Fluconazole makes fungi sexually active

The yeast Candida albicans occurs in most healthy people as a harmless colonizer in the digestive tract. However, it can also cause life-threatening infections, especially in immunocompromised patients.

These infections are usually treated with the drug fluconazole, which inhibits the synthesis of ergosterol in Candida. Ergosterol fulfils similar important functions in fungi as cholesterol in humans.

Candida albicans can, however, become resistant to this drug. Scientists have uncovered the main mechanisms of fluconazole resistance in recent years. The group of Professor Joachim Morschhäuser from the Institute for Molecular Infection Biology at Julius-Maximilians-Universität Würzburg (JMU) in Bavaria, Germany, has contributed important findings.

The fungus succeeds in becoming resistant with numerous mechanisms. For example, it uses pumps to transport the drug out of its cells. “Highly resistant Candida albicans, in which fluconazole therapy fails, usually use a combination of several of these mechanisms,” says Morschhäuser.

New combinations of resistance mechanisms

Normally Candida albicans reproduces asexually by cell division. Morschhäuser’s research group has now discovered that resistant fungal cells can quickly switch to sexual reproduction in the presence of fluconazole. In this case, the cells fuse and unite their genetic material. In the offspring cells, different resistance mechanisms are newly combined and the fungal population thus becomes even less sensitive to fluconazole.

“In our investigations, we found out that the cells that retained the advantageous resistance characteristics are selected and become dominant in the population when treated with fluconazole,” says first author Christina Popp. Fluconazole not only selects for resistance mutations, but can also lead to changes in the genome that make the normally asexual fungus “mating-competent,” thereby enabling the cells to combine individually acquired resistance mechanisms and produce highly resistant offspring.

Knowledge about the molecular mechanisms of drug resistance can be useful for the development of better and new drugs and help overcome resistance.

Morschhäuser assumes that the resistance mechanisms described here are only one example of how Candida albicans can change in its host. Next, his team wants to investigate whether other forms of adaptation can also contribute in a similar way to the successful establishment of the fungus in different host niches.

This research was funded by the German Research Foundation (DFG) and the Open Access Publication Programme of DFG and JMU.

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Materials provided by University of Würzburg. Original written by Corinna Russow/Robert Emmerich. Note: Content may be edited for style and length.

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Famous ‘sandpile model’ shown to move like a traveling sand dune

The so-called Abelian sandpile model has been studied by scientists for more than 30 years to better understand a physical phenomenon called self-organized criticality, which appears in a plethora of real-life situations such as the coordinated firing of brain cells, the spread of forest fires, the distribution of earth quake magnitudes and even in the coordinated behavior of ant colonies. Even though the sandpile model serves as the archetypical model to study self-organized criticality, questions about its characteristics are still open and remain an active field of research.

Moritz Lang and Mikhail Shkonikov from the Institute of Science and Technology Austria (IST Austria) have now discovered a new property of this mathematical model: by adding sand grains in a specific manner to the sandpile, they induce dynamics reminiscent of the emergence, movement, collision and disappearance of sand dunes in the Gobi or the Namib desert. Different to real-world sand dunes, however, the dunes in their work — which is published in the current issue of PNAS — are composed of self-similar fractal patterns, somewhat similar to the famous Mandelbrot set.

The rules of the “sandpile experiment” are fairly simple: The model essentially consist of a grid of quadratic fields, similar to a checkerboard, onto which sand grains are dropped randomly. Fields that end up with less than four grains of sand remain stable, but when more grains accumulate on a field, the field becomes unstable and “topples.” In such a “toppling,” four grains of sand are passed on to the four neighboring fields: one to the top, one to the bottom, one to the left, and one to the right. This might cause the neighboring fields to also become unstable and topple, which then in turn may cause the next neighbors to topple and so on — an “avalanche” emerges. Similar to real-world avalanches in the Alps, these “sandpile avalanches” have no characteristic size, and it is extremely challenging to predict if the next sand grain will cause a huge avalanche, or nothing at all.

