lunes, 30 de noviembre de 2015

DNA repair factor linked to breast cancer may also play a role in Alzheimer’s disease | National Institutes of Health (NIH)

DNA repair factor linked to breast cancer may also play a role in Alzheimer’s disease | National Institutes of Health (NIH)

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DNA repair factor linked to breast cancer may also play a role in Alzheimer’s disease

NIH-funded research suggests deficient DNA repair may lead to dementia.
Mutant forms of breast cancer factor 1 (BRCA1) are associated with breast and ovarian cancers but according to new findings, in the brain the normal BRCA1 gene product may also be linked to Alzheimer’s disease. The results, published in Nature Communications, suggest that low levels of BRCA1 protein in the brain may contribute to dementia. The study was funded by the National Institutes of Health.
“It’s extremely interesting that one molecule can be critically involved in two apparently opposing conditions: cancer, in which too many cells are born and neurodegenerative disease, in which too many brain cells die off,” said senior author Lennart Mucke, M.D., director of the Gladstone Institute of Neurological Disease, San Francisco, and the Joseph B. Martin Distinguished Professor of Neuroscience, and professor of neurology at the University of California, San Francisco.
Dr. Mucke and his colleagues suspected that defects in DNA repair mechanisms could contribute to cognitive decline in AD and focused their studies on BRCA1. BRCA1 plays a key role in repairing deoxyribonucleic acid (DNA), our genetic code. DNA is a double helix structure that is made of two strands and resembles a twisted ladder. Occasionally, one or both of the strands will develop breaks, which are fixed by DNA repair proteins including BRCA1. This process is critical for cell survival because if DNA is not repaired properly, the cell may die.
When Dr. Mucke’s group examined brains of patients who died with Alzheimer’s, they discovered low levels of BRCA1. In addition, the researchers found reductions of BRCA1 in the brains of mouse models of Alzheimer’s. In fact, experimental reduction of BRCA1 levels in brains of healthy mice made their brain cells shrink and become dysfunctional.
Dr. Mucke’s team also investigated the effects of BRCA1 on cognition.  After researchers reduced BRCA1 levels in the brains of healthy mice, the animals developed problems with learning and memory. Mouse models of Alzheimer’s showed even greater declines in learning and memory following reductions of BRCA1. In addition, lowering BRCA1 caused increased DNA damage in the brains of Alzheimer’s mice.
One of the hallmarks of Alzheimer’s disease is accumulation of a protein fragment known as beta-amyloid, which is toxic to brain cells and can lead to neuronal death. Dr. Mucke’s team found that adding amyloid beta to neurons in a dish lowered levels of BRCA1.
According to Dr. Mucke and his colleagues, the findings suggest that accumulation of beta-amyloid lowers levels of BRCA1, which increases DNA damage in brain cells and may contribute to dementia.
“An emerging theme in neurodegeneration research is that normal DNA repair protects against damage that causes neurons to die in dementia and related disorders. This study supports and strengthens that theme by showing that beta-amyloid decreases the levels of the DNA repair gene BRCA1, and at the same time inhibits the ability to form new memories,” said Roderick Corriveau, Ph.D., program director at NIH’s National Institute of Neurological Disorders and Stroke, which provided funding for the study.
“The functions of BRCA1 in the brain remain to be fully elucidated,” said Dr. Mucke, “but our findings suggest that it may play an important role in supporting critical brain functions in both health and disease.”
Further research is necessary to determine whether BRCA1 may be a potential therapeutic target for treating dementia, and whether BRCA1 mutations that lead to cancer also affect brain function.
The NINDS is the nation’s leading funder of research on the brain and nervous system. The mission of NINDS is to seek fundamental knowledge about the brain and nervous system and to use that knowledge to reduce the burden of neurological disease.
About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
NIH…Turning Discovery Into Health®

References

Suberbielle E et al. “DNA Repair Factor BRCA1 Depletion Occurs in Alzheimer Brains and Impairs Cognitive Function in Mice.” Nature Communications, November 30, 2015.

