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Tropical mountains are global biodiversity hotspots, owing to a combination of high local species richness and turnover in species composition. Typically, the highest local richness and turnover levels are implicitly assumed to converge in the same mountain regions, resulting in extraordinary species richness at regional to global scales. We investigated this untested assumption using high-resolution distribution data for all 9,788 bird species found in 134 mountain regions worldwide. Contrary to expectations, the mountain regions with the highest local richness differed from those with the highest species turnover. This finding reflects dissimilarities in the regions’ climates and habitat compositions. Forest habitats and humid tropical climates characterize the mountain regions with the highest local richness. In contrast, mountain regions with the highest turnover are generally colder with drier climates and have mostly open habitat types. The highest local species richness and turnover levels globally converge in only a few mountain regions with the greatest climate volumes and topographic heterogeneity, resulting in the most prominent global hotspots for avian biodiversity. These results underline that species-richness hotspots in tropical mountains arise from idiosyncratic levels of local species richness and turnover, a pattern that traditional analyses of overall regional species richness do not detect., Tropical mountains are global biodiversity hotspots, owing to a combination of high local species richness and turnover in species composition. Typically, the highest local richness and turnover levels are implicitly assumed to converge in the same mountain regions, resulting in extraordinary species richness at regional to global scales. We investigated this untested assumption using high-resolution distribution data for all 9,788 bird species found in 134 mountain regions worldwide. Contrary to expectations, the mountain regions with the highest local richness differed from those with the highest species turnover. This finding reflects dissimilarities in the regions' climates and habitat compositions. Forest habitats and humid tropical climates characterize the mountain regions with the highest local richness. In contrast, mountain regions with the highest turnover are generally colder with drier climates and have mostly open habitat types. The highest local species richness and turnover levels globally converge in only a few mountain regions with the greatest climate volumes and topographic heterogeneity, resulting in the most prominent global hotspots for avian biodiversity. These results underline that species-richness hotspots in tropical mountains arise from idiosyncratic levels of local species richness and turnover, a pattern that traditional analyses of overall regional species richness do not detect.

Summary The Udzungwa Forest Partridge Xenoperdix udzungwensis was discovered in 1991 in the geologically old and eco-climatically stable Udzungwa Mountains (hereafter the Udzungwas) in Tanzania - a global biodiversity hotspot in the Eastern Arc Mountains of East Africa. The partridge is categorised as globally 'Endangered' and this study aims at assessing its population status and habitat requirements in the two separate montane forests where it was discovered c.30 years ago and for the first time using systematic playback technique. We estimate the partridge population at c.2,800 individuals (1,680-3,860) confined to less than 150 km2 and now confined to a single forest and with a clearly declining distribution within the last few decades since its discovery. The species is confined to evergreen closed (semi-closed) canopy forest habitat with leaf litter and sedges on the forest floor for feeding and cover. The partridge has become an emblem for the high concentration of endemic species of the Udzungwa Mountains National Park. At the same time there is a risk that this species could go extinct without notice if the Tanzanian authorities do not tackle two envisaged main drivers, namely fragmentation of the evergreen forest area over the last few centuries and current illegal hunting. Hence it seems crucial to allow natural expansion of its forest habitat in the Udzungwas and to eliminate hunting in the other forest within its recently known distribution where the population has presumably been extirpated. The partridge is remarkable as its closest relatives are in South-east Asia and it is used as a flagship species for the Udzungwas, which has one of the highest concentrations of endemic species on earth.

Aims: Urethral closure function is essential for urinary continence in women and decreased urethral pressure is associated with stress urinary incontinence (SUI). For decades, the effects of serotonergic drugs on central neural control of urethral closure have been investigated and discussed. Epidemiological studies suggest that the use of selective serotonin reuptake inhibitors (SSRIs), such as citalopram, is associated with SUI. However, the literature findings are conflicting. This study aimed to evaluate citalopram's effect on opening urethral pressure (OUP) in healthy women. Methods: We conducted a randomized, double-blind, placebo- and active-controlled crossover study in 24 healthy women. On three study days, which were separated by 8 days of washout, the subjects received single doses of either 40 mg citalopram (and placeboreboxetine), 8 mg reboxetine (and placebocitalopram), or two placebos. Study drugs were administered at a 1-h interval due to a difference in estimated time to peak plasma concentration (tmax). We measured OUP with urethral pressure reflectometry under both resting and squeezing conditions of the pelvic floor at estimated tmax for both study drugs (one timepoint). Results: Compared to placebo, citalopram increased OUP by 6.6 cmH20 (95% confidence interval [CI] 0.04–13.1, p = 0.048) in resting condition. In squeezing condition, OUP increased by 7.1 cmH20 (95% CI: 1.3–12.9, p = 0.01). Reboxetine increased OUP by 30.0 cmH20 in resting condition compared to placebo (95% CI: 23.5–36.5, p < 0.001), and 27.0 cmH20 (95% CI: 21.2–32.8, p < 0.001) in squeezing condition. Conclusion: Citalopram increased OUP slightly compared to placebo suggesting that SSRI treatment does not induce or aggravate SUI.

