Neoechinorhynchus macrospinosus (Acanthocephala: Neoechinorhynchidae) in Rabbit fish Siganus rivulatus (Siganidae): morphology and phylogeny.

Siganids are the most important marine fish distributed along the African coast. Therefore, the current study aimed to investigate parasite fauna infects one of the most important mariculture fish species in the Red Sea, the Rabbit fish Siganus rivulatus. One acanthocephalan species has been isolated from the posterior region of fish intestine, belonging to the Neoechinorhynchidae family, and named as Neoechinorhynchus macrospinosus Amin & Nahhas, 1994 based on its morphological and morphometric features. In order to determine the accurate taxonomic position of this acanthocephalan species, molecular phylogenetic analysis was carried out based on the partial sequences of 18S rDNA gene region. The obtained data revealed that this species was associated with a close identity ˃71% for other species belonging to the Neoechinorhynchidae family. In addition, the recovered species deeply embedded in the Neoechinorhynchus genus, closely related to the previously described Neoechinorhynchus sp., N. mexicoensis, and N. golvani with identity percent of 95.14, 93.59, 93.59%, respectively. Therefore, the present study provide a better understanding about the taxonomic status of N. macrospinosus based on 18S rDNA that can be useful for achieving a proper assessment of biodiversity.

Neoechinorhynchus macrospinosus (Acanthocephala: Neoechinorhynchidae) in Rabbit fish Siganus rivulatus (Siganidae): morphology and phylogeny / Neoechinorhynchus macrospinosus (Acanthocephala: Neoechinorhynchidae) em peixes-coelho Siganus rivulatus (Siganidae): morfologia e filogenia

Siganids are the most important marine fish distributed along the African coast. Therefore, the current study aimed to investigate parasite fauna infects one of the most important mariculture fish species in the Red Sea, the Rabbit fish Siganus rivulatus. One acanthocephalan species has been isolated from the posterior region of fish intestine, belonging to the Neoechinorhynchidae family, and named as Neoechinorhynchus macrospinosus Amin & Nahhas, 1994 based on its morphological and morphometric features. In order to determine the accurate taxonomic position of this acanthocephalan species, molecular phylogenetic analysis was carried out based on the partial sequences of 18S rDNA gene region. The obtained data revealed that this species was associated with a close identity ˃71% for other species belonging to the Neoechinorhynchidae family. In addition, the recovered species deeply embedded in the Neoechinorhynchus genus, closely related to the previously described Neoechinorhynchus sp., N. mexicoensis, and N. golvani with identity percent of 95.14, 93.59, 93.59%, respectively. Therefore, the present study provide a better understanding about the taxonomic status of N. macrospinosus based on 18S rDNA that can be useful for achieving a proper assessment of biodiversity.

Os siganídeos são os peixes marinhos mais importantes distribuídos ao longo da costa africana. Portanto, o presente estudo teve como objetivo investigar a fauna de parasitas infectando uma das espécies mais importantes de peixes para maricultura no Mar Vermelho, o peixe-coelho Siganus rivulatus. Uma espécie de acantocéfalo foi isolada da região posterior do intestino de peixes pertencentes à família Neoechinorhynchidae, e denominadas Neoechinorhynchus macrospinosus Amin & Nahhas, 1994, com base em suas características morfológicas e morfométricas. A fim de determinar a posição taxonômica precisa dessa espécie de acantocéfalo, a análise filogenética molecular foi realizada com base nas sequências parciais da região do gene 18S rDNA e revelou que essa espécie estava associada a uma identidade próxima de até 71% para outras espécies pertencentes a família Neoechinorhynchidae e profundamente enraizada no gênero Neoechinorhynchus, intimamente relacionada a Neoechinorhynchus sp., N. mexicoensis, and N. golvani descrito anteriormente com percentual de identidade de 95,14, 93,59, 93,59%, respectivamente. Portanto, o presente estudo fornece uma melhor compreensão sobre o status taxonômico de N. macrospinosus com base no 18S rDNA que pode ser útil para obter uma avaliação adequada da biodiversidade.

