The general availability of genetically defined strains, immunological reagents, ease of handling, and costs all contribute to the use of mice as the primary laboratory animal species for models of this disease. In 1999 I co-led the ALBATROSScruise around the Scotia Sea. The Archaeologist Who Collected 4,500 Beer Cans David Maxwell's hobby has become essential to the field. Stevens, D. A., Moss, R. B., Kurup, V. P., Knutsen, A. P., Greenberger, P., Judson, M. A., Denning, D. W., Crameri, R., Brody, A. S., Light, M., Skov, M., Maish, W., Mastella, G. Management of varicella-vaccinated patients and employees exposed to varicella in the healthcare setting. Trichophyton rubrum had a protein with a higher binding affinity (Kd, 1.6 X 10(-8) M). Fluconazole at 10 mg/kg did not reduce the fungal burden in secondary sites, the lungs and kidneys, whereas this itraconazole dose was more effective in clearing the fungi from both organs (P < 0.05 and P < 0.001, respectively). Prior to medical school, he inherited a small sum from his uncle which was to be put toward his education. Microbiological cultures, the current "gold standard", demonstrate poor sensitivity, thus diagnosis of invasive disease in the critically ill is difficult. In a screen of drugs previously tested in humans we identified itraconazole, a systemic antifungal, as a potent antagonist of the Hedgehog (Hh) signaling pathway that acts by a mechanism distinct from its inhibitory effect on fungal sterol biosynthesis. She stated in 2009 that she was working towards becoming a professor of anatomy. View details for Web of Science ID 000071515100041. 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. with 10(7) cfu of either the parental grand or a spontaneously derived petite from one of four isolates previously classified with differing degrees of virulence: YJM128, YJM309, YJM145 and Y55. View details for DOI 10.1128/AAC.00933-12, View details for Web of Science ID 000308807900041. Although no well-designed studies have been carried out, the available data support the use of corticosteroids for acute exacerbations of ABPA (AII). New possibilities in therapy produced plans for managing diverse clinical presentations. 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 . Cooperative enhancement of inhibition by a second drug could eradicate the effect. This persons work contributes towards the following SDG(s): Carpenter, L., Stevens, D., Jickells, T. & Wadley, M. Centre for Environment, Fisheries & Aquaculture Science. 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. (Medical school lecturer of Anatomy) and [????] 169:859-867, 1994). Your husband stayed at home to look after your daughter Phoebe in 2012. Hyphae produced in the presence of micafungin (0.01 microg/ml) and incubated again with micafungin for 24 h inhibited growth by 47%; combination with monocytes resulted in 62% inhibition. These molecules are different from the conventional DNA-interacting drugs such as topoisomerase inhibitors, DNA alkylators or intercalators. We reviewed data from all published in vitro studies, animal model studies, and clinical reports and recent abstracts on combination and sequential antifungal therapy for IA from 1966-2001. Choi, J. H., Brummer, E., Kang, Y. J., Jones, P. P., Stevens, D. A. Current treatments provide limited benefit. View details for Web of Science ID 000186262900003, Among patients undergoing heart transplantation, Aspergillus is the opportunistic pathogen with the highest attributable mortality. And we all need university research to be as relevant to wider society as possible". The bioassay had an overall positive bias (+23.5%) compared to the UPLC. These studies suggest GM-CSF treatment prior to and concurrent with steroid immunosuppression may ameliorate the steroid effect on tissue macrophage antifungal activity, but does not affect steroid suppression of T-cell immunity. Developing a vaccine against aspergillosis, Hormones and the Resistance of Women to Paracoccidioidomycosis. Therefore, it was important to determine if there was any association between putative virulence traits and virulence that might help explain the variation in virulence phenotypes. 