Abstract P5-09-05: Communication design toolkit for metastatic breast cancer patients and their health care professionals

Worldwidebreastcancer.com is an online resource designed to increase understanding of the basics of breast cancer detection through good design. Tools are used in 8 countries by 500+ advocacy groups reaching 1MM+ people in English, Spanish, Turkish, Arabic, Japanese, Gujarati and Samoan.

The Metastatic Breast Cancer Alliance (MBCA) is an advocate-led coalition aiming to transform and improve the lives of people living with metastatic breast cancer (MBC). Different from early breast cancer, MBC is not curable and is the cause of virtually all breast cancer deaths; ∼40,000 die annually of MBC. People with MBC are always in treatment, switching drug regiments as their disease progresses. Survival and quality of life depends on patients' treatment decisions; yet many do not have a high level of engagement during in-office conversations with their oncologists.

Objective: Develop a visual tool kit to help MBC patients, with little or no engagement in a treatment decision-making process, communicate on equal ground with their health care professionals (HCPs) about their diagnosis, treatment, and quality of life. Low literacy rates, fear of cancer and the cultural taboos associated with breast cancer, create hurdles difficult to overcome. Despite a large number of education campaigns, none offer a multilingual, multicultural solution leaping these hurdles for MBC patients.

Methods: A USER Design Thinking Model Framework (Beaumont, 2011) with 4 cyclical phases: (1)USER: understand the needs of patients and stakeholders; (2)SYSTEM: understand the communication along the patient pathway; (3)ESTABLISH: determine patient centered needs; (4)REALIZE: develop physical tools to address needs and, going back to the USER phase, test with patients and stakeholders, evaluating their usefulness along the patient pathway to determine recommendations for the next round of improvements. Tools are being developed at a National Cancer Institute, before being trialed in two different cliniacal settings.

Results: Based on this project's ground breaking Stage 1 targeting women with early stages of breast cancer, we anticipate the results will show that visual metaphors overcome health literacy and communication issues for MBC patients not engaged in treatment plans. Stage 1 results showed the majority of participants (n=67) were able to interpret visuals accurately without the use of text in terms of symptoms (65%) and anatomy (86%) of breast cancer. Health practitioners using the materials reported the images were effective in communicating symptoms.

Conclusion: A visual approach to improving communication between MBC patients and their HCPs seems possible based on positive results of patient interpretation and practitioner feedback from research and testing with early stage breast cancer. Visual tools help HCPs engage patients with information to enable them to understand their disease, and goals and nature of treatments, so they can make informed decisions right for them.

1. www.mbcalliance.org/

2. Pfizer Oncology. 2014: Breast Cancer: A Story Half Told, p.9. www.pfizer.com/files/news/Statement_ofNeed.pdf

Citation Format: Beaumont C, Crawford-Gray K. Communication design toolkit for metastatic breast cancer patients and their health care professionals. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P5-09-05.

Prevalence of Salmonella in flocks housed in enriched cages

Salmonellosis is a foodborne disease of humans and animals caused by infection with Salmonella. The aim of this paper is to improve a deterministic model (DM) and an individual-based model (IBM) with reference to Salmonella propagation in flocks of laying hens taking into account variations in hens housed in the same cage and to compare both models. The spatio-temporal evolution, the basic reproduction number, R 0, and the speed of wave propagation were computed for both models. While in most cases the DM allows summary of all the features of the model in the formula for computation of R 0, slight differences between individuals or groups may be observed with the IBM that could not be expected from the DM, especially when initial environmental contamination is very low and some cages may get rid of bacteria. Both models suggest that the cage size plays a role on the risk and speed of propagation of the bacteria, which should be considered when designing new breeding systems.

Effect of intense pulsed light treatment on human skin in vitro: analysis of immediate effects on dermal papillae and hair follicle stem cells

BACKGROUND

Hair follicles house a permanent pool of epithelial stem cells. Intense pulsed light (IPL) sources have been successfully used for hair removal, but long-term hair reduction may require several treatments. Many questions remain regarding the impact of IPL treatment on the structure of the hair follicle, more specifically on hair follicular stem cells and dermal papilla cells, a group of specialized cells that orchestrate hair growth.

OBJECTIVES

To characterize the destruction of human hair follicles and surrounding tissues following IPL treatment, with more attention paid to the bulge and the bulb regions.

METHODS

Human scalp specimens of Fitzpatrick skin phototype II were exposed ex vivo to IPL pulses and were then processed for histological analysis, immunodetection of stem cell-associated keratin 19, and revelation of the endogenous alkaline phosphatase activity expressed in dermal papilla cells.

RESULTS

Histological analysis confirmed that pigmented structures, such as the melanin-rich matrix cells of the bulb in anagen follicles and the hair shaft, are principally targeted by IPL treatment, while white hairs and epidermis remained unaffected. Damage caused by heat sometimes extended over the dermal papilla cells, while stem cells were mostly spared.

