Prenatal diagnosis and intrafamilial clinical heterogeneity of Fraser syndrome

Fraser syndrome (MIM 219000) is a rare disorder of autosomal recessive inheritance, characterized by the association of cryptophthalmos, syndactyly and genital abnormalities. Here we report on two cases of Fraser syndrome (cryptophthalmos syndrome) in a non-consanguineous couple, with variable expression in echographic, clinical and autopsy findings. Furthermore, we highlight the difficulties in prenatal diagnosis of Fraser syndrome. Copyright © 2002 John Wiley & Sons, Ltd.     

Prenatal diagnosis of Juberg–Hayward syndrome

Juberg–Hayward syndrome is a rare autosomal recessive syndrome characterised by the association of growth retardation, microcephaly, cleft lip and palate, and thumb and radial ray abnormalities. To date, no prenatal cases have been reported. Here, we report on the first prenatal case of Juberg–Hayward syndrome. The diagnosis was established following fetopathological study. Besides the cardinal features of the syndrome, this prenatal case was remarkable for the severity of the short arm malformation and by the finding of big toe agenesis and cerebral abnormalities including hydrocephalus, agenesis of corpus callosum, and cerebellar hypoplasia. We conclude that the diagnosis of Juberg–Hayward syndrome can be discussed prenatally following ultrasound diagnosis of the association of intrauterine growth restriction, microcephaly, thumb/radial anomalies, and cleft lip/palate. Copyright © 2005 John Wiley & Sons, Ltd.     

亚剂量抗生素诱导抗性基因水平迁移

为探究亚剂量抗生素诱导下编码广谱β-内酰胺酶(extended-spectrum β-lactamase,ESBL)基因的接合转移(conjugation),使用从新加坡主要医院的废水中直接分离的可合成ESBL的铜绿假单胞菌(P.aeruginosa)和大肠杆菌(E.coli)菌株作为ESBL编码质粒的供体,以携带绿色荧光蛋白(green fluorescent protein, GFP)基因的耐氯霉素(chloramphenicol,CHL)大肠杆菌SCC1(E.coli SCC1)作为受体,借助响应面分析,检测并分析了携带有ESBL编码基因的质粒在亚剂量水平的四环素(tetracycline,TC),磺胺甲噁唑(sulfamethoxazole,SMZ)和头孢他啶(ceftazidime,CAZ)单一暴露和共同暴露时,从供体菌株接合传递至受体菌株的特征.结果发现,ESBL编码质粒可在无诱导抗生素胁迫下,以平均0.001 5和0.004 2的频率分别由铜绿假单胞菌和大肠杆菌供体接合转移至受体大肠杆菌SCC1菌株,具有较低的"适应性代价",并在质量浓度低于最小抑菌浓度(minimum inhibitory concentration,MIC)的抗生素暴露下更易在大肠杆菌菌株之间传递.大肠杆菌菌株之间的接合转移显著发生在质量浓度低于0.03 mg·L~(-1)的TC与质量浓度低于0.002 mg·L~(-1)的CAZ单一暴露或共同暴露时,并可被亚MIC的TC显著抑制.铜绿假单胞菌与大肠杆菌间的接合转移可在5倍MIC的TC、CAZ共同暴露时被显著诱导,未检测到亚MIC水平抗生素对其的促进作用.     

Role of the floodplain lakes in the methylmercury distribution and exchanges with the Amazon River, Brazil

Seasonal variability of dissolved and particulate methylmercury(F-MeHg, P-MeHg) concentrations was studied in the waters of the Amazon River and its associated Curuai floodplain during hydrological year 2005–2006, to understand the MeHg exchanges between these aquatic systems. In the oxic white water lakes, with neutral pH, high F-MeHg and P-MeHg concentrations were measured during the rising water stage(0.70 ± 0.37 pmol/L, n = 26) and flood peak(14.19 ± 9.32 pmol/g, n = 7) respectively, when the Amazon River water discharge into the lakes was at its maximum. The lowest mean values were reported during the dry season(0.18 ± 0.07 pmol/L F-MeHg, n = 10 and 1.35 ± 1.24 pmol/g P-MeHg, n = 8), when water and suspended sediments were outflowing from the lakes into the River. In these lakes,the MeHg concentrations were associated to the aluminium and organic carbon/nitrogen changes. In the black water lakes, with acidic pH and reducing conditions, elevated MeHg concentrations were recorded(0.58 ± 0.32 pmol/L F-MeHg, n = 16 and 19.82 ± 15.13 pmol/g PMeHg, n = 6), and correlated with the organic carbon and manganese concentrations. Elevated values of MeHg partition coefficient(4.87 Kd 5.08 log(L/kg) indicate that MeHg is mainly transported associated with the particulate phase. The P-MeHg enrichment detected in all lakes suggests autochthonous MeHg inputs from the sediments into the water column. The MeHg mass balance showed that the Curuai floodplain is not the source of P-MeHg for the Amazon River.     

Classification of local- and landscape-scale ecological types in the southern Appalachian Mountains

Five local ecological types based on vegetative communities and two landscape types based on groups of communities, were identified by integrating landform, soil, and vegetation components using multivariate techniques. Elevation and several topographic and soil variables were highly correlated with types of both scales. Landscape ecological types based only on landform and soil variables without vegetation did not correspond with types developed using vegetation. Models developed from these relationships could allow classification and mapping of extensive areas using geographic information systems.     

