39 results on '"Jonkers W"'
Search Results
2. [Characteristics and healthcare utilization of patients with highest costs of care]
- Author
-
Wammes, J.J.G., Tanke, M.A.C., Jonkers, W., Westert, G.P., Wees, P.J. van der, and Jeurissen, P.P.T.
- Subjects
health care economics and organizations ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] - Abstract
Item does not contain fulltext OBJECTIVE: To determine characteristics and healthcare utilization of high-cost patients in the Netherlands. DESIGN: Cross-sectional study, using claim data for 2013 from one Dutch health insurer. Analyses were limited to the curative health system (care that falls under the Health Insurance Act), including voluntary supplementary insurance. METHOD: We established total healthcare costs per beneficiary by summing all claims with a starting date in 2013. We categorized hospital-related diagnosis related groups (DRGs) and mental health care DRGs according to the ICD-10 International Classification of Diseases main chapters and sub-chapters. Per patient we determined which ICD-10-(sub-)chapter carried the highest costs. In addition, we developed several indicators for healthcare utilization and analysed healthcare utilization using descriptive statistics. Finally, we broke down high-cost patients by age group and compared characteristics and health care utilization between age groups. RESULTS: High-cost patients, those in the top 1% in 2013, incurred an average total cost of over euro 56,000 per patient. They were treated by multiple providers for numerous health problems. Approximately one third of high-cost patients had one or more expensive treatments, including transplant surgery, dialysis, expensive drugs, intensive care unit use, or DRGs exceeding euro 30,000. The majority of high-cost patients were treated for cardiovascular disorders, neoplasms or mental and behavioural disorders. Though the high-cost patients were relatively old, more than half were younger than 65 years and average costs per patient decreased sharply with age. CONCLUSIONS: There is a need for an integral approach in the treatment of high-cost patients. Tailored policy and interventions are needed to improve care quality and to avoid unnecessarily high costs of care.
- Published
- 2017
3. Kenmerken en zorggebruik van patiënten met de hoogste zorgkosten
- Author
-
Wammes, J J G, Tanke, M, Jonkers, W, Westert, G.P., van der Wees, P.J., and Jeurissen, P P T
- Subjects
health care economics and organizations - Abstract
OBJECTIVE: To determine characteristics and healthcare utilization of high-cost patients in the Netherlands. DESIGN: Cross-sectional study, using claim data for 2013 from one Dutch health insurer. Analyses were limited to the curative health system (care that falls under the Health Insurance Act), including voluntary supplementary insurance. METHOD: We established total healthcare costs per beneficiary by summing all claims with a starting date in 2013. We categorized hospital-related diagnosis related groups (DRGs) and mental health care DRGs according to the ICD-10 International Classification of Diseases main chapters and sub-chapters. Per patient we determined which ICD-10-(sub-)chapter carried the highest costs. In addition, we developed several indicators for healthcare utilization and analysed healthcare utilization using descriptive statistics. Finally, we broke down high-cost patients by age group and compared characteristics and health care utilization between age groups. RESULTS: High-cost patients, those in the top 1% in 2013, incurred an average total cost of over € 56,000 per patient. They were treated by multiple providers for numerous health problems. Approximately one third of high-cost patients had one or more expensive treatments, including transplant surgery, dialysis, expensive drugs, intensive care unit use, or DRGs exceeding € 30,000. The majority of high-cost patients were treated for cardiovascular disorders, neoplasms or mental and behavioural disorders. Though the high-cost patients were relatively old, more than half were younger than 65 years and average costs per patient decreased sharply with age. CONCLUSIONS: There is a need for an integral approach in the treatment of high-cost patients. Tailored policy and interventions are needed to improve care quality and to avoid unnecessarily high costs of care.
- Published
- 2017
4. Characteristics and healthcare utilisation patterns of high-cost beneficiaries in the Netherlands: a cross-sectional claims database study
- Author
-
Wammes, J.J.G., Tanke, M.A.C., Jonkers, W., Westert, G.P., Wees, P.J. van der, Jeurissen, P.P.T., Wammes, J.J.G., Tanke, M.A.C., Jonkers, W., Westert, G.P., Wees, P.J. van der, and Jeurissen, P.P.T.
- Abstract
Contains fulltext : 182445.pdf (publisher's version ) (Open Access), OBJECTIVE: To determine medical needs, demographic characteristics and healthcare utilisation patterns of the top 1% and top 2%-5% high-cost beneficiaries in the Netherlands. DESIGN: Cross-sectional study using 1 year claims data. We broke down high-cost beneficiaries by demographics, the most cost-incurring condition per beneficiary and expensive treatment use. SETTING: Dutch curative health system, a health system with universal coverage. PARTICIPANTS: 4.5 million beneficiaries of one health insurer. MEASURES: Annual total costs through hospital, intensive care unit use, expensive drugs, other pharmaceuticals, mental care and others; demographics; most cost-incurring and secondary conditions; inpatient stay; number of morbidities; costs per ICD10-chapter (International Statistical Classification of Diseases, 10th revision); and expensive treatment use (including dialysis, transplant surgery, expensive drugs, intensive care unit and diagnosis-related groups >euro30 000). RESULTS: The top 1% and top 2%-5% beneficiaries accounted for 23% and 26% of total expenditures, respectively. Among top 1% beneficiaries, hospital care represented 76% of spending, of which, respectively, 9.0% and 9.1% were spent on expensive drugs and ICU care. We found that 54% of top 1% beneficiaries were aged 65 years or younger and that average costs sharply decreased with higher age within the top 1% group. Expensive treatments contributed to high costs in one-third of top 1% beneficiaries and in less than 10% of top 2%-5% beneficiaries. The average number of conditions was 5.5 and 4.0 for top 1% and top 2%-5% beneficiaries, respectively. 53% of top 1% beneficiaries were treated for circulatory disorders but for only 22% of top 1% beneficiaries this was their most cost-incurring condition. CONCLUSIONS: Expensive treatments, most cost-incurring condition and age proved to be informative variables for studying this heterogeneous population. Expensive treatments play a substantial role in high
- Published
- 2017
5. Kenmerken en zorggebruik van patiënten met de hoogste zorgkosten
- Author
-
Psychosociale zorg patientenzorg, Other research (not in main researchprogram), Wammes, J J G, Tanke, M, Jonkers, W, Westert, G.P., van der Wees, P.J., Jeurissen, P P T, Psychosociale zorg patientenzorg, Other research (not in main researchprogram), Wammes, J J G, Tanke, M, Jonkers, W, Westert, G.P., van der Wees, P.J., and Jeurissen, P P T
- Published
- 2017
6. De verzorgingsstaat en de arbeidsparticipatie van ouderen : een vergelijking tussen Nederland, Zweden en het Verenigd Koninkrijk
- Author
-
Jonkers, W., Jonkers, W., Jonkers, W., and Jonkers, W.
- Published
- 2005
7. Introducing the Concept of the Minimally Important Difference to Determine a Clinically Relevant Change on Patient-Reported Outcome Measures in Patients with Intermittent Claudication
- Author
-
Conijn, A.P. (Anne P.), Jonkers, W. (Wilma), Rouwet, E.V. (Ellen), Vahl, A. (Anco), Reekers, J.A. (Jim), Koelemay, M.J.W. (Mark), Conijn, A.P. (Anne P.), Jonkers, W. (Wilma), Rouwet, E.V. (Ellen), Vahl, A. (Anco), Reekers, J.A. (Jim), and Koelemay, M.J.W. (Mark)
- Abstract
Purpose: The minimally important difference (MID) represents the smallest change in score on patient-reported outcome measures that is relevant to patients. The aim of this study was to introduce the MID for the Vascular Quality of Life Questionnaire (VascuQol) and the walking impairment questionnaire (WIQ) for patients with intermittent claudication (IC). Methods: In this multicenter study, we recruited 294 patients with IC between July and October 2012. Patients completed the VascuQol, with scores ranging from 1 to 7 (worst to best), and the WIQ, with scores ranging from 0 to 1 (worst to best) at first visit and after 4 months follow-up. In addition, patients answered an anchor-question rating their health status compared to baseline, as being improved, unchanged, or deteriorated. The MID for improvement and deterioration was calculated by an anchor-based approach, and determined with the upper and lower limits of the 95 % confidence interval of the mean change of the group who had not changed according to the anchor-question. Results: For the MID analyses of the VascuQol and WIQ, 163 and 134 patients were included, respectively. The MID values for the VascuQol (mean baseline score 4.25) were 0.87 for improvement and 0.23 for deterioration. For the WIQ (mean baseline score 0.39), we found MID values of 0.11 and −0.03 for improvement and deterioration, respectively. Conclusion: In this study, we calculated the MID for the VascuQol and the WIQ. Applying these MID facilitates better interpretation of treatment outcomes and can help to set treatment goals for individual care.
