80 results on '"Sidhu C"'
Search Results
2. Distribution and characterization of wild bee nesting sites on San Clemente Island, California Channel Islands
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Sidhu, C. Sheena and Rankin, Erin E. Wilson
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- 2018
3. Local and landscape effects on bee functional guilds in pigeon pea crops in Kenya
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Otieno, Mark, Sidhu, C. Sheena, Woodcock, Ben A., Wilby, Andrew, Vogiatzakis, Ioannis N., Mauchline, Alice L., Gikungu, Mary W., and Potts, Simon G.
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- 2015
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4. MT3 US Payer Management of Digital Health Technologies: Recent Updates and a Glimpse into the Future
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Sidhu, C, Waththuhewa, M, and Sullivan, N
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- 2024
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5. HPR6 Inflation Reduction Act: How Will the First 10 Drugs Selected for Medicare Price Negotiations Impact US Commercial Payers?
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Sidhu, C, Connelly, B, Waththuhewa, M, and Sullivan, N
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- 2024
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6. Pollination ecology of island endemic plants: a case study on the California Channel Islands.
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SHEENA SIDHU, C., LOZANO, GISELLE E., MINER, MICHELLE C., HOWE, EMILY, and WILSON-RANKIN, ERIN E.
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ISLAND plants , *ISLAND ecology , *POLLINATION , *FRUIT seeds , *GERMINATION , *ENDANGERED plants - Abstract
Understanding the pollination requirements of threatened species is critical for the success of longterm conservation strategies. In a series of greenhouse experiments, we assessed the effects of different pollination treatments, including autogamy, facilitated autogamy, and cross-pollination on fruit and seed set for 2 generations of a rare island endemic plant. Santa Cruz Island rockcress, Sibara filifolia (Brassicaceae), is a rare, endangered annual herb that is endemic to the California Channel Islands. While efforts are underway to monitor and conserve this rare plant species, little is known about its pollination biology. We quantified the index of self-compatibility and multiplicative fitness. We also assessed how maternal plant treatment influenced seed germination and seedling survival rates. While S. filifolia is fully self-compatible, we demonstrate that facilitated pollination and outcrossing treatments positively affected all measures of reproductive output and fitness in first-generation plants. Metrics of predispersal fitness (e.g., fruit set and seed production) in the F2 generation also increased significantly in response to facilitated pollination and outcrossing. While our data suggest that S. filifolia fecundity increases with outcrossing, we observed lower fitness benefits of facilitated autogamy and outcrossing on the production of F2 seeds. This highlights the difficulty in providing specific recommendations when the consequences of outbreeding may not be detectable until later generations. More study is required to confirm that multiple generations of interpopulation gene flow can effectively improve population viability and decrease genetic erosion. [ABSTRACT FROM AUTHOR]
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- 2022
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7. HPR68 Inflation Reduction Act – Insights and Impact on Different Therapeutic Areas from the US Commercial Payer Perspective
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Sidhu, C., Connelly, B., Blake, L., and Sullivan, N.
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- 2023
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8. Real people in surreal environments
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Sidhu, C K and Bowman, P A
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- 1997
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9. MT9 US Payer Management of Digital Therapeutics and Future Outlook
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Sidhu, C, Waththuhewa, M, and Sullivan, N
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- 2022
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10. POSB289 Emergence of Applications for Digital Health Technologies and Details of HTA Assessments for Digital Health in Europe
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Sidhu, C., Ohanwusi, E., Bending, MW., and Sullivan, N.
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- 2022
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11. Host records of Grammia ursina Schmidt, 2009 (Lepidoptera: Noctuidae: Arctiinae) on San Clemente Island and its potential effect on rare plant restoration.
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Sidhu, C. Sheena, Calloway, Stephanie M., Barney, Sarah K., and Wilson-Rankin, Erin E.
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NOCTUIDAE , *ENDEMIC plants , *PLANT populations , *HERBIVORES , *SPECIES , *PESTS , *ANIMAL behavior - Abstract
Using molecular tools, we identify Grammia ursina Schmidt, 2009 to be present at high densities on San Clemente Island, California. As a generalist herbivore, G. ursina has many hosts and is a potential pest of rare and endemic plants. We present a list of host records of G. ursina, including rare plants on San Clemente Island. Conservation efforts to support rare plants on the island include outplantings, which have been negatively affected in G. ursina outbreaks. We suggest continual monitoring of G. ursina populations to predict future outbreaks and population peaks and to monitor its effects on endemic plant species and restoration efforts. [ABSTRACT FROM AUTHOR]
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- 2016
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12. Honey Bees Avoiding Ant Harassment at Flowers Using Scent Cues.
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Sidhu, C. Sheena and Rankin, Erin E. Wilson
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HONEYBEES ,POLLINATORS ,PHEROMONES ,INTRODUCED species ,ANTS - Abstract
Pollinators require resources throughout the year to maintain healthy populations. Along the urban-natural interface, floral resource availability may be limited especially when the system experiences extreme drought and fire threats. In such areas, succulents, such as Aloe spp., are commonly planted to serve as functional drought-tolerant, fire-protective landscaping, which can also support pollinator populations. However, access to this resource may be restricted by competition from other floral foragers, including invasive pests. We measured free-foraging honey bee (Apis mellifera L.) visitation rate and visitation duration to aloe flowers with and without Argentine ants (Linepithema humile (Mayr)) in a drought-stressed environment and found that bees actively avoided foraging on the ant-occupied flowers. To determine the mechanisms of avoidance, our subsequent experiments assessed visitation in the absence of ants and compared aloe flowers treated with ant pheromone to unmanipulated flowers lacking ant pheromone. Bees approached all flowers equally, but accepted flowers without ants at a higher rate than flowers with ants. Visitation duration also increased twofold on antexcluded flowers, which suggests that Argentine ants may limit resource acquisition by bees. Honey bees similarly avoided flowers with Argentine ant pheromone and preferentially visited unmanipulated flowers at threefold higher rate. This study demonstrates that honey bees avoid foraging on floral resources with invasive Argentine ants and that bees use ant odors to avoid ant-occupied flowers. Resource limitation by this invasive pest ant may have serious implication for sustaining healthy pollinator populations at the urban-natural interface. [ABSTRACT FROM AUTHOR]
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- 2016
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13. Establishing Wildflower Pollinator Habitats in Agricultural Farmland to Provide Multiple Ecosystem Services.
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Sidhu, C. Sheena, Joshi, Neelendra K., Smagghe, Guy, and Blaauw, Brett R.
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HABITATS ,POLLINATION by insects ,AGRICULTURAL ecology - Abstract
The article discusses the setting up a insect habitat for wildflower pollination in farmlands as a pollination system which will benefit agricultural ecosystem and mentions topics such as ways to optimize pollinator habitats and difficulties in developing such habitats.
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- 2016
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14. Pollen foraging behaviour of solitary Hawaiian bees revealed through molecular pollen analysis E. E. WILSON ET AL. POLLEN ANALYSIS REVEALS BEE FORAGING PATTERNS.
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WILSON, ERIN E., SIDHU, C. SHEENA, LeVAN, KATHERINE E., and HOLWAY, DAVID A.
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BEES , *POLLINATION , *POLLINATORS , *HYMENOPTERA , *MOLECULAR genetics - Abstract
Obtaining quantitative information concerning pollinator behaviour has become a primary objective of pollination studies, but methodological limitations hinder progress towards this goal. Here, we use molecular genetic methods in an ecological context to demonstrate that endemic Hawaiian Hylaeus bees (Hymenoptera: Colletidae) selectively collect pollen from native plant species in Haleakala and Hawaii Volcanoes National Parks. We identified pollen DNA from the crops (internal storage organs) of 21 Hylaeus specimens stored in ethanol for up to 3 years. Genetic analyses reveal high fidelity in pollen foraging despite the availability of pollen from multiple plant species present at each study site. At high elevations in Haleakala, pollen was available from more than 12 species of flowering plants, but Hawaiian silversword ( Argyroxiphium sandwicense subsp. macrocephalum) comprised 86% of all pollen samples removed from bee crops. At lower elevations in both parks, we only detected pukiawe ( Leptecophylla ( Styphelia) tameiameiae) pollen in Hylaeus crops despite the presence of other plant species in flower during our study. Furthermore, 100% of Hylaeus crops from which we successfully identified pollen contained native plant pollen. The molecular approaches developed in this study provide species-level information about floral visitation of Hawaiian Hylaeus that does not require specialized palynological expertise needed for high-throughput visual pollen identification. Building upon this approach, future studies can thus develop appropriate and customized criteria for assessing mixed pollen loads from a broader range of sources and from other global regions. [ABSTRACT FROM AUTHOR]
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- 2010
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15. Pollination Ecology of Island Endemic Plants: A Case Study on the California Channel Islands
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Sidhu, C. Sheena, Lozano, Giselle E., Miner, Michelle C., Howe, Emily, and Wilson-Rankin, Erin E.
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- 2022
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16. Relationship between structure and function of dietary fibre: a comparative study of the effects of three galactomannans on cholesterol metabolism in the rat
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Oakenfull, D. G., Evans, A. J., Hood, R. L., and Sidhu, C. S.