CONCLUSIONS

IPL epilation principally targets pigmented structures. Our results suggest that, under the tested conditions, collateral damage does not deplete stem cells. Damage at the dermal papilla was observed only with high-energy treatment modalities. Extrapolated to frequently treated hairs, these observations explain why some hairs grow back after a single IPL treatment.

Use of a reduced set of single nucleotide polymorphisms for genetic evaluation of resistance to Salmonella carrier state in laying hens

Salmonella propagation by apparently healthy chickens could be decreased by the selection and use of chicken lines that are more resistant to carrier state. Using a reduced set of markers, this study investigates, for the first time to the authors' knowledge, the feasibility of a genomic selection approach for resistance to carrier state in hen lines. In this study, commercial laying hen lines were divergently selected for resistance to Salmonella carrier state at 2 different ages: young chicks and adults at the peak of lay. A total of 600 birds were typed with 831 informative SNP markers and artificially infected with Salmonella Enteritidis. Phenotypes were collected 28 d (389 young animals) or 38 d (208 adults) after infection. Two types of variance component analyses, including SNP data or not, were performed and compared. The set of SNP used was efficient in capturing a large part of the genetic variation. Average accuracies from mixed model equations did not change between analyses, showing that using SNP data does not increase information in this data set. These results confirm that genomic selection for Salmonella carrier state resistance in laying hens is promising. Nevertheless, a denser SNP coverage of the genome on a greater number of animals is still needed to assess its feasibility and efficiency.

[The 5-word test in 37 depressed patients compared with 36 normal controls and 35 patients with mild Alzheimer's disease]

OBJECTIVES

Patients with major depression (MD) express frequent memory complaints leading to consultations in memory clinics. The 5-word test (5WT) is a verbal memory test with semantic cueing, which has shown its sensitivity and its specificity in identifying patients with Alzheimer's disease (AD). Our objective was to evaluate memory performances of aged patients with MD compared with controls and AD patients.

METHODS

Characteristics of the 5WT were investigated in a sample of 37 patients with MD (66.8±7.5 years) compared with 36 normal controls (67.3±6.8 years) and 35 mild AD patients (67.5±6.1 years).

RESULTS

Duration of depression was 15.3±11.5 years. Memory complaints of MD patients were ancient (4.6±5.5 years) and severe (McNair memory questionnaire=47.6±20.7). The Total score of MD patients did not differ from controls but was greater than those of AD patients. Learning and Memory scores of MD patients were significantly lower than those of controls and significantly greater than those of AD patients. Forgetting rate between Learning and Memory scores was more important in AD (72.4%) than in controls (2.8%) and MD (13.6%). No intrusions were recorded in controls, three MD patients each made one intrusion, whereas 80% of AD patients made between one to six intrusions (mainly during cued delayed recall). Receiver operating characteristic curves determined the most significant cut-off scores of the Total score. It appeared easy to discriminate AD patients from controls (cut-off=9, sensitivity=94.3%, specificity=100%) or MD patients (cut-off=8, sensitivity=88.5%, specificity=89.2%) whereas it was more difficult to discriminate MD patients from controls (cut-off=10, specificity=88.9%, sensitivity=37.8%).

DISCUSSION

MD patients had significant difficulties with the 5WT as compared to controls, without being of the magnitude of those observed in AD patients.

CONCLUSION

The 5WT allows a reliable evaluation of memory in MD patients. The presence of true memory deficits with the 5WT could not be ascribed to depression but to other pathological conditions. Consequently, further memory testing should be conducted.

The European experience in poultry welfare--a decade ahead

Farm animal welfare is a major issue in Europe, which resulted in regulations and development of research dedicated to animal welfare, especially on standard poultry production, which is often considered as resulting in very poor welfare. The effect of selection is also often questioned. Indeed, capacities of adaptation have been very little considered during the first years of commercial selection and thus have been reduced. Nowadays, a much greater importance is given to welfare-related traits and genomic selection should alleviate the need for their measurements in the short-term. However, the choice of the fittest selection criteria is still to be made. Because behavioral traits are highly dependent on environment, general reactivity may be more efficient. For example, selection against undesirable behavior such as feather pecking has been proven to be efficient, but selection for reduced mortality rates in collective cages proved to be preferable. Most often, selection should not exacerbate extreme values, which are most often detrimental, as in the case of social motivation, which, when increased to too large of an extent, results in increased aggressivity. Moreover, a general propensity will not result in overall improvement; for example, reducing fearfulness has positive effects but does not modify response to social stress. Detrimental effects on other traits may also be observed: although genetic resistance to diseases should increase animal welfare, it may also result in increased frequency of silent carriers and in turn to human transmission. Indeed, an optimum must be found. Studying lines selected for or against these traits will be of great help to choose the best strategy of selection. Another and longer term concern should be on links with other production traits but also on sustainability, which will probably be of greater importance in the coming years.

