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Biomedical subjects

M Boots

Publications and source records attributed to M Boots.

16 recordsLinked to original sources

Cross-protective immunity can account for the alternating epidemic pattern of dengue virus serotypes circulating in Bangkok.

Dengue virus, the causative agent of dengue fever and its more serious manifestation dengue hemorrhagic fever, is widespread throughout tropical and subtropical regions. The virus exists as four distinct serotypes, all of which have cocirculated in Bangkok for several decades with epidemic outbreaks occurring every 8-10 years. We analyze time-series data of monthly infection incidence, revealing a distinctive pattern with epidemics of serotypes 1, 2, and 3 occurring at approximately the same time and an isolated epidemic of serotype 4 occurring in the intervening years. Phylogenetic analysis of virus samples collected over the same period shows that clade replacement events are linked to the epidemic cycle and indicates that there is an interserotypic immune reaction. Using an epidemic model with stochastic seasonal forcing showing 8- to 10-year epidemic oscillations, we demonstrate that moderate cross-protective immunity gives rise to persistent out-of-phase oscillations similar to those observed in the data, but that strong or weak cross-protection or cross-enhancement only produces in-phase patterns. This behavior suggests that the epidemic pattern observed in Bangkok is the result of cross-protective immunity and may be significantly altered by changes in the interserotypic immune reaction.

Dengue↗

Spatiotemporal patterns of malaria incidence in northern Thailand.

We present a detailed analysis of long-term time series of malaria incidence in northern Thailand. Positive cases for Plasmodium falciparum and P. vivax have been recorded monthly from 1977-2002 at 13 provinces in the region. Time series statistical methods are used to examine the long-term trends and seasonal dynamics of malaria incidence at regional and provincial scales. Both malarial types are declining throughout the region, except in the two provinces that share a large border with Myanmar. The rate of decline in P. vivax has decreased across the region since the end of the 1980s, and this may be a signal of developing resistance or changing vector potential. Both species display a two-peak annual seasonality that may be attributed to patterns of vector occurrence, farming practice and migration of individuals across international borders. In a number of provinces, the importance of the first seasonal peak has grown in recent years, possibly owing to increases in vector densities. The medium-term fluctuations of both species exhibit a clear spatial organisation. There is some evidence of a subtle close to 4-year super annual cycle in P. falciparum, which we suggest is driven by extrinsic factors relating to the climate of the region.

Humans↗

An indirect approach to imply trade-off shapes: population level patterns in resistance suggest a decreasingly costly resistance mechanism in a model insect system.

Trade-offs between life history and other traits play a key role in shaping the evolution of individuals. It is well established theoretically that the shapes of trade-off curves are as crucial to the evolutionary outcome as their strengths. However, measuring the shape of these relationships directly is often impractical. Here we use an indirect approach that examines the patterns seen within a population and then use theory to infer the shape of the trade-off curve. Using a bioassay we found that most individuals had either high susceptibility or relatively high resistance to a microparasite in a lepidopteran host population. According to general theory, this type of pattern in resistance would be most likely with a deceleratingly costly impact on fitness of increasing resistance. The implications and generality of the approach are discussed, along with the implications of the results to our understanding of the nature of innate resistance to parasites.

Animals↗

The evolution of oscillatory behavior in age-structured species.

A major challenge in ecology is to explain why so many species show oscillatory population dynamics and why the oscillations commonly occur with particular periods. The background environment, through noise or seasonality, is one possible driver of these oscillations, as are the components of the trophic web with which the species interacts. However, the oscillation may also be intrinsic, generated by density-dependent effects on the life history. Models of structured single-species systems indicate that a much broader range of oscillatory behavior than that seen in nature is theoretically possible. We test the hypothesis that it is selection that acts to constrain the range of periods. We analyze a nonlinear single-species matrix model with density dependence affecting reproduction and with trade-offs between reproduction and survival. We show that the evolutionarily stable state is oscillatory and has a period roughly twice the time to maturation, in line with observed patterns of periodicity. The robustness of this result to variations in trade-off function and density dependence is tested.

Aging↗

The evolution of host resistance: tolerance and control as distinct strategies.

In response to parasitic infection, hosts may evolve defences that reduce the deleterious effects on survivorship. This may be interpreted as a form of resistance, as long as infected hosts are able to either recover or reproduce. Here we distinguish two important routes to this form of resistance. An infected host may either: (1) tolerate pathogen damage, or (2) control the pathogen by inhibiting its growth. A model is constructed to examine the evolutionary dynamics of tolerance and control to a free-living microparasite, where both forms of resistance are costly in terms of other life-history traits. We do not observe polymorphism of tolerant genotypes. In contrast, the evolution of control may lead to disruptive selection, and ultimately dimorphism of extreme strains. The optimal host genotype also varies with the type of resistance-individuals invest more in tolerance and pay a greater cost. The free-living framework used makes the distinction between tolerance and control explicit but the distinction applies equally to directly transmitted parasites. Due to the evolutionary differences exhibited, it is important to design experiments that distinguish between the two forms of resistance.

