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At least 1,351 records · Page 75

Toward Predicting Acute Myeloid Leukemia Patient Response to 7 + 3 Induction Chemotherapy via Diagnostic Microdosing

Acute myeloid leukemia (AML) is a rare yet deadly cancer of the blood and bone marrow. Presently, induction chemotherapy with the DNA damaging drugs cytarabine (ARA-C) and idarubicin (IDA), known as 7 + 3, is the standard of care for most AML patients. However, 7 + 3 is a relatively ineffective therapy, particularly in older patients, and has serious therapy-related toxicities. Therefore, a diagnostic test to predict which patients will respond to 7 + 3 is a critical unmet medical need. We hypothesize that a threshold level of therapy-induced 7 + 3 drug-DNA adducts determines cytotoxicity and clinical response. We further hypothesize that in vitro exposure of AML cells to nontoxic diagnostic microdoses enables prediction of the ability of AML cells to achieve that threshold during treatment. Our test involves dosing cells with very low levels of 14C-labeled drug followed by DNA isolation and quantification of drug-DNA adducts via accelerator mass spectrometry. Here, we have shown proof of principle by correlating ARA-C- and DOX-DNA adduct levels with cellular IC50 values of paired sensitive and resistant cancer cell lines and AML cell lines. Moreover, we have completed a pilot retrospective trial of diagnostic microdosing for 10 viably cryopreserved primary AML samples and observed higher ARA-C- and DOX-DNA adducts in the 7 + 3 responders than nonresponders. In conclusion, these initial results suggest that diagnostic microdosing may be a feasible and useful test for predicting patient response to 7 + 3 induction chemotherapy, leading to improved outcomes for AML patients and reduced treatment-related morbidity and mortality.

59 BASIC BIOLOGICAL SCIENCES↗

The Health and Climate Benefits of Economic Dispatch in China’s Power System

China’s power system is highly regulated and uses an “equal-share” dispatch approach. However, market mechanisms are being introduced to reduce generation costs and improve system reliability. Here, we quantify the climate and human health impacts brought about by this transition, modeling China’s power system operations under economic dispatch. We find that significant reductions in mortality related to air pollution (11%) and CO 2 emissions (3%) from the power sector can be attained by economic dispatch, relative to the equal-share approach, through more efficient coal-powered generation. Additional health and climate benefits can be achieved by incorporating emission externalities in electricity generation costs. However, the benefits of the transition to economic dispatch will be unevenly distributed across China and may lead to increased health damage in some regions. Our results show the potential of dispatch decision-making in electricity generation to mitigate the negative impacts of power plant emissions with existing facilities in China.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Large-Scale Carbon Removal Will Create Public Health, Economic, and Climate Tradeoffs

Economy-wide efforts to achieve net-zero emissions offer both climate and air quality-related public health benefits from reducing fossil fuel combustion. We explore the expected costs and benefits if carbon dioxide removal (CDR) is deployed at scale in support of these efforts. Six leading forms of CDR at two levels of deployment are compared to a scenario with no U.S. climate action. We find that heavy reliance on CDR avoids a $2.5-5.8 trillion USD2020 in climate damages, provides $2.8-6.5 trillion USD2020 public health benefits, returns $5-6 trillion USD2020 in CDR revenues, but requires $11-13 trillion USD2020 CO2 mitigation cost, cumulatively by 2050 in the U.S. In contrast, lower reliance on CDR requires much deeper near-term fossil-fuel reductions, which increases mitigation costs by 52% but also creates 26% higher public health benefits from reductions in particulate matter- and ozone-related mortality and morbidity, preventing about 12,600 premature deaths by mid-century in the U.S.

