Monosomy 8q: Prenatal diagnosis and autopsy findings

The autopsy findings of a fetus with deletion of the long arm of chromosome 8 are described. Many of the features are similar to those of the tricho-rhino-phalangeal syndromes, types I and II, which are associated with deletions on chromosome 8q24. Other findings in this case, such as total absence of the corpus callosum and intestinal malrotation, have not been described in these syndromes. Genes involved in the development of the latter malformations may reside in adjacent regions on the long arm of chromosome 8. An elevated serum level of beta human chorionic gonadotropin (βhCG) was found during pregnancy. This aberration should be included with other chromosomal disorders which may be detected by this test.     

Apparent non-mosaic trisomy 16 in chorionic villi: Diagnostic dilemma or clinically significant finding?

A case is presented in which apparent non-mosaic trisomy 16 was found in chorionic villi (direct and culture) obtained from a patient undergoing first-trimester prenatal diagnosis. The fetal karyotype subsequently was determined to be 46,XX by follow-up amniocentesis. Serial ultrasonographic examinations revealed placental sonolucencies and intrauterine growth retardation. At 37 weeks, a small-for-gestational-age female was delivered by Caesarean section for fetal distress. Postnatal cytogenetic studies revealed a normal female karyotype in cord blood and mosaic trisomy 16 in plaental tissues. These findings suggest that in cases where aneuploidy is confined to placental tissues, it may have biological significance, as evidenced by the apparent placental dysfunction and poor fetal growth in this case.     

Maternal serum alpha-fetoprotein levels and fetal outcome in early second-trimester oligohydramnios

Early second-trimester oligohydramnios was associated with normal maternal serum alpha-fetoprotein (MSAFP) levels in nine out of 26 cases (35 per cent). Congenital malformations of the fetal urinary tract resulting in fetal anuria were present in nine cases; in seven of them, normal MSAFP levels were measured. In contrast, normal MSAFP levels were established in only 2 out of the 17 cases without fetal malformations. These data suggest that fetal urine is the major source of elevated AFP in the maternal compartment in early second-trimester oligohydramnios. This is further supported by the lack of any relationship between concentrations of MSAFP non-reactive with Concanavalin A, originating mainly from the yolk sacderived amniotic fluid AFP pool, and the presence of fetal diuresis. Three out of 26 women had experienced early second-trimester oligohydramnios in a previous pregnancy, suggesting the existence of a recurrence risk for this condition.     

Adverse perinatal outcome in patients screen-positive for neural tube defects and fetal down syndrome

An association between various abnormal mid-trimester maternal serum analyte values and adverse perinatal outcome has been reported. From an original sample of 14 857 women, we observed five women who were ‘screen-positive’ for both neural tube defects [maternal serum alpha-fetoprotein (MSAFP) ≥2·5 multiples of the median] and Down syndrome [risk ≥1/274 using MSAFP, maternal serum unconjugated oestriol (MSuE3), maternal serum human chorionic gonadotropin (MShCG), and maternal age]. The four patients who elected to undergo amniocentesis all demonstrated both normal karyotype and normal amniotic fluid AFP levels. All five cases were associated with intrauterine growth retardation (IUGR) and abnormal pregnancy outcomes. Two cases exhibiting severe IUGR on ultrasound examination were terminated at 19·1 and 21·2 weeks, respectively; the former also exhibited fetal calcifications and positive maternal serology for toxoplasmosis. In another case, fetal demise occurred at 36 weeks' gestation in a patient who had been treated for syphilis in the second trimester. Neither infection was confirmed in fetal tissue studies. Though resulting in live births, the remaining two cases required operative deliveries; emergency Caesarean sections for fetal distress were performed at 38 and 32 weeks, respectively, the latter case being associated with severe pre-eclampsia. We conclude that elevated mid-trimester MSAFP levels concurrent with maternal serum analyte values associated with increased risk for fetal Down syndrome may presage a poor perinatal outcome, particularly IUGR and possibly congenital infection.     