- Published
- 2015
- Full Text
- View/download PDF
8. Introducing the Concept of the Minimally Important Difference to Determine a Clinically Relevant Change on Patient-Reported Outcome Measures in Patients with Intermittent Claudication
- Author
-
Conijn, AP, Jonkers, W, Rouwet, Ellen, Vahl, AC, Reekers, JA, Koelemay, MJW, Conijn, AP, Jonkers, W, Rouwet, Ellen, Vahl, AC, Reekers, JA, and Koelemay, MJW
- Abstract
Purpose The minimally important difference (MID) represents the smallest change in score on patient-reported outcome measures that is relevant to patients. The aim of this study was to introduce the MID for the Vascular Quality of Life Questionnaire (VascuQol) and the walking impairment questionnaire (WIQ) for patients with intermittent claudication (IC). Methods In this multicenter study, we recruited 294 patients with IC between July and October 2012. Patients completed the VascuQol, with scores ranging from 1 to 7 (worst to best), and the WIQ, with scores ranging from 0 to 1 (worst to best) at first visit and after 4 months follow-up. In addition, patients answered an anchor-question rating their health status compared to baseline, as being improved, unchanged, or deteriorated. The MID for improvement and deterioration was calculated by an anchor-based approach, and determined with the upper and lower limits of the 95 % confidence interval of the mean change of the group who had not changed according to the anchor-question. Results For the MID analyses of the VascuQol and WIQ, 163 and 134 patients were included, respectively. The MID values for the VascuQol (mean baseline score 4.25) were 0.87 for improvement and 0.23 for deterioration. For the WIQ (mean baseline score 0.39), we found MID values of 0.11 and -0.03 for improvement and deterioration, respectively. Conclusion In this study, we calculated the MID for the VascuQol and the WIQ. Applying these MID facilitates better interpretation of treatment outcomes and can help to set treatment goals for individual care.
- Published
- 2015
9. Officiële start Jaar van de bodem in Zeeland : Zeeland pakt breed uit met activiteitenprogramma
- Author
-
Jonkers, W. and Jonkers, W.
- Abstract
De bodem heeft een niet te onderschatten maatschappelijk belang. Ook in Zeeland moeten we zuinig omgaan met onze bodem en, waar mogelijk, zo duurzaam mogelijk beschermen en benutten. Verzilting van de Zeeuws bodem ligt op de loer en de bodemvruchtbaarheid staat onder druk. De 13 Zeeuwse gemeenten, de Provincie Zeeland, het waterschap Scheldestromen, de Zuidelijke Land- en Tuinbouw Organisatie (ZLTO), het Zeeuws Agrarisch Jongeren Kontakt (ZAJK), het IVN en de Natuur en Milieu Educatiecentra (NME) pakken daarom gezamenlijk de handschoen op en organiseren in 2015 tal van publieksactiviteiten rond de bodem. Daarbij is veel hulp nodig. Om die hulp te mobiliseren en om publiciteit rond het Jaar van de bodem in Zeeland te krijgen is op 6 februari 2015 het Zeeuws activiteitenprogramma officieel van start gegaan.
- Published
- 2015
10. Duurzaam Doenderzoek in de Zeeuwse delta: Ervaringen met het kwantificeren van ecosysteemdiensten
- Author
-
Smit, A., Verzandvoort, S.J.E., and Jonkers, W.
- Subjects
ecosysteemdiensten ,Nature and society ,soil water ,water storage ,landschap ,landscape ,bodemwater ,sustainability ,wateropslag ,soil ,bodem ,duurzaamheid (sustainability) ,zeeland ,CB - Bodemfysica en Landgebruik ,ecosystem services ,SS - Soil Physics and Land Use ,Natuur en samenleving - Abstract
Voor het project Doenderzoek is voor elf ecosysteemdiensten in Zeeland de potentïële levering van deze diensten in kaart gebracht. Tijdens de uitwerking bleken definities, benutting van diensten, databeschikbaarheid en schaal belangrijke factoren te zijn. In dit artikel laten we zien welke lessen we hebben geleerd.
- Published
- 2012
11. Duurzaam doenderzoek in de Zeeuwse delta : Ecosysteemdiensten in de praktijk : deelresultaat 4.1 : Verslag van de werkbijeenkomst 'De waardering van ecosysteemdiensten (doenderdag 2), Deelresultaat 4.2: Kansen voor duurzaam gebruik van bodem, ondergrond en landschap op basis van voorbeelprojecten
- Author
-
Verzandvoort, S.J.E., Smit, A., Jonkers, W., Baaren, E.S., and Braat, L.C.
- Subjects
CB - Bodemkwaliteit en Nutriënten ,nature management ,projecten ,landschapsbeheer ,Soil Science Centre ,ecosysteemdiensten ,projects ,inventarisaties ,landscape management ,bodembeheer ,natuurbeheer ,CE - Vegetation and Landscape Ecology ,inventories ,zeeland ,Alterra - Centrum Bodem ,Wageningen Environmental Research ,CB - Bodemfysica en Landgebruik ,SS - Soil Quality and Nutrients ,ecosystem services ,soil management ,SS - Soil Physics and Land Use - Abstract
Reflectie op de rol van het project Duurzaam Doenderzoek in de Zeeuwse Delta in het werk aan duurzame ontwikkeling van de Provincie Zeeland. Duurzaamheid vormgeven via het concept van ecosysteemdiensten. Het bijzondere van dit project zit niet in de theoretische benadering vanuit bodem en natuur, maar in het feit dat we het gebeurt, en wel met mensen uit de praktijk. Daardoor adresseren we ecosysteemdiensten in de richting van de praktijk. Partijen binnenhalen om mee te denken geeft een interactie die niet mogelijk zou zijn alleen redenerend vanuit het eigen beleidsveld of sector.
- Published
- 2012
12. Cradle to Cradle in gebiedsontwikkeling : omgaan met duurzaam bodemgebruik in de praktijk
- Author
-
Jonkers, W., Roghair, C.J., Smit, A., and van der Velden, J.A.
