared to those concerning (narrow-sense) kin selection. In particular, the recognition error of the green-beard effect that the cooperator fails to accurately recognize the other cooperators or defectors is readily found in numerous green-beard genes. To our knowledge, however, no model up to date has taken that effect into account. In this article, we investigated the effect of recognition error on the fitness of the green-beard gene. By employing theories of evolutionary games, our mathematical model predicts that the fitness of the green-beard gene is frequency dependent (frequency of the green-beard gene), which was corroborated by experiments performed with yeast FLO1. The experiment also shows that the cells with the green-beard gene (FLO1) are sturdier under severe stress. We conclude that the low recognition error among the cooperators, the higher reward of cooperation, and the higher cost of defection confer an advantage to the green-beard gene under certain conditions, confirmed by numerical simulation as well. Interestingly, we expect that the recognition error to the defectors may promote the cooperator fitness if the cooperator frequency is low and mutual defection is detrimental. Our ternary approach of mathematical analysis, experiments, and simulation lays the groundwork of the standard model for the green-beard gene that can be generalized to other species.
A novel intelligent chromo capsule endoscope for the diagnosis of neoplastic lesions in the gastrointestinal tract
Authors: Shi Huiying , Pang Suya , Ming Fanhua , Yangdai Tianyi , Tian Shuxin , Lin Rong
Published: April 2023

Background

Chromoendoscopy has not been fully integrated into capsule endoscopy. This study aimded to develop and validate a novel intelligent chromo capsule endoscope (ICCE).

Methods

The ICCE has two modes: a white-light imaging (WLI) mode and an intelligent chromo imaging (ICI) mode. The performance of the ICCE in observing colors, animal tissues, and early gastrointestinal (GI) neoplastic lesions in humans was evaluated. Images captured by the ICCE were analysed using variance of Laplacian (VoL) values or image contrast evaluation.

Results

For color observation, conventional narrow-band imaging endoscopes and the ICI mode of the ICCE have similar spectral distributions. Compared with the WLI mode, the ICI mode had significantly higher VoL values for animal tissues (2.154 ± 1.044 vs 3.800 ± 1.491, P = 0.003), gastric precancerous lesions and early gastric cancers (2.242 ± 0.162 vs 6.642 ± 0.919, P < 0.001), and colon tumors (3.896 ± 1.430 vs 11.882 ± 7.663, P < 0.001), and significantly higher contrast for differentiating tumor and non-tumor areas (0.069 ± 0.046 vs 0.144 ± 0.076, P = 0.005). More importantly, the sensitivity, specificity, and accuracy of the ICI mode for early GI tumors were 95.83%, 91.67%, and 94.64%, respectively, which were significantly higher than the values of the WLI mode (78.33% [P < 0.001], 77.08% [P = 0.01], and 77.98% [P < 0.001], respectively).

Conclusions

We successfully integrated ICI into the capsule endoscope. The ICCE is an innovative and useful tool for differential diagnosis based on contrast-enhanced images and thus has great potential as a superior diagnostic tool for early GI tumor detection.
Palaeosecular variation in Northern Patagonia recorded by 0–5 Ma Caviahue–Copahue lava flows
Authors: Moncinhatto Thiago R , de Oliveira Wellington P , Haag Mauricio B , Hartmann Gelvam A , Savian Jairo F , Poletti Wilbor , Brandt Daniele , Sommer Carlos A , Caselli Alberto T , Trindade Ricardo I F
Published: April 2023