While, due to the simplicity of these rules, the sandpile model is regularly used as an easy example in elementary programming courses, it nevertheless displays various mathematical and physical phenomena still unexplained today — despite more than 30 years of extensive research. Among the most fascinating of these phenomena is the appearance of fractal sandpile configurations. These fractal sandpiles are characterized by repetitive and self-similar patterns where the same shapes appear over and over again, but in smaller and smaller versions. The occurrence of these fractal patterns has yet evade any mathematical explanation. While the researchers at IST Austria could also not solve this mathematical riddle, they rendered this phenomenon even more mysterious by showing that these fractal patterns can seemingly continuously transform into one another: They were able to produce movies in which the fractal patterns display dynamics which are, depending on the background of the observer, either reminiscent of the movement of real-world sand dunes, or of “psychedelic movies” characteristic for the 70’ies.

Not solving a mathematical question but only making it appear to be even more mysterious might at first sight not seem to be the ideal outcome. However, the two scientists — Moritz Lang who is a postdoc in the research group of Professor Calin Guet, and Mikhail Shkonikov, a postdoc in the group of Professor Tamas Hausel — believe that their “psychedelic movies” might be the key to a better understanding of the sandpile model, and maybe also of many other physical, biological or even economical problems. “You could say that we have found universal coordinates for the sandpile,” say Mikhail Shkonikov, “essentially, we can give every sand dune in the desert a very specific identifier.” Moritz Lang, who is a theoretical biologist, adds: “the key to understand any physical or biological phenomenon is to understand its consequences. The more consequences we know, the harder it becomes to develop a scientific hypothesis which is in agreement with all those consequences. In that sense, knowing all possible sand dunes and how they move represents a lot of constraints, and we hope that, in the end, this will remove sufficient hay from the stack such that we can find the needle.”

The two researchers see many applications of their theoretical work to real-world problems like the prediction of earthquake magnitudes, the functioning of the human brain, physics, or even economics: “In all these fields, we find haystacks which look similar, very similar. Maybe it turns out that all haystacks are the same, and that there is only one needle to find.”

Moritz Lang finished his PhD at ETH Zürich in spring 2015 with a thesis entitled “Modular identification and analysis of biomolecular networks.” He joined IST Austria in August 2015. Mikhail Shkonikov obtained his PhD from the University of Geneva and joined IST Austria in 2017.

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Materials provided by Institute of Science and Technology Austria. Note: Content may be edited for style and length.

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How poppy flowers get those vibrant colors that entice insects

With bright reds and yellows — and even the occasional white — poppies are very bright and colorful. Their petals, however, are also very thin; they are made up of just three layers of cells. University of Groningen scientists Casper van der Kooi and Doekele Stavenga used microscopy and mathematical models describing how light interacts with petals to find out how the vibrant colors are created. The results will be included in a special edition of the Journal of Comparative Physiology A, which focuses on the relationship between insects and flowers.

Van der Kooi’s main research focus is the evolution of flower color, and the interaction between flower color and pollinators. This led him to investigate how petals produce their visual signals. He explains why the flowers of poppies (Papaver, Meconopsis and related species) are interesting: ‘The common poppy is an extreme case, it has very thin petals that nevertheless cause a very high scattering of light. Poppies also contain high concentrations of pigments.’

Jigsaw pieces

The researchers collected petals from different poppy species and studied their structures using different techniques. They discovered that the pigment was only present in the two outer cell layers and not in the middle layer. The pigmented cells had a fascinating shape, with many invaginations that made them look like complicated jigsaw pieces. ‘This creates many air-filled gaps between the cells, which cause the reflection of light on the cell/air boundary’, says Van der Kooi.

Furthermore, the petals contained huge amounts of pigment. ‘They are among the highest concentrations that I have ever measured in any flower.’ Indeed, the characteristic black markings at the center of some poppy flowers are caused by extreme concentrations of red pigment. Van der Kooi concludes that dense pigmentation together with strong scattering causes the striking poppy colors in the red parts of the petal.

Sexual mimicry

The new findings can be linked to previous work on poppy color evolution. Intriguingly, poppies in the Middle East reflect no ultraviolet light, while the same species in Europe do. This difference may be due to their preferred pollinators. ‘In Europe, poppies are pollinated mostly by bees, which cannot see red very well; however, they will pick up ultraviolet.’ In contrast, poppies in the Middle East are pollinated by beetles that do see red colors.

‘Moreover, previous studies have shown that the black spots at the heart of some poppies mimic the presence of a female beetle. This is a way for the flowers to attract male beetles. A case of sexual mimicry, as occurs in other plants such as orchids’, explains Van der Kooi.

