Aichivirus A1 replicates in human intestinal epithelium and bronchial tissue: Lung-gut axis?

The role of aichivirus A1 (AiV-A1) in acute gastroenteritis remains controversial and in vitro data illustrating its pathogenesis in suitable human models are scarce. Here, we demonstrate that AiV-A1 isolate A846/88 replicates in ApoA1- (absorptive) and Ki-67-positive (proliferative) enterocytes in stem cell-derived human small intestinal epithelium (HIE) as well as in patient biopsy samples, but not in any of the tested human cell lines. The infection did not result in tissue damage and did not trigger type I and type III interferon (IFN) signalling, whereas the control, human coxsackievirus B3 (strain Nancy), triggered both IFNs. To investigate the tissue tropism, we infected a human tracheal/bronchial epithelium model (HTBE) with AiV-A1 isolates A846/88 and kvgh99012632/2010 and, as a control, with rhinovirus A2 (RV-A2). AiV-A1 isolate kvgh99012632/2010, but not isolate A846/88, replicated in HTBE and induced type III IFN and ISGs signalling. By using various pharmacological inhibitors, we elaborated that cellular entry of AiV-A1 depends on clathrin, dynamin, and lipid rafts and is strongly reliant on endosome acidification. Viral particles co-localised with Rab5a-positive endosomes and promoted leakage of endosomal content. Our data shed light on the early events of AiV-A1 infection and reveal that different isolates exhibit distinct tissue tropism. This supports its clinical importance as a human pathogen with the potential to evolve toward broader tissue specificity.

[Biomechanical examinations of the efficacy of wrist guards in inline skating]

INTRODUCTION

Fractures of the wrist and forearm are the most frequent injuries in Inline-Skating. Clinical experience has shown that these injuries can be prevented the use of wrist protectors. But various authors have shown that fractures can also occur despite the use of wrist protectors. Aim of this study was to examine different wrist protectors in a biomechanical set up.

METHOD

A standardized trauma was simulated using an artificial hand with a certain weight. The forces with or without protective devices have been recorded by a force moment sensor. The results of different protectors have been compared.

RESULTS

A mean force of 956 N was measured without the use of a protective device. With the application of a wrist protector these forces were reduced between 4 and 20 %. The best values have been reached with models with a strong base plate.

CONCLUSIONS

The results of the present study may explain the clinical observation that wrist and forearm fractures can occur despite the use of a wrist guard. The protective effect of a wrist protector depends highly on the model that is used.

Effect of delayed treatment with recombinant human granulocyte colony-stimulating factor on survival and plasma cytokine levels in a non-neutropenic porcine model of Pseudomonas aeruginosa sepsis

BACKGROUND

Neutrophils are of great importance for the host's defense against invading organisms. Granulocyte colony-stimulating factor (G-CSF) has been used to augment both the neutrophil number and function, and its prophylactic administration has proved beneficial in animal models of sepsis. However, pretreatment with G-CSF is not practical under clinical conditions. We therefore investigated the effect of recombinant human (rh)G-CSF, administered only after infection, on the survival rate as well as the hemodynamic and cytokine response of the animals.

METHODS

Chronically catheterized conscious pigs were challenged with Pseudomonas aeruginosa (8 x 10(7) colony-forming units kg(-1) x h(-1) for 120 h (control group, n = 10). Animals in the G-CSF group (n = 7) also received rhG-CSF (5 microg kg(-1) x day(-1)), the first dose being given 3 h after beginning bacterial infusion.

RESULTS

The mortality rate was 50% (5/10) and 29% (2/7) in the control and G-CSF groups, respectively (p = NS, control vs. G-CSF group). Fever, severe pulmonary hypertension, and a hyperdynamic response were recorded in all of the animals. In spite of a prompt and significant recovery from the initial leukopenia (p < .05 vs. control group), the animals of the G-CSF group showed no significant differences in the parameters investigated from those of the controls. Compared with the survivors, the interleukin-1 receptor antagonist was markedly elevated in all nonsurvivors after 6 h of sepsis (p < .05).