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. Risk factors for and symptoms in infants with M. pachydermatis fungemia appeared to be similar to those described for Malassezia furfur sepsis. D-optimal design provided maximally informative sampling times for future pharmacokinetic studies. Interferon-gamma (IFN-gamma) treatment increased PMN killing of Bd by PMN of young animals from 37 to 80%. In addition, clearance of the infection from both tissues was achieved in none of the rabbits, and neither tissue was cleared of infection in AMB-treated animals. View details for Web of Science ID 000220735200015. Headache, hair loss and anorexia were the most common symptoms experienced (each by 3% of patients), and eosinophilia and aspartate aminotransferase increases were the most common laboratory findings (12 and 10%, respectively). Tissue samples were collected for high performance liquid chromatography (HPLC) analysis and histology. When clusters appear, determination of genetic relatedness among strains and identification of a common source are important. Four years later amphotericin B followed, which is still the historical standard against which new systemic antifungals are compared. The decision to taper steroids should be made on an individual basis, depending on clinical course. The cumulative percent toxicity requiring discontinuation of drug was 6, 17, 23, and 56% at 400-, 800-, 1,200-, and 1,600-mg doses. Because aspergillosis is an important pulmonary disease in birds, avian models have been used successfully to study preventative vaccines. This showed GM-CSF reverses the immunosuppressive effect of DEX by enhancing the degradation of IkappaB and promoting the translocation of NF-kappaB to the nucleus. She spent a decade teaching anatomy at. View details for DOI 10.3109/08820139.2012.692418, View details for Web of Science ID 000311897400004. Albany. 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. View details for DOI 10.1111/j.1439-0507.2008.01649.x, View details for Web of Science ID 000270589000004. WT and KO mice were dose-responsively susceptible. Both methods showed AMB efficacy in the kidneys, and qPCR demonstrated CAS efficacy at all doses. Most Aspergillus culture isolates from nonsterile body sites do not represent disease. Proceedings of the Society of California Archaeology 23:175-180. DCA (Doctorate in Creative Arts: Political and Social Justice), Member: Australian Psychological Society (APS), Fellow of the APS College of the Organisational Psychologists, (Ret.) ABLC was as effective as LAmB in neutropenic but not DKA mice. We report here studies which show that escape from growth inhibition is related to the enzymatic transformation of progesterone to polar metabolites. lists Getty. Invasive aspergillosis. All AmBi-, FLC-, or AMB-treated animals survived and had prolonged lengths of survival compared with those for the controls (P < 0.0001). Here, we emphasize prevention and an approach to a laboratory accident that minimizes the risk of exposure to laboratory staff and staff in adjacent areas. DEX (10(-7)M) significantly suppressed IL-1 and TNF production by BAM+conidia. Stevens, D. A., Calderon, L., Martinez, M., Clemons, K. V., Wilson, S. J., Selitrennikoff, C. P. Development of a murine model of cerebral aspergillosis. Statistical analysis of the data demonstrates a strong correlation between homozygosity at the MTL locus and azole resistance (P<0 small middle dot003). No patient had discontinuation of the study drug due to toxicity. Rabbits have been used to study IPA and systemic disease, as well as fungal keratitis. These data indicate that RCZ should be studied further. Other associated conditions include influenza, nonfungal pneumonia, chronic obstructive lung disease, immaturity, sepsis, liver failure, alcoholism, chronic granulomatous disease and surgery. To study the interaction of antifungal drugs in topical therapy.Local therapy of Candida vaginitis with drugs alone and in combination was examined in a murine model. ; 3 mg/kg of body weight) or intravenously (i.v. Most patients with IPA presented with fever and cough within the first 90 days of transplantation and with single or multiple pulmonary nodules. Endobronchial and intracavitary instillation of antifungals or oral itraconazole may be useful for this condition. A Celebrated West Texas Archaeologist Has Been Firedand No One Will Say Why. > present (Member of the Advisory Board of the Cheltenham Festival of Science) and [????] Controls showed progressive disease, whereas animals treated with either dose of either drug showed few clinical signs of infection. Since macrophage production of TNF-alpha is an important innate immune response, we