A developmental role for ataxia-telangiectasia mutated in protecting the embryo from spontaneous and phenytoin-enhanced embryopathies in culture.

Ataxia-telangiectasia (A-T) is characterized by impaired recognition and repair of DNA damage and increased sensitivity to ionizing radiation (IR), cancer, and neurodegeneration. We previously showed pregnant knockout mice lacking the A-T gene product ataxia-telangiectasia mutated (Atm) are highly susceptible to the embryopathic effects of IR, which damages DNA, possibly via generation of reactive oxygen species (ROS). Here we show that Atm more broadly protects against both spontaneous and phenytoin-enhanced embryopathies. In the absence of drug exposure, cultured embryos from pregnant Atm knockout mice showed more embryopathies than wild-type littermates, with a gene dose-dependent decrease in susceptibility from -/- to +/- to +/+ embryos (p < 0.05). A similar but significantly enhanced gene dose-dependent pattern of embryopathic susceptibility was evident in Atm knockout embryos exposed to the ROS-initiating teratogen phenytoin (p < 0.05). These results provide the first evidence that Atm has a broad developmental importance beyond IR embryopathies, possibly by protecting the embryo from constitutive and xenobiotic-enhanced oxidative stress, with even heterozygotes showing increased risk. This developmental role of Atm further implicates DNA damage in ROS-mediated teratogenesis and DNA damage response and repair as risk factors for individual susceptibility.     

A Rare Association of Left Ventricular Diverticulum and Noncompaction: Continuum of Common Developmental Abnormality?

A previously healthy 16‐year‐old girl presented with history of fever of 3 months duration without any significant clinical finding on examination. Transthoracic echocardiography (TTE) revealed moderate pericardial effusion and later diagnosed as tubercular in etiology. Besides, TTE also showed an incidental finding of large left ventricular (LV) diverticulum in submitral region along the postero‐basal segment and left ventricular noncompaction (LVNC). Nonapical LV diverticulum is a rare variant of this uncommon congenital condition and its association with LVNC has not been reported in literature. Patient was discharged on antitubercular therapy for pericardial effusion and advised for 6 monthly follow‐up for diverticulum.     

A retrospective analysis of the added value of 1-year dog studies in pesticide human health risk assessments

The 1-year dog toxicity study is no longer required by certain pesticide regulatory jurisdictions, including the United States and the European Union. Health Canada’s Pest Management Regulatory Agency (PMRA) examined its current requirement for this study to determine if it could be refined or eliminated. A retrospective analysis was conducted to examine the impact of the 1-year dog study on human health risk assessment. The Acceptable Daily Intake (ADI), a measure of the amount of a pesticide in food that can be ingested on a daily basis over a lifetime without an appreciable health risk, was the metric for this analysis. For 143 pesticides evaluated by the PMRA between 2008 and 2015, the supporting toxicology databases were examined to determine if other toxicology studies were protective of the findings in the 1-year dog study. When this criterion was not met, further investigation was undertaken to determine the potential impact of not having the 1-year dog study. For most of the pesticides, effect levels in the 1-year dog study were not substantially different from those in other toxicology studies, when considering factors such as dose-spacing and known experimental variability. The results of this analysis suggest that absence of the 1-year dog study would have minimal impact on the assessment of human health risk. Therefore, Health Canada’s PMRA has removed the routine requirement for the 1-year dog study from its pesticide data requirements.     

Ecosystem heterogeneity determines the ecological resilience of the Amazon to climate change