Use of the entero-test, a novel approach for the noninvasive capture of biliary metabolites in dogs

Preclinical information on the biliary metabolites of a drug candidate is typically obtained through the collection of bile after surgical cannulation of the bile duct. In this study, we describe a novel approach using the Entero-Test, a simple device that facilitates the noninvasive sampling of duodenal bile. The Entero-Test was used to collect bile from six fasted dogs that had been dosed either orally with simvastatin (SV) or intravenously with simvastatin hydroxy acid (SVA), compounds that have been previously reported to undergo extensive metabolism and biliary secretion in the dog. The devices, consisting of a weighted gelatin capsule containing 90 cm of a highly absorbent nylon string, were swallowed by each dog with the proximal end of the string taped to the animal's face. Once the weighted string had reached the duodenum, gallbladder contraction was stimulated to release bile. Each bile-stained string was then retrieved via the mouth and, after solvent extraction, samples were analyzed for drug-related material by ultraperformance liquid chromatography-mass spectrometry and NMR spectroscopy. Numerous metabolites of SV and SVA were observed, and, in general, the major metabolites have been reported previously from studies with bile duct-cannulated animals dosed with [14C]SV or [14C]SVA. The results from this study demonstrate the utility of deploying the Entero-Test in absorption, distribution, metabolism, and elimination studies to provide information on the nature of biliary metabolites, which, on occasion, may be sufficient to negate the need for more invasive sampling techniques. The benefits and limitations of the technique are discussed.

QTL for resistance to Salmonella carrier state confirmed in both experimental and commercial chicken lines

The ability of chickens to carry Salmonella without displaying disease symptoms is responsible for Salmonella propagation in poultry stocks and for subsequent human contamination through the consumption of contaminated eggs or meat. The selection of animals more resistant to carrier state might be a way to decrease the propagation of Salmonella in poultry stocks and its transmission to humans. Five QTL controlling variation for resistance to carrier state in a chicken F(2) progeny derived from the White Leghorn inbred lines N and 6(1) had been previously identified using a selective genotyping approach. Here, a second analysis on the whole progeny was performed, which led to the confirmation of two QTL on chromosomes 2 and 16. To assess the utility of these genomic regions for selection in commercial lines, we tested them together with other QTL identified in an [Nx6(1)] x N backcross progeny and with the candidate genes SLC11A1 and TLR4. We used a commercial line divergently selected for either low or high carrier-state resistance both in young chicks and in adult hens. In divergent chick lines, one QTL on chromosome 1 and one in the SLC11A1 region were significantly associated with carrier-state resistance variations; in divergent adult lines, one QTL located in the major histocompatibility complex on chromosome 16 and one in the SLC11A1 region were involved in these variations. Genetic studies conducted on experimental lines can therefore be of potential interest for marker-assisted selection in commercial lines.

Excessive erythrocyte PPIX influences the hematologic status and iron metabolism in patients with dominant erythropoietic protoporphyria

Partial deficiency of the last enzyme of the heme biosynthetic pathway (namely ferrochelatase, FECH) in humans is responsible for erythropoietic protoporphyria (EPP). This disorder is characterised by painful photosensitivity, due to excessive production of protoporphyrin IX (PPIX) by erythrocytes. Controversial hypotheses have been proposed to explain the hematologic and iron status of EPP patients. In the present work, we explored these parameters in 55 patients with dominant EPP recruited at the French Center of Porphyrias (Colombes, France) and confirmed by molecular analysis. Our data show that erythrocyte accumulation of PPIX in EPP patients influences hematologic and iron status. Patients studied had a mild anemia and thrombocytopenia, as shown by the downward shift of hematologic parameters, which positively correlated with the amount of erythrocyte PPIX. Interestingly, erythropoiesis did not seem to be limited by iron supply in patients, since serum iron and soluble transferring (Tf) receptor (sTfR) were normal. However, iron and Tf saturation negatively correlated with erythrocyte PPIX. Moreover, and as previously described in a mouse model of EPP, we noted a positive correlation between erythrocyte PPIX and Tf levels. Altogether, these results suggest a positive effect of PPIX on the synthesis on Tf, which could facilitate the mobilization of tissue iron stores to meet erythropoiesis requirement. Based on these observations and previous results in EPP mouse model, we propose that the PPIX-liver transferrin pathway plays a role in the orchestration of iron distribution between peripheral iron stores, the spleen and the bone marrow.

