No controlled studies exist regarding the pharmaceutical reduction of ataxia symptoms in ataxia telangiectasia (A-T). In a multicenter, double-blind, randomized, placebo-controlled crossover trial, oral betamethasone (BETA) and placebo were compared in terms of their reduction of ataxia symptoms as assessed with the International Cooperative Ataxia Rating Scale (ICARS). In this study of 13 A-T children, betamethasone reduced the ICARS total score by a median of 13 points in the intent-to-treat population and 16 points in the per-protocol population (ie, median percent decreases of ataxia symptoms of 28% and 31%, respectively). In conclusion, Oral betamethasone could be a promising therapy to relieve ataxia symptoms in A-T patients; however, long-term effectiveness and safety must be established. (Current Controlled Trials, number ISRCTN08774933.)

Abstract. In a laboratory experiment, we investigated the preference of larvae and adults of Coccinella septempunctata (Coleoptera: Coccinellidae) for three aphid species: two essential prey, Acyrthosiphon pisum and Aphis philadelphi, and a toxic prey Aphis sambuci. Surprisingly, the toxic aphid was consumed at twice the rate of the two essential prey species. The stages and genders of the ladybirds did not differ in their preference for aphid species. In the tritrophic interaction, in the field, on the elder host plant Sambucus nigra, A. sambuci is usually avoided by C. septempunctata. To measure ladybird preference, apterous females of the three selected aphid species were released in a Petri dish followed by a ladybird. After four hours, we removed the ladybird, counted the number of aphids of each species that survived, and calculated the number of aphids of each species consumed in total. We examined preference by considering separately the first two aphids consumed by a predator (early feeding), and all remaining aphids consumed thereafter (late feeding). The consumption rates of the first two individuals did not deviate from expected values with no preference; i.e., ladybirds fed on aphids without choice in the beginning of experiment when they were hungry. The ladybirds did express preference thereafter, but our hypothesis that the ladybirds should be able to distinguish among the aphids during later phase of the experiment and choose the most profitable species, or at least distinguish between essential and toxic prey, was rejected .

Conclusions Serum IFNa2 levels measured by Simoa, but not the type-I IFN gene signature, are associated with disease activity scores and characterize disease activity states in cSLE patients. Hence, this technique has the potential to be implemented in clinical practice.

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daily. The median (range) duration of treatment was 165,5 (10-432) months. Median (range) HCQ concentrations in serum were 241 (0-734) ng/mL and mean (±2SD) QTc interval was 416,8 (±50,1) ms. In total, 16 patients had QTc !440 ms, including one man. Of these patients, five had QTc !460 ms. No patient had QTc >500 ms. We found no significant correlation between serum concentrations of HCQ and QTc intervals (r = 0,175, p = 0,088) (Figure 1). In the study group, only three patients had evidence of cardiomyopathy. Conclusion In this study, we could not detect a correlation between serum concentrations of HCQ and prolonged QTc in SLE patients. Low dose HCQ treatment in SLE appears to be safe regarding development of cardiomyopathy.