Sickle cell disease (SCD) is still associated with substantial morbidity and reduced life expectancy. Disease-related mortality rises to 14% in adolescents and young adults. Overall and disease-free survival following haematopoietic stem cell transplantation (HSCT) is 90% and 95%, respectively. To reduce transplant-associated late effects, the feasibility of a highly immunosuppressive reduced-intensity conditioning (RIC) regimen was explored in children with SCD and a matched sibling donor. Eight patients (median age, 9 yr) and symptomatic SCD were included. The conditioning regimen consisted of fludarabine, melphalan and either thiotepa or total lymphoid irradiation plus antithymocyte globuline or alemtuzumab. The graft was bone marrow in seven and cord blood in one case. The conditioning regimen was well tolerated and no severe infectious complications occurred. All patients displayed mixed chimaerism on day +28. After a median follow-up of 4 yr, 3/8 patients have mixed leucocyte chimaerism and 8/8 patients have 100% donor erythropoiesis. HSCT from matched sibling donors following a RIC regimen was well tolerated and resulted in cure in all patients studied. If confirmed in larger patient cohorts, these observations will have important implications for the indications of HSCT in children with SCD.
SummaryThe daily activity of the slug Arion lusitanicus was studied using time‐lapse video analysis in the laboratory. Under constant temperature (18°C) and 16–h photoperiod, the activity of slugs was measured in half‐hourly periods as locomotor activity, feeding or resting. Track lengths were determined using image analysis. Locomotion of A. lusitanicus was greatest at 5:30, 1.5 h after sunrise, and at 20:30, 1 h after sunset; least locomotor activity occurred between 13:00 and 14:00. The mean distance travelled by A. lusitanicus in 24 h was 10.8 m. The largest slug was the most active and the smallest the least. Slugs spent 68% of 24 hours resting, mainly under artificial shelter traps, 27% in locomotion and 4% feeding. Feeding occurred mainly during the hours of dakness (76%). All categories of behaviour investigated varied greatly between individuals and also between times of day. Homing to artificial shelters and other roost sites was regularly observed within 24 h (41%), but decreased considerably thereafter.The behavioural patterns proved to be in agreement with those found in a previous field investigation and are therefore also discussed with a view to their importance in pest control.
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