Air gaps

The next question will be how these jigsaw-like cells and the air gaps that cause the efficient scattering have evolved. ‘These cell shapes are commonly present in leaves, so that might be a clue.’ Furthermore, results suggest that poppies evolved ultraviolet signals when they began growing in more northern regions. It makes the evolutionary history of these brightly colored flowers an interesting object of study.

The paper by Van der Kooi and Stavenga will be included in a special edition of the Journal of Comparative Physiology A, edited by Friedrich Barth (University of Vienna). This special edition, with the title “Insects and Flowers. New insights into an old partnership,” is due to appear in print late this spring. The paper has already been published online.

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Materials provided by University of Groningen. Note: Content may be edited for style and length.

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Tanzania male MPs face circumcision call to stop HIV spread

A female MP calls for checks on whether male MPs had undergone the procedure.

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Dame Sally Davies becomes Cambridge’s Trinity College master

Dame Sally Davies is to become the first woman in the top job at Trinity College, Cambridge.

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Health24.com | Global rate of suicide deaths is on the decline

There’s bad news and good news in a study of lives lost to suicide around the world.

In sheer numbers, more of the world’s people are dying by suicide each year than ever before, the new report reveals. In 2016, about 817 000 deaths worldwide were attributed to suicide, the study showed. That’s an increase from the 762 000 suicides calculated for 1990.

However, after the researchers adjusted their numbers for changes in age and population size, they found that the suicide fatality rate actually decreased by nearly a third between 1990 and 2016.

Only further study can determine whether the decline is due to better suicide prevention efforts or to general improvements in population health, the researchers said.

The analysis of data from the 2016 Global Burden of Disease Study also found that the worldwide rate of suicide death was higher among men (15.6 deaths per 100 000) than women (7 deaths per 100 000).

However, that wasn’t true for most countries with what the researchers called a “low sociodemographic index” – a measure of fertility, income and education. In those nations, women had higher suicide rates than men, according to the study published on February 6 in the BMJ.

The researchers were led by Mohsen Naghavi, a professor of health metrics at the University of Washington in Seattle. He and his colleagues said the wide variations in suicide trends between nations and between groups reflect a complicated interaction between factors that require further research.

The World Health Organization’s goal is to reduce suicide deaths by one-third between 2015 and 2030, so identifying people at greatest risk is crucial for prevention efforts.

The researchers noted that the study had a number of limitations, including under-reporting or misclassification of cause of death in some countries, which means that it could still be underestimating the actual number of suicide deaths worldwide.

In an editorial accompanying the study, Ellicott Matthay, a postdoctoral scholar at the University of California, San Francisco, agreed that the findings should be viewed with some caution, but added that they “will spur research that could inform future policy”.

The results could help governments, international agencies, donors, civic organizations, physicians, and the public identify the places and groups at highest risk of suicide, and to determine priorities for interventions, Matthay said in a journal news release.

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Health24.com | As US measles outbreaks spread, why does ‘anti-vax’ movement persist?

Measles outbreaks across the United States – including one in Washington state where 50 cases have now been identified – have again shone the spotlight on parents who resist getting kids vaccinated.

These outbreaks are a clear sign of the fraying of “herd immunity,” the overall protection found when a large majority of a population has become immune to a disease, said Dr Paul Offit. He is director of the Vaccine Education Center at the Children’s Hospital of Philadelphia.

“Measles is the most contagious of the vaccine-preventable diseases, so it’s always the first to come back when you see a drop in herd immunity,” Offit said.

The World Health Organization has taken notice, and recently declared the anti-vaxxer movement a major threat to public health.

Given this, why does anti-vaccine sentiment continue to thrive in certain locales throughout America?

Offit suspects it’s because people have forgotten just how bad diseases like measles, chickenpox and whooping cough can be.

“It’s happening because people aren’t scared of the diseases,” Offit said. “I think vaccines in some ways are victims of their own success.”

But other factors come into play, including a reluctance to give a slew of vaccines to a young child so early in life, now-debunked fears of a link to autism, a feeling that diseases are a natural part of childhood, and a deep-seated distrust of the medical community.

Outbreaks inevitable

Measles outbreaks were “inevitable”, said Dr Dawn Nolt, an associate professor of pediatric infectious disease at OHSU Doernbecher Children’s Hospital in Portland, Oregon. She lives close to the Washington border, where the biggest current measles outbreak rages.

“Pockets of communities where there are low vaccine rates are ripe to be ground zero for an outbreak,” Nolt said. “All you need is one person in that community. We knew this was going to happen.”