An integrated approach of genetic resistance to Salmonella carrier state in fowls: from genetics to genomics and modelling

Increasing resistance to acute Salmonellosis (that is, contamination level shortly after infection) is not sufficient to reduce the risk for consumers to be contaminated by Salmonella. Indeed, animals may remain contaminated at a low level for weeks or months. Increased resistance to the Salmonella carrier state, i.e., animals' ability to clear bacteria, is needed; it involves measuring bacterial contamination several weeks after inoculation with a low dose. To study such resistance traits, three convergent approaches were used. A quantitative trait loci (QTL) study was performed, taking advantage of inbred lines differing in resistance. Several QTLs controlling resistance at a younger age were identified and are currently being confirmed in a new cross before finer mapping, using advanced intercross lines. These inbred lines are also presently being compared using functional genomics. In parallel, a selection experiment for increased or decreased resistance at a younger and a later age was undertaken. Besides providing genetic models differing in their levels of resistance, it underlined the importance of the choice of selection criterion, whether marker assisted or not. Indeed, genes controlling resistance are strongly dependant on age; selecting for resistance at a younger age might result in increased susceptibility at an older age. Finally, the results of this experiment were used in a model of the intra-flock propagation of Salmonella. It showed that introducing a proportion of resistant animals within a flock of susceptible hens could dramatically change the evolution of contamination. Moreover, it demonstrated the magnitude of synergy between selection and vaccination, which should enhance the interest of increased resistance. The results show that selection for increased resistance to the Salmonella carrier state may be efficient, providing that the appropriate criteria of selection are used.

Estimations of repeatability and heritability of egg albumen antimicrobial activity and of lysozyme and ovotransferrin concentrations

1. The repeatability and heritability of growth inhibition by egg albumen of two major pathogenic bacteria, a Gram-negative (Salmonella Enteritidis) and a Gram-positive (Staphyloccocus aureus) and of two antimicrobial albumen proteins, lysozyme and ovotransferrin, were estimated in commercial pedigree hens. 2. Repeatability was evaluated in 100 egg-type hens at the beginning, middle and end of the laying cycle on eggs collected for 3 weeks. Heritabilities were estimated at 36 to 40 weeks of age on 400 pedigree hens (2 eggs/hen), which were the offspring of 25 sires each mated with 4 dams. Ovotransferrin and lysozyme were quantified by ELISA. Salmonella Enteritidis (S.E.) and Staphyloccocus aureus (S.A.) were inoculated into a sample of sterilised albumen and enumerated after incubation. 3. Total protein content in albumen decreased with age of laying hens, whereas there were increases in lysozyme or ovotransferrin concentrations and in the bacteriostatic effect of albumen. 4. Repeatability for bacterial growth in albumen ranged from 0.29 to 0.39 for the number of S.E. (log cfu/ml) one day post inoculation (p.i.) but was lower and more variable at 5 d p.i. or for S.A. number. It ranged from 0.27 to 0.38 for S.E. and S.A. number at the mid period of the laying cycle. Repeatabilities were low and variable for total egg albumen protein or lysozyme and ovotranferrin concentrations (0 to 0.22). 5. Negative phenotypic correlations were observed between lysozyme concentrations and S.E. number but that between lysozyme and S.A. number was not significant. 6. Heritabilities were low (0.01 to 0.09) for protein traits. They were 0.11 for S.A. number and 0.16 for S.E. number one day p.i. 7. It appears to be more efficient to select on global bacterial growth than on specific antimicrobial proteins. The most promising trait is the number of S.E. one day p.i.

[Standardization of the 5-word test in a group of 191 normal subjects aged 50 to 90 years]

INTRODUCTION

The 5-word test (5WT) is a serial verbal memory test with semantic cuing. It allows to estimate cued learning, free recall, and cued recall of 5 words during immediate and delayed recalls (5 min later). The 5WT is proposed to rapidly evaluate memory of aging people. It has shown its sensitivity and its specificity in identifying patients with Alzheimer's disease (AD).

OBSERVATIONS

We report the constitution of a sample of 191 French speaking normal subjects, aged from 50 to 90 years, in four age classes (50 years, 60 years, 70 years, 80 years) and three education levels. Total Score, Total Weighted Score, Free Delayed Recall, Delayed Recalls Total (memory score), and Free Recalls Total appear to be the best scores to appreciate the memory performance of the normal subjects. A Total Score of 10 was obtained in 74.9 p.cent of the subjects. No immediate nor delayed intrusions were recorded. In spite of the absence of an explicit consign, the recalled words were often ordered as they were in the list.

CONCLUSION

The 5WT is a simple and reliable test for investigating memory in elderly people above 50 years old.

L'hepcidine et le métabolisme du fer

INTRODUCTION

In mammals, iron balance is maintained by regulating intestinal iron absorption and iron recycling by macrophages.

EXEGESIS

The central role of hepcidin in the establishment of iron deficiency or overload has been revealed by the study of murine models.

CONCLUSION

Many hopes have emerged from the discovery of hepcidin, pointing to potential treatments for hemochromatosis and anemia of inflammation (anemia of chronic disease).