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Ahead of Print -Louse-Borne Relapsing Fever in Young Migrants, Sicily, Italy, July–September 2015 - Volume 22, Number 1—January 2016 - Emerging Infectious Disease journal - CDC

Ahead of Print -Louse-Borne Relapsing Fever in Young Migrants, Sicily, Italy, July–September 2015 - Volume 22, Number 1—January 2016 - Emerging Infectious Disease journal - CDC



CDC. Centers for Disease Control and Prevention. CDC 24/7: Saving Lives. Protecting People.

Volume 22, Number 1—January 2016

Letter

Louse-Borne Relapsing Fever in Young Migrants, Sicily, Italy, July–September 2015

To the Editor: During the early 20th century, at the end of World War I, and during World War II, louse-borne relapsing fever (LBRF) caused by Borrelia recurrentis was a major public health problem, especially in eastern Europe and northern Africa (1,2). Currently, poor living conditions, famine, war, and refugee camps are major risk factors for epidemics of LBRF in resource- poor countries, such as those in the Horn of Africa (3,4).
Increased migration from resource-poor countries and war/violence create new routes for spread of vectorborne diseases. Recently, several cases of LBRF have been reported among asylum seekers from Eritrea in the Netherlands, Switzerland, and Germany (58). All of these asylum seekers had been in refugee camps in Libya or Italy. We report 3 cases of LBRF in migrants from Somalia to refugee camps in Sicily, Italy.
Patient 1 was a 13-old-boy from Somalia who arrived in Palermo, Italy, on July 11, 2015, after traveling though Libya. He was admitted to G. Di Cristina Hospital in Palermo 5 days after arrival because of high fever, headache, and general malaise, which developed 2 days after arrival. The patient had skin lesions on his fingers and legs and a conjunctival infection. He had thrombocytopenia (79,000 platelets/μL [reference range 150 platelets/μL−400 platelets/μL]), creatine phosphokinase level 967 mg/L [reference range 0.001 mg/L–0.10 mg/L], aspartate aminotransferase level 30 U/L (reference value 37 U/L), and alanine aminotransferase level 21 U/L (reference value 41 U/L). He was given ceftriaxone (2 g/d) and intravenous hydration. His conditions worsened ≈10 hours after treatment: high fever (temperature 40°C), chills, and profuse sweating (Jarish-Herxheimer reaction). The patient recovered after 15 days of treatment with ceftriaxone. A Giemsa-stained blood smear was negative for Plasmodiumspp. but showed large numbers of spirochetes. Serologic screening results for B. burgdorferi were negative.
Patient 2 was a 17-old-boy from Somalia who arrived in Lampedusa, Italy, on August 27, 2015, after traveling through Libya. Fever and artromyalgia developed 6 days after his arrival, and he was admitted to Hospital Paolo Giaccone in Palermo. Blood analyses showed increased levels of aminotransferases, thrombocytopenia (69,000 platelets/μL), and mild anemia (hemoglobin level 94 g/L [reference range 130 g/L–160 g/L]). A blood smear was negative for Plasmodium spp. but positive for spirochetes. Serologic screening results were negative for malaria, leptospirosis, infection withRickettsia conorii, and dengue. An ELISA result was positive for B. burgdorferi, and a Western blot result was positive for Borrelia spp. proteins p10, p41, and OspC. The patient recovered after treatment with doxycycline (100 mg/d) and ceftriaxone (2 g/d) for 10 days.