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- 1992
17. Feasibility, safety and outcomes of stereotactic radiotherapy for ultra-central thoracic oligometastatic disease guided by linear endobronchial ultrasound-inserted fiducials.
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Sidhu C, Tang C, Scott A, Yamini Ramamurty H, Yagnik L, Morey S, Phillips M, Jacques A, and Thomas R
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- Humans, Male, Female, Aged, Retrospective Studies, Middle Aged, Thoracic Neoplasms radiotherapy, Thoracic Neoplasms pathology, Bronchoscopy methods, Aged, 80 and over, Treatment Outcome, Adult, Lung Neoplasms radiotherapy, Lung Neoplasms pathology, Lung Neoplasms surgery, Radiosurgery methods, Radiosurgery adverse effects, Feasibility Studies, Fiducial Markers
- Abstract
Background & Purpose: Local treatment of oligometastases has been found to improve survival and prognosis. Stereotactic body radiotherapy (SBRT) has emerged as a treatment option for oligometastases but its use in ultra-central (UC) areas can cause significant toxicity and mortality. Fiducial markers (FM) can be used to improve SBRT accuracy, and can be inserted in the central thorax using linear endobronchial ultrasound (EBUS) bronchoscopy. Outcomes of FM-guided SBRT for UC thoracic oligometastases is unknown., Methods: A single-centre retrospective study investigating the feasibility, safety and outcomes of both linear EBUS-inserted FMs and subsequent FM-guided SBRT for UC-oligometastatic disease. Motion analyses of FMs were also performed., Results: Thirty outpatients underwent 32 EBUS-FM insertion procedures with 100 % success, and no major procedural mortality or morbidity. Minor complications were 4.8 % incidence of delayed FM-displacement. UC FM-guided SBRT was completed in 20 patients with 99.9 % fractions delivered. Median SBRT dose delivered was 40 Gy over a median of 8 fractions. Majority of adverse events were Grade 1 and there was no SBRT-related mortality. Local control with SBRT was 95 %, with overall survival at 1-year and 3-years of 90 % and 56.3 % respectively. Median overall survival after SBRT was 43.6 months. FM movements in UC areas were recorded being greatest in the superior-inferior axis., Conclusion: Combined linear EBUS sampling and FM-insertion in UC thoracic oligometastatic disease is feasible and safe. UC-SBRT to oligometastases using FM guidance was found to have minimal complications and associated with moderate survival up to 3 years post-treatment., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
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- 2024
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18. Psychosocial Needs of People Living With Pleural Mesothelioma and Family Carers: A Mixed Methods Study.
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Breen LJ, Same A, Peddle-McIntyre CJ, Sidhu C, Fitzgerald D, Tan AL, Carey RN, Wilson C, and Lee YCG
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- Humans, Female, Male, Middle Aged, Aged, Adult, Aged, 80 and over, Social Support, Surveys and Questionnaires, Qualitative Research, Grief, Mesothelioma, Malignant psychology, Needs Assessment, Caregivers psychology, Quality of Life psychology, Mesothelioma psychology, Mesothelioma therapy, Pleural Neoplasms psychology, Pleural Neoplasms therapy
- Abstract
Background: Mesothelioma is a cancer of growing global incidence, especially in developing countries, with unique complex psychosocial impacts on patients and their carers., Aims: To provide a comprehensive understanding of the psychosocial needs of people living with pleural mesothelioma and family carers., Methods: A mixed methods design with 61 semi-structured interviews and psychometrically validated questionnaires to assess pleural mesothelioma patients' (n = 36) quality of life and frailty and carers' (n = 25) caregiving experiences, quality of life, and pre-loss prolonged grief symptoms., Results: People with mesothelioma (29 men, 7 women, aged 46-89 years) indicated moderate quality of life; 18 (50%) met criteria for frailty. Current carers (21 women, 4 men; aged 41-79 years) generally reported positive caregiving experiences and high quality of life; 5 (20%) scored in the range indicative of risk for prolonged grief disorder. Four themes were generated: a desire for tailored information with bespoke detail, assistance to coordinate tasks of treatment, improved social and peer support, and effective psychological services. Needs varied, with main concerns being about breaking the news to spouses/children, the impact of the disease and death on family, loss of personal future, managing psychological symptoms, and avoiding burden., Conclusions: These specific and unmet psychosocial needs provide a strong basis for individualised care pathways to address these needs via the integration of psychology into the multidisciplinary care team and the development and evaluation of mental health and wellbeing interventions for mesothelioma patients and carers. Doing so will reduce psychosocial distress and improve residual vitality., (© 2024 John Wiley & Sons Ltd.)
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- 2024
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19. Management of malignant pleural effusion and trapped lung: a survey of respiratory physicians and thoracic surgeons in Australasia.
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Sidhu C, Wright G, Peddle-McIntyre CJ, Tan AL, and Lee YCG
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- Humans, Surveys and Questionnaires, Australasia, Surgeons, Pleurodesis, New Zealand, Australia, Practice Patterns, Physicians' statistics & numerical data, Thoracentesis, Catheters, Indwelling, Thoracic Surgery, Pleural Effusion, Malignant therapy
- Abstract
Background: Malignant pleural effusions (MPEs) are common, and a third of them have underlying trapped lung (TL). Management of MPE and TL is suspected to be heterogeneous. Understanding current practices in Australasia is important in guiding policies and future research., Aims: Electronic survey of Australia-New Zealand respiratory physicians, thoracic surgeons and their respective trainees to determine practice of MPE and TL management., Results: Of the 132 respondents, 56% were respiratory physicians, 23% were surgeons and 20% were trainees. Many respondents defined TL as >25% or any level of incomplete lung expansion; 75% would use large-volume thoracentesis to determine whether TL was present. For patients with TL, indwelling pleural catheters (IPCs) were the preferred treatment irrespective of prognosis. In those without TL, surgical pleurodesis was the most common choice if prognosis was >6 months, whereas IPC was the preferred option if survival was <3 months. Only 5% of respondents considered decortication having a definite role in TL, but 55% would consider it in select cases. Forty-nine per cent of surgeons would not perform decortication when the lung does not fully expand intra-operatively. Perceived advantages of IPCs were minimisation of hospital time, effusion re-intervention and usefulness irrespective of TL status. Perceived disadvantages of IPCs were lack of suitable drainage care, potentially indefinite duration of catheter-in-situ and catheter complications., Conclusion: This survey highlights the lack of definition of TL and heterogeneity of MPE management in Australasia, especially for patients with expandable lungs. This survey also identified the main hurdles of IPC use that should be targeted., (© 2024 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.)
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- 2024
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20. Alpha-glucans from bacterial necromass indicate an intra-population loop within the marine carbon cycle.
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Beidler I, Steinke N, Schulze T, Sidhu C, Bartosik D, Zühlke MK, Martin LT, Krull J, Dutschei T, Ferrero-Bordera B, Rielicke J, Kale V, Sura T, Trautwein-Schult A, Kirstein IV, Wiltshire KH, Teeling H, Becher D, Bengtsson MM, Hehemann JH, Bornscheuer UT, Amann RI, and Schweder T
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- Phytoplankton metabolism, Biomass, Diatoms metabolism, Eutrophication, Carbon metabolism, Zooplankton metabolism, Polysaccharides, Bacterial metabolism, Polysaccharides, Bacterial chemistry, Bacterial Proteins metabolism, Carbon Cycle, Glucans metabolism, Bacteria metabolism, Bacteria classification, Bacteria genetics
- Abstract
Phytoplankton blooms provoke bacterioplankton blooms, from which bacterial biomass (necromass) is released via increased zooplankton grazing and viral lysis. While bacterial consumption of algal biomass during blooms is well-studied, little is known about the concurrent recycling of these substantial amounts of bacterial necromass. We demonstrate that bacterial biomass, such as bacterial alpha-glucan storage polysaccharides, generated from the consumption of algal organic matter, is reused and thus itself a major bacterial carbon source in vitro and during a diatom-dominated bloom. We highlight conserved enzymes and binding proteins of dominant bloom-responder clades that are presumably involved in the recycling of bacterial alpha-glucan by members of the bacterial community. We furthermore demonstrate that the corresponding protein machineries can be specifically induced by extracted alpha-glucan-rich bacterial polysaccharide extracts. This recycling of bacterial necromass likely constitutes a large-scale intra-population energy conservation mechanism that keeps substantial amounts of carbon in a dedicated part of the microbial loop., (© 2024. The Author(s).)
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- 2024
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21. Globally occurring pelagiphage infections create ribosome-deprived cells.