Characterization of microbial communities from coastal waters using microarrays

Molecular methods, including DNA probes, were used to identify and enumerate pathogenic Vibrio species in the Chesapeake Bay; our data indicated that Vibrio vulnificus exhibits seasonal fluctuations in number. Our work included a characterization of total microbial communities from the Bay; development of microarrays that identify and quantify the diversity of those communities; and observation of temporal changes in those communities. To identify members of the microbial community, we amplified the 16S rDNA gene from community DNA isolated from a biofilm sample collected from the Chesapeake Bay in February, 2000. The resultant 75 sequences were 95% or more similar to 7 species including two recently described Shewanella species, baltica and frigidimarina, that have not been previously isolated from the Chesapeake. When the genera of bacteria from biofilm after culturing are compared to those detected by subcloning amplified 16S fragments from community DNA, the cultured sample exhibited a strong bias. In oysters collected in February, the most common bacteria were previously unknown. Based on our 16S findings, we are developing microarrays to detect these and other microbial species in these estuarine communities. The microarrays will detect each species using four distinct loci, with the multiple loci serving as an internal control. The accuracy of the microarray will be measured using sentinel species such as Aeromonas species, Escherichia coli, and Vibrio vulnificus. Using microarrays, it should be possible to determine the annual fluctuations of bacterial species (culturable and non-culturable, pathogenic and non-pathogenic). The data may be applied to understanding patterns of environmental change; assessing the health of the Bay; and evaluating the risk of human illness associated with exposure to and ingestion of water and shellfish.     

24 h diffusive sampling of toxic VOCs in air onto Carbopack X solid adsorbent followed by thermal desorption/GC/MS analysis-laboratory studies

Diffusive sampling of a mixture of 42 volatile organic compounds (VOCs) in humidified, purified air onto the solid adsorbent Carbopack X was evaluated under controlled laboratory conditions. The evaluation included variations in sample air temperature, relative humidity and ozone concentration. Linearity of samples with loading was examined both for a constant concentration with time varied up to 24 h and for different concentrations over 24 h. Reverse diffusion and its increase with accumulation of sample were determined for all compounds. Tubes were examined for blank levels, change of blanks with storage time, and variability of blanks. Method detection limits were determined based on seven replicate samples. Based on this evaluation, 27 VOCs were selected for quantitative monitoring in the concentration range from approximately 0.1 to 4 ppbv. Comparison results of active and diffusive samples taken over 24 h and under the same simulated ambient conditions at a constant 2 ppbv were interpreted to estimate the effective diffusive sampling rates (ml min(-1)) and their uncertainties and to calculate the corresponding diffusive uptake rates (ng ppmv(-1) min(-1)).     

The effect of the introduction of prenatal diagnosis on the reproductive history of women at increased risk from neural tube defects

The reproductive history of 45 couples at increased risk for neural tube defect (NTD) who came for genetic counselling in 1970 and 1971 were compared with a similar number counselled in 1975 and 1976, when prenatal diagnostic tests were freely offered. They were subsequently interviewed in their homes and had their reproductive history recorded to the end of 1973 and 1978 respectively. Nearly all had a previous child with an NTD and none of the women were pregnant at the time of counselling. The effect of prenatal diagnosis was to speed somewhat the decision about further pregnancies, but the number of couples deciding on no further children and on having further pregnancies were almost identical in the two groups. The average number of pregnancies was 2·8 per family, with only 1·2 surviving children. The pregnancy outcomes are discussed as are the reasons for not attempting further pregnancies in both groups, which included very high risk of recurrence, a surviving spina bifida child, inability to accept the tests or its implications. Ninety per cent of the second group had tests. Their reactions to the tests were favourable but all complained of the waiting time between amniocentesis and obtaining the results. They all would have tests again in any future pregnancy. The reason for women not having prenatal diagnostic tests included inability to accept termination. It is concluded that couples in South Wales decide either to have no more children or to have further pregnancies regardless of tests. but tests speed a decision and enable the women to enjoy the pregnancy after obtaining the results, and that an NTD greatly reduces the number of children per family. A termination for an NTD is much more acceptable to most than an NTD at term. The reasons for this are discussed.     

MATERNAL SERUM ALPHA-FETOPROTEIN SCREENING FOR OPEN NEURAL TUBE DEFECTS IN TWIN PREGNANCIES

Data on maternal serum alpha-fetoprotein (AFP) levels at 13–24 weeks' gestation in 46 twin pregnancies with open neural tube defects (22 with anencephaly, 24 with open spina bifida) and 169 unaffected twins were used to estimate the detection and false-positive rates associated with different cut-off levels. Using the conventional cut-off level of 2·5 multiples of the median (MoM) for unaffected singleton pregnancies of the same gestation and laboratory, the detection rate in twins was 99 per cent for anencephaly and 89 per cent for open spina bifida, with a false-positive rate of 30 per cent. Using a 5·0 MoM cut-off level to maintain a similar false-positive rate to that found among singleton pregnancies at 16–18 weeks' gestation (about 3 per cent), the detection rate was 83 per cent for anencephaly and 39 per cent for open spina bifida. Estimates are provided of the odds of having an affected twin pregnancy given a positive AFP result as well as the odds for individual women with a raised AFP level.