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Vogt-Koyanagi-Harada (VKH) disease is an autoimmune disease leading to visual impairment. Its pathogenic mechanisms remain poorly understood. Our purpose was to investigate the distinctive protein and metabolic profiles of sweat in patients with VKH disease. In the present study, proteomics and metabolomics analysis was performed on 60 sweat samples (30 VKH patients and 30 normal controls) using liquid chromatography tandem mass spectrometry. Cepharanthine supplier Parallel reaction monitoring (PRM) analysis was used to validate the results of our omics analysis. In total, we were able to detect 716 proteins and 175 metabolites. Among them, 116 proteins (99 decreased and 17 increased) were observed to be significantly different in VKH patients when compared to controls. Twenty-one differentially expressed metabolites were identified in VKH patients, of which eighteen included Choline, L-Tryptophan, Betaine and L-Serine were reduced, while the rest were increased. Our multi-omics strategy reveals an important role for the amino acid metabolic pathway in the pathogenesis of VKH disease. Significant differences in proteins and metabolites were identified in the sweat of VKH patients, and to some extent, an aberrant amino acid metabolism pathway may be a pathogenic factor in the pathogenesis of VKH disease. This article is protected by copyright. All rights reserved.Function and abundances shape species interactions and thus ecological communities. While communities are often summarized as the mean function of each species, intraspecific variation in traits and thus function is an important driver of community composition. Ontogeny is a common source of intraspecific variation, but while age-related functional changes can alter species interactions, so too can the effects of those functions on the density of the focal organism. For instance, ontogenetic variation can trigger higher levels of cannibalism, reducing abundances and altering interspecific interactions. I manipulate ontogenetic variation in damselfly larvae to show that intraspecific variation can impact communities through two distinct mechanisms. First, within-species differences affect population sizes, and thus indirectly shape communities (indirect effect). In particular, ontogenetic variation resulted in smaller damselfly populations, likely because of increased cannibalism rates, and thus ontogenetically diverse populations had a smaller total effect on their prey. Second, trait variation can affect communities by creating differences in the strength of per capita species interactions (direct effect). In this case, damselfly populations with greater age variation had smaller per capita effects on prey communities. I conclude that ontogeny of a single species can directly and indirectly shape community composition. This article is protected by copyright. All rights reserved.Ecological communities are dynamic entities subjected to extinction/colonization events. Because species are connected through complex interaction networks, the arrival of a new species is likely to affect various species across the community, as observed in plant biological invasions. However, plant invasions usually represent extreme scenarios in which the community is strongly dominated by the alien species, confounding the effects of a change in species composition with a massive increase in floral resource availability. Our study addresses changes in plant community composition involving native species, a common phenomenon under the current climate change scenario in which plants are modifying their distribution ranges. We experimentally manipulated patches of a natural scrubland community by introducing a native plant (henceforth colonizing plant). To avoid introducing a disproportionate amount of floral resources we adjusted the number of flowers of the colonizing plant to the amount of floral resourceen plants and pollinators are rapidly rearranged in response to novel situations (even when the new plant is not overly dominant), with important functional consequences on pollination and plant reproductive success. Our study establishes a link between network structure and pollination and plant reproductive success, which may be mediated by differences among pollinator species in foraging behavior. This article is protected by copyright. All rights reserved.BACKGROUND Psoriasis is associated with risk factors for serious infections, but the independent relationship between psoriasis and serious infection is as yet unclear. OBJECTIVE To determine whether people with psoriasis have a higher risk of hospitalisation due to any infection; respiratory infections; soft tissue and skin infections; or a higher risk of death due to infection. METHODS We conducted a cohort study of people (≥18) with psoriasis using the UK Clinical Practice Research Datalink (CPRD GOLD) linked to Hospital Episode Statistics (HES) and Office for National Statistics (ONS) mortality records between 01/04/2003 and 31/12/2016, and matched with up to 6 comparators on age, sex, and general practice. Hospitalisation was ascertained from HES records; death was ascertained from ONS mortality records. Stratified Cox proportional hazard models were estimated, with stepwise adjustment in different models for potential confounders or mediators between psoriasis and serious infection. RESULTS 69,312 people with psoriasis and 338,598 comparators were followed up for a median (inter-quartile range) of 4.9 (5.9) and 5.1 (6.3) years respectively. People with psoriasis had a higher incidence rate of serious infection (20.5/1000 person-years, 95% CI 20.0-21.0, n=7629) compared with those without psoriasis (16.1/1000 person-years, 95% CI 15.9-16.3, n=30756). The fully adjusted hazard ratio for the association between psoriasis and serious infection was 1.36 (95%CI 1.31-1.40), with results similar across