In a second, open-label part of the trial, all the patients received 200 mg of itraconazole per day for 16 weeks.There were responses in 13 of 28 patients in the itraconazole group (46 percent), as compared with 5 of 27 patients in the placebo group (19 percent, P=0.04). We think the most productive route to a fungal-specific vaccine may be a conjugate vaccine that combines the optimally configured glycan with a specific immunogenic protein. A model of orogastric candidosis in SCID mice, which mimics disease seen in AIDS patients, was used to evaluate ravuconazole in comparison with fluconazole for treatment. Isolates were recovered from multiple body sites of 23 patients (n = 180) from 1994 to 1995 and from 29 patients (n = 45) from 1997 to 2002; these plus 2 from the hospital kitchen were identified as S. cerevisiae. This indicated that non-IgG serum factors binding to B. dermatitidis prevented access to 1,3-beta-glucan by anti-1,3-beta-glucan antibody. Global population structure of Aspergillus terreus inferred by ISSR typing reveals geographical subclustering. Groups of mice were given 0.5 mg estradiol 3 days before and 4 days after intravaginal challenge with a suspension of Candida albicans. Genes related to ubiquitin-mediated protein degradation, and oxidative stress response genes were up-regulated by E(2).This study characterizes the effect of E(2) at the molecular level on the inhibition of the M-to-Y transition and is indicative that the inhibitory actions of E(2) may be working through signaling genes that regulate dimorphism. Chiller, T. M., Sobel, R. A., Luque, J. C., Clemons, K. V., Stevens, D. A. Both methods showed AMB efficacy in the kidneys, and qPCR demonstrated CAS efficacy at all doses. Isolates were genotyped by restriction fragment length polymorphism (RFLP) of genomic DNA after EcoR1 digestion. Rodent, particularly mouse, models of aspergillosis predominate as the choice for most investigators. These in vitro results demonstrate several immunological deficiencies in cells from young mice and these deficiencies correlate with susceptibility. The main strength of these expeditions was the recording of architecture: the plans of the DOG, in particular, are detailed, and in attempting to record how human activity impacted upon buildings, they often bridge the gap between architectural and archaeological plans (Borchardt and Ricke, 1980). View details for Web of Science ID 000258181000013, View details for PubMedCentralID PMC2671230, View details for Web of Science ID 000257320400002. Experimental models of coccidioidomycosis performed using various laboratory animals have been, and remain, a critical component of elucidation and understanding of the pathogenesis and host resistance to infection with Coccidioides spp., as well as to development of more efficacious antifungal therapies. These data indicate that micafungin inhibits growth of tissue forms of A. fumigatus, and phagocytes and micafungin together have an additive effect. Vaz, C., Sampaio, P., Clemons, K. V., Huang, Y., Stevens, D. A., Pais, C. Saccharomyces as a vaccine against systemic aspergillosis: 'the friend of man' a friend again? Isolates from Jews (51), Arabs (35) and Druze (25) were genotyped. For comparative purposes, lipopolysaccharide (LPS, 1 microg/ml) was used to stimulate BAM in experiments similar to the above. After administration of two ITZ controlled-release formulations, plasma and tissue concentrations of ITZ and OH-ITZ were either very low (< or = 52 ng/mL) or undetectable. Four responses were complete and seven were partial; these included five patients with pulmonary sites and six patients with disseminated sites. Definitive diagnosis of pulmonary fungal infections has also been substantially assisted by the development of newer diagnostic methods and techniques, including the use of antigen detection, polymerase chain reaction, serologies, computed tomography and positron emission tomography scans, bronchoscopy, mediastinoscopy, and video-assisted thorascopic biopsy. Res Publica: A journal of social and political philosophy. Ravuconazole at 25 mg/kg was superior in reduction of numbers of CFU in all tissues to controls or 25 mg of fluconazole per kg and to other regimens in at least three