Abstract P4-08-34: MammaTyper© – An in vitro quantitative local gene expression test as a predictor of OncotypeDX©- and EndoPredict©-results

Background:

Risk stratification in early-stage breast cancer patients still remains a clinical challenge. It is well known that expression of ER/ PR, HER2 and Ki-67 are valuable prognostic and predictive markers. According to the commonly used St. Gallen classification (2013), breast cancer treatment decisions can be based on four different subtypes (Luminal A-like, Luminal B-like [HER2+/-], HER2 + [non-luminal] and Basal-like).

Immunohistochemistry is predominantly used to determine the receptor status, although semi-quantitative analysis shows significant inter-observer variability.

Several quantitative gene expression tests – such as Oncotype DX© and EndoPredict© – are available as diagnostic tools but their use is often limited due to financial considerations.

MammaTyper© has been shown to be a precise and reproducible biomarker determination tool to investigate the expression of ER/ PR, HER2 and Ki-67 and may prove to be a cost efficient quantitative diagnostic tool.

Methods:

This study tested ESR-1, PGR, MKI67 and ERBB2 mRNA-levels by RT-qPCR in 100 FFPT-samples using MammaTyper© kit. The test identified breast cancer subgroups according to St. Gallen classification. RT-qPCR results were correlated to IHC-test results via χ2-Test and to risk groups of Oncotype DX©- (n=55) and EndoPredict©-testing (n=45). Oncotype©-Recurrence Score levels were separated into low (RS <18), intermediate (RS 18-30) and high risk (RS ≥ 31). EndoPredict© EPScore© and EPclin Risk Score© cut off levels defining high and low risk levels were 7.0, respectively 3.3. Linear regression model was performed investigating the prediction of EPscore© and Recurrence Score© via MammaTyper© mRNA-results.

Results:

IHC-testing resulted in 43 Luminal A-like samples (43%) and 57 Luminal B-like [HER2 negative] (57%) tumors. MammaTyper ©-based classification showed significant correlation to IHC-based classification (χ2=12,68; p=0,005).

EndoPredict©-data showed low-risk levels in 36 patients (80%) and high-risk status in 9 cases (20%). Correlation to mRNA-based St. Gallen-subtypes approved significance (χ2=17,32, p<0,001). In linear regression model only MKI67-mRNA showed independent correlation to EPScore© (p<0,001; R2 0,290)

A total of 34 patients (61,8%) showed low risk, 13 (26,3%) intermediate risk (RS 18-30) and 8 (14,5%) high-risk recurrence score levels (RS≥31) in OncotypeDX©. MammaTyper© results correlated to OncotypeDX© risk-levels (χ2=27,98; p<0,001). In linear regression model mRNA-levels of ESR-1, PGR and MKI67 were significant predictors of OncotypeDX© RS (p-values: p=0,003, p<0,001, p=0,033, R2= 0,602)

Conclusion:

This study shows mRNA-testing is a valid marker to identify breast cancer subtypes. Additionally, MammaTyper© results are significantly correlated to Oncotype DX©- and EndoPredict©-results, indicating it might be an efficient as well as cost effective diagnostic instrument. However a large prospective multicenter study should be performed to prove its diagnostic validity in predicting the most appropriate and effective treatment in early-stage breast cancer.

Citation Format: Eckhoff K, Pokorny J, Baumann K, Perner S, Pursche T, Rody A. MammaTyper© – An in vitro quantitative local gene expression test as a predictor of OncotypeDX©- and EndoPredict©-results [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P4-08-34.

Is There a Nonadditive Interaction Between Spontaneous and Evoked Activity? Phase-Dependence and Its Relation to the Temporal Structure of Scale-Free Brain Activity

The aim of our study was to use functional magnetic resonance imaging to investigate how spontaneous activity interacts with evoked activity, as well as how the temporal structure of spontaneous activity, that is, long-range temporal correlations, relate to this interaction. Using an extremely sparse event-related design (intertrial intervals: 52-60 s), a novel blood oxygen level-dependent signal correction approach (accounting for spontaneous fluctuations using pseudotrials) and phase analysis, we provided direct evidence for a nonadditive interaction between spontaneous and evoked activity. We demonstrated the discrepancy between the present and previous observations on why a linear superposition between spontaneous and evoked activity can be seen by using co-occurring signals from homologous brain regions. Importantly, we further demonstrated that the nonadditive interaction can be characterized by phase-dependent effects of spontaneous activity, which is closely related to the degree of long-range temporal correlations in spontaneous activity as indexed by both power-law exponent and phase-amplitude coupling. Our findings not only contribute to the understanding of spontaneous brain activity and its scale-free properties, but also bear important implications for our understanding of neural activity in general.