- Subjects
bodem ,cradle to cradle ,duurzaamheid (sustainability) ,area development ,regional planning ,zeeland ,regionale planning ,sustainability ,gebiedsontwikkeling ,soil - Abstract
Het denken in kringlopen, vermeerderen van waarden en duurzaam evolueren is de essentie van het concept van Cradle to Cradle (C2C). Om dit in gebiedsprojecten, inclusief het bodemsysteem, vorm te geven is nog niet zo eenvoudig. Toch krijgt het C2C-concept binnen gebiedsontwikkeling steeds meer belangstelling door duurzaam bodemgebruik een integrale plaats te geven in gebiedsprocessen. Vanuit de C2C invalshoek spelen dan vragen over de functie van bodem binnen het gebied, het toevoegen van waarde aan de bodem, het gebruiken van de kwaliteiten en het robuust functionerend houden van het bodemsysteem. Voor DLG, Alterra en de provincie Zeeland reden om een workshop te organiseren. De deelnemers kregen aan de hand van casusgebieden in Zeeland de volgende opdrachten: vorm met elkaar een beeld van de ondergrond van de gebieden. Analyseer de kansen die de ondergrondkwaliteiten hier bieden. Leg de wensen van de streek naast de kansenschets. En overleg vanuit je rollen als opdrachtgever en uitvoerder waar je tot een optimaal duurzaam gebruik van de bodem kunt komen binnen de scopie van de opdracht
- Published
- 2009
13. The role of the F-Box protein Frp1 in pathogenicity of fusarium oxysporum
- Author
-
Jonkers, W., Cornelissen, Ben, Rep, Martijn, and Molecular Plant Pathology (SILS, FNWI)
- Abstract
Previously, FRP1 has been identified in a mutant screen as a pathogenicity gene of the plant pathogenic fungus Fusarium oxysporum f.sp. lycopersici. Deletion of the gene confirmed the requirement of FRP1 for pathogenicity. FRP1 encodes an F-box protein and in this thesis we set out to elucidate its molecular function further. Literature on fungal Fbox proteins in general is reviewed in Chapter II and in Chapter III the F-box protein arsenal of four Fusarium species is analyzed by mining their genome sequences. Furthermore, the function of the Frp1 F-box domain is studied (Chapter IV), the phenotype of the frp1 mutant strain examined (Chapter V) and the involvement of CreA in Frp1 function investigated (Chapter VI). Many F-box proteins play a key role in the degradation of other proteins. They recruit such proteins to a ubiquitination machine called the SCF complex where they become ubiquitinated, which commonly leads to recognition and degradation by the proteasome. Binding to Skp1, a component of the SCF complex, is a strong indication that Frp1 recruits targets to this complex. Identification of such target proteins of Frp1 could give clues about its molecular function(s) and, therefore, several screens were designed to identify a Frp1- target. Unfortunately, no target protein was found. This raised the question whether Frp1 actually recruits target proteins. To investigate this, mutants of Frp1 were created with mutations in the F-box domain that abolished the binding of Frp1 to Skp1. If Frp1 would function through binding to Skp1, then it would be expected that these mutations would affect the function of Frp1 and, hence, pathogenicity. However, this appeared not to be the case as the Skp1-nonbinding versions of Frp1 could restore pathogenicity of the frp1 mutant strain. This suggests that the main function of Frp1 may not be recruitment of other proteins to an SCF complex (Chapter IV). To find out why the frp1 mutant is unable to cause disease, its phenotype was investigated in more detail. We found that the mutant is impaired in root colonization as well as in root invasion. These defects are accompanied by impaired growth on a broad array of alternative (non-sugar) carbon sources such as organic acids, amino acids and polysaccharides. We also found that the production of cell wall degrading enzymes (CWDE) is seriously affected in the frp1 mutant, which is likely related to the reduced growth on polysaccharides. The colonization defects on tomato roots could be restored by addition of sugars like glucose or sucrose. However, addition of sugars could not restore the root invasion defects as shown by the lack of expression of the GFP-reporter gene behind the SIX1-promoter (the SIX1 gene is specifically expressed inside roots and is therefore a marker for root invasion). To find out whether reduced growth on C2-carbon sources like ethanol was (partly) responsible for the non-pathogenic phenotype of the frp1 mutant, we created an ICL1 deletion mutant. Icl1 is a key enzyme of the glyoxylate cycle, which is required for the assimilation of C2-carbon sources. We found that this mutant -like the frp1 mutant,- is impaired in growth on organic acids, ethanol and fatty acids. However, growth on polysaccharides was normal and this mutant was still able to colonize roots and fully cause disease on tomato plants. Therefore we concluded that the lack of CWDE gene expression is sufficient to explain the loss of pathogenicity of the frp1 gene, although other factors, such as utilization of amino acid as a carbon source, could not be ruled out (Chapter V). The genes required for assimilation of the carbon sources on which the frp1 mutant shows impaired growth are generally under carbon catabolite repression. In fungi, this process is regulated by the transcriptional repressor CreA. We considered the possibility that Frp1 is required for the derepression of these genes by directly or indirectly regulating CreA. The relation between CreA and Frp1 was therefore investigated and we found that the two proteins together control the expression of CreA-repressed genes (Chapter VII). Whereas CreA is mainly (but not exclusively) responsible for repression, Frp1 is required for activation of such genes. Although knock-out of CREA failed, we were able to make mutants in which GST-tagged CREA, had replaced the native CREA gene. Apparrently, the GST-tag on CreA affects CreA function since replacement of native CREA by GST::CREA in the wild type as well as in the frp1 mutant background caused a general growth reduction and the inability to repress gene expression during growth on glucose. Remarkably, GST::CREA restored the ability to express CWDE genes in the frp1 mutations, as well as growth on alternative carbon sources and infection of tomato. How Frp1 influences CreA and activates gene expression remains unknown, but it probably does not so via SCF-mediated protein ubiquitination, as explained in Chapter IV. We also could not demonstrate a direct interaction between Frp1 and CreA. Further, accumulation of GFP-tagged CreA in the nucleus occurred both on glucose and on ethanol, a derepressing carbon source, and was not affected by deletion of FRP1. In conclusion, analysis of the function of the F-box protein Frp1 in the plant pathogenic fungus Fusarium oxysporum revealed that it functions independently from an SCF complex, it is involved in carbon catabolite derepression and, together with CreA, affects expression of CWDE genes during infection.
- Published
- 2009
14. ILB2 aanpak in twee Zeeuwse regio's : Bodemkansen in Zeeland
- Author
-
Jonkers, W., Puylaert, H., Werksma, H., Jonkers, W., Puylaert, H., and Werksma, H.
- Abstract
Twee gemeentelijke samenwerkingsverbanden in Zeeland hebben samen met provincie en waterschap concreet invulling gegeven aan verbreding van het bodembeleid. In een aantal werksessies is de bodemagenda opgesteld, zijn bodemkansen geformuleerd, is een kennisfundament voor de bodem ontwikkeld, is bestuurlijk draagvlak gecreëerd en zijn de resultaten vertaald naar aansprekende en praktische boekjes om duurzaam om te gaan met maatschappelijke vraagstukken.
- Published
- 2013
15. Provincie Zeeland aan de slag met haar aardkundig erfgoed
- Author
-
Jonkers, W., Diepen, N. van, Dam-de Heij, L.A., Hout, H.R.A. van, Jonkers, W., Diepen, N. van, Dam-de Heij, L.A., and Hout, H.R.A. van
- Abstract
Zeeland is een provincie met een rijk verleden wat betreft de vorming van het landschap onder invloed van water, wind en de mens. Aardkundige getuigen van dit verleden zijn terug te vinden in het huidige landschap in de vorm van bijvoorbeeld schorren, slikken, kreekruggen, poelgronden, duinen en strandwallen. De provincie wil dat deze getuigen hun plek behouden in het landschap en heeft ze 'op de kaart gezet'. Daarnaast heeft Zeeland een start gemaakt met het stellen van beleid voor de instandhouding van deze aardkundige waarden. Ten zuiden van Goes bevindt zich het gebied De Poel, dat als een voorbeeld dient voor gebiedsontwikkeling
- Published
- 2010
16. REVIEWS
- Author
-
Philip, Michael S., primary and Jonkers, W. B.J., additional
- Published
- 2002
- Full Text
- View/download PDF
17. Research Into the Structure and Effectiveness of the Open Prisons in the Netherlands
- Author
-
Jonkers, W. H. A., primary
- Full Text
- View/download PDF
18. Editorial: Seed Microbiome Research.
- Author
-
Jonkers W, Gundel PE, Verma SK, and White JF
- Abstract
Competing Interests: WJ is employed by company Bejo Zaden B.V. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
- Published
- 2022
- Full Text
- View/download PDF
19. Care trajectories of chronically ill older adult patients discharged from hospital: a quantitative cross-sectional study using health insurance claims data.
- Author
-
de Man Y, Atsma F, Jonkers W, de Rooij SEJA, Westert GP, Jeurissen PPT, and Groenewoud AS
- Subjects
- Aftercare methods, Aged, Aged, 80 and over, Chronic Disease therapy, Cross-Sectional Studies, Female, Hospitals trends, Humans, Male, Patient Acceptance of Health Care, Patient Readmission trends, Skilled Nursing Facilities trends, Aftercare trends, Chronic Disease trends, Insurance Claim Review trends, Insurance, Health trends, Patient Discharge trends
- Abstract
Background: For older adults, a good transition from hospital to the primary or long-term care setting can decrease readmissions. This paper presents the 6-month post-discharge healthcare utilization of older adults and describes the numbers of readmissions and deaths for the most frequently occurring aftercare arrangements as a starting point in optimizing the post-discharge healthcare organization., Methods: This cross-sectional study included older adults insured with the largest Dutch insurance company. We described the utilization of healthcare within 180 days after discharge from their first hospital admission of 2015 and the most frequently occurring combinations of aftercare in the form of geriatric rehabilitation, community nursing, long-term care, and short stay during the first 90 days after discharge. We calculated the proportion of older adults that was readmitted or had died in the 90-180 days after discharge for the six most frequent combinations. We performed all analyses in the total group of older adults and in a sub-group of older adults who had been hospitalized due to a hip fracture., Results: A total of 31.7% of all older adults and 11.4% of the older adults with a hip fracture did not receive aftercare. Almost half of all older adults received care of a community nurse, whereas less than 5% received long-term home care. Up to 18% received care in a nursing home during the 6 months after discharge. Readmissions were lowest for older adults with a short stay and highest in the group geriatric rehabilitation + community nursing. Mortality was lowest in the total group of older aldults and subgroup with hip fracture without aftercare., Conclusions: The organization of post-discharge healthcare for older adults may not be organized sufficiently to guarantee appropriate care to restore functional activity. Although receiving aftercare is not a clear predictor of readmissions in our study, the results do seem to indicate that older adults receiving community nursing in the first 90 days less often die compared to older adults with other types of aftercare or no aftercare. Future research is necessary to examine predictors of readmissions and mortality in both older adult patients discharged from hospital.