That’s particularly true of measles, which is incredibly virulent.

Offit explained that “you don’t have to have face-to-face contact with someone who has measles. You just have to be within their air space within two hours of their being there.”

According to Nolt, despite its power to spread, there are three questions that typically come up with parents who are hesitant about having their children vaccinated against measles: Is the vaccine safe? Is the vaccine needed? Why shouldn’t I have freedom of choice regarding my child’s vaccinations?

“I think what’s important is to really understand that families have certain concerns and we need to understand those concerns,” Nolt said. “We can’t lump them all together and think that that one conversation serves all of their concerns.”

Parents’ concerns regarding vaccination are often first sparked by the recommended vaccine schedule, Offit said.

“What’s happened is we ask parents of young children in this country to get vaccines to prevent 14 different diseases,” Offit said. “That can mean as many as 26 inoculations during those first few years of life, as many as five shots at one time, to prevent diseases most people don’t see, using biological fluids most people don’t understand.”

So, it’s important that doctors explain to parents that these vaccines are “literally a drop in the ocean” compared to the myriad immune system triggers a child encounters each day, Offit said.

“Very quickly after birth, you have living on the surface of your body trillions of bacteria, to which you make an immune response,” Offit explained. “The food you eat isn’t sterile. The dust you inhale isn’t sterile. The water you drink isn’t sterile. You’re constantly being exposed to bacteria to which you make an immune response.”

Powerful argument

Doctors also still have to deal with an erroneous 1998 study that linked vaccinations and autism, said Dr Talia Swartz, an assistant professor of infectious diseases with the Icahn School of Medicine at Mount Sinai, in New York City.

The study was later found to be fraudulent and withdrawn, but “significant press has continued to raise concern about this, even though these concerns have been refuted based on large-scale population studies,” Swartz said.

It’s important to emphasise that these vaccines are heavily tested for safety, said Lori Freeman, CEO of the National Association of County and City Health Officials.

As to whether vaccines are needed, outbreaks provide a powerful argument in favor of that premise, experts said.

However, some parents still greet outbreaks with a shrug.

Nolt said that “some people think vaccines aren’t needed because the disease is more ‘natural’ than the vaccine.”

And arguments based on altruism – vaccinating your child to protect the rest of the community, especially kids who can’t be vaccinated – only go so far, she added.

“I think that resonates with people who have close family or friends who are immunocompromised. For someone who hasn’t had that experience, I think that’s a harder sell,” Nolt said.

Offit is also pessimistic that outbreaks alone will convince hesitant parents to have their kids vaccinated.

“I think children are going to have to die [for attitudes to change],” Offit said. “In regards to measles, you’re probably going to have to get 1 000 to 2 000 cases a year to start to see measles deaths again, but that can happen. Before there was a measles vaccine, which came into the United States in 1963, every year you’d see about 500 children die of measles.”

The “freedom of choice” argument can be the most difficult for doctors to counter, Nolt said. Accumulated distrust of organised medicine, federal regulators and pharmaceutical companies isn’t something a pediatrician can easily counter through conversation.

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Health24.com | A blood test might help give an early warning of Alzheimer’s

Leaky blood vessels in the brain may be an early sign of Alzheimer’s disease, researchers say.

They followed 161 older adults for five years and found that those with the most severe memory declines had the greatest leakage in their brain’s blood vessels, regardless of whether the Alzheimer’s-related proteins amyloid and tau were present.

Blood-brain barrier breakdown

The findings could help with earlier diagnosis of Alzheimer’s and suggest a new drug target for slowing down or preventing the disease, according to the researchers from the University of Southern California.

“The fact that we’re seeing the blood vessels leaking, independent of tau and independent of amyloid, when people have cognitive [mental] impairment on a mild level, suggests it could be a totally separate process or a very early process,” said study senior author Dr Berislav Zlokovic. He is director of the Zilkha Neurogenetic Institute at the university’s Keck School of Medicine in Los Angeles.

“That was surprising, that this blood-brain barrier breakdown is occurring independently,” Zlokovic added in a university news release.

The blood-brain barrier prevents harmful substances from reaching brain tissue. In some people, this barrier weakens with age.

“If the blood-brain barrier is not working properly, then there is the potential for damage,” explained study co-author Arthur Toga, who is director of the Stevens Neuroimaging and Informatics Institute at Keck.

