dWhooping cough results from infection of the respiratory tract with Bordetella pertussis, and the secreted adenylate cyclase toxin (ACT) is essential for the bacterium to establish infection. Despite extensive study of the mechanism of ACT cytotoxicity and its effects over a range of concentrations in vitro, ACT has not been observed or quantified in vivo, and thus the concentration of ACT at the site of infection is unknown. The recently developed baboon model of infection mimics the prolonged cough and transmissibility of pertussis, and we hypothesized that measurement of ACT in nasopharyngeal washes (NPW) from baboons, combined with human and in vitro data, would provide an estimate of the ACT concentration in the airway during infection. NPW contained up to ϳ10 8 CFU/ml B. pertussis and 1 to 5 ng/ml ACT at the peak of infection. Nasal aspirate specimens from two human infants with pertussis contained bacterial concentrations similar to those in the baboons, with 12 to 20 ng/ml ACT. When ϳ10 8 CFU/ml of a laboratory strain of B. pertussis was cultured in vitro, ACT production was detected in 60 min and reached a plateau of ϳ60 ng/ml in 6 h. Furthermore, when bacteria were brought into close proximity to target cells by centrifugation, intoxication was increased 4-fold. Collectively, these data suggest that at the bacterium-target cell interface during infection of the respiratory tract, the concentration of ACT can exceed 100 ng/ml, providing a reference point for future studies of ACT and pertussis pathogenesis.

We report the discovery of polarized flux at 2.2 micron from the bright shell of the approximately 320 year old supernova remnant Cas A. The fractional polarizations are comparable at 6 cm and 2.2 micron, and the polarization angles are similar, demonstrating that synchrotron radiation from the same relativistic plasma is being observed at these widely separated wavebands. The relativistic electrons radiating at 2.2 micron have an energy of ~ 150 GeV, (gamma ~ 3e5), assuming an ~500 microGauss magnetic field. The total intensity at 2.2 micron lies close to the power law extrapolation from radio frequencies, showing that relativistic particle acceleration is likely an ongoing process; the infrared emitting electrons were accelerated no longer than ~80 years ago. There is a small but significant concave curvature to the spectrum, as expected if the accelerating shocks have been modified by the back pressure of the cosmic rays; given calibration uncertainties, this conclusion must be considered tentative at present. The 2.2 micron polarization angles and the emission-line filaments observed by HST are both offset from the local radial direction by 10 - 20 degrees, providing evidence that the magnetic fields in Cas A are generated by Rayleigh-Taylor instabilities in the decelerating ejecta.Comment: 11 pages, 3 figures, accepted for publication Ap

Hepatitis B (HBV) and HIV co-infection is common in resource-poor settings. A recent study from Malawi revealed poor correlation between hepatitis B surface antigen (HBsAg) point-of-care tests and reference tests in patients co-infected with HIV. We studied a cohort of 300 Malawian adults entering a treatment programme for HIV. Sera were tested for HBsAg first using the Determine rapid test and re-tested using a commercial enzyme immunoassay (EIA). All tests were done under optimal conditions in Liverpool, UK. Sera from all 25 patients positive for HBsAg using the rapid test and from 50 who were negative, were re-tested using the EIA, with complete concordance of results. The kappa correlation was 1, specificity 100% (93-100%) and sensitivity 100% (86-100%) compared to the reference test. Patients had advanced immune suppression (mean CD4=175 cells x 10(6)/l). In a non-field setting, the results of point-of-care Determine rapid hepatitis B tests appear reliable in patients with HIV-1 co-infection.

Recurrence of hepatitis C virus (HCV) after liver transplantation is common and is associated with high blood levels of HCV RNA. Higher blood levels of HCV may promote body fluid expression of the virus. We tested 152 body fluid specimens from 33 patients with chronic hepatitis C, 21 of whom had undergone prior liver transplantation. All patients had hepatitis C viremia, as determined by a reverse-transcription polymerase chain reaction (PCR) to the 5' noncoding region. The virus was quantitated in serum by the branched chain DNA assay (bDNA). Body fluids (33 sputum, 33 saliva, 33 urine, 32 tear, 9 vaginal, and 12 semen samples) were analyzed using PCR for HCV RNA. Serum HCV RNA by bDNA in the posttransplantation group was 255 +/- 229 x 10(5) compared with 50 +/- 56 x 10(5) eq/mL in the patients who did not undergo transplantation (P = .01). All urine, tear, and semen specimens were negative for HCV RNA. Five of 21 (24%) posttransplantation patients had detectable HCV RNA using PCR in oral secretions compared with 0 of 12 patients who did not undergo transplantation (not statistically significant). However, 5 of 11 patients with serum HCV RNA by bDNA results greater than 150 x 10(5) eq/mL had positive RNA in oral secretions compared to 0 of 22 patients with bDNA less than 150 x 10(5) eq/mL (P = .01). Posttransplantation patients were more likely to have bDNA levels exceeding 150 x 10(5) eq/mL (11 of 21 v 1 of 12, P = .03). Patients within the first year of transplantation were particularly prone to viral RNA levels exceeding 150 x 10(5) eq/mL (8 of 9 v 3 of 12, P = .01). We conclude that HCV RNA can occasionally be detected using PCR in oral secretions after liver transplantation. This is more likely during the first year posttransplantation when blood levels of HCV RNA often exceed 150 x 10(5) eq/mL by the branched chain DNA assay. Whether or not these observations represent an increased risk of transmission of infection during the early posttransplantation period is not certain.

The UN's Sustainable Development goal of Zero Hunger encompasses a holistic set of targets that range from ending hunger by 2030, to increasing environmental sustainability and resilience of food production. Securing and managing soil nutrients remains one of the most basic challenges to growing adequate food while simultaneously protecting biodiversity and the integrity of ecosystems. To achieve these objectives, it is increasingly clear that the management of ecological processes will need to supplant reliance on non-renewable and environmentally damaging inputs. In recent years, progress has been made in developing perennial grain crops that show promise to improve on a range of ecological functions such as efficient nitrogen cycling and soil carbon accretion that tend to be well-developed in natural ecosystems but become compromised following land conversion to row crop agriculture. Here we report on a multi-faceted, 5-year experiment in which intermediate wheatgrass (IWG) (Thinopyrum intermedium), a perennial relative of wheat that is bred to produce the grain Kernza®, was intercropped in alternating rows with the perennial legume alfalfa (Medicago sativa). The performance of the unfertilized intercrop was compared to monocropped IWG treatments, with and without urea-N applications, planted at two row densities such that the intercrop could be interpreted as either an addition or substitution design. Comparisons of relative IWG yields (RYs) in the intercrop with unfertilized monocrops suggest net competitive interactions between alfalfa and IWG in the establishment year, followed by increasing degrees of facilitation over the next 4 years. Evidence from N fertilizer responsiveness, SPAD readings, net N mineralization assays, and N balance calculations suggest that alfalfa contributed to an aggrading pool of soil organic nitrogen over the course of the experiment. Comparisons of grain RYs of intercropped IWG and fertilized IWG monocultures suggest N-limitation in the first half of the experiment, and N sufficiency in the second half. Grain yields in the intercrop did not decline significantly over 5 years in contrast to all IWG monocrop treatments that did significantly decline. This study contributes to a growing literature on approaches to ecological nutrient management that incorporate diversity and perenniality to increase food security and resilience.