[RETRACTED ARTICLE] Neoechinorhynchus macrospinosus (Acanthocephala: Neoechinorhynchidae) in Rabbit fish Siganus rivulatus (Siganidae): morphology and phylogeny / [ARTIGO RETRATADO] Neoechinorhynchus macrospinosus (Acanthocephala: Neoechinorhynchidae) em peixes-coelho Siganus rivulatus (Siganidae): morfologia e filogenia

Abstract Siganids are the most important marine fish distributed along the African coast. Therefore, the current study aimed to investigate parasite fauna infects one of the most important mariculture fish species in the Red Sea, the Rabbit fish Siganus rivulatus. One acanthocephalan species has been isolated from the posterior region of fish intestine, belonging to the Neoechinorhynchidae family, and named as Neoechinorhynchus macrospinosus Amin & Nahhas, 1994 based on its morphological and morphometric features. In order to determine the accurate taxonomic position of this acanthocephalan species, molecular phylogenetic analysis was carried out based on the partial sequences of 18S rDNA gene region. The obtained data revealed that this species was associated with a close identity ˃71% for other species belonging to the Neoechinorhynchidae family. In addition, the recovered species deeply embedded in the Neoechinorhynchus genus, closely related to the previously described Neoechinorhynchus sp., N. mexicoensis, and N. golvani with identity percent of 95.14, 93.59, 93.59%, respectively. Therefore, the present study provide a better understanding about the taxonomic status of N. macrospinosus based on 18S rDNA that can be useful for achieving a proper assessment of biodiversity.

Resumo Os siganídeos são os peixes marinhos mais importantes distribuídos ao longo da costa africana. Portanto, o presente estudo teve como objetivo investigar a fauna de parasitas infectando uma das espécies mais importantes de peixes para maricultura no Mar Vermelho, o peixe-coelho Siganus rivulatus. Uma espécie de acantocéfalo foi isolada da região posterior do intestino de peixes pertencentes à família Neoechinorhynchidae, e denominadas Neoechinorhynchus macrospinosus Amin & Nahhas, 1994, com base em suas características morfológicas e morfométricas. A fim de determinar a posição taxonômica precisa dessa espécie de acantocéfalo, a análise filogenética molecular foi realizada com base nas sequências parciais da região do gene 18S rDNA e revelou que essa espécie estava associada a uma identidade próxima de até 71% para outras espécies pertencentes a família Neoechinorhynchidae e profundamente enraizada no gênero Neoechinorhynchus, intimamente relacionada a Neoechinorhynchus sp., N. mexicoensis, and N. golvani descrito anteriormente com percentual de identidade de 95,14, 93,59, 93,59%, respectivamente. Portanto, o presente estudo fornece uma melhor compreensão sobre o status taxonômico de N. macrospinosus com base no 18S rDNA que pode ser útil para obter uma avaliação adequada da biodiversidade.

Preselection of EGFR mutations in non-small-cell lung cancer patients by immunohistochemistry: comparison with DNA-sequencing, EGFR wild-type expression, gene copy number gain and clinicopathological data.

Targeting epidermal growth factor receptor (EGFR) in patients with non-small-cell lung cancer (NSCLC) having EGFR mutations is associated with an improved overall survival. The aim of this study is to verify, if EGFR mutations detected by immunohistochemistry (IHC) is a convincing way to preselect patients for DNA-sequencing and to figure out, the statistical association between EGFR mutation, wild-type EGFR overexpression, gene copy number gain, which are the main factors inducing EGFR tumorigenic activity and the clinicopathological data. Two hundred sixteen tumor tissue samples of primarily chemotherapeutic naïve NSCLC patients were analyzed for EGFR mutations E746-A750del and L858R and correlated with DNA-sequencing. Two hundred six of which were assessed by IHC, using 6B6 and 43B2 specific antibodies followed by DNA-sequencing of positive cases and 10 already genotyped tumor tissues were also included to investigate debugging accuracy of IHC. In addition, EGFR wild-type overexpression was IHC evaluated and EGFR gene copy number determination was performed by fluorescence in situ hybridization (FISH). Forty-one÷206 (19.9%) cases were positive for mutated EGFR by IHC. Eight of them had EGFR mutations of exons 18-21 by DNA-sequencing. Hit rate of 10 already genotyped NSCLC mutated cases was 90% by IHC. Positive association was found between EGFR mutations determined by IHC and both EGFR overexpression and increased gene copy number (p=0.002 and p<0.001, respectively). Additionally, positive association was detected between EGFR mutations, high tumor grade and clinical stage (p<0.001). IHC staining with mutation specific antibodies was demonstrated as a possible useful screening test to preselect patients for DNA-sequencing.