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Brüwer JD, Sidhu C, Zhao Y, Eich A, Rößler L, Orellana LH, and Fuchs BM
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- Phytoplankton virology, Phytoplankton genetics, Phytoplankton metabolism, In Situ Hybridization, Fluorescence, Alphaproteobacteria genetics, Alphaproteobacteria metabolism, Ecosystem, Seawater microbiology, Seawater virology, Oceans and Seas, Ribosomes metabolism, Bacteriophages genetics, Bacteriophages physiology
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Phages play an essential role in controlling bacterial populations. Those infecting Pelagibacterales (SAR11), the dominant bacteria in surface oceans, have been studied in silico and by cultivation attempts. However, little is known about the quantity of phage-infected cells in the environment. Using fluorescence in situ hybridization techniques, we here show pelagiphage-infected SAR11 cells across multiple global ecosystems and present evidence for tight community control of pelagiphages on the SAR11 hosts in a case study. Up to 19% of SAR11 cells were phage-infected during a phytoplankton bloom, coinciding with a ~90% reduction in SAR11 cell abundance within 5 days. Frequently, a fraction of the infected SAR11 cells were devoid of detectable ribosomes, which appear to be a yet undescribed possible stage during pelagiphage infection. We dubbed such cells zombies and propose, among other possible explanations, a mechanism in which ribosomal RNA is used as a resource for the synthesis of new phage genomes. On a global scale, we detected phage-infected SAR11 and zombie cells in the Atlantic, Pacific, and Southern Oceans. Our findings illuminate the important impact of pelagiphages on SAR11 populations and unveil the presence of ribosome-deprived zombie cells as part of the infection cycle., (© 2024. The Author(s).)
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- 2024
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22. Particle-attached bacteria act as gatekeepers in the decomposition of complex phytoplankton polysaccharides.
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Wang FQ, Bartosik D, Sidhu C, Siebers R, Lu DC, Trautwein-Schult A, Becher D, Huettel B, Rick J, Kirstein IV, Wiltshire KH, Schweder T, Fuchs BM, Bengtsson MM, Teeling H, and Amann RI
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- Phytoplankton genetics, Phytoplankton metabolism, Eutrophication, Polysaccharides metabolism, Flavobacteriaceae metabolism, Microalgae metabolism
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Background: Marine microalgae (phytoplankton) mediate almost half of the worldwide photosynthetic carbon dioxide fixation and therefore play a pivotal role in global carbon cycling, most prominently during massive phytoplankton blooms. Phytoplankton biomass consists of considerable proportions of polysaccharides, substantial parts of which are rapidly remineralized by heterotrophic bacteria. We analyzed the diversity, activity, and functional potential of such polysaccharide-degrading bacteria in different size fractions during a diverse spring phytoplankton bloom at Helgoland Roads (southern North Sea) at high temporal resolution using microscopic, physicochemical, biodiversity, metagenome, and metaproteome analyses., Results: Prominent active 0.2-3 µm free-living clades comprised Aurantivirga, "Formosa", Cd. Prosiliicoccus, NS4, NS5, Amylibacter, Planktomarina, SAR11 Ia, SAR92, and SAR86, whereas BD1-7, Stappiaceae, Nitrincolaceae, Methylophagaceae, Sulfitobacter, NS9, Polaribacter, Lentimonas, CL500-3, Algibacter, and Glaciecola dominated 3-10 µm and > 10 µm particles. Particle-attached bacteria were more diverse and exhibited more dynamic adaptive shifts over time in terms of taxonomic composition and repertoires of encoded polysaccharide-targeting enzymes. In total, 305 species-level metagenome-assembled genomes were obtained, including 152 particle-attached bacteria, 100 of which were novel for the sampling site with 76 representing new species. Compared to free-living bacteria, they featured on average larger metagenome-assembled genomes with higher proportions of polysaccharide utilization loci. The latter were predicted to target a broader spectrum of polysaccharide substrates, ranging from readily soluble, simple structured storage polysaccharides (e.g., laminarin, α-glucans) to less soluble, complex structural, or secreted polysaccharides (e.g., xylans, cellulose, pectins). In particular, the potential to target poorly soluble or complex polysaccharides was more widespread among abundant and active particle-attached bacteria., Conclusions: Particle-attached bacteria represented only 1% of all bloom-associated bacteria, yet our data suggest that many abundant active clades played a pivotal gatekeeping role in the solubilization and subsequent degradation of numerous important classes of algal glycans. The high diversity of polysaccharide niches among the most active particle-attached clades therefore is a determining factor for the proportion of algal polysaccharides that can be rapidly remineralized during generally short-lived phytoplankton bloom events. Video Abstract., (© 2024. The Author(s).)
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- 2024
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23. Erratum for Brüwer et al., " In situ cell division and mortality rates of SAR11, SAR86, Bacteroidetes , and Aurantivirga during phytoplankton blooms reveal differences in population controls".
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Brüwer JD, Orellana LH, Sidhu C, Klip HCL, Meunier CL, Boersma M, Wiltshire KH, Amann R, and Fuchs BM
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- 2024
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24. Understanding the Physiological Endotypes Responsible for Comorbid Obstructive Sleep Apnea in Patients with Interstitial Lung Disease.
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Joosten SA, Landry SA, Mann DL, Sands SA, Ryerson CJ, Sidhu C, Hamilton GS, Howard ME, Edwards BA, and Khor YH
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- Humans, Comorbidity, Sleep Apnea, Obstructive complications, Sleep Apnea, Obstructive epidemiology, Sleep Apnea Syndromes, Lung Diseases, Interstitial complications, Lung Diseases, Interstitial epidemiology
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- 2023
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25. ERS International Congress 2022: highlights from the Thoracic Oncology Assembly.
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Catarata MJ, Van Geffen WH, Banka R, Ferraz B, Sidhu C, Carew A, Viola L, Gijtenbeek R, and Hardavella G
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Thoracic malignancies are associated with a substantial public health burden. Lung cancer is the leading cause of cancer-related mortality worldwide, with significant impact on patients' quality of life. Following 2 years of virtual European Respiratory Society (ERS) Congresses due to the COVID-19 pandemic, the 2022 hybrid ERS Congress in Barcelona, Spain allowed peers from all over the world to meet again and present their work. Thoracic oncology experts presented best practices and latest developments in lung cancer screening, lung cancer diagnosis and management. Early lung cancer diagnosis, subsequent pros and cons of aggressive management, identification and management of systemic treatments' side-effects, and the application of artificial intelligence and biomarkers across all aspects of the thoracic oncology pathway were among the areas that triggered specific interest and will be summarised here., Competing Interests: Conflict of interest: M.J. Catarata has nothing to disclose. Conflict of interest: W.H. Van Geffen has nothing to disclose. Conflict of interest: R. Banka has nothing to disclose. Conflict of interest: B. Ferraz has nothing to disclose. Conflict of interest: C. Sidhu has nothing to disclose. Conflict of interest: A. Carew has nothing to disclose. Conflict of interest: L. Viola has nothing to disclose. Conflict of interest: R. Gijtenbeek has nothing to disclose. Conflict of interest: G. Hardavella has nothing to disclose., (Copyright ©The authors 2023.)
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- 2023
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26. Lung volume reduction for emphysema using one-way endobronchial valves: An Australian cohort.
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Sidhu C, Wilsmore N, Shargill N, and Rangamuwa K
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- Humans, Pneumonectomy methods, Quality of Life, Retrospective Studies, Forced Expiratory Volume, Bronchoscopy methods, Australia, Treatment Outcome, Pneumothorax etiology, Pulmonary Emphysema etiology, Emphysema etiology
- Abstract
Emphysema can be associated with gas trapping and hyperinflation, which negatively impacts on quality of life, life expectancy, and functional capacity. Lung volume reduction (LVR) surgery can reduce gas trapping and improve mortality in select patients but carries a high risk of major complications. Bronchoscopic techniques for LVR using one-way endobronchial valves (EBV) have become an established efficacious alternative to surgery. A bi-center retrospective cohort study was conducted on patients with severe emphysema who underwent endoscopic lung volume reduction (ELVR) using Pulmonx Zephyr EBVs. Symptomatic patients with gas-trapping and hyperinflation on lung function testing were selected. Target-lobe selection was based on quantitative imaging analysis and ventilation-perfusion scintigraphy. Successful procedures were determined from clinical review, imaging and follow-up testing. Thirty-nine patients underwent ELVR. Mean pre-procedure forced expiratory volume in 1 second (FEV1) was 0.75 L, residual volume (RV) was 225% predicted and total lung capacity was 129% predicted. Most common treated-lobe was left upper lobe. Post-procedure pneumothorax occurred in 36.5% of patients with 73% requiring intercostal catheter insertion for drainage. Mean FEV1 improvement was +140 mL and 57% of patients achieved minimal clinical important difference FEV1 increase of ≥12%. Maximal mean RV change was -1010 mL with 69% of patients achieving minimal clinical important difference RV decrease of ≥350 mL. Clinician-determined success of ELVR was 78%. Procedure-related mortality was absent. LVR using EBVs is safe and can lead to significant improvements in lung function, particularly reduction of gas trapping and hyperinflation. Occurrence of pneumothorax post-procedure is a complication that must be monitored for and managed appropriately., Competing Interests: Dr Narinder Shargill is an employee of Pulmonx. Dr Nicholas Wilsmore has a consulting agreement with and has received honoraria from Pulmonx. The remaining authors have no conflicts of interest to declare. No direct funding was received for the conception of this manuscript., (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2023
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27. Indwelling Pleural Catheter: Management of Complications.