Javadi, Parisa↗

Targeting Mycobacterium tuberculosis Biotin Protein Ligase (MtBPL) with Nucleoside-Based Bisubstrate Adenylation Inhibitors

Mycobacterium tuberculosis ( Mtb ), responsible for both latent and symptomatic tuberculosis (TB), remains the second leading cause of mortality among infectious diseases worldwide. Mycobacterial biotin protein ligase ( Mt BPL) is an essential enzyme in Mtb and regulates lipid metabolism through the post-translational biotinylation of acyl coenzyme A carboxylases. Herein, we report the synthesis and evaluation of a systematic series of potent nucleoside-based inhibitors of Mt BPL that contain modifications to the ribofuranosyl ring of the nucleoside. All compounds were characterized by isothermal titration calorimetry (ITC) and shown to bind potently with K D s ≤ 2 nM. Additionally, we obtained high-resolution cocrystal structures for a majority of the compounds. Despite fairly uniform biochemical potency, the whole-cell Mtb activity varied greatly with minimum inhibitory concentrations (MIC) ranging from 0.78 to >100 μM. Cellular accumulation studies showed a nearly 10-fold enhancement in accumulation of a C-2'-α analogue over the corresponding C-2'-β analogue, consistent with their differential whole-cell activity.

60 APPLIED LIFE SCIENCES↗

Metabolomic signatures of chronic kidney disease of diverse etiologies in the rats and humans

Chronic kidney disease (CKD) has emerged as a major public health problem worldwide. It frequently progresses to end-stage renal disease, which is related to very high cost and mortality. Novel biomarkers can provide insight into the novel mechanism, facilitate early detection, and monitor progression of CKD and its response to therapeutic interventions. To identify potential biomarkers, we applied an UPLC-HDMS together with univariate and multivariate statistical analyses using plasma samples from patients with CKD of diverse etiologies (100 sera in discovery set and 120 sera in validation set) and two different rat models of CKD. Using comprehensive screening and validation workflow, we identified a panel of seven metabolites that were shared by all patients and animals regardless of the underlying cause of CKD. These included ricinoleic acid, stearic acid, cytosine, LPA(16:0), LPA(18:2), 3-methylhistidine, and argininic acid. The combination of these seven biomarkers enabled the discrimination of patients with CKD from healthy subjects with a sensitivity of 83.3% and a specificity of 96.7%. In addition, these biomarkers accurately reflected improvements in renal function in response to the therapeutic interventions. Lastly, our results indicated that the identified biomarkers may improve the diagnosis of CKD and provide a novel tool for monitoring of the progression of disease and response to treatment in CKD patients.

5/6 nephrectomized rats↗

Pseudomonas aeruginosa Adhesion and Biofilm Formation on Poly(l-lysine)-Tethered Hydrogels: Synergistic Effect of Substrate Stiffness and Positive Charge Density

Infections associated with antibacterial-resistant Pseudomonas aeruginosa (P. aeruginosa) are the major cause of morbidity and mortality of patients, presenting one of the greatest therapeutic challenges for treatment of community-acquired and nosocomial infections. To develop antimicrobial hydrogel coatings to control the adhesion and subsequent biofilm formation of P. aeruginosa, we have used photo-cross-linked poly(ethylene glycol) diacrylate (PEGDA) hydrogels with varied cross-linking densities and covalently grafted poly(l-lysine) (PLL) at different weight compositions (ϕ PLL ). Both surface stiffness and positive charge density of the hydrogels were efficiently tuned over a broad range to investigate their effects on two main strains of P. aeruginosa, PA01 and PA14. We found that both number and viability of attached cells were positively correlated with the hydrogel stiffness, leading to thicker and larger coverage of cell colonies at 72 h postseeding on the stiffer substrates. The dependence of both PA01 and PA14 strains on ϕ PLL , however, was nonmonotonic. Positive charges from dissociated amine groups in the grafted PLL chains significantly promoted initial adhesion and proliferation of both strains at low ϕ PLL and developed into the thickest biofilms on the stiffest hydrogels grafted with ϕ PLL of 1–2%. Nevertheless, on the softest hydrogels grafted with PLL at high ϕ PLL of 7–10%, the bacteria no longer attached or survived. These results not only improved our fundamental understanding of bacteria-material interactions but also provided a series of PLL-grafted PEGDA hydrogels with controlled stiffness and positive charge density as ideal surface coating materials to prevent bacterial infections.

bacteria↗

Antimicrobial Peptides Can Facilitate Whole Blood Safety from Bacteria: A Proof of Concept