Genetic relationships between feed conversion ratio, growth curve and body composition in slow-growing chickens

1. Relationships between feed conversion ratio, growth curve parameters and carcase composition were investigated on 1061 chickens from a slow-growing line of label-type chickens. The growth curve was modelled with the Gompertz function. Individual feed conversion ratio (FCR) was recorded between 8 and 10 weeks of age and residual feed consumption (RES) was calculated over the same interval. Abdominal fat yield (AFY), breast yield (BRY) and leg yield (LY) were also measured on the birds following slaughter at 75 d of age. 2. The means for FCR and RES were 3.15 and 0.62 g, respectively. Growth curve parameters were 0.141/d for initial specific growth rate (L), 0.031/d for maturation rate (K) and 48.9 d for age at inflexion (TI). Mean values for BRY, LY and AFY were 166, 306 and 40 g/kg, respectively. 3. Heritability of FCR and RES were moderate to high (0.33 and 0.38 to 0.45). Growth curve parameters and LY were moderately heritable (0.22 to 0.34) and BRY and AFY were highly heritable (0.50 and 0.66). Genetic correlations between growth curve parameters and either FCR or RES were low to moderate (-0.31 to 0.51). LY and AFY were highly correlated with FCR (-0.70 and 0.44) and RES (-0.32 and 0.44) but BRY was not (0.00 and -0.35). These results show that indirect selection for feed conversion ratio is possible by using growth curve parameters and abdominal fatness, which do not require rearing the chickens in cages.

[Multiple penetrating brain injuries caused by a nail gun: a case report]

Multiple and self-inflicted penetrating brain injuries (PBI) rare. PBI are rare. We report the case of multiple self-inflicted PBI in a 45 year old man caused by a nail gun. He was admitted to after shooting four nails into his head and one into his thorax. We review the literature on the topic and describe how this case was successfully managed in our hospital.

A model of Salmonella infection within industrial house hens

Salmonella is one of the major sources of toxi-infection in humans. Incidences of human salmonellosis have greatly increased over the past 20 years and this can largely be attributed to epidemics of Salmonella enteritidis phage type 4 within poultry. The main concern with this bacterium is the existence of silent carriers, i.e. animals harbouring S. enteritidis without expressing any visible symptoms. In this article, we formulate a model for S. enteritidis transmission in hen houses, considering both the hens and the environmental bacterium contamination. By considering the hen's individual development of the disease, we build a model for the production of eggs contaminated by S. enteritidis. The objectives are to analyse the dynamic of the disease, and to provide understanding of measures to avoid the endemicity of S. enteritidis in industrial hen houses.

Behavioural and physiological responses of three chicken breeds to pre-slaughter shackling and acute heat stress

1. The aim of this study was to compare the behavioural and physiological responses to hanging and acute heat stress in three different chicken breeds. Chicks were obtained from a slow-growing French 'Label Rouge' line (SGL), a fast-growing standard line (FGL) and a heavy line (HL). The SGL, FGL and HL birds were slaughtered at their respective market ages of 12, 6 and 6 weeks, in an attempt to achieve similar body weights. Before stunning, birds were either shackled by their legs on the moving line for 2 min (shackling stress: SH) or placed in a room at 35 degrees C and 60% of humidity for 3.5 h and then shackled for 2 min (acute heat stress plus shackling: H + SH) or subjected to minimal stress by shackling for 10 s before stunning (control group: C). 2. Bird physiological responses to the three pre-slaughter treatments were estimated by measuring blood corticosterone, glycaemia, creatine kinase activity, acid-base status and electrolyte concentration as well as lactate content and glycolytic potential in the breast (Pectoralis major) and thigh (Ilio tibialis) muscles. Behavioural responses to shackling stress were evaluated by measuring wing flapping duration, straightening up attempts and vocalisations. 3. Blood corticosterone was higher in SH and H+SH groups than in the C group, regardless of genotype. The struggling activity on the shackle line differed among chicken breeds. It was more intense and occurred more rapidly after hanging in the SGL birds than in both other breeds. Furthermore, SGL struggling activity was not affected by hanging duration while it increased with hanging duration in FGL and HL birds. 4. Wing flapping duration was negatively correlated with blood pH, bicarbonate concentration and positively correlated with breast muscle lactate content, indicating that struggling stimulated antemortem glycolysis activity in breast muscle. Acute heat stress affected blood Ca2+ and Na+ concentration and increased glycaemia and glycolytic potential of thigh muscle. 5. Both acute heat stress and shackling before slaughter were experienced as stressful events by all types of birds.

Mild dehydrated hereditary stomatocytosis revealed by marked hepatosiderosis

We report a patient in whom hepatosiderosis was diagnosed at the age of 55 years and who has since been treated by regular bleeding. The H63D mutation was found in the heterozygous state in the HFE gene. No mutation was recorded in the SLC11A3 gene (ferroportin). Hepatosiderosis did not seem primary, nevertheless its cause long remained elusive. Only 2 years ago did we find the responsible condition, a very mildly expressed form of dehydrated hereditary stomatocytosis (DHS). This genetic disease is a strongly iron-loading condition. Haemolysis was fully compensated. Kalaemia was slightly elevated, suggesting a pseudohyperkalaemia that may be associated with DHS. Osmotic gradient ektacytometry allowed to assess the diagnosis of DHS. The red cell monovalent Na+ and K+ concentrations were moderately elevated and reduced respectively. The temperature dependence of the ouabain + bumetanide-resistant K+ influx produced a shallow slope, above and parallel to the control curve. These features were consistent with the diagnosis of DHS. The pronounced hepatosiderosis contrasted with the mildly expressed DHS, and with the ferritinaemia that was slightly elevated, if at all, prior to bleeding. Bleeding caused ferritinaemia to decrease and hepatosiderosis to recede. The whole picture accounts for a misleading presentation of DHS, in which the primary condition long remained hidden behind one of its remotest complications, hepatosiderosis.