Palaeosecular variation (PSV) determinations and studies of the geometry of the Earth’s main magnetic field provide important information about the field evolution, and to constrain numerical geodynamo models. Palaeomagnetic directional data from lava flows over the last few million years is of particular interest because the regional and global tectonic effects are minimal. However, the distribution of this type of palaeomagnetic data is uneven where the Southern Hemisphere is the destitute side. Therefore, the better knowledge of the geomagnetic field behaviour depends on the increased availability of high-quality data, especially in the Southern Hemisphere. A PSV and the time-averaged field (TAF) study was then performed in 0–5 Ma lava flows from the Caviahue–Copahue Volcanic Complex located in Northern Patagonia, Argentina (37°0′S, 71°10′W). The magnetic mineralogy of lava flows was investigated through thermomagnetic susceptibility curves, isothermal remanent magnetization (IRM) acquisition curves, hysteresis loops and first-order reversal curves (FORCs). Samples are essentially comprised of titanomagnetite with different Ti contents and magnetic domain structures typical of vortex state particles. A total of 50 volcanic sites were sampled, which provided 42 reliable palaeomagnetic site-mean directions after alternating field and thermal demagnetization. From these 42 sites, 36 are of normal and 6 are of reversed polarity. The mean direction from normal (reversed) sites is D = 356.2°, I = −50.1°, α95 = 4.0° and N = 36 (D = 176.5°, I = 59.5°, α95 = 14.1° and N = 6). Using only site-level data with the precision parameter k ≥ 100, we obtain 26 palaeomagnetic sites for PSV and TAF investigations in the study region. The filtered data set has a mean direction (D = 354.4°, I = −53.2° and α95 = 5.1°) close to the expected direction for a geocentric axial dipole (GAD) field (IGAD = −57.3°). The palaeopole (Plat = 84.4°, Plon = 229.1° and A95 = 5.7°) coincides with the Earth’s spin axis within the 95 per cent confidence interval. Virtual geomagnetic pole scatter ($S_{B} = {15.8^{18.9}_{11.8}}^{\circ }$) and the inclination anomaly ($\Delta I = 4.1_{-1.0}^{{9.2}^{\circ }}$) are both consistent at the 95 per cent confidence level with recent PSV and TAF models, respectively. Our results support the presence of small non-dipole field contributions (<3 per cent) superimposed on the GAD term, as reported by South American studies at mid southern latitudes.
Propagation of a vector wavelet through von Kármán-type random elastic media: Monte Carlo simulation by using the spectrum division method
Authors: Sato Haruo , Emoto Kentaro
Published: April 2023

For the study of the random velocity fluctuation of the solid Earth medium, it is useful to measure the collapse of a seismic wavelet with increasing travel distance and the excitation of coda waves. Radiative transfer theory (RTT) is a powerful tool for synthesizing the propagation of a seismic wavelet in random media statistically characterized by the power spectral density function (PSDF) of the fractional velocity fluctuation. The Born scattering coefficient is a key building block of RTT. As the centre wavenumber of a wavelet increases, the phase shift across the correlation length increases and the Born approximation leads to an extremely large forward scattering exceeding the applicable range of the perturbation method. In such a case, the Eikonal approximation is able to explain the envelope broadening with increasing travel distance; however, it can not explain the coda excitation. To overcome the difficulty, we have proposed a hybrid Monte Carlo (MC) simulation for scalar waves. In the case of von Kármán-type random media, when the centre wavenumber is higher than the corner wavenumber, taking the centre wavenumber as a reference, we divide the PSDF into two spectral components. Applying the Born and Eikonal approximations to the high- and low-wavenumber spectral components, we statistically evaluate the wide-angle scattering and the narrow-angle ray bending, respectively. The proposed MC simulation serially using two kinds of scattering processes successfully synthesizes the time trace of the wave energy density from the onset to the late coda. The travel-distance fluctuation derived from the one-way propagation of the Eikonal approximation is also important. This paper extends this method for the propagation of a vector wavelet in random elastic media. We suppose that random fractional fluctuations of the P- and S-wave velocities and the mass density are linearly proportional to each other, which maintains the linear polarization of an Swave throughout the scattering process. Using the hybrid MC simulation with the spectrum division, we synthesize three-component energy density time traces for the anisotropic radiation from a moment tensor source, from which we derive three-component root mean square (RMS) velocity amplitude time traces at different azimuths. In parallel, we synthesize the propagation of a vector wavelet in many realized random elastic media by the finite-difference simulation, then we calculate three-component RMS velocity amplitude time traces. Using them as a benchmark, we confirm the validity of the proposed MC simulation for specific cases.
Novel inhibitory effect of galectin-3 on the respiratory burst induced by Staphylococcus aureus in human neutrophils
Authors: Venkatakrishnan Vignesh , Elmwall Jonas , Lahiri Trisha , Sundqvist Martina , Bergqvist Linda , Leffler Hakon , Nilsson Ulf J , Welin Amanda , Bylund Johan , Karlsson-Bengtsson Anna
Published: April 2023

