Search

Abstract Objective This study aims to elucidate the long‐term benefit of newborn screening (NBS) for individuals with long‐chain 3‐hydroxy‐acyl‐CoA dehydrogenase (LCHAD) and mitochondrial trifunctional protein (MTP) deficiency, inherited metabolic diseases included in NBS programs worldwide. Methods German national multicenter study of individuals with confirmed LCHAD/MTP deficiency identified by NBS between 1999 and 2020 or selective metabolic screening. Analyses focused on NBS results, confirmatory diagnostics, and long‐term clinical outcomes. Results Sixty‐seven individuals with LCHAD/MTP deficiency were included in the study, thereof 54 identified by NBS. All screened individuals with LCHAD deficiency survived, but four with MTP deficiency (14.8%) died during the study period. Despite NBS and early treatment neonatal decompensations (28%), symptomatic disease course (94%), later metabolic decompensations (80%), cardiomyopathy (28%), myopathy (82%), hepatopathy (32%), retinopathy (17%), and/or neuropathy (22%) occurred. Hospitalization rates were high (up to a mean of 2.4 times/year). Disease courses in screened individuals with LCHAD and MTP deficiency were similar except for neuropathy, occurring earlier in individuals with MTP deficiency (median 3.9 vs. 11.4 years; p = 0.0447). Achievement of dietary goals decreased with age, from 75% in the first year of life to 12% at age 10, and consensus group recommendations on dietary management were often not achieved. Interpretation While NBS and early treatment result in improved (neonatal) survival, they cannot reliably prevent long‐term morbidity in screened individuals with LCHAD/MTP deficiency, highlighting the urgent need of better therapeutic strategies and the development of disease course‐altering treatment.

Abstract Efficient navigation is supported by a cognitive map of space. The hippocampus plays a key role for this map by linking multimodal sensory information with spatial memory representations. However, in human navigation studies, the full range of sensory information is often unavailable due to the stationarity of experimental setups. We investigated the contribution of multisensory information to memory-guided spatial navigation by presenting a virtual version of the Morris water maze on a screen and in an immersive mobile virtual reality setup. Patients with hippocampal lesions and matched controls navigated to memorized object locations in relation to surrounding landmarks. Our results show that availability of multisensory input improves memory-guided spatial navigation in both groups. It has distinct effects on navigational behaviour, with greater improvement in spatial memory performance in patients. We conclude that congruent multisensory information shifts computations to extrahippocampal areas that support spatial navigation and compensates for spatial navigation deficits.

