Allogeneic hematopoietic cell transplantation for mycosis fungoides and Sezary syndrome.

We describe outcomes after allogeneic hematopoietic cell transplantation (HCT) for mycosis fungoides and Sezary syndrome (MF/SS). Outcomes of 129 subjects with MF/SS reported to the Center for the International Blood and Marrow Transplant from 2000-2009. Median time from diagnosis to transplant was 30 (4-206) months and most subjects were with multiply relapsed/ refractory disease. The majority (64%) received non-myeloablative conditioning (NST) or reduced intensity conditioning (RIC). NST/RIC recipients were older in age compared with myeloablative recipients (median age 51 vs 44 years, P=0.005) and transplanted in recent years. Non-relapse mortality (NRM) at 1 and 5 years was 19% (95% confidence interval (CI) 12-27%) and 22% (95% CI 15-31%), respectively. Risk of disease progression was 50% (95% CI 41-60%) at 1 year and 61% (95% CI 50-71%) at 5 years. PFS at 1 and 5 years was 31% (95% CI 22-40%) and 17% (95% CI 9-26%), respectively. OS at 1 and 5 years was 54% (95% CI 45-63%) and 32% (95% CI 22-44%), respectively. Allogeneic HCT in MF/SS results in 5-year survival in approximately one-third of patients and of those, half remain disease-free.

Favorable impact of pre-transplant ATG on outcomes of reduced-intensity hematopoietic cell transplants from partially mismatched unrelated donors.

Reduced-intensity conditioning (RIC) permits allogeneic hematopoietic progenitor cell transplantation in patients who would not be considered candidates for transplantation using a myeloablative preparative regimen because of age, comorbidities or prior therapy. In the setting of myeloablative transplantation, use of antithymocyte globulin (ATG) can reduce the risk of GVHD without negatively affecting transplant outcomes; however, limited data exist on the impact of ATG in the setting of RIC, particularly when there is HLA-mismatch. We performed a retrospective analysis of 85 patients who received unrelated donor transplants at our institution for hematologic malignancies following conditioning with fludarabine and melphalan (FluMel), with or without rabbit ATG (6 mg/kg). ATG was targeted to patients receiving HLA-mismatched grafts. With a median follow-up of 36 months, those receiving ATG and a mismatched graft had similar rates of acute and chronic GVHD, relapse, and similar OS compared with those receiving HLA-matched grafts without ATG. In a multivariate analysis, HLA-mismatched donor was not associated with a decrement in OS. We conclude that this intermediate dose of ATG is effective in preventing severe GVHD in the setting of HLA-mismatch, without undue compromise of the graft versus tumor effects on which RIC transplants depend.

Long-term progression-free survival after early autologous transplantation for mantle-cell lymphoma.

Autologous hematopoietic progenitor SCT (HPCT) has been studied both as a consolidative and salvage maneuver in mantle-cell lymphoma (MCL), and may improve failure-free survival rates as well as overall survival. We describe 21 patients with MCL who received autologous HPCT at Emory University Hospital as part of the primary treatment strategy. Sixteen patients were in CR1 and five in PR1 at the time of HPCT. The most commonly used induction chemotherapy was the hyper-CVAD (cyclophosphamide, vincristine, doxorubicin and dexamethasone) regimen with or without rituximab. At the last follow-up, 17 patients were in continuous CR, and there were four relapses. There were no transplant-related deaths. With a median follow-up of 54 months from HPCT, 5-year progression-free survival and overall survival are 73% and 76%, respectively. Our retrospective analysis provides the longest follow-up to date for patients with MCL who received an autologous HPCT as part of primary treatment. This lengthy follow-up helps define the natural course of MCL after autologous transplantation.

Ice storm damage and early recovery in an old-growth forest.

We quantified the damage caused by a major ice storm to individual trees in two 1-ha permanent plots located at Mont St. Hilaire in southwestern Québec, Canada. The storm, which occurred in January 1998, is the worst on record in eastern North America; glaze ice on the order of 80-100 mm accumulated at our study site. All but 3% of the trees (DBH > or = 10 cm) lost at least some crown branches, and 35% lost more than half their crown. Damage to trees increased in the order: Tsuga canadensis, Betula alleghaniensis, Ostrya virginiana, Acer saccharum, Fagus grandifolia, Quercus rubra, Betula papyrifera, Acer rubrum, Tilia americana, and Fraxinus americana. Only 22% of the saplings and small trees (4 cm < DBH < 10 cm) escaped being broken or pinned to the ground by falling material. Levels of damage generally were greater in an exposed ridge top forest than in a cove protected from wind. By August 1999 only 53% of the trees had new shoots developing from the trunk or broken branches; among the more dominant canopy trees, Fagus grandifolia had the least sprouting and Acer saccharum and Quercus rubra the most. We anticipate and will monitor both significant turnover in the tree community and some shift in composition of the canopy dominants.

