Doxorubicin-sensitive and -resistant colorectal cancer spheroid models: assessing tumor microenvironment features for therapeutic modulation

Introduction: The research on tumor microenvironment (TME) has recently been gaining attention due to its important role in tumor growth, progression, and response to therapy. Because of this, the development of three-dimensional cancer models that mimic the interactions in the TME and the tumor structure and complexity is of great relevance to cancer research and drug development. Methods: This study aimed to characterize colorectal cancer spheroids overtime and assess how the susceptibility or resistance to doxorubicin (Dox) or the inclusion of fibroblasts in heterotypic spheroids influence and modulate their secretory activity, namely the release of extracellular vesicles (EVs), and the response to Dox-mediated chemotherapy. Different characteristics were assessed over time, namely spheroid growth, viability, presence of hypoxia, expression of hypoxia and inflammation-associated genes and proteins. Due to the importance of EVs in biomarker discovery with impact on early diagnostics, prognostics and response to treatment, proteomic profiling of the EVs released by the different 3D spheroid models was also assessed. Response to treatment was also monitored by assessing Dox internalization and its effects on the different 3D spheroid structures and on the cell viability. Results and Discussion: The results show that distinct features are affected by both Dox resistance and the presence of fibroblasts. Fibroblasts can stabilize spheroid models, through the modulation of their growth, viability, hypoxia and inflammation levels, as well as the expressions of its associated transcripts/proteins, and promotes alterations in the protein profile exhibit by EVs. Summarily, fibroblasts can increase cell-cell and cell-extracellular matrix interactions, making the heterotypic spheroids a great model to study TME and understand TME role in chemotherapies resistance. Dox resistance induction is shown to influence the internalization of Dox, especially in homotypic spheroids, and it is also shown to influence cell viability and consequently the chemoresistance of those spheroids when exposed to Dox. Taken together these results highlight the importance of finding and characterizing different 3D models resembling more closely the in vivo interactions of tumors with their microenvironment as well as modulating drug resistance.

Generalist Predators Shape Biotic Resistance along a Tropical Island Chain

Islands offer exclusive prisms for an experimental investigation of biodiversity x ecosystem function interplay. Given that species in upper trophic layers, e.g., arthropod predators, experience a comparative disadvantage on small, isolated islands, such settings can help to clarify how predation features within biotic resistance equations. Here, we use observational and manipulative studies on a chain of nine Indonesian islands to quantify predator-mediated biotic resistance against the cassava mealybug Phenacoccus manihoti (Homoptera: Pseudococcidae) and the fall armyworm Spodoptera frugiperda (Lepidoptera: Noctuidae). Across island settings, a diverse set of generalist lacewing, spider and ladybeetle predators aggregates on P. manihoti infested plants, attaining max. (field-level) abundance levels of 1.0, 8.0 and 3.2 individuals per plant, respectively. Though biotic resistance-as imperfectly defined by a predator/prey ratio index-exhibits no inter-island differences, P. manihoti population regulation is primarily provided through an introduced monophagous parasitoid. Meanwhile, resident predators, such as soil-dwelling ants, inflict apparent mortality rates up to 100% for various S. frugiperda life stages, which translates into a 13- to 800-fold lower S. frugiperda survivorship on small versus large islands. While biotic resistance against S. frugiperda is ubiquitous along the island chain, its magnitude differs between island contexts, seasons and ecological realms, i.e., plant canopy vs. soil surface. Hence, under our experimental context, generalist predators determine biotic resistance and exert important levels of mortality even in biodiversity-poor settings. Given the rapid pace of biodiversity loss and alien species accumulation globally, their active conservation in farmland settings (e.g., through pesticide phasedown) is pivotal to ensuring the overall resilience of production ecosystems.

