A postpartum haemorrhage package with condom uterine balloon tamponade: a prospective multi-centre case series in Kenya, Sierra Leone, Senegal, and Nepal.

OBJECTIVE: To evaluate the effectiveness and safety of an ultra-low-cost uterine balloon tamponade package (ESM-UBT™) for facility-based management of uncontrolled postpartum haemorrhage (PPH) in Kenya, Sierra Leone, Senegal, and Nepal. DESIGN: Prospective multi-centre case series. SETTING: Facilities in resource-scarce areas of Kenya, Sierra Leone, Nepal, and Senegal. POPULATION: Women with uncontrolled postpartum haemorrhage in 307 facilities across the four countries. METHODS: A standardised ESM-UBT package was implemented in 307 facilities over 29 months (1 September 2012 to 1 February 2015). Data were collected via a multi-pronged approach including data card completion, chart reviews, and provider interviews. Beginning in August 2014, women who had previously undergone UBT placement were sought and queried regarding potential complications associated with UBT use. MAIN OUTCOME MEASURES: All-cause survival, survival from PPH, and post-UBT use complications (surgery, hospitalisation, antibiotics for pelvic infection) associated with UBT use. RESULTS: 201 UBTs were placed for uncontrolled vaginal haemorrhage refractory to all other interventions. In all, 38% (71/188) of women were either unconscious or confused at the time of UBT insertion. All-cause survival was 95% (190/201). However, 98% (160/163) of women survived uncontrolled PPH if delivery occurred at an ESM-UBT online facility. One (1/151) potential UBT-associated complication (postpartum endometritis) was identified and two improvised UBTs were placed in women with a ruptured uterus. CONCLUSIONS: These pilot data suggest that the ESM-UBT package is a clinically promising and safe method to arrest uncontrolled postpartum haemorrhage and save women's lives. The UBT was successfully placed by all levels of facility-based providers. Future studies are needed to further evaluate the effectiveness of ESM-UBT in low-resource settings. TWEETABLE ABSTRACT: Evidence for ESM-UBT as a clinically promising and safe method to arrest uncontrolled PPH and save women's lives.

Perinatal health care in a conflict-affected setting: evaluation of health-care services and newborn outcomes at a regional medical centre in Iraq.

A field-based assessment was conducted to assess maternal and newborn health-care services, perinatal and newborn outcomes and associated risk factors at Bint Al-Huda Maternal and Newborn Teaching Hospital, a large referral hospital in southern Iraq. The multi-method approach used interviews, discussions, observation and review of perinatal and newborn outcome data. There is limited assessment of maternal vital signs, labour pattern, fetal response, and complications during pregnancy and labour. Perinatal and neonatal mortality rates are 27.4/1000 births and 30.9/1000 live births respectively. Associated neonatal mortality factors were gestational age < 37 weeks, male sex, birth weight < 2.5 kg, maternal age > 35 years, rural maternal residence and vaginal delivery. Improving birth outcomes in southern Iraq requires evidence-based clinical guidelines, additional supplies and equipment, quality improvement initiatives and in-service training.

Association of marital status and colorectal cancer screening participation in the USA.

AIM: In the USA, for both men and women, colorectal cancer (CRC) ranks third in incidence and second in mortality. Despite evidence that it decreases mortality, CRC screening in the USA remains under-utilized. Some European studies have suggested that marital status affects participation in CRC screening, but the effect of marital status on CRC screening participation in the USA is unknown. In this study, the aim was to compare CRC screening participation rates among married and unmarried couples, separated, widowed, never married and divorced adults living in the USA. METHOD: This was a retrospective data analysis of the 2010 Behavioural Risk Factor Surveillance System survey. The population studied included 239,300 participants, aged 50-75 years, who completed the 2010 survey. Logistic regression analysis was conducted to assess the association between adherence with CRC screening guidelines and marital status while accounting for survey stratum/weight and covariates. RESULTS: Individuals who were divorced or separated, never married or widowed had decreased odds of adherence with CRC screening guidelines compared with individuals who were married and unmarried couples. CONCLUSION: In this study, individuals living in the USA who were married and unmarried couples had increased odds of undergoing CRC screening compared to individuals in other marital status groups. Public health interventions are needed to promote CRC screening participation in these other groups.