Environmental distribution of four Carex species (Cyperaceae) in an old-growth forest.

We conducted an in-depth characterization of the range of micro-environments (1 m) in which four Carex species (C. backii, C. communis, C. plantaginea, and C. platyphylla) grow in the understory of an old-growth, deciduous forest in southern Québec, Canada. All four species occurred in significantly different micro-environments. Carex plantaginea was found at the wet end of a moisture gradient, in soils with high nitrate availability. Carex backii and C. platyphylla were found at the dry end of the moisture gradient, with C. backii occupying soils with higher phosphorus availability than C. platyphylla. Carex communis, the only ant-dispersed species studied, was found in the broadest range of environmental conditions. Our results suggest that environmental heterogeneity and interspecific microhabitat preferences are important for the maintenance of local species diversity in the forest understory, not only for common species as demonstrated in previous studies, but for infrequent species, and those within a functional group (upland Carex species). However, there was some evidence that the distributions of C. backii and C. communis were not in equilibrium with current environmental conditions, indicating that historical factors, such as dispersal and colonization events, may also have important effects on the distributions of these species and the maintenance of species diversity in old-growth forest.

Germination and establishment of forest sedges (Carex, Cyperaceae): tests for home-site advantage and effects of leaf litter.

We investigated aspects of germination and seedling establishment that might influence the distribution and diversity of Carex species growing in the forest understory. We tested the ability of Carex communis and C. platyphylla to germinate and establish at plots where adult individuals of one of these two species, or one of two other Carex species (C. backii and C. plantaginea), occurred in an old-growth forest in southern Québec, Canada. We also tested for effects of leaf litter on germination and establishment of these sedges. From a series of experiments in the field and in a lath house, we found no evidence of home-site advantage with respect to germination or seedling establishment. Leaf litter had a negative effect on germination and establishment. The results emphasize the importance of dispersal and colonization events in determining local diversity and distribution of Carex species in upland forests. High frequency of occurrence of C. communis at our study site may result from relatively wide dispersal provided by ants, and a suite of traits associated with ant dispersal in some understory Carex species.

The spatial structure of the physical environment.

There is substantial environmental variance at small spatial scales (1 m or less) in both natural and disturbed environments. We have investigated the spatial structure of physical variables at larger scales (up to 106 m). We analysed surveys of edaphic properties of Wisconsin forest soils, of the water chemistry of lakes in Ontario and Labrador, and of temperature and precipitation in northeastern North America. We found no clear indication that the variance among sites approaches some maximal value as the distance between them increases. We suggest instead that the variance of the physical environment tends to increase continually with distance. The slope of the log-log regression of variance on distance provides a means of comparing the heterogeneity of different environments with respect to a given factor, or of comparing different factors within a given environment. This slope provides a useful measure of environmental structure that can be related to the biodiversity or plasticity of native organisms.

Shade adaptation and shade tolerance in saplings of three Acer species from eastern North America.

Saplings of three, co-occurring maple species in a mature maple-beech forest differed in a suite of structural and physiological characters that separated the canopy species, Acer, saccharum, from the two subcanopy species, A. pensylvanicum and A. spicatum. Acer saccharum had both more dense wood and tougher and heavier but thinner leaves than the subcanopy species. Acer pensylvanicum had the largest, lightest leaves with high stomatal density and its canopy architecture was the most effective in terms of leaf display for light interception. Acer spicatum had weaker wood similar to that of A. pensylvanicum but also small, soft and relatively poorly displayed leaves. Both subcanopy species maintained marginally higher average rates of photosynthesis over the growing season in the understory environment. We consider juvenile A. saccharum only shade-tolerant, capable of persisting through long periods in the closed canopy until a gap occurs but not specifically adapted to the understory environment. Juvenile A. sacchrum appears to be constrained functionally by the requirements set by the canopy environment that adults will occupy. Characters such as high wood density are already expressed in the understory sapling; this investment in denser wood slows the growth of saplings, but is necessary for structural reasons in the adult. Juvenile A. saccaharum have morphological and photosynthetic characters better suited to gas exchange and extension growth under the increased photon flux densities in large forest gaps, characteristics that will also be advantageous in the sunlit canopy environment of adults.Both subcanopy maples appear to be more truly shade-adapted, although in somewhat different ways. Acer pensylvanicum has characteristics that enhance the potential for capture and utilization of sunflecks and is able to sustain higher growth rates than A. saccharum in the shaded subcanopy environment. Acer spicatum shares some shade-adapted features with A. pensylvanicum, and its habit of lateral spread through stem layering may confer an additional advantage in foraging for small light gaps.