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Sidhu C, Davies HE, Muruganandan S, Lui MMS, Lau EPM, and Lee YCG
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- Humans, Catheterization adverse effects, Catheters, Indwelling adverse effects, Drainage, Pain complications, Pleurodesis methods, Neoplasm Recurrence, Local complications, Pleural Effusion, Malignant therapy
- Abstract
Multiple randomized clinical trials have established the advantages of indwelling pleural catheter (IPC) in the management of malignant pleural effusions, resulting in its widespread adoption in clinical practice. Complications can occur with IPC use and must be recognized and managed effectively. This review provides a comprehensive overview of IPC complications and their best care. Pain postinsertion or during drainage of IPC is easily manageable and must be distinguished from tumor-related chest wall pain. IPC-related infections require systemic antibiotics and often intrapleural fibrinolytic/deoxyribonuclease therapy. The removal of IPC for infection is usually unnecessary. Symptomatic loculation usually responds to fibrinolytics but may recur. Catheter tract metastases are common in mesothelioma patients and usually respond to radiotherapy without inducing damages to the IPC. Less common complications include dislodgement, irreversible blockage, and fractures (upon removal) of the catheter. Recommendations on the management of IPC complications by recent consensus statement/guideline are discussed. Expert opinions on management approaches are included in areas where evidence is lacking to guide care., Competing Interests: Rocket Med Plc provides drainage kits without charge for patients treated with indwelling pleural catheters enrolled in a randomized clinical trial led by Y.C.G. Others report no conflict of interest., (Thieme. All rights reserved.)
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- 2023
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28. Proposed quality indicators and recommended standard reporting items in performance of EBUS bronchoscopy: An official World Association for Bronchology and Interventional Pulmonology Expert Panel consensus statement.
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Steinfort DP, Evison M, Witt A, Tsaknis G, Kheir F, Manners D, Madan K, Sidhu C, Fantin A, Korevaar DA, and Van Der Heijden EHFM
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- Humans, Bronchoscopy, Benchmarking, Endosonography, Quality Indicators, Health Care, Pulmonary Medicine
- Abstract
Background: Since their introduction, both linear and radial endobronchial ultrasound (EBUS) have become an integral component of the practice of Pulmonology and Thoracic Oncology. The quality of health care can be measured by comparing the performance of an individual or a health service with an ideal threshold or benchmark. The taskforce sought to evaluate quality indicators in EBUS bronchoscopy based on clinical relevance/importance and on the basis that observed significant variation in outcomes indicates potential for improvement in health care outcomes., Methods: A comprehensive literature review informed the composition of a comprehensive list of candidate quality indicators in EBUS. A multiple-round modified Delphi consensus process was subsequently performed with the aim of reaching consensus over a final list of quality indicators and performance targets for these indicators. Standard reporting items were developed, with a strong preference for items where evidence demonstrates a relationship with quality indicator outcomes., Results: Twelve quality Indicators are proposed, with performance targets supported by evidence from the literature. Standardized reporting items for both radial and linear EBUS are recommended, with evidence supporting their utility in assessing procedural outcomes presented., Conclusion: This statement is intended to provide a framework for individual proceduralists to assess the quality of EBUS they provide their patients through the identification of clinically relevant, feasible quality measures. Emphasis is placed on outcome measures, with a preference for consistent terminology to allow communication and benchmarking between centres., (© 2023 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology.)
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- 2023
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29. In situ cell division and mortality rates of SAR11, SAR86, Bacteroidetes , and Aurantivirga during phytoplankton blooms reveal differences in population controls.
- Author
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Brüwer JD, Orellana LH, Sidhu C, Klip HCL, Meunier CL, Boersma M, Wiltshire KH, Amann R, and Fuchs BM
- Subjects
- RNA, Ribosomal, 16S genetics, In Situ Hybridization, Fluorescence, Population Control, Seawater microbiology, Bacteria, Cell Division, Bacteroidetes genetics, Phytoplankton genetics
- Abstract
Net growth of microbial populations, that is, changes in abundances over time, can be studied using 16S rRNA fluorescence in situ hybridization (FISH). However, this approach does not differentiate between mortality and cell division rates. We used FISH-based image cytometry in combination with dilution culture experiments to study net growth, cell division, and mortality rates of four bacterial taxa over two distinct phytoplankton blooms: the oligotrophs SAR11 and SAR86, and the copiotrophic phylum Bacteroidetes , and its genus Aurantivirga . Cell volumes, ribosome content, and frequency of dividing cells (FDC) co-varied over time. Among the three, FDC was the most suitable predictor to calculate cell division rates for the selected taxa. The FDC-derived cell division rates for SAR86 of up to 0.8/day and Aurantivirga of up to 1.9/day differed, as expected for oligotrophs and copiotrophs. Surprisingly, SAR11 also reached high cell division rates of up to 1.9/day, even before the onset of phytoplankton blooms. For all four taxonomic groups, the abundance-derived net growth (-0.6 to 0.5/day) was about an order of magnitude lower than the cell division rates. Consequently, mortality rates were comparably high to cell division rates, indicating that about 90% of bacterial production is recycled without apparent time lag within 1 day. Our study shows that determining taxon-specific cell division rates complements omics-based tools and provides unprecedented clues on individual bacterial growth strategies including bottom-up and top-down controls. IMPORTANCE The growth of a microbial population is often calculated from their numerical abundance over time. However, this does not take cell division and mortality rates into account, which are important for deriving ecological processes like bottom-up and top-down control. In this study, we determined growth by numerical abundance and calibrated microscopy-based methods to determine the frequency of dividing cells and subsequently calculate taxon-specific cell division rates in situ . The cell division and mortality rates of two oligotrophic (SAR11 and SAR86) and two copiotrophic ( Bacteroidetes and Aurantivirga ) taxa during two spring phytoplankton blooms showed a tight coupling for all four taxa throughout the blooms without any temporal offset. Unexpectedly, SAR11 showed high cell division rates days before the bloom while cell abundances remained constant, which is indicative of strong top-down control. Microscopy remains the method of choice to understand ecological processes like top-down and bottom-up control on a cellular level., Competing Interests: The authors declare no conflict of interest.
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- 2023
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30. Comparing genomes recovered from time-series metagenomes using long- and short-read sequencing technologies.
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Orellana LH, Krüger K, Sidhu C, and Amann R
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- RNA, Ribosomal, 16S genetics, Technology, Metagenomics methods, Metagenome genetics, High-Throughput Nucleotide Sequencing methods
- Abstract
Background: Over the past years, sequencing technologies have expanded our ability to examine novel microbial metabolisms and diversity previously obscured by isolation approaches. Long-read sequencing promises to revolutionize the metagenomic field and recover less fragmented genomes from environmental samples. Nonetheless, how to best benefit from long-read sequencing and whether long-read sequencing can provide recovered genomes of similar characteristics as short-read approaches remains unclear., Results: We recovered metagenome-assembled genomes (MAGs) from the free-living fraction at four-time points during a spring bloom in the North Sea. The taxonomic composition of all MAGs recovered was comparable between technologies. However, differences consisted of higher sequencing depth for contigs and higher genome population diversity in short-read compared to long-read metagenomes. When pairing population genomes recovered from both sequencing approaches that shared ≥ 99% average nucleotide identity, long-read MAGs were composed of fewer contigs, a higher N50, and a higher number of predicted genes when compared to short-read MAGs. Moreover, 88% of the total long-read MAGs carried a 16S rRNA gene compared to only 23% of MAGs recovered from short-read metagenomes. Relative abundances for population genomes recovered using both technologies were similar, although disagreements were observed for high and low GC content MAGs., Conclusions: Our results highlight that short-read technologies recovered more MAGs and a higher number of species than long-read due to an overall higher sequencing depth. Long-read samples produced higher quality MAGs and similar species composition compared to short-read sequencing. Differences in the GC content recovered by each sequencing technology resulted in divergences in the diversity recovered and relative abundance of MAGs within the GC content boundaries., (© 2023. The Author(s).)
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- 2023
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31. Targeted alveo-pleural fistula endobronchial valve treatment using ventilation scintigraphy.
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Sidhu C, Ratnagobal S, Thomas R, Lee GYC, Drudy E, and Francis RJ
- Abstract
Persistent air-leaks can be difficult to localize in radiology. Bronchoscopic management of air-leaks requires identification of the leak's location to allow suitable targeted treatment. One-way endobronchial valves have become a suitable option for persistent air-leaks. In this report, a combination scintigraphy and one-way endobronchial valve treatment successfully resolved a persistent air-leak., Competing Interests: Gary YC Lee is an Editorial Board member of Respirology Case Reports and a co‐author of this article. They were excluded from all editorial decision‐making related to the acceptance of this article for publication. The other authors have no conflicts of interest to declare., (© 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.)
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- 2023
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32. Dissolved storage glycans shaped the community composition of abundant bacterioplankton clades during a North Sea spring phytoplankton bloom.
