This suggested a hormonal interaction between female hormones and the etiologic dimorphic fungus Paracoccidioides brasiliensis. Byron, J. K., Clemons, K. V., McCusker, J. H., Davis, R. W., Stevens, D. A. SACCHAROMYCES-CEREVISIAE VIRULENCE PHENOTYPE AS DETERMINED WITH CD-1 MICE IS ASSOCIATED WITH THE ABILITY TO GROW AT 42-DEGREES-C AND FORM PSEUDOHYPHAE. Experimental vaccines in mouse models have demonstrated a promising avenue of approach for the prevention of aspergillosis, as well as infections caused by other fungal pathogens, such as Coccidioides, the etiological agent of valley fever (coccidioidomycosis). Morton, C. O., Clemons, K. V., Springer, J., Mueller, J. G., Rogers, T. R., Stevens, D. A., Kurzai, O., Einsele, H., Loeffler, J. Pharmacokinetics of voriconazole in adult mallard ducks (Anas platyrhynchos). Non-culture based assays including chitin determination, quantitative PCR and enzyme immunoassay (EIA) of cell wall constituents, galactomannan or beta-glucan overcome this difficulty in part. Here we present the 3.7-Mb draft genome sequence of the type strain (S18214(T)) of H. stevensii, which will give insight into the pathogenic potential of H. stevensii. David Stevens (Gojiboy) See Photos. If, in the second 20 h period, a fungus (heat-killed Blastomyces, HK-Bd) was introduced, a more complex pattern of cytokine (particularly TNF) and chemokine production ensued. 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). View details for Web of Science ID 000167613000005 View details for Web of Science ID A1997XE59100036, View details for PubMedCentralID PMC229850, The field of antifungal chemotherapy is presently rapidly moving. Trichophyton rubrum had a protein with a higher binding affinity (Kd, 1.6 X 10(-8) M). Stevens then became . And finally what do you see when you look in the mirror? Mannan-BSA (500 kDa) was more protective than 40 kDa mannan-BSA. A 56-year-old diabetic man presented with left upper lobe collapse and postobstructive pneumonitis. Neither the optimal corticosteroid dose nor the duration of therapy has been standardized, but limited data suggest the starting dose should be approximately 0.5 mg/kg/d of prednisone. Hepatotoxicity occurred with AmBisome and Abelcet but was reduced in cyclophosphamide-treated mice. 0 Reviews. A., Leung, A. N., Robbins, R. C., Stevens, D. A. We compared the efficacies of liposomal amphotericin B (LAmB) and an amphotericin B lipid complex (ABLC) in diabetic ketoacidotic (DKA) or neutropenic mice with disseminated zygomycosis. Ulceration, necrosis, cartilage invasion, and formation of a pseudomembrane are the pathologic features. The cumulative percent toxicity requiring discontinuation of drug was 6, 17, 23, and 56% at 400-, 800-, 1,200-, and 1,600-mg doses. The bioassay had an overall positive bias (+23.5%) compared to the UPLC. Central nervous system (CNS) Aspergillus infection has a mortality rate in humans that approaches 95%. Granulocyte-macrophage colony-stimulating factor (GM-CSF) antagonizes DEX suppression of antifungal activity by BAM. 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. [2], At the time of his death, Stevens was a member of the Royal College of Physicians London, and the British Archaeological Association. The chemotherapy of fungal infection is also under study including the evaluation of agents in vitro; for their efficacy, pharmacology, and toxicology in animal models and in human disease. These results demonstrate the power of this typing tool in clarifying epidemiologic associations. Many different types of animal models of fungal infection have been developed, with murine models the most frequently used, for studies of pathogenesis, virulence, immunology, diagnosis, and therapy. G-CSF and GM-CSF further enhanced the collaborative killing effect of human effector cells and VCZ. The rate of adverse events was similar in the two groups. Law and Social Sciences buildingUniversity of NottinghamUniversity Park Nottingham, NG7 2RD. All drug regimens prolonged survival (P < or = 0.0008) and reduced cfu (P < or = 0.0001-0.003) recovered from the brains and kidneys compared with untreated. Increasing serum IgE levels, new or worsening infiltrate on chest radiograph and worsening spirometry suggest that steroids should be used. Antifungal agents affect the immune reaction caused by A. fumigatus conidia in stimulated monocytes at clinically relevant drug concentrations. Iodide in the Ocean:Distribution and Impact on Iodine Flux and Ozone Loss. 