Perinatal health care in a conflict-affected setting: evaluation of health-care services and newborn outcomes at a regional medical centre in Iraq

A field-based assessment was conducted to assess maternal and newborn health-care services, perinatal and newborn outcomes and associated risk factors at Bint Al-Huda Maternal and Newborn Teaching Hospital, a large referral hospital in southern Iraq. The multi-method approach used interviews, discussions, observation and review of perinatal and newborn outcome data. There is limited assessment of maternal vital signs, labour pattern,fetal response, and complications during pregnancy and labour. Perinatal and neonatal mortality rates are 27.4/1000 births and 30.9/1000 live births respectively. Associated neonatal mortality factors were gestational age < 37 weeks, male sex,birth weight < 2.5 kg, maternal age > 35 years, rural maternal residence and vaginal delivery. Improving birth outcomes in southern Iraq requires evidence-based clinical guidelines, additional supplies and equipment, quality improvement initiatives and in-service training

Une évaluation sur le terrain a été menée afin d'analyser les services de soins de santé pour la mère et le nouveau-né, les issues périnatales et néonatales et les facteurs de risque associés au centre hospitalier universitaire pour la mère et l'enfant Bint Al-Huda, un grand hôpital de recours dans le sud de l'Iraq. L'approche reposait sur de multiples méthodes et a eu recours à des entretiens semi-structurés avec des informateurs clés, à des petits groupes de discussion, à l'observation de la pratique des soins et à l'examen des données concernant l'issue des soins périnatals et néonatals.Les signes vitaux chez la mère, le déroulement du travail, la réponse foetale et les complications pendant la grossesse et le travail sont peu évalués. Les taux de mortalité périnatale et néonatale sont de 27,4/1000 naissances et de 30,9/1000 naissances vivantes respectivement; les facteurs de mortalité néonatale associés étaient un âge gestationnel inférieur à 37 semaines,le sexe masculin, un poids de naissance inférieur à 2,5 kg, l'âge de la mère supérieur à 35 ans, un lieu de résidence rural, et un accouchement par voie basse. L'amélioration des issues néonatales dans le sud de l'Iraq passe par des recommandations cliniques fondées sur des bases factuelles,des fournitures et des équipements supplémentaires, des initiatives visant à améliorer la qualité et des formations en cours d'emploi

Toll-like receptor genetic variants are associated with Gram-negative infections in VLBW infants.

OBJECTIVE: To test the hypothesis that single-nucleotide polymorphisms (SNPs) in Toll-like receptor (TLR) genes alter susceptibility to bacterial infections and modulate white blood cell (WBC) counts during infections in very low birth weight (VLBW) infants (birth weight <1500 g). STUDY DESIGN: VLBW infants recruited in a multicenter study were genotyped for nine functional TLR SNPs and associations between SNPs and infection rates examined. WBC counts obtained during infections were compared among infants with and without SNPs. RESULT: In our cohort (n=408), 90 infants developed bacterial infections. Presence of TLR4 (rs4986790 and rs4986791) variants were associated with Gram-negative (G-ve) infections. Female infants heterozygous for the X-linked IRAK1 (rs1059703) SNP had less G-ve infections. In regression models controlling for confounders, the TLR4 (rs4986790) SNP was associated with increased G-ve infections. The TLR5 (rs5744105) variant was associated with elevated WBC counts during infections. CONCLUSION: TLR genetic variants can contribute to increased risk of bacterial infections and altered immune responses in VLBW infants.

Antidepressant effects of sleep deprivation require astrocyte-dependent adenosine mediated signaling.

