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1.
MAGMA ; 35(5): 843-859, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35038062

ABSTRACT

OBJECTIVE: Magnetic resonance imaging (MRI)-based techniques for non-invasive assessing liver iron concentration (LIC) in patients with iron overload have a limited upper measuring range around 35 mg/g dry weight, caused by signal loss from accelerated T1-, T2-, T2* shortening with increasing LIC. Expansion of this range is necessary to allow evaluation of patients with very high LIC. AIM: To assess measuring range of a gradient-echo R2* method and a T1-weighted spin-echo (SE), signal intensity ratio (SIR)-based method (TE = 25 ms, TR = 560 ms), and to extend the upper measuring range of the SIR method by optimizing echo time (TE) and repetition time (TR) in iron-loaded minipigs. METHODS: Thirteen mini pigs were followed up during dextran-iron loading with repeated percutaneous liver biopsies for chemical LIC measurement and MRIs for parallel non-invasive estimation of LIC (81 examinations) using different TEs and TRs. RESULTS: SIR and R2* method had similar upper measuring range around 34 mg/g and similar method agreement. Using TE = 12 ms and TR = 1200 ms extended the upper measuring range to 115 mg/g and yielded good method of agreement. DISCUSSION: The wider measuring range is likely caused by lesser sensitivity of the SE sequence to iron, due to shorter TE, leading to later signal loss at high LIC, allowing evaluation of most severe hepatic iron overload. Validation in iron-loaded patients is necessary.


Subject(s)
Dextrans , Iron Overload , Animals , Biopsy , Calibration , Iron , Iron Overload/diagnostic imaging , Liver/diagnostic imaging , Liver/pathology , Magnetic Resonance Imaging/methods , Swine , Swine, Miniature
2.
PLoS One ; 12(1): e0169409, 2017.
Article in English | MEDLINE | ID: mdl-28072875

ABSTRACT

The spectrum of insecticidal activity of Cry51Aa2.834_16 protein targeting hemipteran and thysanopteran insect pests in cotton was characterized by selecting and screening multiple pest and non-pest species, based on representation of ecological functional groups, taxonomic relatedness (e.g. relationship to species where activity was observed), and availability for effective testing. Seven invertebrate orders, comprising 12 families and 17 representative species were screened for susceptibility to Cry51Aa2.834_16 protein and/or the ability of the protein to protect against feeding damage in laboratory, controlled environments (e.g. greenhouse/growth chamber), and/or field studies when present in cotton plants. The screening results presented for Cry51Aa2.834_16 demonstrate selective and limited activity within three insect orders. Other than Orius insidiosus, no activity was observed for Cry51Aa2.834_16 against several groups of arthropods that perform key ecological roles in some agricultural ecosystems (e.g. pollinators, decomposers, and natural enemies).


Subject(s)
Gossypium/genetics , Gossypium/parasitology , Insecticides/pharmacology , Plant Diseases/genetics , Plant Diseases/parasitology , Plant Proteins/genetics , Plant Proteins/metabolism , Protective Agents/metabolism , Animal Feed , Animals , Arthropods/drug effects , Disease Resistance/genetics , Female , Gossypium/drug effects , Male , Pest Control, Biological/methods , Plants, Genetically Modified
3.
Environ Toxicol Chem ; 36(3): 727-734, 2017 03.
Article in English | MEDLINE | ID: mdl-27530554

