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  • Public defence: 2026-08-24 09:00 Polhemsalen, Uppsala
    Valli, Dylan
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Chemistry - Ångström, Physical Chemistry.
    Mechanistic and Structural Insights into IAPP Fibril Polymorphism: From Self-Assembly to Structure-Based Design of Therapeutics via Cryo-EM2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Type 2 diabetes is one of the most prevalent metabolic diseases worldwide, affecting hundreds of millions of people. A hallmark of the disease is the accumulation of amyloid fibrils formed by the islet amyloid polypeptide, hIAPP, in the pancreatic islets, contributing to β-cell dysfunction and death. Despite decades of research, the structural determinants of hIAPP aggregation and their implications for disease remain poorly understood. This thesis makes use of cryo-electron microscopy and biophysical characterization to investigate the structural diversity of hIAPP fibrils and leverage this knowledge toward the development of new therapeutic strategies.

    We first investigate the effect of solution conditions on hIAPP polymorphism and cross-aggregation with rat IAPP. Our results reveal that buffer composition, co-solvents and peptide ratios determine the fibril structures formed, and that rat IAPP can switch from inhibitor to co-aggregator depending on the aggregation environment, highlighting the importance of solution conditions in aggregation studies.

    Building on these findings, we solved the cryo-EM structures of three proline mutants of hIAPP inspired by the non-amyloidogenic rat sequence. Each mutant gives rise to distinct fibril polymorphs, revealing that proline substitutions reshape the amyloidogenic core of hIAPP. Across all structures, conserved structural motifs emerge, such as the central role of Phe23 in hydrophobic core stabilization. These recurring features were used as targets for a structure-based design, yielding two new peptide sequences with reduced amyloidogenicity. Most strikingly, the F23R-A25P double mutant showed complete resistance to fibril formation under all conditions tested, including physiologically relevant and seeded conditions. In addition, it fully abolished hIAPP-associated cytotoxicity in pancreatic β-cell assays, demonstrating the power of rational, structure-based design for the development of therapeutic candidates against type 2 diabetes.

    Finally, we determined the cryo-EM structure of proIAPP(1-48) fibrils and found that it closely resembles a polymorph exclusively associated with ex vivo seeded hIAPP fibrils. Molecular dynamics simulations further revealed transient interactions between the disordered N-terminal extension and His18, suggesting that proIAPP acts as a structural template that initiates disease-relevant amyloid formation in the pancreatic islets, positioning precursor misprocessing as an early and potentially targetable event in islet amyloidosis.

    List of papers
    1. Improving cryo-EM grids for amyloid fibrils using interface-active solutions and spectator proteins
    Open this publication in new window or tab >>Improving cryo-EM grids for amyloid fibrils using interface-active solutions and spectator proteins
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    2024 (English)In: Biophysical Journal, ISSN 0006-3495, E-ISSN 1542-0086, Vol. 123, no 6, p. 718-729Article in journal (Refereed) Published
    Abstract [en]

    Preparation of cryoelectron microscopy (cryo-EM) grids for imaging of amyloid fibrils is notoriously challenging. The human islet amyloid polypeptide (hIAPP) serves as a notable example, as the majority of reported structures have relied on the use of nonphysiological pH buffers, N -terminal tags, and seeding. This highlights the need for more efficient, reproducible methodologies that can elucidate amyloid fibril structures formed under diverse conditions. In this work, we demonstrate that the distribution of fibrils on cryo-EM grids is predominantly determined by the solution composition, which is critical for the stability of thin vitreous ice films. We discover that, among physiological pH buffers, HEPES uniquely enhances the distribution of fibrils on cryo-EM grids and improves the stability of ice layers. This improvement is attributed to direct interactions between HEPES molecules and hIAPP, effectively minimizing the tendency of hIAPP to form dense clusters in solutions and preventing ice nucleation. Furthermore, we provide additional support for the idea that denatured protein monolayers forming at the interface are also capable of eliciting a surfactant -like effect, leading to improved particle coverage. This phenomenon is illustrated by the addition of nonamyloidogenic rat IAPP (rIAPP) to a solution of preaggregated hIAPP just before the freezing process. The resultant grids, supplemented with this "spectator protein", exhibit notably enhanced coverage and improved ice quality. Unlike conventional surfactants, rIAPP is additionally capable of disentangling the dense clusters formed by hIAPP. By applying the proposed strategies, we have resolved the structure of the dominant hIAPP polymorph, formed in vitro at pH 7.4, to a final resolution of 4 A & ring; . The advances in grid preparation presented in this work hold significant promise for enabling structural determination of amyloid proteins which are particularly resistant to conventional grid preparation techniques.