Losses of Polyol through Leaching in Subarctic Lichens.

Upon rewetting, lichens lose polyols through leaching. We quantified leaching losses for 21 species under simulated rainfall. Polyol concentrations in these lichens range from 1.0 to 8.8%, with a mean of 2.8%. Leaching losses range up to about 7.5 mg (polyol)/g (lichen dry weight) in a typical rain event. The rate of polyol leaching declines exponentially, becoming negligible within 1 hour of continuous rain. The response of polyol leaching rate to rainfall intensity and amount varies between species-six species showed no response, one had increased leaching with increased rainfall intensity, four had increased leaching with increased amount of rainfall, and one had decreased leaching with increased total amount of rainfall. Polyol leaching rates are positively correlated with polyol concentration for 20 species. Literature values of average daily growth rates for subarctic lichens are of the same order of magnitude as leaching rates, suggesting that polyol leaching is an important part of the carbon budget of lichens.

Net photosynthetic recovery in subarctic lichens with contrasting water relations.

The rates of net photosynthetic recovery after wetting for six subarctic lichens were related to their drying rates under laboratory conditions. Net photosynthetic recovery was described by the three parameters of the Von-Bertalanffy equation: T o and K, related to the rates of resaturation respiration and gross photosynthetic recovery, and P max, the photosynthetic maximum attained at full recovery. The time to full photosynthetic recovery ranged from 143 to 510 min and was positively correlated with the drying rate of the thallus. In order from most to least rapid recovery, the species are Coelocaulon divergens, Cetraria cucullata, Alectoria ochroleuca, Cladina stellaris, Nephroma arcticum, and Cladonia sulphurina.In nature the high evaporative resistance or low waterholding capacity characterizing fast-drying species will result in short, frequent cycles of wetting and drying which induce carbon losses. In such situations a rapid photosynthetic recovery should be adaptive since it increases photosynthetic carbon gain during a period of metabolic activity. We hypothesize that fast-drying species achieve their rapid photosynthetic recovery by an increased desiccation-tolerance which has a metabolic cost associated with it. In slowdrying species a rapid recovery is not favored by natural selection since these species can take advantage of longer photosynthetic activity periods and are exposed less frequently to deleterious wetting and drying cycles. Future studies of lichen distribution and productivity should take into account the recovery phenomena.

Hostplant, larval age, and feeding behavior influence midgut pH in the gypsy moth (Lymantria dispar).

The midgut pH of late instar gypsy moth (Lymantria dispar L.) larvae is strongly alkaline, and varies with diet, larval stadium, and time since feeding. Midgut pH rises with time since feeding, and does so more quickly, reaching greater maximum values, on some diets than others. Leaf tissues of 23 tree species resist increases in alkalinity differentially; this trait and differing initial leaf pH may explain the impact of diet on gut pH. Third instar larvae may have gut conditions favorable for tannin-protein binding shortly after ingesting certain foods, but with time midgut alkalinity becomes great enough to dissociate tannin-protein complexes. Older instars rarely exhibit gut pHs low enough to permit tannin activity. Alkaline gut conditions may explain the gypsy moth's ability to feed on many tanniniferous plant species, especially in later instars. Consequences for pathogen effectiveness are discussed.

Age Dependence of Photosynthesis in the Caribou Lichen Cladina stellaris.

The fruticose thallus of the lichen Cladina stellaris (Opiz.) Brodo can be subdivided into individual whorls of branches of known age. Photosynthesis declines steadily with age from a maximum rate of 0.76 milligram CO(2) per gram dry weight per hour in 1-year-old whorls to 0.02 milligram CO(2) per gram dry weight per hour after 15 years. Conversely, the dry biomass of the whorls increases up to age 9 years and then approximately levels off. Photosynthesis in whorls older than 15 years is less than 0.01 milligram per gram per hour. Progressive changes in thallus color with age are associated with the observed photosynthetic decline. Whorls aged 6 years and younger together account for 18% of thallus biomass but 50% of photosynthetic activity. The implications of these results for the idea that the lichen symbiosis results in truly integrated organisms with senescence phenomena akin to those in higher plants is discussed.