Indexed in SCI Medline

<正>Asian Pacific Journal of Tropical Medicine(APJTM)is an international journal of tropical medicine that is edited by International Federation of Tropical Medicine(IFTM)and published by Elsevier.It is the only journal of tropical medicine included by SCI,Medline in China.It indicates APJTM has become one of the top international journals.Since the first issue in March 2008,it has been included by 12 international databases:     

Rationale and efficacy of CD52 targeting in HTLV-1-associated myositis

We retrospectively analysed two selected patients, referred to our Haematology Department for refractory HTLV-1 associated myositis with circulating pathologic T-cell population with ATL phenotype. They respectively presented also HTLV-1 associated Crohn-like disease and myelopathy. Muscle biopsy of both patients was analysed to determine the pathologic infiltrate. Alemtuzumab was proposed as salvage therapy. Targeting CD52 with alemtuzumab showed good efficacy on myopathy of both patients for respectively 11 and 10 months. Interestingly, this treatment showed also efficacy on circulating pathologic T-cell population and on concomitant digestive and neurological diseases. The double infected cells ablation and immunosuppressive propriety of alemtuzumab probably explains its interest in this infectious and dysimmunitary disorder. Even though alemtuzumab probably remains a suspensive treatment, its place should be assessed in controlled trial in this difficult to treat rare disease.     

Overview of dendritic cell‐based vaccine development for leishmaniasis

Leishmaniasis is one of the most serious vector‐borne diseases in the world and is distributed over 98 countries. It is estimated that 350 million people are at risk for leishmaniasis. There are three different generation of vaccines that have been developed to provide immunity and protection against leishmaniasis. However, their use has been limited due to undesired side effects. These vaccines have also failed to provide effective and reliable protection and, as such, currently, there is no safe and effective vaccine for leishmaniasis. Dendritic cells (DCs) are a unique population of cells that come from bone marrow and become specialized to take up, process and present antigens to helper T cells in a mechanism similar to macrophages. By considering these significant features, DCs stimulated with different kinds of Leishmania antigens have been used in recent vaccine studies for leishmaniasis with promising results so far. In this review, we aim to review and combine the latest studies about this issue after defining potential problems in vaccine development for leishmaniasis and considering the importance of DCs in the immunopathogenesis of the disease.     

Aims & Scope

正Asian Pacific Journal of Tropical Medicine(APJTM),aims to set up and provide an academic communicating platform for international physicians,medical scientists,allied health scientists and public health workers,especially those of the AsiaPacific region and worldwide on tropical medicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the AsiaPacific region.     

From the Cover: Strong upslope shifts in Chimborazo's vegetation over two centuries since Humboldt

Global climate change is driving species poleward and upward in high-latitude regions, but the extent to which the biodiverse tropics are similarly affected is poorly known due to a scarcity of historical records. In 1802, Alexander von Humboldt ascended the Chimborazo volcano in Ecuador. He recorded the distribution of plant species and vegetation zones along its slopes and in surrounding parts of the Andes. We revisited Chimborazo in 2012, precisely 210 y after Humboldt’s expedition. We documented upward shifts in the distribution of vegetation zones as well as increases in maximum elevation limits of individual plant taxa of >500 m on average. These range shifts are consistent with increased temperatures and glacier retreat on Chimborazo since Humboldt’s study. Our findings provide evidence that global warming is strongly reshaping tropical plant distributions, consistent with Humboldt’s proposal that climate is the primary control on the altitudinal distribution of vegetation.The biological impacts of ongoing climate change (1) are already apparent in species’ poleward and upslope range shifts and earlier spring events (2–9). However, most studies stem from high-latitude areas and are generally restricted to dynamics across the past few decades (10). To our knowledge, only three previous resurveys have studied range shifts of tropical plant taxa, all at <4,000 m in elevation (7, 8, 11). Modeling (12) and paleoecological studies (13) suggest that tropical montane vegetation should be highly sensitive to climate change. However, researchers strongly debate whether tropical plants are tracking warming temperatures along elevation gradients, with most (although scarce) studies indicating they are lagging behind (cf. 14, 15). Such lags could have negative effects on the distributions of species dependent on certain plant taxa, e.g., as a food source (16). The question is particularly urgent given the growing evidence of systematically stronger warming rates in high-mountain environments (17).The legacy and works of Alexander von Humboldt (1769–1859) not only constitute the foundation of biogeography, but also what is likely the oldest dataset on altitudinal ranges of plant species. The observations recorded by Humboldt and Aimé Bonpland (1773–1858) during their travels in Central and South America, and synthesized in a Tableau of Mt. Chimborazo (summit 6,268 m above sea level) and accompanying essay (18), provide a unique opportunity to study tropical vegetation changes over a period of 210 y. To our knowledge, this period is more than twice as long as any previous resurvey study based on historical biodiversity records (11, 19). We revisited the upper slopes of the Chimborazo volcano in June 2012. Our aim was to record the current elevational distribution of plants and test for upward shifts since Humboldt’s expedition, as a response to anthropogenic global warming. We sampled plant species presence and abundance along transects every 100 m of elevation between 3,800 and 5,200 m. Three main findings, comparing our surveys to Humboldt’s data, support strong upward shifts of plant distributions: a higher upper limit for plant growth, increased elevation of vegetation zones, and upward shifts in the upper range limits of most individual taxa.     