A genome scan with AFLP markers to detect fearfulness-related QTLs in Japanese quail

A quantitative trait loci (QTL) study was undertaken to identify genome regions involved in the control of fearfulness in Japanese quail (Coturnix japonica). An F2 cross was made between two quail lines divergently selected over 29 generations on duration of tonic immobility (DTI), a catatonic-like state of reduced responsiveness to a stressful stimulation. A total of 1065 animals were measured for the logarithm of DTI (LOGTI), the number of inductions (NI) necessary to induce the immobility reaction, open-field behaviour including locomotor activity (MOVE), latency before first movement (LAT), number of jumps (JUMP), dejections (DEJ) and shouts (SHOUT), corticosterone level after a contention stress (LOGCORT) and body weight at 2 weeks of age (BW2). A total of 310 animals were included in a genome scan using selective genotyping with 248 AFLP markers. A total of 21 suggestive or genome-wide significant QTL were observed. Two highly significant QTL were identified on linkage group 1 (GL1), one for LOGTI and one for NI. In the vicinity of the QTL for LOGTI, a nearly significant QTL for SHOUT and a suggestive QTL for LAT were also identified. On GL3, genome-wide significant QTL were observed for JUMP and DEJ as well as suggestive QTL for LOGTI, MOVE, SHOUT and LAT. A significant QTL for BW2 was observed on GL2 and a nearly significant one on GL1. These results may be useful in the understanding of fearfulness in quail and related species provided that fearfulness has the same genetic basis.

Provenance of the Greater Himalayan Sequence and associated rocks: predictions of channel flow models

Numerical models for channel flow in the Himalayan—Tibetan system are compatible with many tectonic and metamorphic features of the orogen. Here we compare the provenance of crustal material in two channel flow models (HT1 and HT111) with observations from the Himalaya and southern Tibet. Thirty million years after the onset of channel flow, the entire model crust south of the India—Asia suture still consists only of ‘Indian’ material. The model Greater Himalayan Sequence (‘GHS’) is derived from Indian middle crust originating ≤1000 km south of the initial position of the suture, whereas the Lesser Himalayan Sequence (‘LHS’) is derived mainly from crust originating ≥1400 km south of the suture. Material tracking indicates little or no mixing of diverse crustal elements in the exhumed region of the model ‘GHS’, which is derived from originally contiguous materials that are transported together in the top of the channel flow zone. These results are compatible with provenance data indicating a clear distinction between GHS and LHS protoliths, with the GHS originating from a more distal position (relative to cratonic India) than the LHS. In model HT111, domes formed between the suture and the orogenic front are cored by ‘Indian’ middle crust similar to the ‘GHS’, consistent with data from the north Himalayan gneiss domes. Material tracking shows that plutons generated south of the suture should have ‘Indian’ crustal signatures, also compatible with observations. Model ‘GHS’ pressure—temperature—time (P-T-t) paths pass through the dehydration melting field between 30 and 15 Ma, consistent with observed leucogranite ages. Finally, exposure of midcrustal ‘GHS’ and ‘LHS’ material at the model erosion front is consistent with the observed appearance of sedimentary detritus in the Lesser Himalaya. We conclude that channel flow model results are compatible with provenance data from the Himalaya and southern Tibet.

Growth of continental plateaus by channel injection: models designed to address constraints and thermomechanical consistency

Weak, possibly partially molten, middle crust may exist and deform by channel flow beneath continental plateaus, thereby significantly influencing their dynamics. The role of channel flows in the transition zone between the plateau and the foreland is, however, unclear. We develop successively more complete approximate models for the channel injection (CI) mode in which differential pressure pumps channel material from beneath the plateau into the transitional crust, which thickens it and widens the plateau. The motivation is to improve our understanding of the controls on the growth of continental plateaus and the interactions in the transition zone, and to gain more insight into the results of more complex numerical models. In model CI-1, a channel with constant viscosity and thickness exists in the transitional crust and the pumped material accretes/freezes above and below the channel. Although results compare favourably with the geometry of some natural examples, this model is incomplete because the connection between the transition zone and the plateau is not considered. Model CI-2 includes a decrease in channel viscosity when the channel depth exceeds a critical value, D*, a proxy for onset of melt weakening or low viscosities at high temperatures. The model completes the connection to the plateau, but relies on the arbitrary choice of D*. Model CI-3 is more physically based, and considers the channel viscosity and thickness to depend on temperature, calculated by an associated thermal model that includes radioactive self-heating, and advection of heat by channel material. This model demonstrates self-consistent plateau widening if the channel viscosity decreases at the critical temperature, T*. Acceptable comparisons with the topography of Tibet are achieved with transition zone viscosities that decrease from 1019−1022 Pa s to subplateau values of 1018–1019 Pa s, with T* of 700−750°C. Additional analyses and tests are used to determine the range of parameter values for which CI models are both internally consistent and compatible with observations. Additional modes of deformation in the transition zone, viscous thickening (VT) and plastic translation (PT), may also be important.