Continent-wide evidence that landscape context can mediate the effects of local habitats on in-field abundance of pests and natural enemies

Landscape-scale factors known to influence in-field abundance of pest herbivores and their natural enemies, but little is known about effects that operate through the shorter-range influences exerted by habitats immediately adjacent to crop fields.This study first compared the abundance of brassica insect pests and their natural enemy arthropods in 24 spatially independent brassica vegetable fields across southern Australia. An 'edge effect' index was used to compare the abundance of each taxon in the field center with abundance in areas of the crop adjacent to differing habitats. Then, three landscape properties: landscape composition, edge density, and connectivity of diverse crop and non-crop habitats were analyzed at five scales up to 5 km from these focal field centers to assess longer-range influences on arthropod abundances in field centers and on the edge effects.Edge effect of adjacent woody vegetation promoted ladybirds and reduced diamondback moth and whiteflies. Conversely, the presence of crops and pastures immediately adjacent to focal crop fields reduced whiteflies and aphids but with no effect on natural enemies.Effect of landscape composition and connectivity on arthropod abundance at field center found promotion of aphids (cabbage aphid and green peach aphid) by woodland in the landscape.Effect of landscape properties on the edge effects of adjacent habitats was contrasting; strengthened (landscape composition and edge density on edge effect of crops, pasture and woody vegetation in reducing diamondback moth and whiteflies) as well as weakened (edge density and landscape connectivity on edge effect of crops, pasture and woody vegetation in reducing diamondback moth on diamondback moth, whiteflies and aphids, and promoting ladybirds). Synthesis and applications: Findings of this geographically extensive study help define the level of pest risk associated with sites as well as suggest potential interventions such as establishment or restorations of woody vegetation adjacent to crop fields that could reduce risk.

Island and Mountain Ecosystems as Testbeds for Biological Control in the Anthropocene

For centuries, islands and mountains have incited the interest of naturalists, evolutionary biologists and ecologists. Islands have been the cradle for biogeography and speciation theories, while mountain ranges have informed how population adaptation to thermal floors shapes the distribution of species globally. Islands of varying size and mountains’ altitudinal ranges constitute unique “natural laboratories” where one can investigate the effects of species loss or global warming on ecosystem service delivery. Although invertebrate pollination or seed dispersal processes are steadily being examined, biological control research is lagging. While observations of a wider niche breadth among insect pollinators in small (i.e., species-poor) islands or at high (i.e., colder) altitudes likely also hold for biological control agents, such remains to be examined. In this Perspective piece, we draw on published datasets to show that island size alone does not explain biological control outcomes. Instead, one needs to account for species’ functional traits, habitat heterogeneity, host community make-up, phenology, site history or even anthropogenic forces. Meanwhile, data from mountain ranges show how parasitism rates of Noctuid moths and Tephritid fruit flies exhibit species- and context-dependent shifts with altitude. Nevertheless, future empirical work in mountain settings could clarify the thermal niche space of individual natural enemy taxa and overall thermal resilience of biological control. We further discuss how global databases can be screened, while ecological theories can be tested, and simulation models defined based upon observational or manipulative assays in either system. Doing so can yield unprecedented insights into the fate of biological control in the Anthropocene and inform ways to reinforce this vital ecosystem service under global environmental change scenarios.

Microbiological characteristics of bloodstream infections in a reference hospital in northeastern Brazil

Routine blood culture is used for the detection of bloodstream infections by aerobic and anaerobic bacteria and by common pathogenic yeasts. A retrospective study was conducted in a public hospital in Maceió-AL, by collecting data of all medical records with positive blood cultures. Out of the 2,107 blood cultures performed, 17% were positive with Staphylococcus coagulase negative (51.14%), followed by Staphylococcus aureus (11.21%) and Klebsiella pneumoniae (6.32%). Gram-positive bacteria predominated among positive blood cultures, highlighting the group of Staphylococcus coagulase-negative. While Gram-negative bacteria had a higher number of species among positive blood cultures.

Assessing the potential of unmanned aerial vehicle spraying of aqueous ozone as an outdoor disinfectant for SARS-CoV-2

The COVID-19 pandemic has revealed gaps in our understanding of safe, effective and efficient means of disinfecting high use public spaces. Whilst this creates an opportunity for development and application of innovative approaches such as unmanned aerial vehicle (UAV) based disinfection, unregulated outdoor disinfection using chlorine has led to environmental and public health risks. This study has quantified the efficiency, safety and efficacy of UAV-based spraying of aqueous ozone. Optimised UAV flight characteristics of 4.7 km/h at 1.7 m elevation spraying 2.4 L/min were able to provide >97% and >92% coverage of a 1 m and 2 m wide swath respectively. During spraying operations using 1 mg/L aqueous ozone, atmospheric concentrations of ozone remained within background levels (<0.04 ppm). Highly efficient inactivation of two different isolates of SARS-CoV-2 virus was achieved at aqueous ozone concentrations of 0.75 mg/L after an incubation period of only 5 min, with 0.375 mg/L achieving 82-91.5% inactivation in this time. Exposure of diamondback moth larvae and parasitic wasps to 1 mg/L aqueous ozone did not significantly affect their survivorship. These results indicate for the first time that aqueous ozone may provide the required balance between human and environmental safety and viral inactivation efficacy for targeted application in high risk outdoor settings.