CONCLUSIONS

These data suggest that treatment with rhG-CSF after the onset of bacterial sepsis might not significantly improve the chances of survival for non-neutropenic patients.

Ultrastructure of synaptic contacts between identified neurons of the auditory pathway in Gryllus bimaculatus DeGeer

The synaptic contacts between the auditory sensory cells and identified auditory interneurons ON1 and AN2 have been examined at the ultrastructural level by selective electron-dense labeling of two interneurons or of one interneuron and the sensory fibers in the same preparation. The experiments have provided the following information. The auditory afferent fibers have a monosynaptic connection with the lateral inhibitors ON1 and the ascending interneuron AN2, allowing direct activation of these interneurons. Furthermore, our work proves that the paired, lateral, inhibitor ON1 neurons have direct output synapses onto each other. The results also show that the auditory afferent axons, themselves, receive synaptic inputs just before entering the central auditory neuropil. The effects of current injection into the ON1 neuron during auditory processing indicate that these synaptic inputs onto the afferents originate, in part, from the lateral branches of the ipsilateral ON1 neuron and that they have inhibitory function. The significance of these results for auditory processing and a future perspective for electron microscopic analysis of neuropil are discussed.

Neuropathology of intracranial arteriovenous malformations following conventional radiation therapy

Conventional fractionated radiation therapy was used in 15 patients to treat arteriovenous malformations (AVMs) of the brain deemed inoperable or incompletely obliterated using endovascular or surgical techniques. The AVMs measured from 0.8 to 85 cm3 (mean 28.2 cm3; median 24 cm3). Angiography in 12 patients 1-21 years following radiation therapy demonstrated no significant change in 7, slight reduction in 2, near complete obliteration in 1, and complete obliteration in 2. Magnetic resonance imaging further demonstrated apparent obliteration in one other case. Three irradiated AVMs were available for pathological examination following fatal recurrent hemorrhage after 21 years in case 1 and following surgery after 5 years in cases 2 and 3. Doses of 20 and 45 Gy were delivered to the area of the AVM in 10 and 15 fractions with a 6-MV linear accelerator in case 1 and in cases 2 and 3, respectively. A blinded histopathological comparison was made of the latter cases and three AVMs removed at surgery that were not previously irradiated and that were comparable in size, number of arterial feeders, and location within the brain. Segmental hyalinization of some blood vessels was seen in both irradiated and nonirradiated cases. The single postmortem specimen showed extensive thrombosis but a patent nidus. The findings are in keeping with the clinical impression that conventional fractionated radiation therapy fails to alter the natural history of cerebral AVMs. The favorable outcome of radiosurgery on small- to medium-sized AVMs appears attributable to the shorter duration of therapy using relatively high-dose prescriptions to the nidus.

Evidence that histamine is the inhibitory transmitter of the auditory interneuron ON1 of crickets

The omega neurons of crickets are connected with each other by reciprocal inhibition. This inhibition could be mimicked by bath-applied histamine and blocked by histamine H1-antagonists. Histamine, like ON1, also influenced the ascending interneuron AN2, so that its response pattern more closely reflected the temporal structure of the calling song. This evidence strongly suggests that histamine is the inhibitory transmitter of the ON1s.

Incidence and morphology of spontaneous thyroid tumours in different strains of rats

The incidence and morphology of thyroid neoplasms in different strains and stocks of rats are reported. The frequency of thyroid tumours varied to a great extent between different strains of rats. Low incidences were observed in DA/Han (0.85 per cent) and BDII/Han rats (1.25 per cent), while somewhat higher incidences occurred in Han:WIST rats (7.3 per cent). The highest number of thyroid tumour-bearing rats was found in the Han:SPRD stock (55.5 per cent). Thyroid neoplasms were classified histologically as polymorphofollicular adenomas, papillary adenomas, cystadenomas, polymorphofollicular carcinomas, papillary carcinomas, C-cell adenomas and C-cell carcinomas (medullary carcinomas). C-cell neoplasms were predominant in Han:SPRD rats (93.0 per cent), while the majority of tumour-bearing Han:WIST rats (61.4 per cent) had follicular tumours.