The temporal structure of resting-state brain activity in the medial prefrontal cortex predicts self-consciousness

Recent studies have demonstrated an overlap between the neural substrate of resting-state activity and self-related processing in the cortical midline structures (CMS). However, the neural and psychological mechanisms mediating this so-called "rest-self overlap" remain unclear. To investigate the neural mechanisms, we estimated the temporal structure of spontaneous/resting-state activity, e.g. its long-range temporal correlations or self-affinity across time as indexed by the power-law exponent (PLE). The PLE was obtained in resting-state activity in the medial prefrontal cortex (MPFC) and the posterior cingulate cortex (PCC) in 47 healthy subjects by functional magnetic resonance imaging (fMRI). We performed correlation analyses of the PLE and Revised Self-Consciousness Scale (SCSR) scores, which enabled us to access different dimensions of self-consciousness and specified rest-self overlap in a psychological regard. The PLE in the MPFC's resting-state activity correlated with private self-consciousness scores from the SCSR. Conversely, we found no correlation between the PLE and the other subscales of the SCSR (public, social) or between other resting-state measures, including functional connectivity, and the SCSR subscales. This is the first evidence for the association between the scale-free dynamics of resting-state activity in the CMS and the private dimension of self-consciousness. This finding implies the relationship of especially the private dimension of self with the temporal structure of resting-state activity.

Perifocal and remote blood-brain barrier disruption in cortical photothrombotic ischemic lesion and its modulation by the choice of anesthesia

We assessed blood-brain barrier (BBB) disruption in early stage of photothrombotic focal cerebral ischemia in the rat. We specifically looked for contralateral changes in BBB permeability and tested the influence of two anesthetics on the results. Adult Wistar rats were randomly anesthetized with pentobarbital (PB) or ketamine-xylazine (KX). Rats received intravenously (i.v.) Rose Bengal followed by Evans Blue (EB). Stereotactically defined spots on denuded skull were irradiated by laser (532 nm) for 18 min. Twenty four hours later, rats were killed, brains perfused, fixated, sectioned and slices analyzed by fluorescence microscopy. Volume of necrosis and volume of EB-albumin extravasation were calculated. Evidence of BBB breakdown in remote brain areas was sought and compared to sham handled controls. BBB disruption was consistently present, frequently with EB-albumin accumulating cells. Total lesion volume did not significantly differ among groups (TLVPB=9.4±1.3 mm³ vs. TLVKX=8.3±2.1 mm³); same was true for the volume of necrosis (NVPB=5.1±0.7 mm³ vs. NVKX=6.3±1.9 mm³). However, volume of EB-albumin extravasation area was significantly smaller in KX group (EBEVPB=4.3±0.8 mm³ vs. EBEVKX=2.0±0.5 mm³; p=0.0293). Median background EB-fluorescence signal density was higher in PB group (p<0.0001). Furthermore, regional increase in EB-fluorescence was found in two animals in PB group. Our study shows that anesthesia with NMDA-antagonist ketamine and α2-adrenergic agonist xylazine may reduce BBB breakdown in photothrombosis. Pentobarbital anesthesia lead to increased BBB permeability in the contralateral hemisphere.

The negative phonon confinement effect in nanoscopic sodium nitrite

A nanocomposite of porous glass and a NaNO(2) ferroelectric (channels of approximately 7 nm diameter) was studied using infrared reflectivity, THz transmission and Raman spectroscopy as a function of temperature in the range of 300-500 K, including the ferroelectric transition. From the infrared and THz response the effective dielectric function was calculated and compared with the dielectric functions calculated from the Bruggeman and Lichtenecker models of the effective medium, using the known data on the polar phonon modes of the NaNO(2) single crystals. The results show good qualitative agreement, indicating that the stiffening of the effective modes is due to local depolarization fields on the glass-ferroelectric interfaces. The nonpolar Raman modes show no substantial modification compared to those of the bulk NaNO(2). Some signatures of the ferroelectric transition were even seen. The results indicate that the intrinsic size effect (phonon confinement) is negligible in this nanocomposite.