Genetic dissection of assortative mating behavior

The evolution of new species is made easier when traits under divergent ecological selection are also mating cues. Such ecological mating cues are now considered more common than previously thought, but we still know little about the genetic changes underlying their evolution or more generally about the genetic basis for assortative mating behaviors. Both tight physical linkage and the existence of large-effect preference loci will strengthen genetic associations between behavioral and ecological barriers, promoting the evolution of assortative mating. The warning patterns of Heliconius melpomene and H. cydno are under disruptive selection due to increased predation of nonmimetic hybrids and are used during mate recognition. We carried out a genome-wide quantitative trait locus (QTL) analysis of preference behaviors between these species and showed that divergent male preference has a simple genetic basis. We identify three QTLs that together explain a large proportion (approximately 60%) of the difference in preference behavior observed between the parental species. One of these QTLs is just 1.2 (0-4.8) centiMorgans (cM) from the major color pattern gene optix, and, individually, all three have a large effect on the preference phenotype. Genomic divergence between H. cydno and H. melpomene is high but broadly heterogenous, and admixture is reduced at the preference-optix color pattern locus but not the other preference QTLs. The simple genetic architecture we reveal will facilitate the evolution and maintenance of new species despite ongoing gene flow by coupling behavioral and ecological aspects of reproductive isolation.

[Management of transient radicular pain after receiving an epidural blood patch for headaches due to spontaneous intracranial hypotension]

Spontaneous intracranial hypotension headache is an uncommon disease that resolves spontaneously in most of the cases and in a short period of time. The initial treatment should be symptomatic. In some patients the symptomatology is extremely disabling, and in these cases both the diagnosis and treatment may be performed by an epidural blood patch. A 49-year-old Caucasian woman, with no previous record of epidural or intrathecal puncture, consulted in the Emergency Department complaining of a 9-day history of frontal headache and diplopia, along with nausea and vomiting. The patient was diagnosed with spontaneous intracranial hypotension headache. Considering the symptomatology and the uncontrolled pain, the Pain Unit of our hospital performed an epidural blood patch. In the first 24h the patient reported a remarkable relief of both headache and diplopia but developed a left lumbar radiculopathy that was treated successfully with supportive measures. Transient lumbar radiculopathy is a common and acceptable event secondary to the use of epidural blood patch as a treatment for spontaneous intracranial hypotension headache.

Biodiversity and distribution of lethaeine seed bugs (Heteroptera, Rhyparochromidae, Lethaeini) from Argentina

BACKGROUND

The tribe Lethaeini has received little attention in Argentina. In 2014, Dellapé recorded 9 genera and 15 species from this country.

RESULTS

A comprehensive study of the Lethaeini (Heteroptera, Rhyparochromidae) from Argentina is presented. Herein three new species of Cryphula Stål, one new species of Cistalia Stål, and the male of Cryphula australis Berg aredescribed. The genus PetissiusDistantand the species Cistaliabinotata Slater& Baranowski, Cistalianeotropicalis Slater & Baranowski, and Petissius spinipes Stål are reported for the first time from Argentina; also, the known distribution is extended for many of the previously recorded species. A generic key, keys to species, and distributional maps to the Argentinean species are also given. Dorsal habitus photographs of all species and the male and female genitalia of the new species are provided to facilitateidentification.

CONCLUSIONS

The Lethaeini fauna from Argentina is increased to 10 genera and 22 species. The distribution of the tribe in the country is mainly Neotropical into the Chacoan Subregion, with most of the species distributed in the Chacoan and Pampean provinces (Chacoan Domain) and Parana Forest Province (Parana Domain). Only Rhaptus quadricollis appears to be an Andean element, with most of the known records in the South American Transition Zone (Monte Province).

Predicting the potential invasion suitability of regions to cassava lacebug pests (Heteroptera: Tingidae: Vatiga spp.)