tissues. ITZ pharmacokinetic parameters for both suspensions in mallard ducks were similar and the bioassay successfully measured ITZ equivalents in plasma samples from ducks. She completed a PhD in Egyptian Archaeology at Monash Uni versity in Australia in 2003, with a study of the archaeology of private religion at Amarna . Sherry L Robinson Other occupants: Sherry L Robinson View 3 David Stevens Director Godalming, Surrey, GU8. stone slab (or stela) that furnished the first historical evidence of King David from the Bible.. View details for DOI 10.1111/j.1365-2249.2006.03011.x, View details for Web of Science ID 000235370200010. Abelcet showed an apparent dose-related reduction of cfu in the brains. more Papers Liquid States: A Closer Look at Sustainability and Sacred Water by Fay Stevens Transitions toward a more sustainable future is a key theme at the University of Notre Dame for the academic year 2021/22. Clemons, K. V., Espiritu, M., Parmar, R., Stevens, D. A. Temporal expression of inflammatory mediators in brain basilar artery vasculitis and cerebrospinal fluid of rabbits with coccidioidal meningitis. CD-1 mice given cyclophosphamide to produce immunosuppression had continuous pancytopenia. View details for DOI 10.1016/j.cyto.2007.07.001, View details for Web of Science ID 000251151000002. The results suggested a trend to increased levels in serum with prolonged therapy, but were not statistically significant. The current studies examined the efficacies of several antifungal agents alone or in combination with a murine model of CNS aspergillosis. Dose-finding studies in CD-1 mice showed that infection with 5 x 106 conidia/mouse consistently caused 100% mortality by day 5-8; no mice died before day 3. For weeks after treatment, in vitro IFN-gamma treatment enabled PM Blastomyces killing. In contrast, BAM and PM from BALB/c mice in co-culture with Bd secreted several-fold more TNFalpha than BAM or PM from CD-1 mice. The collaboration between human effector cells and caspofungin (MK-0991), a 1,3-beta-D glucan synthase inhibitor, was studied for antifungal activity against Aspergillus fumigatus. The central nervous system (CNS) is the most common site of dissemination during Aspergillus infection. BAKER, G., FALK-WHYNES, J. and SIDOROVITCH, A., eds., Teaching for Integrative Learning: Innovations in University Practice. He is currently working and teaching at Peking University, which together with the Institute forms the International Centre for Chinese Heritage and Archaeology. Statistical analysis of the data demonstrates a strong correlation between homozygosity at the MTL locus and azole resistance (P<0 small middle dot003). He died on 17 July 2018 in Whangarei, New Zealand. He was the best there was in what he did: discovering ore deposits through consuming, life-long, passionate exploration; sheer forensic brilliance; love of field geology; and a remarkable grasp for how to put pieces together and render not just interpretations, but judgement. Caspofungin, the first inhibitor of fungal beta-1,3 glucan synthesis to receive approval by the United States Food and Drug Administration, is effective for the treatment of mucosal and invasive candidiasis and invasive aspergillosis. nov.) in the patients and environment and 2 (H. hamiltonii sp. Its a two-way thing - academics have a lot to learn from people outside universities. Tel . Candida albicans is a common microbe, colonizer and potential pathogen found in respiratory cultures of cystic fibrosis (CF) patients. While traditionally antifungal therapy was limited to the use of amphotericin B, flucytosine, and a handful of clinically available azole agents, current pharmacologic treatment options include potent new azole compounds with extended antifungal activity, lipid forms of amphotericin B, and newer antifungal drugs, including the echinocandins. Because of difficulty identifying the organism, testing in the Biolog system identified them as a Halomonas species. van Asbeck, E. C., Huang, Y., Markham, A. N., Clemons, K. V., Stevens, D. A. Heerlijk was het om gisteren samen met Thomas Bronselaer 2 uur te spreken over waar we staan, bijna 5 jaar na de invoering van de AVG. Daniel's 5th outing as Bond gets bums back on seats in the cinema. She is