First Report of Dieback and Leaf Lesions on Rhododendron sp. Caused by Phytophthora hedraiandra in the United States

Surveys for Phytophthora ramorum in Minnesota nurseries revealed the presence of P. hedraiandra de Cock & Man in't Veld and several other Phytophthora species but not P. ramorum. Symptomatic leaf and stem tissues from diseased Rhododendron and Quercus species were cultured on PARP, a selective growth medium for Phytophthora (3). The Phytophthora isolates obtained were later identified by sequencing the internal transcribed spacer (ITS) region of the rDNA and comparing the sequences with those in GenBank using BLAST searches (1). The ITS sequences of six cultures (GenBank Accession Nos. DQ139804-DQ139809), isolated during 2003 from various Rhododendron cultivars exhibiting leaf lesions and shoot dieback, showed 100% identity with the ITS sequence of P. hedraiandra (GenBank Accession No. AY707987) (2). This is a recently described pathogenic species from the Netherlands responsible for causing leaf spots on Viburnum spp. Since the ITS sequence of P. hedraiandra differs little from that of P. cactorum (2), we verified one isolate to be P. hedraiandra by sequencing the mitochondrial cytochrome c oxidase subunit I gene (cox1) (GenBank Accession No. DQ139810). Comparison of this sequence with the P. hedraiandra voucher specimen in GenBank (Accession No. AY769115) showed 99% identity, which was the closest match. Reproductive structures were measured on V8 juice agar. The average oogonium diameter for three isolates was 29 μm with a range of 26 to 32 μm, while the average antheridium length was 13 μm (11 to 15 μm). Sporangium length and width averages on crushed hemp seeds were 32 μm (28 to 36 μm) and 26 μm (21 to 30 μm), respectively, with the average length to width ratio of 1.25 (1.23 to 1.29). Pathogenicity tests on Rhododendron cv. Mikkeli were carried out using three of our P. hedraiandra isolates. Spore suspensions of 2 × 10⁴ zoospores per ml were used to mist-spray shoots of five, 3-year-old plants for each isolate. Five controls were mist sprayed with water. After inoculation, plants were placed in plastic bags in a dark growth chamber (22°C) for 7 days and then moved to a greenhouse. Leaf blotches and shoot dieback were apparent 5 days after inoculation, and P. hedraiandra was reisolated from those symptomatic tissues and identified by an exact match of the ITS sequence. Necrotic areas lengthened from the shoot tips to the main stems of the plants while expanding into petioles and leaves. No symptoms were observed on control plants. To our knowledge, this is the first report of P. hedraiandra in the United States as well as the first report of Koch's postulates performed with P. hedraiandra on Rhododendron cv. Mikkeli. The significance of this disease to other woody plants in nurseries or the landscape is unknown, and further study is needed to determine the host range and extent of the disease that may occur from this introduction. References: (1) S. F. Altschul et al. J. Mol. Biol. 215:403, 1990. (2) A. W. A.M de Cock and C. A. Lévesque. Stud Mycol 50:481, 2004. (3) D. C. Erwin and O. K. Ribeiro. Phytophthora Diseases Worldwide. The American Phytopathological Society, St. Paul, MN, 1996.

Computerized color-vision test based upon postreceptoral channel sensitivities

An automated, computerized color-vision test was designed to diagnose congenital red–green color-vision defects. The observer viewed a yellow appearing CRT screen. The principle was to measure increment thresholds for three different chromaticities, the background yellow, a red, and a green chromaticity. Spatial and temporal parameters were chosen to favor parvocellular pathway mediation of thresholds. Thresholds for the three test stimuli were estimated by four-alternative forced-choice (4AFC), randomly interleaved staircases. Four 1.5-deg, 4.2 cd/m2square pedestals were arranged as a 2 × 2 matrix around the center of the display with 15-minute separations. A trial incremented all four squares by 1.0 cd/m2for 133 ms. One randomly chosen square included an extra increment of a test chromaticity. The observer identified the different appearing square using the cursor. Administration time was ∼5 minutes. Normal trichromats showed clear Sloan notch as defined by log (ΔY/ΔR), whereas red–green color defectives generally showed little or no Sloan notch, indicating that their thresholds were mediated by their luminance system, not by the chromatic system. Data from 107 normal trichromats showed a mean Sloan notch of 0.654 (SD = 0.123). Among 16 color-vision defectives tested (2 protanopes, 1 protanomal, 6 deuteranopes, & 7 deuteranomals), the Sloan notch was between −0.062 and 0.353 for deutans and was <−0.10 for protans. A sufficient number of color-defective observers have not yet been tested to determine whether the test can reliably discriminate between protans and deutans. Nevertheless, the current data show that the test can work as a quick diagnostic procedure (functional trichromatism or dichromatism) of red–green color-vision defect.

