PubMedCrossRef 33. Savioz A, Jeenes DJ, Kocher HP, Haas D: Comparison of proC and other housekeeping genes of Pseudomonas aeruginosa with their counterparts in Escherichia coli . Gene 1990, 86:107–111.PubMedCrossRef 34. Essar DW, Eberly L, Hadero A, Crawford IP: Identification and characterization of genes for a second

anthranilate synthase in Pseudomonas aeruginosa : interchangeability of the two anthranilate synthases and evolutionary implications. J Bacteriol 1990, 172:884–900.PubMedCentralPubMed 35. Mahajan-Miklos S, Tan MW, Rahme LG, Ausubel FM: Molecular mechanisms of bacterial virulence elucidated using a Pseudomonas aeruginosa – Caenorhabditis elegans pathogenesis model. Cell 1999, 96:47–56.PubMedCrossRef Authors’ contributions RR, click here DV, FV, and GB conceived and designed the experiments. RR, RM, and FV performed the experiments. RR, DV, and GB analyzed the data. DV and GB wrote the paper. APR-246 in vivo All authors read and approved the final manuscript.”
“Background The species of the Mycobacterium tuberculosis complex (MTC) show a 99.9% of similarity in their nucleotide sequence and their 16SrRNA do not differ between members, only M. canetti does [1]. Despite this identity in their genomes, a large number of long sequence

polymorphisms (LSPs), a variation in repetitive elements in the genome, and single nucleotide polymorphisms (SNPs) have been detected [2, 3]. It is the diversity of such polymorphisms, which is taken for phylogenetic studies with clinical isolates. In 1997, Sreevatsan et al. based on the presence of two SNPs in gyrA 95(AGC→ACC) and katG 463(CGC→CTG), classified all MTC isolates into three principal genetic groups or PGGs [4]. Afterwards, Brudey et al. based on the “Direct Repeat” locus (DR) diversity detected by learn more Spoligotyping, classified thousands of MTC clinical strains isolated worldwide in different lineages or families [5]. These families were named according with their main geographical

origin; Latin American-Mediterranean family (LAM) isolates, which are the cause of 15% of the new TB (tuberculosis) cases detected each year worldwide, are highly prevalent in Latin America and the Mediterranean during area [6, 7]. Within this family a sub-lineage has been characterized by a genomic deletion known as RDRio, which was firstly detected in Brazil, but it was widely spread throughout the world [8, 9]. Haarlem family is ubiquitous throughout the world and accounts for 25% of the isolates extracted in Europe, Central America and the Caribbean [10]. The T family is an “ill defined” family that was characterized by default. It includes over 600 shared international types (SITs) and it has been divided into 5 subgroups, from T1 to T5 [5, 7]. Beijing family has become significant due to several multidrug-resistant (MDR) outbreaks identified [11]. S family was identified predominantly in patients of Italian origin [7]. “X” family was described to be highly prevalent in North America (21.5%) and Central America (11.

Int J Food Microbiol 2006, 108:164–171.PubMedCrossRef 38. Costafreda MI, Bosch A, Pinto RM: SAHA HDAC Development, evaluation and standardization of a real time TaqMan reverse transcription-PCR selleck assay for quantification of hepatitis A virus in clinical and shellfish samples. Appl Environ Microbiol 2006, 72:3846–3855.PubMedCrossRef 39. Di Pasquale S, Paniconi M, De Medici D, Suffredini E, Croci L: Duplex real time PCR for the detection of hepatitis A virus in shellfish using feline calicivirus as a process control. J Virol Methods 2010, 163:96–100.PubMedCrossRef

40. Di Pasquale S, Paniconi M, Auricchio B, Orefice L, Schultz AC, De Medici D: Comparison of different concentration methods for the detection of hepatitis A virus and calicivirus from bottled natural mineral waters. J Virol Methods 2010, 165:57–63.PubMedCrossRef 41. Pang XL, Lee B, Boroumand N, Leblanc B, Preiksaitis JK, Yu Ip CC: Increased detection of rotavirus using a real time reverse transcription-polymerase LY2606368 order chain reaction (RT-PCR) assay in stool specimens from children with diarrhea. J Med Virol 2004, 72:496–501.PubMedCrossRef 42. Tichopad A, Dilger M, Schwarz G, Plaffl MW: Standardized determination of real-time PCR efficiency from a single reaction set-up. Nucleic Acids Res 2003,31(20):e122. Erratum in: Nucleic Acids Res 2003, 31 (22), 6688PubMedCrossRef 43. Geeraerd AH, Valdramidis VP, Van Impe JF: GInaFiT, a freeware tool to assess non-log-linear