Alternaria infection in a patient with acquired immunodeficiency syndrome: case report and review of invasive alternaria infections

A 31-year-old man with AIDS developed a necrotic lesion on his nasal septum due to Alternaria alternata. Excision and treatment with amphotericin B resulted in cure. This case expands the spectrum of opportunistic pathogens that infect patients with AIDS. Visceral and mucosal infections due to Alternaria have been reported in at least seven other patients.

Mechanoreceptors for near-field water displacements in crayfish

1. Mechanosensory hairs on the surface of the crayfish telson are dually innervated, one sensory cell responding to headward, the other to tailward deflection of the hair. The average conduction velocity of headward elements was 0.8 m/s (variance 0.08) and of tailward elements 1.2 m/s (variance 0.19). In a frequency range from 0.05 to 200 Hz, thresholds were lowest near 20 Hz: 0.08 mum (pp) for headward-sensitive and 0.1 mum (pp) for tailward-sensitive cells. 2. The receptors are displacement sensitive since thresholds are of the same order of magnitude over the frequency range 1-70 Hz when the hair is moved by a vibrating wire loop. With natural stimuli (surface waves), the velocity component of the particle movement (and consequently force) becomes influential. The coding of a broad range of stimulus intensities is aided by variations in mechanical properties of the hair. 3. Marked directionality (better than 4:1), in addition to the dual innervation, enhances vector detection. At least part of this characteristic stems from the hingelike articulation of the hair on the body surface: the hair can be moved easily 40 degrees tailward and 20 degrees headward, but must be forced in the orthogonal direction. Morphological studies indicate the presence of a double pivoted hinge, with rigid guides for movement of the hair shaft. Preliminary results of electron microscope examination show a clearly polarized arrangement of densely packed microtubules in the two dendrites; they appear interconnected in groups of two and three along a line parallel to the sensitivity plane of the receptor. 4. The 50-fold threshold difference between the results of behavioral experiments in lobsters (24) and the data for the individual receptors reported here may be due to improvement in signal-to-noise ratio by central nervous averaging of the input from an estimated 2 X 10(3) receptors (Procambarus), and/or to the kind of threshold criteria applied to individual receptor thresholds. As would be expected (35), the sensory cells of each directional class synapse with separate interneurons: in this way, the organism might employ differential microphones to reduce background noise. 5. The receptors are analogous to those of the lateral-line system in lower vertebrates in having receptors with sensitivities polarized by 180 degrees. These similarities suggest that in both cases monitoring of near field water displacements has proved in essential way of orienting in opaque waters.

Integration of directional mechanosensory input by crayfish interneurons

1. Interneurons activated by mechanosensory hairs on the crayfish telson respond selectively to directional displacements of the medium; the directions of maximum sensitivity lie 180 degrees apart in approximately the rostrocaudal plane, corresponding to the directional sensitivities of the two populations of primary afferent neurons. We have examined the basis for this selectivity by intracellular recording in the interneurons, correlating subthreshold potentials with activity evoked in identified afferents by bending single hairs or by producing nearfield displacements of the medium. 2. Interneurons can usually be caused to discharge by a brief train of impulses in single sensory axons. Unitary EPEPs are associated with arriving affterent spikes in the fourth (sensory) root; each primary interneuron receives convergence from several sensory axons, all sensitive to the same direction of movement. Since each afferent axon is drawn from a pair innervating a single sensory structure, this remarkable specificity of connection is unlikely to depend on an anatomical mode of address. 3. Higher order interneurons receive from directionally sensitive lower order interneurons of the same class, as well as from primary afferents of that class. The responses of such cells may show much more decrement during a train of displacement stimuli than do those of lower order cells. Directionality does not appear to be enhanced. 4. During the "null phase" some interneurons appear to be actively inhibited: bending of single hairs 180 degrees away from the effective direction may produce membrane hyperpolarization and slow spontaneous discharges, and shocks to afferent roots produce mixtures of monosynaptic EPSPs and polysynaptic IPSPs.