Axosomatic synapses on granule cells are preserved in human non-infiltrating tumour or lesion-related and mesial temporal sclerotic epilepsy, but markedly reduced in tumour-infiltrated dentate gyrus with or without epilepsy

Granule cells of the human hippocampal dentate gyrus were examined. In controls, granule cells displayed somatic spines and cell nuclei with small infoldings. In addition, the cytoplasm of human granule cells always displayed lipofuscin. Subsurface cisterns of endoplasmic reticulum were frequently observed in the human granule cells. Two types of axosomatic synapses were found; most frequently symmetric and less frequently asymmetric. Many of the axosomatic synapses were isolated by glial processes in tumour or lesion-related epileptic patients, but the ultrastructural characteristics of granule cells were not different from those of the control patients. Large bundles of reactive astroglial fibres appeared regularly in all layers of the dentate gyrus. In tumour infiltrated hippocampi, glial processes dominated the neuropil and the number of perisomatic synapses was markedly reduced. Reduction in the number of perisomatic synapses did not correlate with severity and duration of seizures but did correlate with the malignancy of the tumour. It is suggested that reduction of perisomatic inhibition may not be a characteristic of granule cells in the epileptic human dentate gyrus.

Brightness induction from rods

Rod modulation of an annular surround can produce brightness contrast in a test field centered at 100 from the fovea. In our research, stimuli originated from a colorimeter that provided 4 primaries in both the circular test and the annular surround fields, and allowed independent modulation of the rods and each of the short (S)-, middle (M)-, and long (L)-wavelength-sensitive cone types. The chromaticity was set so fields had the same appearance as the equal energy spectrum. At 1 photopic troland (td), rod-induced modulation in the test field could be cancelled by either a rod- or a cone-nulling modulation added to the test field. The best cone nulling of rod induction showed residual flicker. Nulling was more effective, though still imperfect, with a cone-nulling stimulus of higher S-cone modulation contrast. Rod induction with square-wave, on-pulse, and off-pulse temporal profiles was closely similar. At higher light levels, 10 and 100 td, rod contrast could not be nulled by rod or cone modulation. The failure to achieve nulls may have been caused by either or both of the following hypotheses: (1) there is a mismatch between the rod and cone temporal waveforms; (2) there is strong rod input to the magnocellular pathway, but negligible rod input to the parvocellular pathway, as shown by single-unit electrophysiological data.

Rod-cone interactions assessed in inferred magnocellular and parvocellular postreceptoral pathways

Interactions between receptor-isolating rod and long (L)- or middle (M)-wavelength-sensitive cone modulations at 2 Hz and 10 Hz were analyzed in terms of underlying inferred magnocellular (MC) and parvocellular (PC) postreceptoral pathways. Stimuli originated from a colorimeter with 4 primaries in both the center and surround fields. The first experiment employed a phase paradigm in which the thresholds for mixed rod and cone modulations were measured as a function of relative phase. The amplitudes of the rod and cone modulations, equated in threshold units, were varied in tandem. In the second experiment, thresholds for mixed rod and cone modulations were measured as a function of the ratio of the rod and cone modulation amplitudes for 2 fixed phase offsets. Both experiments yielded similar interpretations of rod and L- (or M-) cone interactions. At 1 and 10 troland (td), rod and L- (or M-) cone interactions varied depending on the postreceptoral pathways underlying the detection. When cone thresholds were mediated by the inferred MC pathway, rod and cone thresholds showed almost linear summation. When cone thresholds were mediated by the inferred PC pathway, rod and cone thresholds showed probability summation. Assuming that signals within the same pathway follow linear summation, and signals traveling in different pathways follow probability summation, we concluded that the rod thresholds were mediated by the inferred MC pathway for both the 2-Hz and 10-Hz conditions.