ABSTRACT

Determining the rate of biodegradation of double-stranded RNA (dsRNA) in the environment is an essential element of a comprehensive risk assessment of an RNA-based agricultural product. This information is used during problem formulation to define relevant routes and durations of environmental exposure for in planta-expressed dsRNA. Although exposure to biotechnology-derived crops expressing dsRNA traits in the aquatic environment is predicted to be minimal, little is known regarding the fate of dsRNA in these environments. To assess exposure to aquatic environments, a study was conducted to measure the rate of biodegradation of DvSnf7 dsRNA in aerobic water-sediment systems. Aquatic systems containing natural water and sediments that varied in physical and chemical characteristics were treated with dsRNA by applying DvSnf7 dsRNA directly to the water column. In the present study, DvSnf7 dsRNA dissipated rapidly from the water phase and was undetectable within 7 d as measured by QuantiGene (Affymetrix) and a sensitive insect bioassay in these diverse systems. Degradation kinetics estimated a half-life (time to 50% dissipation [DT50]) of less than 3 d and a time to 90% dissipation of approximately 4 d. Further analysis indicated that DvSnf7 dsRNA had DT50 values of less than 6 d in both sediment-free systems containing natural water and systems with only sediment. Taken together, the results of the present study indicate that dsRNA-based agricultural products rapidly degrade and consequently are unlikely to persist in aquatic environments. Environ Toxicol Chem 2017;36:727-734. © 2016 SETAC.


Subject(s)
Geologic Sediments/chemistry , RNA, Double-Stranded/analysis , RNA, Plant/analysis , Water Pollutants, Chemical/analysis , Agriculture , Animals , Biodegradation, Environmental , Biological Assay , Crops, Agricultural , Half-Life , Insecta/drug effects
4.
Regul Toxicol Pharmacol ; 81: 77-88, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27494948

ABSTRACT

MON 87411 maize, which expresses DvSnf7 RNA, was developed to provide an additional mode of action to confer protection against corn rootworm (Diabrotica spp.). A critical step in the registration of a genetically engineered crop with an insecticidal trait is performing an ecological risk assessment to evaluate the potential for adverse ecological effects. For MON 87411, an assessment plan was developed that met specific protection goals by characterizing the routes and levels of exposure, and testing representative functional taxa that would be directly or indirectly exposed in the environment. The potential for toxicity of DvSnf7 RNA was evaluated with a harmonized battery of non-target organisms (NTOs) that included invertebrate predators, parasitoids, pollinators, soil biota as well as aquatic and terrestrial vertebrate species. Laboratory tests evaluated ecologically relevant endpoints such as survival, growth, development, and reproduction and were of sufficient duration to assess the potential for adverse effects. No adverse effects were observed with any species tested at, or above, the maximum expected environmental concentration (MEEC). All margins of exposure for NTOs were >10-fold the MEEC. Therefore, it is reasonable to conclude that exposure to DvSnf7 RNA, both directly and indirectly, is safe for NTOs at the expected field exposure levels.


Subject(s)
Coleoptera/genetics , Crops, Agricultural/toxicity , Food Safety , Food, Genetically Modified/toxicity , Pest Control, Biological/methods , Plants, Genetically Modified/toxicity , RNA, Double-Stranded/toxicity , Toxicity Tests/methods , Zea mays/toxicity , Animals , Coleoptera/pathogenicity , Computational Biology , Computer Simulation , Crops, Agricultural/genetics , Crops, Agricultural/parasitology , Databases, Genetic , Environmental Exposure , Food, Genetically Modified/parasitology , Gene Expression Regulation, Plant , Host-Pathogen Interactions , Humans , No-Observed-Adverse-Effect Level , Plants, Genetically Modified/genetics , Plants, Genetically Modified/parasitology , RNA Interference , RNA, Double-Stranded/genetics , Risk Assessment , Species Specificity , Time Factors , Zea mays/genetics , Zea mays/parasitology
5.
Chemosphere ; 161: 319-324, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27441991

ABSTRACT

Performing environmental assessments for double-stranded RNA-based agricultural products require the development of sensitive and selective methods to measure biodegradation rates of dsRNAs. We developed and characterized a novel analytical procedure that uses a molecular hybridization assay (QuantiGene(®)) to accurately measure dsRNA extracted from diverse soils. In this report, we utilize this method to demonstrate that two dsRNAs with distinct size, structure, and sequence degrade rapidly in soil with indistinguishable kinetics.