Amazon forests, which store ∼50% of tropical forest carbon and play a vital role in global water, energy, and carbon cycling, are predicted to experience both longer and more intense dry seasons by the end of the 21st century. However, the climate sensitivity of this ecosystem remains uncertain: several studies have predicted large-scale die-back of the Amazon, whereas several more recent studies predict that the biome will remain largely intact. Combining remote-sensing and ground-based observations with a size- and age-structured terrestrial ecosystem model, we explore the sensitivity and ecological resilience of these forests to changes in climate. We demonstrate that water stress operating at the scale of individual plants, combined with spatial variation in soil texture, explains observed patterns of variation in ecosystem biomass, composition, and dynamics across the region, and strongly influences the ecosystem’s resilience to changes in dry season length. Specifically, our analysis suggests that in contrast to existing predictions of either stability or catastrophic biomass loss, the Amazon forest’s response to a drying regional climate is likely to be an immediate, graded, heterogeneous transition from high-biomass moist forests to transitional dry forests and woody savannah-like states. Fire, logging, and other anthropogenic disturbances may, however, exacerbate these climate change-induced ecosystem transitions.Amazonia consists of 815 million ha of rainforest, transitional forest, and tropical savannahs; stores approximately half of tropical forest carbon (1); and plays a vital role in global water, energy, and carbon cycling (2). Although uncertainties in climate predictions for the region remain large (3), recent analyses imply that significant portions of the basin will experience both longer and more intense dry seasons by the end of the 21st century (3–6). There is particular concern about southern Amazonian forests that experience longer dry seasons than forests in central and western Amazonia (3) and where a trend of increasing dry season length (DSL) and intensity has already been observed (7). Despite the importance of this region for regional and global climate, the climate sensitivity of the Amazon forests remains uncertain: model predictions range from a large-scale die-back of the Amazon (8, 9) to predictions that the biome will remain largely intact, and may even increase in biomass (10–12). Although some of these differences can be attributed to differences in the predicted future climate forcing of the region (13, 14), accurate predictions of how changes in climate will affect Amazonian forests also rely on an accurate characterization of how the ecosystem is affected by a given change in climate forcing. In this study, we examine the climate sensitivity of the Amazon ecosystem, focusing on the mechanisms underpinning changes in forest dynamics and their implications for the timing and nature of basin-wide shifts in biomass in response to a drying climate.Variation in forest biomass across the Amazon basin (15–17) has been shown to correlate with DSL (16–18) (Fig. 1), soil texture (16), shifts in stem turnover rate (19), and forest composition (20). In general, high-biomass moist tropical forests occur where DSL, defined here as the number of months in which precipitation is <100 mm (6, 9), is short, and low-biomass, savannah-like ecosystems are primarily found when DSLs are long (Fig. 1A). In addition, a significant relationship is observed between regional-scale spatial heterogeneity in above-ground biomass (AGB > 2 kg of carbon per square meter) and DSL, with drier places having greater spatial heterogeneity: This pattern is seen both at the scale of 1° (Fig. 1C; r² = 0.88, P < 0.01 for remote sensing-based AGB estimates) and at smaller spatial scales (SI Appendix, section S1). In other words, in moist areas, where DSL is short, forests have relatively homogeneous levels of AGB, whereas in drier areas, forests are increasingly heterogeneous. As we show below, this observed heterogeneity in response to increasing DSL has important implications for how the structure, composition, and dynamics of Amazon forests will be affected by changes in climate.Open in a separate windowFig. 1.(A) Change in AGB with DSL for remote sensing-based estimates (black and gray circles), ground-based plot measurements (blue triangles), ED2 model output (green circles), and ED2-BL model output (purple circles). (B) Distribution of AGB in the observations and the two models. (C) Change in the percentage of biomass variability, with the coefficient of variation (CV) defined as 1σ/mean. Results are for undisturbed primary vegetation forests. Data are from Baccini et al. (1), Saatchi et al. (48), and Baker et al. (20, 49).The Ecosystem Demography Biosphere (ED2) model, a process-based terrestrial biosphere model that represents individual plant-level dynamics, including competition for light and water (21, 22), was used to investigate the impact of ecosystem heterogeneity on the Amazon forest’s ecological resilience to climate perturbations (SI Appendix, section S3). Here, the term “ecological resilience” is used to describe the ability of a forest to maintain fundamental characteristics, such as carbon pools, composition, and structure, despite changes in climate (23). ED2 model simulations for the Amazon region, forced with a regional climate dataset derived from in situ measurements and remote-sensing observations, correctly reproduce the observed pattern of AGB variability as a function of DSL and soil texture (Fig. 1 and SI Appendix, section S4). In addition, ED2 model simulations for sites with detailed ground-based soil texture, forest structure, turnover, and composition measurements are also consistent with the observed patterns of variation in these quantities (SI Appendix, section S4).An ensemble of model simulations with varying soil texture was used to investigate the mechanisms that underpin the observed variable response to increasing DSL (SI Appendix, section S3). In the model, individual plant productivity is modified by a measure of plant water stress (γ_WS) that integrates soil texture, precipitation, and plant transpiration demand such that, as γ_WS increases, the plants close their stomata to reduce water loss. In the ED2 ensemble simulations, plot biomass is highly correlated with the average γ_WS for the forested sites (defined here as AGB > 3 kg of carbon per square meter) (Fig. 2C; r² = 0.96–0.99, P < 0.01; SI Appendix, section S5). Associated with changes in AGB that occur as water stress increases are correlated changes in the productivity and composition of the plant canopy (SI Appendix, section S6).Open in a separate windowFig. 