Major depressive disorder is a debilitating condition with a lifetime risk of ten percent. Most treatments take several weeks to achieve clinical efficacy, limiting the ability to bring instant relief needed in psychiatric emergencies. One intervention that rapidly alleviates depressive symptoms is sleep deprivation; however, its mechanism of action is unknown. Astrocytes regulate responses to sleep deprivation, raising the possibility that glial signaling mediates antidepressive-like actions of sleep deprivation. Here, we found that astrocytic signaling to adenosine (A1) receptors was required for the robust reduction of depressive-like behaviors following 12 hours of sleep deprivation. As sleep deprivation activates synaptic A1 receptors, we mimicked the effect of sleep deprivation on depression phenotypes by administration of the A1 agonist CCPA. These results provide the first mechanistic insight into how sleep deprivation impacts mood, and provide a novel pathway for rapid antidepressant development by modulation of glial signaling in the brain.

A TIR domain receptor-associated protein (TIRAP) variant SNP (rs8177374) confers protection against premature birth.

OBJECTIVE: To investigate whether single nucleotide polymorphisms (SNPs) in genes encoding the Toll-like receptor (TLR) signaling pathway modulate susceptibility to preterm birth (PTB). STUDY DESIGN: Prospective case-control study examining the contribution of nine TLR SNPs to PTB (<37 weeks) and PTB <32 weeks. Genotyping was done on neonatal blood using a multiplexed single-base extension assay. Chi-square test, Fischer's exact test and classification trees were used for data analysis. RESULT: Preterm infants (n=177) were more likely to be African American (P=0.02), and were more likely to be born to mothers who smoked (P=0.007), had pregnancy-induced hypertension (PIH; P=0.002) and placental abruption (P=0.0004) when compared with term infants (n=146). The TLR2, TLR4, TLR5, TLR9, nuclear factor-kappa B1 (NFκB1), NFκBIA and IRAK1 variants were not associated with PTB whereas the TIR domain receptor-associated protein (TIRAP) variant was more prevalent in term infants when compared with preterm infants born <32 weeks (P=0.004). PTB <32 weeks was more prevalent in infants without the TIRAP variant whose mothers had PIH and did not smoke (P=0.001). Presence of the TIRAP variant protected against PTB <32 weeks (P=0.015) in Caucasian infants. CONCLUSION: In our study, a TLR pathway adapter variant (TIRAP (rs8177374)) protected against PTB<32 weeks, supporting our hypothesis that genetic variation in the innate immune signaling pathway contributes to altered risk of PTB.

Developmental expression of drug metabolizing enzymes: impact on disposition in neonates and young children.

Profound changes in drug metabolizing enzyme expression occurs during development that impacts drug efficacy and the risk of adverse events in the neonate and young child. A review of our current knowledge suggests individual hepatic drug metabolizing enzymes can be categorized into one of three classes based on developmental trajectories. The time frame for the perinatal changes observed for both Class 1 and Class 3 enzymes varies considerably between different enzymes. However, for a given enzyme, significant interindividual variation is observed in the timing of the perinatal changes, creating windows of hypervariability. Genetic variation clearly impacts drug disposition in children. However, developmental factors can dominate pharmacogenetic factors. Thus, a major challenge in applying pharmacogenomics to improve pediatric drug safety is determining at what age functional genetic variants identified in adults become a major determinant of expression in children. Developmental and genetic data on drug metabolizing enzyme ontogeny, as well as age-dependent changes in other physiological factors impacting drug disposition, can be integrated into physiologically-based pharmacokinetic models. Such models have proven useful in predicting the range of expected metabolic capacities at a given age.

First Report of Soybean Rust Caused by Phakopsora pachyrhizi on Kudzu (Pueraria montana var. lobata) in Illinois.