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Sidhu C, Kirstein IV, Meunier CL, Rick J, Fofonova V, Wiltshire KH, Steinke N, Vidal-Melgosa S, Hehemann JH, Huettel B, Schweder T, Fuchs BM, Amann RI, and Teeling H
- Subjects
- North Sea, Plankton genetics, Polysaccharides metabolism, Bacteria genetics, Bacteria metabolism, Phytoplankton genetics, Phytoplankton metabolism, Eutrophication
- Abstract
Background: Blooms of marine microalgae play a pivotal role in global carbon cycling. Such blooms entail successive blooms of specialized clades of planktonic bacteria that collectively remineralize gigatons of algal biomass on a global scale. This biomass is largely composed of distinct polysaccharides, and the microbial decomposition of these polysaccharides is therefore a process of prime importance., Results: In 2020, we sampled a complete biphasic spring bloom in the German Bight over a 90-day period. Bacterioplankton metagenomes from 30 time points allowed reconstruction of 251 metagenome-assembled genomes (MAGs). Corresponding metatranscriptomes highlighted 50 particularly active MAGs of the most abundant clades, including many polysaccharide degraders. Saccharide measurements together with bacterial polysaccharide utilization loci (PUL) expression data identified β-glucans (diatom laminarin) and α-glucans as the most prominent and actively metabolized dissolved polysaccharide substrates. Both substrates were consumed throughout the bloom, with α-glucan PUL expression peaking at the beginning of the second bloom phase shortly after a peak in flagellate and the nadir in bacterial total cell counts., Conclusions: We show that the amounts and composition of dissolved polysaccharides, in particular abundant storage polysaccharides, have a pronounced influence on the composition of abundant bacterioplankton members during phytoplankton blooms, some of which compete for similar polysaccharide niches. We hypothesize that besides the release of algal glycans, also recycling of bacterial glycans as a result of increased bacterial cell mortality can have a significant influence on bacterioplankton composition during phytoplankton blooms. Video Abstract., (© 2023. The Author(s).)
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- 2023
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33. Comparative Transcriptomics Sheds Light on Remodeling of Gene Expression during Diazotrophy in the Thermophilic Methanogen Methanothermococcus thermolithotrophicus.
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Maslać N, Sidhu C, Teeling H, and Wagner T
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- Nitrogen Fixation genetics, Molybdenum, Transcriptome, Nitrogenase metabolism, Nitrogen metabolism, Methanococcaceae genetics, Methanococcaceae metabolism, Euryarchaeota genetics, Ammonium Compounds
- Abstract
Some marine thermophilic methanogens are able to perform energy-consuming nitrogen fixation despite deriving only little energy from hydrogenotrophic methanogenesis. We studied this process in Methanothermococcus thermolithotrophicus DSM 2095, a methanogenic archaeon of the order Methanococcales that contributes to the nitrogen pool in some marine environments. We successfully grew this archaeon under diazotrophic conditions in both batch and fermenter cultures, reaching the highest cell density reported so far. Diazotrophic growth depended strictly on molybdenum and, in contrast to other diazotrophs, was not inhibited by tungstate or vanadium. This suggests an elaborate control of metal uptake and a specific metal recognition system for the insertion into the nitrogenase cofactor. Differential transcriptomics of M. thermolithotrophicus grown under diazotrophic conditions with ammonium-fed cultures as controls revealed upregulation of the nitrogenase machinery, including chaperones, regulators, and molybdate importers, as well as simultaneous upregulation of an ammonium transporter and a putative pathway for nitrate and nitrite utilization. The organism thus employs multiple synergistic strategies for uptake of nitrogen nutrients during the early exponential growth phase without altering transcription levels for genes involved in methanogenesis. As a counterpart, genes coding for transcription and translation processes were downregulated, highlighting the maintenance of an intricate metabolic balance to deal with energy constraints and nutrient limitations imposed by diazotrophy. This switch in the metabolic balance included unexpected processes, such as upregulation of the CRISPR-Cas system, probably caused by drastic changes in transcription levels of putative mobile and virus-like elements. IMPORTANCE The thermophilic anaerobic archaeon M. thermolithotrophicus is a particularly suitable model organism to study the coupling of methanogenesis to diazotrophy. Likewise, its capability of simultaneously reducing N
2 and CO2 into NH3 and CH4 with H2 makes it a viable target for biofuel production. We optimized M. thermolithotrophicus cultivation, resulting in considerably higher cell yields and enabling the successful establishment of N2 -fixing bioreactors. Improved understanding of the N2 fixation process would provide novel insights into metabolic adaptations that allow this energy-limited extremophile to thrive under diazotrophy, for instance, by investigating its physiology and uncharacterized nitrogenase. We demonstrated that diazotrophic growth of M. thermolithotrophicus is exclusively dependent on molybdenum, and complementary transcriptomics corroborated the expression of the molybdenum nitrogenase system. Further analyses of differentially expressed genes during diazotrophy across three cultivation time points revealed insights into the response to nitrogen limitation and the coordination of core metabolic processes.- Published
- 2022
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34. Bacterial Pneumonia Is Associated With Myocardial Fibrosis and New-Onset Left Ventricular Dysfunction.
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Rajwani A, Perera R, Dwivedi G, Lee YCG, Sidhu C, Amin S, Leong J, Hillis GS, and Waterer GW
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- 2022
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35. Antibiotic administration via indwelling peritoneal catheter to treat infected malignant ascites.
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Jayawardena T, Vekaria S, Krivinskas S, Sidhu C, Chakera A, and Lee YCG
- Abstract
Indwelling pleural catheter is an established management for malignant pleural effusions. Extending its use to patients with malignant ascites by insertion of a catheter intraperitoneally enables regular outpatient drainage and improves quality-of-life. However, indwelling pleural/peritoneal catheter (IPC/IPeC) is associated with catheter-related infections, traditionally managed with systemic antibiotics and occasionally requires catheter removal. Direct administration of antibiotics intra-abdominally via peritoneal dialysis (PD) catheters is a well-established, efficacious practice in PD-related peritonitis and minimizes systemic adverse effects. We applied the same principles to a patient with peritoneal mesothelioma who developed peritonitis 3 weeks after insertion of IPeC. Intraperitoneal vancomycin was administered via, and compatible with, the IPeC. The patient tolerated the treatment without adverse effects and made a full recovery without requiring catheter removal., Competing Interests: None declared., (© 2022 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.)
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- 2022
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36. Pharmacokinetics of antibiotics for pleural infection.
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Lau EPM, Sidhu C, Popowicz ND, and Lee YCG
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- Humans, Fibrinolytic Agents therapeutic use, Anti-Bacterial Agents therapeutic use, Drainage adverse effects, Pleural Diseases microbiology, Communicable Diseases drug therapy, Pleural Effusion therapy
- Abstract
Introduction: Pleural infection causes significant morbidity and mortality. An important aspect in the treatment of pleural infection is the pharmacokinetics of antibiotics, an area often neglected., Areas Covered: Pathophysiology of pleural infection and the importance of antibiotic therapy in the treatment of pleural infection are discussed. After reviewing all available literature on pharmacokinetics of antibiotics for pleural infection, the scarcity of data and knowledge gaps are highlighted., Expert Opinion: This review aims to heighten awareness of the limited pharmacokinetic data of commonly used antibiotics for pleural infection. It serves to remind clinicians that choice of antibiotics for pleural infection should be based not only on bacterial sensitivity but also adequate delivery of antibiotics to the infected pleural cavity. Antibiotic pharmacokinetics may vary with agents used, pleural thickness and individual characteristics. Consideration must be given to insufficient pleural delivery of systemic antibiotics in patients lacking clinical improvement. Pleural infection research has disproportionately focused on fluid drainage. Optimizing delivery of effective antibiotic therapy to the pleural cavity must be regarded a key priority to progress clinical care. Large comprehensive cohort studies on pharmacokinetic variability are the essential next step. The possibility of intrapleural administration is also an area that warrants additional research.
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- 2022
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37. Australasian Malignant PLeural Effusion (AMPLE)-3 trial: study protocol for a multi-centre randomised study comparing indwelling pleural catheter (±talc pleurodesis) versus video-assisted thoracoscopic surgery for management of malignant pleural effusion.
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Fitzgerald DB, Sidhu C, Budgeon C, Tan AL, Read CA, Kwan BCH, Smith NA, Fysh ET, Muruganandan S, Saghaie T, Shrestha R, Badiei A, Nguyen P, Burke A, Goddard J, Windsor M, McDonald J, Wright G, Czarnecka K, Sivakumar P, Yasufuku K, Feller-Kopman DJ, Maskell NA, Murray K, and Lee YCG
- Subjects
- Catheters, Indwelling adverse effects, Drainage methods, Humans, Multicenter Studies as Topic, Pleurodesis adverse effects, Pleurodesis methods, Quality of Life, Randomized Controlled Trials as Topic, Talc, Thoracic Surgery, Video-Assisted adverse effects, Pleural Effusion, Malignant complications, Pleural Effusion, Malignant therapy
- Abstract
Introduction: Malignant pleural effusions (MPEs) are common. MPE causes significant breathlessness and impairs quality of life. Indwelling pleural catheters (IPC) allow ambulatory drainage and reduce hospital days and re-intervention rates when compared to standard talc slurry pleurodesis. Daily drainage accelerates pleurodesis, and talc instillation via the IPC has been proven feasible and safe. Surgical pleurodesis via video-assisted thoracoscopic surgery (VATS) is considered a one-off intervention for MPE and is often recommended to patients who are fit for surgery. The AMPLE-3 trial is the first randomised trial to compare IPC (±talc pleurodesis) and VATS pleurodesis in those who are fit for surgery., Methods and Analysis: A multi-centre, open-labelled randomised trial of patients with symptomatic MPE, expected survival of ≥ 6 months and good performance status randomised 1:1 to either IPC or VATS pleurodesis. Participant randomisation will be minimised for (i) cancer type (mesothelioma vs non-mesothelioma); (ii) previous pleurodesis (vs not); and (iii) trapped lung, if known (vs not). Primary outcome is the need for further ipsilateral pleural interventions over 12 months or until death, if sooner. Secondary outcomes include days in hospital, quality of life (QoL) measures, physical activity levels, safety profile, health economics, adverse events, and survival. The trial will recruit 158 participants who will be followed up for 12 months., Ethics and Dissemination: Sir Charles Gairdner and Osborne Park Health Care Group (HREC) has approved the study (reference: RGS356). Results will be published in peer-reviewed journals and presented at scientific meetings., Discussion: Both IPC and VATS are commonly used procedures for MPE. The AMPLE-3 trial will provide data to help define the merits and shortcomings of these procedures and inform future clinical care algorithms., Trial Registration: Australia New Zealand Clinical Trial Registry ACTRN12618001013257 . Registered on 18 June 2018., Protocol Version: Version 3.00/4.02.19., (© 2022. The Author(s).)