    Place, publisher, year, edition, pages
    Cell Press, 2024
    National Category
    Physical Chemistry
    Identifiers
    urn:nbn:se:uu:diva-528065 (URN)10.1016/j.bpj.2024.02.009 (DOI)001214187500001 ()38368506 (PubMedID)
    Funder
    Knut and Alice Wallenberg FoundationSwedish Research Council, 2022-06725Swedish Research Council, 2018-06479Swedish Research Council, NAISS 2023/22-256Swedish Research Council, NAISS 2023/5-165Swedish Research Council, NAISS 2023/6-112Swedish Research Council, NAISS 2023/22-1272Swedish Research Council, Berzelius-2023-271Swedish Research Council, Berzelius-2023-77
    Available from: 2024-05-17 Created: 2024-05-17 Last updated: 2026-04-15Bibliographically approved
    2. Cryo-Electron Microscopy Provides Mechanistic Insights into Solution-Dependent Polymorphism and Cross-Aggregation Phenomena of the Human and Rat Islet Amyloid Polypeptides
    Open this publication in new window or tab >>Cryo-Electron Microscopy Provides Mechanistic Insights into Solution-Dependent Polymorphism and Cross-Aggregation Phenomena of the Human and Rat Islet Amyloid Polypeptides
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    2025 (English)In: Biochemistry, ISSN 0006-2960, E-ISSN 1520-4995, Vol. 64, no 12, p. 2583-2595Article in journal (Refereed) Published
    Abstract [en]

    Inhibitors targeting amyloids formed by the human Islet Amyloid Polypeptide (hIAPP) are promising therapeutic candidates for type 2 diabetes. Peptide formulations derived from the nonamyloidogenic rat IAPP (rIAPP) sequence are currently used as hIAPP mimetics to support insulin therapy. rIAPP itself acts as a peptide inhibitor; yet, the structural-level consequences of such inhibition, particularly its impact on amyloid polymorphism, have not been studied in detail. Here, we conduct coaggregation experiments with varying rIAPP-to-hIAPP concentration ratios and employ high-resolution cryo-electron microscopy (Cryo-EM) to elucidate the polymorphism of the resulting fibril structures. Our results demonstrate that the polymorphism of hIAPP amyloids is highly sensitive to the electrostatic environment, which can be modulated by buffer composition, the concentration of the inhibitor, and cosolvents such as hexafluoroisopropanol (HFIP). Under native conditions, rIAPP associates with hIAPP but does not cross-aggregate, resulting in fibrils primarily composed of hIAPP. Significant inhibition is observed at relatively high concentrations of rIAPP. However, trace amounts of HFIP disrupt this inhibition, leading to increased fibril concentrations due to the formation of cross-seeded products composed of both hIAPP and rIAPP, as evidenced by mass spectrometry and two-dimensional infrared (2D IR) spectroscopy. These findings highlight the critical role of experimental conditions, particularly the electrostatic environment, in modulating amyloid polymorphism, cross-seeding, and inhibition. By providing structural insights into these processes, this study advances our understanding of peptide aggregation and offers valuable guidance for the rational design of more effective therapeutic inhibitors targeting hIAPP-related amyloidosis.

    Place, publisher, year, edition, pages
    American Chemical Society (ACS), 2025
    National Category
    Endocrinology and Diabetes Cell and Molecular Biology
    Identifiers
    urn:nbn:se:uu:diva-566375 (URN)10.1021/acs.biochem.5c00042 (DOI)001494654200001 ()40417836 (PubMedID)2-s2.0-105005940383 (Scopus ID)
    Funder
    Swedish Research Council, 2022-04198Swedish Research Council, 2021-03293Knut and Alice Wallenberg FoundationSwedish Research Council, 2022-06725Swedish Research Council, 2018-06479Swedish Research CouncilSwedish Research Council
    Available from: 2025-09-08 Created: 2025-09-08 Last updated: 2026-04-15Bibliographically approved
    3. Cryo-EM exposes diverse polymorphism in IAPP mutants to guide the rational design of peptide-based therapeutics
    Open this publication in new window or tab >>Cryo-EM exposes diverse polymorphism in IAPP mutants to guide the rational design of peptide-based therapeutics
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    2025 (English)In: Journal of Molecular Biology, ISSN 0022-2836, E-ISSN 1089-8638, Vol. 437, no 21, article id 169405Article in journal (Refereed) Published
    Abstract [en]