Animals↗

Large shifts in pathogen virulence relate to host population structure.

Theory on the evolution of virulence generally predicts selection for an optimal level of virulence determined by trade-offs with transmission and/or recovery. Here we consider the evolution of pathogen virulence in hosts who acquire long-lived immunity and live in a spatially structured population. We show theoretically that large shifts in virulence may occur in pathogen populations as a result of a bistability in evolutionary dynamics caused by the local contact or social population structure of the host. This model provides an explanation for the rapid emergence of the highly virulent strains of rabbit hemorrhagic disease virus.

Animals↗

A laboratory and field evaluation of Macrocyclops distinctus, Megacyclops viridis and Mesocyclops pehpeiensis as control agents of the dengue vector Aedes albopictus in a peridomestic area in Nagasaki, Japan.

The use of the cyclopoid copepods Macrocyclops distinctus (Richard) Megacyclops viridis (Jurine) and Mesocyclops pehpeiensis Hu (Cyclopoida: Cyclopidae) as biological control agents against the dengue vector Aedes albopictus (Skuse) (Diptera: Culicidae) was evaluated. In the laboratory their predatory ability was highest against the younger instars of Ae. albopictus and none of the three copepods killed the fourth instar. Except for M. viridis, predatory ability was affected by the size of the container: the smaller the container, the higher the predation. A 4-month field test was conducted to examine the impact of these predators on wild Ae. albopictus. Thirty artificial containers were placed in a peridomestic area to allow Ae. albopictus colonization. We showed continuous and similar oviposition responses in treated and control containers. The densities of Ae. albopictus showed considerable short-term changes and were much reduced by the copepod species. Macrocyclops and the mixture of all three provided better Ae. albopictus control than either Megacyclops or Mesocyclops alone. When larval densities peaked in the control containers in August and September, the overall reduction due to the copepods was nearly complete. Mesocyclops inoculated alone had the highest population survival. However, the growth and survival of all the copepod species was poor when the three genera were mixed. Based on their performance and survival in the trial, Macrocyclops and Mesocyclops merit consideration as bio-control agents of Ae. albopictus.

Aedes↗

CCNU (lomustine), idarubicin and dexamethasone (CIDEX): an effective oral regimen for the treatment of refractory or relapsed myeloma.

We report the results of a non-randomized pilot study of an oral regimen comprising CCNU (lomustine; 25 or 50 mg/m2 on day 1), idarubicin (4-demethoxydaunorubicin) (10 mg/m2 on days 1-3) and dexamethasone (10 mg b.d. on days 1-4) in patients with relapsed or refractory myeloma. Treatment was given every 28 d for a maximum of six courses. Sixty patients were entered of whom 57 were evaluable. Overall response rate (partial or minor response) was 49% with 30% of patients achieving a partial response (50% tumour reduction). Response rates were higher in patients with untested relapse than in those with refractory disease (overall response rates 56% vs. 31%). The major toxicity was neutropenia and the regimen was otherwise well tolerated. The median survival from entry of all patients was 15 months, with 30% of patients alive at 2 years. This regimen represents a useful addition to available treatment options.

Adult↗

Three mechanisms of host resistance to microparasites-avoidance, recovery and tolerance-show different evolutionary dynamics.

Parasite resistant hosts may avoid becoming infected, recover more quickly after infection or survive longer once infected. A model is constructed to examine the evolution of costly host resistance to directly transmitted microparasites and these three distinct mechanisms of avoidance, recovery and tolerance are compared. In each case polymorphism is more likely between very dissimilar strains and resistance (by which we mean the resistant strain alone) is always more likely to occur in hosts with high intrinsic productivity. However, the region where polymorphism occurs is relatively much smaller when resistance is through reduced pathogenicity. In particular, polymorphism with highly resistant strains requires correspondingly high costs. This is in contrast to avoidance or recovery resistance, where polymorphism can also occur when high resistance is associated with small costs due to the inability of highly resistant strains with low susceptibility or high recovery to support the parasite alone and hence resist invasion by the susceptible strain. Relatedly, resistance through avoidance and recovery is favoured in response to less pathogenic parasites.

Animals↗

'Small worlds' and the evolution of virulence: infection occurs locally and at a distance.