- Published
- 2019
- Full Text
- View/download PDF
20. Integration of Self and Non-self Recognition Modulates Asexual Cell-to-Cell Communication in Neurospora crassa .
- Author
-
Fischer MS, Jonkers W, and Glass NL
- Subjects
- Fungal Proteins genetics, Fungal Proteins metabolism, MAP Kinase Signaling System, Neurospora crassa genetics, Chemotaxis, Neurospora crassa physiology, Quorum Sensing
- Abstract
Cells rarely exist alone, which drives the evolution of diverse mechanisms for identifying and responding appropriately to the presence of other nearby cells. Filamentous fungi depend on somatic cell-to-cell communication and fusion for the development and maintenance of a multicellular, interconnected colony that is characteristic of this group of organisms. The filamentous fungus Neurospora crassa is a model for investigating the mechanisms of somatic cell-to-cell communication and fusion. N. crassa cells chemotropically grow toward genetically similar cells, which ultimately make physical contact and undergo cell fusion. Here, we describe the development of a Pprm1-luciferase reporter system that differentiates whether genes function upstream or downstream of a conserved MAP kinase (MAPK) signaling complex, by using a set of mutants required for communication and cell fusion. The vast majority of these mutants are deficient for self-fusion and for fusion when paired with wild-type cells. However, the Δ ham-11 mutant is unique in that it fails to undergo self-fusion, but chemotropic interactions and cell fusion are restored in Δ ham-11 + wild-type interactions. In genetically dissimilar cells, chemotropic interactions are regulated by genetic differences at doc-1 and doc-2 , which regulate prefusion non-self recognition; cells with dissimilar doc-1 and doc-2 alleles show greatly reduced cell-fusion frequencies. Here, we show that HAM-11 functions in parallel with the DOC-1 and DOC-2 proteins to regulate the activity of the MAPK signaling complex. Together, our data support a model of integrated self and non-self recognition processes that modulate somatic cell-to-cell communication in N. crassa ., (Copyright © 2019 by the Genetics Society of America.)
- Published
- 2019
- Full Text
- View/download PDF
21. Expression of the Fusarium graminearum terpenome and involvement of the endoplasmic reticulum-derived toxisome.
- Author
-
Flynn CM, Broz K, Jonkers W, Schmidt-Dannert C, and Kistler HC
- Subjects
- Carbon-Carbon Lyases genetics, Carbon-Carbon Lyases metabolism, Cyclohexenes metabolism, Fusarium genetics, Mycotoxins metabolism, Polyisoprenyl Phosphates metabolism, Cytoplasmic Vesicles metabolism, Endoplasmic Reticulum metabolism, Fusarium metabolism, Sesquiterpenes metabolism
- Abstract
The sesquiterpenoid deoxynivalenol (DON) is an important trichothecene mycotoxin produced by the cereal pathogen Fusarium graminearum. DON is synthesized in specialized subcellular structures called toxisomes. The first step in DON synthesis is catalyzed by the sesquiterpene synthase (STS), Tri5 (trichodiene synthase), resulting in the cyclization of farnesyl diphosphate (FPP) to produce the sesquiterpene trichodiene. Tri5 is one of eight putative STSs in the F. graminearum genome. To better understand the F. graminearum terpenome, the volatile and soluble fractions of fungal cultures were sampled. Stringent regulation of sesquiterpene accumulation was observed. When grown in trichothecene induction medium, the fungus produces trichothecenes as well as several volatile non-trichothecene related sesquiterpenes, whereas no volatile terpenes were detected when grown in non-inducing medium. Surprisingly, a Δtri5 deletion strain grown in inducing conditions not only ceased accumulation of trichothecenes, but also failed to produce the non-trichothecene related sesquiterpenes. To test whether Tri5 from F. graminearum may be a promiscuous STS directly producing all observed sesquiterpenes, Tri5 was cloned and expressed in E. coli and shown to produce primarily trichodiene in addition to minor, related cyclization products. Therefore, while Tri5 expression in F. graminearum is necessary for non-trichothecene sesquiterpene biosynthesis, direct catalysis by Tri5 does not explain the sesquiterpene deficient phenotype observed in the Δtri5 strain. To test whether Tri5 protein, separate from its enzymatic activity, may be required for non-trichothecene synthesis, the Tri5 locus was replaced with an enzymatically inactive, but structurally unaffected tri5
N225D S229T allele. This allele restores non-trichothecene synthesis but not trichothecene synthesis. The tri5N225D S229T allele also restores toxisome structure which is lacking in the Δtri5 deletion strain. Our results indicate that the Tri5 protein, but not its enzymatic activity, is also required for the synthesis of non-trichothecene related sesquiterpenes and the formation of toxisomes. Toxisomes thus not only may be important for DON synthesis, but also for the synthesis of other sesquiterpene mycotoxins such as culmorin by F. graminearum., (Published by Elsevier Inc.)- Published
- 2019
- Full Text
- View/download PDF
22. Characteristics and healthcare utilisation patterns of high-cost beneficiaries in the Netherlands: a cross-sectional claims database study.
- Author
-
Wammes JJG, Tanke M, Jonkers W, Westert GP, Van der Wees P, and Jeurissen PP
- Subjects
- Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Child, Child, Preschool, Cost of Illness, Cross-Sectional Studies, Female, Health Services Needs and Demand, Humans, Infant, Infant, Newborn, Insurance Claim Review, Male, Middle Aged, Netherlands, Young Adult, Health Care Costs statistics & numerical data, Health Expenditures statistics & numerical data, Patient Acceptance of Health Care statistics & numerical data
- Abstract
Objective: To determine medical needs, demographic characteristics and healthcare utilisation patterns of the top 1% and top 2%-5% high-cost beneficiaries in the Netherlands., Design: Cross-sectional study using 1 year claims data. We broke down high-cost beneficiaries by demographics, the most cost-incurring condition per beneficiary and expensive treatment use., Setting: Dutch curative health system, a health system with universal coverage., Participants: 4.5 million beneficiaries of one health insurer., Measures: Annual total costs through hospital, intensive care unit use, expensive drugs, other pharmaceuticals, mental care and others; demographics; most cost-incurring and secondary conditions; inpatient stay; number of morbidities; costs per ICD10-chapter (International Statistical Classification of Diseases, 10th revision); and expensive treatment use (including dialysis, transplant surgery, expensive drugs, intensive care unit and diagnosis-related groups >€30 000)., Results: The top 1% and top 2%-5% beneficiaries accounted for 23% and 26% of total expenditures, respectively. Among top 1% beneficiaries, hospital care represented 76% of spending, of which, respectively, 9.0% and 9.1% were spent on expensive drugs and ICU care. We found that 54% of top 1% beneficiaries were aged 65 years or younger and that average costs sharply decreased with higher age within the top 1% group. Expensive treatments contributed to high costs in one-third of top 1% beneficiaries and in less than 10% of top 2%-5% beneficiaries. The average number of conditions was 5.5 and 4.0 for top 1% and top 2%-5% beneficiaries, respectively. 53% of top 1% beneficiaries were treated for circulatory disorders but for only 22% of top 1% beneficiaries this was their most cost-incurring condition., Conclusions: Expensive treatments, most cost-incurring condition and age proved to be informative variables for studying this heterogeneous population. Expensive treatments play a substantial role in high-costs beneficiaries. Interventions need to be aimed at beneficiaries of all ages; a sole focus on the elderly would leave many high-cost beneficiaries unaddressed. Tailored interventions are needed to meet the needs of high-cost beneficiaries and to avoid waste of scarce resources., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2017
- Full Text
- View/download PDF
23. Effector Gene Suites in Some Soil Isolates of Fusarium oxysporum Are Not Sufficient Predictors of Vascular Wilt in Tomato.