microbial survivor curves. Int J Food Microbiol 2005, 102:95–105. Erratum in: 2006. Int J Food Microbiol 110: 297PubMedCrossRef Competing interests The authors declare selleck products that

they have no competing interests. Authors’ contributions CC and AF performed these experiments. LG performed statistical study. All authors wrote, read and approved the final manuscript.”
“Background It is estimated that one-third of the world’s population is infected with M. tuberculosis and 8.7 million suffer from active TB and 1.4 million deaths occur due to it every year [1]. M. tuberculosis is able to evade the human immune response in part by triggering formation of insulating hypoxic granulomas following infection of pulmonary macrophages. Bacilli within this environment have adapted themselves to slowly replicate and respire, making them tolerant of many drugs. This resistant state is thought to contribute to the prolonged combination chemotherapy required to cure patients [2, 3]. Lack of compliance with treatments lasting up to 9 months contributes to the emergence of resistant strains [4]. To contain this situation, new anti-tuberculosis drugs and lesser duration of treatment are of immediate requirement. The discovery of new drugs involves several constraints that discourage many companies from investing in novel anti-TB drugs. The research is expensive, slow and difficult, and it requires specialized facilities for handling M. tuberculosis.

In particular the Wolbachia Surface Protein (WSP) has been shown to elicit https://www.selleckchem.com/products/ABT-888.html innate immune induction via TLR2 and TLR4 activation in both humans and mice [14] and to inhibit apoptosis in neutrophils through inhibition of caspase-3 activity [15]. In this study we investigated whether WSP can also induce innate immune responses in insects, using mosquito cell lines originating from both naturally Wolbachia-uninfected and Wolbachia-infected mosquito species. An additional aim was to identify PAMPs (pathogen associated molecular patterns) that can elicit strong immune

responses in mosquitoes, which could be useful for novel disease control strategies; thus in order to avoid the complications of possible strain-host co-adaptations, we have initially used WSP derived from a nematode Wolbachia rather than from an insect-derived Wolbachia strain. Results WSP is a strong innate immune response

elicitor in An. gambiae cells. In the An. gambiae RGFP966 mouse cells, the antimicrobial peptide-encoding genes Cecropin 1 (CEC1) and Gambicin (GAMB) showed elevated levels of transcription in the presence of WSP compared to negative controls (naïve and proteinase K-treated-pkWSP) [14] and responded in a dosage Entospletinib mw dependent fashion, when different concentrations of WSP up to 5μg/ml were used (Fig1A). Their mRNA levels were increased in the presence of WSP to similar degrees and statistically significant differences were observed for all WSP quantities used. In contrast, Defensin 1 (DEF1) which has been shown to be primarily active against Gram-positive bacteria [16], showed only a small degree of upregulation that was not statistically significant. Increased concentrations of WSP also increased the transcription levels of complement-like gene TEP1, Anopheles Plasmodium-responsive Leucine-rich repeat 1 (APL1) and Fibrinogen 9 (FBN9) (Fig1A). In comparison Rho to the AMPs, TEP1 and APL1 showed a higher induction level with respectively 4 and 5-fold peaks. Significant upregulation was also seen at a concentration of 5μg/ml of WSP for all three genes (p<0.05). This data suggests that in this naturally Wolbachia-uninfected mosquito species, WSP

is capable of inducing the transcription of innate immune factors such as AMPs, complement-like proteins and fibrinogen genes, all of which are involved in anti-parasitic responses in An. gambiae. Figure 1 WSP challenge in mosquito cells. qRT-PCR analysis of AMPs and innate immune genes at 3h post-WSP challenge in 4a3A (A) and Aa23T (B). Increased expression dependent on WSP quantities up to 5μg/ml was detected in all genes tested. Relative expressions were calculated to pkWSP (WSP protein treated with proteinase K) challenged cells and represent the average of 4 biological repeats +/- SE. Statistical analysis where performed using a Wilcoxon rank sum test (*p<0.05, **p<0.01). WSP is a mild innate immune response elicitor in Ae.