Patient 3 was a 17-year-old boy from Somalia who arrived in Trapani, Italy, on September 4, 2015. He reported that he stayed for 5 months in Libya before arriving in Italy. Fever, artromyalgia, severe dehydration, renal failure, and mental confusion developed 3 days after his arrival, and he was admitted to Hospital Paolo Giaccone. He had severe thrombocytopenia (4,000 platelets/μL); mild anemia (hemoglobin level 88 g/L); increased levels of aminotransferases (aspartate aminotransferase 282 U/L, alanine aminotransferase 489 U/L), lactate dehydrogenase (1,041 U/L [reference range 105 U/L−333 U/L]), d-dimer (6,311 ng/mL [reference range 10 ng/mL–250 ng/mL]), C-reactive protein (237.8 mg/dL [reference range 0 mg/dL–10 mg/dL]), and creatinine (2.6 mg/dL [reference range 0.6 mg/dL–1.2 mg/dL]); and azotemia (blood urea nitrogen level 150 mg/dL [reference range 7 mg/dL–20 mg/dL]). A blood smear was negative for Plasmodium spp., but a Giemsa-stained thick blood smear was positive for spirochetes. Serologic screening results were negative for malaria, leptospirosis, infection with B. burgdorferi, and dengue. The patient recovered after treatment with doxycycline (100 mg/d) and ceftriaxone (2 g/d) for 10 days.
DNA was extracted from blood specimens from the 3 patients and used for molecular identification and characterization of the etiologic agent of LBRF. We used a species-specific real-time PCR for B. recurrentis and B. duttonii, which targeted an internal region of the recN gene. Multispacer sequence typing of the 16S rRNA gene was used for bacterial identification and genotyping (9,10). All blood samples were positive for B. recurrentis by real-time PCR. Multispacer sequences showed 100% identity with sequences of B. recurrentis reference strain A1 (GenBank accession no. CP000993) for isolates from all patients.
We report 3 patients in Italy with LBRF who migrated from Somalia. These patients arrived in Italy after traveling in several countries in Africa and crossing the Mediterranean Sea. The patients did not associate with each other during travel, and the place where they were infected is unknown. However, because they came from a disease-endemic country, they probably had been infested with body lice and were infected with Brecurrentis in Somalia or other neighboring countries.
Because the 3 cases we observed might indicate that more migrants and refugees are infected, LBRF should be considered an emerging disease among migrants and refugees. Diagnostic suspicion of LBRF should lead to early diagnosis among refugees from the Horn of Africa and in persons in migrant camps. Furthermore, improved public health measures and hygiene must be implemented for persons in refugee or migrant camps.
Alessandra CiervoComments to Author , Fabiola Mancini, Francesca di Bernardo, Anna Giammanco, Giustina Vitale, Piera Dones, Teresa Fasciana, Pasquale Quartaro, Giovanni Mazzola, and Giovanni Rezza
Author affiliations: Istituto Superiore di Sanità, Rome, Italy (A. Ciervo, F. Mancini, G. Rezza)Azienda di Rilievo Nazionale ed Alta Specializzazione Civico Di Cristina e Benfratelli, Palermo, Italy (F. di Bernardo, P. Dones)University of Palermo, Palermo (A. Giammanco, T. Fasciana)Azienda Ospedaliera Universitaria Policlinico, Palermo (G. Vitale, P. Quartaro, G. Mazzola)