Nonrandom,diversifying processes are disproportionately strong in the smallest size classes of a tropical forest

A variety of ecological processes influence diversity and species composition in natural communities. Most of these processes, whether abiotic or biotic, differentially filter individuals from birth to death, thereby altering species’ relative abundances. Nonrandom outcomes could accrue throughout ontogeny, or the processes that generate them could be particularly influential at certain stages. One long-standing paradigm in tropical forest ecology holds that patterns of relative abundance among mature trees are largely set by processes operating at the earliest life cycle stages. Several studies confirm filtering processes at some stages, but the longevity of large trees makes a rigorous comparison across size classes impossible without long-term demographic data. Here, we use one of the world’s longest-running, plot-based forest dynamics projects to compare nonrandom outcomes across stage classes. We considered a cohort of 7,977 individuals in 186 species that were alive in 1971 and monitored in 13 mortality censuses over 42 y to 2013. Nonrandom mortality with respect to species identity occurred more often in the smaller rather than the larger size classes. Furthermore, observed nonrandom mortality in the smaller size classes had a diversifying influence; species richness of the survivors was up to 30% greater than expected in the two smallest size classes, but not greater than expected in the larger size classes. These results highlight the importance of early life cycle stages in tropical forest community dynamics. More generally, they add to an accumulating body of evidence for the importance of early-stage nonrandom outcomes to community structure in marine and terrestrial environments.Processes that operate nonrandomly with respect to species identity contribute to the structure of natural communities (1–3). Evidence from diverse rain forests includes demographic transitions from seeds to seedlings (4, 5), at the seedling (6, 7) and sapling stages (8) and among large trees (9–12). Although the relative contributions of nonrandom processes at each life cycle stage to determining patterns of abundance and diversity in the mature canopy are unknown, one long-standing paradigm is that community assembly is mediated primarily by events occurring from seed dispersal through seedling germination and small-sapling establishment (13–17). However, despite suggestive patterns (6, 7, 18, 19), evidence is lacking for the comparative strength of early-stage dynamics in determining canopy abundance and diversity.Numerous studies demonstrate significant interspecific variation in the susceptibility of tropical tree seedlings to postgermination hazards, including natural enemies (20, 21), adverse climatic or edaphic conditions (22), physical damage (23), and the crowding or shared-enemies effects of con- and heterospecific neighbors (24, 25). In other words, the per capita probability of seedling mortality is nonrandom because the probability of death is not the same for all individuals in a local community – it is dependent to some degree on species identity. In plant communities in which generation times are relatively short, experiments have demonstrated that nonrandom mortality through these early transitions can be sufficiently strong to affect the species composition of mature plants (26–29). Such demonstrations are impossible in studies of a few decades or less in duration when generation times are long and even juveniles live for several decades or centuries, such as in many tropical forests. Even so, some hypotheses explicitly identify stressors that affect plants at the earliest life cycle stages (such as pests and pathogens, 13, 14, 30) as disproportionately influential. In addition, some empirical studies find a lack of support for nonrandom processes operating among larger stems (31, 32). Together these hypotheses and observations provide the rationale underpinning the considerable body of research on seed and seedling dynamics in tropical forests worldwide. However, no empirical or experimental assessment has been made of the relative contributions across life cycle stages from nonrandom mortality.Here, we evaluate the comparative contribution of early-stage dynamics using a multidecadal study of a tropical forest dynamics plot initiated by one of us (J.H.C.) in 1963 at a site in north Queensland, Australia. We considered a cohort of 7,977 individuals in 186 species that were alive on the plot in 1971, from tiny seedlings to large canopy trees, whose fates were monitored in 13 mortality censuses over 42 y to 2013. Individuals were assigned to one of six size classes (

Travelers’ tropical skin diseases: Challenges and interventions

Tropical regions receive a significant part of the traveling population. It is very important that health professionals are familiar with the main tropical skin diseases and able to advice patients appropriately. This article reviews the main tropical diseases of travelers, with an emphasis on diagnosis, management, and prevention. Among others, cutaneous larva migrans, myiasis, tungiasis, Chagas disease, Dengue fever, African trypanosomiasis, filariasis, and leishmaniasis are discussed. Increasing awareness among travelers and health care professionals can help reduce morbidity and mortality. Continued research on new drugs and vaccines is needed to reduce the risks of tropical diseases.