Among the responders to microbial invasion, neutrophils represent the earliest and perhaps the most important immune cells that contribute to host defense with the primary role to kill invading microbes using a plethora of stored anti-microbial molecules. One such process is the production of reactive oxygen species (ROS) by the neutrophil enzyme complex NADPH-oxidase, which can be assembled and active either extracellularly or intracellularly in phagosomes (during phagocytosis) and/or granules (in the absence of phagocytosis). One soluble factor modulating the interplay between immune cells and microbes is galectin-3 (gal-3), a carbohydrate-binding protein that regulates a wide variety of neutrophil functions. Gal-3 has been shown to potentiate neutrophil interaction with bacteria, including Staphylococcus aureus, and is also a potent activator of the neutrophil respiratory burst, inducing large amounts of granule-localized ROS in primed cells. Herein, the role of gal-3 in regulating S. aureus phagocytosis and S. aureus-induced intracellular ROS was analyzed by imaging flow cytometry and luminol-based chemiluminescence, respectively. Although gal-3 did not interfere with S. aureus phagocytosis per se, it potently inhibited phagocytosis-induced intracellular ROS production. Using the gal-3 inhibitor GB0139 (TD139) and carbohydrate recognition domain of gal-3 (gal-3C), we found that the gal-3-induced inhibitory effect on ROS production was dependent on the carbohydrate recognition domain of the lectin. In summary, this is the first report of an inhibitory role of gal-3 in regulating phagocytosis-induced ROS production.
The MYB transcription factor RcMYB1 plays a central role in rose anthocyanin biosynthesis
Authors: He Guoren , Zhang Ren , Jiang Shenghang , Wang Huanhuan , Ming Feng
Published: April 2023

Rose (Rosa hybrida) is one of most famous ornamental plants in the world, and its commodity value largely depends on its flower color. However, the regulatory mechanism underlying rose flower color is still unclear. In this study, we found that a key R2R3-MYB transcription factor, RcMYB1, plays a central role in rose anthocyanin biosynthesis. Overexpression of RcMYB1 significantly promoted anthocyanin accumulation in both white rose petals and tobacco leaves. In 35S:RcMYB1 transgenic lines, a significant accumulation of anthocyanins occurred in leaves and petioles. We further identified two MBW complexes (RcMYB1-RcBHLH42-RcTTG1; RcMYB1-RcEGL1-RcTTG1) associated with anthocyanin accumulation. Yeast one-hybrid and luciferase assays showed that RcMYB1 could active its own gene promoter and those of other EBGs (early anthocyanin biosynthesis genes) and LBGs (late anthocyanin biosynthesis genes). In addition, both of the MBW complexes enhanced the transcriptional activity of RcMYB1 and LBGs. Interestingly, our results also indicate that RcMYB1 is involved in the metabolic regulation of carotenoids and volatile aroma. In summary, we found that RcMYB1 widely participates in the transcriptional regulation of ABGs (anthocyanin biosynthesis genes), indicative of its central role in the regulation of anthocyanin accumulation in rose. Our results provide a theoretical basis for the further improvement of the flower color trait in rose by breeding or genetic modification.
Prevalence and Outcomes of No Treatment Versus 5-ASA in Ulcerative Colitis: A Nationwide Analysis From the epi-IIRN
Authors: Atia Ohad , Magen Rimon Ramit , Ledderman Natan , Greenfeld Shira , Kariv Revital , Loewenberg Weisband Yiska , Shaoul Ron , Matz Eran , Odes Shmuel , Goren Idan , Yanai Henit , Dotan Iris , Turner Dan
Published: April 2023

Background

Data regarding patients with ulcerative colitis (UC) not receiving maintenance treatment are scarce. In this nationwide study, we aimed to explore the frequency and long-term outcomes of untreated patients with UC vs treated patients.