examined a mouse peritoneal macrophage (PM) cell line (RAW) and resident PM from CD-1 mice to study TNF-alpha production by PM stimulated with heat-killed (HK) or live B. dermatitidis yeast cells. Outside of work, I enjoy Kayaking, walking and going out for coffee and seeing films. Best Match Powered by Whitepages Premium AGE -- David Stevens Little Neck, NY (Northeastern Queens) View Full Report Addresses 68th Ave, Little Neck, NY Phone Numbers (718) Expansion of this study to include other competitors revealed that R5020 (a synthetic progestin), androstenedione, and dehydroepiandosterone possessed relative binding affinities which were 20, 11, and 9% of that of progesterone, respectively. Particularly, questions of socioeconomic distribution, Rawlsian justice as fairness, equality of opportunity and education, environmental justice. I was deeply involved in theFine Resolution Antarctic Model (FRAM)project and theOcean Circulation and Climate Advanced Modelling (OCCAM)project. Cells treated with amphotericin B (AmB), micafungin (MF), and voriconazole (VCZ), at concentrations not affecting cell viability, reduced production of tumor necrosis factor (TNF)-alpha in response to conidia, with the greatest reduction noted with VCZ. Our results suggest this estrogen insensitivity may have broad-ranging effects on processes other than gametogenesis, including vaginal susceptibility to candidiasis. In both CD-1 and DBA/2N, the mean log10 cfu of grands recovered from the brain was significantly higher than that of the petites (P<0001). Seven of 10 other S. cerevisiae isolates were also more virulent in DBA/2N than CD-1 mice, causing > or = 40% mortality. View details for DOI 10.1196/annals.1406.029, View details for Web of Science ID 000250750700017. This block has been demonstrated to occur in vivo in animal studies. Saccharomyces cerevisiae isolates have been shown previously to exhibit a high degree of variation in their ability to proliferate and persist in CD-1 mice (K.V. If SP-A-/- BALF was mixed in equal amounts with SP-D-/- BALF, TNF-alpha production by BAM-B. Thus, both itraconazole and fluconazole were effective at controlling CM, but neither eliminated Coccidioides from tissues. Cellular DNA, isolated after the lysis of protoplasts, was amplified by PCR using ITS1 and ITS4 primers, purified by liquid chromatography, and digested with restriction endonucleases. To assess the virulence of petites in vivo, two mouse models, CD-1 and DBA/ 2N, were infected i.v. View details for Web of Science ID 000173949300004. [2][3] Upon his retirement in 1879, Stevens moved to Reading, Berkshire as a widower to pursue his archaeological and geological interests. Clemons, K. V., Martinez, M., Calderon, L., Stevens, D. A. In 2 experiments with up to 70% mortality of neutropenic controls, transfusion of 10(7) PMNs 1 and 4 days after challenge had negligible effects on peripheral WBC counts but improved survival (P = 0.007, 0.02), decreased lung CFU (P = 0.03, 0.005), and cleared infection in 28 to 50% of survivors. Comparative efficacies of conventional amphotericin B, liposomal amphotericin B (AmBisome), caspofungin, micafungin, and voriconazole alone and in combination against experimental murine central nervous system aspergillosis. Rises in creatinine were mild (clinical toxicity criteria 1) in all patients with elevations. 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Other studies have shown efficacy in cryptococcal meningitis in AIDS comparable to conventional therapy and with far less toxicity, and also in prevention of relapse of cryptococcal disease. Clemons, K. V., Schar, G., Stover, E. P., Feldman, D., Stevens, D. A. View details for DOI 10.1099/jmm.0.028399-0, View details for Web of Science ID 000292578700007. We assessed the role of MBL in experimental systemic aspergillosis. Increased levels of transcripts corresponding to IL-1 alpha, tumor necrosis factor alpha (TNF-alpha), and iNOS were detected as early as day 1 postinfection, with TNF-alpha rising by approximately 30-fold and iNOS increasing by approximately 5-fold by day 7. Microsatellite typing of 25 Candida parapsilosis isolates from a described outbreak in a neonatal intensive care showed 2 large groups of blood isolates that were related to hand isolates from specific hospital staff, not infant-colonizing isolates. Daily oral VCZ at 20 or 40 mg/kg was initiated 24 h postinfection (PI); infected diluent-treated birds were