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Juntos: A Support Program for Families Impacted by Congenital Zika Syndrome in Brazil
Open accessAbstract
Abstract Succinate dehydrogenase inhibitor (SDHI) fungicides are widely used for the control of a broad range of fungal diseases. This has been the most rapidly expanding fungicide group in terms of new molecules discovered and introduced for agricultural use over the past fifteen years. A particular pattern of differential sensitivity (resistance) to a subclass of chemically-related SDHIs (SHA-SDHIs) was observed in naïve Zymoseptoria tritici populations. Class specific SHA-SDHI resistance was confirmed at the enzyme level but did not correlate with the genotypes of the succinate dehydrogenase (SDH) encoding genes. Mapping and characterization of the genetic factor responsible for standing SHA-SDHI resistance in natural field isolates identified a gene (alt-SDHC) encoding a paralog of the C subunit of succinate dehydrogenase. This paralog was not present within our sensitive reference isolates and found at variable frequencies within Z. tritici populations. Using reverse genetics, we showed that alt-SDHC associates with the three other SDH subunits leading to a fully functional enzyme and that a unique Qp-site residue within the alt-SDHC protein confers SHA-SDHI resistance. Enzymatic assays, computational modelling and docking simulations for the two types of SQR enzymes (alt-SDHC, SDHC) enabled us to describe protein-inhibitor interactions at an atomistic level and to propose rational explanations for differential potency and resistance across SHA-SDHIs. European Z. tritici populations displayed a presence (20-30%) / absence polymorphism of alt-SDHC, as well as differences in alt-SDHC expression levels and splicing efficiency. These polymorphisms have a strong impact on SHA-SDHI resistance phenotypes. Characterization of the alt-SDHC promoter in European Z. tritici populations suggest that transposon insertions are associated with the strongest resistance phenotypes. These results establish that a dispensable paralogous gene determines SHA-SDHIs fungicide resistance in natural populations of Z. tritici. This study paves the way to an increased awareness of the role of fungicidal target paralogs in resistance to fungicides and demonstrates the paramount importance of population genomics in fungicide discovery. Author Summary Zymoseptoria tritici is the causal agent of Septoria tritici leaf blotch (STB) of wheat, the most devastating disease for cereal production in Europe. Multiple succinate dehydrogenase inhibitor (SDHI) fungicides have been developed and introduced for the control of STB. We report the discovery and detailed characterization of a paralog of the C subunit of the SDH enzyme conferring standing resistance towards a particular chemical subclass of the SDHIs. The resistance gene is characterized by its presence/absence, expression and splicing polymorphisms which in turn affect resistance levels. The identified mechanism influenced the chemical optimization phase which led to the discovery of pydiflumetofen, exemplifying the importance of population genomics for discovery and rational design of the most adapted solutions.
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Mixed methods evaluations of the Ubuntu Hub programmes have demonstrated improvements in caregiver wellbeing and confidence in caring for their child, increased peer support, improved child development, behaviour, and wellbeing, and greater understanding and attitudes towards children with disabilities.
“Mixed methods evaluations of the Ubuntu Hub programmes have demonstrated improvements in caregiver wellbeing and confidence in caring for their child, increased peer support, improved child development, behaviour, and wellbeing, and greater understanding and attitudes towards children with disabilities [28,29,30,31].”
From Adapting a Participatory Group Programme for Caregivers of Children with Complex Neurodisability from Low-, Middle-Income Countries to a High-Income Setting: Moving from Baby Ubuntu to Encompass (2025) · cites this paper as [30]
The Lessons Learned section (page unavailable) reports that caregivers felt less isolated when meeting peers, supporting the peer-support aspect. But the Piloting section says a future analysis will report the programme’s feasibility using qualitative and quantitative data; this paper does not demonstrate the claimed improvements in caregiver confidence, child outcomes, or attitudes towards children with disabilities. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe adaptation followed a similar process to the creation of "Juntos", an adaptation of the "Ubuntu" programme for families of children with Congenital Zika Syndrome in Brazil.
“The adaptation followed a similar process to the creation of “Juntos”, an adaptation of the “Ubuntu” programme for families of children with Congenital Zika Syndrome in Brazil [30].”
From Adapting a Participatory Group Programme for Caregivers of Children with Complex Neurodisability from Low-, Middle-Income Countries to a High-Income Setting: Moving from Baby Ubuntu to Encompass (2025) · cites this paper as [30]
The Background and Initial Adaptation of Program sections say Juntos was developed for families affected by congenital Zika syndrome in Brazil by adapting the Getting to Know Cerebral Palsy (GTKCP) and Early Intervention Program (EIP) materials. The paper links those materials to the Ubuntu Hub website, but does not identify a single “Ubuntu programme” as the programme adapted. It cannot verify whether the citing authors’ own adaptation followed a similar process. (LLM, conf=0.85)
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Smythe, T., Reichenberger, V., Pinzón, E. M., Hurtado, I. C., Rubiano, L., & Kuper, H. (2023) · Wellcome Open Research · doi:10.12688/wellcomeopenres.16839.3 · Cited by 10
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Metadata
- Authors
- Duttine, A., Smythe, T., Calheiros de Sa, M. R., Ferrite, S., Moreira, M. E., & Kuper, H.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (BR)
- Corresponding author
- Duttine, Antony
- Venue
- Global Health: Science and Practice
- Published
- 2020-12-23
- Volume
- 8
- Issue
- 4
- Pages
- 846-857
- ISSN
- 2169-575X (ISSN-L)
- PMC
- PMC7784063
- OpenAlex
- W3114758959
- Cited by
- 18
- References
- 2
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 1
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Global Health Science and Practice (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Arca - Repositório Institucional da Fiocruz (submittedVersion, other-oa)
- Funders
- Wellcome Trust (206719/Z/17/Z, Z/17/Z, 206719)
- Department for International Development
- Topics
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Fungal Plant Pathogen Control
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Keywords
- congenital Zika syndrome, Zika virus, family support programs, Junto, Brazil, congenital microcephaly, Zika virus prevention, Zika vaccine
- MeSH terms
- Zika Virus Infection, Zika Virus, Brazil, Child, Female, Humans, Parents, Caregivers
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