Pulse and steady-pedestal contrast discrimination: effect of spatial parameters

The goal of this study was to establish the spatial summation properties associated with inferred PC- and MC-pathway mediated psychophysical contrast discrimination. Previous work has established two paradigms that reveal characteristic signatures of these pathways. In the pulse paradigm, a four-square array was pulsed briefly, on a constant background. In the steady-pedestal paradigm, the stimulus array was presented continuously as a steady-pedestal within a constant surround. In both paradigms, one square differed from the others, giving the observer a forced choice spatial discrimination task. Area summation functions derived for the pulse paradigm decreased with area, with a slope of -0.25 on a log-log axis. Area summation functions derived for the steady-pedestal paradigm decreased as a power function of area, approaching an asymptote above one square degree. The latter are consistent with the classical data of threshold spatial summation.

The role of spatial frequency in color induction

Color induction was measured for test and inducing chromaticities presented in spatial square-wave alternation, with spatial frequencies of 0.7, 4.0, 6.0 and 9.0 cpd. Observers matched the test chromaticities to a rectangular matching field using haploscopic presentation. Data were collected and analyzed within the framework of a cone chromaticity space, allowing analysis of spatial frequency effects on post-receptoral spectral opponent pathways. Assimilation, a shift of chromaticity toward the inducing chromaticity, was found at the highest spatial frequency (9.0 cpd). Contrast, a shift of chromaticity away from the inducing chromaticity, occurred at the lowest spatial frequency (0.7 cpd). The spatial frequency at the transition point from assimilation to contrast was near 4 cpd, independent of the cone axis. Assimilation was unaffected by the presence of a neutral surround and could be described by a spread light model. Contrast was reduced in the presence of a neutral surround. The data suggested that retinal contrast signals are important determinants in the perception of chromatic contrast.

Contrast discrimination deficits in retinitis pigmentosa are greater for stimuli that favor the magnocellular pathway

Luminance contrast discrimination was measured in 14 patients with retinitis pigmentosa (RP) and 14 control observers with normal vision, using steady-pedestal and pulsed-pedestal paradigms [Pokorny, J., & Smith, V. C. (1997). Psychophysical signatures associated with magnocellular and parvocellular pathway contrast gain. Journal of the Optical Society of America A, 14, 2477-2486] to bias performance toward the magnocellular (MC) or parvocellular (PC) pathway, respectively. The aim was to determine the relative effects of retinal degeneration on MC- and PC-pathway function in RP. For five of the RP patients, contrast discrimination thresholds were within normal limits for both the steady-pedestal and pulsed-pedestal paradigms. The other nine RP patients showed threshold elevations for the steady-pedestal paradigm (presumed magnocellular mediation), whereas their thresholds for the pulsed-pedestal paradigm (presumed parvocellular mediation) were within normal limits for all but the two patients who had the most extreme threshold elevations using the steady-pedestal paradigm. A control experiment on four of the RP patients, using a greater number of pedestal contrasts, verified that the patients' thresholds for the pulsed-pedestal paradigm showed the pattern expected for contrast discrimination mediated by the PC pathway. The higher threshold elevations for the steady-pedestal paradigm than for the pulsed-pedestal paradigm indicate that the retinal degeneration that occurs in RP predominantly disrupts contrast discrimination under stimulus conditions that favor the MC pathway.

The consequences of opponent rectification: the effect of surround size and luminance on color appearance

Smith and Pokorny (Vision Res. 36 (1996) 3087.) described conditions under which chromatic contrast induction can reveal a hiatus, a region of chromaticity space which appears neither reddish nor greenish when presented in a chromatic equiluminant surround. The current study investigated the effect of varying the size and the luminance of the inducing surround. The color appearance of test stimuli in chromatic surrounds was assessed by asymmetric color matching to a comparison display. Equiluminant (12 cd/m(2)), 1 degrees square stimuli were generated on a CRT display and presented haploscopically. Ten test fields varied in their L-cone excitation along a constant S-cone line. The chromatic surrounds were of either high (red) or low (green) L-cone excitation on a constant S-cone line. In Experiment 1, surrounds were 1.1 degrees, 1.5 degrees, 2.0 degrees, or 3.0 degrees square (surround widths of 3', 15', 30', 1 degrees ). In Experiment 2, the test and comparison surrounds were at higher (16.7 cd/m(2)) or lower (8.3 cd/m(2)) retinal illuminance than the test field. Contrast induction reached an asymptote for surround widths of 30' or larger. The amount of induction decreased for the surround widths of 15' and 3'. The hiatus was present for the larger surrounds and decreased as surround size decreased. The use of a higher or lower surround luminance did not affect the magnitude of induction or the size of the hiatus.