With continuous improvements to blood donor deferrals and the availability of sensitive tests for donation screening for infectious agents, bacterial contamination of whole blood (WB) and blood components stored for transfusion is a rare event. Nonetheless, it still occurs and remains a transfusion-associated risk in terms of septic transfusion reactions (STRs) and transfusion-transmitted bacterial infections with morbidity and mortality outcomes. One of the risk mitigation strategies for bacterial contamination is to implement treatment with currently available proactive pathogen reduction technologies (PRTs) for these transfusion products. Here, as a proof of concept, we tested two recently developed unique cationic antimicrobial peptides (AMPs; D-CONGA and D-CONGA-Q7) for WB safety from bacterial contamination. In this study, WB was inoculated with Escherichia coli and Staphylococcus epidermidis and treated with the two peptides to evaluate their bactericidal efficacy. The results demonstrated that D-CONGA and D-CONGA-Q7 exhibit potent inhibitory activity against the bacteria with a minimal inhibitory concentration (MIC) range of 4–8 and 1–8 μM, respectively, depending on the bacterial species tested. Time-kill kinetics further confirmed that the peptides exhibit bactericidal efficacy at 8 μM by achieving a 5-log 10 reduction (99.999%) of the bacterial load in WB with a time-dependent killing profile. Furthermore, even at 20 μM, the AMPs did not negatively impact hemolysis or hemostatic properties. We have further demonstrated using a cationic exchange resin that the cationic AMPs can be separated and removed from WB after the peptide treatments. During 35-day WB storage at 2–8 °C, 4 μM D-CONGA-Q7 one-time treatment prevented S. epidermidis growth and preserved WB quality and integrity. Overall, the results described here provide the first proof of concept that certain AMPs, such as D-CONGA and D-CONGA-Q7, can facilitate WB safety from bacteria during storage.

60 APPLIED LIFE SCIENCES↗

The Novel Carbapenem, JDB/PQ-1-219, Has Potent Broad Spectrum Activity against Multi-Drug Resistant Acinetobacter baumannii

Carbapenem resistance in Acinetobacter baumannii, driven largely by class D, along with class A and class B β- lactamases, has severely compromised the utility of these last resort antibiotics. As a result, infections caused by such pathogens are characterized by extremely high mortality rates. Here we describe the antimicrobial activity of the novel C5 methyl-substituted carbapenem JDB/PQ-1−219 against multidrug resistant A. baumannii and the mechanism of its interaction with its major carbapenemase, OXA-23. JDB/PQ-1-219 exhibits potent antimicrobial activity against A. baumannii producing various carbapenemases, with MICs that are all in the clinically susceptible range. The compound has unrestricted ingress through porins and avoids egress by efflux pumps, a unique property when compared to all commercial carbapenems. Kinetic experiments demonstrated that unlike for other carbapenems, acylation of OXA-23 by JDB/ PQ-1-219 is monophasic, and mass spectrometry studies showed that this results from the conversion of all enzyme into a reversible tetrahedral intermediate which gradually transitions into the stable acyl-enzyme complex. No deacylation of this complex is observed over a physiologically relevant time period, making JDB/PQ-1−219 an extremely potent inhibitor of OXA-23. Time-resolved crystallography revealed fine details of active site dynamics, leading to complete inhibition of the enzyme. Together, these studies identify JDB/PQ-1-219 as a uniquely effective novel carbapenem with clinically significant levels of activity against multidrug resistant A. baumannii.

Acinetobacter baumannii↗

Fifteen-Year Global Time Series of Satellite-Derived Fine Particulate Matter

Ambient fine particulate matter (PM2.5) is a leading environmental risk factor for premature mortality. We use aerosol optical depth (AOD) retrieved from two satellite instruments, MISR and SeaWiFS, to produce a unified 15-year global time series (1998-2012) of ground-level PM2.5 concentration at a resolution of 1 degrees x 1 degrees. The GEOS-Chem chemical transport model (CTM) is used to relate each individual AOD retrieval to ground-level PM2.5. Four broad areas showing significant, spatially coherent, annual trends are examined in detail: the Eastern U.S. (-0.39 +/- 0.10 mu g m(-3) yr(-1)), the Arabian Peninsula (0.81 +/- 0.21 mu g m(-3) yr(-1)), South Asia (0.93 +/- 0.22 mu g m(-3) yr(-1)) and East Asia (0.79 +/- 0.27 mu g m(-3) yr(-1)). Over the period of dense in situ observation (1999-2012), the linear tendency for the Eastern U.S. (-0.37 +/- 0.13 mu g m(-3) yr(-1)) agrees well with that from in situ measurements (-0.38 +/- 0.06 mu g m(-3) yr(-1)). A GEOS-Chem simulation reveals that secondary inorganic aerosols largely explain the observed PM2.5 trend over the Eastern U.S., South Asia, and East Asia, while mineral dust largely explains the observed trend over the Arabian Peninsula.