- Author
-
Jelinski NA, Broz K, Jonkers W, Ma LJ, and Kistler HC
- Subjects
- Fungal Proteins, Fusarium genetics, Fusarium metabolism, Gene Expression Regulation, Fungal physiology, Solanum lycopersicum microbiology, Plant Diseases microbiology, Soil Microbiology
- Abstract
Seventy-four Fusarium oxysporum soil isolates were assayed for known effector genes present in an F. oxysporum f. sp. lycopersici race 3 tomato wilt strain (FOL MN-25) obtained from the same fields in Manatee County, Florida. Based on the presence or absence of these genes, four haplotypes were defined, two of which represented 96% of the surveyed isolates. These two most common effector haplotypes contained either all or none of the assayed race 3 effector genes. We hypothesized that soil isolates with all surveyed effector genes, similar to FOL MN-25, would be pathogenic toward tomato, whereas isolates lacking all effectors would be nonpathogenic. However, inoculation experiments revealed that presence of the effector genes alone was not sufficient to ensure pathogenicity on tomato. Interestingly, a nonpathogenic isolate containing the full suite of unmutated effector genes (FOS 4-4) appears to have undergone a chromosomal rearrangement yet remains vegetatively compatible with FOL MN-25. These observations confirm the highly dynamic nature of the F. oxysporum genome and support the conclusion that pathogenesis among free-living populations of F. oxysporum is a complex process. Therefore, the presence of effector genes alone may not be an accurate predictor of pathogenicity among soil isolates of F. oxysporum.
- Published
- 2017
- Full Text
- View/download PDF
24. Chemotropism and Cell Fusion in Neurospora crassa Relies on the Formation of Distinct Protein Complexes by HAM-5 and a Novel Protein HAM-14.
- Author
-
Jonkers W, Fischer MS, Do HP, Starr TL, and Glass NL
- Subjects
- Fungal Proteins genetics, Hyphae growth & development, Hyphae metabolism, Neurospora crassa genetics, Neurospora crassa growth & development, Protein Binding, Protein Kinases genetics, Fungal Proteins metabolism, Neurospora crassa metabolism, Protein Kinases metabolism, Tropism
- Abstract
In filamentous fungi, communication is essential for the formation of an interconnected, multinucleate, syncytial network, which is constructed via hyphal fusion or fusion of germinated asexual spores (germlings). Anastomosis in filamentous fungi is comparable to other somatic cell fusion events resulting in syncytia, including myoblast fusion during muscle differentiation, macrophage fusion, and fusion of trophoblasts during placental development. In Neurospora crassa, fusion of genetically identical germlings is a highly dynamic and regulated process that requires components of a MAP kinase signal transduction pathway. The kinase pathway components (NRC-1, MEK-2 and MAK-2) and the scaffold protein HAM-5 are recruited to hyphae and germling tips undergoing chemotropic interactions. The MAK-2/HAM-5 protein complex shows dynamic oscillation to hyphae/germling tips during chemotropic interactions, and which is out-of-phase to the dynamic localization of SOFT, which is a scaffold protein for components of the cell wall integrity MAP kinase pathway. In this study, we functionally characterize HAM-5 by generating ham-5 truncation constructs and show that the N-terminal half of HAM-5 was essential for function. This region is required for MAK-2 and MEK-2 interaction and for correct cellular localization of HAM-5 to "fusion puncta." The localization of HAM-5 to puncta was not perturbed in 21 different fusion mutants, nor did these puncta colocalize with components of the secretory pathway. We also identified HAM-14 as a novel member of the HAM-5/MAK-2 pathway by mining MAK-2 phosphoproteomics data. HAM-14 was essential for germling fusion, but not for hyphal fusion. Colocalization and coimmunoprecipitation data indicate that HAM-14 interacts with MAK-2 and MEK-2 and may be involved in recruiting MAK-2 (and MEK-2) to complexes containing HAM-5., (Copyright © 2016 by the Genetics Society of America.)
- Published
- 2016
- Full Text
- View/download PDF
25. Introducing the Concept of the Minimally Important Difference to Determine a Clinically Relevant Change on Patient-Reported Outcome Measures in Patients with Intermittent Claudication.
- Author
-
Conijn AP, Jonkers W, Rouwet EV, Vahl AC, Reekers JA, and Koelemay MJ
- Subjects
- Aged, Angioplasty, Exercise Therapy, Feasibility Studies, Female, Follow-Up Studies, Health Status, Humans, Male, Netherlands, Pilot Projects, Prospective Studies, Quality of Life, Treatment Outcome, Walking, Intermittent Claudication therapy, Patient Outcome Assessment, Surveys and Questionnaires
- Abstract
Purpose: The minimally important difference (MID) represents the smallest change in score on patient-reported outcome measures that is relevant to patients. The aim of this study was to introduce the MID for the Vascular Quality of Life Questionnaire (VascuQol) and the walking impairment questionnaire (WIQ) for patients with intermittent claudication (IC)., Methods: In this multicenter study, we recruited 294 patients with IC between July and October 2012. Patients completed the VascuQol, with scores ranging from 1 to 7 (worst to best), and the WIQ, with scores ranging from 0 to 1 (worst to best) at first visit and after 4 months follow-up. In addition, patients answered an anchor-question rating their health status compared to baseline, as being improved, unchanged, or deteriorated. The MID for improvement and deterioration was calculated by an anchor-based approach, and determined with the upper and lower limits of the 95 % confidence interval of the mean change of the group who had not changed according to the anchor-question., Results: For the MID analyses of the VascuQol and WIQ, 163 and 134 patients were included, respectively. The MID values for the VascuQol (mean baseline score 4.25) were 0.87 for improvement and 0.23 for deterioration. For the WIQ (mean baseline score 0.39), we found MID values of 0.11 and -0.03 for improvement and deterioration, respectively., Conclusion: In this study, we calculated the MID for the VascuQol and the WIQ. Applying these MID facilitates better interpretation of treatment outcomes and can help to set treatment goals for individual care.
- Published
- 2015
- Full Text
- View/download PDF
26. Striking the right chord: moving music increases psychological transportation and behavioral intentions.
- Author
-
Strick M, de Bruin HL, de Ruiter LC, and Jonkers W
- Subjects
- Auditory Perception, Female, Humans, Intention, Male, Memory, Persuasive Communication, Young Adult, Advertising methods, Consumer Behavior, Emotions, Music psychology
- Abstract
Three experiments among university students (N = 372) investigated the persuasive power of moving (i.e., intensely emotional and "chills"-evoking) music in audio-visual advertising. Although advertisers typically aim to increase elaborate processing of the message, these studies illustrate that the persuasive effect of moving music is based on increased narrative transportation ("getting lost" in the ad's story), which reduces critical processing. In Experiment 1, moving music increased transportation and some behavioral intentions (e.g., to donate money). Experiment 2 experimentally increased the salience of manipulative intent of the advertiser, and showed that moving music reduces inferences of manipulative intent, leading in turn to increased behavioral intentions. Experiment 3 tested boundary effects, and showed that moving music fails to increase behavioral intentions when the salience of manipulative intent is either extremely high (which precludes transportation) or extremely low (which precludes reduction of inferences of manipulative intent). Moving music did not increase memory performance, beliefs, and explicit attitudes, suggesting that the influence is affect-based rather cognition-based. Together, these studies illustrate that moving music reduces inferences of manipulation and increases behavioral intentions by transporting viewers into the story of the ad., (PsycINFO Database Record (c) 2015 APA, all rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
27. HAM-5 functions as a MAP kinase scaffold during cell fusion in Neurospora crassa.
- Author
-
Jonkers W, Leeder AC, Ansong C, Wang Y, Yang F, Starr TL, Camp DG 2nd, Smith RD, and Glass NL
- Subjects
- Cell Fusion, Fungal Proteins metabolism, Histidine Kinase, Hyphae genetics, Hyphae growth & development, MAP Kinase Kinase 2 metabolism, MAP Kinase Signaling System genetics, Neurospora crassa genetics, Neurospora crassa metabolism, Protein Kinases metabolism, Protein Serine-Threonine Kinases metabolism, Spores, Fungal genetics, Spores, Fungal growth & development, Fungal Proteins genetics, MAP Kinase Kinase 2 genetics, Membrane Proteins genetics, Mitogen-Activated Protein Kinases genetics, Protein Kinases genetics, Protein Serine-Threonine Kinases genetics
- Abstract
Cell fusion in genetically identical Neurospora crassa germlings and in hyphae is a highly regulated process involving the activation of a conserved MAP kinase cascade that includes NRC-1, MEK-2 and MAK-2. During chemotrophic growth in germlings, the MAP kinase cascade members localize to conidial anastomosis tube (CAT) tips every ∼8 minutes, perfectly out of phase with another protein that is recruited to the tip: SOFT, a recently identified scaffold for the MAK-1 MAP kinase pathway in Sordaria macrospora. How the MAK-2 oscillation process is initiated, maintained and what proteins regulate the MAP kinase cascade is currently unclear. A global phosphoproteomics approach using an allele of mak-2 (mak-2Q100G) that can be specifically inhibited by the ATP analog 1NM-PP1 was utilized to identify MAK-2 kinase targets in germlings that were potentially involved in this process. One such putative target was HAM-5, a protein of unknown biochemical function. Previously, Δham-5 mutants were shown to be deficient for hyphal fusion. Here we show that HAM-5-GFP co-localized with NRC-1, MEK-2 and MAK-2 and oscillated with identical dynamics from the cytoplasm to CAT tips during chemotropic interactions. In the Δmak-2 strain, HAM-5-GFP localized to punctate complexes that did not oscillate, but still localized to the germling tip, suggesting that MAK-2 activity influences HAM-5 function/localization. However, MAK-2-GFP showed cytoplasmic and nuclear localization in a Δham-5 strain and did not localize to puncta. Via co-immunoprecipitation experiments, HAM-5 was shown to physically interact with NRC-1, MEK-2 and MAK-2, suggesting that it functions as a scaffold/transport hub for the MAP kinase cascade members for oscillation and chemotropic interactions during germling and hyphal fusion in N. crassa. The identification of HAM-5 as a scaffold-like protein will help to link the activation of MAK-2 cascade to upstream factors and proteins involved in this intriguing process of fungal communication.