The impact of total bile acid levels on fetal cardiac function in intrahepatic cholestasis of pregnancy using fetal echocardiography: a tissue Doppler imaging study.

AIM: The aim of this study was to assess total bile acid (TBA) levels and its impact on systolic and diastolic functions in fetuses of mothers with intrahepatic cholestasis of pregnancy (ICP) using tissue Doppler imaging (TDI), and to explore the correlation between TBA levels and fetal cardiac function. SUBJECTS AND METHODS: The study employed 98 pregnant women with ICP who were divided into two groups according to their bile acid levels. Fifty pregnant women without ICP represented the control group. RESULTS: Significant differences in the myocardial tissue velocities of both mitral and tricuspid valves were found between the fetuses of mothers with ICP and TBA levels of <40 mmol/L and the control group, versus fetuses of mothers with ICP and TBA levels >40 mmol/L. There was a significant increase in neonatal respiratory distress, meconium staining and neonatal TBAs in group II compared to the control group and group I. There was a correlation between maternal TBA levels and preterm delivery, APGAR scores and neonatal TBA levels at birth. There was also a positive correlation between maternal TBA and fetal myocardial tissue velocities of both mitral and tricuspid, and fetal diastolic myocardial tissue Doppler velocities. CONCLUSION: ICP is a very serious condition especially when maternal TBA levels are >40 mmol/L. Fetal echocardiography with tissue Doppler is a useful tool for fetal assessment in patients with ICP. It could be an indication of induction of labor in cases of ICP and bile acid levels ≥40 mol/L. Neonatal echocardiography is mandatory for follow-up and management of these neonates.

Detection of early left ventricular dysfunction in patients with maternal placental syndrome using tissue Doppler and strain rate imaging.

BACKGROUND: Maternal placental syndromes (MPS) occur as a consequence of abnormal placental vessel formation and refer to hypertensive pregnancy disorders and related placental abnormalities. The aim of this study is to investigate early alterations in left ventricular function in patients with history of MPS using tissue Doppler and strain rate imaging. METHODS: We enrolled 122 females who were 6 months after delivery. Group 1 included 72 patients who experienced MPS. Group 2 included 50 women with normal pregnancy as control. RESULTS: There was no significant difference between both groups with regard to ejection fraction, deceleration time, isovolumetric relaxation time, or E/A ratio. Deterioration of left ventricular systolic and diastolic function was evident in the MPS group, by TDI parameters (significantly lower values of Sm 7.5 ± 1.2 vs. 9.1 ± 1.3, p < 0.001; Em 7.0 ± 0.8 vs. 10.0 ± 1.4, p = 0.02; and Em-to-Am ratio 0.84 ± 0.14 vs. 1.2 ± 0.18, p < 0.001). Systolic strain, peak systolic strain rate, and early and late diastolic strain rates were also significantly lower in patients who had MPS than in the control group (-18.7 ± 2.6 vs. -20.8 ± 1.5, p < 0.001; -0.92 ± 0.14 vs. -1.01 ± 0.23, p < 0.001; 1.05 ± 0.11 vs. 1.29 ± 0.24, p < 0.001; 1.8 ± 0.3 vs. 1.2 ± 0.4, p < 0.001, respectively) and in patients who had severe pre-eclampia than mild pre-eclampsia. Pre-eclamptic women who had preterm delivery showed significantly higher left diastolic dysfunction. CONCLUSION: Left ventricular systolic and diastolic dysfunction occur in patients with history of MPS. These abnormalities are evident on tissue Doppler and strain imaging even in the absence of changes in ejection fraction or standard diastolic parameters.