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- 2022
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38. Steroid Therapy and Outcome of Parapneumonic Pleural Effusions (STOPPE): A Pilot Randomized Clinical Trial.
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Fitzgerald DB, Waterer GW, Budgeon C, Shrestha R, Fysh ET, Muruganandan S, Stanley C, Saghaie T, Badiei A, Sidhu C, Harryanto H, Duong V, Azzopardi M, Manners D, Lan NSH, Popowicz ND, Peddle-McIntyre CJ, Rahman NM, Read CA, Tan AL, Gan SK, Murray K, and Lee YCG
- Subjects
- Adrenal Cortex Hormones therapeutic use, Adult, Australia, Dexamethasone therapeutic use, Humans, Pilot Projects, Steroids therapeutic use, Community-Acquired Infections complications, Community-Acquired Infections drug therapy, Pleural Effusion drug therapy, Pneumonia complications
- Abstract
Rationale: Pleural effusion commonly complicates community-acquired pneumonia and is associated with intense pleural inflammation. Whether antiinflammatory treatment with corticosteroids improves outcomes is unknown. Objectives: To assess the effects of corticosteroids in an adult population with pneumonia-related pleural effusion. Methods: The STOPPE (Steroid Therapy and Outcome of Parapneumonic Pleural Effusions) trial was a pilot, multicenter, double-blinded, placebo-controlled, randomized trial involving six Australian centers. Patients with community-acquired pneumonia and pleural effusion were randomized (2:1) to intravenous dexamethasone (4 mg twice daily for 48 h) or placebo and followed for 30 days. Given the diverse effects of corticosteroids, a comprehensive range of clinical, serological, and imaging outcomes were assessed in this pilot trial (ACTRN12618000947202). Measurements and Main Results: Eighty patients were randomized (one withdrawn before treatment) and received dexamethasone ( n = 51) or placebo ( n = 28). This pilot trial found no preliminary evidence of benefits of dexamethasone in improving time to sustained (>12 h) normalization of vital signs (temperature, oxygen saturations, blood pressure, heart, and respiratory rates): median, 41.0 (95% confidence interval, 32.3-54.5) versus 27.8 (15.4-49.5) hours in the placebo arm (hazard ratio, 0.729 [95% confidence interval, 0.453-1.173]; P = 0.193). Similarly, no differences in C-reactive protein or leukocyte counts were observed, except for a higher leukocyte count in the dexamethasone group at Day 3. Pleural drainage procedures were performed in 49.0% of dexamethasone-treated and 42.9% of placebo-treated patients ( P = 0.60). Radiographic pleural opacification decreased over time with no consistent intergroup differences. Mean duration of antibiotic therapy (22.4 [SD, 15.4] vs. 20.4 [SD, 13.8] d) and median hospitalization (6.0 [interquartile range, 5.0-10.0] vs. 5.5 [interquartile range, 5.0-8.0] d) were similar between the dexamethasone and placebo groups. Serious adverse events occurred in 25.5% of dexamethasone-treated and 21.4% of placebo-treated patients. Transient hyperglycemia more commonly affected the dexamethasone group (15.6% vs. 7.1%). Conclusions: Systemic corticosteroids showed no preliminary benefits in adults with parapneumonic effusions. Clinical trial registered with www.anzctr.org.au (ACTRN12618000947202).
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- 2022
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39. CropPol: A dynamic, open and global database on crop pollination.
- Author
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Allen-Perkins A, Magrach A, Dainese M, Garibaldi LA, Kleijn D, Rader R, Reilly JR, Winfree R, Lundin O, McGrady CM, Brittain C, Biddinger DJ, Artz DR, Elle E, Hoffman G, Ellis JD, Daniels J, Gibbs J, Campbell JW, Brokaw J, Wilson JK, Mason K, Ward KL, Gundersen KB, Bobiwash K, Gut L, Rowe LM, Boyle NK, Williams NM, Joshi NK, Rothwell N, Gillespie RL, Isaacs R, Fleischer SJ, Peterson SS, Rao S, Pitts-Singer TL, Fijen T, Boreux V, Rundlöf M, Viana BF, Klein AM, Smith HG, Bommarco R, Carvalheiro LG, Ricketts TH, Ghazoul J, Krishnan S, Benjamin FE, Loureiro J, Castro S, Raine NE, de Groot GA, Horgan FG, Hipólito J, Smagghe G, Meeus I, Eeraerts M, Potts SG, Kremen C, García D, Miñarro M, Crowder DW, Pisanty G, Mandelik Y, Vereecken NJ, Leclercq N, Weekers T, Lindstrom SAM, Stanley DA, Zaragoza-Trello C, Nicholson CC, Scheper J, Rad C, Marks EAN, Mota L, Danforth B, Park M, Bezerra ADM, Freitas BM, Mallinger RE, Oliveira da Silva F, Willcox B, Ramos DL, D da Silva E Silva F, Lázaro A, Alomar D, González-Estévez MA, Taki H, Cariveau DP, Garratt MPD, Nabaes Jodar DN, Stewart RIA, Ariza D, Pisman M, Lichtenberg EM, Schüepp C, Herzog F, Entling MH, Dupont YL, Michener CD, Daily GC, Ehrlich PR, Burns KLW, Vilà M, Robson A, Howlett B, Blechschmidt L, Jauker F, Schwarzbach F, Nesper M, Diekötter T, Wolters V, Castro H, Gaspar H, Nault BA, Badenhausser I, Petersen JD, Tscharntke T, Bretagnolle V, Willis Chan DS, Chacoff N, Andersson GKS, Jha S, Colville JF, Veldtman R, Coutinho J, Bianchi FJJA, Sutter L, Albrecht M, Jeanneret P, Zou Y, Averill AL, Saez A, Sciligo AR, Vergara CH, Bloom EH, Oeller E, Badano EI, Loeb GM, Grab H, Ekroos J, Gagic V, Cunningham SA, Åström J, Cavigliasso P, Trillo A, Classen A, Mauchline AL, Montero-Castaño A, Wilby A, Woodcock BA, Sidhu CS, Steffan-Dewenter I, Vogiatzakis IN, Herrera JM, Otieno M, Gikungu MW, Cusser SJ, Nauss T, Nilsson L, Knapp J, Ortega-Marcos JJ, González JA, Osborne JL, Blanche R, Shaw RF, Hevia V, Stout J, Arthur AD, Blochtein B, Szentgyorgyi H, Li J, Mayfield MM, Woyciechowski M, Nunes-Silva P, Halinski de Oliveira R, Henry S, Simmons BI, Dalsgaard B, Hansen K, Sritongchuay T, O'Reilly AD, Chamorro García FJ, Nates Parra G, Magalhães Pigozo C, and Bartomeus I
- Subjects
- Animals, Bees, Crops, Agricultural, Flowers, Insecta, Ecosystem, Pollination
- Abstract
Seventy five percent of the world's food crops benefit from insect pollination. Hence, there has been increased interest in how global change drivers impact this critical ecosystem service. Because standardized data on crop pollination are rarely available, we are limited in our capacity to understand the variation in pollination benefits to crop yield, as well as to anticipate changes in this service, develop predictions, and inform management actions. Here, we present CropPol, a dynamic, open, and global database on crop pollination. It contains measurements recorded from 202 crop studies, covering 3,394 field observations, 2,552 yield measurements (i.e., berry mass, number of fruits, and fruit density [kg/ha], among others), and 47,752 insect records from 48 commercial crops distributed around the globe. CropPol comprises 32 of the 87 leading global crops and commodities that are pollinator dependent. Malus domestica is the most represented crop (32 studies), followed by Brassica napus (22 studies), Vaccinium corymbosum (13 studies), and Citrullus lanatus (12 studies). The most abundant pollinator guilds recorded are honey bees (34.22% counts), bumblebees (19.19%), flies other than Syrphidae and Bombyliidae (13.18%), other wild bees (13.13%), beetles (10.97%), Syrphidae (4.87%), and Bombyliidae (0.05%). Locations comprise 34 countries distributed among Europe (76 studies), North America (60), Latin America and the Caribbean (29), Asia (20), Oceania (10), and Africa (7). Sampling spans three decades and is concentrated on 2001-2005 (21 studies), 2006-2010 (40), 2011-2015 (88), and 2016-2020 (50). This is the most comprehensive open global data set on measurements of crop flower visitors, crop pollinators and pollination to date, and we encourage researchers to add more datasets to this database in the future. This data set is released for non-commercial use only. Credits should be given to this paper (i.e., proper citation), and the products generated with this database should be shared under the same license terms (CC BY-NC-SA)., (© 2021 The Ecological Society of America.)
