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Adeoye, J. A.

Publications and source records attributed to Adeoye, J. A..

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Ribosomal biogenesis factor links ribosome homeostasis to host relevant stress survival in Aspergillus fumigatus

The inhalation of Aspergillus fumigatus spores into the human pulmonary tract places conidia in direct contact with host immune cells which deploy a coordinated killing mechanism aimed at conidia clearance and preventing invasive infection. The fungus also employs cellular processes that aid its survival during these host mediated stresses, which allows the conidia to sustain growth while resisting attacks by the host immune cells. Ribosomal biogenesis plays a vital role in growth, survival, and stress adaptation in eukaryotic cells. In filamentous fungal pathogens, this process supports the transition of inhaled spores into invasive hyphae and is therefore an important aspect of fungal pathogenicity. It is, however, unclear whether ribosomal biogenesis factors contribute to stress survival beyond their canonical ribosomal roles and provision of support for vegetative growth. In this study, we investigated the role of A. fumigatus ribosomal biogenesis factor BFR2 in contribution to fungal stress survival and resistance to neutrophil killing. In agreement with its ribosomal biogenesis role, the repression of BFR2 impairs 18S ribosomal rRNA formation, and this impairment directly extends to the inhibition of germination and vegetative growth of fungal colonies. We optimized an induction/shut-off system that allows the transient expression of BFR2 in swollen conidia followed by subsequent depletion of BFR2 to investigate its role in stress response outside of its ribosomal biogenesis role. This transient induction followed by shut-off did not result in detectable reduction in ribosomal RNA abundance, global translation capacity, and biomass accumulation therefore indicating that pre-induction of BFR2 supports normal growth physiology in A. fumigatus over the duration tested. Nevertheless, the depletion of BFR2 following a transient induction increased A. fumigatus susceptibility to oxidative, replication and DNA-damaging stress while preserving tolerance to endoplasmic reticulum (ER) stress. The depletion of BFR2 under these conditions also increased in vitro neutrophil mediated killing without altering conidia uptake. In a mouse model of invasive aspergillosis, BFR2 depletion reduced conidial survival within neutrophils and pulmonary fungal burden, and in an immunocompromised mice model, the depletion of BFR2 attenuated virulence thereby extending survival by a few days. These findings identify BFR2 as a crucial link between ribosomal biogenesis and fungal stress survival during host relevant stresses. Thus, targeting ribosomal biogenesis factors that underpin stress survival represents a promising strategy for antifungal development that could target both ribosomal biogenesis function and also stress response functions.

microbiology↗

Estimated incidence of noma \"A biologic indicator of poverty\" in north central Nigeria: A retrospective cross-sectional study

BackgroundNoma is a spreading and devouring disease which is believed to be native to Sub-Saharan Africa over the last decade due to poverty. Within this noma belt, most epidemiological reports regarding the disease have emanated from the north western region of Nigeria. However, our indigenous surgical mission encountered a substantial number of cases noteworthy of epidemiological representation in north central Nigeria. MethodsAll facial cleft and noma cases encountered within the 8 year study period were included into this study. Estimated incidence of the noma in the zone was calculated using the existing statistical model of Fieger et al (2003), which takes into account the expected differences based on age and location of the two patient groups using the multinomial logistic regression analysis. Period prevalence of noma was also calculated by simple division considering the population at risk of the disease in the zone. FindingsA total of 770 subjects were included in this study (orofacial cleft - 692, noma - 78). The incidence estimate of noma in the north central zone was 3.2 per 1000 with a range of 2.6 - 3.7 per 1000. The period prevalence of noma was1:125,000 children. The median age of noma patients was comparatively higher than the median age of facial cleft patients. The mean age of onset of noma was 5.9 {+/-} 8.08 years which was lower than the average age of individuals in the noma group - 29.6 {+/-} 18.84 years. ConclusionAlthough noma may be more prevalent in the north western region of Nigeria; substantial number of cases is still being encountered in the north central zone which calls for urgent attention of relevant health stakeholders regarding the management and rehabilitation of individuals affected. AUTHOR SUMMARYNoma, a devouring facial disease, is commonly associated with poverty and impoverished regions of the world especially Sub-Saharan Africa which is being termed the noma belt region of the world. Although literature established that noma is indeed a neglected disease, the degree of this neglect in north central Nigeria compared to other sub-regions is in fact alarming, as no report on the disease burden have been published till date. In this light, a retrospective, cross-sectional was conducted to provide epidemiological representation to the cases encountered within an eight year period at the Cleft and Facial Deformity Foundation (CFDF), an indigenous surgical mission. The incidence of noma was estimated from the known incidence of orofacial cleft using an existing multinomial logistic regression model while the period prevalence was calculated considering the population living below poverty line in the sub-region. This study extrapolates an incidence of 3.2 per 1000 and a period prevalence of 0.05 per 1000 persons. Notable is the finding that most individuals with noma were above thirty years of age and suffered varying degree of facial disfigurement resulting from the acute phase of the disease which started in their childhood. Therefore, we advocate public awareness on the disease presentation, risk factors and sequelae in the sub-region and identify the need to bolster the efforts of existing health facilities and indigenous surgical missions in the management and rehabilitation of individuals affected.

epidemiology↗