Boys, B. L.↗

Dry-Season Greening and Water Stress in Amazonia: The Role of Modeling Leaf Phenology

Large uncertainties on the sensitivity of Amazon forests to drought exist. Even though water stress should suppress photosynthesis and enhance tree mortality, a green-up has been often observed during the dry season. This interplay between climatic forcing and forest phenology is poorly understood and inadequately represented in most of existing dynamic global vegetation models calling for an improved description of the Amazon seasonal dynamics. Recent findings on tropical leaf phenology are incorporated in the state-of-the-art eco-hydrological model Thetys & Chloris. The new model accounts for a mechanistic light-controlled leaf development, synchronized dry-season litterfall, and an age-dependent leaf photosynthetic capacity. Simulation results from 32 sites in the Amazon basin over a 15-year period successfully mimic the seasonality of gross primary productivity; evapotranspiration (ET); as well as leaf area index, leaf age, and leaf productivity. Representation of tropical leaf phenology reproduces the observed dry-season greening, reduces simulated gross primary productivity, and does not alter ET, when compared with simulations without phenology. Tolerance to dry periods, with the exception of major drought events, is simulated by the model. Deep roots rather than leaf area index regulation mechanisms control the response to short-term droughts, but legacy effects can exacerbate multiyear water stress. Our results provide a novel mechanistic approach to model leaf phenology and flux seasonality in the tropics, reconciling the generally observed dry-season greening, ET seasonality, and decreased carbon uptake during severe droughts.

54 ENVIRONMENTAL SCIENCES↗

California's Drought of the Future: A Midcentury Recreation of the Exceptional Conditions of 2012–2017

The California drought of 2012–2016 was a record-breaking event with extensive social, political, and economic repercussions. The impacts were extensive and exposed the difficulty in preparing for the effects of prolonged dry conditions. Although the lessons from this drought drove important changes to state law and policy, there is little doubt that climate change will only exacerbate future droughts. To discern the character of future drought, this paper examines this recent drought period retrospectively and prospectively, that is, as it occurred historically and if similar dynamical conditions to the historical period were to arise 30 years later (2042–2046) subject to the effects of climate change. Simulations were conducted using the Weather Research and Forecasting model using the pseudo global warming method. The simulated historical and future droughts are contrasted in terms of temperature, precipitation, snowpack, soil moisture, evapotranspiration, and forest health. Overall, the midcentury drought is observed to be significantly worse, with many more extreme heat days, record-low snowpack, increased soil drying, and record-high forest mortality. With these findings in mind, the data sets developed in this study provide a means to structure future drought planning around a drought scenario that is realistic and modeled after a memorable historical analog.

54 ENVIRONMENTAL SCIENCES↗

Plant Physiological Responses to Rising CO 2 Modify Simulated Daily Runoff Intensity With Implications for Globa-Scale Flood Risk Assessment

Climate change is expected to increase the frequency of flooding events and, thus, the risks of flood-related mortality and infrastructure damage. Global-scale assessments of future flooding from Earth system models based only on precipitation changes neglect important processes that occur within the land surface, particularly plant physiological responses to rising CO 2 . Higher CO 2 can reduce stomatal conductance and transpiration, which may lead to increased soil moisture and runoff in some regions, promoting flooding even without changes in precipitation. Here we assess the relative impacts of plant physiological and radiative greenhouse effects on changes in daily runoff intensity over tropical continents using the Community Earth System Model. We find that extreme percentile rates increase significantly more than mean runoff in response to higher CO 2 . Plant physiological effects have a small impact on precipitation intensity but are a dominant driver of runoff intensification, contributing to one half of the 99th and one third of the 99.9th percentile runoff intensity changes.

58 GEOSCIENCES↗

What Limits Predictive Certainty of Long-Term Carbon Uptake?