- Published
- 2014
- Full Text
- View/download PDF
28. The genome of the generalist plant pathogen Fusarium avenaceum is enriched with genes involved in redox, signaling and secondary metabolism.
- Author
-
Lysøe E, Harris LJ, Walkowiak S, Subramaniam R, Divon HH, Riiser ES, Llorens C, Gabaldón T, Kistler HC, Jonkers W, Kolseth AK, Nielsen KF, Thrane U, and Frandsen RJ
- Subjects
- Fusarium cytology, Fusarium metabolism, Genomics, Metabolome genetics, Molecular Sequence Data, Oxidation-Reduction, Secondary Metabolism, Species Specificity, Transcriptome, Fusarium genetics, Fusarium physiology, Genes, Fungal genetics, Hordeum microbiology, Signal Transduction genetics, Triticum microbiology
- Abstract
Fusarium avenaceum is a fungus commonly isolated from soil and associated with a wide range of host plants. We present here three genome sequences of F. avenaceum, one isolated from barley in Finland and two from spring and winter wheat in Canada. The sizes of the three genomes range from 41.6-43.1 MB, with 13217-13445 predicted protein-coding genes. Whole-genome analysis showed that the three genomes are highly syntenic, and share>95% gene orthologs. Comparative analysis to other sequenced Fusaria shows that F. avenaceum has a very large potential for producing secondary metabolites, with between 75 and 80 key enzymes belonging to the polyketide, non-ribosomal peptide, terpene, alkaloid and indole-diterpene synthase classes. In addition to known metabolites from F. avenaceum, fuscofusarin and JM-47 were detected for the first time in this species. Many protein families are expanded in F. avenaceum, such as transcription factors, and proteins involved in redox reactions and signal transduction, suggesting evolutionary adaptation to a diverse and cosmopolitan ecology. We found that 20% of all predicted proteins were considered to be secreted, supporting a life in the extracellular space during interaction with plant hosts.
- Published
- 2014
- Full Text
- View/download PDF
29. EBR1 genomic expansion and its role in virulence of Fusarium species.
- Author
-
Jonkers W, Xayamongkhon H, Haas M, Olivain C, van der Does HC, Broz K, Rep M, Alabouvette C, Steinberg C, and Kistler HC
- Subjects
- Base Sequence, DNA Copy Number Variations, Fungal Proteins metabolism, Gene Deletion, Solanum lycopersicum microbiology, Phenotype, Plant Diseases microbiology, Species Specificity, Transcription Factors metabolism, Transcriptome, Triticum microbiology, Virulence, Chromosomes, Fungal chemistry, Fungal Proteins genetics, Fusarium genetics, Fusarium pathogenicity, Gene Expression Regulation, Fungal, Genome, Fungal, Transcription Factors genetics
- Abstract
Genome sequencing of Fusarium oxysporum revealed that pathogenic forms of this fungus harbour supernumerary chromosomes with a wide variety of genes, many of which likely encode traits required for pathogenicity or niche specialization. Specific transcription factor gene families are expanded on these chromosomes including the EBR1 family (Enhanced Branching). The significance of the EBR1 family expansion on supernumerary chromosomes and whether EBR1 paralogues are functional is currently unknown. EBR1 is found as a single copy in F.graminearum and other fungi but as multiple paralogues in pathogenic F.oxysporum strains. These paralogues exhibit sequence and copy number variation among different host-specific strains and even between more closely related strains. Relative expression of the EBR1 paralogues depends on growth conditions and on the presence of the single EBR1 gene in the core genome. Deletion of EBR1 in the core genome in different F.oxysporum strains resulted in impaired growth, reduced pathogenicity and slightly reduced biocontrol capacities. To identify genes regulated by EBR1, the transcriptomes of wild-type and Δebr1 strains were compared for both F.oxysporum and F.graminearum. These studies showed that in both species, EBR1 regulates genes involved in general metabolism as well as virulence., (© 2013 Society for Applied Microbiology and John Wiley & Sons Ltd.)
- Published
- 2014
- Full Text
- View/download PDF
30. Early colony establishment in Neurospora crassa requires a MAP kinase regulatory network.
- Author
-
Leeder AC, Jonkers W, Li J, and Glass NL
- Subjects
- Fungal Proteins chemistry, Fungal Proteins genetics, Fungal Proteins metabolism, Gene Expression Profiling, Gene Expression Regulation, Developmental, Gene Expression Regulation, Fungal, Genes, Fungal, Homeodomain Proteins chemistry, Homeodomain Proteins genetics, Homeodomain Proteins metabolism, Mutation, Neurospora crassa genetics, Oligonucleotide Array Sequence Analysis, Phenotype, Transcription Factors chemistry, Transcription Factors genetics, Transcription Factors metabolism, MAP Kinase Signaling System genetics, Neurospora crassa growth & development, Neurospora crassa metabolism
- Abstract
Vegetative fusion is essential for the development of an interconnected colony in many filamentous fungi. In the ascomycete fungus Neurospora crassa, vegetative fusion occurs between germinated conidia (germlings) via specialized structures termed "conidial anastomosis tubes" (CATs) and between hyphae within a mature colony. In N. crassa, both CAT and hyphal fusion are under the regulation of a conserved MAP kinase cascade (NRC1, MEK2, and MAK2). Here we show that the predicted downstream target of the MAK2 kinase pathway, a Ste12-like transcription factor known as PP1, regulates elements required for CAT and hyphal fusion. The PP1 regulatory network was revealed by expression profiling of wild type and the Δpp-1 mutant during conidial germination and colony establishment. To identify targets required for cell fusion more specifically, expression-profiling differences were assessed via inhibition of MAK2 kinase activity during chemotropic interactions and cell fusion. These approaches led to the identification of new targets of the cell fusion pathway that, when mutated, showed alterations in chemotropic signaling and cell fusion. In particular, conidial germlings carrying a deletion of NCU04732 (Δham-11) failed to show chemotropic interactions and cell fusion. However, signaling (as shown by oscillation of MAK2 and SO to CAT tips), chemotropism, and cell fusion were restored in Δham-11 germlings when matched with wild-type partner germlings. These data reveal novel insights into the complex process of self-signaling, germling fusion, and colony establishment in filamentous fungi.
- Published
- 2013
- Full Text
- View/download PDF
31. Interactions between Fusarium verticillioides, Ustilago maydis, and Zea mays: an endophyte, a pathogen, and their shared plant host.