Direction

of microbiological see more Selleckchem HKI 272 processes The study of microbiological processes in the soil allows deeper analysis of changes in the structure of soil and biotic system. The focus of microbiological processes was determined using the mineralization coefficient, which permits to characterize the intensity of mineralization processes and oligotrophic index of microbial communities. It was noted that the intensity of mineralization processes was higher in variants with colloidal solution of nanoparticles of molybdenum. It should be noted that this tendency was observed in both variants with CSNM application (3.93 to 1.94). The intensity had decreased in the flowering stage, but still the figure in experimental variants was higher than in the control (1.75 to 1.35) (Figure 1). The oligotrophic index of soils in variants with application of CSNM and microbial preparation was lowest (0.16) indicating the optimal conditions for the formation of soil microcoenosis. At this, the significant increase of number of oligotrophic microorganisms developed due to the minimal amount of organic matter in the soil and typical for the last stages of mineralization is of big interest. Thus, the oligotrophic index of soil during the flowering stage was two times higher and reached 1.35 (Figure 2). Doubling of oligotrophic

index had reflected the changes in the structure of soil microbial coenosis. Figure learn more 1 Performance orientation of microbial processes in Parvulin rhizosphere soil of chickpea plants. Plant emerging stage: (1) Control (water treatment), (2) colloidal solution of nanoparticles of molybdenum (CSMN), (3) microbial preparation, (4) microbial preparation + CSMN. Figure 2 Performance orientation of microbial processes in rhizosphere soil of chickpea

plants. Plant flowering stage: (1) Control (water treatment), (2) colloidal solution of nanoparticles of molybdenum (CSMN), (3) microbial preparation, (4) microbial preparation + CSMN. The application of colloidal solution of nanoparticles of molybdenum had enhanced the development of almost all groups of microorganisms two to three times relative to the control, mainly due to bacteria that metabolize mineral nitrogen, associative nitrogen fixation and associative oligotrophic microorganisms, that was also confirmed by the mineralization and oligotrophic indices. The application of CSNM in combination with bacterial preparation had a positive effect on the rate of transformation of organic matter, which increased threefold compared to that of the control, followed by the enhancement of mineralization processes and oligotrophic rates, indicating the improvement of trophic regime of the soil.

Quantitative RT-PCR confirmed enhanced expression of s-CLU strictly correlated to

mRNA expression in both KF-TX and SKOV-3-TX cells when compared with their parental cell lines (Figure 2C). Table 4 List of ovarian cancer cells and their IC50 for TX in a three days treatment experiment. Histological type Cell line IC50 (TX; nM) Serous KF 100 Serous KF-TX 500 Serous SKOV-3 20 Serous SKOV-3-TX 100 Serous OVK18 50 Clear cell TU-OC-1 6900 Clear cell KOC-7c 6700 Figure 2 S-CLU is up-regulated in the chemo-resistant cells: A. Western blotting analysis of CLU in a panel of ovarian cancer cells. Equal amount of proteins were loaded, resolved by SDS-PAGE Hedgehog inhibitor and immunoprobed with anti-CLU mAb. S-CLU was found in the cells and media. Some ovarian cancer cells

express relatively high levels of CLU in comparison to immortalized non tumorigenic ovarian epithelial OSE cells. B. Chemo-resistant KF-TX cells shows higher expression levels of CLU compared to parental KF cells. A similar result is found in SKOV-3 compared to SKOV-3-TX cells. C. Quantitative PCR showing the difference in CLU transcript level between the TX-sensitive and TX-resistant clones in both KF (left) and Skov-3 (right) systems. To investigate whether upregulation of s-CLU expression is a cause or a result of TX-induced resistance, both parental KF and KF-TX cells were treated with TX in a dose dependent fashion for 6 h. Sensitive KF cells p53 inhibitor rapidly responded by increasing s-CLU expression level under low doses of TX. In this experiment cellular viability mainly decreased Ricolinostat molecular weight when TX dose surpassed IC50. KF-TX cells already selleck chemicals llc expressing higher CLU levels, did not further express CLU following TX treatment (Figure

3A). When we treated cells with TX up to 48 h, KF parental cells progressively increased CLU expression levels up to IC50 doses (100 nM) then CLU was down-regulated at higher doses. On the other hand, CLU expression level (already high) did not change in KF-TX cells. Again, only at doses higher than IC50 (500 nM), CLU was down-regulated (Figure 3B). S-CLU detected in cells’ medium progressively decreased up to IC50 doses in the sensitive cells suggesting its retention inside cells. However, secretion of CLU into the media by resistant cells clearly extended up to higher concentration of TX if compared with parental cells. Considering that changes in CLU expression seem independent of CLU mRNA, which did not change significantly as indicated by real-time PCR (data not shown), these results suggest that post-translational modification of CLU, including maturation and secretion, may be altered in response to TX treatment. Figure 3 Induction of CLU in a time and dose dependent fashion by TX. A. Western analysis showing s-CLU expression after 6 h treatment with TX. Induction of s-CLU is evident in chemo-sensitive KF cells when treated with high doses of TX but not in KF-TX, in which the high levels of s-CLU remained unchanged.