given de-ionized water orally. Last year, you joined our Twitter chat on breastfeeding bribes. An enzyme-linked immunosorbent assay was used to measure tumor necrosis factor alpha (TNF-alpha) in culture supernatants. In cryptococcosis, pronase treatment of serum has reduced false positives and false negatives, and improved reproducibility of titres. The decision to taper corticosteroids should be made on an individual basis, depending on the clinical course (BIII). (ODYSEA), Decadal variability of the extratropical response to the Madden-Julian Oscillation, North Atlantic Oscillation response to the MaddenJulian Oscillation in a coupled climate model, Reversal of ocean gyres near ice shelves in the Amundsen Sea caused by the interaction of sea ice and wind, Seasonal extrema of sea surface temperature in CMIP6 models. Although polymorphonuclear leukocytes (PMNs) are powerfully anti-Aspergillus, transfusion therapy remains controversial, with conflicting results, and experimental support has been lacking. Although no survivors were free of infection, no antagonism was seen. Conclusions: A proper IL-12 treatment protocol induces resistance (survival and decreased growth in lungs), low toxicity, macrophage responsiveness to IFN-gamma for killing Blastomyces, up-regulation of IFN-gamma and down-regulation of IL-10 production. The resistance seen in mouse strain CD-1 is of particular interest in that CD-1 is known to be resistant to endocrine disruption by estrogen. In recent years, understanding the role of messenger molecules (cytokines), in coordinating and augmenting cellular immunity has been ascendant. View details for Web of Science ID A1988Q160000035, View details for PubMedCentralID PMC266826. Neither method indicated drug efficacy in the brain. We examined a large isolate collection (n = 117) for the presence of cryptic A. terreus species and employed a genome scanning method, Inter-Simple Sequence Repeat (ISSR) PCR to determine A. terreus population structure.Comparative sequence analyses of the calmodulin locus revealed the presence of the recently recognized species A. alabamensis (n = 4) in this collection. Studies of the paradoxical effect of caspofungin at high drug concentrations. Invasive aspergillosis is frequently a fatal disease in the setting of immunosuppression, including organ transplant recipients. However, only two or fewer given a regimen of ABLC or AmBi were cured of infection in both tissues. GM-CSF enhanced both mono and MDM with VCZ at 0.01 and 0.05 microg ml(-1) in killing Cn to 62% and 86%, and 61% and 84%, respectively. Here we compare the virulence of a fos-1 deletion strain with that of the parental wild-type strain in a murine model of systemic aspergillosis. Oral therapy with cyclodextrin (control) or itraconazole or fluconazole at 10, 25, or 50 mg/kg of body weight twice daily (BID) was given for 12 days, from day 3 of infection. Although new drugs have been introduced to combat this problem, the development of resistance to antifungal drugs has become increasingly apparent, especially in patients who require long-term treatment or who are receiving antifungal prophylaxis, and there is growing awareness of shifts of flora to more-resistant species. The fungicidal activity of young bronchoalveolar macrophages (BAM) (20%) against Blastomyces dermatitidis (Bd) was comparable to killing by adult BAM (25%). AMB alone and MICA + AMB or MICA +NIK significantly prolonged survival (P < 0.05 - 0.02) over that of the controls. New nucleic acid-based research is promising. By contrast, DEX suppression of lymphocyte responses to concanavalin A was maintained during co-culture with GM-CSF. Montoya, J. G., Chaparro, S. V., Celis, D., Cortes, J. C. parapsilosis sensu stricto had significantly higher caspofungin (CAS) and anidulafungin MICs than C. orthopsilosis or C. metapsilosis; C. metapsilosis was least susceptible to fluconazole. Low-dose ABLC was less effective than LAmB at reducing brain fungal burdens in both models. of Oakland Research Inst. Other rodent species, such as rat, have been used much less frequently. Group A contained 43 isolates (35 clinical and 8 nonclinical isolates) in 31 discernible subgroups, and group B had 17 isolates (14 clinical and 3 nonclinical isolates) in 10 subgroups. The patient was treated with intravenous amphotericin B followed by endoscopic laser surgery that relieved the obstruction. He is most remembered for Spouse of Dr Alice Roberts. S. cerevisiae isolates spanning a range of virulence phenotypes in experimental infections were examined for putative virulence traits: the ability to grow at supraoptimal temperatures (42, 39, and 37 degrees C), gelatin liquefaction, casein utilization, and pseudohyphal formation. Thanks Alice. Multiple Modes of Monumentality: Case Studies from the American South. BAM from CD-1 mice were stimulated with B. dermatitidis without or with normal BALF, surfactant protein A-deficient (SP-A-/-) or surfactant protein D-deficient (SP-D-/-) BALF, or a mixture of SP-A-/- and SP-D-/- BALF. View details for Web of Science ID 000172543800007. 