Characterization and use of a digital light projector for vision research

For creating stimuli in the laboratory, digital light projection (DLP) technology has the potential to overcome the low output luminance, lack of pixel independence, and limited chromaticity gamut of the cathode ray tube (CRT). We built a DLP-based stimulator for projecting patterns on the in vitro primate retina. The DLP produces high light levels and has good contrast. Spatial performance was similar to that of a CRT. Temporal performance was limited by the refresh rate (63 Hz). The chromatic gamut was modestly larger than that of a CRT although the primary spectra varied to a small degree with light output and numerical aperture.

Primate horizontal cell dynamics: an analysis of sensitivity regulation in the outer retina

The human cone visual system maintains sensitivity over a broad range of illumination, from below 1 troland to 1,000,000 trolands. While the cone photoreceptors themselves are an important locus for sensitivity regulation-or light adaptation-the degree to which they contribute in primates remains unclear. To determine the range of sensitivity regulation in the outer retina, the temporal dynamics, neural gain control, and response range compression were measured in second-order neurons, the H1 horizontal cells, of the macaque retina. Situated at the first synapse in the retina, H1 cells receive input from a large population of cones. Lee et al. have previously shown that sensitivity regulation in H1 cells is both cone type-specific and spatially restricted. The sensitivity regulation seen in H1 cells at moderate illuminances thus takes place before the summation of cone signals in these cells, and the data establish the H1 cell as a convenient locus for analyzing cone signals. In the present study, cone-driven responses of primate H1 cells to temporally modulated sine-wave stimuli and to increment pulses were measured at steady levels of 1-1,000 trolands. The H1 cell gave a modulated response to sine-wave stimuli and hyperpolarized to increment pulses with overshoots at stimulus onset and offset. The temporal amplitude sensitivity function was primarily low-pass in shape, with a small degree of low-frequency roll off and a resonance shoulder near 40 Hz. A model incorporating a cascade of first-order filters together with an underdamped second-order filter could describe both temporal sinusoidal and pulse hyperpolarizations. Amplitude sensitivity was estimated from both pulse and sine-wave data as a function of the steady adaptation level. Sensitivity at low light levels (1 troland) showed a slowing in temporal dynamics, indicating time-dependent sensitivity regulation. Sensitivity was reduced at light levels above approximately 10 trolands, reflecting both response range compression and neural gain control. Thus the outer retina is a major locus for sensitivity regulation in primates.

Technical advance. Double-stranded RNA interferes with gene function at the single-cell level in cereals

Double-stranded RNA (dsRNA) has been shown to specifically interfere with gene function in several organisms including tobacco and the model plant Arabidopsis. Here, we report on rapid and sequence-specific interference of dsRNA with gene function in cereals. Delivery of cognate dsRNA into single epidermal cells of maize, barley or wheat by particle bombardment interfered with the function of co-bombarded UidA (GUS) and TaGLP2a:GFP reporter genes. Cognate dsRNA was also found to specifically interfere with the function of the endogenous genes A1 and Ant18 encoding dihydroflavonol-4-reductase in maize and barley, respectively. Dihydroflavonol-4-reductase is an essential enzyme of the anthocyanin biosynthetic pathway in maize and barley. This pathway can be induced by transient expression of the C1- and b-Peru genes that encode transcription factors. In the presence of dsRNA corresponding to the dihydroflavonol-4-reductase gene, C1- and b-Peru-dependent, cell-autonomous accumulation of red anthocyanin pigments in bombarded cells of maize and barley was reduced. dsRNA was also demonstrated to negatively interfere with Mlo, which encodes a negative regulator of race non-specific resistance to the powdery mildew fungus in barley. In the presence of Mlo dsRNA, transformed cells became more resistant, thereby phenocopying plants that carry a heritable loss-of function mlo resistance allele. The results suggest that direct delivery of dsRNA to cereals leads to a rapid and sequence-specific interference with gene function at the single-cell level.

