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Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease with no therapeutic consensus. Oxidation and inflammation are hallmarks in the progression of this complex disease, which also involves interactions between the genetic background and the environment. Mastiha is a natural nutritional supplement known to possess antioxidant and anti-inflammatory properties. This study investigated how a 6-month Mastiha supplementation (2.1 g/day) could impact the antioxidant and inflammatory status of patients with NAFLD, and whether genetic variants significantly mediate these effects. We recruited 98 patients with obesity (BMI ≥ 30 kg/m2) and NAFLD and randomly allocated them to either the Mastiha or the placebo group for 6 months. The anti-oxidative and inflammatory status was assessed at baseline and post-treatment. Genome-wide genetic data was also obtained from all participants, to investigate gene-by-Mastiha interactions. NAFLD patients with severe obesity (BMI > 35kg/m2) taking the Mastiha had significantly higher total antioxidant status (TAS) compared to the corresponding placebo group (P value=0.008). We did not observe any other significant change in the investigated biomarkers as a result of Mastiha supplementation alone. We identified several novel gene-by-Mastiha interaction associations with levels of cytokines and antioxidant biomarkers. Some of the identified genetic loci are implicated in the pathological pathways of NAFLD, including the lanosterol synthase gene (LSS)associated with glutathione peroxidase activity (Gpx) levels, the mitochondrial pyruvate carrier-1 gene (MPC1)and the sphingolipid transporter-1 gene (SPNS1) associated with hemoglobin levels, the transforming growth factor‐beta‐induced gene (TGFBI) and the micro-RNA 129-1 (MIR129-1)associated with IL-6 and the granzyme B gene (GZMB) associated with IL-10 levels. Within the MAST4HEALTH randomized clinical trial (NCT03135873,www.clinicaltrials.gov) Mastiha supplementation improved the TAS levels among NAFLD patients with severe obesity. We identified several novel genome-wide significant nutrigenetic interactions, influencing the antioxidant and inflammatory status in NAFLD.

Effective wildlife management requires information on population status and distribution. Survey methods that provide estimates of these population parameters can vary greatly in effort required, area covered, precision of estimates, and cost. Trade-offs are required, because increasing precision and area coverage generally requires increasing field effort and incurs a higher cost. We compare DNA- and camera trap based-spatial capture-recapture approaches (DNA-SCR and CT-SCR) to the widely-used, dung-based line transect distance sampling (LTDS) method to assess their performance when applied to three relatively large populations of forest elephant Loxodonta cyclotis (>500 individuals), in order to evaluate their feasibility for future use at national and regional scales. Six of the nine surveys had a coefficient of variation below 20%; area coverage via DNA-SCR and LTDS was comparable and greatly exceeded that of the CT-SCR as applied; overall cost was highest for the LTDS surveys compared to the other two methods. We designed a new metric with which to compare survey methods: an integrated feasibility index (IFI). This combines three typical survey components: total area covered, level of precision achieved, and cost. The IFI suggests that DNA-SCR and LTDS are equally acceptable in terms of the combination of the three survey components, and that either survey method is suitable for large (national or regional) spatial scales for forest elephant density estimation. CT-SCR provides more precise estimates, but has double the IFI, due to the high cost per km2. DNA-SCR in particular, given the improvements highlighted in this study, is now being used at a national scale in Gabon. In conclusion, we recommend that the use of these spatial capture-recapture (SCR) methods, and their development, continue. Future findings and improvements should be compiled across studies to ensure their robust evolution as an option for monitoring the African forest elephant across its range and inform strategies and action for its conservation.