Crustal flow modes in large hot orogens

Crustal-scale channel flow numerical models support recent interpretations of Himalayan—Tibetan tectonics proposing that gravitationally driven channel flows of low-viscosity, melt-weakened, middle crust can explain both outward growth of the Tibetan Plateau and ductile extrusion of the Greater Himalayan Sequence. We broaden the numerical model investigation to explore three flow modes: homogeneous channel flow (involving laterally homogeneous crust); heterogeneous channel flow (involving laterally heterogeneous lower crust that is expelled and incorporated into the mid-crustal channel flow); and the hot fold nappes style of flow (in which mid-/lower crust is forcibly expelled outward over a lower crustal indentor to create fold nappes that are inserted into the mid-crust). The three flow modes are members of a continuum in which the homogeneous mode is driven by gravitational forces but requires very weak channel material. The hot fold nappe mode is driven tectonically by, for example, collision with a strong crustal indentor and can occur in crust that is subcritical for homogeneous flows. The heterogeneous mode combines tectonic and gravitationally driven flows. Preliminary results also demonstrate the existence and behaviour of mid-crustal channels during advancing and retreating dynamical mantle lithosphere subduction. An orogen temperature—magnitude (T-M) diagram is proposed and the positions of orogens in T-M space that may exhibit the flow modes are described, together with the characteristic positions of a range of other orogen types.

[Erythrophagocytosis and recycling of heme iron in normal and pathological conditions; regulation by hepcidin]

Most of the iron required for erythropoiesis is provided by heme iron recycling following degradation of senescent erythrocytes by tissue macrophages. Accumulation of biochemical modifications at the red blood cell membrane during ageing (externalisation of phosphatidyl-serine, peroxydation of membrane-bound lipoproteins, loss of sialic acid residues and formation of senescence neoantigens) constitute a series of signals that will allow the macrophage to identify the red blood cells to be eliminated, through interaction with specific receptors. After this initial recognition step, the red blood cell is internalised by phagocytosis, and phagosome maturation, which can comprise recruitment of the endoplasmic reticulum, will favour degradation of red blood cell constituents. Heme is catabolised by heme oxygenase 1, anchored in the endoplasmic reticulum membrane. A fraction of the released iron will be recycled back to the plasma through ferroportin, a membrane-bound Fe (II) export molecule, and a fraction will retained within the ferritin molecules, to be released at later stages. Multiple evidence coming from human diseases (type 4 hemochromatosis) and animal models indicate that ferroportin is essential for heme iron recycling by macrophages. Furthermore, ferroportin seems to be the molecular target of hepcidin, this circulating peptide synthesized by the liver and acting as a negative regulator of intestinal iron absorption and iron recycling by macrophages. Perturbations in erythrophagocytosis play a physiopathological role in several diseases, including hemochromatosis, anemia of chronic disorders and thalassemia.

Genetic analysis of the growth curve of Rous sarcoma virus-induced tumors in chickens

White Leghorn chicks homozygous for B19 MHC haplotype were selected for 18 generations on tumor regression after inoculation in the wing web with an SR-D strain of Rous sarcoma virus (RSV) at 4 wk of age. Each chick was assigned a tumor profile index (TPI) based on age at death and size of the tumor. During 18 generations, 2,010 birds were divergently selected on TPI for either progression or regression of the tumor (P and R lines). A Brody growth curve was fitted for each bird. Brody function parameters included the asymptotic tumor volume (A), the factor for increased growth in progression phase (K1), the factor for decreased growth in regression phase (K2), age at maximum volume (Tmax), and maximum volume of the tumor (Vmax). Tumor growth curves were found to be different according to line, sex, and restriction fragment pattern Y complex Rfp-Y MHC haplotype (Yw*15, Yw*16, and Yw*17). Within the P line, birds from the Yw*16 haplotype reached Vmax at an earlier age than Yw*15 and Yw*17, but with a lower Vmax value. Within the R line, tumor growth curves of birds from Yw*16 and Yw*17 haplotypes were similar. Rank correlations between the different parameters and TPI were low (between -0.26 and 0.36). Heritability estimated by the sire component was high for Vmax (0.73). Heritabilities of Tmax and K2 were moderate (0.20 to 0.23 for Tmax and 0.18 to 0.21 for K2) allowing these traits to be used as selection criteria. Heritabilities of A and K1 were lower than 0.12. Modeling the growth curve should contribute to better distinction between progressors and regressors.