Nguyen and Shklovskii explained that when the Ruxolitinib order surface charge of the particle is reduced by condensed oppositely charged polyions, the correlation-induced short-range attraction dominates the long-range electrostatic repulsion, leading to the cluster formation [52–54]. Close to the isoelectric point, such destabilization (and eventually the precipitation of the solid fraction) is observed [55]. However, symmetrically on both sides of the isoelectric point, the formation of long-lived, finite size aggregates overstays [56–58]. These aggregates have a size ranging from a few hundred nanometers to a few

microns, getting closer to the border of the ‘destabilization zone’. They form almost SB203580 supplier immediately when the polyelectrolyte is added to the colloidal suspension and then remain stable in time for

weeks, without showing any tendency toward further aggregation. Here, we presented complete experimental details and results of the electrostatic SN-38 clinical trial complexation between cationic homoPEs and negatively charged superparamagnetic iron oxide NPs. By using direct mixing method, we evidenced their ‘destabilization state’ at charges stoichiometry (isoelectric point) and ‘long-lived stable clusters state’ named arrested states apart of isoelectric point. Then, we applied the ‘desalting kinetic’ method to their complexation in the presence of an externally applied magnetic field (0.3 T). At isoelectric point, large and irregular aggregates with macroscopic sedimentation were obtained. Apart of isoelectric point (at arrested state), regular and elongated magnetic wires can be obtained. By tuning charges ratio, we can also select the overall surface charge (either positive or negative) of these magnetic wires. Moreover, we derive the probability distribution function of wire length and study their mechanisms of reorientations under the application of a magnetic field. The experimental observations lead us to the conclusion that the

wires formed with homoPEs are superparamagnetic as well as the wires made from polyelectrolyte-neutral block copolymers. Methods Building block materials The synthesis of the superparamagnetic NPs see more investigated here was elaborated by Massart et al. using the technique of ‘soft chemistry’ [59]. Based on the polycondensation of metallic salts in alkaline aqueous media, this technique resulted in the formation of magnetite (Fe3O4) NPs of sizes comprised between 4 and 15 nm. Magnetite crystallites were further oxidized into maghemite (γ-Fe2O3) and sorted according to their size. In the conditions of the synthesis (pH 1.8, weight concentration c ~ 10 wt.%), the magnetic dispersions were stabilized by electrostatic interactions arising from the native cationic charges at the surface of the particles.

Then, absorption of samples was measured at 562 nm in a Perkin Elmer Lambda 25 UV/Vis spectrophotometer and compared to protein standards containing bovine serum albumin in a concentration range of 0-600 μg ml-1. Extraction selleck kinase inhibitor and determination of intracellular trehalose content Trehalose determination was performed basically as described by Blázquez et al. [52] by the following procedure. Cell pellets from 15 ml of early stationary phase cultures in their optimal minimal medium were washed with isotonic carbon-free medium and resuspended in 1 ml of the same medium. Cells were lysed by 30 min selleck chemical incubation at 95°C and, after

centrifugation, trehalose was assayed in a 200 μl total volume reaction containing 100 μl of the supernatant,