- Published
- 2022
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40. Management of Advanced Pleural Mesothelioma-At the Crossroads.
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Nowak AK, Jackson A, and Sidhu C
- Subjects
- Antineoplastic Combined Chemotherapy Protocols therapeutic use, Humans, Nivolumab therapeutic use, Mesothelioma drug therapy, Mesothelioma etiology, Mesothelioma, Malignant, Pleural Neoplasms drug therapy, Pleural Neoplasms pathology
- Abstract
The management of pleural mesothelioma has changed with the demonstration that first-line checkpoint blockade therapy improves survival. This review covers issues of relevance to the practicing medical oncologist, with an emphasis on the palliative setting and on new information. Until recently, standard systemic therapy for mesothelioma was combination chemotherapy with platinum and pemetrexed. In 2020, combination immunotherapy with ipilimumab and nivolumab was approved as first-line systemic therapy for mesothelioma following release of the results from the CheckMate 743 trial. This trial showed improved overall survival for patients receiving ipilimumab and nivolumab over those treated with platinum and pemetrexed chemotherapy. When the survival results were examined by histologic subtype, the survival benefit was most significant in those with nonepithelioid mesothelioma, a group for which combination immunotherapy is now standard of care. The most important outstanding issue from CheckMate-743 is a better understanding, through translational studies, of which patients with epithelioid mesothelioma may benefit from combination immunotherapy. The next generation of first-line clinical trials in mesothelioma will report the results of first-line combination chemoimmunotherapy. For those patients who receive first-line dual checkpoint blockade, there is no evidence as to the efficacy of subsequent chemotherapy. However, given the known first-line efficacy of cisplatin or carboplatin and pemetrexed, combination chemotherapy is an appropriate subsequent choice for those who progress on or after dual immunotherapy. For those who previously received chemotherapy without immunotherapy, single-agent nivolumab provides benefit over best supportive care. In summary, both chemotherapy and immunotherapy should be considered for all patients during their disease course. Another topical issue is the growing appreciation that some individuals have an inherited predisposition to mesothelioma; referral to a clinical geneticist should be considered under some circumstances. The role of surgery and multimodality therapy is controversial, with results awaited from the fully recruited MARS-2 clinical trial. Patient selection, staging, and multidisciplinary review are critical to identify those who might benefit from a multimodality approach. Finally, a proactive, multidisciplinary approach to symptom management and the principles of management of pleural effusions are critical to manage the symptom burden of mesothelioma and optimize patient well-being., Competing Interests: Anna K. NowakConsulting or Advisory Role: AstraZeneca, Trizell, Boehringer Ingelheim, Epizyme, Merck Sharp & Dohme, Douglas Pharmaceuticals, Bristol Myers Squibb, Atara BiotherapeuticsResearch Funding: AstraZeneca, Douglas PharmaceuticalsTravel, Accommodations, Expenses: AstraZenecaNo other potential conflicts of interest were reported.
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- 2022
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41. Pneumothorax: Classification and Etiology.
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Huan NC, Sidhu C, and Thomas R
- Subjects
- Humans, Risk Factors, Smoking adverse effects, Lung Diseases, Pneumothorax diagnosis, Pneumothorax epidemiology, Pneumothorax etiology, Pulmonary Disease, Chronic Obstructive
- Abstract
Pneumothorax is a common problem worldwide. Pneumothorax develops secondary to diverse aetiologies; in many cases, there may be no recognizable lung abnormality. The pathogenetic mechanism(s) causing spontaneous pneumothorax may be related to an interplay between lung-related abnormalities and environmental factors such as smoking. Tobacco smoking is a major risk factor for primary spontaneous pneumothorax; chronic obstructive pulmonary disease is most frequently associated with secondary spontaneous pneumothorax. This review article provides an overview of the historical perspective, epidemiology, classification, and aetiology of pneumothorax. It also aims to highlight current knowledge and understanding of underlying risks and pathophysiological mechanisms in pneumothorax development., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2021
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42. Malignant Pleural Mesothelioma: Updates for Respiratory Physicians.
- Author
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Sidhu C, Louw A, and Gary Lee YC
- Subjects
- Humans, Asbestos adverse effects, Mesothelioma diagnosis, Mesothelioma therapy, Mesothelioma, Malignant, Physicians, Pleural Neoplasms diagnosis, Pleural Neoplasms therapy
- Abstract
Competing Interests: Disclosure The authors have nothing to disclose.
- Published
- 2021
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43. A Tropomycin-Related Kinase B Receptor Activator for the Management of Ocular Blast-Induced Vision Loss.
- Author
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Dhakal S, He L, Lyuboslavsky P, Sidhu C, Chrenek MA, Sellers JT, Boatright JH, Geisert EE, Setterholm NA, McDonald FE, and Iuvone PM
- Subjects
- Animals, Blood-Brain Barrier metabolism, Blood-Retinal Barrier metabolism, Brain-Derived Neurotrophic Factor metabolism, Mice, Mice, Inbred C57BL, Neuroprotection, Neuroprotective Agents pharmacology, Retina physiopathology, Time-to-Treatment, Treatment Outcome, Blast Injuries complications, Blindness drug therapy, Blindness etiology, Eye Injuries complications, Optic Nerve Injuries drug therapy, Optic Nerve Injuries etiology, Receptor, trkB agonists
- Abstract
Pressure waves from explosions or other traumatic events can damage the neurons of the eye and visual centers of the brain, leading to functional loss of vision. There are currently few treatments for such injuries that can be deployed rapidly to mitigate damage. Brain-derived neurotrophic factor (BDNF) and activation of its receptor tropomycin-related kinase B (TrkB) have neuroprotective effects in a number of degeneration models. Small molecule activators of TrkB, such as N-[2-(5-hydroxy-1H-indol-3-yl)ethyl]-2-oxopiperidine-3-carboxamide (HIOC), cross the blood-brain and blood-retina barriers after systemic administration. We characterize the effects of blast-induced ocular trauma on retinal and visual function. We show that systemic administration of HIOC, a potent small molecule activator of the BDNF/TrkB receptor, preserves visual function in mice exposed to ocular blast injury. The HIOC treatment for one week preserves visual function for at least four months. The HIOC treatment effectively protected vision when the initial dose was administered up to 3 h after blast, but not if the initial treatment was delayed for 24 h. We provide evidence that the therapeutic effect of HIOC is mediated by activation of BDNF/TrkB receptors. The results indicate that HIOC may be useful for managing ocular blast injury and other forms of traumatic optic neuropathy.
- Published
- 2021
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44. Shape-function of a novel metapyrocatechase, RW4-MPC: Metagenomics to SAXS data based insight into deciphering regulators of function.
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Vasudeva G, Sidhu C, Kalidas N, Ashish, and Pinnaka AK
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- Amino Acid Sequence, Catechol 2,3-Dioxygenase isolation & purification, Circular Dichroism, Clone Cells, Enzyme Stability drug effects, Hydrogen-Ion Concentration, Ions, Kinetics, Metals pharmacology, Molecular Weight, Phylogeny, Recombinant Proteins chemistry, Recombinant Proteins isolation & purification, Sodium Chloride pharmacology, Substrate Specificity drug effects, Temperature, Catechol 2,3-Dioxygenase chemistry, Catechol 2,3-Dioxygenase metabolism, Metagenomics, Scattering, Small Angle, X-Ray Diffraction
- Abstract
The oxygenases have attracted considerable attention in enzyme-mediated bioremediation of xenobiotic compounds due to their high specificity, cost-effectiveness, and targeted field applications. Here, we performed a functional metagenomics approach to cope with culturability limitations to isolate a novel extradiol dioxygenase. Fosmid clone harboring dioxygenase gene was sequenced and analyzed by bioinformatics tools. One ring-cleaving dioxygenase RW4-MPC (metapyrocatechase) was purified and characterized to examine its degradation efficiency. The RW4-MPC was significantly active in the temperature and pH range of 5 to 40 °C, and 7-10, respectively, with an optimum temperature of 25 °C and pH 8. To gain insight into observed differential activity, Small-Angle X-ray Scattering (SAXS) data of the protein samples were analyzed, which brought forth that the RW4-MPC molecules form tight globular tetramers in solution. This native association was stable till 35 °C, and protein started to associate at higher temperatures, explaining heat-induced loss of function. Similarly, RW4-MPC aggregated or lost globular profile below pH 7 or at pH 10, respectively. The kinetic parameters showed the six folds high catalytic efficiency of RW4-MPC towards 2,3-dihydroxy biphenyl than catechol and its derivatives. RW4-MPC molecules showed remarkable retention of functionality in hypersaline conditions with more than 70% activity in a buffer having 3 M NaCl concentration. In concordance, SAXS data analysis showed retention of functional shape profile in hypersaline conditions. The halotolerant and oxygen insensitive nature of this enzyme makes it a potential candidate for bioremediation., (Copyright © 2021 Elsevier B.V. All rights reserved.)