References

  1. Raoult DRoux VThe body louse as a vector of reemerging human diseases. Clin Infect Dis1999;29:888911DOIPubMed
  2. Cutler SJAbdissa ATrape JFNew concepts for the old challenge of African relapsing fever borreliosis. Clin Microbiol Infect2009;15:4006.DOIPubMed
  3. Cutler SJPossibilities for relapsing fever reemergence. Emerg Infect Dis2006;12:36974DOIPubMed
  4. European Centre for Disease Control and Prevention (ECDC). Louse-borne relapsing fever; factsheet for health professionals. Stockholm: ECDC [cited 2015 Sep 25]. http://ecdc.europa.eu/en/healthtopics/emerging_and_vector-borne_diseases/vector-borne_diseases/louse-borne-relapsing-fever/Pages/Factsheet-for-health-professionals.aspx
  5. Wilting KRStienstra YSinha BBraks MCornish DGrundmann HLouse-borne relapsing fever (Borrelia recurrentis) in asylum seekers from Eritrea, the Netherlands, July 2015. Euro Surveill2015;20:21196 .PubMed
  6. Goldenberger DClaas GJBloch-Infanger CBreidthardt TSuter BMartínez MLouse-borne relapsing fever (Borrelia recurrentis) in an Eritrean refugee arriving in Switzerland, August 2015. Euro Surveill2015;20:21204 .PubMed
  7. Loescher TWieser AFingerele V. Louse-borne relapsing fever—Germany: asylum seekers, ex East Africa. ProMed. 2015 Sep 3 [cited 2015 Sep 28].http://www.promedmail.org.archive no. 3620174.3
  8. Frank CHendrik Wilking H. Louse-borne relapsing fever—Germany (02): asylum seekers. ProMed. 2015 Sep 11 [cited 2015 Sep 28].http://www.promedmail.org.archive no. 3638819.11
  9. Elbir HHenry MDiatta GMediannikov OSokhna CTall AMultiplex real-time PCR diagnostic of relapsing fevers in Africa. PLoS Negl Trop Dis.2013;7:e2042DOIPubMed
  10. Elbir HGimenez GSokhna CBilcha KDAli JBarker SCMultispacer sequence typing relapsing fever Borreliae in Africa. PLoS Negl Trop Dis.2012;6:e1652.
Suggested citation for this article: Ciervo A, Mancini F, di Berenardo F, Giammanco A, Vitale G, Dones P, et al. Louse-borne relapsing fever in young migrants, Sicily, Italy, July−September 2015 [letter]. Emerg Infect Dis. 2016 Jan [date cited]. http://dx.doi.org/10.3201/eid2201.151580


DOI: 10.3201/eid2201.151580

Ahead of Print -Widespread Bat White-Nose Syndrome Fungus, Northeastern China - Volume 22, Number 1—January 2016 - Emerging Infectious Disease journal - CDC

Ahead of Print -Widespread Bat White-Nose Syndrome Fungus, Northeastern China - Volume 22, Number 1—January 2016 - Emerging Infectious Disease journal - CDC



CDC. Centers for Disease Control and Prevention. CDC 24/7: Saving Lives. Protecting People.