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. These data show that GM-CSF in vivo blocks the in vivo immunosuppressive effects of DEX on BAM killing of conidia and suggest a potential use of GM-CSF in patients at risk for aspergillosis due to immunosuppressive DEX treatment. The category of proven invasive fungal disease can apply to any patient, regardless of whether the patient is immunocompromised, whereas the probable and possible categories are proposed for immunocompromised patients only.These revised definitions of invasive fungal disease are intended to advance clinical and epidemiological research and may serve as a useful model for defining other infections in high-risk patients. Systemically administered itraconazole, like other Hh pathway antagonists, can suppress Hh pathway activity and the growth of medulloblastoma in a mouse allograft model and does so at serum levels comparable to those in patients undergoing antifungal therapy. Help keep Alice Roberts and David Stevens profile up to date. Democracy, Ideology and Process Re-Engineering: Realising the Benefits of e-Government in Singapore. Infections are rarely reported. Of the 12 homozygous isolates, one isolate was sensitive to azole drugs. View details for Web of Science ID 000085132000001. With both the MTT and XTT assays, neutrophils alone inhibited hyphae; when combined with VCZ, there was additive activity. It began in 1903, with the successful use of potassium iodide (KI). Dave Stevens is on Facebook. Further studies are required to determine the lowest effective doses of these formulations. Jeffries, Chief Executive, W.S. David Stevens . Stevens, Nathan E., and Brian F. Codding. The efficacy of combination therapy was assessed, with mice given either no treatment, MICA at 1 mg/kg/dose, 0.8 mg kg(-1) of intravenous amphotericin B (AMB), 100 mg kg(-1) of oral itraconazole (ICZ), or 100 mg/kg/dose of twice-daily subcutaneous nikkomycin Z (NIK). Assessment of the individual contribution of each mediator to vasculitis may offer novel approaches to the treatment of coccidioidal CNS infection. View details for Web of Science ID 000182500800004. View details for Web of Science ID 000226559700009. 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. In collaborations with Latin America (Colombia and Brazil), the researchers have been involved in the study of paracoccidioidomycosis. We have previously determined the relative virulence of isolates of Saccharomyces cerevisiae on the basis of differences in proliferation and resistance to clearance in CD-1 mice. Reports suggest Prince Charles will live "in a flat above the shop" when he becomes king. Moreover, such treatment of PMN also enhanced the collaboration of PMN with VCZ. Candida parapsilosis family has 3 proposed species: C. parapsilosis sensu stricto, Candida orthopsilosis, and Candida metapsilosis. Other ligands tested were less effective. [2] Little more is known about the identity of his parents. Kamberi, P., Sobel, R. A., Clemons, K. V., Waldvogel, A., Striebel, J. M., Williams, P. L., Stevens, D. A. Adapting the extraction protocol to maximize yield from small sample volumes (10 l CSF or 200 l blood) allowed PCR detection of A. fumigatus in infected mice, suggesting the use of CSF and blood as diagnostic clinical samples for CNS aspergillosis. We recount studies showing the specific hormonal binding of mammalian estrogen to proteins in P. brasiliensis and an action of estrogen to specifically block the transition from the saprophytic form to the invasive form of the fungus in vitro. Our results suggest this estrogen insensitivity may have broad-ranging effects on processes other than gametogenesis, including vaginal susceptibility to candidiasis. Who is Alice Roberts dating? In addition, YJM128 increased by 4-fold in the kidneys, whereas Y55 decreased by 16-fold. Ninety percent of the mice given no treatment died by day 6, and 100% died by day 10. Randomized trials are lacking. The species Candida orthopsilosis (eight isolates) and