Seroepidemiology of Middle East respiratory syndrome (MERS) coronavirus in Saudi Arabia (1993) and Australia (2014) and characterisation of assay specificity.

The pseudoparticle virus neutralisation test (ppNT) and a conventional microneutralisation (MN) assay are specific for detecting antibodies to Middle East respiratory syndrome coronavirus (MERS-CoV) when used in seroepidemiological studies in animals. Genetically diverse MERS-CoV appear antigenically similar in MN tests. We confirm that MERS-CoV was circulating in dromedaries in Saudi Arabia in 1993. Preliminary data suggest that feral Australian dromedaries may be free of MERS-CoV but larger confirmatory studies are needed.

Middle East Respiratory Syndrome (MERS) coronavirus seroprevalence in domestic livestock in Saudi Arabia, 2010 to 2013.

In Saudi Arabia, including regions of Riyadh and Al Ahsa, pseudoparticle neutralisation (ppNT) and microneutralisation (MNT) tests detected no antibodies to Middle East Respiratory Syndrome coronavirus (MERS-CoV) in sheep (n= 100), goats (n= 45), cattle (n= 50) and chickens (n= 240). Dromedary camels however, had a high prevalence of MERS-CoV antibodies. Bovine coronavirus (BCoV) infected sera from cattle had no cross-reactivity in MERS-CoV ppNT or MNT, while many dromedary camels' sera reacted to both BCoV and MERS-CoV. Some nevertheless displayed specific serologic reaction profiles to MERS-CoV.

Seroepidemiology for MERS coronavirus using microneutralisation and pseudoparticle virus neutralisation assays reveal a high prevalence of antibody in dromedary camels in Egypt, June 2013.

We describe a novel spike pseudoparticle neutralisation assay (ppNT) for seroepidemiological studies on Middle East respiratory syndrome coronavirus (MERSCoV) and apply this assay together with conventional microneutralisation (MN) tests to investigate 1,343 human and 625 animal sera. The sera were collected in Egypt as a region adjacent to areas where MERS has been described, and in Hong Kong, China as a control region. Sera from dromedary camels had a high prevalence of antibody reactive to MERS-CoV by MERS NT (93.6%) and MERS ppNT (98.2%) assay. The antibody titres ranged up to 1,280 and higher in MN assays and 10,240 and higher in ppNT assays. No other investigated species had any antibody reactivity to MERS-CoV. While seropositivity does not exclude the possibility of infection with a closely related virus, our data highlight the need to attempt detection of MERSCoV or related coronaviruses in dromedary camels. The data show excellent correlation between the conventional MN assay and the novel ppNT assay. The newly developed ppNT assay does not require Biosafety Level 3 containment and is thus a relatively high-throughput assay, well suited for large-scale seroepidemiology studies which are needed to better understand the ecology and epidemiology of MERS-CoV.

Severe cow's milk protein allergy in a Chinese neonate.

Cow's milk protein allergy is a growing problem in developed countries. We report the case of a Chinese infant, born at term, who presented on day 28 with severe growth failure, chronic diarrhoea, and metabolic acidosis. Investigations supported a diagnosis of cow's milk protein allergy. This was confirmed by withdrawing and reintroducing the relevant infant formula under controlled clinical conditions. Both acidosis and diarrhoea were seen to resolve, and 'catch-up' growth was evident after introduction of an elemental infant formula. Early recognition of this problem leads to a rapid 'cure', as seen in this case. However, later presentation with other atopic conditions has been reported.

Electromyographic activity in a distant muscle during simple voluntary movements: an unexpected hand-eye linkage.

PURPOSE: Supraspinal sensorimotor maps contain adjacent representations of the hand and face. These experiments were designed to determine whether interactions between the representations could be detected at the periphery. METHODS: Simultaneous EMG recordings were made from orbicularis oculi and wrist flexor during three conditions, with 50 repetitions each: during exposure to an auditory cue; responding to the auditory cue by wrist flexion; and performing a self-paced wrist flexion in the absence of an auditory cue. RESULTS: In 8 of 10 healthy volunteers, the rectified, averaged EMGs showed small but consistent increases in orbicularis oculi activity during wrist flexion in the two tasks involving that movement, but not in the auditory task alone. CONCLUSION: In one or more of the central sensorimotor maps, voluntary activation of the wrist flexor representation is accompanied by liminal activation of a nearby facial representation which projects to the motoneurons of orbicularis oculi.

Electromyographic assessment of non-functional masseter muscle in an awake animal model.

Non-functional activities, such as bruxism, have been implicated in the development of temporomandibular disorders (TMD). It would be of value to have an animal model in which to investigate the processes underlying such disorders. The aim of this study was to determine the electromyographic (EMG) characteristics of experimentally induced, non-functional activity in the jaw-closing muscles of awake, behaving rats and how the EMG characteristics differed from those found under normal conditions. In the same animals, chronic EMG recordings were made prior to and following the insertion of an occlusal cap, which induced non-functional activity. A characteristic EMG pattern was found only during non-functional activity. The durations and amplitudes of the EMG bursts during this activity were significantly different statistically from those found in the same animals under normal conditions.