Survey of PCDD/Fs and non-ortho PCBs in UK sewage sludges

A survey of PCDD/F and non-ortho PCB concentrations in the mesophilic, anaerobically digested sludge of 14 UK wastewater treatment works was carried out. The range of total Cl1-Cl8DD/F concentrations in the sludges was 8880-428000 pg/g dw with a median of 23300 pg/g dw. The concentrations of the three non-ortho PCBs were in the range 272-63000 pg/g dw with a median of 695 pg/g dw. The PCDD/F I-TEQs of the sludges studied were comparable to those published in the literature with a range of 20-225 pg I-TEQ/g dw and a median of 40.4 pg/g dw. The non-ortho PCBs usually added 2-7 pg/g to the total TEQ with one notable exception which increased the TEQ value 20-fold. With three exceptions, the PCDD/F content of the sludges fell well below the draft EU limit values proposed on 27 April 2000. The homologue group pattern of the PCDD/Fs is dominated by the HpCDDs and OCDD and is consistent with that found in most sewage sludges. There appears to be no correlation between the degree of industrial input and the PCDD/F concentration. This suggests that trade effluent is not always the most significant source of PCDD/Fs to wastewater in the UK.     

Sulfur toxicity and media capacity for H2S removal in biofilters packed with a natural or a commercial granular medium

Two types of media, a natural medium (wood chips) and a commercially engineered medium, were evaluated for sulfur inhibition and capacity for removal of hydrogen sulfide (H2S). Sulfate was added artificially (40, 65, and 100 mg of S/g of medium) to test its effect on removal efficiency and the media. A humidified gas stream of 50 ppm by volume H2S was passed through the media-packed columns, and effluent readings for H2S at the outlet were measured continuously. The overall H2S baseline removal efficiencies of the column packed with natural medium remained >95% over a 2-day period even with the accumulated sulfur species. Added sulfate at a concentration high enough to saturate the biofilter moisture phase did not appear to affect the H2S removal process efficiency. The results of additional experiments with a commercial granular medium also demonstrated that the accumulation of amounts of sulfate sufficient enough to saturate the moisture phase of the medium did not have a significant effect on H2S removal. When the pH of the biofilter medium was lowered to 4, H2S removal efficiency did drop to 36%. This work suggests that sulfate mass transfer through the moisture phase to the biofilm phase does not appear to inhibit H2S removal rates in biofilters. Thus, performance degradation for odor-removing biofilters or H2S breakthrough in field applications is probably caused by other consequences of high H2S loading, such as sulfur precipitation.     

Measurement of symbiotic nitrogen-fixation in leguminous host-plants grown in heavy metal-contaminated soils amended with sewage sludge

Rates of nitrogen fixation by Rhizobium in symbiosis with leguminous host-plants including white clover, broad bean and peas have been established in soils that have been amended experimentally with heavy metal-contaminated sewage sludges. Results from 15N-dilution experiments for the measurement of N2 fixation have shown that adverse heavy metal effects are apparent on symbiotic N2 fixation rates for white clover grown in inter-specific competition with ryegrass under mixed sward conditions, compared to white clover grown in pure sward. Further experiments on broad bean and pea indicated a significant, but minor-inhibitory metal-related effect on the rate of N2 fixation compared to untreated soils and soils amended with a relatively uncontaminated sludge. The implications of the results with respect to sludge utilisation in agriculture are discussed.     

Latitudinal and seasonal capacity of the surface oceans as a reservoir of polychlorinated biphenyls

The oceans play an important role as a global reservoir and ultimate sink of persistent organic pollutants (POPs) such as polychlorinated biphenyls congeners (PCBs). However, the physical and biogeochemical variables that affect the oceanic capacity to retain PCBs show an important spatial and temporal variability which have not been studied in detail, so far. The objective of this paper is to assess the seasonal and spatial variability of the ocean's maximum capacity to act as a reservoir of atmospherically transported and deposited PCBs. A level I fugacity model is used which incorporates the environmental variables of temperature, phytoplankton biomass, and mixed layer depth, as determined from remote sensing and from climatological datasets. It is shown that temperature, phytoplankton biomass and mixed layer depth influence the potential PCB reservoir of the oceans, being phytoplankton biomass specially important in the oceanic productive regions. The ocean's maximum capacities to hold PCBs are estimated. They are compared to a budget of PCBs in the surface oceans derived using a level III model that assumes steady state and which incorporates water column settling fluxes as a loss process. Results suggest that settling fluxes will keep the surface oceanic reservoir of PCBs well below its maximum capacity, especially for the more hydrophobic compounds. The strong seasonal and latitudinal variability of the surface ocean's storage capacity needs further research, because it plays an important role in the global biogeochemical cycles controlling the ultimate sink of PCBs. Because this modeling exercise incorporates variations in downward fluxes driven by phytoplankton and the extent of the water column mixing, it predicts more complex latitudinal variations in PCBs concentrations than those previously suggested.