Cassava (Manihot esculenta Crantz) is one of the most important staple crops for small farmers in the tropics, feeding about 800 million people worldwide. It is currently cultivated in South and Central America, Africa and Asia. The genus Vatiga is widespread throughout the Neotropical region. Its species are sympatric and feed exclusively on cassava. The main objectives of this paper are: (1) to assess the potential distribution of Vatiga, one of the most relevant pests of cassava; (2) to project the resulting models onto the world; (3) to recognize areas with suitable and optimal climates (and thus, high probability) for future colonization, and (4) to compare this model with the harvested area of cassava analyzing the climatic variables required by both the host and the pest species. Species distribution models were built using Maxent (v3.3.3k) with bioclimatic variables from the WorldClim database in 2.5 arc min resolution across the globe. Our model shows that Vatiga has the potential to expand its current distribution into other suitable areas, and could invade other regions where cassava is already cultivated, e.g., Central Africa and Asia. Considering the results and the high host specificity of Vatiga, its recent appearance in Réunion Island (Africa) poses a serious threat, as nearby areas are potentially suitable for invasion and could serve as dispersal routes enabling Vatiga to reach the continent. The present work may help prevention or early detection of Vatiga spp. in areas where cassava is grown.

Strong extrinsic reproductive isolation between parapatric populations of an Australian groundsel

Speciation with gene flow, or the evolution of reproductive isolation between interbreeding populations, remains a controversial problem in evolution. This is because gene flow erodes the adaptive differences that selection creates between populations. Here, we use a combination of common garden experiments in the field and in the glasshouse to investigate what ecological and genetic mechanisms prevent gene flow and maintain morphological and genetic differentiation between coastal parapatric populations of the Australian groundsel Senecio lautus. We discovered that in each habitat extrinsic reproductive barriers prevented gene flow, whereas intrinsic barriers in F1 hybrids were weak. In the field, herbivores played a major role in preventing gene flow, but glasshouse experiments demonstrated that soil type also created variable selective pressures both locally and on a greater geographic scale. Our experimental results demonstrate that interfertile plant populations adapting to contrasting environments may diverge as a consequence of concurrent natural selection acting against migrants and hybrids through multiple mechanisms. These results provide novel insights into the consequences of local adaptation in the origin of strong barriers to gene flow in plants, and suggest that herbivory may play an important role in the early stages of plant speciation.

Cyclic fatigue of NiTi rotary instruments in a simulated apical abrupt curvature

AIM

To evaluate the cyclic fatigue resistance of five NiTi rotary systems in an abrupt apical curvature.

METHODOLOGY

Cyclic fatigue testing was performed in stainless-steel artificial canals with a 2-mm radius of curvature and an angle of curvature of 90 degrees constructed to the dimensions of the instruments tested. The middle of the simulated curvature was 2.5 mm from the tip of the instrument that was placed at full working length. All instruments were new and 25 mm in length. Ten ProTaper Universal F2 (Dentsply Maillefer, Ballaigues, Switzerland); FlexMaster (VDW, Munich, Germany) tip size 25, taper 0.06; Mtwo (Sweden & Martina, Padova, Italy) tip size 25, taper 0.06; ProFile tip size 25, taper 0.06 from Dentsply Maillefer (Ballaigues, Switzerland); and ProFile tip size 25, taper 0.06 from Dentsply Tulsa (Tulsa, OK, USA) were rotated passively at 300 rpm until fracture occurred, and the number of cycles to failure (NCF) recorded. Length of the fractured tip was measured. Data were analysed by one-way anova and Tukey HSD test to determine any statistical difference amongst groups.

RESULTS

Mtwo had the highest fatigue resistance compared to the other instruments (NCF 124 +/- 25) (P < 0.001); there was no statistical difference between ProFile from the two different brands, although ProFile from Maillefer had the higher fatigue life (NCF 75 +/- 10) compared to ProFile from Tulsa (NCF 66 +/- 10). No difference was registered between FlexMaster (NCF 53 +/- 5) and ProFile from Tulsa; ProTaper F2 had a significantly (P < 0.001) lower fatigue life compared to the other instruments tested (NCF 29 +/- 5).

CONCLUSIONS

Lifespan registered for the instruments tested in an apical abrupt curvature was Mtwo > ProFile from Maillefer > ProFile from Tulsa > FlexMaster > ProTaper.