Subject(s)
Environmental Monitoring/methods , Nucleic Acid Hybridization/methods , RNA, Double-Stranded/analysis , Soil/chemistry , Agriculture , Insect Proteins/genetics , Limit of Detection , Pest Control, Biological , Plants, Genetically Modified/genetics , RNA, Plant/analysis , Reproducibility of Results , Sensitivity and Specificity , Soil Microbiology
6.
Environ Toxicol Chem ; 35(2): 287-94, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26011006

ABSTRACT

The honey bee (Apis mellifera L.) is the most important managed pollinator species worldwide and plays a critical role in the pollination of a diverse range of economically important crops. This species is important to agriculture and historically has been used as a surrogate species for pollinators to evaluate the potential adverse effects for conventional, biological, and microbial pesticides, as well as for genetically engineered plants that produce pesticidal products. As part of the ecological risk assessment of MON 87411 maize, which expresses a double-stranded RNA targeting the Snf7 ortholog (DvSnf7) in western corn rootworm (Diabrotica virgifera virgifera), dietary feeding studies with honey bee larvae and adults were conducted. Based on the mode of action of the DvSnf7 RNA in western corn rootworm, the present studies were designed to be of sufficient duration to evaluate the potential for adverse effects on larval survival and development through emergence and adult survival to a significant portion of the adult stage. Testing was conducted at concentrations of DvSnf7 RNA that greatly exceeded environmentally relevant exposure levels based on expression levels in maize pollen. No adverse effects were observed in either larval or adult honey bees at these high exposure levels, providing a large margin of safety between environmental exposure levels and no-observed-adverse-effect levels.


Subject(s)
Bees/genetics , Bees/physiology , Diet , Feeding Behavior , Food, Genetically Modified , RNA/adverse effects , RNA/genetics , Zea mays/genetics , Animals , Base Sequence , Coleoptera , Computational Biology , Environment , Larva/genetics , Larva/physiology , Molecular Sequence Data , Pollination , RNA, Double-Stranded/adverse effects , RNA, Double-Stranded/genetics , Risk Assessment , Survival Analysis
7.
Regul Toxicol Pharmacol ; 73(2): 607-12, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26361852

ABSTRACT

A biotechnology-derived corn variety, MON 87411, containing a suppression cassette that expresses an inverted repeat sequence that matches the sequence of western corn rootworm (WCR; Diabrotica virgifera virgifera) has been developed. The expression of the cassette results in the formation of a double-stranded RNA (dsRNA) transcript containing a 240 bp fragment of the WCR Snf7 gene (DvSnf7) that confers resistance to corn rootworm by suppressing levels of DvSnf7 mRNA in WCR after root feeding. Internationally accepted guidelines for the assessment of genetically modified crop products have been developed to ensure that these plants are as safe for food, feed, and environmental release as their non-modified counterparts (Codex, 2009). As part of these assessments MON 87411 must undergo an extensive environmental assessment that requires large quantities of DvSnf7 dsRNA that was produced by in vitro transcription (IVT). To determine if the IVT dsRNA is a suitable surrogate for the MON 87411-produced DvSnf7 dsRNA in regulatory studies, the nucleotide sequence, secondary structure, and functional activity of each were characterized and demonstrated to be comparable. This comprehensive characterization indicates that the IVT DvSnf7 dsRNA is equivalent to the MON 87411-produced DvSnf7 dsRNA and it is a suitable surrogate for regulatory studies.


Subject(s)
Plant Roots/genetics , Plants, Genetically Modified/genetics , RNA, Double-Stranded/genetics , Zea mays/genetics , Animals , Coleoptera , Dose-Response Relationship, Drug , Insect Control/methods , Pest Control, Biological/methods , Plant Roots/metabolism , Plants, Genetically Modified/metabolism , RNA, Double-Stranded/biosynthesis , Zea mays/metabolism
8.
PLoS One ; 10(3): e0118622, 2015.
Article in English | MEDLINE | ID: mdl-25734482

