Macular telangiectasia type 2 (MacTel) is a relatively rare disease without established treatments. Although MacTel was previously considered a primarily vascular condition, the thinking on its pathogenesis has shifted to it now being considered principally a neurodegenerative disease. This has resulted in a subsequent change in the approach to treatment toward neuro-protection for the non-proliferative phase of this disease. Carotenoid supplementation has had mixed results. Ciliary neurotrophic factor (CNTF) has demonstrated some promising early results, but further study is necessary to determine its actual effect. Some structural improvements have been seen in the non-proliferative phase with oral acetazolamide but without accompanying functional improvement. Anti-vascular endothelial drugs have been studied and not found to have benefit in the non-proliferative phase of disease but have demonstrated significant structural and functional value in the treatment of secondary neovascularization. There is no level I evidence for the various proposed MacTel treatments, and efforts need to be directed toward conducting multicenter randomized trials to better understand possible treatments for this condition.
Electronic supplementary material
The online version of this article (10.1007/s40123-019-0170-1) contains supplementary material, which is available to authorized users.
As the depth of soil petroleum contamination can vary substantially under field conditions, a rhizotron experiment was performed to investigate the influence of endophyte, P. indica, on maize growth and degradation of petroleum components in a shallow and a deep-reaching subsurface layer of a soil. For control, a treatment without soil contamination was also included. The degree in contamination and the depth to which it extended had a strong effect on the growth of the plant roots. Contaminated soil layers severely inhibited root growth thus many roots preferred to bypass the shallow contaminated layer and grow in the uncontaminated soil. While the length and branching pattern of these roots were similar to those of uncontaminated treatment. Inoculation of maize with P. indica could improve root distribution and root and shoot growth in all three contamination treatments. This inoculation also enhanced petroleum degradation in soil, especially in the treatment with deep-reaching contamination, consequently the accumulation of petroleum hydrocarbons (PAHs) in the plant tissues were increased.
Soil application of organic wastes (OW) can be beneficial for soil quality, depending on the quality of the wastes as well as on the amended soil. We performed a field experiment comparing the effects of two different organic wastes, an industrial sewage sludge (ISS) and a municipal solid waste compost (MSWC), on the physical, chemical and biological quality of an agricultural soil cultivated with maize in central Iran. The two OW were mixed into the topsoil of the plots at rates of 15 and 45 t haP -1 P (dry matter). The analysis of soil samples taken 31, 74, 132 and 241 days after OW application showed, both OW increased organic matter, microbial respiration, and urease activity and decreased bulk density. In contrast, they had opposite effects on water retention and saturated hydraulic conductivity. While the MSWC increased water retention at high saturation and saturated hydraulic conductivity, the ISS decreased them. The negative effects of the ISS on physical soil quality, which may have been due to pore-clogging and hydrophobicity effects, were related to a smaller yield increase A c c e p t e d M a n u s c r i p t Downloaded by [New York University] at 10:01 09 June 2015in the ISS than in the MSWC treatments, demonstrating the importance that physical organic waste properties can have for the quality of amended soil.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.