Assortative mating preferences among hybrids offers a route to hybrid speciation

Homoploid speciation generates species without a change in chromosome number via introgressive hybridization and has been considered rare in animals. Heliconius butterflies exhibit bright aposematic color patterns that also act as cues in assortative mating. Heliconius heurippa has a color pattern that can be recreated by introgression of the H. melpomene red band into an H. cydno genetic background. Wild H. heurippa males show assortative mating based on color pattern and we here investigate the origin of this preference by studying first-generation backcross hybrids between H. melpomene and H. cydno that resemble H. heurippa. These hybrids show assortative mating preferences, showing a strong preference for their own color pattern over that of either parental species. This is consistent with a genetic basis to wing pattern preference and implies, first, that assortative mating preferences would facilitate the initial establishment of a homozygous hybrid color pattern by increasing the likelihood that early generation hybrids mate among themselves. Second, once established such a lineage would inherit assortative mating preferences that would lead to partial reproductive isolation from parental lineages.

Involvement of CRH in fever induced by a distinct pre-formed pyrogenic factor (PFPF)

OBJECTIVE

This study investigated the role of corticotrophin-releasing hormone (CRH) in mediating the fever induced by a novel pre-formed pyrogenic factor (PFPF), using a CRF antagonist in vivo and evaluating the capacity of PFPF to stimulate CRH release from the hypothalamus in vitro.

MATERIALS AND METHODS

Male Wistar rats were used. The PFPF, induced following brief incubation of rat peritoneal macrophages with LPS and retained on 10 or 20 kDa MW cut-off membranes, was injected intracerebroventricularly. Fever was monitored using a rectal probe. Hypothalamus tissue was incubated with PFPF to establish its ability to induce CRH release. The CRH was measured by ELISA.

RESULTS

PFPF induced a dose-dependent fever that was abolished by boiling or pronase treatment. Whereas both dexamethasone and indomethacin were effective in reducing interleukin- (IL) 1beta-induced fever, only dexamethasone abolished the fever induced by PFPF. The CRH antagonist, a-helical CRH9-41, abolished the fever induced by synthetic CRH, IL-8 and PFPF but not tumour necrosis factor-a (TNF-alpha). Like IL-1, PFPF was able to induce the release of CRH from rat hypothalamic tissue in vitro.

CONCLUSIONS

These results suggest that the fever induced by PFPF depends on CRH release but not prostaglandin synthesis.

Evidence that platelet-derived growth factor may be a novel endogenous pyrogen in the central nervous system

Platelet-derived growth factor (PDGF) exerts neurotrophic and neuromodulatory actions in the mammalian central nervous system (CNS). Like the cytokines, PDGF primarily signals through tyrosine phosphorylation-dependent pathways that activate multiple intracellular molecules including Janus family kinases. We previously showed that microinjection of PDGF-BB into the lateral ventricle induced a febrile response in rats that was reduced by pretreatment with Win 41662, a potent inhibitor of PDGF receptors (Pelá IR, Ferreira MES, Melo MCC, Silva CAA, and Valenzuela CF. Ann NY Acad Sci 856: 289-293, 1998). In this study, we further characterized the role of PDGF-BB in the febrile response in rats. Microinjection of PDGF-BB into the third ventricle produced a dose-dependent increase in colonic temperature that peaked 3-4 h postinjection. Win 41662 attenuated fever induced by intraperitoneal injection of bacterial lipopolysaccharide, suggesting that endogenous PDGF participates in the febrile response to this exogenous pyrogen. Importantly, febrile responses induced by tumor necrosis factor-alpha, interleukin-1beta, and interleukin-6 were unchanged by Win 41662. Both indomethacin and dexamethasone blocked the PDGF-BB-induced increase in colonic temperature, and, therefore, we postulate that PDGF-BB may act via prostaglandin- and/or inducible enzyme-dependent pathways. Thus our findings suggest that PDGF-BB is an endogenous CNS mediator of the febrile response in rats.