Methods

We retrieved data from Israel’s Health Maintenance Organizations, covering 98% of the population. No maintenance treatment (NMT) was defined as lack of treatment during the period from 3 to 6 months from diagnosis, allowing at most 3 months for induction treatment.

Results

A total of 15 111 patients have been diagnosed with UC since 2005, of whom 4410 (29%) have had NMT, with 36 794 person-years of follow-up. NMT was more likely in adults (31%) and in elderly-onset UC (29%) than in pediatric-onset UC (20%; P < .001) and decreased from 38% in 2005 to 18% in 2019 (P < .001). The probability of remaining without treatment was 78%, 49%, and 37% after 1, 3, and 5 years from diagnosis, respectively. In propensity score–matched analysis of 1080 pairs of treated (93% with 5-aminosalicylic acid) and untreated patients, outcomes were comparable for time to biologics (P = .6), surgery (P = .8), steroid dependency (P = .09), and hospitalizations (P = .2). Multivariable modeling indicated that failing NMT was less likely in adults or elderly-onset patients who received at most rectal therapy or antibiotics as induction therapy.

Conclusions

Nowadays, 18% of patients with UC do not receive maintenance therapy, of whom half remain without treatment after 3 years. Matched pairs of patients on NMT and 5-aminosalicylic acid, representing the mildest patients of the latter, had similar outcomes. Prospective studies are needed to further explore the role of NMT in UC.
Third-order moment varieties of linear non-Gaussian graphical models
Authors: Améndola Carlos , Drton Mathias , Grosdos Alexandros , Homs Roser , Robeva Elina
Published: April 2023

In this paper, we study linear non-Gaussian graphical models from the perspective of algebraic statistics. These are acyclic causal models in which each variable is a linear combination of its direct causes and independent noise. The underlying directed causal graph can be identified uniquely via the set of second and third-order moments of all random vectors that lie in the corresponding model. Our focus is on finding the algebraic relations among these moments for a given graph. We show that when the graph is a polytree, these relations form a toric ideal. We construct explicit trek-matrices associated to 2-treks and 3-treks in the graph. Their entries are covariances and third-order moments and their $2$-minors define our model set-theoretically. Furthermore, we prove that their 2-minors also generate the vanishing ideal of the model. Finally, we describe the polytopes of third-order moments and the ideals for models with hidden variables.
Competition enforcement versus regulation as market-opening tools: an application to banking and payment systems
Authors: Franck Jens-Uwe
Published: April 2023

This article analyses three routes for the formation of market-opening rules: competition enforcement, legislative rulemaking, and market investigation. Using examples and case studies related to facilitating market access in banking and payment systems, we illustrate essential features and limitations of the different modes of rulemaking. The interrelation between them is explored, emphasizing the merits of having them available in parallel.
Aspergillus flavus from coffee in Cameroon: a non-aflatoxigenic endophytic isolate antagonistic to coffee leaf rust (Hemileia vastatrix)
Authors: Kapeua-Ndacnou Miraine , Nóbrega Thaisa F , Batista Luís R , Evans Harry C , Abreu Lucas M , Begoudé Didier A B , Reis Tatiana A , Barreto Robert W
Published: April 2023

Aims

Elucidating the identity of an isolate of Aspergillus sp. obtained during searches for anti-coffee leaf rust (CLR) biocontrol agents, from healthy coffee berry samples, preliminarily verify whether it is an aflatoxin-producer, confirm its ability to grow as an endophyte in healthy coffee tissues and assess its biocontrol potential against CLR.