Terrestrial biosphere models can help identify physical processes that control carbon dynamics, including land-atmosphere CO 2 fluxes, and have the potential to project the terrestrial ecosystem response to changing climate. It is important to identify ecosystem processes most responsible for model predictive uncertainty and design improved model representation and observational system studies to reduce that uncertainty. Here we identified model parameters that contribute the most uncertainty to long-term (~100 years) projections of net ecosystem exchange, net primary production, and aboveground biomass within a mechanistic terrestrial biosphere model (Ecosystem Demography, version 2.1) ED2. An uncertainty analysis identified parameters that represent the quantum efficiency of light to photosynthetic conversion, leaf respiration and soil-plant water transfer as the highest contributors to model uncertainty regardless of time frame (annual, decadal, and centennial) and output (e.g., net ecosystem exchange, net primary production, aboveground biomass). Contrary to expectations, the contribution of successional processes related to reproduction, competition, and mortality did not increase as the time scale increased. These findings suggest that uncertainty in the parameters governing short-term ecosystem processes remains the most significant bottleneck to reducing predictive uncertainty. Key actions to reduce parameter uncertainty include more leaf-level trait measurements across multiple sites for quantum efficiency and leaf respiration rate. Further, the empirical representation of soil-plant water transfer should be replaced with a mechanistic, hydraulic representation of water flow, which can be constrained with direct measurements. This analysis focused on aboveground ecosystem processes. The impact of belowground carbon cycling, initial conditions, and meteorological forcing should be addressed in future studies.

54 ENVIRONMENTAL SCIENCES↗

The Effects of Phosphorus Cycle Dynamics on Carbon Sources and Sinks in the Amazon Region: A Modeling Study Using ELM v1

Tropical forests play a crucial role in the global carbon cycle, accounting for one third of the global net primary productivity and containing about 25% of global vegetation biomass and soil carbon. This is particularly true for tropical forests in the Amazon region, as these comprise approximately 50% of the world's tropical forests. It is therefore important for us to understand and represent the processes that determine the fluxes and storage of carbon in these forests. In this study, we show that the implementation of phosphorus (P) cycle and P limitation in the version 1 of the Energy Exascale Earth System Model land model (ELM v1) improves simulated spatial pattern of wood productivity. The P-enabled ELM v1 is able to capture the declining west-to-east gradient of productivity, consistent with field observations. We also show that by improving the representation of mortality processes using soils data, ELMv1 is able to reproduce the observed spatial pattern of above ground biomass. Our model simulations show that the consideration of P availability leads to a smaller carbon sink associated with CO 2 fertilization effect and lower carbon emissions due to land use and land cover change. Our simulations suggest P limitation would significantly reduce the carbon sink associated with CO 2 fertilization effects through the 21st century. We conclude that P cycle dynamics affect both sources and sinks of carbon in the Amazon region, and the effects of P limitation would become increasingly important as CO 2 increases. Finally, P limitation must be considered for projecting future carbon dynamics in tropical ecosystems.

54 ENVIRONMENTAL SCIENCES↗

Improving CLM5.0 Biomass and Carbon Exchange Across the Western United States Using a Data Assimilation System

The Western United States is dominated by natural lands that play a critical role for carbon balance, water quality, and timber reserves. This region is also particularly vulnerable to forest mortality from drought, insect attack, and wildfires, thus requiring constant monitoring to assess ecosystem health. Carbon monitoring techniques are challenged by the complex mountainous terrain, thus there is an opportunity for data assimilation systems that combine land surface models and satellite-derived observations to provide improved carbon monitoring. Here, we use the Data Assimilation Research Testbed to adjust the Community Land Model (CLM5.0) with remotely sensed observations of leaf area and above-ground biomass. The adjusted simulation significantly reduced the above-ground biomass and leaf area, leading to a reduction in both photosynthesis and respiration fluxes. The reduction in the carbon fluxes mostly offset, thus both the adjusted and free simulation projected a weak carbon sink to the land. This result differed from a separate observation-constrained model (FLUXCOM) that projected strong carbon uptake to the land. Simulation diagnostics suggested water limitation had an important influence upon the magnitude and spatial pattern of carbon uptake through photosynthesis. We recommend that additional observations important for water cycling (e.g., snow water equivalent, land surface temperature) be included to improve the veracity of the spatial pattern in carbon uptake. Furthermore, the assimilation system should be enhanced to maximize the number of the simulated state variables that are adjusted, especially those related to the recommended observed quantities including water cycling and soil carbon.