The multi-scheme chemical ionisation inlet 1 (MION1) enables rapid switching between the measurement of atmospheric ions without chemical ionisation and neutral molecules using various atmospheric pressure chemical ionisation methods. In this study, we introduce the upgraded version, the multi-scheme chemical ionisation inlet 2 (MION2). The new design incorporates enhanced ion optics, resulting in increased reagent ion concentration, ensuring a robust operation, and enabling the use of multiple chemical ionisation methods with the same ionisation time. In order to simplify the regular calibration of MION2, we developed an open-source flow reactor chemistry model called MARFORCE. This model enables quantification of the chemical production of sulfuric acid (H2SO4), hypoiodous acid (HOI), and hydroperoxyl radical (HO2). MARFORCE simulates the convection–diffusion–reaction processes occurring within typical cylindrical flow reactors with uniform inner diameters. The model also includes options to simulate chemical processes in the following two scenarios: (1) when two flow reactors with different inner diameters are connected and (2) when two flows are merged into one using a Y-shaped tee, although with reduced accuracy. Furthermore, the chemical mechanism files in the model are compatible with the widely used Master Chemical Mechanism (MCM), allowing for future adaptation to simulate other chemical processes in flow reactors. Furthermore, we conducted a comprehensive characterisation of the bromide (Br−) and nitrate (NO3-) chemical ionisation methods with different ionisation times. We performed calibration experiments for H2SO4, HOI, and HO2 by combining gas kinetic experiments with the MARFORCE model. The evaluation of sulfur dioxide (SO2), water (H2O), and molecular iodine (I2) involved dilution experiments from a gas cylinder (SO2), dew point mirror measurements (H2O), and a derivatisation approach combined with a high-performance liquid chromatography quantification (I2), respectively. Our findings indicate that the detection limit is inversely correlated with the fragmentation enthalpy of the analyte–reagent ion (Br−) cluster. In other words, stronger binding (resulting in a larger fragmentation enthalpy) leads to a lower detection limit. Additionally, a moderately longer ionisation time enhances the detection sensitivity, thereby reducing the detection limit. For instance, when using the Br− chemical ionisation method with a 300 ms ionisation time, the estimated detection limit for H2SO4 is 2.9×104 molec. cm−3. Notably, this detection limit is even superior to that achieved by the widely used Eisele-type chemical ionisation inlet (7.6×104 molec. cm−3), as revealed by direct comparisons. While the NO3- chemical ionisation method remains stable in the presence of high humidity, we have observed that the Br− chemical ionisation method (Br−–MION2) is significantly affected by the air water content. Higher levels of air water lead to reduced sensitivity for HO2 and SO2 under the examined conditions. However, we have found that a sharp decline in sensitivity for H2SO4, HOI, and I2 occurs only when the dew point exceeds 0.5–10.5 ∘C (equivalent to 20 %–40 % RH; calculated at 25 ∘C throughout this paper). For future studies utilising the atmospheric pressure Br− chemical ionisation method, including Br−–MION2, it is crucial to carefully consider the molecular-level effects of humidity. By combining approaches such as the water-insensitive NO3-–MION2 with Br−–MION2, MION2 can offer more comprehensive insights into atmospheric composition than what can be achieved by either method alone. By employing instrument voltage scanning, chemical kinetic experiments, and quantum chemical calculations, we have conclusively established that the presence of iodine oxides does not interfere with the detection of HIO3. Our comprehensive analysis reveals that the ions IO3-, HIO3⚫NO3-, and HIO3⚫Br−, which are detected using the Br− and NO3- chemical ionisation methods, are primarily, if not exclusively, generated from gaseous HIO3 molecules within atmospherically relevant conditions.

The exceptionally long and protracted aridity in the Atacama Desert (AD), Chile, provides an extreme, terrestrial ecosystem that is ideal for studying microbial community dynamics under hyperarid conditions. Our aim was to characterize the temporal response of hyperarid soil AD microbial communities to ex situ simulated rainfall (5% g water/g dry soil for 4 weeks) without nutrient amendment. We conducted replicated microcosm experiments with surface soils from two previously well-characterized AD hyperarid locations near Yungay at 1242 and 1609 masl (YUN1242 and YUN1609) with distinct microbial community compositions and average soil relative humidity levels of 21 and 17%, respectively. The bacterial and archaeal response to soil wetting was evaluated by 16S rRNA gene qPCR, and amplicon sequencing. Initial YUN1242 bacterial and archaeal 16S rRNA gene copy numbers were significantly higher than for YUN1609. Over the next 4 weeks, qPCR results showed significant increases in viable bacterial abundance, whereas archaeal abundance decreased. Both communities were dominated by 10 prokaryotic phyla (Actinobacteriota, Proteobacteria, Chloroflexota, Gemmatimonadota, Firmicutes, Bacteroidota, Planctomycetota, Nitrospirota, Cyanobacteriota, and Crenarchaeota) but there were significant site differences in the relative abundances of Gemmatimonadota and Chloroflexota, and specific actinobacterial orders. The response to simulated rainfall was distinct for the two communities. The actinobacterial taxa in the YUN1242 community showed rapid changes while the same taxa in the YUN1609 community remained relatively stable until day 30. Analysis of inferred function of the YUN1242 microbiome response implied an increase in the relative abundance of known spore-forming taxa with the capacity for mixotrophy at the expense of more oligotrophic taxa, whereas the YUN1609 community retained a stable profile of oligotrophic, facultative chemolithoautotrophic and mixotrophic taxa. These results indicate that bacterial communities in extreme hyperarid soils have the capacity for growth in response to simulated rainfall; however, historic variations in long-term hyperaridity exposure produce communities with distinct putative metabolic capacities.