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For palaeotropical regions, only a few anecdotal reports had been published on the existence of 'ant-gardens' before this study started. As opposed to this, 'ant-house epiphytes' (i.e. domatiabearing epiphytes) were reported to be highly abundant in Southeast Asia and were presumed to be a second type of ant-epiphyte interaction. In the much better studied neotropical regions the situation seemed to be the reverse: Many reports on AGs in contrast to very few reports on anthouse epiphytes. In this study, I have presented extensive data which may help towards a better understanding of the 'Southeast Asian part' of this 'ant-epiphyte puzzle'. In Peninsular Malaysia, Borneo, Java, and Southern Thailand, a great variety of formerly unknown AG systems were discovered. 18 ant species (from 5 genera, 4 subfamilies) were identified as true AG ants, i.e. these ants actively retrieved seeds of certain epiphyte species into their carton nests. Another 49 ant species inhabited AGs as secondary, opportunistic settlers. On the epiphyte side, 84 plant species were found growing on AGs, 51 (19 genera, 12 families) of which were probably true AG epiphytes, i.e. ants retrieved the seeds to their arboreal carton nests, on which the epiphytes were then cultivated. Most of the epiphyte flora of lowland forests in Peninsular Malaysia (except for ferns, orchids and facultative epiphytes) seemed to be totally dependent on ants for their establishment in the canopy. Together with the high number of opportunistic AG inhabitants (ants, epiphytes, and many arthropod guests), these facts suggest that AGs function as pioneers in the canopy of Southeast Asian rain forests. Moreover, AG-associations might even have accounted for the unusual species richness in the epiphyte genera Dischidia, Hoya (Asclepiadaceae), Myrmecodia, and Hydnophytum (Rubiaceae). The definition of the term ant-garden only describes the basic interactions. In the ant-garden associations investigated in this study, interactions going beyond these basic ones varied depending on ant and epiphyte species. Ant-gardens initiated by Diacamma spKfmA111 were regarded as the 'most primitive' type, because this ponerine was totally dependent on preformed cavities for nest establishment, did not tend any trophobionts, and was the least selective in its seed-retrieving behavior. On the other end of the scale, Crematogaster spKfmA18 and Camponotus spKfmA9 were rated as 'most advanced' because both lived in free (i.e. cavityindependent) AGs, tended trophobionts underneath their nests, were associated with a couple of other organisms, and were highly selective in their seed-retrieving behavior. Moreover, Camponotus spKfmA9 occurred preferentially with one single epiphyte species, Hoya elliptica (Asclepiadaceae), and Crematogaster spKfmA18 was specialized on some species of giant bamboo as phorophyte. Philidris spKfmA160, which occupied a medium position in relation to the other AGs was particularly interesting for several reasons. This ant species was mainly associated with ant- house epiphytes and occurred in the heath forests of Borneo. However, the major part of the colonies, including the queen, was located underneath carton structures near the surface of the host tree and not inside the domatia of the associated plants. Moreover, very young Philidris spKfmA160 colonies had only small seedlings growing on their carton nests. The ant workers actively retrieved the seeds of their epiphyte partners into the nests. These results indicate that associations with ant-house epiphytes must be regarded as a special case of ant-gardens. I therefore suggest using the term 'ant-house' only to describe the epiphytes, but not to describe the association, and to include this type of association in the group of AGs. Strict species-specificity never occurred, but some epiphytes showed great preference for growing on the nests of certain ant species, while others occurred over a wider range. Vice versa, most ant species had several epiphytes growing on their nests, while others were mostly found with one or very few epiphyte species. These patterns were shown to be the effect of different factors, including common microclimatic preferences of ants and epiphytes, interspecific competition of epiphytes, and selective seed retrieval of AG ants. The main behavioral trait responsible for the establishment of AGs was the selectivity shown by the ants in the epiphyte seeds they carried. However, details of the mechanisms, i.e. what characteristics of the seeds are important and what motivates the ants to retrieve them, varied widely. In many cases, seed compounds located on the surface triggered carrying behavior. Detailed experimental investigations combined with literature data from the two other known 'myrmecochory systems', terricolous myrmecochores and neotropical AGs, suggested that myrmecochory is frequently triggered by a two-stage system. One relatively unspecific compound (or a combination of such compounds) constitutes the basic attractiveness for a number of ant species. Other seed characteristics (elaiosomes, mechanical properties, other surface-compounds) modulate this basic signal, accounting for species-specific preferences of ants towards certain plant species. A comparison of AGs in Southeast Asia and the neotropics shows that the numbers of AG ant and epiphyte species in each case are almost equal. Southeast Asian AG epiphytes might even turn out to outnumber the neotropical ones. Thus, not only was it possible to break down the distinction between ant-house and AG associations, but also to show that AGs in Southeast Asia are present in such high diversity and abundance as to diminish the apparent contrast between the two biogeographical regions yet further. These data help to solve at least the Southeast Asian part of the 'ant-epiphyte puzzle'.