Soybean rust, caused by Phakopsora pachyrhizi Syd., first was observed in the continental United States during 2004 on soybean (Glycine max (L.) Merr.) in Louisiana (4), and on kudzu (Pueraria montana (Lour.) Merr. var. lobata (Willd.) Maesen & Almeida) in Florida (2). Kudzu is a leguminous weed that is prevalent in the southern United States with its range extending northward into other states including Illinois. In October 2009, a kudzu patch located in Pulaski County in southern Illinois was investigated for the presence of soybean rust. Twenty-five leaflets were collected, and the abaxial sides of leaflets were evaluated visually for the presence of uredinia with a dissecting microscope. Uredinia and urediniospores were found on two leaflets. When viewed with a compound microscope, urediniospores were hyaline, echinulate, and measured 20 × 25 µm. On the basis of uredinia and urediniospores, the disease tentatively was identified as soybean rust caused by P. pachyrhizi. To confirm the identification, one leaflet with pustules was assayed with a Soybean Rust QuickStix Diagnostic Kit (Envirologix, Portland, ME). For the other leaflet, the area of the pustule was excised (approximately 28 mm2) and an area of the leaflet at the margin on the opposite half of the leaflet with no visible pustule (approximately 54 mm2) was excised. DNA was extracted from the excised areas of the leaflet for confirmation by quantitative PCR (Q-PCR) using primers and probe specific to P. pachyrhizi and P. meibomiae (Arthur) Arthur (1). Both the QuickStix Diagnostic Kit and the Q-PCR confirmed the diagnosis as soybean rust caused by P. pachyrhizi. Q-PCR also suggested the presence of a nonsporulating latent rust infection on the same kudzu leaflet at the margin on the opposite side of the midrib. Soybean rust first was confirmed on soybean in Illinois in 2006 (3), but to our knowledge, this is the first observation of the disease on kudzu in the state. This report confirms that at least some kudzu plants in Illinois are susceptible to soybean rust and that latent kudzu infection may exist without outward signs of the fungus. Currently, this is the most northern observation of soybean rust on kudzu in North America. It is unknown what role, if any, Illinois kudzu will play in the epidemiology of soybean rust in the state. Since kudzu tops die after the first frost, there is no expectation of P. pachyrhizi to overwinter in Illinois on kudzu as it does in some states adjacent to the Gulf of Mexico. References: (1) R. D. Frederick et al. Phytopathology 92:217, 2002. (2) P. F. Harmon et al. Online publication. doi:10.1094/PHP-2005-0613-01-RS. Plant Health Progress, 2005. (3) G. L. Hartman et al. Plant Dis. 91:466, 2007. (4) R. W. Schneider et al. Plant Dis. 89:774, 2005.

Late Season Occurrence of Soybean Rust Caused by Phakopsora pachyrhizi on Soybean in Illinois.

Soybean rust, first reported in the continental United States in Louisiana in 2004 (2), is one of the most important foliar diseases of soybean worldwide. On 10 October 2006, 20 soybean leaflets from 20 plants at physiological maturity were arbitrarily collected in research plots near Glendale, IL at the University of Illinois Dixon Springs Agricultural Center in Pope County and sent by overnight courier. On 11 October, leaflets were examined with a dissecting microscope at the Soybean Disease Laboratory at the National Soybean Research Center, and then at the Plant Disease Clinic, University of Illinois. Tan, angular lesions that were 2 to 4 mm in diameter were observed on the lower leaf surfaces of two of the 20 leaflets. Within these lesions, there was one uredinum on one leaflet and four on the other leaflet exuding hyaline, echinulate urediniospores (20 × 25 µm). On 11 October 2006, these leaflets were sent by overnight courier to the USDA/APHIS/PPQ/NIS Laboratory, Beltsville, MD Plant Disease Clinic for identification by morphological examination and by PCR using primers specific to Phakopsora pachyrhizi (1). Both tests confirmed the presence of P. pachyrhizi. The 18 leaflets that did not have sporulating pustules on 11 October were incubated in the laboratory for 5 days at near 100% relative humidity. Following incubation, nine leaflets were observed to have uredinia exuding urediniospores with a range of 1 to 43 uredinia per leaflet. These results indicate that incubation may be necessary to maximize the potential to observe uredinia exuding urediniospores. To our knowledge, this is the first report of P. pachyrhizi infecting plants in Illinois. References: (1) R. D. Frederick et al. Phytopathology 92:217, 2002. (2) R. W. Schneider et al. Plant Dis. 89:774, 2005.