Volume 22, Number 1—January 2016

Letter

Widespread Bat White-Nose Syndrome Fungus, Northeastern China

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Technical Appendicies

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To the Editor: Emerging infectious diseases have caused catastrophic declines in wildlife populations, and the introductions of many pathogen have been linked to increases in global trade and travel (1). Mapping the distribution of pathogens is necessary to identify species and populations at risk and identify sources of pathogen spillover and introduction. Once pathogen distributions are known, management actions can be taken to reduce the risk for future global spread (2).
Bats with symptoms of white-nose syndrome (WNS) were first detected in the United States in 2006, and the disease has subsequently caused precipitous declines in temperate bat populations across eastern North America (3,4). Pseudogymnoascus destructans, the causative agent of WNS, is a cold-growing fungus that infects bats’ skin during hibernation, leading to more frequent arousals from torpor and death (3). P. destructans is widespread throughout Europe (5), but, to our knowledge, its presence in Asia has not been documented.
We sampled bats and hibernacula surfaces (cave walls and ceilings) across northeastern China during 2 visits (June–July 2014 and March 2015) using a previously described swab-sampling technique (6). Bats were captured inside caves and at their entrances. DNA was extracted from samples by using a modified QIAGEN DNeasy blood and tissue kit (QIAGEN, Valencia, CA, USA) and tested in duplicate for the presence of P. destructans with a quantitative real-time PCR (qPCR) (6,7).
Thumbnail of A) Distribution of Pseudogymnoascus destructans in cave environments during summer at 9 sites in northeastern China. Pie charts show the prevalence (red indicates fraction of positive samples) of P. destructans, and the size of pie graphs indicates the number of samples taken at each site (range 10–35). B) Histologic wing cross-section from Myotis petax bat collected in March 2015 with cup-like lesion (arrow) diagnostic of white-nose syndrome (periodic acid–Schiff staining). C) M. p
Figure. A) Distribution ofPseudogymnoascus destructans in cave environments during summer at 9 sites in northeastern China. Pie charts show the prevalence (red indicates fraction of positive samples) of P. destructans, and...
In the summer of 2014 and winter of 2015, we collected 385 samples from hibernacula surfaces at 12 sites in 3 provinces and 1 municipality (Figure, panel A) and 215 samples from 9 species of bats at 10 sites (summer:Rhinolophus ferrumequinum, R. pusillus, Myotis adversus; Myotis macrodactylus, Myotis pilosus, Myotis chinensis, Murina usseriensis; winter: R. ferrumequinum, Murina leucogaster, Myotis petax). During the summer,P. destructans was widely distributed across the study region with positive samples (determined on the basis of qPCR results) obtained from cave surfaces at 9 of 12 sites and from bats at 2 of the 9 sites where bats were sampled (Figure, panel A).
Prevalence of P. destructans was low during summer in the environment (mean prevalence across sites 0.06 ± 0.03) and in bats. Bats of 3 species tested positive for P. destructans in the summer: M. macrodactylus (1/10), M. chinensis (1/1), and M. ussuriensis (1/1). P. destructans was not detected in bats of 4 other species, of which >20 individual animals of each species were sampled (R. ferrumequinumR. pusillusM. pilosus, and M. adversus). The low prevalence of P. destructans in bats and on hibernacula surfaces in China during the summer was similar to comparable results from studies in North America (6).
In winter, prevalence at the 2 sites we revisited was much higher; 75% of 85 samples from 3 species tested positive, including samples from 16/17 M. petax bats. We also detected P. destructans in bats from 2 additional species (R. ferrumequinum [11/19 bats] and M. leucogaster [11/16 bats]).
In addition, during March 2015, we observed visual evidence of P. destructans in bats (M. petaxFigure, panel C) and obtained 2 fungal cultures from swab specimens taken from these bats. To isolate P. destructans from these samples, we plated swab specimens from visibly infected bats on Sabouraud dextrose agar at 10°C. We identified potential P. destructans isolates on the basis of morphologic characteristics. DNA was then extracted from 2 suspected fungal cultures and tested for P. destructans by qPCR, as previously described.
To further confirm the presence of P. destructans, we prepared the fungal isolates for Sanger sequencing (Technical Appendix[PDF - 238 KB - 2 pages]). The 600-nt amplification products from these 2 isolates were sequenced and found to be 100% identical to the P. destructans rRNA gene region targeted for amplification. In addition, using BLAST (http://www.ncbi.nlm.nih.gov/Blast.cgi), we found that sequences were a 100% match with isolates from Europe (GenBank accession no. GQ489024) and North America (GenBank accession no. EU884924). This result confirms that the same species of fungus occurs on all 3 continents. We also obtained wing biopsy punches from these bats and found lesions characteristic of WNS by histopathologic examination (Figure, panel B; Technical Appendix[PDF - 238 KB - 2 pages]).
The occurrence of P. destructans at most sites sampled indicates that this pathogen is widespread in eastern Asia (Figure, panel A). The presence of P. destructans in bats from 6 species in China and on bats in 13 species in Europe (8) confirms the generalist nature of this fungus and suggests that it may occur throughout Eurasia (Figure, panel D).
Decontamination and restrictions on the use of equipment that has been used in caves in Asia would help reduce the probability of introducing P. destructans to uninfected bat populations (e.g., western North America, New Zealand, southern Australia, and temperate areas of South America). These measures would also reduce the risk of introducing new strains of P. destructans to regions where bats are already infected (e.g., eastern North America and Europe). These measures are necessary to prevent the devastating effects this pathogen has had on bats in North America and would help maintain the ecosystem services that bats provide (9,10).
Joseph R. HoytComments to Author , Keping Sun, Katy L. Parise, Guanjun Lu, Kate E. Langwig, Tinglei Jiang, Shubao Yang, Winifred F. Frick, A. Marm Kilpatrick, Jeffrey T. Foster1, and Jiang FengComments to Author 
Author affiliations: University of California, Santa Cruz, California, USA (J.R. Hoyt, K.E. Langwig, W.F. Frick, A.M. Kilpatrick)Northeast Normal University, Changchun, China (K. Sun, G. Lu, T. Jiang, J. Feng)Northern Arizona University, Flagstaff, Arizona, USA (K.L. Parise, J.T. Foster)Changchun Normal University, Changchun (G. Lu)Jilin Agricultural University, Changchun (S. Yang)