The immense concentrations of vertebrate species in tropical mountains remain a prominent but unexplained pattern in biogeography. A long-standing hypothesis suggests that montane biodiversity hotspots result from endemic species aggregating within ecologically stable localities. Here, the persistence of ancient lineages coincides with frequent speciation events, making such areas both 'cradles' (where new species arise) and 'museums' (where old species survive). Although this hypothesis refers to processes operating at the scale of valleys, it remains supported primarily by patterns generated from coarse-scale distribution data. Using high-resolution occurrence and phylogenetic data on Andean hummingbirds, we find that old and young endemic species are not spatially aggregated. The young endemic species tend to have non-overlapping distributions scattered along the Andean treeline, a long and narrow habitat where populations easily become fragmented. By contrast, the old endemic species have more aggregated distributions, but mainly within pockets of cloud forests at lower elevations than the young endemic species. These findings contradict the premise that biogeographical cradles and museums should overlap in valley systems where pockets of stable climate persist through periods of climate change. Instead, Andean biodiversity hotspots may derive from large-scale fluctuating climate complexity in conjunction with local-scale variability in available area and habitat connectivity.

Seasonal variation in the composition of avian communities is poorly documented in African montane forests. Using field observations, mist-netting data (63,424 NMH), recording of mixed-species flocks (160 flocks noted), and of the feeding ecology of greenbuls (757 observations), we document marked seasonal changes in a bird community in an East African montane forest (1,340–2,130 m) in the Udzungwa Mountains in south-central Tanzania. This mountain range contains the largest remaining forests in the Eastern Arc Mountains in Tanzania, part of a key global biodiversity hotspot. Our analysis is based on data in the dry and wet season from about 12 months of fieldwork. Field observation data combined with mist-net data demonstrate noticeable seasonal changes in certain species’ abundances, indicating (i) seasonal movements out of the montane forest during the dry season and (ii) movements of part of the populations for other species. Our mist-net results show a significant difference in species abundances between the two seasons driven by 16 species. We also document significant changes in diet for two species of greenbuls, which shift feeding behavior from arthropods in the wet season to include a larger proportion of fruit in their dry season diet. Our results further show that birds are more active in mixed-species flocks in the dry season, with a significantly higher average number of species and of individuals in the dry season, i.e., 11.3 (±0.52 SE) species, 32.3 (±1.76 SE) individuals] compared to the wet season 9.7 (±0.78 SE) species, 20.8 (±1.85 SE) individuals]. One of two very distinctive types of mixed-species flocks – confined to the understory – exists only in the dry season. We discuss these changes to seasonal variability in climate, i.e., temperature and precipitation.

Animal pollinators are globally threatened by anthropogenic land use change and agricultural intensification. The yield of many food crops is therefore negatively impacted because they benefit from biotic pollination. This is especially the case in the tropics. For instance, fruit set of Coffea arabica has been shown to increase by 10–30% in plantations with a high richness of bee species, possibly influenced by the availability of surrounding forest habitat. Here, we performed a global literature review to (1) assess how much animal pollination enhances coffee fruit set, and to (2) examine the importance of the amount of forest cover, distance to nearby forest and forest canopy density for bee species richness and coffee fruit set. Using a systematic literature review, we identified eleven case studies with a total of 182 samples where fruit set of C. arabica was assessed. We subsequently gathered forest data for all study sites from satellite imagery. We modelled the effects of open (all forest with a canopy density of ≥25%), closed (≥50%) and dense (≥75%) forests on pollinator richness and fruit set of coffee. Overall, we found that animal pollination increases coffee fruit set by ~18% on average. In only one of the case studies, regression results indicate a positive effect of dense forest on coffee fruit set, which increased with higher forest cover and shorter distance to the forest. Against expectations, forest cover and distance to open forest were not related to bee species richness and fruit set. In summary, we provide strong empirical support for the notion that animal pollinators increase coffee fruit set. Forest proximity had little overall influence on bee richness and coffee fruit set, except when farms were surrounded by dense tropical forests, potentially because these may provide high-quality habitats for bees pollinating coffee. We, therefore, advocate that more research is done to understand the biodiversity value of dense forest for pollinato