Modeling interchild differences in pharmacokinetics on the basis of subject-specific data on physiology and hepatic CYP2E1 levels: a case study with toluene.

The objective of the present study was to evaluate the magnitude of interindividual variability in the internal dose of toluene in children of various age groups, on the basis of subject-specific hepatic CYP2E1 content and physiology. The methodology involved the use of a previously validated physiologically based pharmacokinetic (PBPK) model, in which the intrinsic clearance for hepatic metabolism (CL(int)) was expressed in terms of the CYP2E1 content. The adult toluene PBPK model, with enzyme content-normalized CL(int), facilitated the calculation of child-specific CL(int) based on knowledge of hepatic CYP2E1 protein levels. The child-specific physiological parameters, except liver volume, were computed with knowledge of age and body weight, whereas physicochemical parameters for toluene were kept age-invariant based on available data. The actual individual-specific liver volume (autopsy data) was also included in the model. The resulting model was used to simulate the blood concentration profiles in children exposed by inhalation, to 1 ppm toluene for 24 h. For this exposure scenario, the area under the venous blood concentration vs. time curve (AUC) ranged from 0.30 to 1.01 microg/ml x h in neonates with low CYP2E1 concentration (<3.69 pmol/mg protein). The simulations indicated that neonates with higher levels of CYP2E1 (4.33 to 55.93 pmol/mg protein) as well as older children would have lower AUC (0.16 to 0.43 microg/ml x h). The latter values were closer to those simulated for adults. Similar results were also obtained for 7 h exposure to 17 ppm toluene, a scenario previously evaluated in human volunteers. The interindividual variability factor for each subgroup of children and adults, calculated as the ratio of the 95th and 50th percentile values of AUC, was within a factor of 2. The 95th percentile value of the low metabolizing neonate group, however, was greater than the mean adult AUC by a factor of 3.9. This study demonstrates the feasibility of incorporating subject-specific data on hepatic CYP2E1 content and physiology within PBPK models for evaluating the age, interchild and population variability of internal dose for use in risk assessment of inhaled volatile organics.

An appraisal of methods for the analysis of longitudinal categorical data with MAR drop-outs.

A number of methods for analysing longitudinal ordinal categorical data with missing-at-random drop-outs are considered. Two are maximum-likelihood methods (MAXLIK) which employ marginal global odds ratios to model associations. The remainder use weighted or unweighted generalized estimating equations (GEE). Two of the GEE use Cholesky-decomposed standardized residuals to model the association structure, while another three extend methods developed for longitudinal binary data in which the association structures are modelled using either Gaussian estimation, multivariate normal estimating equations or conditional residuals. Simulated data sets were used to discover differences among the methods in terms of biases, variances and convergence rates when the association structure is misspecified. The methods were also applied to a real medical data set. Two of the GEE methods, referred to as Cond and ML-norm in this paper and by their originators, were found to have relatively good convergence rates and mean squared errors for all sample sizes (80, 120, 300) considered, and one more, referred to as MGEE in this paper and by its originators, worked fairly well for all but the smallest sample size, 80.

Effects of rancidity and free fatty acids in choice white grease on growth performance and nutrient digestibility in weanling pigs.