Correlation of EGFR expression, gene copy number and clinicopathological status in NSCLC.

BACKGROUND: Epidermal Growth Factor Receptor (EGFR) targeting therapies are currently of great relevance for the treatment of lung cancer. For this reason, in addition to mutational analysis immunohistochemistry (IHC) of EGFR in lung cancer has been discussed for the decision making of according therapeutic strategies. The aim of this study was to obtain standardization of EGFR-expression methods for the selection of patients who might benefit of EGFR targeting therapies. METHODS: As a starting point of a broad investigation, aimed at elucidating the expression of EGFR on different biological levels, four EGFR specific antibodies were analyzed concerning potential differences in expression levels by Immunohistochemistry (IHC) and correlated with fluorescence in situ hybridization (FISH) analysis and clinicopathological data. 206 tumor tissues were analyzed in a tissue microarray format employing immunohistochemistry with four different antibodies including Dako PharmDx kit (clone 2-18C9), clone 31G7, clone 2.1E1 and clone SP84 using three different scoring methods. Protein expression was compared to FISH utilizing two different probes. RESULTS: EGFR protein expression determined by IHC with Dako PharmDx kit, clone 31G7 and clone 2.1E1 (p ≤ 0.05) correlated significantly with both FISH probes independently of the three scoring methods; best correlation is shown for 31G7 using the scoring method that defined EGFR positivity when ≥ 10% of the tumor cells show membranous staining of moderate and severe intensity (p=0.001). CONCLUSION: Overall, our data show differences in EGFR expression determined by IHC, due to the applied antibody. Highest concordance with FISH is shown for antibody clone 31G7, evaluated with score B (p=0.001). On this account, this antibody clone might by utilized for standard evaluation of EGFR expression by IHC. VIRTUAL SLIDES: The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_165.

Detection of hepatopulmonary syndrome in patients with liver cirrhosis using 3D contrast echocardiography.

BACKGROUND AND STUDY AIMS: Hepatopulmonary syndrome (HPS) is characterised by the triad of advanced liver disease, arterial hypoxaemia and intrapulmonary vascular dilatation (IPVD). The present study aimed to evaluate HPS in patients with liver cirrhosis and the role of three-dimensional (3D) contrast echocardiography in the detection of this syndrome. PATIENTS AND METHODS: A total of 78 chronic liver disease patients aged 42 ± 11 years fulfilled the criteria for this study and were subjected to clinical examination, laboratory investigations, arterial blood gases measurement, pulmonary function tests, upper gastrointestinal endoscopy, 3D contrast echocardiography and computed tomography (CT) pulmonary angiography. RESULTS: According to 3D contrast echocardiography results, we divided the patients into a positive group (n=26) in which patients showed a delayed appearance of contrast in left heart chambers and a negative group (n=52). Among 26 patients of the positive group, nine had hypoxaemia (partial pressure of oxygen (PaO(2)) <70 mm Hg) and were diagnosed as having hepatopulmonary syndrome (HPS), the other 17 who had shown echocardiographic evidence of IPVDs but without hypoxaemia were diagnosed as having sub-clinical HPS. This study showed significant correlation between positive contrast echocardiography findings and duration of liver disease, Child score, cyanosis, clubbing, orthodeoxia, portal vein diameter, spleen size and oesophageal varices grades. No significant correlation was found between 3D contrast echocardiography findings and age, sex, spider naevi and pulmonary function tests. Multivariate logistic regression showed that cyanosis, clubbing, orthodeoxia, Child score and portal vein diameter are independent predictors of HPS. CONCLUSION: Cyanosis, clubbing and platypnoea-orthodeoxia are suggestive indicators of HPS, which can be easily detected by 3D contrast echocardiography which can replace the trans-oesophageal echocardiogram (TEE) in cirrhotic patients.