Methods and results

One, among hundreds of fungal isolates fungus were obtained from healthy coffee tissues belonged to Aspergillus (isolate COAD 3307). A combination of morphology features and molecular analyses; including four regions—internal transcribed spacer, second-largest subunit of RNA polymerase (RPB2), β-tubulin (BenA) and calmodulin (CAL)—identified COAD 3307 as Aspergillus flavus. Inoculations of healthy Coffea arabica with COAD 3307 confirmed its establishment as an endophyte in leaves, stems, and roots. Treatment of C. arabica plants by combinated applications of COAD 3307 on aerial parts and in the soil, significantly (P > .0001) reduced CLR severity as compared to controls. Thin-layer chromatography indicated that COAD 3307 is not an aflatoxin-producing isolate. In order to confirm this result, the extract was injected into high-performance liquid chromatography system equipped with a fluorescence detector, and no evidence of aflatoxin was found.

Conclusions

COAD 3307 is an endophytic isolate of A. flavus—a species that has never been previously recorded as an endophyte of Coffea spp. It is a non-aflatoxin producing strain that has an anti-CLR effect and merits further evaluation as a biocontrol agent.
Effects of organic and inorganic nitrogen sources on the transcriptome of gellan gum biosynthesis bySphingomonas paucimobilis
Authors: Zhang Yan , Zhu GuiLan , Tong Qunyi , Ni Jiajia , Fang Xue , Chen Xiaozhong , Wang Ziying
Published: April 2023

Aim

Investigate the effects of different nitrogen sources on the metabolic characteristics of Sphingomonas paucimobilis during gellan gum (GG) production was helpful for developing optimized conditions that are widely applicable to all GG production processes.

Methods and results

We compared the effects of organic nitrogen (ON) and inorganic nitrogen (IN) sources during GG production using transcriptome sequencing. Our results showed that compared with the IN source, the ON source effectively improved the cell number and GG production of S. paucimobilis during fermentation. There were significant differences in gene transcription levels between the ON and IN groups at different fermentation times.

Conclusions

The transcriptional levels of multiple genes in the pathways from α-D-glucose-1P to glyceraldehyde-3P were reduced in the ON group, whereas those of multiple genes in the pathways from glyceraldehyde-3P to acetyl-CoA were significantly enhanced in the ON group after 12 h of fermentation. The transcription levels of multiple genes participating in the citrate cycle and upstream of fatty acid metabolism pathways were significantly enhanced in the ON group after 12 h of fermentation. Except for the transcripts per million (TPMs) of pgm and rfbA genes in ON, which were significantly higher than those in IN at 12 h after fermentation, the TPMs of the majority of genes in ON were significantly lower than those in IN. The transcription levels of genes participating in the transformation of N-acetyl-D-glucosamine (GlcNAc) to UDP-N-acetyl-alpha-D-glucosamine (UDP-GlcNAc) were enhanced in the ON group during the fermentation process.
Metabolizable energy and apparent total tract digestibility of energy and nutrients differ among samples of sunflower meal and sunflower expellers fed to growing pigs
Authors: Ibagon Jimena A , Lee Su A , Stein Hans H
Published: April 2023