Two experiments were conducted to determine the effects of rancidity and FFA in choice white grease (CWG) on growth performance and nutrient digestibility in nursery pigs. In Exp. 1,150 crossbred pigs (average initial BW of 6.8 kg and average initial age of 21 d) were used. Treatments (as-fed basis) were a corn-soybean meal-based control with no added fat, 6% CWG, and 6% CWG heated at 80 degrees C, with oxygen gas bubbled through it at 849 mL/min for 5, 7, 9, or 11 d. Peroxide value for the CWG increased as oxidative exposure was increased from 0 to 7 d (i.e., peroxide values of 1, 40, and 105 mEq/kg for d 0, 5, and 7, respectively), but decreased to 1 mEq/kg as the hydroperoxides decomposed after 9 and 11 d of oxidation. Pigs fed the control diet (no added fat) had the same (P = 0.91) overall ADG (d 0 to 35) but lower G:F (P < 0.04) than pigs fed diets with added fat. As for the effects of fat quality, ADG (linear effect, P < 0.01) and ADFI (linear effect, P < 0.001) decreased as the fat was made more rancid. However, there were no changes in digestibility of fatty acids as the rancidity of the fat was increased (P = 0.16), suggesting that the negative effects of rancidity were from decreased food intake and not decreased nutrient utilization. In Exp. 2, 125 crossbred pigs (average initial BW of 6.2 kg and average initial age of 21 d) were used to determine the effects of FFA in CWG on the growth performance and nutrient digestibility in nursery pigs. Treatments (as-fed basis) were a corn-soybean meal-based control with no added fat, 6% CWG, and 6% CWG that had been treated with 872, 1,752 or 2,248 lipase units/g of fat. The FFA concentrations in the CWG were increased from 2% with no lipase added to 18, 35, and 53% as lipase additions were increased. Pigs fed the control diet (no added fat) had the same (P = 0.30) overall ADG (d 0 to 33) but lower G:F (P < 0.01) than pigs fed diets with added fat. There were no effects of FFA concentration on ADG (P = 0.18), and ADFI increased (linear effect, P < 0.04) as FFA concentration in the CWG increased. Fatty acid digestibility was not affected (P = 0.17) by FFA in the diet. In conclusion, our data suggest that as fat is oxidized (especially to peroxide values greater than 40 mEq/kg), ADG and ADFI in nursery pigs will decrease; however, FFA concentrations of at least 53% do not adversely affect utilization of CWG in nursery pigs.

A new statistical test of fitness set data from reciprocal transplant experiments involving intermediate phenotypes.

Experimental biologists use reciprocal transplant experiments (RTEs) involving divergent forms to test hypotheses about fitness trade-offs across, and local adaptation to, native environments. Additional evolutionary hypotheses about diversifying selection, the evolution of specialization, and the coexistence of specialists and generalists are only testable when the RTE also includes intermediate (or alternatively generalist) forms. Environmental variation makes such RTEs challenging, and so strategies that increase their effectiveness are useful. Here, we focus on improvements to the efficiency of RTEs involving intermediate forms with respect to the experimental design and the analysis of the resulting data. We provide a likelihood ratio-based test that offers increased statistical power and robustness relative to another test involving nonlinear regression, when used both for simulated data sets and for data from a study of two divergent fish species and their hybrids transplanted between two lake habitats. The test can be used with unequal numbers of observations, unequal variances, and binomial-type survival data and other nonnormal data. Simulations suggest that having equal numbers of experimental units in each phenotype-environment combination is reasonable. The intentional pairing of observations between environmental conditions (by using clones, full sibs, or half-sibs) is beneficial when paired observations have fitnesses that are negatively related between conditions but is detrimental with positive relatedness. Our methods can be extended to study more than two divergent forms.

Effects of dietary electrolyte balance on the chemistry of blood and urine in lactating sows and sow litter performance.