- Author
-
Rodriguez Estrada AE, Jonkers W, Kistler HC, and May G
- Subjects
- Endophytes growth & development, Endophytes physiology, Plant Diseases microbiology, Symbiosis, Fusarium growth & development, Fusarium physiology, Host-Pathogen Interactions, Microbial Interactions, Ustilago growth & development, Ustilago pathogenicity, Zea mays microbiology
- Abstract
Highly diverse communities of microbial symbionts occupy eukaryotic organisms, including plants. While many well-studied symbionts may be characterized as either parasites or as mutualists, the prevalent but cryptic endophytic fungi are less easily qualified because they do not cause observable symptoms of their presence within their host. Here, we investigate the interactions of an endophytic fungus, Fusarium verticillioides with a pathogen, Ustilago maydis, as they occur within maize (Zea mays). We used experimental inoculations to evaluate metabolic mechanisms by which these three organisms might interact. We assessed the impacts of fungal-fungal interactions on endophyte and pathogen growth within the plant, and on plant growth. We find that F. verticillioides modulates the growth of U. maydis and thus decreases the pathogen's aggressiveness toward the plant. With co-inoculation of the endophyte with the pathogen, plant growth is similar to that which would be gained without the pathogen present. However, the endophyte may also break down plant compounds that limit U. maydis growth, and obtains a growth benefit from the presence of the pathogen. Thus, an endophyte such as F. verticillioides may function as both a defensive mutualist and a parasite, and express nutritional modes that depend on ecological context., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
32. Metabolome and transcriptome of the interaction between Ustilago maydis and Fusarium verticillioides in vitro.
- Author
-
Jonkers W, Rodriguez Estrada AE, Lee K, Breakspear A, May G, and Kistler HC
- Subjects
- Biomass, Culture Media, Fusarium growth & development, Fusarium physiology, Time Factors, Ustilago growth & development, Ustilago physiology, Zea mays microbiology, Fusarium genetics, Fusarium metabolism, Metabolome, Microbial Interactions, Transcriptome, Ustilago genetics, Ustilago metabolism
- Abstract
The metabolome and transcriptome of the maize-infecting fungi Ustilago maydis and Fusarium verticillioides were analyzed as the two fungi interact. Both fungi were grown for 7 days in liquid medium alone or together in order to study how this interaction changes their metabolomic and transcriptomic profiles. When grown together, decreased biomass accumulation occurs for both fungi after an initial acceleration of growth compared to the biomass changes that occur when grown alone. The biomass of U. maydis declined most severely over time and may be attributed to the action of F. verticillioides, which secretes toxic secondary metabolites and expresses genes encoding adhesive and cell wall-degrading proteins at higher levels than when grown alone. U. maydis responds to cocultivation by expressing siderophore biosynthetic genes and more highly expresses genes potentially involved in toxin biosynthesis. Also, higher expression was noted for clustered genes encoding secreted proteins that are unique to U. maydis and that may play a role during colonization of maize. Conversely, decreased gene expression was seen for U. maydis genes encoding the synthesis of ustilagic acid, mannosylerythritol D, and another uncharacterized metabolite. Ultimately, U. maydis is unable to react efficiently to the toxic response of F. verticillioides and proportionally loses more biomass. This in vitro study clarifies potential mechanisms of antagonism between these two fungi that also may occur in the soil or in maize, niches for both fungi where they likely interact in nature.
- Published
- 2012
- Full Text
- View/download PDF
33. The Wor1-like protein Fgp1 regulates pathogenicity, toxin synthesis and reproduction in the phytopathogenic fungus Fusarium graminearum.
- Author
-
Jonkers W, Dong Y, Broz K, and Kistler HC
- Subjects
- Amino Acid Sequence, Conserved Sequence, Food Contamination, Fusariosis immunology, Fusarium physiology, Gene Expression Regulation, Fungal, Gene Silencing, Host-Pathogen Interactions, Molecular Sequence Data, Mycotoxins immunology, Mycotoxins metabolism, Reproduction, Sequence Analysis, Protein, Species Specificity, Spores, Fungal physiology, Triticum microbiology, Fungal Proteins physiology, Fusariosis metabolism, Fusarium pathogenicity, Genes, Fungal genetics, Mycotoxins genetics
- Abstract
WOR1 is a gene for a conserved fungal regulatory protein controlling the dimorphic switch and pathogenicity determents in Candida albicans and its ortholog in the plant pathogen Fusarium oxysporum, called SGE1, is required for pathogenicity and expression of key plant effector proteins. F. graminearum, an important pathogen of cereals, is not known to employ switching and no effector proteins from F. graminearum have been found to date that are required for infection. In this study, the potential role of the WOR1-like gene in pathogenesis was tested in this toxigenic fungus. Deletion of the WOR1 ortholog (called FGP1) in F. graminearum results in greatly reduced pathogenicity and loss of trichothecene toxin accumulation in infected wheat plants and in vitro. The loss of toxin accumulation alone may be sufficient to explain the loss of pathogenicity to wheat. Under toxin-inducing conditions, expression of genes for trichothecene biosynthesis and many other genes are not detected or detected at lower levels in Δfgp1 strains. FGP1 is also involved in the developmental processes of conidium formation and sexual reproduction and modulates a morphological change that accompanies mycotoxin production in vitro. The Wor1-like proteins in Fusarium species have highly conserved N-terminal regions and remarkably divergent C-termini. Interchanging the N- and C- terminal portions of proteins from F. oxysporum and F. graminearum resulted in partial to complete loss of function. Wor1-like proteins are conserved but have evolved to regulate pathogenicity in a range of fungi, likely by adaptations to the C-terminal portion of the protein.
- Published
- 2012
- Full Text
- View/download PDF
34. The FRP1 F-box gene has different functions in sexuality, pathogenicity and metabolism in three fungal pathogens.
- Author
-
Jonkers W, VAN Kan JA, Tijm P, Lee YW, Tudzynski P, Rep M, and Michielse CB
- Subjects
- Amino Acid Sequence, Botrytis genetics, Botrytis growth & development, Carbon pharmacology, Conserved Sequence, Crosses, Genetic, F-Box Proteins chemistry, F-Box Proteins metabolism, Fungal Proteins chemistry, Fungal Proteins metabolism, Fusarium genetics, Fusarium growth & development, Gene Deletion, Genetic Complementation Test, Hordeum drug effects, Hordeum microbiology, Molecular Sequence Data, Phenotype, Plant Roots drug effects, Plant Roots microbiology, Reproduction genetics, Transformation, Genetic drug effects, Virulence drug effects, Botrytis metabolism, Botrytis pathogenicity, F-Box Proteins genetics, Fungal Proteins genetics, Fusarium metabolism, Fusarium pathogenicity, Genes, Fungal genetics, Plant Diseases microbiology
- Abstract
Plant-pathogenic fungi employ a variety of infection strategies; as a result, fungi probably rely on different sets of proteins for successful infection. The F-box protein Frp1, only present in filamentous fungi belonging to the Sordariomycetes, Leotiomycetes and Dothideomycetes, is required for nonsugar carbon catabolism and pathogenicity in the root-infecting fungus Fusarium oxysporum. To assess the role of Frp1 in other plant-pathogenic fungi, FRP1 deletion mutants were generated in Fusarium graminearum and Botrytis cinerea, and their phenotypes were analysed. Deletion of FgFRP1 in F. graminearum led to impaired infection of barley roots, but not of aerial plant parts. Deletion of BcFRP1 in B. cinerea did not show any effect on pathogenicity. Sexual reproduction, however, was impaired in both F. graminearum and B. cinerea FRP1 deletion mutants. The mutants of all three fungi displayed different phenotypes when grown on an array of carbon sources. The F. oxysporum and B. cinerea deletion mutants showed opposite growth phenotypes on sugar and nonsugar carbon sources. Replacement of FoFRP1 in F. oxysporum with the B. cinerea BcFRP1 resulted in the restoration of pathogenicity, but also in a switch from impaired growth on nonsugar carbon sources to impaired growth on sugar carbon sources. This effect could be ascribed in part to the B. cinerea BcFRP1 promoter sequence. In conclusion, the function of the F-box protein Frp1, despite its high sequence conservation, is not conserved between different fungi, leading to differential requirements for pathogenicity and carbon source utilization., (© 2011 The Authors. Molecular Plant Pathology © 2011 BSPP and Blackwell Publishing Ltd.)