An experiment was conducted to test the hypothesis that there are no differences among samples of sunflower coproducts in apparent total tract digestibility (ATTD) of gross energy (GE), crude protein (CP), and acid hydrolyzed ether extract (AEE), total dietary fiber (TDF), insoluble dietary fiber, soluble dietary fiber (SDF), or in metabolizable energy (ME) regardless of where the ingredient was produced. Six samples of sunflower meal (SFM) were obtained from the United States (two samples), Ukraine (two samples), Hungary, and Italy. A sample of sunflower expellers (SFE) from the United States was also used. A corn-based control diet and 7 diets containing corn and each sample of sunflower coproducts were formulated. Sixty-four barrows (initial weight = 31.5 ± 3.2 kg) were allotted to 8 diets using a randomized complete block design with four blocks of pigs from four different weaning groups. Pigs were housed individually in metabolism crates and feed was provided at three times energy requirement for maintenance. Feces and urine were collected for four days after seven days of adaptation to diets. Results indicated that the ATTD of GE and CP in SFE was less (P < 0.05) than in SFM, but ATTD of AEE in SFE was greater (P < 0.05) compared with SFM. No difference in ME between SFM and SFE was observed. The ATTD of GE and TDF in SFM from Ukraine and Hungary was greater (P < 0.05) than in SFM from the United States or Italy. The ATTD of AEE did not differ among SFM samples with the exception that ATTD of AEE in the U.S. 2 sample was greater (P < 0.05) than in the other samples. The ATTD of SDF was less (P < 0.05) in the U.S. 1 sample and the sample from Italy than in the other samples. The ATTD of TDF was greater in the Ukraine 2 sample of SFM (P < 0.05) than in the two U.S. samples. The ME in the SFM samples from Ukraine and in the SFM from Hungary was greater (P < 0.05) than in the U.S. 1 sample and the SFM from Italy. In conclusion, ATTD of GE and nutrients differed between SFM and SFE, but the ATTD of TDF and the ME in SFM was not different from value for SFE. Among SFM samples, relatively small variations in ATTD of GE, AEE, and CP were observed, but ME and digestibility of TDF varied.
Choreographing digital love: materiality, emotionality, and morality in video-mediated communication between Chinese migrant parents and their left-behind children
Authors: Gan Yumei
Published: April 2023

Video-mediated communication (VMC) has become particularly important for geographically dispersed families. Drawing on a 2-year video-based ethnographic study of under-resourced Chinese rural-to-urban migrant parents and their left-behind children, this article captures on-site distant parent–child VMC. Applying qualitative video analysis to study video calls, this article focuses on how people “choreograph” these video calls and investigates the improvised composition of actions and activities in mediated environment. The findings reveal that people coordinate the materiality, amplify the emotionality, and underpin the morality of love to sustain intimate relationships. Multigenerational parties, including parents, children, and grandparents, actively manage their connections through the moment-by-moment unfolding of choreographed actions in VMC. This study also highlights the bittersweet experiences, including the tension, contradictions, and asymmetries, among migrant parents, children, and the caregivers.
Identification and sex-specific expression of chemosensory genes in the antennal transcriptomes of Pachyrhinus yasumatsui (Coleoptera: Curculionidae)
Authors: Hong Bo , Zhai Yingyan , Yang Yiwei , Chang Qing , Li Guangwei , Zhang Feng
Published: April 2023

Pachyrhinus yasumatsui Kono et Morimoto is a major pest of Chinese jujube, which is widespread in northern China and causes severe economic losses in the jujube industry. Chemosensory genes play crucial roles in insect behaviors. Currently, little is known about chemosensory genes in P. yasumatsui. In the present study, antennal transcriptomes of female and male adult P. yasumatsui were annotated. In total, 113 genes involved in chemosensory functions were identified, including 41 odorant receptors, 28 odorant-binding proteins, 16 ionotropic receptors, 15 chemosensory proteins, 9 gustatory receptors, and 4 sensory neuron membrane proteins. Subsequently, the phylogenetic analyses of these olfactory-related proteins in P. yasumatsui were conducted using multiple sequence alignment. Furthermore, sex-specific expression levels of 113 genes were analyzed based on fragments per kilobase of transcript per million mapped reads (FPKM). Then, the quantitative real-time PCR (RT-qPCR) was used to quantify gene expression profiles of 28 P. yasumatsui OBPs (PyasOBPs) and 15 CSPs (PyasCSPs). The results revealed that 20 PyasOBPs and 13 PyasCSPs exhibited significantly higher expression in the antennae than in the bodies, suggesting that they might have functions in olfaction. Moreover, some OBPs and CSPs (PyasOBP6, PyasOBP7, PyasOBP16, PyasOBP21, and PyasCSP4) exhibited female-biased expression, indicating that they might take part in several female-specific behaviors. This study will promote the understanding of olfactory mechanism in P. yasumatsui, and our findings lay the groundwork for developing environmentally friendly pest management measures.
CSF2 upregulates CXCL3 expression in adipocytes to promote metastasis of breast cancer via the FAK signaling pathway
Authors: He Xi , Wang Lieliang , Li Honghui , Liu Yaru , Tong Chang , Xie Caifeng , Yan Xiaohua , Luo Daya , Xiong Xiangyang
Published: April 2023