Hypersensitivity reactions to non‐steroidal anti‐inflammatory drugs (NSAIDs) – a retrospective study
(2020)
Background: The aim of this study was to verify the validity of clinical history and oral provocation challenges of patients with NSAID hypersensitivity and to identify safe alternatives. The COX‐2 inhibitor etoricoxib, in particular, was studied.
Patients and methods: In all, 104 patients with confirmed diagnoses of NSAID hypersensitivity treated at the Department of Dermatology, Frankfurt University Hospital, Germany between 2004 and 2012 were retrospectively studied.
Results: The medical history and hypersensitivity symptoms during oral provocation testing (OPT) largely coincided and were mostly mild to moderate. Acetylsalicylic acid (ASA) was the most frequent trigger both anamnestically (27.9 %) and during OPT (47.8 %). Etoricoxib caused the fewest reactions during OPT (4.2 %). Acetaminophen led to reactions in only 6.7 % of the cases studied although it was named more often in clinical histories (14 %).
Conclusions: OPT should be the aim whenever possible as most symptoms are mild to moderate. To distinguish between selective and cross‐hypersensitivity reactions, ASA should be part of the test protocol. Furthermore, the findings of this study indicate that etoricoxib and acetaminophen are safe treatment alternatives in case of NSAID hypersensitivity. However, these drugs should not be administered without prior OPT in an inpatient setting, as severe symptoms can occur.
Preserving a patient’s own teeth—even in a difficult situation—is nowadays preferable to surgical intervention and therefore promotes development of suitable dental repair materials. Biodentine®, a mineral trioxide aggregate substitute, has been used to replace dentine in a bioactive and biocompatible manner in both the dental crown and the root. The aim of our study was to evaluate the influence of Biodentine® on pulp fibroblasts in vitro. For this study, one to five Biodentine® discs with a diameter of 5.1mm were incubated in DMEM. To obtain Biodentine® suspensions the media were collected and replaced with fresh medium every 24h for 4 days. Primary pulp cells were isolated from freshly extracted wisdom teeth of 20–23 year old patients and incubated with the Biodentine® suspensions. Proliferation, cell morphology, cell integrity and cell viability were monitored. To evaluate the effect of Biodentine® on collagen type I synthesis, the secretion of the N-terminal domain of pro-collagen type I (P1NP) and the release of transforming growth factor-β1 (TGF-β1) were quantified. None of the Biodentine® suspensions tested influenced cell morphology, proliferation or cell integrity. The cell viability varied slightly depending on the suspension used. However, the concentrations of P1NP of all pulp fibroblast cultures treated for 24h with the moderate to high Biodentine® concentration containing suspensions of day 1 were reduced to 5% of the control. Furthermore, a significant TGF-β1 reduction was observed after treatment with these suspensions. It could be shown that Biodentine® is biocompatible. However, dissolved particles of the moderate to high concentrated Biodentine® suspensions 24h after mixing induce a significant reduction of TGF-β1 release and reduce the secretion of collagen type I of primary pulp fibroblasts.
Since the domestication of the urus, 10.000 years ago, mankind utilizes bovine milk for different purposes. Besides usage as a nutrient also the external application of milk on skin has a long tradition going back to at least the ancient Aegypt with Cleopatra VII as a great exponent. In order to test whether milk has impact on skin physiology, cultures of human skin fibroblasts were exposed to commercial bovine milk. Our data show significant induction of proliferation by milk (max. 2,3-fold, EC50: 2,5% milk) without toxic effects. Surprisingly, bovine milk was identified as strong inducer of collagen 1A1 synthesis at both, the protein (4-fold, EC50: 0,09% milk) and promoter level. Regarding the underlying molecular pathways, we show functional activation of STAT6 in a p44/42 and p38-dependent manner. More upstream, we identified IGF-1 and insulin as key factors responsible for milk-induced collagen synthesis. These findings show that bovine milk contains bioactive molecules that act on human skin cells. Therefore, it is tempting to test the herein introduced concept in treatment of atrophic skin conditions induced e.g. by UV light or corticosteroids.
Exposure to locusts, which belong to the arthropod phylum, is an underestimated health problem, especially among workers in research facilities exposed to laboratory animals. We describe a rare case of an occupational immediate-type reaction to locusts with a possible cross-reactivity between desert locust (Schistocerca gregaria) and migratory locust (Locusta migratoria).
Background: An experienced life-threating anaphylactic reaction to hymenoptera venom can sustainably impair patients’ quality of life (QoL). Besides carrying emergency medication, venom-specific immunotherapy (VIT) exists as a causal treatment of allergy.
Objective: This study aimed to examine QoL, anxiety, depression, and physical and mental health in patients allergic to hymenoptera venom before and during VIT and the impact of a tolerated sting challenge (SC).
Methods: Between July 2017 and August 2017, 142 patients with venom allergy were analyzed using validated questionnaires as the: Vespid Allergy Quality for Life Questionnaire" (VQLQ-d), the "Hospital Anxiety and Depression Scale" (HADS-D) and the "Short Form 36" (SF-36). To evaluate the impact of VIT and SC on the QoL, patients were divided into 3 groups: (A) VIT and tolerated SC (n = 45), (B) VIT before carrying out SC (n = 73), and (C) therapy-naïve before VIT (n = 20). Further parameters like gender, age, insect species, and severity of the anaphylactic reaction were assessed.