especially interested in how material culture and urban space can shed light on the lives of the non-elite in ancient Egypt. Cytokine measurement showed HKY significantly promoted IFN, IL-6 and IL-17A production by spleen cells and lymph node cells (all P<0.05 and P<0.01, respectively). View Details. Zeamatin, a natural plant-derived antifungal protein, was tested alone and in combination with an azole, clotrimazole or nikkomycin Z, a chitin synthase inhibitor.Whereas alone, zeamatin was ineffective, nikkomycin Z was effective only when dosed multiple times per day, and clotrimazole efficacy was variable when administered in experimental vehicles (unlike the complex and undefined commercial preparation), zeamatin enhanced the efficacy of either of the other two drugs when they were given in combination.Drug interactions between novel drugs with unique mechanisms of action should be explored further, and may lead to more potent regimens. After intravenous treatment of uninfected mice with 75 g of rhMBL, rhMBL was detected in the serum and peritoneal lavage fluid; rhMBL was detected in the serum of infected mice 2 and 24 hours post-dose, and at very low concentrations in vaginal lavage fluid. In 2005, Israeli archaeologist Eilat Mazar said she found the remains of King David's palace in Jerusalem dating to the 10th century B.C., when King David would have ruled. Democracy, Ideology and Process Re-Engineering: Realising the Benefits of e-Government in Singapore. trivia, We used competitive reverse transcription-PCR to delineate the time course of the local expression of mRNAs encoding a variety of cytokines and inducible nitric oxide synthase (iNOS) during progressive murine cryptococcal meningoencephalitis and assessed the CNS inflammatory response using immunohistochemistry. Neither method indicated drug efficacy in the brain. In all studies, 90% of mice infected with 10(7) CFU of YJM128 died between days 2 and 7, whereas no mice infected with equivalent numbers of Y55 died. However, the intersection of signaling pathways and the molecular mechanism of this antagonism remain to be defined. Ravuconazole has good efficacy and the potential to cure mucosal candidosis in the absence of a functional immune response. View details for PubMedID 19464548, View details for DOI 10.1016/j.vaccine.2009.03.030, View details for Web of Science ID 000267459900022, View details for DOI 10.1007/s10096-008-0688-y, View details for Web of Science ID 000266372700026. Some populations that are at risk for aspergillosis might be likely candidates for receiving the first vaccinations against aspergillosis, or vaccination of a stem cell donor might be considered in some circumstances. Results showed that the protection induced by mannan is dose-dependent; 12 mg unconjugated mannan alone or > 0.3 mg mannan-BSA consistently enhanced survival (P < 0.05). Principal components analysis and hierarchical clustering indicated that yeast gene expression profiles differed greatly from those of mycelia, especially at earlier time points, and that mycelial gene expression changed less than gene expression in yeasts over time. 2009 Inferring the Function of Projectile Points from the Central Coast of Alta California. I am an anthropologist and archaeologist in Western Australia. Understanding how the marketplace of religious ideas works. Recovered colonies were counted and confirmed as grand or petite, and the frequency of petite colonies in the brain, the target organ, correlated with the in vitro results. Maffei, C. M., Mirels, L. F., Sobel, R. A., Clemons, K. V., Stevens, D. A. In contrast, castrated animals exhibited lesser capacity to restrict disease progression. Caspofungin at 0.1 micorg/ml and 0.05 microg/ml or Monos alone against germlings caused significant inhibition. Killing by BAM treated with DEX (10(-7) M) for 48 h in vitro was reduced to 13 +/- 6%; however, if GM-CSF (500 U ml(-1)) was present during DEX treatment of BAM, killing of conidia (33 +/- 2%) by BAM was preserved. The interaction between inhibitors of components of the fungal cell wall, glucan and chitin, was studied in vitro with the respective synthase enzyme inhibitors LY 303366 and nikkomycin Z. We have reported previously that prolonged caspofungin (CAS) dosing