Factors involved in Schistosoma mansoni infection in rural areas of northeast Brazil

Two contiguous villages in Tracunhaém county (State of Pernambuco), endemic for schistosomiasis, were studied: Itapinassu (138 inhabitants) and São Joaquim (91 inhabitants). Agriculture predominates in the former region while ceramics is the main activity in the latter. Although no statistical difference was found regarding prevalence, severe infection (> 400 epg) predominated in Itapinassu, probably related to the kind of occupation. No association was found between parasite burden and severity of disease, in spite of the high infection rates for Schistosoma mansoni in both communities (approx. 60%). Typical epidemiological features of schistosomiasis such as age-related prevalences and intensities of infection (high in children, low in adults) were also mutual characteristics. Nutritional status determined through anthropometric evaluation was carried out by measuring specific anthropometric indicators. A deficit of energy intake, as well as vitamin A and riboflavin deficiencies were detected. The prevalence of moderate or severe undernutrition in patients under 18 years old was 21.9% in Itapinassu and 24.1% in São Joaquim. In this group an association was found between prevalence of schistosomiasis and chronic undernutrition. Similarly, for patients over 18 year old the prevalence of undernutrition was higher than 20%. However, in this case no association between nutritional status and either prevalence of schistosomiasis or parasite burden could be detected. The two communities had not been treated for eight years.

Formas hepatosplênicas da esquistossomose mansônica no interior do Nordeste do Brasil

Estudos de campo sobre a morbidade da esquistossomose mansônica foram realizados em algumas áreas rurais do interior do nordeste do Brasil durante o primeiro semestre de 1991. Estes estudos seccionais foram limitados à determinação do gradiente clinico da endemia. Foram examinadas todas as populações presentes neste levantamento feito casa-por-casa. Os resultados mostraram a redução da prevalência da forma mais grave da esquistossomose - a forma hepatosplênica - quando comparados com estudos semelhantes feitos nas mesmas áreas durante as décadas de 60 e 70. As taxas de prevalência das formas clínicas graves da doença foram deslocadas dos grupos de idade mais jovens para os grupos mais velhos.

Differentiation of pathogenic Escherichia coli strains in Brazilian children by PCR

A PCR technique to differentiate pathogenic enteric Escherichia coli strains in a field setting was evaluated. Among 76 children with acute diarrhea, this technique identified 12 children (16%) with enterotoxigenic E. coli, 6 (8%) with enteropathogenic E. coli, and 1 (1%) with enteroinvasive E. coli infection. Compared with the conventional assays, the PCR method proved to be simpler, more rapid, and inexpensive and therefore suitable for application in a developing-country field setting.

Hepatitis C virus infection in Schistosomiasis mansoni in Brazil

The involvement of the hepatitis C virus (HCV) in the severity of liver disease in chronic schistosomiasis was investigated in 215 Brazilian patients with S. mansoni infections, but without evidence of hepatitis B surface antigen (HBsAg). Forty-three had hepatointestinal (HIS) and 172 had hepatosplenic schistosomiasis (HSS), and 135 had compensated (HSSC), and 37 had decompensated (HSSD) liver disease. Fifty-two (24%) were found to have evidence of HCV infection (seropositive for anti-HCV antibodies and/or HCV-RNA). These comprised 35 (95%) of the 37 with HSSD, 16 (12%) of the 135 with HSSC, and 1 (2.4%) of the 43 with HIS, compared with only 1 (2%) of 50 control patients without S. mansoni. Testing of matched liver tissue and peripheral blood mononuclear cells (PBMCs) from 25 patients (6 HSSC and 19 HSSD) with HCV infections showed that 17 (68%) had "active" viral infections, in that negative strand HCV-RNA (the presumed replicative intermediate of the virus) could be detected in liver and/or PBMCs. Among these 25, negative strand HCV-RNA was found in 16 (84%) of the 19 with chronic active hepatitis, but in only 1 (17%) of the 6 with mild or inactive disease (P < 0.01). HCV-RNA was detected in matched spleen specimens from 9 of 10 patients (all of whom were also positive in PBMCs), suggesting that the spleen is an important extrahepatic reservoir of the virus.(ABSTRACT TRUNCATED AT 250 WORDS)

