Search

'Candidatus Liberibacter solanacearum' (Lso) is a bacterial pathogen that causes 'zebra chip' disease in potato. Vectored by the potato psyllid Bactericera cockerelli, Lso inflicts severe economic losses annually in solanaceous and other crops. Conventional management strategies have been insufficient to control the pathogen. As an environmentally friendly phytosanitary technique, electron beam (eBeam) irradiation has been shown to drastically suppress psyllid growth and development. However, whether this chemical-free technology negatively impacts the pathogen transmission remains to be investigated. In this study, we irradiated newly emerged adult psyllids and measured abundance of Lso they carried. An eBeam dose of 100 Gy significantly suppressed Lso in irradiated psyllids, although a rebound was detected on day 7 post irradiation. This resumed bacterial growth was not observed in psyllids irradiated at 250 or 500 Gy. Electrical penetration graphs revealed that eBeam substantially impacted psyllid feeding activity. No significant difference was detected in actin cytoskeleton structure and nucleus integrity of its midgut cells 1 or 7 days post eBeam irradiation at 500 Gy. Furthermore, infection of tomato plants was drastically reduced when fed upon by psyllids exposed to 250 Gy and undetectable at 500 Gy. Thus, eBeam significantly lowered psyllid's transmission efficiency and even abolished this capacity. Taken together, eBeam irradiation curtailed Lso titers in potato psyllids and impaired its bacterial transmission. Our results have demonstrated the real potential of irradiation technology in management of insect-vectored diseases. [ABSTRACT FROM AUTHOR]

Background: Patients after kidney transplantation need to take long-term immunosuppressive and other drugs. Some of these drug side effects are easily confused with the symptoms of Fanconi syndrome, resulting in misdiagnosis and missed diagnosis, and causing serious consequences to patients. Therefore, improving awareness, early diagnosis and treatment of Fanconi syndrome after kidney transplantation is critical. Methods: This retrospective study analyzed 1728 cases of allogeneic kidney transplant patients admitted to the Second Xiangya Hospital of Central South University from July 2016 to January 2021. Two patients with Fanconi syndrome secondary to drugs, adefovir dipivoxil (ADV) and tacrolimus, were screened. We summarized the diagnostic process, clinical data, and prognosis. Results: The onset of Fanconi syndrome secondary to ADV after renal transplantation was insidious, and the condition developed after long-term medication (>10 years). It mainly manifested as bone pain, osteomalacia, and scoliosis in the late stage and was accompanied by obvious proximal renal tubular damage (severe hypophosphatemia, hypokalemia, hypocalcemia, hypouricemia, glycosuria, protein urine, acidosis, etc.) and renal function damage (increased creatinine and azotemia). The pathological findings included mitochondrial swelling and deformity in renal tubular epithelial cells. The above symptoms and signs were relieved after drug withdrawal, but the scoliosis was difficult to rectify. Fanconi syndrome secondary to tacrolimus has a single manifestation, increased creatinine, which can be easily confused with tacrolimus nephrotoxicity. However, it is often ineffective to reduce the dose of tacrolomus, and proximal renal failure can be found in the later stage of disease development. There was no abnormality in the bone metabolism index and imageological examination findings. The creatinine level decreased rapidly, the proximal renal tubule function returned to normal, and no severe electrolyte imbalance or urinary component loss occurred when the immunosuppression was changed from tacrolimus to cyclosporine A. Conclusions: For the first time, drug-induced Fanconi syndrome after kidney transplantation was reported. These results confirmed that the long-term use of ADV or tacrolimus after kidney transplantation may have serious consequences, some of which are irreversible. Greater understanding of Fanconi syndrome after kidney transplantation is necessary in order to avoid incorrect and missed diagnosis. [ABSTRACT FROM AUTHOR]