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- 2021
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45. Corrigendum: Isolation and Taxonomic Characterization of Novel Haloarchaeal Isolates From Indian Solar Saltern: A Brief Review on Distribution of Bacteriorhodopsins and V-Type ATPases in Haloarchaea.
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Verma DK, Chaudhary C, Singh L, Sidhu C, Siddhardha B, Prasad SE, and Thakur KG
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[This corrects the article DOI: 10.3389/fmicb.2020.554927.]., (Copyright © 2021 Verma, Chaudhary, Singh, Sidhu, Siddhardha, Prasad and Thakur.)
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- 2021
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46. Recurrent hepatocellular carcinoma presenting as thoracic lymphadenopathy.
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Sidhu C and Yagnik L
- Abstract
Metastatic hepatocellular carcinoma (HCC) can involve the lung parenchyma. However, predominant thoracic lymphadenopathy involvement is less described and there are multiple alternative malignant and non-malignant causes of a similar appearance. Accurate tissue diagnosis is important to determine appropriate management and prognostication. Here, we report two cases of metastatic HCC recurrence causing large thoracic lymphadenopathy, diagnosed adequately and safely by linear endobronchial ultrasound (EBUS) transbronchial needle aspiration., (© 2021 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.)
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- 2021
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47. Clump material within drainage chest tubes contains diagnostic information: a proof-of-concept case series.
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Louw A, Sidhu C, Fitzgerald DB, Creaney J, Chai SM, and Lee YCG
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- Humans, Pneumonectomy, Thorax, Chest Tubes, Drainage
- Abstract
Competing Interests: Conflict of interest: A. Louw has nothing to disclose. Conflict of interest: C. Sidhu has nothing to disclose. Conflict of interest: D.B. Fitzgerald has nothing to disclose. Conflict of interest: J. Creaney reports grants from National Health and Medical Research Council and Insurance Commission of Western Australia, during the conduct of the study. Conflict of interest: S. Chai has nothing to disclose. Conflict of interest: Y.C.G. Lee has nothing to disclose.
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- 2021
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48. Ambient Light Regulates Retinal Dopamine Signaling and Myopia Susceptibility.
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Landis EG, Park HN, Chrenek M, He L, Sidhu C, Chakraborty R, Strickland R, Iuvone PM, and Pardue MT
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- Animals, Blotting, Western, Chromatography, High Pressure Liquid, Disease Models, Animal, Dopamine Plasma Membrane Transport Proteins genetics, Gene Expression Regulation physiology, Male, Mice, Mice, Inbred C57BL, Monoamine Oxidase genetics, Refraction, Ocular physiology, Signal Transduction physiology, Vesicular Monoamine Transport Proteins genetics, Visual Acuity physiology, Color Vision physiology, Dopamine metabolism, Light, Mesopic Vision physiology, Myopia metabolism, Night Vision physiology, Retina metabolism
- Abstract
Purpose: Exposure to high-intensity or outdoor lighting has been shown to decrease the severity of myopia in both human epidemiological studies and animal models. Currently, it is not fully understood how light interacts with visual signaling to impact myopia. Previous work performed in the mouse retina has demonstrated that functional rod photoreceptors are needed to develop experimentally-induced myopia, alluding to an essential role for rod signaling in refractive development., Methods: To determine whether dim rod-dominated illuminance levels influence myopia susceptibility, we housed male C57BL/6J mice under 12:12 light/dark cycles with scotopic (1.6 × 10-3 candela/m2), mesopic (1.6 × 101 cd/m2), or photopic (4.7 × 103 cd/m2) lighting from post-natal day 23 (P23) to P38. Half the mice received monocular exposure to -10 diopter (D) lens defocus from P28-38. Molecular assays to measure expression and content of DA-related genes and protein were conducted to determine how illuminance and lens defocus alter dopamine (DA) synthesis, storage, uptake, and degradation and affect myopia susceptibility in mice., Results: We found that mice exposed to either scotopic or photopic lighting developed significantly less severe myopic refractive shifts (lens treated eye minus contralateral eye; -1.62 ± 0.37D and -1.74 ± 0.44D, respectively) than mice exposed to mesopic lighting (-3.61 ± 0.50D; P < 0.005). The 3,4-dihydroxyphenylacetic acid /DA ratio, indicating DA activity, was highest under photopic light regardless of lens defocus treatment (controls: 0.09 ± 0.011 pg/mg, lens defocus: 0.08 ± 0.008 pg/mg)., Conclusions: Lens defocus interacted with ambient conditions to differentially alter myopia susceptibility and DA-related genes and proteins. Collectively, these results show that scotopic and photopic lighting protect against lens-induced myopia, potentially indicating that a broad range of light levels are important in refractive development.
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- 2021
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49. Isolation and Taxonomic Characterization of Novel Haloarchaeal Isolates From Indian Solar Saltern: A Brief Review on Distribution of Bacteriorhodopsins and V-Type ATPases in Haloarchaea.
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Verma DK, Chaudhary C, Singh L, Sidhu C, Siddhardha B, Prasad SE, and Thakur KG
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Haloarchaea inhabit high salinity environments worldwide. They are a potentially rich source of crucial biomolecules like carotenoids and industrially useful proteins. However, diversity in haloarchaea present in Indian high salinity environments is poorly studied. In the present study, we isolated 12 haloarchaeal strains from hypersaline Kottakuppam, Tamil Nadu solar saltern in India. 16S rRNA based taxonomic characterization of these isolates suggested that nine of them are novel strains that belong to genera Haloarcula, Halomicrobium , and Haloferax . Transmission electron microscopy suggests the polymorphic nature of these haloarchaeal isolates. Most of the haloarchaeal species are known to be high producers of carotenoids. We were able to isolate carotenoids from all these 12 isolates. The UV-Vis spectroscopy-based analysis suggests that bacterioruberin and lycopene are the major carotenoids produced by these isolates. Based on the visual inspection of the purified carotenoids, the isolates were classified into two broad categories i.e., yellow and orange, attributed to the differences in the ratio of bacterioruberin and lycopene as confirmed by the UV-Vis spectral analysis. Using a PCR-based screening assay, we were able to detect the presence of the bacteriorhodopsin gene ( bop ) in 11 isolates. We performed whole-genome sequencing for three bop positive and one bop negative haloarchaeal isolates. Whole-genome sequencing, followed by pan-genome analysis identified multiple unique genes involved in various biological functions. We also successfully cloned, expressed, and purified functional recombinant bacteriorhodopsin (BR) from one of the isolates using Escherichia coli as an expression host. BR has light-driven proton pumping activity resulting in the proton gradient across the membrane, which is utilized by V-Type ATPases to produce ATP. We analyzed the distribution of bop and other accessory genes involved in functional BR expression and ATP synthesis in all the representative haloarchaeal species. Our bioinformatics-based analysis of all the sequenced members of genus Haloarcula suggests that bop , if present, is usually inserted between the genes coding for B and D subunits of the V-type ATPases operon. This study provides new insights into the genomic variations in haloarchaea and reports expression of new BR variant having good expression in functional form in E. coli ., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2020 Verma, Chaudhary, Singh, Sidhu, Siddhardha, Prasad and Thakur.)
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- 2020
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50. Biochemical and Taxonomic Characterization of Novel Haloarchaeal Strains and Purification of the Recombinant Halotolerant α-Amylase Discovered in the Isolate.
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Verma DK, Vasudeva G, Sidhu C, Pinnaka AK, Prasad SE, and Thakur KG
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Haloarchaea are salt-loving archaea and potential source of industrially relevant halotolerant enzymes. In the present study, three reddish-pink, extremely halophilic archaeal strains, namely wsp1 (wsp-water sample Pondicherry), wsp3, and wsp4, were isolated from the Indian Solar saltern. The phylogenetic analysis based on 16S rRNA gene sequences suggests that both wsp3 and wsp4 strains belong to Halogeometricum borinquense while wsp1 is closely related to Haloferax volcanii species. The comparative genomics revealed an open pangenome for both genera investigated here. Whole-genome sequence analysis revealed that these isolates have multiple copies of industrially/biotechnologically important unique genes and enzymes. Among these unique enzymes, for recombinant expression and purification, we selected four putative α-amylases identified in these three isolates. We successfully purified functional halotolerant recombinant Amy2, from wsp1 using pelB signal sequence-based secretion strategy using Escherichia coli as an expression host. This method may prove useful to produce functional haloarchaeal secretory recombinant proteins suitable for commercial or research applications. Biochemical analysis of Amy2 suggests the halotolerant nature of the enzyme having maximum enzymatic activity observed at 1 M NaCl. We also report the isolation and characterization of carotenoids purified from these isolates. This study highlights the presence of several industrially important enzymes in the haloarchaeal strains which may potentially have improved features like stability and salt tolerance suitable for industrial applications., (Copyright © 2020 Verma, Vasudeva, Sidhu, Pinnaka, Prasad and Thakur.)
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- 2020
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