The colonization of land by plants was a key event in the evolution of life. Here we report
the draft genome sequence of the filamentous terrestrial alga Klebsormidium flaccidum
(Division Charophyta, Order Klebsormidiales) to elucidate the early transition step from
aquatic algae to land plants. Comparison of the genome sequence with that of other algae and
land plants demonstrate that K. flaccidum acquired many genes specific to land
plants. We demonstrate that K. flaccidum indeed produces several plant hormones and
homologues of some of the signalling intermediates required for hormone actions in higher
plants. The K. flaccidum genome also encodes a primitive system to protect against
the harmful effects of high-intensity light. The presence of these plant-related systems in
K. flaccidum suggests that, during evolution, this alga acquired the fundamental
machinery required for adaptation to terrestrial environments.
Highlights
We assess the performance of the LUMIPULSE antigen test compared to RT-qPCR
The antigen level was significantly higher in PCR-positive samples than in negative samples
The antigen test determined all samples (>100 viral copies) to be positive
Likewise, it determined 85% of samples (>10 viral copies) to be positive
The kinetics of viral loads and antigen levels showed a similar declining trend
SUMMARY. Genotype 2 hepatitis C virus (HCV) accounts for up to 30% of chronic HCV infections in Japan. The standard of care for patients with genotype 2 HCV -peginterferon and ribavirin for 24 weeks -is poorly tolerated, especially among older patients and those with advanced liver disease. We conducted a phase 3, open-label study to assess the efficacy and safety of an all-oral combination of the NS5B polymerase inhibitor sofosbuvir and ribavirin in patients with chronic genotype 2 HCV infection in Japan. We enrolled 90 treatment-na€ ıve and 63 previously treated patients at 20 sites in Japan. All patients received sofosbuvir 400 mg plus ribavirin (weight-based dosing) for 12 weeks. The primary endpoint was sustained virologic response at 12 weeks after therapy (SVR12). Of the 153 patients enrolled and treated, 60% had HCV genotype 2a, 11% had cirrhosis, and 22% were over the aged 65 or older. Overall, 148 patients (97%) achieved SVR12. Of the 90 treatment-na€ ıve patients, 88 (98%) achieved SVR12, and of the 63 previously treated patients, 60 (95%) achieved SVR12. The rate of SVR12 was 94% in patients with cirrhosis and in those aged 65 and older. No patients discontinued study treatment due to adverse events. The most common adverse events were nasopharyngitis, anaemia and headache. Twelve weeks of sofosbuvir and ribavirin resulted in high rates of SVR12 in treatment-na€ ıve and previously treated patients with chronic genotype 2 HCV infection. The treatment was safe and well tolerated by patients, including the elderly and those with cirrhosis.
[Keywords: Axonal transport; unc-51; kinesin adaptor; phosphorylation; motor-cargo assembly] Supplemental material is available at http://www.genesdev.org.
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