Candida metapsilosis (two isolates) consisted of five and one other RFLP types, respectively; none were VII-1. This has led to my participation in coupled ocean-atmosphere modelling projects, includingHiGEM. The taxonomy of the genus Saccharomyces has undergone significant changes recently with the use of genotypic rather than phenotypic methods for the identification of strains to the species level. The molecular epidemiology of Candida dubliniensis has been studied using large complex DNA probes for Southern analysis and has revealed the existence of distinct genotypes within this species. Political Ideas in Practice: Problem-solving Political Theory. Allergic bronchopulmonary aspergillosis is a hypersensitivity disorder that can progress from an acute phase to chronic disease. Gene disruptions of the MTL loci were found to have no effect on azole susceptibility. The addition of 5% human serum to caspofungin at 0.1 or 0.05 microg/ml increased the inhibition to 78.6% +/- 5.8% or 58.3% +/- 19.2%, respectively (n = 10; P < 0.01 versus controls and versus the drug without serum). Brown, E. M., McTaggart, L. R., Zhang, S. X., Low, D. E., Stevens, D. A., Richardson, S. E. Vaccination with mannan protects mice against systemic aspergillosis. The two earlier meetings had taken place in San Francisco, CA, 2004 and in Athens, Greece, 2006, and the series has become the place for scientists and clinicians to be updated on developments relevant to all aspects of this fungal genus. Stevens, D. A., White, T. C., Perlin, D. S., Selitrennikoff, C. P. Advances against aspergillosis (September 9-11, 2004, San Francisco, California). [2] Outside of his medical career, Stevens was fascinated with history, geology, botany, and archaeology and wrote detailed finds on his collections. The incidence of invasive aspergillosis is markedly increasing, and mortality remains dismal. Animal models are developed and used to study differences in virulence in fungal strains, their biochemical characterization and interaction with host defenses, particularly the role of therapy with recombinant cytokines and other immunomodulators, and preclinical studies of diagnosis. Genotype distribution differed among localities (p<0.0001); Mexico was unique (p<0.05) due to the high proportion of non-VII-1. 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. Who let the dogs out? Recently, selected cationic heterocyclic compounds belonging to a broad class of molecules known to bind to the minor groove of DNA were revealed to have potent antifungal activity. Donald asks the courts to let him tweet. Because drugs with different mechanisms of action produced this effect, this suggests that it is the result of factors mediated by the cells. With both assays, VCZ inhibited hyphal growth at concentrations of <1 microgram/ml and was almost as active as amphotericin B. VCZ (0.6 microgram/ml) was sporicidal, as was amphotericin B (0.4 microgram/ml). I continue to work on questions of religion and its place within modern democratic societies, as well as other questions on social justice and ethics, as well as within the field of the philosophy of eduction. Catanzaro, A., Cloud, G. A., Stevens, D. A., Levine, B. E., Williams, P. L., Johnson, R. H., Rendon, A., Mirels, L. F., Lutz, J. E., Holloway, M., Galgiani, J. N. Posaconazole therapy for chronic refractory coccidioidomycosis. In 27 in vitro reports, we found synergy (in 36% of reports), additivity (in 24%), indifference (in 28%), and antagonism (in 11%). The quantification of organisms is a standard tool. Plating for A. fumigatus from the brain confirmed that all mice had burdens of log>3 from 4 to 120 h after infection. I am interested in supervising PhD dissertations in the areas of: I have supervised a number of successful PhD projects in these areas. Multiple asthmatic exacerbations in a patient with ABPA suggest that chronic corticosteroid therapy should be used (BIII). These results indicate that AmBi in combination with VCZ may be superior for treatment of CNS aspergillosis; combinations of AmBi and MICA or CAS were not antagonistic and may have a slight benefit. Review of newer antifungal and immunomodulatory strategies for invasive aspergillosis. View details for Web of Science ID 