2.Impact of changes in soil clay fraction (A and B) and plant water stress (C and D) on AGB in the ED2 (A and C) and ED2-BL (B and D) model simulations. Four climatological conditions are shown, a 2-month dry season, a 4-month dry season, a 6-month dry season, and an 8-month dry season.The important role that water stress operating at the scale of individual plants plays in generating these responses is illustrated by comparing the native ED2 model predictions with output from a horizontally and vertically averaged version of the model (ED2-BL), analogous to a conventional “big leaf” terrestrial biosphere model that represents the canopy in an aggregated manner (SI Appendix, section S3). In the ED2-BL simulations, there is no significant relationship between the spatial heterogeneity of forested sites and DSL (Fig. 1 A and C; r² = 0.24, P = 0.32). The absence of individual-level plant dynamics in the ED2-BL model results in a markedly different response to variations in soil texture and DSL than the native model formulation: Biomass initially declines as a function of increasing water stress, but a tipping point is then reached, beyond which the high-biomass forest is no longer stable and is replaced by a low-biomass savannah (Fig. 2). The result is a bimodal distribution of AGB across the basin in the ED2-BL model simulations, in contrast to the continuous distribution seen in the native model formulation and the observations (Fig. 1B). This response mirrors the response seen in other big-leaf-type ecosystem models (9). In native ED2 simulations, when water stress is prevented from influencing plant productivity, DSL and soil texture no longer have an impact on AGB (SI Appendix, section S5 and Fig. S5). Taken together, these simulations indicate that the driving mechanism behind the observed heterogeneous response to changes in DSL is the differential performance of individuals within the canopy to declining water availability, and how this response is modulated by soils with different hydrological properties. Specifically, the size and age structure of the ED2 plant canopy results in individuals’ differential access to both light and soil water, influencing the dynamics of individual plant growth and mortality (SI Appendix, section S6). Due to the nonlinear nature of functions governing plant growth, mortality, and recruitment, this heterogeneity results in a more continuous, graded response to changes in water stress than the big leaf (ED2-BL) formulation (Fig. 2). The consequence of this heterogeneity in plant-level responses to changes in soil moisture is that soil texture is likely to become increasingly important for controlling AGB as DSL increases. Soil fertility gradients also influence Amazonian AGB (16–18); however, as we show in SI Appendix, section S2, they do not account for the observed regional-scale pattern of increasing biomass heterogeneity with increasing DSL.The ED2 biosphere model was used to investigate the expected patterns and time scales of Amazonian ecosystem response to a 1- to 4-month change in DSL over the 21st century (6). Earlier analyses have suggested that by accurately representing the dynamics of individual trees, models such as ED2 that incorporate plant-level dynamics are likely to provide more realistic estimates of forest successional change (21). Forests with a 4-month dry season (24% of the Amazon basin) are projected to lose ∼20% of their biomass with a 2-month increase in DSL (range of 11–58% loss of AGB dependent on clay content), whereas drier forests (6-month DSL) respond more rapidly to changes in climate, losing ∼29% (20–37% loss dependent on clay content) of their biomass with a 1-mo increase in DSL (Fig. 3A and SI Appendix, section S7). As the forests adjust to the new climate regime, the spatial heterogeneity of forest structure, composition, and biomass across the range of soil textures gradually increase. As seen in Fig. 3B, the model predicts that forests in soils with low clay content will be relatively unaffected by the change in climate regime; however, in soils with high clay content, the increase in levels of water stress caused by the onset of a longer dry season will result in marked changes in forest AGB and composition, beginning approximately 3 years after the perturbation (Fig. 3C). The time scale of the predicted initial ecosystem response is consistent with the results from two field-based through-fall exclusion experiments, which showed declining biomass 3–4 years after a drought was introduced (24, 25). Underlying these predicted changes in AGB and canopy composition are reductions in plant growth and increases in mortality rates (SI Appendix, Figs. S14 and S15). Whereas the majority of the change in AGB occurs in the first 100 y, the composition and structure of the forest continue to reorganize for more than 200 years after the perturbation (Fig. 3C). Specifically, the simulations predict a substantial decline in the abundance of late-successional trees in soils with high clay content. This prediction arises as a consequence of the slower rate of growth of late-successional trees that makes them more vulnerable to water stress-induced increases in mortality rates and less competitive against mid-successional species that are favored by drought-induced increases in understory light levels. This prediction of increased vulnerability of late-successional trees to increases in water stress is as yet untested; however, more generally, our analysis highlights how shifts in climate forcing are likely to drive significant shifts in tropical forest composition and structure over decadal and centennial time scales.Open in a separate windowFig. 