Genetic parameters of body weight and prolificacy in pigeons

Genetic parameters of body weight at weaning and of prolificacy were estimated in three commercial lines of pigeons selected by BLUP (Best Linear Unbiased Prediction) on both traits. The model of analysis took into account the direct genetic effects for both traits and the effect of parental permanent environment for body weight. Depending on the line considered, body weight varied from 556.7 g to 647.6 g and prolificacy ranged from 12.5 to 16.8 pigeons weaned per couple of parents per year. Heritability of body weight was high, varying between 0.46 and 0.60, and permanent environment was responsible for 6% to 9% of the total variability. On the contrary, prolificacy was poorly heritable (0.04 to 0.12). They were highly and negatively correlated (-0.77 to -0.82). Body weight showed significant genetic trends in lines B and C. No significant genetic difference could be observed between males and females for both traits.

Variation of chicken technological meat quality in relation to genotype and preslaughter stress conditions

The present study was aimed at estimating the genetic variability between lines of breast and thigh meat quality (pH decline, color, drip loss, and curing-cooking yield) by comparing a slow-growing French label-type line (SGL) and a fast-growing standard line (FGL) of chickens exposed to different preslaughter stress conditions. The birds were slaughtered under optimal conditions or after exposure to 2 h of transport or acute-heat stress (2 h at 35 degrees C). Relationships between meat quality and stress sensitivity were investigated by measuring struggle during shackling and tonic immobility (TI) duration, 1 wk before slaughter, as an indicator of the basal level of fear of the birds. Although most of the meat quality indicators varied between the 2 lines, differences were muscle dependent. In concordance with a lower ultimate pH, curing-cooking yield of thigh meat was decreased for the FGL birds. In contrast, these birds had a higher curing-cooking yield and a lower drip loss of breast meat resulting from a less rapid pH decline in this muscle compared with SGL birds. Thigh meat characteristics were influenced by both preslaughter stresses, but no significant effects were detected for breast meat. The main effect of heat stress in thigh meat was a decrease of the ultimate pH and led to paler color and lower curing-cooking yield; opposite effects were obtained for transport. Breast meat was much more sensitive to physical activity of birds on the shackle line. Longer durations of wing flapping on the shackle line gave more rapid initial pH decline. Whatever the line, no relationship between TI duration and meat quality characteristics or activity was observed. The present study suggested that SGL birds could be at disadvantage due to more struggle during shackling and accelerated postmortem glycolysis, which is detrimental to the quality of breast meat.

[Routine clinical diagnosis of primary progressive non-fluent aphasia]

It may be difficult to distinguish between a primary progressive aphasia at a very mild stage from the beginning of Alzheimer's disease (AD). However, this may be achieved by carrying out simple neuro-psychological tests. Nine non-fluent PPA (NFPPA) and 76 AD patients with comparable MMSE as well as 58 control subjects were evaluated using simple tests: MMSE, fluency, apraxia, naming, digital span, story memory, 5 words memory test. NFPPA patients had significantly impaired functions during the semantic category fluency and naming tests as compared to AD patients, whereas they showed a better delayed recall of the 5 words and story memory tests. As compared to AD, MMSE of NFPPA patients was also better in the time orientation and word recall sub-tests, although inferior in words repetition and language items. Thus, with comparable MMSE, NFPPA patients have more lexico-semantic difficulties, but a better delayed verbal memory than AD patients. These simple tests easily confirm the language impairment of NFPPA patients as opposed to the mnestic difficulties of AD, even at very early stages of these pathologies.

Effect of two candidate genes on the Salmonella carrier state in fowl

Selection for increased resistance to Salmonella carrier-state (defined as the persistency of the bacteria 4 wk after inoculation) could reduce the risk for the consumer of food toxi-infections. The effects of two genomic regions on chromosomes 7 and 17 harboring two genes, NRAMP1 (SLC11A1) and TLR4, known to be involved in the level of chicken infection 3 d after inoculation by Salmonella were thus tested on a total of 331 hens orally inoculated at the peak of lay with 10(9) bacteria. The animals and their parents were genotyped for a total of 10 microsatellite markers mapped on chromosomes 7 and 17. Using maximum likelihood analysis and interval mapping, it was found that the SLC11A1 region was significantly involved in the control of the probability of spleen contamination 4 wk after inoculation. Single nucleotide polymorphisms (SNP) within the SLC11A1 and TLR4 gene were tested on those animals as well as on a second batch of 279 hens whose resistance was assessed in the same conditions. As the former was significantly associated with the risk of spleen contamination and the number of contaminated organs, SLC11A1 appears to be involved in the control of resistance to Salmonella carrier state. The involvement of the TLR4 gene was also highly suspected as a significant association between SNP within the gene, and the number of contaminated organs was detected.