One hundred fifty-three sows (average parity of 2.2) were used to determine the effects of dietary electrolyte balance (calculated as mEq/kg of diet for Na + K - Cl) on sows and their litters during lactation. The sows were fed corn-soybean meal-based diets (1.0% lysine, 1.0% valine, 0.95% Ca, and 0.80% P; as-fed basis) starting on d 109 of gestation and throughout the 21-d lactation experiment. Dietary electrolyte balance (dEB) was 0, 100, 200, 350, and 500 mEq/kg (as-fed basis), well above and below the dEB of 185 mEq/kg found in a simple corn-soybean meal-based lactation diet. To achieve the desired dEB, diets had the following: 1) 1.8% HCl (6 N) and 1.06% CaCl2, 2) 1.0% CaCl2, 3) 0.04% NaHCO3, 4) 1.29% NaHCO3, and 5) 2.54% NaHCO3 (as-fed basis). Increasing dEB increased blood pH (linear and quadratic effects, P < 0.001), partial pressure of carbon dioxide (linear effect, P < 0.001), HCO3- concentration (linear and quadratic effects, P < 0.001), and blood base excess (linear and quadratic effects, P < 0.001). However, increased dEB resulted in lower blood concentrations of K (linear and quadratic effects, P < 0.04), Cl (linear and quadratic effects, P < 0.001), and ionized Ca (linear and quadratic effects, P < 0.001). Changing dEB did not affect ADFI; water usage, litter weight gain; sow weight change; sow backfat change; percentages of CP, lactose, and fat in the milk; percentage of sows returning to estrus; days to estrus; and number of pigs born alive in the subsequent litter (P = 0.06). However, piglet survivability to d 10 and overall was greatest with the lower dEB treatments (linear effect, P < 0.05). The pH (linear and quadratic effects, P < 0.001) and colony forming units of total bacteria (linear effect, P < 0.03) in the urine increased as dEB of the diet was increased. In conclusion, dEB had pronounced effects on the physiological status of sows and decreasing dEB below that in a simple corn-soybean meal-based diet decreased bacterial counts in the urine and increased piglet survivability. However, milk composition, sow and litter weights at weaning, and subsequent rebreeding performance of the sows were not affected by dEB.

Dioxins and congener-specific polychlorinated biphenyls in three avian species from the Wisconsin River, Wisconsin.

Sediments from the Wisconsin River. WI. USA are contaminated with 2,3,7,8-tetrachloro-p-dioxin (TCDD) and polychlorinated biphenyls (PCBs). Wet weight concentrations of TCDD and PCBs in eggs were at background levels and highest in the piscivorous = 7 pg/g TCDD a hooded merganser (Lophodytes cucullatus; geometric m ean nd 0.92 microg/g PCBs) a nd lowest in the omnivorous wood duck (Aix sponsa) (< 1 pg/g and 0.07 microg/g); concentrations in eggs of the insectivorous tree swallow (Tachycineta bicolor) were intermediate (< 1 pg/g and 0.33 pg/g). Positive accumulation rates of TCDD (8-19 pg/day) and PCBs (0.4-0.7 microg/day) in tree swallow nestlings suggest that the Wisconsin River is the source of these contaminants for tree swallow nestlings. The lower representation of trichlorobiphenyls and tetrachorobiphenyls in hooded merganser eggs compared to wood duck or tree swallow eggs suggests that the hooded merganser or its diet has a greater ability to metabolize lower-numbered PCB congeners than wood ducks or tree swallows.

Regulation of flavin-containing monooxygenase 1 expression by ying yang 1 and hepatic nuclear factors 1 and 4.

The flavin-containing monooxygenases (FMOs) are important for the oxidation of a variety of environmental toxicants, natural products, and therapeutics. Consisting of six family members (FMO1-5), these enzymes exhibit distinct but broad and overlapping substrate specificity and are expressed in a highly tissue- and species-selective manner. Corresponding to previously identified regulatory domains, a YY1 binding site was identified at the major rabbit FMO1 promoter, position -8 to -2, two overlapping HNF1alpha sites, position -132 to -105, and two HNF4alpha sites, position -467 to -454 and -195 to -182. Cotransfection studies with HNF1alpha and HNF4alpha expression vectors demonstrated a major role for each of these factors in enhancing FMO1 promoter activity. In contrast, YY1 was shown by site-directed mutagenesis to be dispensable for basal promoter activity but suppressed the ability of the upstream domains to enhance transcription. Finally, comparisons between rabbit and human FMO1 demonstrated conservation of each of these regulatory elements. With the exception of the most distal HNF4alpha site, each of the orthologous human sequences also was able to compete with rabbit FMO1 cis-elements for specific protein binding. These data are consistent with these same elements being important for regulating human FMO1 developmental- and tissue-specific expression.