    In the pursuit of potential therapeutic agents for type 2 diabetes, non-amyloidogenic forms of the human Islet Amyloid Polypeptide (hIAPP) containing site-specific mutations are of significant interest. In the present study, we dissect the three proline mutations present in the core region of the non-amyloidogenic rat IAPP into single-point mutations at A25P, S28P, and S29P sites. We apply high-resolution cryo-electron microscopy and solve the structures of 6 polymorphs formed by these mutants, revealing the peptide's self-assembly patterns and identifying critical interactions that reinforce these structures in the presence of the b-sheet breaker. A unique trimeric aggregate with C3 symmetry was identified in the A25P mutant, which we resolved with a 3.05 A resolution, while asymmetric trimeric assemblies were observed in the other mutants. Guided by the high-resolution structural models of A25P and S28P fibrils obtained in our study, we successfully designed novel non-amyloidogenic mutants of IAPP with potential therapeutic value. Our findings demonstrate the immense potential of structure-based approaches in developing effective therapeutics against amyloid diseases. 

    Place, publisher, year, edition, pages
    Elsevier, 2025
    National Category
    Molecular Biology
    Identifiers
    urn:nbn:se:uu:diva-568256 (URN)10.1016/j.jmb.2025.169405 (DOI)001566892700001 ()40850490 (PubMedID)
    Available from: 2025-10-07 Created: 2025-10-07 Last updated: 2026-04-15Bibliographically approved
    4. High-resolution structure of proIAPP(1–48) fibrils suggests a mechanistic pathway for diabetes-associated IAPP fibril polymorphs
    Open this publication in new window or tab >>High-resolution structure of proIAPP(1–48) fibrils suggests a mechanistic pathway for diabetes-associated IAPP fibril polymorphs
    2026 (English)In: RSC Chemical Biology, E-ISSN 2633-0679, Vol. 7, no 1, p. 38-43Article in journal (Refereed) Published
    Abstract [en]

    The human islet amyloid polypeptide (hIAPP) aggregates into amyloid fibrils that contribute to β-cell failure in type 2 diabetes. hIAPP is produced from a 67-residue precursor, proIAPP, but incomplete cleavage by prohormone convertase 2 (PC2) produces the 48-residue intermediate proIAPP(1–48), which accelerates amyloid formation in vivo. Here we show that proIAPP(1–48) assembles almost exclusively into a single fibril polymorph. Using cryo-electron microscopy we solved its structure at 3.5 Å resolution and uncovered a P-shaped, C2-symmetric dimer whose backbone and side-chain packing are nearly identical to the disease-associated TW2 polymorph propagated from pancreatic tissue, although with different helical symmetry. All eleven extra N-terminal residues remain disordered but create a weak density around His29. Based on time-averaged density derived from molecular dynamics (MD) simulations, we identified multiple hydrogen(H)-bonding interactions, which may contribute to stabilising the TW2-like fold and explain the peripheral cryo-EM density. These data establish a structural link between defective proIAPP processing and the polymorphic spectrum of islet amyloid and suggest a seeding pathway by which proIAPP(1–48) templates pathogenic architectures that fully processed hIAPP rarely adopts in vitro.

    Place, publisher, year, edition, pages
    Royal Society of Chemistry, 2026
    National Category
    Structural Biology
    Research subject
    Biology with specialization in Structural Biology
    Identifiers
    urn:nbn:se:uu:diva-575436 (URN)10.1039/d5cb00228a (DOI)001608489400001 ()41210656 (PubMedID)2-s2.0-105027564828 (Scopus ID)
    Funder
    Swedish Research Council, VR 2020-05403Swedish Society for Medical Research (SSMF), S20-0156Harald and Greta Jeansson Foundation, J2021-0114
    Available from: 2026-01-12 Created: 2026-01-12 Last updated: 2026-04-15Bibliographically approved
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  • Public defence: 2026-08-27 13:15 Häggsalen (Å10132), Uppsala
    Ruoyu, Wang
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Mathematics, Probability Theory and Combinatorics.
    Subtrees in Graphs: Statistics, Extrema and Asymptotics2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis studies subtree statistics in trees and graphs, organized around two complementary themes: extremal questions on deterministic finite trees, and asymptotic questions on sequences of trees and dense graphs. The starting point is a list of open problems and a conjecture of Jamison from the 1980s, which together set the agenda for much of the subsequent literature on the mean subtree order and the subtree density.

    The first half of the thesis concerns extremal subtree statistics. Article I settles Jamison's edge-contraction conjecture in full: contracting any edge of a finite tree decreases the mean subtree order by at least 1/3​, with equality if and only if the tree is a path. Combined with earlier work of Luo, Xu, Wagner, and H.Wang on the pendant-edge case, this completes a problem that had been open for four decades. Article II investigates the structure of subtrees that maximize or minimize the local mean among subtrees of a fixed order, introducing an index that measures the change of local mean under elementary operations. As a normalization that allows comparison across orders, the article also introduces the local density and establishes a sharp lower bound, 1/2​, attained precisely by subtrees containing the body of the tree.