Recent studies have demonstrated that cancer-associated adipocytes (CAAs) in the tumor microenvironment are involved in the malignant progression of breast cancer. However, the underlying mechanism of CAA formation and its effects on the development of breast cancer are still unknown. Here, we show that CSF2 is highly expressed in both CAAs and breast cancer cells. CSF2 promotes inflammatory phenotypic changes of adipocytes through the Stat3 signaling pathway, leading to the secretion of multiple cytokines and proteases, particularly C–X–C motif chemokine ligand 3 (CXCL3). Adipocyte-derived CXCL3 binds to its specific receptor CXCR2 on breast cancer cells and activates the FAK pathway, enhancing the mesenchymal phenotype, migration, and invasion of breast cancer cells. In addition, a combination treatment targeting CSF2 and CXCR2 shows a synergistic inhibitory effect on adipocyte-induced lung metastasis of mouse 4T1 cells in vivo. These findings elucidate a novel mechanism of breast cancer metastasis and provide a potential therapeutic strategy for breast cancer metastasis.
Host-seeking activity of adult Culicoides sonorensis (Diptera: Ceratopogonidae) during winter in southern California, USA, and assessment of bluetongue virus overwintering
Authors: Zhang Xinmi , Gerry Alec C
Published: April 2023

In southern California, USA, annual reoccurrence of bluetongue infection in cattle (Bos taurus Linnaeus (Artiodactyla: Bovidae)) suggests that bluetongue virus (BTV) persists year-round but escapes detection during cooler months, reappearing when the weather gets warmer. The persistence of the virus in the adult biting midge vector, Culicoides sonorensis Wirth and Jones (Diptera: Ceratopogonidae), has been suggested. However, it is unknown whether adult C. sonorensis are sufficiently active during the winter months to transmit BTV throughout this period. This study captured host-seeking C. sonorensis in the Chino dairy region of southern California throughout the BTV interseasonal period (winter through early spring) over 3 years to assess adult host-seeking activity and adult survival during this period. BTV prevalence in host-seeking midges was also determined. Host-seeking nulliparous and parous C. sonorensis were consistently captured throughout the winter months, which combined with wintertime adult midge survival of ≤27 d, suggests the BTV overwintering is likely due to ongoing low-level transmission to available cattle hosts. However, BTV was not detected in midges captured during January through April in this study, suggesting that BTV transmission during the winter months may be occurring at too low a level to detect even with the substantial trapping effort applied in this study.
Boundary-Making and Political Activism in Protracted Exile: Second-Generation Tibetan Refugees in India
Authors: Bloch Natalia
Published: April 2023

For over six decades the Tibetan diaspora in India has followed a strategy of ‘non-assimilation’ towards Indian society. A majority of Tibetans still reside in self-governed settlements and maintain their self-imposed statelessness. Tibetan refugees have constructed boundaries that—according to the diaspora leaders—enable them to continue their political struggle for a free Tibet while in a state of protracted exile and imposed waiting. In this article, based on long-term ethnographic research, I discuss the mechanisms and rationale of this boundary-making by exploring its spatial, educational, and political dimensions. I then analyse the political activism which takes place within those boundaries, with a special focus on second-generation Tibetan refugees. I scrutinize the internal divisions in the Tibetan freedom movement, the radicalization of struggle, and the everyday patriotism practiced by generations born in exile, demonstrating that waiting has the potential to produce resistance.