ABSTRACT

In recent years, corn rootworm (CRW)-resistant maize events producing two or more CRW-active Bt proteins have been commercialized to enhance efficacy against the target pest(s) by providing multiple modes of action (MoA). The maize hybrid MON 87411 has been developed that produces the CRW-active Cry3Bb1 Bt protein (hereafter Cry3Bb1) and expresses a RNAi-mediated MoA that also targets CRW. As part of an environmental risk assessment for MON 87411, the potential for an interaction between the CRW-active DvSnf7 RNA (hereafter DvSnf7) and Cry3Bb1 was assessed in 12-day diet incorporation bioassays with the southern corn rootworm (SCR, Diabrotica undecimpunctata howardi). The potential for an interaction between DvSnf7 and Cry3Bb1 was evaluated with two established experimental approaches. The first approach evaluated each substance alone and in combination over three different response levels. For all three response levels, observed responses were shown to be additive and not significantly different from predicted responses under the assumption of independent action. The second approach evaluated the potential for a fixed sub-lethal concentration of Cry3Bb1 to decrease the median lethal concentration (LC50) of DvSnf7 and vice-versa. With this approach, the LC50 value of DvSnf7 was not altered by a sub-lethal concentration of Cry3Bb1 and vice-versa. In addition, the potential for an interaction between the Cry3Bb1 and DvSnf7 was tested with Colorado potato beetle (CPB, Leptinotarsa decemlineata), which is sensitive to Cry3Bb1 but not DvSnf7. CPB assays also demonstrated that DvSnf7 does not alter the activity of Cry3Bb1. The results from this study provide multiple lines of evidence that DvSnf7 and Cry3Bb1 produced in MON 87411 have independent action.


Subject(s)
Coleoptera/drug effects , Endotoxins/toxicity , Pest Control, Biological , RNA, Small Interfering/toxicity , Animals , Chimera , Coleoptera/growth & development , Endotoxins/biosynthesis , Endotoxins/genetics , Endotoxins/isolation & purification , Gene Expression , Larva/drug effects , Larva/growth & development , Plants, Genetically Modified/genetics , Plants, Genetically Modified/immunology , Plants, Genetically Modified/parasitology , RNA, Small Interfering/biosynthesis , RNA, Small Interfering/genetics , RNA, Small Interfering/isolation & purification , Solanum tuberosum/genetics , Solanum tuberosum/immunology , Solanum tuberosum/parasitology , Transgenes , Zea mays/genetics , Zea mays/immunology , Zea mays/parasitology
9.
GM Crops Food ; 4(2): 90-7, 2013.
Article in English | MEDLINE | ID: mdl-23787988

ABSTRACT

Long double-stranded RNAs (long dsRNAs) are precursors for the effector molecules of sequence-specific RNA-based gene silencing in eukaryotes. Plant cells can contain numerous endogenous long dsRNAs. This study demonstrates that such endogenous long dsRNAs in plants have sequence complementarity to human genes. Many of these complementary long dsRNAs have perfect sequence complementarity of at least 21 nucleotides to human genes; enough complementarity to potentially trigger gene silencing in targeted human cells if delivered in functional form. However, the number and diversity of long dsRNA molecules in plant tissue from crops such as lettuce, tomato, corn, soy and rice with complementarity to human genes that have a long history of safe consumption supports a conclusion that long dsRNAs do not present a significant dietary risk.


Subject(s)
Crops, Agricultural/genetics , Gene Expression Profiling , Genes, Plant , RNA, Double-Stranded/genetics , Sequence Analysis, RNA , Transcriptome , Base Sequence , Crops, Agricultural/standards , Humans , Lactuca/genetics , Solanum lycopersicum/genetics , Oryza/genetics , RNA Interference , Sequence Alignment , Glycine max/genetics
10.
Environ Entomol ; 39(2): 707-14, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20388306