90 μl of 25 mM sodium acetate buffer (pH 5.6) and 0.02 U of commercial trehalase (Sigma). For each culture sample, endogenous glucose content was monitored by performing a parallel reaction in which trehalase was substituted by water. After overnight incubation at 37°C, glucose released by trehalose hydrolysis was determined on 150 μl of the previous reaction by SIS3 mouse addition of 150 μl of a glucose oxidase/peroxidase mixture (0.66 mg ml-1) Aspergillus niger glucose oxidase and 0.25 mg ml-1 horseradish peroxidase in 0.5 M phosphate buffer, pH 6.0 (Sigma) and 50 μl of 2.33 mg ml-1 o-toluidine. After 30 min incubation at 37°C, 1.5 ml of water was added to the samples and absorption was measured at 420 nm in a Perkin Elmer Lambda 25 UV/Vis spectrophotometer and compared to glucose standards in a concentration range of 0-300 μg ml-1. Finally, trehalose content was inferred from the glucose content by performing a standard curve with commercial trehalose (Sigma) ranging from 1 to 5 mM. Trehalose concentration was expressed as μmol mg Lenvatinib research buy protein-1. Isolation of the otsA and 16S rRNA genes Total DNA was isolated by using the CTAB method [53]. Amplification of about 1-kb of the otsA gene from R. gallicum bv. phaseoli 8a3, R. leguminosarum bv. phaseoli 31c3, and R. etli 12a3 was performed by

using the primers OTA1: 5′-ATC TGG ATG GGA TGG TCG GGA-3′ and OTA2: 5′-GAC ATA TTC CTT GGC AAC GAG GTT-3′. For strain CIAT 899, otsA was amplified by using the degenerated primers: OTAS1: 5′-CAT CTG GAT GGG (CT)TG GTC GG-3′ and OTAS2: 5′-GGC GAC ATA TTC CTT GGC (GC)AC (GC)AG GTT-3′. The amplification protocol consisted of the following steps: initial denaturation at 94°C for 5 min followed by 30 cycles of denaturation (45 seconds at 94°C), annealing (45 seconds at 58°C), extension (1 min at 72°C), and a final extension step at 72°C for 10 min. Sequencing of the otsA genes was performed by the company Newbiotechnics (NBT, Seville, Spain). PCR amplifications of the complete 16S rRNA genes were carried out as previously described [54].

One could vary the device width, which will still result in qualitatively similar characteristics, as far as the conduction and valence band edges are well isolated from the near-midgap state. Next, we consider the transport through the graphene nanoribbon by applying drain bias. In the limit of small drain bias, the channel transport is only dependent on the bandwidth of the near-midgap state. For zero bandwidth, no channel current flows through this state in the coherent CB-5083 in vivo limit, except for the dielectric leakage current and tunneling

through the higher bands, which should be small given the conduction (valence) band is above (below) the localized state by about 1 eV. By applying a gate voltage to increase the bandwidth of the state, the channel current starts to flow. The operation of the EMT in this mode is equivalent to that of an n-MOS; hence, we refer to it as n-EMT. The equivalents of p-EMT can be realized by simply reversing the gate connections to induce an electric field in the reverse direction [8]. This all-electronic

scheme thus operates under complementary mode. We envision that such transistor action is more general and can be achieved in any dimension with a near-midgap state in the channel region, the bandwidth of which can be modulated by the external voltage and for which, one can make ohmic contacts with the midgap state. In the limit of high bias, this transport picture changes, which we discuss Thalidomide later. So far, to the best of our knowledge, an experimental observation of such a state in a zzGNR www.selleckchem.com/products/MGCD0103(Mocetinostat).html has not been made. Theoretical model To understand the transport in the high-bias regime, we consider a gedanken

one-dimensional device and start with the ansatz of Equation 1. For such a device, we use single-band tight-binding approximation [13], where the channel bandwidth is 4|t o| and t o is the nearest neighbor hopping parameter. For simplicity, we take five lattice points in the device https://www.selleckchem.com/products/lazertinib-yh25448-gns-1480.html region corresponding to a channel length and width of about 2 and 1 nm, respectively. The channel length can be decreased to about 1 nm as long as there is an unperturbed region in the middle with a near-midgap state, whereas the upper limit on the channel length can be bound by the scattering length, which can be in micrometer range for graphene. Similarly, the width can be varied as well which will result in a different gate voltage applied to achieve similar device characteristics. The Laplace’s potential due to the drain bias (V d) is included as a linear voltage drop. The Hartree potential is ignored for simplicity, since it does not affect the device operating principle, although it may affect the quantitative results. The choice of a simple model allows us to study the device and the circuit characteristics in terms of the modulation factor α and the residual bandwidth BWo.