54 ENVIRONMENTAL SCIENCES↗

Wetter Summers Mitigated Temperature Stress on Rocky Mountain Forests During the Last Interglacial Warm Period

Recent droughts have highlighted concerns of how rising summer temperatures will increase tree mortality rates across the western United States. We analyzed subfossil wood samples from Colorado dating to the last interglacial to assess the response of two common conifers to a previous warm period. The trees experienced comparable growth rates and water use efficiency during the interglacial relative to modern despite evidence from model simulations of a ~30% increase in evaporative demand during the peak of the growing season. High-resolution isotopic analysis of the wood samples show an enrichment in the late season cellulosic δ 18 O relative to modern samples, which we find was associated with increased reliance on summer rain. The data are consistent with model simulations showing the interglacial was associated with wetter summers across the western US. Here, we propose enhanced summer rain during this period compensated for drought stress imposed by higher evaporative demand.

58 GEOSCIENCES↗

Impacts of Suppressing Excessive Light Rain on Aerosol Radiative Effects and Health Risks

Global climate models (GCMs) have been used widely to study radiative forcing and health risks of aerosols. A recent study using two GCMs found that light rain plays a dominant role in controlling aerosol loading. However, “too much light rain and too little heavy rain” is a longstanding bias in GCMs. It is unclear how much light rain affects aerosol-cloud-radiation interactions and health risks from air pollution. Here, in this work, we show that, with the correction of the rainfall intensity spectrum in the National Center for Atmospheric Research Community Atmosphere Model version 5.3 by introducing a stochastic deep convection scheme, the reduced frequency of light rain (1–20 mm d -1 ) results in changes of aerosol direct radiative effects (DRE) of up to -0.5 ± 0.03 W/m 2 and aerosol cloud radiative effects (CRE) of up to -0.9 ± 0.03 W/m 2 . The total (CRE + DRE) radiative effects of light rain-mediated aerosol changes exceed the present-day anthropogenic forcing of aerosols relative to preindustrial levels from the Coupled Model Intercomparison Project (CMIP5&6) models. However, the correction of the rainfall intensity spectrum has little effect on anthropogenic aerosol forcing (defined as the radiative perturbation due to changes in aerosol concentrations between the industrial era and preindustrial levels). Due to increased exposure to fine particulates (PM 2.5 ), the estimated global total premature mortality is much higher than previously estimated, by 300,000 ± 60,000 deaths per year, and is more severe in populous regions such as India and China. The findings in this study highlight the need to understand uncertainties in radiative effects and health risks of aerosols due to simulation biases of precipitation in GCMs.

54 ENVIRONMENTAL SCIENCES↗

Disentangling the Relative Drivers of Seasonal Evapotranspiration Across a Continental-Scale Aridity Gradient

Evapotranspiration (ET) is a significant ecosystem flux, governing the partitioning of energy at the land surface. Understanding the seasonal pattern and magnitude of ET is critical for anticipating a range of ecosystem impacts, including drought, heat-wave events, and plant mortality. Here, in this study, we identified the relative controls of seasonal variability in ET, and how these controls vary among ecosystems. We used overlapping AmeriFlux and PhenoCam time series at a daily timestep from 20 sites to explore these linkages (# site-years >100), and our study area covered a broad climatological aridity gradient in the U.S. and Canada. We focused on disentangling the most important controls of bulk surface conductance (G s ) and evaporative fraction (EF = LE/[H + LE]), where LE and H represent latent and sensible heat fluxes, respectively. Specifically, we investigated how vegetation phenology varied in importance relative to meteorological variables (vapor pressure deficit and antecedent precipitation) as a driver of G s and EF using path analysis, a framework for quantifying and comparing the causal linkages among multiple response and explanatory variables. Our results revealed that the drivers of G s and EF seasonality varied significantly between energy- and water-limited ecosystems. Specifically, precipitation had a much higher effect in water-limited ecosystems, while seasonal patterns in canopy greenness emerged as a stronger control in energy-limited ecosystems. Given that phenology is expected to shift under future climate, our findings provide key information for understanding and predicting how phenology may impact 21st-century hydroclimate regimes and the surface-energy balance.

54 ENVIRONMENTAL SCIENCES↗