Prenatal stress in rats: effects on plasma corticosterone, hippocampal glucocorticoid receptors, and maze performance

The present experiments were designed to investigate the effects of maternal stress on cognitive and endocrine parameters in the adult offspring. Pregnant rats were stressed daily during the last week of pregnancy (days 15-19) by restraint, and the performance of their offspring in the Morris water maze was recorded. Plasma corticosterone levels after swimming and the status of hippocampal glucocorticoid receptors (GRs) were determined. During acquisition of the task, prenatally stressed (PS) males - but not females - showed longer escape latencies than non-stressed controls when swimming in cold (10 degrees C) but not in warm (20 degrees C) water. This sex- and prenatal stress-specific difference was even more pronounced during reversal learning of the task. In contrast, PS females - but not males - had higher basal corticosterone levels and a lower density of hippocampal corticosteroid receptors than non-stressed controls. In all animals irrespective of treatment, swimming in the water maze causes an increase of corticosterone that was smaller on day 8 of swimming than on day 1. After swimming in cold water, the rise in corticosterone levels in females was steeper and returned faster to baseline values than after swimming in warm water. A similar pattern could be seen in PS females when compared to their non-stressed controls. The data suggest that prenatal stress impairs spatial learning in males but not in females. Basal and stress-induced increases in corticosterone levels, however, were altered in PS females and not in PS males; i.e., prenatal stress-induced changes in corticosterone secretion were not paralleled by prenatal stress-induced deficits in spatial learning.

Horizontal cells reveal cone type-specific adaptation in primate retina

The human cone visual system maintains contrast sensitivity over a wide range of ambient illumination, a property known as light adaptation. The first stage in light adaptation is believed to take place at the first neural step in vision, within the long, middle, and short wavelength sensitive cone photoreceptors. To determine the properties of adaptation in primate outer retina, we measured cone signals in second-order interneurons, the horizontal cells, of the macaque monkey. Horizontal cells provide a unique site for studying early adaptational mechanisms; they are but one synapse away from the photoreceptors, and each horizontal cell receives excitatory inputs from many cones. Light adaptation occurred over the entire range of light levels evaluated, a luminance range of 15-1,850 trolands. Adaptation was demonstrated to be independent in each cone type and to be spatially restricted. Thus, in primates, a major source of sensitivity regulation occurs before summation of cone signals in the horizontal cell.

Reconstructive surgery in children after meningococcal purpura fulminans

BACKGROUND/PURPOSE

Purpura fulminans (PF) is a serious, often life-threatening disease. As more children are surviving their disease, surgeons are presented with increasing numbers of multiple and complicated wounds as sequelae of PF. The purpose of this paper is to review the management of nine cases of PF, and present the reconstruction method in treating bilateral exposed elbow and knee joints.

METHODS

All cases of pediatric patients with PF and treated by the division of plastic and reconstructive surgery between 1986 and 1998 were reviewed.

RESULTS

Seven children (78%) had meningococcal PF, and one (11%) had PF after Haemophilus influenza septicemia. PF developed in one (11%) but with no growth in either blood or cerebrospinal fluid cultures. Five children (56%) required amputation procedures. Two children (22%) required knee disarticulation. Two patients (22%) had free myocutaneous flap transfers for bone coverage. One (11%) had PF involving the face.

CONCLUSIONS

Meningococcal PF is a rare, often life-threatening disease generally of childhood. More children are surviving their diseases but with devastating sequelae. Successful reconstructive treatment outcome of these children requires a multidisciplinary team approach involving multiple specialties. The goal is to preserve function, maintain maximal length, and salvage limbs when possible. Flexibility and innovation are necessary in treating these multiple and complicated wounds.

Measuring short-wavelength-sensitive cone discrimination thresholds using pseudoisochromatic figures displayed on a color monitor

PURPOSE

To simplify the testing of short-wavelength-sensitive (SWS) cone function in the clinic.

METHODS

SWS-cone discrimination thresholds were measured along the tritan axis using pseudoisochromatic figures displayed on a color monitor. A circular 6 degrees field, containing spatially discrete patches of varying sizes and luminances, was presented on a background. A subset of patches formed the target patch in the shape of a C. Eight subjects with normal color vision reported the direction of the gap in the C using a cursor controlled by a joystick.