- Published
- 2011
- Full Text
- View/download PDF
35. A novel transcriptional factor important for pathogenesis and ascosporogenesis in Fusarium graminearum.
- Author
-
Wang Y, Liu W, Hou Z, Wang C, Zhou X, Jonkers W, Ding S, Kistler HC, and Xu JR
- Subjects
- Base Sequence, DNA Primers, Fertilization, Fungal Proteins genetics, Fusarium pathogenicity, Gene Deletion, Gene Expression Regulation, Bacterial, Molecular Sequence Data, Mutagenesis, Mutagenesis, Insertional, Plant Diseases microbiology, Polymerase Chain Reaction, Reproduction genetics, Spores, Fungal genetics, Spores, Fungal pathogenicity, Transcription Factors genetics, Virulence genetics, Fusarium genetics, Hordeum microbiology, Triticum microbiology
- Abstract
Fusarium head blight or scab caused by Fusarium graminearum is an important disease of wheat and barley. The pathogen not only causes severe yield losses but also contaminates infested grains with mycotoxins. In a previous study, we identified several pathogenicity mutants by random insertional mutagenesis. One of these mutants was disrupted in the ZIF1 gene, which encodes a b-ZIP transcription factor unique to filamentous ascomycetes. The Δzif1 mutant generated by gene replacement was significantly reduced in deoxynivalenol (DON) production and virulence on flowering wheat heads. It was defective in spreading from inoculated florets to the rachis and other spikelets. Deletion of the ZIF1 ortholog MoZIF1 in the rice blast fungus also caused reductions in virulence and in invasive growth. In addition, the Δzif1 mutant is defective in sexual reproduction. Although it had normal male fertility, when selfed or mated as the female in outcrosess, the Δzif1 mutant produced small, pigmented perithecia that were sterile (lack of asci and ascospores), suggesting a female-specific role for ZIF1 during fertilization or ascus development. Similar female-specific defects in sexual reproduction were observed in the ΔMozif1 mutant. When mated as the female, the ΔMozif1 perithecia failed to develop long necks and asci or ascospores. The ZIF1 gene is well conserved in filamentous ascomycetes, particularly in the b-ZIP domain, which is essential for its function. Expression of ZIF1 in Magnaporthe oryzae complemented the defects of the ΔMozif1 mutant. These results indicate that this b-ZIP transcription factor is functionally conserved in these two fungal pathogens for plant infection and sexual reproduction.
- Published
- 2011
- Full Text
- View/download PDF
36. Comparative genomics reveals mobile pathogenicity chromosomes in Fusarium.
- Author
-
Ma LJ, van der Does HC, Borkovich KA, Coleman JJ, Daboussi MJ, Di Pietro A, Dufresne M, Freitag M, Grabherr M, Henrissat B, Houterman PM, Kang S, Shim WB, Woloshuk C, Xie X, Xu JR, Antoniw J, Baker SE, Bluhm BH, Breakspear A, Brown DW, Butchko RA, Chapman S, Coulson R, Coutinho PM, Danchin EG, Diener A, Gale LR, Gardiner DM, Goff S, Hammond-Kosack KE, Hilburn K, Hua-Van A, Jonkers W, Kazan K, Kodira CD, Koehrsen M, Kumar L, Lee YH, Li L, Manners JM, Miranda-Saavedra D, Mukherjee M, Park G, Park J, Park SY, Proctor RH, Regev A, Ruiz-Roldan MC, Sain D, Sakthikumar S, Sykes S, Schwartz DC, Turgeon BG, Wapinski I, Yoder O, Young S, Zeng Q, Zhou S, Galagan J, Cuomo CA, Kistler HC, and Rep M
- Subjects
- Evolution, Molecular, Fusarium classification, Host-Parasite Interactions genetics, Multigene Family genetics, Phenotype, Phylogeny, Proteome genetics, Sequence Analysis, DNA, Synteny genetics, Virulence genetics, Chromosomes, Fungal genetics, Fusarium genetics, Fusarium pathogenicity, Genome, Fungal genetics, Genomics
- Abstract
Fusarium species are among the most important phytopathogenic and toxigenic fungi. To understand the molecular underpinnings of pathogenicity in the genus Fusarium, we compared the genomes of three phenotypically diverse species: Fusarium graminearum, Fusarium verticillioides and Fusarium oxysporum f. sp. lycopersici. Our analysis revealed lineage-specific (LS) genomic regions in F. oxysporum that include four entire chromosomes and account for more than one-quarter of the genome. LS regions are rich in transposons and genes with distinct evolutionary profiles but related to pathogenicity, indicative of horizontal acquisition. Experimentally, we demonstrate the transfer of two LS chromosomes between strains of F. oxysporum, converting a non-pathogenic strain into a pathogen. Transfer of LS chromosomes between otherwise genetically isolated strains explains the polyphyletic origin of host specificity and the emergence of new pathogenic lineages in F. oxysporum. These findings put the evolution of fungal pathogenicity into a new perspective.
- Published
- 2010
- Full Text
- View/download PDF
37. Mutation of CRE1 in Fusarium oxysporum reverts the pathogenicity defects of the FRP1 deletion mutant.
- Author
-
Jonkers W and Rep M
- Subjects
- F-Box Proteins genetics, Fungal Proteins genetics, Fusarium genetics, Gene Expression Regulation, Fungal, Protein Kinases genetics, Protein Kinases metabolism, Repressor Proteins genetics, F-Box Proteins metabolism, Fungal Proteins metabolism, Fusarium metabolism, Fusarium pathogenicity, Gene Deletion, Solanum lycopersicum microbiology, Plant Diseases microbiology, Repressor Proteins metabolism
- Abstract
The F-box protein Frp1 is required for pathogenicity of Fusarium oxysporum f. sp. lycopersici towards tomato. The Delta frp1 mutant is deficient in expression of genes for cell wall-degrading enzymes (CWDEs) and ICL1, encoding a key enzyme for the assimilation of C2 carbon sources. An explanation for the inability of the Delta frp1 mutant to express these genes may be found in constitutive carbon catabolite repression. Cre1 is the transcriptional repressor in filamentous fungi known to repress several CWDE genes and other genes required for assimilation of non-sugar carbon sources. Here, we demonstrate that Frp1 and Cre1 both control the repression/derepression state of such genes. The replacement of CRE1 with GST::CRE1 resulted in a derepressed phenotype in wild-type background, suggesting that this replacement affects Cre1 function. Strikingly, in the Delta frp1 mutant the replacement of CRE1 with GST::CRE1 restored pathogenicity, growth on ethanol and expression of ICL1 and CWDE genes. A GFP-Cre1 fusion protein is not degraded nor exported out of the nucleus during growth on ethanol, a derepressing carbon source, suggesting that Cre1 is not likely a target of Frp1 for degradation by the proteasome. We conclude that both proteins function together to regulate transcription of carbon source utilization genes.
- Published
- 2009
- Full Text
- View/download PDF
38. Lessons from fungal F-box proteins.
- Author
-
Jonkers W and Rep M
- Subjects
- Base Sequence, Cell Division, F-Box Proteins chemistry, F-Box Proteins genetics, Fungal Proteins chemistry, Fungal Proteins genetics, Fungi chemistry, Fungi cytology, Fungi genetics, Molecular Sequence Data, Protein Binding, F-Box Proteins metabolism, Fungal Proteins metabolism, Fungi metabolism
- Published
- 2009
- Full Text
- View/download PDF
39. Impaired colonization and infection of tomato roots by the Deltafrp1 mutant of Fusarium oxysporum correlates with reduced CWDE gene expression.
- Author
-
Jonkers W, Rodrigues CD, and Rep M
- Subjects
- Amino Acids metabolism, Blotting, Northern, Cell Wall metabolism, Cell Wall microbiology, Fungal Proteins metabolism, Fusarium growth & development, Fusarium metabolism, Gene Expression Regulation, Fungal drug effects, Glucose metabolism, Glucose pharmacology, Mycelium drug effects, Mycelium genetics, Mycelium growth & development, Polysaccharides metabolism, Reverse Transcriptase Polymerase Chain Reaction, Spores, Fungal drug effects, Spores, Fungal genetics, Spores, Fungal growth & development, Fungal Proteins genetics, Fusarium genetics, Solanum lycopersicum microbiology, Mutation, Plant Roots microbiology
- Abstract
The vascular wilt pathogen Fusarium oxysporum f. sp. lycopersici efficiently invades roots and colonizes vascular tissues of its host tomato. For these processes, the F-box protein Frp1 is required. The Fusarium oxysporum Deltafrp1 mutant was characterized in detail to uncover the cause of its colonization defect. Using growth assays, we could attribute poor root colonization to reduced assimilation of organic acids, amino acids (except proline), or polysaccharides, singly or in combination. External root colonization by the Deltafrp1 mutant is restored by the addition of 0.1% glucose or proline but infection still does not occur. This is due to the inability of the Deltafrp1 mutant to penetrate the roots, as demonstrated by the lack of expression of SIX1 in the Deltafrp1 strain, which is a gene exclusively expressed inside roots, and loss of cell wall-degrading enzyme (CWDE) gene expression. Many of the metabolic defects of the Deltafrp1 strain can be attributed to reduced expression of the ICL1 (isocitrate lyase) gene. Strikingly, an Deltaicl1 mutant is still fully pathogenic and capable of external root colonization. We conclude that the inability of the Deltafrp1 strain to colonize and invade roots is not primarily due to metabolic defects but can be attributed to reduced expression of several CWDE genes.
- Published
- 2009
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.