Many ecosystems have been modified by humans, creating novel habitats that include human-provided resources. Gardens adjacent to native habitats may affect plant–pollinator interactions by altering the determinants of interactions and species specialization. Here, we characterized a network comprising plants and hummingbirds interacting in a birdwatching garden with human-provided resources (nectar feeders and exotic plants) and adjacent Andean cloud forest in Colombia. Specifically, we investigated the proportion of hummingbirds visiting feeders and native/exotic plants to evaluate the connection between the habitats and the ecological determinants of the interaction network. Hummingbirds relied heavily on artificial nectar feeders in the garden, leaving the natural cloud forest for resources. Morphological matching was the single most important predictor of the observed pairwise interactions, for both hummingbirds and plants. At the species level, longer flowering phenology and a higher amount of sugar in nectar led to a higher degree for plants (i.e. the number of visiting hummingbird species). In contrast, a longer floral corolla was associated with lower specialization. Abundance was the best predictor of the number of partners for hummingbirds. The garden created for birdwatching attracted most, but not all, hummingbird species beyond their natural cloud forest habitat. Interestingly, the most frequently visited plants in the garden were native, especially the endemic and endangered tree Zygia lehmannii (Fabaceae). Our results show that some ecological mechanisms determining interactions in natural communities still hold in intensively modified habitats. Furthermore, a compromise between conservation and hummingbirds’ attraction to birding lodges/gardens is possible, for instance by favouring native and endemic plant species that are highly attractive for pollinators.

Functional traits can determine pairwise species interactions, such as those between plants and pollinators. However, the effects of biogeography and evolutionary history on trait-matching and trait-mediated resource specialization remain poorly understood.We compiled a database of 93 mutualistic hummingbird-plant networks (including 181 hummingbird and 1,256 plant species), complemented by morphological measures of hummingbird bill and floral corolla length. We divided the hummingbirds into their principal clades and used knowledge on hummingbird biogeography to divide the networks into four biogeographical regions: Lowland South America, Andes, North & Central America, and the Caribbean islands. We then tested: (a) whether hummingbird clades and biogeographical regions differ in hummingbird bill length, corolla length of visited flowers and resource specialization, and (b) whether hummingbirds' bill length correlates with the corolla length of their food plants and with their level of resource specialization.Hummingbird clades dominated by long-billed species generally visited longer flowers and were the most exclusive in their resource use. Bill and corolla length and the degree of resource specialization were similar across mainland regions, but the Caribbean islands had shorter flowers and hummingbirds with more generalized interaction niches. Bill and corolla length correlated in all regions and most clades, that is, trait-matching was a recurrent phenomenon in hummingbird-plant associations. In contrast, bill length did not generally mediate resource specialization, as bill length was only weakly correlated with resource specialization within one hummingbird clade (Brilliants) and in the regions of Lowland South America and the Andes in which plants and hummingbirds have a long co-evolutionary history. Supplementary analyses including bill curvature confirmed that bill morphology (length and curvature) does not in general predict resource

Background: Coronavirus disease 19 (COVID-19) is spreading globally and treatment options remain limited. A formulation of niclosamide, a potent anti-SARS-CoV-2 agent and a broad-spectrum antiviral treatment candidate, optimized for inhalation and intranasal administration (UNI91104) was developed.Methods: We conducted a randomized, placebo-controlled, double-blind, single-centre, dose-ascending Phase 1 trial to assess the safety of UNI91104 in Denmark (NCT04576312). Healthy volunteers were randomly assigned to a ascending single dose in cohort 1-4 and five doses over 2.5 days in cohort 5. Inclusion criteria included a minimum 80% of predicted lung function. Exclusion criteria included severe, clinically significant allergies and current acute or chronic condition especially airway diseases. Safety was evaluated through adverse events (AEs) and pulmonary function tests including forced expiratory volume in one second (FEV1) and fractional exhaled nitric oxide (FeNO) tests. The primary endpoints were defined as the frequency of reported AEs and the change of safety variables relative to pre-dose. Data from all enroled healthy volunteers receiving any amount of IMP was included in the primary analyses. The pharmacokinetics of UNI91104 was determined.Findings: The trial was conducted between 29 June 2020 and 08 August 2020. Thirty-four healthy volunteers received UNI91104 and ten placebo. No serious AEs or discontinuation were reported. Mild irritation in the upper respiratory tract following inhalation of UNI91104 was reported as most frequent AE (45 events in 26 healthy volunteers, 59% of all healthy volunteers). Nasal application was well-tolerated. There was no evidence of difference in the change of mean levels of pulmonary function tests between active and placebo group across all cohorts. Five healthy volunteers (11.4%) (1 on placebo) had signs of increased transient FeNO and 4 on active (9.1%) experienced asymptomatic drops