DATA

were expressed in units of SWS-cone trolands.

RESULTS

SWS-cone discrimination threshold increased slowly as the SWS-cone trolands of the starting chromaticity increased. The dependence of the threshold on the SWS-cone activation level was similar to literature reports of chromatic discrimination measured with conventional paradigms.

CONCLUSIONS

The advantages of this method: (a) It is a simple intuitive task for patients. (b) The paradigm can be implemented with an 8-bit/gun color monitor. (c) The test avoids the need to define equiluminance for the individual patient before the color test is administered. This method can provide a useful technique for measuring SWS-cone function in a clinical population.

Red-green chromatic discrimination with variegated and homogeneous stimuli

Chromatic discrimination thresholds were measured under conditions which yielded fine and degraded discrimination steps. Discrimination was assessed by identification of the location of one of four homogeneous equiluminant stimuli arranged in a square or with pseudoisochromatic (PIC) figures using the stimulus design of Regan, Reffin and Mollon (Vis Res 1994; 34: 1279-1299). Stimuli were presented on CRT monitors and specified in units of cone trolands. They were viewed within a surround metameric to the equal energy spectrum. L troland threshold versus retinal illuminance (TVR) functions were measured by four-alternative spatial forced-choice staircase procedures for (1) a four 1 x 1 degree equiluminant stimuli arranged in a square and (2) 'C' shaped pseudoisochromatic figures in which the observer had to identify the gap location. The 'C' was constructed of spatially discrete patches of varying size and luminance to ensure that the observer's responses depended on chromatic signals. The TVR functions appeared V-shaped and were similar for the two paradigms. The minimum occurred near the L excitation of equal-energy white. The PIC stimuli yielded poorer discrimination with the TVR function being displaced by approximately 0.5 log unit. Discrimination for stimuli degraded by luminance and spatial noise presented within an achromatic appearing surround is sharpest near the chromaticity metameric to the equal energy spectrum.

Color appearance: neutral surrounds and spatial contrast

The experimental data in this paper show that chromatic bars presented in alternation with equiluminant neutral-appearing bars are seen as more saturated than the same chromaticity presented as a uniform rectangle. This effect was diminished but not eliminated when test and match stimuli were presented within a slightly dimmer neutral surround. The test stimulus was a 2 x 5 degrees rectangle with a 0.7 cpd square wave grating composed of alternating equiluminant chromatic test bars and neutral bars. Asymmetric matching was used to match the test bar appearance to a uniform 2 x 5 degrees comparison rectangle. Test and comparison stimuli were presented to separate eyes in a haploscope and appeared flanking a central fixation target. Data were collected with test and inducing stimuli on the cardinal axes of color space. Test bars separated by neutral bars appeared more saturated than the comparison rectangle for both the l- and s-axis directions. Manipulation of excitation on one cardinal axis did not affect the appearance matches made for the other cardinal axis.

Color vision in two observers with highly biased LWS/MWS cone ratios

Two sisters, heterozygous carriers for congenital X-linked protanopia, were diagnosed as normal trichromats by the Rayleigh match on the anomaloscope. The heterozygous state was established by molecular analysis of their visual pigment genes. The normal color match establishes that the spectral sensitivities of their long-wavelength-sensitive (LWS) and middle-wavelength-sensitive (MWS) cone visual photopigments are within normal variability. Their FM 100-hue test error scores were low, demonstrating superior chromatic discrimination. Heterochromatic flicker photometric (HEP) spectral sensitivities were like those of protanopes. The estimated LWS/MWS cone ratios from the HFP data were 0.09/1 and 0.03/1, compared with ratios in the range of 0.6/1 to 10/1 for typical normal trichromats. Measurements of chromatic grating acuity on chromatically selective backgrounds were performed to study the cone mosaic. The data were consistent with a sparsity of LWS cones. Both protan carriers showed normal spectral sensitivities for all three cone types under cone isolating chromatic adaptation and normal three-peaked curves for increment thresholds on a white pedestal. Hue estimation, run on one carrier was normal. The equilibrium yellow locus was measured in the other carrier and was in the range of normal trichromats. The data indicate that normal color vision can occur even when the LWS/MWS cone ratio is quite abnormal.