3.Predicted response of forest AGB and composition to an increase in DSL. (A) Change in AGB after 100 y as a result of increasing DSL for forests with historic DSLs of 2, 4, and 6 months for the range of soil textures simulated in the ensemble model simulations (n = 30). The magnitude of the change in AGB is influenced by soil clay fraction: The mean (solid line), 1σ deviation (shaded region), and minimum and maximum values (dashed lines) are shown. (B and C) Bar plots illustrating the impact of a 2-month increase in dry season (from 4 to 6 months) on a forest situated on a low clay content soil and a forest situated on a high clay content soil. The color of the bars indicates the contribution of mid- and late-successional trees, illustrating the shift in composition caused by the increase in DSL.Recent work has hypothesized that two stable ecosystem states may exist along the boundaries of tropical forests and that a tipping point may occur once a climatological moisture threshold is passed (26, 27). Instead, by combining field observations, remote-sensing estimates, and a terrestrial biosphere model, we find no evidence that an irreversible rapid transition or dieback of Amazon forests will occur in response to a drying climate (8, 9) or that forests will be unresponsive (11, 12). Rather, our results suggest that, at least in the case of Amazonian forests, the ecosystem will exhibit an immediate but heterogeneous response to changes in its climate forcing and that a continuum of transitional forest ecosystem states exists. These conclusions are consistent with experimental observations across Amazonia of short-term drought impacts (28). Furthermore, we find that future climate-induced shifts between a moist tropical forest and a dry forest will be a more graded transition accompanied by increasing spatial heterogeneity in forest AGB, composition, and dynamics across gradients in soil texture. The ability of Amazonian forests to undergo reorganization of their structure and composition in response to climate-induced changes in levels of plant water stress acts as an important buffer against more drastic threshold changes in vegetation state that would otherwise occur; however, it also means that the forests are more sensitive to smaller magnitude changes in their climate forcing than previous studies have suggested.The analysis conducted here intentionally focused on the direct impacts of changes in climate forcing on vegetation, and did not incorporate the effects of soil nutrients, climate-driven changes in fire frequency, the effects of increasing atmospheric CO₂ concentrations, the impacts of land transformation, and biosphere/atmosphere feedbacks. With regard to soil nutrients, at the basin scale, analyses indicate that forest composition, structure, biomass, and dynamics also vary across a gradient in soil fertility (16, 17), with the younger, more fertile soils of western Amazonia supporting forests with lower AGB and higher rates of biomass productivity and stem turnover relative to the forests of the central Amazon and Guianan Shield, which are located on older, more nutrient-poor soils. Meanwhile, landscape-scale studies in central (29) and northwestern (30) Amazonia have found that more fertile clay soils have higher AGB than nutrient-poor sandy soils. Further discussion of the impact of soil nutrients can be found in SI Appendix, section S2).Plant water availability is affected by both the hydraulic properties of soils and plant hydraulic architecture. Our findings of the importance of individual plant water stress on forest response to changes in climate highlight the need for additional studies into these two important, but relatively understudied, properties of tropical forests. With regard to soil hydraulic properties, recent studies suggest that the relationship between a soil’s texture and its hydraulic properties may differ significantly between tropical and temperate soils (31, 32). However, the impact of these differences on plant water availability remains uncertain. With regard to plant hydraulic architecture, although some measurements exist on rooting properties and vascular architecture of tropical trees (33–36), the above- and below-ground hydraulic attributes of tropical trees remain poorly characterized, especially compared with the hydraulic attributes of their temperate counterparts.In some areas, particularly those areas with long dry seasons, increasing water stress is likely to be accompanied by increases in fire frequency, which may act to generate more rapid transitions from a higher biomass forested state to a more savannah-like biome (26, 27). Because these two mechanisms have distinct impacts on forest composition, structure, and function, both must be considered when predicting future responses to changes in climate. The potential impacts of fire on patterns of ecosystem change are discussed in SI Appendix, section S1. Recent modeling studies indicate that CO₂ fertilization may mitigate the impact of increasing water stress (37); however, experimental studies are needed to quantify the impact of elevated CO₂ concentrations better on the physiological functioning of Amazon trees.Although regional patterns of Amazonian AGB are complex, reflecting the impact of multiple factors, our results suggest that plant-level responses to soil texture heterogeneity and changes in DSL are important in explaining the observed basin-wide pattern of variation in Amazonian AGB, providing a mechanistic explanation for the observed correlations between DSL, AGB, and changes in stand structure and composition (16, 17). These conclusions may also apply to African and Asian tropical forests; however, important differences exist in the future climate predictions for these regions (38) and their soil edaphic and nutrient characteristics and historical fire regimes (39–41).The response of forests to changes in their climate forcing is an emergent ecosystem-level response that is ultimately driven by individual trees responding to changes in their local environments. Nonlinearities in the performance of individual plants, such as their rates of photosynthetic assimilation and mortality, as environmental conditions change imply that terrestrial biosphere models need to represent these differential responses of individuals to capture emergent ecosystem properties accurately (42). This analysis demonstrates that the conventional approach of modeling average plants in average environments within climatological grid cells underestimates the direct, near-term response of tropical forests to climatological change but overestimates the direct impacts of larger scale changes in forcing. Consequently, accurate predictions for the timing and nature of forest responses to changes in climate require consideration of how climate and soils affect the performance of individuals within plant canopies. As we have shown here, models that incorporate plant-level dynamics are able to characterize observed extant patterns of variation in the structure, composition, and dynamics of Amazonian ecosystems more accurately, and accounting for these patterns has important implications for the sensitivity and ecological resilience of Amazon forests to different levels of climatological perturbation.     