Why are some discases more virulent than others? Vector-borne diseases such as malaria and water-borne diseases such as cholera are generally more virulent than diseases spread by direct contagion. One factor that characterizes both vector- and water-borne diseases is their ability to spread over long distances, thus causing infection of susceptible individuals distant from the infected individual. Here we show that this ability of the pathogen to infect distant individuals in a spatially structured host population leads to the evolution of a more virulent pathogen. We use a lattice model in which reproduction is local but infection can vary between completely local to completely global. With completely global infection the evolutionarily stable strategy (ESS) is the same as in mean-field models while a lower virulence is predicted as infection becomes more local. There is characteristically a period of relatively moderate increase in virulence followed by a more rapid rise with increasing proportions of global infection as we move beyond a 'critical connectivity'. In the light of recent work emphasizing the existence of 'small world' networks in human populations, our results suggests that if the world is getting 'smaller'--as populations become more connected--diseases may evolve higher virulence.

Animals↗

Life-history trade-offs and the evolution of pathogen resistance: competition between host strains.

The dynamics of a 'resistant' and a 'susceptible' strain of a self-regulated host species, in the presence of a directly transmitted pathogen, is investigated. The two strains trade off differences in pathogen transmissibility (as an aspect of pathogen resistance) against differences in birth rate and/or resistance to crowding. Depending on parameter values, either strain may be eliminated, or the two may coexist (along with the pathogen). Coexistence (polymorphism), unsurprisingly, requires an appropriate balance between the different advantages possessed by the two strains. The probability of coexistence through such a balance, however, varies nonlinearly with the degree of difference between the strains: coexistence is least likely between two very similar strains. Resistance is most likely to evolve in hosts with the characteristics of many insect pests. Moreover, with highly pathogenic pathogens, a 'susceptible' strain may exclude a 'resistant' strain because its higher growth rate is more effective against the pathogen than reduced transmissibility. 'Resistance' can reside in parameters other than those directly associated with the pathogen. Although no cycles arise and no chaotic behaviour is found, an oscillatory approach to equilibrium is commonly observed, signalling the possibility of observable oscillations in strain frequency in the (more variable) real world.

Animals↗

Two novel genes, fanA and fanB, involved in the biogenesis of K99 fimbriae.

The nucleotide sequence of the region located transcriptionally upstream of the K99 fimbrial subunit gene (fanC) was determined. Several putative transcription signals and two open reading frames, designated fanA and fanB, became apparent. Frameshift mutations in fanA and fanB reduced K99 fimbriae expression 8-fold and 16-fold, respectively. Complementation of the mutants in trans restored the K99 expression to about 75% of the wild type level, indicating that fanA and fanB code for transacting polypeptides involved in the biogenesis of K99 fimbriae. The fanA and fanB gene products FanA and FanB were not detectable in minicell preparations, indicating that both polypeptides are synthesized in very small amounts. However, in an in vitro DNA directed translation system FanA and FanB could be identified. The deduced amino acid sequences of FanA and FanB showed that both polypeptides contain no signal peptides, indicating a cytoplasmic location. Furthermore, the polypeptides are very hydrophilic, mainly basic, and exhibit remarkable homology to each other and to a regulatory protein (papB) encoded by the pap-operon (1). Some of these features are characteristics of nucleic acid binding proteins, which suggests that FanA and FanB have a regulatory function in the synthesis of FanC and the auxiliary polypeptides FanD-H.

Base Sequence↗

Sodium valproate and bone marrow suppression.

Bone marrow suppression developed in a patient while she was on a regimen of sodium valproate. In addition, she had high titers of platelet autoantibodies and a coagulopathy, both recognized complications of valproate therapy. It is postulated that this drug was also responsible for the marrow suppression.

Adult↗

Heterogeneity in the host preference of Japanese encephalitis vectors in Chiang Mai, northern Thailand.

Experiments, using the capture-mark-release-recapture technique inside large nets, were carried out in Chiang Mai, northern Thailand, to examine heterogeneity in the host preference of Japanese encephalitis (JE) vectors. A significantly higher proportion of the vector species that were initially attracted to a cow fed when released into a net with a cow than when released into a net containing a pig. However, Culex vishnui individuals that had been attracted to a pig had a higher feeding rate in a net containing a pig rather than a cow. When mosquitoes were given a choice by being released into a net containing both animals, they exhibited a tendency to feed on the host to which they had originally been attracted. This feeding preference was, however, not shown by the offspring of pig-fed individuals. We have therefore shown evidence of physiological/behavioural conditioning in the host preference of JE vectors rather than genetic variability. Our results suggest that effective control of JE might be achieved by increasing the availability of cows (the dead-end hosts of JE virus) to deflect the vectors from pigs (the amplifying host). The behavioural imprinting which we have found would tend to re-inforce the initial tendency of the vectors to bite cows.

Animals↗