BACKGROUND: Peptide-based vaccination is a rational option for immunotherapy of prostate cancer. In this first-in-man phase I/II study, we assessed the safety, tolerability and immunological impact of a synthetic long peptide vaccine targeting Ras homolog gene family member C (RhoC) in patients with prostate cancer. RhoC is a small GTPase overexpressed in advanced solid cancers, metastases and cancer stem cells. METHODS: Twenty-two patients who had previously undergone radical prostatectomy received subcutaneous injections of 0.1 mg of a single RhoC-derived 20mer peptide emulsified in Montanide ISA-51 every 2 weeks for the first six times, then five times every 4 weeks for a total treatment time of 30 weeks. The drug safety and vaccine-specific immune responses were assessed during treatment and thereafter within a 13-month follow-up period. Serum level of prostate-specific antigen was measured up to 26 months postvaccination. RESULTS: Most patients (18 of 21 evaluable) developed a strong CD4 T cell response against the vaccine, which lasted at least 10 months following the last vaccination. Three promiscuouslypresented HLA-class II epitopes were identified. Vaccine-specific CD4 T cells were polyfunctional and effector memory T cells that stably expressed PD-1 (CD279) and OX-40 (CD134), but not LAG-3 (CD223). One CD8 T cell response was detected in addition. The vaccine was well tolerated and no treatment-related adverse events of grade ≥3 were observed. CONCLUSION: Targeting of RhoC induced a potent and long-lasting T cell immunity in the majority of the patients. The study demonstrates an excellent safety and tolerability profile. Vaccination against RhoC could potentially delay or prevent tumor recurrence and metastasis formation. TRIAL REGISTRATION NUMBER: NCT03199872.

Interactions between species are influenced by different ecological mechanisms, such as morphological matching, phenological overlap and species abundances. How these mechanisms explain interaction frequencies across environmental gradients remains poorly understood. Consequently, we also know little about the mechanisms that drive the geographical patterns in network structure, such as complementary specialization and modularity. Here, we use data on morphologies, phenologies and abundances to explain interaction frequencies between hummingbirds and plants at a large geographical scale. For 24 quantitative networks sampled throughout the Americas, we found that the tendency of species to interact with morphologically matching partners contributed to specialized and modular network structures. Morphological matching best explained interaction frequencies in networks found closer to the equator and in areas with low-temperature seasonality. When comparing the three ecological mechanisms within networks, we found that both morphological matching and phenological overlap generally outperformed abundances in the explanation of interaction frequencies. Together, these findings provide insights into the ecological mechanisms that underlie geographical patterns in resource specialization. Notably, our results highlight morphological constraints on interactions as a potential explanation for increasing resource specialization towards lower latitudes.

Despite centuries of investigation, we still lack a unified explanation for the global variability in species diversity. In particular, our explanations for the large-scale diversity patterns fail to account for the enormous aggregation of species within tropical mountains. At the regional scale, speciation and persistence operating in close geographic proximity with each other may explain diversity patterns in range-restricted species. At the local scale, the partitioning of species’ functional niches may facilitate the maintenance of diverse ecological assemblages. Both of these hypotheses apply to the fine spatial scale, and have therefore been challenging to support by empirical data. For combating these challenges, the hummingbird family (Trochilidae) is suitable for several reasons. The combination of high species richness together with well-resolved information on the species’ geographical distributions and phylogenetic relationships makes the taxon suitable for investigating biogeographical hypotheses at the large spatial scale. In addition, well-sampled data on the hummingbirds’ interactions with flowering plants makes the taxon ideal for investigating the biogeographical variability in resource specialization. Using that information, this thesis addresses questions regarding variability in species diversity from regional to local scale. Major research aims include: (i) investigating the hypothesis that endemism hotspots are generated by early-divergent species aggregating with recently-derived species (Chapter 1); (ii) to disentangle the different ecological explanations for geographical variability in resource specialization (Chapter II-V); (iii) to investigate the extent to which the hummingbirds’ interactions with plants could have implications for their vulnerability to future climate changes (Chapter VI). Each chapter represent distinct research projects formatted as manuscripts. Chapter I investigates the buildup of Andean endemism hotspots by hummin

Abundant pollinators are often more generalised than rare pollinators. This could be because abundant species have more chance encounters with potential interaction partners. On the other hand, generalised species could have a competitive advantage over specialists, leading to higher abundance. Determining the direction of the abundance–generalisation relationship is therefore a ‘chicken-and-egg’ dilemma. Here we determine the direction of the relationship between abundance and generalisation in plant–hummingbird pollination networks across the Americas. We find evidence that hummingbird pollinators are generalised because they are abundant, and little evidence that hummingbirds are abundant because they are generalised. Additionally, most patterns of species-level abundance and generalisation were well explained by a null model that assumed interaction neutrality (interaction probabilities defined by species relative abundances). These results suggest that neutral processes play a key role in driving broad patterns of generalisation in animal pollinators across large spatial scales.