Acknowledgments

We thank the members of J.F.’s laboratory at Northeast Normal University for their help and support.
Financial support was provided by the National Science Foundation (NSF) East Asian Pacific Summer Institute program IIA-1415092, NSF grant DEB-1115895 and DEB-1336290, National Speleological Society Rapid Response Fund, US Fish and Wildlife Service, National Science and Technology Foundation grant no. 2013FY113600, The Robert and Patricia Switzer Foundation, and the crowd-funding platform of Experiment.com.

References

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  2. St John RKKing Ade Jong DBodie-Collins MSquires SGTam TWBorder screening for SARS. Emerg Infect Dis2005;11:610DOIPubMed
  3. Warnecke LTurner JMBollinger TKLorch JMMisra VCryan PMInoculation of bats with European Geomyces destructans supports the novel pathogen hypothesis for the origin of white-nose syndrome. Proc Natl Acad Sci U S A2012;109:69997003DOIPubMed
  4. Langwig KEHoyt JRParise KLKath JKirk DFrick WFDisease dynamics of white-nose syndrome invasion, midwestern United States, 2012–2014. Emerg Infect Dis2015;21:10236DOIPubMed
  5. Puechmaille SJWibbelt GKorn VFuller HForget FMuhldorfer KPan-European distribution of white-nose syndrome fungus (Geomyces destructans) not associated with mass mortality. PLoS ONE2011;6:e19167DOIPubMed
  6. Langwig KEFrick WFReynolds RParise KLDrees KPHoyt JRHost and pathogen ecology drive the seasonal dynamics of a fungal disease, white-nose syndrome. Proc Biol Sci2015;282:20142335DOIPubMed
  7. Muller LKLorch JMLindner DLO’Connor MGargas ABlehert DSBat white-nose syndrome: a real-time TaqMan polymerase chain reaction test targeting the intergenic spacer region of Geomyces destructans. Mycologia2013;105:2539DOIPubMed
  8. Zukal JBandouchova HBartonicka TBerkova HBrack VBrichta JWhite-nose syndrome fungus: a generalist pathogen of hibernating bats. PLoS ONE2014;9:e97224DOIPubMed
  9. Maine JJBoyles JGBats initiate vital agroecological interactions in corn. [Epub ahead of print]Proc Natl Acad Sci U S A.2015;•••:201505413.PubMed
  10. Langwig KEFrick WFBried JTHicks ACKunz THKilpatrick AMSociality, density-dependence and microclimates determine the persistence of populations suffering from a novel fungal disease, white-nose syndrome. Ecol Lett2012;15:10507DOIPubMed

Figure

Technical Appendix

Suggested citation for this article: Hoyt JR, Sun K, Parise KL, Lu G, Langwig KE, Jiang T, et al. Widespread Bat white-nose syndrome fungus in northeastern China [letter]. Emerg Infect Dis. 2016 Jan [date cited]. http://dx.doi.org/10.3201/eid2201.151314
DOI: 10.3201/eid2201.151314


1Current affiliation: University of New Hampshire, Durham, New Hampshire, USA.