ABSTRACT
The stunning sexual transformation commonly triggered by age, size or social context in some fishes is one of the best examples of phenotypic plasticity thus far described. To date our understanding of this process is dominated by studies on a handful of subtropical and tropical teleosts, often in wild settings. Here we have established the protogynous New Zealand spotty wrasse, Notolabrus celidotus, as a temperate model for the experimental investigation of sex change. Captive fish were induced to change sex using aromatase inhibition or manipulation of social groups. Complete female-to-male transition occurred over 60 days in both cases and time-series sampling was used to quantify changes in hormone production, gene expression and gonadal cellular anatomy. Early-stage decreases in plasma 17ß-estradiol (E2) concentrations or gonadal aromatase (cyp19a1a) expression were not detected in spotty wrasse, despite these being commonly associated with the onset of sex change in subtropical and tropical protogynous (female-to-male) hermaphrodites. In contrast, expression of the masculinising factor amh (anti-Müllerian hormone) increased during early sex change, implying a potential role as a proximate trigger for masculinisation. Collectively, these data provide a foundation for the spotty wrasse as a temperate teleost model to study sex change and cell fate in vertebrates.
Subject(s)
Fishes/physiology , Hermaphroditic Organisms/physiology , Sex Determination Processes , Animals , Anti-Mullerian Hormone/genetics , Anti-Mullerian Hormone/metabolism , Aromatase Inhibitors/pharmacology , Estradiol/blood , Female , Fish Proteins/genetics , Fish Proteins/metabolism , Fishes/blood , Fishes/genetics , Gene Expression Regulation , Gonads/physiology , Hermaphroditic Organisms/drug effects , Hermaphroditic Organisms/genetics , Hermaphroditic Organisms/metabolism , Male , Models, Animal , Phenotype , Sex Characteristics , Sex Determination Processes/drug effects , Social Behavior , Testosterone/analogs & derivatives , Testosterone/bloodABSTRACT
Our objective was to compare the pattern of organ dysfunctions and outcomes of critically ill patients with systemic lupus erythematosus (SLE) with patients with other systemic rheumatic diseases (SRD). We studied 116 critically ill SRD patients, 59 SLE and 57 other-SRD patients. The SLE group was younger and included more women. Respiratory failure (61 percent) and shock (39 percent) were the most common causes of ICU admission for other-SRD and SLE groups, respectively. ICU length-of-stay was similar for the two groups. The 60-day survival adjusted for the groups’ baseline imbalances was not different (P = 0.792). Total SOFA scores were equal for the two groups at admission and during ICU stay, although respiratory function was worse in the other-SRD group at admission and renal and hematological functions were worse in the SLE group at admission. The incidence of severe respiratory dysfunction (respiratory SOFA >2) at admission was higher in the other-SRD group, whereas severe hematological dysfunction (hematological SOFA >2) during ICU stay was higher in the SLE group. SLE patients were younger and displayed a decreased incidence of respiratory failure compared to patients with other-SRDs. However, the incidences of renal and hematological failure and the presence of shock at admission were higher in the SLE group. The 60-day survival rates were similar.
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Hematologic Diseases/epidemiology , Kidney Failure, Chronic/epidemiology , Lupus Erythematosus, Systemic/complications , Multiple Organ Failure/mortality , Respiration Disorders/epidemiology , Rheumatic Diseases/complications , Critical Illness , Epidemiologic Methods , Hematologic Diseases/etiology , Hospitalization/statistics & numerical data , Intensive Care Units , Kidney Failure, Chronic/etiology , Length of Stay/statistics & numerical data , Lupus Erythematosus, Systemic/mortality , Respiration Disorders/etiology , Rheumatic Diseases/classification , Rheumatic Diseases/mortalityABSTRACT
Our objective was to compare the pattern of organ dysfunctions and outcomes of critically ill patients with systemic lupus erythematosus (SLE) with patients with other systemic rheumatic diseases (SRD). We studied 116 critically ill SRD patients, 59 SLE and 57 other-SRD patients. The SLE group was younger and included more women. Respiratory failure (61%) and shock (39%) were the most common causes of ICU admission for other-SRD and SLE groups, respectively. ICU length-of-stay was similar for the two groups. The 60-day survival adjusted for the groups' baseline imbalances was not different (P = 0.792). Total SOFA scores were equal for the two groups at admission and during ICU stay, although respiratory function was worse in the other-SRD group at admission and renal and hematological functions were worse in the SLE group at admission. The incidence of severe respiratory dysfunction (respiratory SOFA >2) at admission was higher in the other-SRD group, whereas severe hematological dysfunction (hematological SOFA >2) during ICU stay was higher in the SLE group. SLE patients were younger and displayed a decreased incidence of respiratory failure compared to patients with other-SRDs. However, the incidences of renal and hematological failure and the presence of shock at admission were higher in the SLE group. The 60-day survival rates were similar.
