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Background: The ERGO2 (Ernaehrungsumstellung bei Patienten mit Rezidiv eines Glioblastoms) MR-spectroscopic imaging (MRSI) subtrial investigated metabolism in patients randomized to calorically restricted ketogenic diet/intermittent fasting (crKD-IF) versus standard diet (SD) in addition to re-irradiation (RT) for recurrent malignant glioma. Intracerebral concentrations of ketone bodies (KB), intracellular pH (pHi), and adenosine triphosphate (ATP) were non-invasively determined. Methods: 50 patients were randomized (1:1): Group A keeping a crKD-IF for nine days, and Group B a SD. RT was performed on day 4-8. Twenty-three patients received an extended MRSI-protocol (1H decoupled 31P MRSI with 3D chemical shift imaging (CSI) and 2D 1H point-resolved spectroscopy (PRESS)) at a 3T scanner at baseline and on day 6. Voxels were selected from the area of recurrent tumor and contralateral hemisphere. Spectra were analyzed with LCModel, adding simulated signals of 3-hydroxybutyrate (βOHB), acetone (Acn) and acetoacetate (AcAc) to the standard basis set. Results: Acn was the only reliably MRSI-detectable KB within tumor tissue and/or normal appearing white matter (NAWM). It was detected in 4/11 patients in Group A and in 0/8 patients in Group B. MRSI results showed no significant depletion of ATP in tumor tissue of patients at day 6 during crKD-IF, even though there were a significant difference in ketone serum levels between Group A and B at day 6 and a decline in fasting glucose in Group A from baseline to day 6. The tumor specific alkaline pHi was maintained. Conclusions: Our metabolic findings suggest that tumor cells maintain energy homeostasis even with reduced serum glucose levels and may generate additional ATP through other sources.r sources.
The arboreal click beetle fauna (Coleoptera: Elateridae) in a lowland tropical rainforest in southern Venezuela was observed and collected by means of a tower crane for a full year. The evaluation of the elaterid assemblage is part of a general survey of Coleoptera associated with several canopy trees. The Elateridae represented the tenth most species-rich beetle family in the canopy of the crane plot and was therefore selected for a detailed analysis of host-use patterns. In total, 20 species of Elateridae with 402 adult individuals were sampled, including seven singletons. Species were either flower visiting (Aeolus Eschscholtz and Cosmesus Candèze) or fed mainly on extrafloral nectaries (Chalcolepidius Eschscholtz, Crepidius Candèze, Lacon Castelnau, Lissomus Dalman, and Semiotus Eschscholtz). The most abundant species was Aeolus sp. 1 (N = 306) feeding on flowers of nine different host-tree species. This species was found often in high abundances during the entire flowering period of a single tree species with highest abundances coinciding with the maximum of open flowers. Aeolus sp. 1 was recorded almost every month of the year moving usually from one flowering tree species to another comprising possibly the entire local population. This species showed preferences between different tree species and occurred there only at night. Tree species that supported the most species-rich elaterid assemblages were Ruizterania trichanthera (Spruce ex Warm.) Marc.-Berti (Vochysiaceae) (N = 8) and Goupia glabra Aubl. (Goupiaceae) (N = 6). Only one elaterid species with at least two collected individuals was found restricted to one tree species.