the other outcomes. CONCLUSIONS Psoriasis is associated with a small increase in the risk of serious infection. Further research is needed to understand how psoriasis predisposes to a higher risk of infection. This article is protected by copyright. All rights reserved.We were fascinated and heartened to read this very helpful commentary1 on the study by Redhu et al2 who describe some precise physico-biological pathways that link skin barrier disruption to itch in atopic dermatitis (AD). This may well explain how curtailing scratching in AD with the simple behavioural technique of habit reversal can so dramatically improve the condition3. It is important to note that scratching in AD over time often becomes not only a response to itch, but also to both habit and mental state. This article is protected by copyright. All rights reserved.Since approximately 12% of melanoma survivors will develop another melanoma, skin self-examination (SSE) is relevant.1,2 Structured SSE training with a partner may overcome challenges including a) motivation to undertake SSE; b) competence to recognize concerning lesions, and c) difficulty with long-term maintenance (≥1 year).3,4 Partner-assisted SSE and subsequent clinical presentation to a dermatologist for concerning moles rely on self-management, adoption of decision rules, and taking appropriate action. This article is protected by copyright. All rights reserved.Individuals with DICER1 syndrome, a genetic disorder caused by pathogenic germline variants in DICER1, are at increased risk of developing a wide array of predominantly childhood onset conditions, including genitourinary sarcomas. However, data on DICER1 involvement in paratesticular sarcomas have not been published. Herein, we analyse a series of 15 paediatric paratesticular sarcomas and describe in detail the case of a male infant with a paratesticular myxoid tumour, considered to be a low-grade sarcoma, who also manifested a cystic nephroma, a classic DICER1 syndrome phenotype. He harboured a pathogenic germline DICER1 variant and different somatic hot-spot mutations in each tumour. The paratesticular tumour showed strong and diffuse expression for WT1 and CD10, an unusual immunophenotype in paediatric sarcomas, but typical of tumours of Müllerian origin. The tumour was postulated to arise from the appendix testis, a Müllerian remnant located in the paratestis. Such an origin would be analogous to other DICER1-associated non-epithelial gynaecological tumours, thought to arise from Müllerian derivatives. These findings point towards a key role of DICER1 in Müllerian-derived structures. Supporting this hypothesis is the fact that the other paratesticular sarcomas from the series were either negative or focally positive for WT1 and for CD10, and none had any DICER1 mutations. In summary, we present the first case of a paratesticular sarcoma associated with DICER1 syndrome, emphasising that paratesticular tumours with an unusual histological appearance may suggest an underlying DICER1 mutation, especially in the presence of a personal or family history of DICER1-associated disease. In this context, DICER1 mutation testing could lead to changes in clinical care including implementation of cancer care surveillance strategies. © 2020 The Authors. The Journal of Pathology Clinical Research published by The Pathological Society of Great Britain and Ireland and John Wiley & Sons Ltd.BACKGROUND To delineate sleep habits and problems in children with 22q11.2 deletion syndrome (22q11DS). METHODS Thirty children, age 1-15 (mean 6.8) years, participated in the study, which was an internet-based anonymous survey of parents of children with 22q11DS administered via the 22q11.2 Foundation. The main outcome was the Childhood Sleep Habits Questionnaire (CSHQ). RESULTS Scores on the CSHQ demonstrated clinically significant sleep problems in 29 of the 30 children. When compared with previously reported normative values for typically developing children of the same age, children with 22q11DS had significantly greater sleep problems. Only 30% of children had previously undergone sleep study. While about half of children had tried a medication for sleep, it usually was not felt to be helpful. In contrast, parents reported that behavioral interventions, such as consistent bedtime routine and appropriate sleep environment, were helpful. This is one of the first studies to specifically address sleep problems other than obstructive sleep apnea in children with 22q11DS. CONCLUSIONS The findings suggest children with 22q11DS may have a higher risk of experiencing clinical sleep problems, compared to typically developing children. Consideration of additional screening and treatment of sleep disorders in children with 22q11DS is warranted. © 2020 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals, Inc.INTRODUCTION Mast cells (MCs) are tissue-resident immune cells implicated in antibacterial responses. These include chemokine secretion, degranulation, and the release of mast cell-extracellular traps, which are primarily dependent on reactive oxygen species (ROS) production. Our study investigated whether human mast cells (hMCs) develop individual response patterns to bacteria located at different tissue sites Escherichia coli (gut commensal), Listeria monocytogenes (foodborne intracellular pathogen), Staphylococcus aureus (skin commensal and opportunistic pathogen), and Streptococcus pneumoniae (upper respiratory tract commensal and lung pathogen). METHODS After live bacteria exposure, hMCs were analyzed by a combined flow cytometry assay for degranulation, ROS production, DNA externalization, and for β-hexosaminidase, chemokine, and prostaglandin release. RESULTS L. monocytogenes induced hMC degranulation, IL-8 and MCP-1 release coupled with DNA externalization in a novel hMC ROS independent manner. In contrast, S.

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