Eye-opening results

“It suggests the vessels aren’t properly providing the nutrients and blood flow that the neurons need. And you have the possibility of toxic proteins getting in,” Toga said.

“The results were really kind of eye-opening,” said study first author Daniel Nation, an assistant professor of psychology. “It didn’t matter whether people had amyloid or tau pathology; they still had cognitive impairment.”

The findings were published recently in the journal Nature Medicine.

The next step in this research is to determine how soon mental decline occurs after damage to brain blood vessels.

The number of Americans with Alzheimer’s is expected to nearly triple to about 14 million by 2060, according to the US Centers for Disease Control and Prevention.

Image credit: iStock

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Beer before wine? It makes no difference to a hangover

A study finds the order in which you have alcoholic drinks makes no difference to your hangover.

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Simple drug combination creates new neurons from neighboring cells

A simple drug cocktail that converts cells neighboring damaged neurons into functional new neurons could potentially be used to treat stroke, Alzheimer’s disease, and brain injuries. A team of researchers at Penn State identified a set of four, or even three, molecules that could convert glial cells — which normally provide support and insulation for neurons — into new neurons. A paper describing the approach appears online in the journal Stem Cell Reports on February 7, 2019.

“The biggest problem for brain repair is that neurons don’t regenerate after brain damage, because they don’t divide,” said Gong Chen, professor of biology and Verne M. Willaman Chair in Life Sciences at Penn State and leader of the research team. “In contrast, glial cells, which gather around damaged brain tissue, can proliferate after brain injury. I believe turning glial cells that are the neighbors of dead neurons into new neurons is the best way to restore lost neuronal functions.”

Chen’s team previously published research describing a sequence of nine small molecules that could directly convert human glial cells into neurons, but the large number of molecules and the specific sequence required for reprogramming the glial cells complicated the transition to a clinical treatment. In the current study, the team tested various numbers and combinations of molecules to identify a streamlined approach to the reprogramming of astrocytes, a type of glial cells, into neurons.

“We identified the most efficient chemical formula among the hundreds of drug combinations that we tested,” said Jiu-Chao Yin, a graduate student in biology at Pen State who identified the ideal combination of small molecules. “By using four molecules that modulate four critical signaling pathways in human astrocytes, we can efficiently turn human astrocytes — as many as 70 percent — into functional neurons.”

The resulting chemically converted neurons can survive more than seven months in a culture dish in the lab. They form robust neural networks and send chemical and electrical signals to each other, as normal neurons do inside the brain.

Using three of the small molecules instead of four also results in the conversion of astrocytes into neurons, but the conversion rate drops by about 20 percent. The team also tried using only one of the molecules, but this approach did not induce conversion.

Chen and his team had previously developed a gene therapy technology to convert astrocytes into functional neurons, but due to the excessive cost of gene therapy — which can cost a patient half a million dollars or more — the team has been pursuing more economical approaches to convert glial cells into neurons. The delivery system for gene therapies is also more complex, requiring the injection of viral particles into the human body, whereas the small molecules in the new method can be chemically synthesized and packaged into a pill.

“The most significant advantage of the new approach is that a pill containing small molecules could be distributed widely in the world, even reaching rural areas without advanced hospital systems,” said Chen. “My ultimate dream is to develop a simple drug delivery system, like a pill, that can help stroke and Alzheimer’s patients around the world to regenerate new neurons and restore their lost learning and memory capabilities.”

The researchers acknowledge that many technical issues still need to be resolved before a drug using small molecules could be created, including the specifics of drug packaging and delivery. They also plan to investigate potential side effects of this approach in future studies in order to develop the safest drug pills. Nonetheless, the research team is confident that this combination of molecules has promising implications for future drug therapies to treat individuals with neurological disorders.

“Our years of effort in discovering this simplified drug formula take us one step closer to reaching our dream,” said Chen.

In addition to Chen and Yin, other co-authors contributed to this work include Lei Zhang, Ning-Xin Ma, Yue Wang, Grace Lee, Xiao-Yi Hou, Zhuo-Fan Lei, Feng-Yu Zhang, Feng-Ping Dong and Gang-Yi Wu from Penn State. This work was supported by the National Institutes of Health (AG045656), the Alzheimer’s Association (ZEN-15-321972), and the Charles H. “Skip” Smith Endowment Fund at Penn State.

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Materials provided by Penn State. Note: Content may be edited for style and length.

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