Clinical and biochemical predictors of increased carotid intima-media thickness in overweight and obese adolescents with type 2 diabetes.

OBJECTIVE: To identify the clinical parameters associated with increased carotid intima-media thickness (CIMT) in overweight and obese adolescents with type 2 diabetes. METHODS: We studied 27 patients (11 males) with type 2 diabetes. Criteria for selection were age (12-19 years), body mass index above the 95th percentile for age and gender, a positive family history of diabetes, normal or high C-peptide, and negative studies for islet cell antibodies. Age- and gender-matched healthy subjects were selected as the control group. Measurements of CIMT, lipid profile, hypersensitive C-reactive protein, hemoglobin A1C (HbA1C), and insulin resistance by homeostasis model of assessment (HOMA) were obtained for all participants. RESULTS: CIMT was higher in diabetic patients than in healthy subjects (0.68 ± 0.16 vs. 0.58 ± 0.1, p < 0.01). The range of HbA1C in the 15 patients with uncontrolled diabetes was 7.6-10.4 (mean: 8.9 ± 0.9). CIMT, HbA1C, systolic blood pressure, triglycerides, HOMA, and C-reactive protein were significantly higher in patients with uncontrolled than with controlled diabetes. In diabetic patients, CIMT correlated positively with body mass index (p < 0.001), duration of diabetes (p < 0.001), systolic (p < 0.001) and diastolic blood pressure (p < 0.01), HbA1C (p < 0.001), HOMA (p < 0.01), and C-reactive protein (p < 0.01). CONCLUSIONS: CIMT is increased in adolescents with type 2 diabetes. Poor glycemic control, HOMA, increased C-reactive protein, body mass index, duration of diabetes, and elevated blood pressure are associated with early atherosclerosis in these patients.

Tissue Doppler and strain rate imaging detect improvement of myocardial function in iron deficient patients with congestive heart failure after iron replacement therapy.

BACKGROUND: Iron deficiency may contribute to diminished exercise tolerance in patients with congestive heart failure (CHF) even in absence of anemia. The aim of this study was to evaluate the effect of correction of iron deficiency on functional capacity and myocardial function in patients with CHF. METHODS: We studied 40 patients with ejection fraction <40%, hemoglobin% >12 g/dL, serum ferritin <100 ug/L, and transferrin saturation <20%. Patients received 200 mg weekly doses of iron dextran complex until serum ferritin level was between 200 and 300 ug/L or transferrin saturation level was between 30% and 40%. Transthoracic echocardiogram, tissue Doppler imaging, peak systolic strain rate, and 6 minute walk test were performed before iron therapy and at 12-week follow up. Peak early diastolic myocardial tissue velocity (E'), peak late diastolic myocardial tissue velocity (A'), and peak systolic myocardial tissue velocity (S') were measured. RESULTS: There was a significant improvement of New York Heart Association functional class (3.0 ± 0.4 vs. 2.1 ± 0.3, P < 0.05) and 6minutes walk distance (322 ± 104 vs. 377 ± 76, P < 0.01) from rest to follow up, respectively. Ejection fraction did not change significantly (32 ± 8% vs. 34 ± 9%, respectively). There was a significant improvement of S'-wave (3.0 ± 0.8 cm/sec vs. 6.0 ± 1.2 cm/sec, P < 0.05), E/E' ratio (22 ± 3 vs. 13 ± 3, P < 0.05), and peak systolic strain rate (-0.72 ± 0.11/s vs. -1.09 ± 0.37/s, P < 0.05) from baseline to follow-up, respectively. CONCLUSION: Correction of iron deficiency improves functional class and walking distance in nonanemic iron deficient patients with systolic heart failure. Tissue Doppler and strain rate demonstrated a significant improvement of diastolic and systolic function after therapy despite lack of improvement of ejection fraction. (Echocardiography 2012;29:13-18).