Intracranial course and relations of the hypoglossal nerve: An anatomic study

This anatomic study describes the course and intracranial relations of the hypoglossal n. in 32 cadavers. The rootlets of the nerve emerged as a fan-shaped distribution (23.44%) or in two bundles (76.56%) and converged towards the hypoglossal canal in the subarachnoid space before piercing the dura mater. In 76.57% of cases the rootlets pierced the dura mater in two separate apertures, less commonly through the same aperture (21.87%), and in rare cases through three individual apertures, as in one of our cases. The distance between the two apertures varied from 0.6 mm to 8.7 mm. Commonly, the two bundles converged together and left the skull through one foramen in the skull. However, in some cases (28.12%), the hypoglossal canal was divided in two by a small bony spicule. In 23.45% of cases the initial course of the posterior inferior cerebellar a. (PICA) passed between the two bundles of the hypoglossal n. before ascending towards the lateral border of the fourth ventricle.     

Angiosarcoma of the scalp mimicking a sebaceous cyst

A 58-year-old Caucasian woman presented with a cystic lump behind the right ear that was clinically diagnosed as an infected sebaceous cyst. The lesion was treated with incision and drainage followed by antibiotics for 3 months. Because there was no resolution, a biopsy was performed that revealed a high grade angiosarcoma. She expired 2 months later. Cutaneous angiosarcoma is an extremely aggressive tumor. Therefore early diagnosis and management is crucial in providing better patient care.     

Effective protection by high efficiency bicistronic DNA vaccine against infectious bursal disease virus expressing VP2 protein and chicken IL-2

Infectious bursal disease (IBD) is an acute and contagious viral infection of young chickens caused by IBD virus (IBDV). IBDV belongs to genus Avibirnavirus of family Birnaviridae. It is a non-enveloped virus with icosahedral symmetry that contains two segments of double-stranded RNA. The virus affects the lymphoid tissues of chickens, mainly the B cells of bursa of Fabricius, leading to severe and prolonged immunosuppression. VP2, a major structural protein of IBDV, contains antigenic epitopes responsible for induction of neutralizing/protective antibody. In the present study, VP2 gene of IBDV was cloned in a bicistronic vector along with chicken interleukin-2 (chiIL-2) as an adjuvant. An in vivo challenge study of bicistronic DNA vaccine expressing IBDV-VP2 and chicken IL-2 showed effective protection against a lethal IBD infection in chickens. In addition, mortality, gross picture of bursa and histopathological findings demonstrated the efficacy of the vaccine in reducing virulence of the disease.     

Antenatal identification of a cervical oesophageal duplication

 Duplications of the alimentary tract can occur from mouth to anus, and often are undetected until they present with complications. We report duplication of the cervical oesophagus presenting as dyspnoea and stridor in a two year old. In retrospect, this had been detected on ultrasound antenatally, but no specific diagnosis had been made. We review the present literature to raise awareness of duplication as one cause of cysts identified antenatally in this region. Accepted: 23 February 1999