enhances survival in a murine model of central nervous system aspergillosis. Patients received posaconazole (400 mg/day) in capsule formulation for up to 6 months. [1], Stevens lived in Reading until his death on 7 April 1899. Amphotericin B plus 5-fluorocytosine and amphotericin B plus rifampin showed generally positive interactions and amphotericin B plus itraconazole showed results that were largely indifferent. In view of the changing treatment of pulmonary fungal infections, the American Thoracic Society convened a working group of experts in fungal infections to develop a concise clinical statement of current therapeutic options for those fungal infections of particular relevance to pulmonary and critical care practice. Initial attempts at environmental isolation as primary cultures, including a 4% salt agar plate, or initial incubation in 6.5% salt broth enrichment culture with subculture to agar, to exploit the halophilicity of Halomonas, were successful in demonstrating the colonies seen in the blood cultures, only from sites not contaminated with other organisms, because of competing growth. Proliferation of HKY-stimulated spleen or lymph node cells was tested by Alamar Blue reduction and flow cytometry. Infections are rarely reported. Intraparenchymal abscesses with inflammatory cells in their peripheries were found beginning on day 10. Overall, these data indicate that CAS is highly efficacious against systemic murine candidiasis and a paradoxical effect was not reproducibly demonstrated in vivo. View details for DOI 10.1128/IAI.72.4.2338-2349.2004, View details for Web of Science ID 000220481600057, View details for PubMedCentralID PMC375146. The American with Disabilities Act (ADA) states that service animals cannot be prohibited from any area. But do note that it is not possible to be certain of a person's genealogy without a family's cooperation (and/or DNA testing). Most Aspergillus culture isolates from nonsterile body sites do not represent disease. At day 15, survivors were euthanatized. Field of expertise. To assess the virulence of petites in vivo, two mouse models, CD-1 and DBA/ 2N, were infected i.v. Morton, C. O., Clemons, K. V., Springer, J., Mueller, J. G., Rogers, T. R., Stevens, D. A., Kurzai, O., Einsele, H., Loeffler, J. Pharmacokinetics of voriconazole in adult mallard ducks (Anas platyrhynchos). In almost all patients, S. cerevisiae was first recovered after admission. Acclaimed for his research on the Big Bend region and the Porvenir Massacre, David Keller was suddenly marched out . Anna Stevens is Deputy Director of the Amarna Project. Fifteen patients met the criteria for proven coccidioidal infection and disease refractory to previous therapy. Environmental Archaeology, Geoarchaeology, and Landscape studies (45) Apply Environmental Archaeology, Geoarchaeology, and Landscape studies filter ; Archaeological Theory (39) . of Oakland Research Inst. A systemic model of candidiasis was studied in CD-1 mice by intravenous inoculation of different isolates of C. albicans. to add information, pictures and relationships, join in discussions and get credit for your contributions. We report here studies which characterize more fully the specific binding properties and the functional responses of T. mentagrophytes and taxonomically related fungi to a series of mammalian steroid hormones. This was made available for 6 months to allow public comment, and then the manuscript was prepared and approved.The revised definitions retain the original classifications of "proven," "probable," and "possible" invasive fungal disease, but the definition of "probable" has been expanded, whereas the scope of the category "possible" has been diminished. Clemons, K. V., Park, P. S., McCusker, J. H., McCullough, M. J., Davis, R. W., Stevens, D. A. When VCZ was combined with monocytes or monocytes were treated with GM-CSF, inhibition was significantly increased, to similar levels. The ethics of killing and saving lives, My research is within the field of moral and political philosophy, in particular I am interested in the proper relationship between conceptions of the good (such as religious and ethical conceptions) read more. Since 2012 she has been Professor of the Public Engagement in Science at the University of Birmingham. View details for DOI 10.1128/AAC.01488-07, View details for Web of Science ID 000254881900063, View details for PubMedCentralID PMC2292510. 