ABSTRACT

Corn (Zea mays L.) transformed with a gene from the bacterium Bacillus thuringiensis (Bt) comprises 49% of all corn in the United States. The input of senesced corn tissue expressing the Bt gene may impact stream-inhabiting invertebrates that process plant debris, especially trichopteran species related to the target group of lepidopteran pests. Our goal was to assess risk associated with transgenic corn debris entering streams. First, we show the input of corn tissue after harvest was extended over months in a stream. Second, using laboratory bioassays based on European corn borer [Ostrinia nubilalis (Hübner)], we found no bioactivity of Cry1Ab protein in senesced corn tissue after 2 wk of exposure to terrestrial or aquatic environments. Third, we show that Bt near-isolines modify growth and survivorship of some species of invertebrates. Of the four nontarget invertebrate species fed Bt near-isolines, growth of two closely related trichopterans was not negatively affected, whereas a tipulid crane fly exhibited reduced growth rates, and an isopod exhibited reduced growth and survivorship on the Cry1Ab near-isoline but not on the stacked Cry1Ab + Cry3Bb1 near-isoline. Because of lack of evidence of bioactivity of Bt after 2 wk and because of lack of nontarget effects on the stacked near-isoline, we suggest that tissue-mediated differences, and not the presence of the Cry1Ab protein, caused the different responses among the species. Overall, our results provide evidence that adverse effects to aquatic nontarget shredders involve complex interactions arising from plant genetics and environment that cannot be ascribed to the presence of Cry1Ab proteins.


Subject(s)
Bacterial Proteins/adverse effects , Endotoxins/adverse effects , Hemolysin Proteins/adverse effects , Invertebrates/drug effects , Pesticide Residues/analysis , Water Pollutants/adverse effects , Zea mays/chemistry , Animals , Bacillus thuringiensis Toxins , Bacterial Proteins/analysis , Diptera , Endotoxins/analysis , Female , Hemolysin Proteins/analysis , Isopoda , Larva , Moths , Plant Leaves/chemistry , Plants, Genetically Modified/chemistry , Risk Assessment , Water Pollutants/analysis , Zea mays/genetics
11.
Environ Toxicol ; 22(3): 287-94, 2007 Jun.
Article in English | MEDLINE | ID: mdl-17497635

ABSTRACT

Pollutants rarely occur alone in the natural environment, and few studies have focused on the potential interactions between metals or metalloids. In this study an aquatic insect, the southern house mosquito (Culex quinquefasciatus: Diptera), was used to test the individual and joint effects of dissolved sodium selenate (Se) and methyl mercury chloride (MeHg). We conducted ovipositional preference tests and 14-day chronic toxicity studies to determine lethal and sublethal responses of C. quinquefasciatus to a range of Se and MeHg concentrations and mixtures. No evidence was found for female ovipositional preference in field trials using artificial ponds. Larvae were more sensitive to MeHg than Se, with LC(50) values of 30 microg/L (CI = 28-31 microg/L) and 11 mg/L (CI = 10-12 mg/L) respectively. In addition, larval survival was significantly reduced at concentrations as low as 25 microg/L of MeHg and 8 mg/L of Se. A synergistic interaction was observed in the toxicity of the Se-MeHg mixtures to C. quinquefasciatus larvae. Larval mosquito survival was significantly reduced at 7.5 microg/L MeHg + 2.75 mg/L Se and an LC(50) value of 9 microg/L MeHg + 3.4 mg/L Se was determined for a fixed ratio mixture. The rate of growth of the larvae was analyzed using a Growth Index that provided a sensitive measure of the developmental effects of toxicant exposure. Sodium selenate at concentrations as low as 2 mg/L caused a significant decrease in growth between larvae in treatment versus control solutions after only 4 days. Similarly, MeHg at concentrations as low as 25 microg/L and a Se-MeHg mixture of 3 microg/L MeHg plus 1.1 mg/L Se caused significant growth reductions after only 2 and 3 days, respectively. These are the first reported survival and developmental data for an aquatic insect exposed to MeHg and Se-MeHg mixtures.


Subject(s)
Culicidae/drug effects , Culicidae/growth & development , Methylmercury Compounds/toxicity , Selenium Compounds/toxicity , Water Pollutants, Chemical/toxicity , Animals , Dose-Response Relationship, Drug , Drug Synergism , Female , Larva/drug effects , Lethal Dose 50 , Selenic Acid , Toxicity Tests, Chronic
12.
Curr Hematol Malig Rep ; 2(1): 13-21, 2007 Feb.
Article in English | MEDLINE | ID: mdl-20425384

ABSTRACT

The myelodysplastic syndromes (MDS) are a group of clonal hematopoietic stem cell diseases characterized by ineffective hematopoiesis in one or more cell lines, resulting in insufficient bone marrow function. For most patients with MDS, supportive care by blood transfusions is still the mainstay of treatment. Especially in low-risk patients, anemia represents the major clinical problem, and many of these patients develop transfusional iron overload. This paper reviews the literature on transfusional iron overload in patients with MDS, looking at pathophysiology, evaluation, and treatment of the transfusional iron burden with desferrioxamine and oral chelators.