Results: A significant correlation between the health-related QoL and the parameters of gender and state of treatment was seen. Especially male patients, as well as patients allergic to yellow jacket venom, benefit from a SC in terms of a significant increase in their QoL. In the total study cohort, a clear trend was observed towards a higher QoL in patients under VIT who tolerated a SC. Overall, neither the patients’ age nor the insect species exerted a relevant influence on QoL, depression or anxiety. However, women showed a lower QoL combined with higher anxiety and depression scores than men.
Conclusion: Immunotherapy leads to an improved QoL, which can be further increased by a SC. A tolerated SC conceivably reassures the patients by objectifying the treatment success. Female patients appear to have a stronger impaired QoL per se. Taken together, a SC can be performed during VIT to strengthen the patients’ QoL.
Background: The treatment of different skin conditions with spa waters is a long tradition dating back to at least late Hellenism. Interestingly, independent scientific examinations studying the effect of spa waters are scarce.
Objective: In the present in vitro study, we compared the effect of culture media supplemented with (a) thermal spa waters (La Roche-Posay, Avène) and (b) two natural mineral drinking waters (Heppinger, Adelholzener) on physiological parameters in HaCaT keratinocytes.
Methods: The different medium preparations were investigated with regard to cell proliferation and cell damage. Moreover, the impact on inflammation parameters with and without ultraviolet B (UVB) irradiation was examined.
Results: Two popular thermal spring waters were found to suppress cell proliferation and cell damage. Moreover, these waters reversed the induction of interleukin-6, as measured using enzyme-linked immunosorbent assay and promoter transactivation, and the formation of reactive oxygen species after UVB stimulation. Of note, the two natural mineral waters, which are distributed as drinking waters, had some effect on the above-mentioned parameters but to a lesser extent.
Conclusion: In summary, our results show that spa waters, and particularly those derived from thermal springs, reduce parameters associated with inflammation. It seems likely that trace elements such as selenium and zinc are critical for the observed effects.
Chronic granulomatous disease (CGD) is a primary immunodeficiency characterized by impaired antimicrobial activity in phagocytic cells. As a monogenic disease affecting the hematopoietic system, CGD is amenable to gene therapy. Indeed in a phase I/II clinical trial, we demonstrated a transient resolution of bacterial and fungal infections. However, the therapeutic benefit was compromised by the occurrence of clonal dominance and malignant transformation demanding alternative vectors with equal efficacy but safety-improved features. In this work we have developed and tested a self-inactivating (SIN) gammaretroviral vector (SINfes.gp91s) containing a codon-optimized transgene (gp91(phox)) under the transcriptional control of a myeloid promoter for the gene therapy of the X-linked form of CGD (X-CGD). Gene-corrected cells protected X-CGD mice from Aspergillus fumigatus challenge at low vector copy numbers. Moreover, the SINfes.gp91s vector generates substantial amounts of superoxide in human cells transplanted into immunodeficient mice. In vitro genotoxicity assays and longitudinal high-throughput integration site analysis in transplanted mice comprising primary and secondary animals for 11 months revealed a safe integration site profile with no signs of clonal dominance.
Background: Current literature is inconsistent regarding the risk of severe side effects using accelerated induction protocols in Hymenoptera venom immunotherapy (VIT). In addition, several data indicate the influence of purity grade of venom preparation on tolerability. We evaluated the safety and tolerability of ultra-rush and rush build-up protocols using purified and non-purified venom preparations. Methods: Retrospective single-center study of 581 VIT inductions (325 ultra-rush and 256 rush protocols) from 2005 to 2018 in 559 patients with bee and vespid venom allergy using aqueous purified (ALK SQ®) for ultra-rush protocol and aqueous non-purified (ALK Reless®) venom preparations for rush protocol. Results: Urticaria (8% vs. 3.1%, p = 0,013) and dose reductions (4.3% vs. 1.2%, p = 0,026) were significantly more frequent in the ultra-rush group. Overall rate of moderate-to-severe side effects (anaphylaxis ≥grade 2 according to Ring and Meβmer) was low and did not differ significantly between protocols (p = 0.105). Severe events (grade 4 anaphylaxis) were not reported. Discontinuation rate was very low in both cohorts (0.6% vs 1.2%). The higher purity grade of venom preparations in the ultra-rush cohort did not improve tolerability. The bee venom group showed a non-significant trend towards higher incidence of mild reactions (urticaria), resulting in more frequent dose reductions and antiallergic therapy. Conclusion: Rush and ultra-rush protocols show an excellent safety profile with only infrequent and mild anaphylactic reactions in bee and vespid venom allergy. Ultra-rush immunotherapy reduces the duration of the inpatient build-up phase setting and thus is viewed by the authors as preferred treatment in Hymenoptera venom allergic patients.