Concentration of electrolytes in the sweat of malnourished children

The sweat test was performed by the method of Gibson and Cooke on 36 children with second and third degree malnutrition, aged from 2 months to 4 years. The results were compared with those from 32 healthy, well nourished controls in the same age range. Determinations were made of sodium and chloride concentrations, chloride/sodium ratio, and the sum of the concentrations of the two electrolytes in each sample. The malnourished children were found to have higher sodium and chloride concentrations than the well nourished ones. None of the normal or malnourished children had a sweat chloride value greater than 60 mmol/l; chloride values within a suspicious range (between 40 and 60 mmol/l) were found in two malnourished children. Two well nourished controls and six malnourished children showed suspicious sweat sodium concentrations; in one child with third degree malnutrition the sodium content was greater than 60 mmol/l. In all results in the suspicious range, or greater than 60 mmol/l, the chloride/sodium ratio was less than 1, and the sum of the two electrolytes was below 140 mmol/l. Based on these results, we conclude that malnourished children have raised sweat sodium and chloride concentrations when compared with well nourished children. The electrolyte values for most of them are not in a suspicious range or consistent with a diagnosis of cystic fibrosis. Unlike that found in cystic fibrosis, the sodium/chloride ratio in our subjects was less than 1 and the sum of both electrolytes never exceeded 140 mmol/l.

Fecal loss and clearance of alpha-1-antitrypsin in children with persistent diarrhea

1. Daily fecal loss and daily clearance of alpha-1-antitrypsin were determined in 30 infants without intestinal disorders and in 21 with persistent diarrhea. 2. Stools were collected during a 48-h period and a randomly obtained single sample was also collected. Blood samples were also collected from the infants, and alpha-1-antitrypsin was measured by radial immunodiffusion in both stool and serum. 3. No difference in daily fecal loss (mg/d) of alpha-1-antitrypsin was detected between the control group and the group with persistent diarrhea (11 +/- 9.3 vs 18.5 +/- 20 mg/d). No difference in daily alpha-1-antitrypsin clearance (ml/d) was detected between the control group and the group with persistent diarrhea (4.3 +/- 3.6 vs 5.2 +/- 4.8 ml/d). 4. There was a strong correlation between daily fecal loss and daily clearance of alpha-1-antitrypsin (N = 50). There was a weak correlation between the concentrations of alpha-1-antitrypsin in randomly obtained single samples and daily fecal loss of the antiprotease (N = 25; r = -0.183; P < 0.01). 5. We conclude that: a) there is no increased fecal loss of alpha-1-antitrypsin persistent in diarrhea; b) fecal alpha-1-antitrypsin clearance is not necessary to estimate the enteric loss of the antiprotease; c) the determination of alpha-1-antitrypsin in random samples of feces is not a reliable method.

Hepatitis B virus infection in schistosomiasis mansoni

Schistosomiasis and hepatitis B virus (HBV) infection are very common in Brazil but the interrelationships between the two infections are poorly understood. We have undertaken a detailed serological study of the prevalence of HBV markers in 189 Brazilian patients with chronic schistosomiasis mansoni, 46 with hepatointestinal (HIS) and 143 with hepatosplenic (HSS) schistosomiasis, 12 of the latter having decompensated liver disease (HSSD), and in 50 control patients. Sera were tested for HBsAg, anti-e, anti-HBc, anti-HBs and HBV-DNA. Eighty-three (44%) of the 189 schistosoma patients had at least one marker of HBV infection, 18 of whom (10%) were seropositive for HBsAg. All the controls were HBsAg negative, but ten (20%) had anti-HBc and anti-HBs. There was no significant difference in the frequency of these markers between HIS (14/46, 30.4%), HSSC (43/131, 34.5%), and the controls. Among the HBsAg-positive patients, one had HIS (HBV-DNA negative), seven had HSSC (one HBV-DNA positive) and ten had HSSD (six HBV-DNA positive), a significant association of HBV carriage with HSSD (P << 0.001). Mean (+/- SD) ALT values were significantly (P < 0.001) higher in HBsAg-positive HSSD patients (70.7 +/- 18 IU/liter) than in those with HSSC (29.5 +/- 15 IU/liter). Liver biopsies were performed in 12 HBsAg-positive patients (one with HIS, three with HSSC, and eight with HSSD) and in 50 HBsAg-negative HSSC patients. Seven of the eight HSSD patients had chronic active hepatitis with cirrhosis, and one had inactive cirrhosis. All three patients with HSSC and the one with HIS had chronic persistent hepatitis, with periportal fibrosis in three.(ABSTRACT TRUNCATED AT 250 WORDS)