Subject(s)
Iron Overload/etiology , Myelodysplastic Syndromes/complications , Aged , Bone Marrow/pathology , Bone Marrow/physiopathology , Chelation Therapy , Follow-Up Studies , Hemoglobins/metabolism , Humans , Iron/analysis , Iron/metabolism , Iron/pharmacokinetics , Iron Chelating Agents/therapeutic use , Iron Overload/drug therapy , Liver/chemistry , Liver/pathology , Magnetic Resonance Imaging , Mononuclear Phagocyte System/physiopathology , Myelodysplastic Syndromes/blood , Myelodysplastic Syndromes/physiopathology , Myelodysplastic Syndromes/therapy , Myocardium/chemistry , Myocardium/pathology , Transferrin/metabolism , Transfusion Reaction
13.
Environ Pollut ; 144(3): 759-64, 2006 Dec.
Article in English | MEDLINE | ID: mdl-16675084

ABSTRACT

Effects of water contamination with perchlorate and hexavalent chromium [Cr (VI)] on the mosquito Culex quinquefasciatus were assessed. The chronic (10-day) LC50s values for perchlorate and chromium were 74+/-8.0 mg/L and 0.41+/-0.15 mg/L, respectively. Relative Growth Index, a measure of growth and mortality rates in a population, was significantly reduced within 5 days for levels of perchlorate as low as 25 mg/L and for levels of chromium as low as 0.16 mg/L. Neither compound altered wing length of surviving adults. In combination, contaminants were synergistic, causing 14% more mortality than predicted. Acute (24-h) LC50 values for perchlorate and Cr (VI) were 17,000+/-3200 and 38+/-1.3 mg/L, respectively. Effects on mosquito larvae in contaminated environments are likely to be observed for Cr (VI) but not for perchlorate, which generally does not occur at levels as high as those shown here to affect larval mosquitoes.


Subject(s)
Chromium/toxicity , Culex , Industry , Perchlorates/toxicity , Trace Elements/toxicity , Water Pollution , Animals , Larva , Lethal Dose 50 , Risk , Time Factors , Toxicity Tests, Acute/methods , Toxicity Tests, Chronic/methods
14.
Ecotoxicology ; 14(3): 313-22, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15943107

ABSTRACT

Megaselia scalaris (Loew) (Diptera: Phoridae) is an important and ubiquitous terrestrial detritivore that consumes both animal and plant material. Because both plants and animals convert selenium pollutants into various forms, the relative toxicities of ecologically relevant concentrations of sodium selenate, sodium selenite, seleno-L-methionine, and Se-(methyl) selenocysteine hydrochloride to larvae were assessed in diet bioassays. In addition, ovipositional preferences of adults and developmental effects on the eggs and larvae were measured. With chronic exposure selenocysteine was the most toxic of the selenium species to the larvae (LC50: 83 microg/g wet weight), followed by seleno-L-methionine (LC50: 130 microg/g), selenate (LC50: 258 microg/g), and selenite (LC50: 392 microg/g). Ovipositing females did not discriminate between the highest treatment concentrations of any of the pollutants as compared to the controls, indicating a lack of avoidance behavior. Larval development time was significantly increased with exposure to selenate at 100 microg/g wet weight and above, selenite at 300 microg/g and above, and at 50 microg/g and 25 microg/g and above for seleno-L-methionine and selenocysteine respectively. Pupal development was not affected by any of the selenium treatments. Significant differences between male and female adult eclosion times were observed, with females eclosing later than males as selenium concentrations increased. Significant decreases in larval survival relative to controls occurred at the lowest treatment tested (100 microg/g) for both selenate and selenite and at 100 microg/g for seleno-L-methionine, and 50 microg/g for selenocysteine. The population level implications of lack of avoidance of contaminated food, and the effects of increased development times, reduced survivorship, and non-synchronized male and female emergence are discussed.