0 people commented on this, Posted on July 30, 2014 Most of my research has been involved with cold regions, the Norwegian-Greenland Sea and the Southern Ocean. Alicia Stevens. This is an eminently readable book which is full of sound practical advice. Of 108 isolates, 97 (95 patient isolates and 2 from the hospital kitchen) were DNA group B and identical in RFLP pattern. View details for DOI 10.1016/j.imlet.2009.12.021, View details for Web of Science ID 000275526700003. Quantitative histological analyses demonstrated that only normal male and castrated reconstituted mice developed granulomas, which decreased in number and size with time correlating with increasing numbers of CFU in the lungs. GM-CSF reversed the effect of DEX on I kappaB levels. Was King David a real person? You may recognise Professor Alice Roberts - she's travelled the country, lime-green Volkswagen van in tow, to present Coast, as well as fronting numerous other science programmes. Fluconazole at 25 mg/kg cured no infection in any tissue, whereas 25 mg of ravuconazole/kg cleared infection in all tissues from 50% of mice. In general, amphotericin B plus 5-fluorocytosine, amphotericin B plus rifampin, and amphotericin B plus itraconazole showed indifferent results, whereas amphotericin B plus micafungin showed positive interactions. Further pharmacokinetic-pharmacodynamic preclinical and clinical studies are required to identify safe and effective intermittent regimens. G-CSF and GM-CSF plus PMN resulted in 47% and 46% killing, respectively; GM-CSF plus monocytes or MDM resulted in 31% or 22% killing, respectively. : Twenty-one cases of vertebral aspergillosis treated with itraconazole or voriconazole were identified. It began in 1903, with the successful use of potassium iodide (KI). However, death of some DBA/2N mice caused by YJM128 petite 1 showed that petites are not totally avirulent. Self 1 episode, 2002 Ron Curley . Anna is an archaeologist, specialising in ancient Egypt, with research interests that include urbanism in the ancient world, lived religion, cultural interaction and the archaeology of cult. Inactive caspofungin alone demonstrated no significant inhibition of hyphal growth, whereas the addition of 5% human serum to the inactive drug showed 83% +/- 16.5% inhibition (n = 5; P < 0. Is the Free Market Acceptable to Everyone? Avian aspergillosis is commonly treated with itraconazole (ITZ). Four clinical isolates that showed paradoxical growth in vitro and one that did not were tested. The effect of 3M-003 on killing of Candida was evaluated on mouse (BALB/c) effector cell lineages: monocytes, neutrophils, and macrophages. Coccidioides infections often result in chronic relapsing disease that presents a challenge to the currently available therapy. We have shown in a randomized, double-blind, placebo-controlled study that maintenance therapy can completely prevent thrush in AIDS patients with recurrent thrush and possibly prevent all deep and superficial mycoses. At equivalent doses of 50 mg/kg of body weight, RCZ and ITZ were equally effective and RCZ was more effective than FCZ (P = 0.02). Salt Lake City, Utah, United States. Thirty-four cases treated during 1990-2001 with sequential therapy, excluding amphotericin B followed by itraconazole, showed improvement in 68% of cases. BAM plus B. dermatitidis (BAM-B. In birds, avian models have been used successfully to study preventative vaccines: studies... Use of potassium iodide ( KI ) depending on clinical course ( BIII ) FRAM... Of Women to Paracoccidioidomycosis infected i.v eminently readable book which is full of practical. As relevant to wider society as possible '' samples were Collected for high performance liquid (! ( i.v successful use of potassium iodide ( KI ) P. 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