000085846900002. RFLP pattern analysis could be a useful method of demonstrating transmission in patients with infection or between environmental sources and patients. Against isolates that show paradoxical growth in vitro, CAS was efficacious, but lacked dose responsiveness above 0.5 mg/kg against three of the four. Brummer, E., Capilla, J., Bythadka, L., Stevens, D. A. Here we report that BAMs freshly isolated from mice treated intraperitoneally with DEX for 24 h had significantly (P<0.01) reduced killing of conidia, i.e., 15 +/- 5% conidia killed by BAMs from DEX-treated mice versus 35 +/- 3% by BAMs from mice given saline, 38 +/- 5% by BAMs from mice given GM-CSF, and 39 +/- 1% by BAMs from mice given both DEX and GM-CSF. To test an effect mediated by leukocytes, BALB/c peripheral blood mononuclear cells (PBMC) were stimulated in vitro with 3M-003 to generate cytokine-containing supernatants. Fifteen patients met the criteria for proven coccidioidal infection and disease refractory to previous therapy. Weger, S. D., Ganji, A., Clemons, K. V., Byron, J. K., Minn, Y., Stevens, D. A. Homozygosity at the Candida albicans MTL locus associated with azole resistance. Other associated conditions include influenza, nonfungal pneumonia, chronic obstructive lung disease, immaturity, sepsis, liver failure, alcoholism, chronic granulomatous disease and surgery. Mice were vaccinated subcutaneously with mannan or mannan-BSA conjugate weekly 3 times, ending 2 weeks prior to infection with A. fumigatus conidia. Overall, animal models of fungal infection will continue to be valuable tools in addressing questions concerning fungal infections and contribute to our deeper understanding of how these infections occur, progress and can be controlled and eliminated. Histopathology showed increased incidence of serious renal and mild hepatic toxicity in triamcinolone-treated mice given an amphotericin B regimen compared to no or only triamcinolone (minimal renal changes occurred with CAS or VCZ with or without triamcinolone); suggestive of combined toxicity of triamcinolone and the amphotericin B in AmBi or ABLC. We report here studies which characterize more fully the specific binding properties and the functional responses of T. mentagrophytes and taxonomically related fungi to a series of mammalian steroid hormones. View details for Web of Science ID 000171998800004. Overall, itraconazole was more efficacious on an mg/kg basis; at high doses they were similarly effective. 1,398 Followers, 664 Following, 206 Posts - See Instagram photos and videos from DAVID STEVENS | Photographer (@davidstevens.photo) Effect of 3M-003, an imidazoquinoline, on phagocyte candidacidal activity directly and via induction of peripheral blood mononuclear cell cytokines. Since IL-12 was poorly tolerated, a new protocol for infected mice, IL-12 0.1 or 0.3 microg, every other day, resulted in minimal toxicity; almost all treated mice survived (P<0.002 vs. controls). These data indicate that RCZ should be studied further. Outside of work, I enjoy Kayaking, walking and going out for coffee and seeing films. For example, a "no pet allowed" policy could not apply to these animals. All ABLC- or AmBi-treated rabbits survived, whereas eight of nine D5W-treated rabbits were euthanatized before day 25 (P < 0.0001). Three of eight animals given 15 mg of AmBi per kg had no detectable infection in either tissue, whereas other doses of AmBi or FLC cleared either the brain or the spinal cord of infection in fewer rabbits. View details for DOI 10.1016/j.vaccine.2010.12.119, View details for Web of Science ID 000288058500004. 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. Gm-Csf reverses the immunosuppressive effect of DEX by enhancing the degradation of IkappaB and promoting the translocation NF-kappaB... With infection or between environmental sources and patients the successful use of potassium (! Killing effect of DEX by enhancing the degradation of IkappaB and promoting translocation! His parents h after infection by enhancing the degradation of IkappaB and promoting the translocation of NF-kappaB the! Increasing serum IgE levels, new or worsening infiltrate on chest radiograph and worsening suggest. 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