Subject(s)
Diptera/drug effects , Selenium Compounds/toxicity , Animals , Diptera/physiology , Female , Food Chain , Larva/drug effects , Larva/physiology , Male , Oviposition/drug effects , Sex Factors , Toxicity Tests, Chronic
15.
Hematol J ; 5(6): 543-5, 2004.
Article in English | MEDLINE | ID: mdl-15570302

ABSTRACT

Iron overload is a serious condition, which may lead to irreversible organ damage. The risk of iron accumulation in pyruvate kinase deficiency (PKD) has traditionally been regarded as low, but recent evidence has questioned this notion. We here present a case of a young PKD patient showing evidence of asymptomatic iron accumulation measured as liver iron concentration (LIC) obtained noninvasively by magnetic resonance imaging. The iron overload was not related to blood transfusions, but rather secondary to concomitant risk factors leading to increased intestinal iron absorption, such as chronic hemolysis and splenectomy. The iron status of PKD patients, preferably assessed by LIC measurements, should therefore be evaluated regularly also in asymptomatic patients. This evaluation should start already at a young age, in order to initiate iron chelation before the development of iron-induced organ damage.


Subject(s)
Iron Overload/complications , Iron Overload/diagnosis , Pyruvate Kinase/deficiency , Pyruvate Metabolism, Inborn Errors/complications , Adult , Anemia, Hemolytic, Congenital/complications , Anemia, Hemolytic, Congenital/genetics , Ferritins/blood , Hemochromatosis Protein , Histocompatibility Antigens Class I/genetics , Humans , Intestinal Absorption , Iron Overload/metabolism , Liver/metabolism , Liver/pathology , Magnetic Resonance Imaging , Male , Membrane Proteins/genetics , Pyruvate Kinase/genetics , Pyruvate Metabolism, Inborn Errors/genetics , Risk Factors , Splenectomy
16.
Arch Environ Contam Toxicol ; 46(3): 372-6, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15195809

ABSTRACT

The effects of hexavalent chromium (Cr VI) on ovipositional response, development, and survival of a common terrestrial detritivore, Megaselia scalaris (Diptera: Phoridae), were assessed in the laboratory. Ovipositing females did not discriminate between substrates containing 0, 50, 500, or 1000 microg/g, indicating a lack of avoidance behavior. Eggs placed on artificial diets containing up to 1000 microg/g either did not absorb Cr VI or were unaffected as measured by eclosion rates. However, development and survival of larvae were significantly reduced at the higher concentrations tested. Concentrations of 500 microg/g in their food increased larval development times by nearly 65%. At 1000 microg/g, larval developmental times doubled. The time required from onset to completion of pupariation was not significantly different regardless of Cr VI concentration. Although males eclosed before females, there was no significant difference between the sexes in the time required for adult eclosion. In addition, there were no significant differences in the percentage of males and females emerging from any of the treatments. At concentrations of 500 or 1000 microg/g, Cr VI decreased larval survival. Survival was reduced by 44.3% at 500 microg/g as compared with the controls. There was no additional mortality from the onset of the puparial stage to adult eclosion for larvae fed diets containing 500 microg/g Cr VI. At 1000 microg/g Cr VI, larval survival decreased by 86.6%. An additional 7.4% mortality was recorded in the puparial stage, for a decrease in total survival (larval plus puparial stages) of 94%. Thus, nearly all of the observed mortality occurred during the larval stage rather than the puparial stage. The population level implications of lack of avoidance of contaminated food and the effects of increased developmental times and reduced survivorship are discussed.