, 2005; Zalavadiya et al., 2009). Tuberculosis (TB) causes the death of approximately three million patients in the world

every year. These numbers make TB one of the leading infectious causes of death, eclipsed only by AIDS. Synthetic drugs for treating TB have been available for over half a century, but incidences of the disease continue to be on the rise worldwide. The causative organism, Mycobacterium tuberculosis, is a tremendously successful colonizer of the human host and is estimated to have latently infected BIX 1294 mouse approximately one-third of humanity. A growing number of immunocompromised patients are attributed to cancer chemotherapy, organ transplantation, and HIV infection, which are the major factors contributing to this increase. Therefore, it is necessary to search for and synthesize new classes of antimicrobial compounds that are effective against pathogenic AC220 in vivo microorganisms that have developed resistance to the antibiotics (Dye and Williams, 2009; Dye and Phill, 2006; Koca et al., 2005; Zalavadiya et al., 2009; Bayrak et al., 2010a, b). In the field of medicinal chemistry, azoles belong

to a class of antimicrobial agents that are widely used and studied because of their safety profile and high therapeutic index. Ribavirin, rizatriptan, alprazolam, vorozole, letrozole, and this website anastrozole are the best examples of drugs containing 1,2,4-triazole moiety (Ashok et al., 2007; Rao et al., 2006; Hancu et al., 2007; Cai et al., 2007). Among azole-based drugs, conazoles, such as itraconazole, fluconazole, voriconazole, and ravuconazole constitute a major class being used for the treatment of fungal infections (Yu et al., 2007; Gupta et al., 2007; Schiller

and Fung, 2007). Another important pharmacophore group is the morpholine nucleus incorporated in a wide variety of therapeutically important drugs, one of which is linezolid which belongs to the oxazolidinone class of antibiotics and is used for the treatment of infections caused by gram-positive bacteria (Wyrzykiewicz et al., 3-mercaptopyruvate sulfurtransferase 2006; Dixit et al., 2005; Raparti et al., 2009; Bektas et al., 2010, 2012; Bayrak et al., 2009a, b). In addition, 4-phenylmorpholine derivatives have been reported to possess antimicrobial, anti-inflammatory, and central nervous system activities (Dixit et al., 2006), Oxazolidinones are a relatively new class of synthetic antibacterial agents, having a new mechanism of action that involves early inhibition of bacterial protein synthesis. This class of compounds is particularly active against gram-positive organisms. Oxazolidinones are thought not to be cross-resistant with other types of antibiotics because of their different action mechanisms, which include interaction with the bacterial ribosome to inhibit bacteria. (Zheng et al., 2010; Giera et al., 2006; Das et al., 2005; Gage et al., 2000; Cui et al., 2005).

Clinicians believed that they were the most appropriate group, while geneticists and experts with a bioethical background thought that results should be disclosed by a multidisciplinary team. This team should consist of not only clinicians but also other professionals, such as geneticists and clinicians specialised in the relevant condition (e.g. oncologist if a cancer susceptibility gene had been discovered).

At the same time, most of the experts check details questioned the appropriateness of clinicians not specialised in genetics dealing with genetic tests and the results, especially when NGS is used. They were of the opinion that non-specialist clinicians lacked the expertise to explain the procedures and to provide pre- and post-testing counselling. The lack of a recognised specialty of “clinical geneticist” made things even harder. To understand that, here we are acting as genetic counsellors because see more we don’t have genetic counsellors and doctors don’t know what to do. They are asking for our help and sometimes even we don’t know what to do (Participant 05). Not to mention that we don’t even have a specialty recognised! (Participant 02) Which results should be returned? Most experts mentioned the concept

of “patient autonomy” and understood this as each patient’s individual right to choose whether or not to be told about IFs, although their ideas about the best way to achieve this varied. We need to make sure that they are informed well enough and that they are deciding autonomously.

We should give them all the information we can and let them decide by themselves (Participant 03). Whoever is doing the genetic counselling should provide all the available information. They should let them know that IFs could be discovered. And then it is on the individual’s responsibility PRKACG to ask his doctor if they indeed discovered something. This way we would be sure that the individual actually wants to learn the selleck products findings. If it is the doctor that asks then that is not exactly autonomous! They need to actively participate! (Participant 01) However, it seems current practice is not always guided by this principle. Clinicians admitted they do occasionally adopt a more paternalistic approach and try to act in what they think is their patient’s best interest, even if this means making some preliminary decisions by themselves. Even if the patient has asked for all results we won’t give him everything. We will definitely give him clinically valid and clinically actionable ones, or results that concern serious of life-threatening conditions but about the rest of them … I don’t know. We will discuss about it and according to what we will decide we will let him know (Participant 06). We won’t give him everything. We will discuss it and we will decide what he needs to know (Participant 08).