PURPOSE Despite undergoing allogeneic hematopoietic stem cell transplantation (HCT), patients with acute myeloid leukemia (AML) with internal tandem duplication mutation in the FMS-like tyrosine kinase 3 gene ( FLT3-ITD) have a poor prognosis, frequently relapse, and die as a result of AML. It is currently unknown whether a maintenance therapy using FLT3 inhibitors, such as the multitargeted tyrosine kinase inhibitor sorafenib, improves outcome after HCT. PATIENTS AND METHODS In a randomized, placebo-controlled, double-blind phase II trial (SORMAIN; German Clinical Trials Register: DRKS00000591), 83 adult patients with FLT3-ITD–positive AML in complete hematologic remission after HCT were randomly assigned to receive for 24 months either the multitargeted and FLT3-kinase inhibitor sorafenib (n = 43) or placebo (n = 40 placebo). Relapse-free survival (RFS) was the primary endpoint of this trial. Relapse was defined as relapse or death, whatever occurred first. RESULTS With a median follow-up of 41.8 months, the hazard ratio (HR) for relapse or death in the sorafenib group versus placebo group was 0.39 (95% CI, 0.18 to 0.85; log-rank P = .013). The 24-month RFS probability was 53.3% (95% CI, 0.36 to 0.68) with placebo versus 85.0% (95% CI, 0.70 to 0.93) with sorafenib (HR, 0.256; 95% CI, 0.10 to 0.65; log-rank P = .002). Exploratory data show that patients with undetectable minimal residual disease (MRD) before HCT and those with detectable MRD after HCT derive the strongest benefit from sorafenib. CONCLUSION Sorafenib maintenance therapy reduces the risk of relapse and death after HCT for FLT3-ITD–positive AML.

We report here the complete genome sequence of the virulent strain JIP02/86 (ATCC 49511) of Flavobacterium psychrophilum, a widely distributed pathogen of wild and cultured salmonid fish. The genome consists of a 2,861,988-base pair (bp) circular chromosome with 2,432 predicted protein-coding genes. Among these predicted proteins, stress response mediators, gliding motility proteins, adhesins and many putative secreted proteases are probably involved in colonization, invasion and destruction of the host tissues. The genome sequence provides the basis for explaining the relationships of the pathogen to the host and opens new perspectives for the development of more efficient disease control strategies. It also allows for a better understanding of the physiology and evolution of a significant representative of the family Flavobacteriaceae, whose members are associated with an interesting diversity of lifestyles and habitats.

BackgroundNotophthalmus viridescens, an urodelian amphibian, represents an excellent model organism to study regenerative processes, but mechanistic insights into molecular processes driving regeneration have been hindered by a paucity and poor annotation of coding nucleotide sequences. The enormous genome size and the lack of a closely related reference genome have so far prevented assembly of the urodelian genome.ResultsWe describe the de novo assembly of the transcriptome of the newt Notophthalmus viridescens and its experimental validation. RNA pools covering embryonic and larval development, different stages of heart, appendage and lens regeneration, as well as a collection of different undamaged tissues were used to generate sequencing datasets on Sanger, Illumina and 454 platforms. Through a sequential de novo assembly strategy, hybrid datasets were converged into one comprehensive transcriptome comprising 120,922 non-redundant transcripts with a N50 of 975. From this, 38,384 putative transcripts were annotated and around 15,000 transcripts were experimentally validated as protein coding by mass spectrometry-based proteomics. Bioinformatical analysis of coding transcripts identified 826 proteins specific for urodeles. Several newly identified proteins establish novel protein families based on the presence of new sequence motifs without counterparts in public databases, while others containing known protein domains extend already existing families and also constitute new ones.ConclusionsWe demonstrate that our multistep assembly approach allows de novo assembly of the newt transcriptome with an annotation grade comparable to well characterized organisms. Our data provide the groundwork for mechanistic experiments to answer the question whether urodeles utilize proprietary sets of genes for tissue regeneration.

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Following severe outbreaks of a disease with dermal necrosis, several bacterial strains were isolated from sea bass (Dicentrarchus labrax) reared on French coasts. A phenotypic study revealed that the isolates closely resembled Flexibacter maritimus. Nine selected strains were compared to 8 F. maritimus reference strains from other geographical origins and to the type strain NCIMB 2154T. DNA base composition of the strains tested was in the G + C range of 30.6 to 32 mol%. A study on the DNA relatedness among the strains by the S1 nuclease DNA-DNA hybridization method showed that the 12 strains tested formed a tight genomic species with DNA homologies above 74%. The profiles obtained from API ZYM galleries, polyacrylamide gel electrophoresis of whole-cell proteins, and fatty acids analysis revealed that F. maritimus is a very homogeneous bacterial species. This is the first identification of this fish pathogen in France and its first isolation from sea bass.

Aim: To investigate the distribution of antimicrobial resistance to phenicols in the fish pathogenic bacteria Aeromonas salmonicida, motile Aeromonas, Yersinia ruckeri, lactic bacteria and the nutritionally fastidious Flavobacterium psychrophilum. The last species was screened on two media (diluted Mueller-Hinton and peptoneenriched Anacker and Ordal), both supplemented with horse serum. Methods and Results: Minimal inhibitory concentration (MIC) assessment, using the agar dilution method according to proposed standards, confirmed that chloramphenicol resistance was more frequent and expressed at higher levels than florfenicol resistance. A significant resistant population, highlighted by the bimodal distribution of MICs, was detected only for chloramphenicol in A. salmonicida. No link could be found with the geographical origin of the isolates or fish species. Other cases of resistance appeared randomly distributed or related to the natural properties of the bacterial species. Although the two media used for testing F. psychrophilum resulted in comparable performances in dilution methods, Anacker and Ordal was more adapted to disc diffusion tests. Conclusion: Despite wide use, resistance to florfenicol does not seem to occur frequently in French fish farms. Significance and Impact of the Study: It is important to maintain a surveillance, as development of florfenicol resistance has occasionally been documented. For this purpose, and for the species studied in this work, the recently proposed standards appear generally well-adapted.

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An enteritic syndrome affecting farmed rainbow trout and occurring predominantly in summer has recently been described and related to the massive accumulation of a segmented filamentous bacterium (SFB), ‘Candidatus Arthromitus’, in the digestive tract of fish. Details of the clinical manifestations, the characteristics of the bacterium and the possible aetiology of the disease are presented in this paper. No other bacterial pathogen than ‘Candidatus Arthromitus’ was characterized in trout undergoing the enteritic syndrome. From clinical and histopathological observations, a toxin or toxic product accumulation was suspected in affected trout, and could account for the massive destruction of the intestinal mucosa. However, the origin and aetiological role of the SFB could not be clearly elucidated, although most of the filaments appeared to beviable and to produce and release strings of endospores in the lumen of the gut. The organism could not be cultured in the conditions tested, shared several morphological and structural characteristics with related bacteria described in the intestinal microflora of different vertebrate species, but no attachment structure was definitively recognized. All attempts to detect similar SFB in the fish diet orin the environment of affected fish farms were unsuccessful. It is unclear whether this organism represents a normal and not previously detected inhabitant of the intestine of trout stressed after environmental perturbation, or whether it results directly from external sources of contamination.