Subject(s)
Carcinogens, Environmental/toxicity , Chromium/toxicity , Diptera , Oviposition , Animals , Diptera/growth & development , Diptera/physiology , Female , Larva/genetics , Lethal Dose 50 , Male , Survival Analysis
18.
Blood ; 101(11): 4632-9, 2003 Jun 01.
Article in English | MEDLINE | ID: mdl-12576333

ABSTRACT

Evaluation of myocardial iron during iron chelation therapy is not feasible by repeated endomyocardial biopsies owing to the heterogeneity of iron distribution and the risk of complications. Recently, we described a noninvasive method based on magnetic resonance imaging. Here, the method was used for repeated estimation of the myocardial iron content during iron chelation with deferrioxamine in 14 adult nonthalassemic patients with transfusional iron overload. We investigated the repeatability of the method and the relationship between the myocardial iron estimates and iron status. The repeatability coefficient (2sD) was 2.8 micromol/g in the controls (day-to-day) and 4.0 micromol/g in the patients (within-day). Myocardial iron estimates were elevated in 10 of all 14 patients at first examination, but normalized in 6 patients after 6 to 18 months of treatment. If liver iron declined below 350 micromol/g all but one of the myocardial iron estimates were normal or nearly normal. At start (R2 = 0.69, P =.0014) and still after 6 months of iron chelation (R2 = 0.76, P =.001), the estimates were significantly and more closely related to the urinary iron excretion than to liver iron or serum ferritin levels. In conclusion, our preliminary data, which may only pertain to patients with acquired anemias, suggest the existence of a critical liver iron concentration, above which elevated myocardial iron is present, but its extent seems related to the size of the chelatable iron pool, as reflected by the urinary iron excretion. This further supports the concept of the labile iron pool as the compartment directly involved in transfusional iron toxicity.


Subject(s)
Chelation Therapy , Deferoxamine/therapeutic use , Iron Chelating Agents/therapeutic use , Iron/analysis , Magnetic Resonance Imaging , Myocardium/chemistry , Adult , Aged , Anemia/drug therapy , Case-Control Studies , Deferoxamine/pharmacokinetics , Ferritins/blood , Follow-Up Studies , Heart Diseases , Humans , Iron/urine , Iron Chelating Agents/pharmacokinetics , Iron Overload/drug therapy , Liver/chemistry , Middle Aged , Reproducibility of Results
19.
Blood ; 101(1): 91-6, 2003 Jan 01.
Article in English | MEDLINE | ID: mdl-12393528

ABSTRACT

The role of iron overload as cause of liver dysfunction has never been studied in detail in patients without concomitant hepatotropic infections who receive multiple transfusions. We therefore investigated the relationship between the extent of hepatocellular injury as reflected by serum levels of aminotransferases (alanine aminotransferase [ALT] and aspartate aminotransferase [AST]) and several iron status indices in 39 anti-hepatitis C virus-negative (HCV(-)) nonthalassemic patients with transfusional iron overload owing to acquired anemias. In 12 patients, we monitored aminotransferase levels and indices of iron status during iron chelation treatment. Before treatment, elevated aminotransferase activity was seen only at liver iron concentrations more than 300 microM/g. During treatment all aminotransferase values were normal if the liver iron concentration returned below 350 microM/g. At the start of treatment, ALT (R(2) = 0.64, P =.006) and AST activity (R(2) = 0.57, P =.01) were closely related to urinary iron excretion, reflecting the size of the chelatable or the labile iron pool. During treatment, a comparable pattern was seen and the urinary iron excretion was also directly related to the liver iron concentration at concentrations above approximately 400 microM/g. All elevated ALT values were associated with a urinary iron excretion more than 15 mg/24 h. In conclusion, our data suggest the existence of a critical liver iron concentration range, above which hepatocellular injury is seen. The extent of the injury seems to be determined mainly by the size of the chelatable or labile iron pool, supporting the concept of the labile iron pool as the compartment directly involved in iron toxicity. Our findings may be helpful in establishing criteria for safety from complications of transfusional iron overload.


Subject(s)
Chelation Therapy , Deferoxamine/therapeutic use , Iron Overload/etiology , Liver Diseases/pathology , Transfusion Reaction , Adult , Aged , Anemia/etiology , Anemia/pathology , Female , Humans , Iron/analysis , Iron/urine , Iron Chelating Agents/therapeutic use , Iron Overload/drug therapy , Liver Diseases/etiology , Liver Diseases/metabolism , Magnetic Resonance Imaging , Male , Middle Aged , Transaminases/blood
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