1,3-beta-Glucan stimulated TNF-alpha production by PM, and this was inhibited by mouse serum. Mathematics I and II for Environmental Scientists and Geophysicists. Methods, results: BALB/c bronchoalveolar and peritoneal macrophages (PM) were shown deficient in IL-12 production in response to IFN-gamma+LPS. Overexpression of FLU1, an efflux pump gene related to MDR1, did not correlate with resistance, nor did overexpression of ERG11. The overall success rate (i.e., the data review committee-assessed global response at the end of treatment) was 42% for posaconazole recipients and 26% for control subjects (odds ratio, 4.06; 95% confidence interval, 1.50-11.04; P=.006). Self 1 episode, 2002 Ron Curley . The collection was assembled so that approximately half of the isolates were resistant to azole drugs. Differences among mouse strains in susceptibility to C. albicans, as seen in previous studies involving nonvaginal challenge routes, are not reflected in this vaginal candidiasis model; in general, such resistance patterns appear specific to the route of challenge administration. Three distinct PCR-groups were observed and there was evidence that strains isolated since 1990 were genotypically more similar to each other than they were to strains recovered prior to 1990. New Polymorphic Microsatellite Markers Able To Distinguish among Candida parapsilosis Sensu Stricto Isolates. Invasive fungal diseases (IFDs) have become major causes of morbidity and mortality among highly immunocompromised patients. Cooperative enhancement of inhibition by a second drug could eradicate the effect. Although groups of rabbits treated with AmBi regimens did not have significantly fewer animals with meningitis than the control group (P > 0.05), ABLC and AmBi were not significantly different. Therapy is predominantly directed at preventing life-threatening hemoptysis. Developing a vaccine against aspergillosis, Hormones and the Resistance of Women to Paracoccidioidomycosis. However, only two or fewer given a regimen of ABLC or AmBi were cured of infection in both tissues. of California, Davis). Cortisone acetate gave results similar to dexamethasone, but cortisone acetate suppression of BAM responses lasted 7 days, > or = 4 days longer than dexamethasone suppression. Research Group, California Institute for Medical Research, San Jose; Div. The laboratory is, in addition, a clinical reference laboratory for fungal and actinomycete susceptibility testing, and body fluid antifungal drug concentration determinations, for hospitals. Here, we compared ABLC and AmBi directly in a coccidioidal meningitis model. In no instance were the KO mice more susceptible than WT. Birthday: May 19, 1973 ( Taurus) Born In: Bristol 69 14 Anthropologists #12 Intellectuals & Academics #237 Quick Facts British Celebrities Born In May Also Known As: Alice May Roberts Age: 49 Years, 49 Year Old Females Family: Spouse/Ex-: David Stevens (m. 2000) children: Phoebe Stevens Anthropologists British Women The effect of 3M-003 on killing of Candida was evaluated on mouse (BALB/c) effector cell lineages: monocytes, neutrophils, and macrophages. We examined the effects of immunodeficiency and glucocorticoid-induced immunosuppression on systemic murine infection induced by i.v. This trend has heightened awareness of the complications of cryptococcal meningitis; of these, intracranial hypertension is common, severe, and life-threatening, as exemplified by three cases in our institutions presented here in detail. View details for PubMedID 17071553, View details for DOI 10.1080/13693780600810040, View details for Web of Science ID 000242552000003. With anti-1,3-beta-glucan antibody, we showed by IFA assay that B. dermatitidis contained 1,3-beta-glucan. Most of these clinical isolates are able to grow at 42 degrees, a temperature that completely inhibits the growth of most other S. cerevisiae strains. Mannan-BSA (500 kDa) was more protective than 40 kDa mannan-BSA. Caspofungin was not as effective against the larger inoculum, but did not enhance or interfere with the efficacy of Abelcet. > present (Science columnist for The Observer newspaper) and 2018 > present (president of Humanists UK) and 2011 > present (patron of Humanists UK) and 2012 > present (Chair of the Birmingham universitys Public Engagement with Science Committee) and [????] MICA alone at 1 mg/kg approached significance in prolonging survival. For the efficacy study, ten-day-old Japanese quail (n = 60) were infected intratracheally with A. fumigatus conidia. The third metabolite was a 1-dehydro-hydroxyprogesterone, but the location of the hydroxyl group could not be determined unequivocally. Moreover, such treatment of PMN also enhanced the collaboration of PMN with VCZ. The infants had been hospitalized for at least six weeks, had received broad-spectrum antibiotics, and had received parenteral lipid nutrition via a central venous catheter. Although there is considerable experimental data to support the idea, bringing a fungal vaccine to fruition has been elusive. At 50 mg/kg, itraconazole and fluconazole were equivalent in clearing the fungi from the brain and kidney, but itraconazole was superior to fluconazole in clearing the fungi from the spinal cord and lungs (P < 0.05). Almost all models are murine, with 1 rabbit model; and 2 avian models (in collaboration with Veterinary School, Univ. MICA at 3 or 10 mg kg(-1) versus the saline controls approached significance. Zucker, K. E., Kamberi, P., Sobel, R. A., Cloud, G., Meli, D. N., Clemons, K. V., Stevens, D. A., Williams, P. L., Leib, S. L. Efficacy of micafungin alone or in combination against experimental pulmonary aspergillosis, Susceptibility to pulmonary blastomycosis in young compared to adult mice: immune deficiencies in young mice. This regimen produced leukopenia (~10% of normal white blood cell [WBC] count; 10% PMNs) for 10 days, without bacterial superinfection. Mice are infected orally to allow for the colonization of Candida albicans on the mucosal surfaces of the tongue, esophagus, stomach, small intestine, and cecum. The findings of the present study suggest that some S. cerevisiae strains may possess properties permitting persistence in the human host. These represent small or large advantages and differences compared with existing available alternative therapy for deep and systemic mycoses. View details for Web of Science ID 000235777000016. Protection of peritoneal macrophages by granulocyte/macrophage colony-stimulating factor (GM-CSF) against dexamethasone suppression of killing of Aspergillus, and the effect of human GM-CSF, Diagnosis of fungal infections: current status, Effect of granulocyte colony-stimulating factor and granulocyte-macrophage colony-stimulating factor on polymorphonuclear neutrophils, monocytes or monocyte-derived macrophages combined with voriconazole against Cryptococcus neoformans. It has been shown by us and others that progesterone inhibits the growth of Trichophyton mentagrophytes and that the organism escapes from this inhibition over time. The site facilitates research and collaboration in academic endeavors. The fungus usually affects lung parenchyma and may disseminate from there. Donald asks the courts to let him tweet. Temporal studies of infection have demonstrated that qPCR and to some extent EIA reflect an increase in fungal burden not shown by CFU. Stevens, D. A., Kullberg, B. J., Brummer, E., Casadevall, A., Netea, M. G., Sugar, A. M. Cryptococcal meningitis in the immunocompromised host: intracranial hypertension and other complications. Characterization of the [3H]progesterone-binding sites in T. mentagrophytes showed the binder to be a protein which was destroyed by trypsin and heating to 56 degrees C. Previous examination of the steroid-binding specificity in T. mentagrophytes had demonstrated that deoxycorticosterone (DOC) and dihydrotestosterone (DHT) were effective competitors for [3H]progesterone binding. Intersection of signaling pathways and the Porvenir Massacre, David Keller was suddenly marched out of. Of HKY-stimulated spleen or lymph node cells was tested by Alamar Blue reduction and flow cytometry was not reproducibly in! By Alamar Blue reduction and flow cytometry Ideology and Process Re-Engineering: Realising the Benefits of e-Government Singapore! 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