    The second half turns to asymptotics. Article III studies subtree statistics under Benjamini–Schramm convergence and shows that the subtree entropy per site converges along every locally convergent sequence of finite trees, and that the subtree density does so under a natural condition that rules out long paths in the limit. Article IV proves that, in any graph with minimum degree linear in the number of vertices, the high-degree coefficients of the subtree polynomial satisfy a Poisson-type limit law and the complex roots cluster near the origin, in stark contrast to the tree case.

    List of papers
    1. The distribution of subtrees in dense graphs and the roots of the subtree polynomial
    Open this publication in new window or tab >>The distribution of subtrees in dense graphs and the roots of the subtree polynomial
    (English)Manuscript (preprint) (Other academic)
    Keywords
    graph, dense graph, subtree, subtree polynomial, spanning tree, Poisson distribution
    National Category
    Discrete Mathematics
    Research subject
    Mathematics
    Identifiers
    urn:nbn:se:uu:diva-585563 (URN)10.48550/arXiv.2605.03583 (DOI)
    Funder
    Swedish Research Council, 2022-04030
    Available from: 2026-05-06 Created: 2026-05-06 Last updated: 2026-05-07
    2. Extrema of local mean and local density in a tree
    Open this publication in new window or tab >>Extrema of local mean and local density in a tree
    2026 (English)In: The Electronic Journal of Combinatorics, ISSN 1097-1440, E-ISSN 1077-8926, Vol. 33, no 1, article id P1.60Article in journal (Refereed) Published
    Abstract [en]

    Given a tree T and a subtree S of T, one can define the local mean at S, μT(S),to be the average order of the subtrees of T containing S. In 1983, Jamison showed that μT(S)< μT(S′) if SS′ as subtrees of T. Therefore, it is natural to ask the following question. Among all the k-subtrees (subtrees of order k), which one achieves the maximal/minimal local mean and what properties does it have? We call such k-subtrees k-maximal/k-minimal. Wagner and H. Wang showed in 2016t hat a 1-maximal subtree has degree 1 or 2. In this paper, we show that if T is not a path, a 1-minimal subtree of T has degree at least 3. For  k≥2, we show that a  k-maximal subtree has at most one leaf whose degree in T is greater than 2, and that such a leaf can only occur when all other leaves in S are also leaves in T. Parallel results hold for k-minimal subtrees. Roughly speaking, the leaves of a k-maximal subtree tend to have degree 1 or 2 in T, while the leaves of a k-minimal subtree tend to have degree at least 3 in T. In the second part, this paper introduces the local density as a normalization oflocal means, for the sake of comparing subtrees of different orders. We show that the local density at subtree S is lower-bounded by 1/2 with equality if and only if S contains all the vertices of degree at least 3 in T. On the other hand, local density can be arbitrarily close to 1.

    Place, publisher, year, edition, pages
    The Electronic Journal of Combinatorics, 2026
    National Category
    Discrete Mathematics
    Identifiers
    urn:nbn:se:uu:diva-523688 (URN)10.37236/13813 (DOI)001728982500001 ()
    Funder
    Swedish Research Council, 2022-04030
    Available from: 2024-02-21 Created: 2024-02-21 Last updated: 2026-05-07Bibliographically approved
    3. On the difference of mean subtree orders under edge contraction
    Open this publication in new window or tab >>On the difference of mean subtree orders under edge contraction
    2024 (English)In: Journal of combinatorial theory. Series B (Print), ISSN 0095-8956, E-ISSN 1096-0902, Vol. 169, p. 45-62Article in journal (Refereed) Published
    Abstract [en]

    Given a tree T of order n , one can contract any edge and obtain a new tree T & lowast; of order n - 1. In 1983, Jamison made a conjecture that the mean subtree order, i.e., the average order of all subtrees, decreases at least 31 in contracting an edge of a tree. In 2023, Luo, Xu, Wagner and Wang proved the case when the edge to be contracted is a pendant edge. In this article, we prove that the conjecture is true in general. (c) 2024 The Author. Published by Elsevier Inc. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).

    Place, publisher, year, edition, pages
    Elsevier, 2024
    Keywords
    Mean subtree order, Subtree, Average order, Edge contraction
    National Category
    Computer Sciences
    Identifiers
    urn:nbn:se:uu:diva-544783 (URN)10.1016/j.jctb.2024.06.002 (DOI)001362283600001 ()
    Funder
    Swedish Research Council, 2022-04030Swedish Research Council
    Available from: 2024-12-12 Created: 2024-12-12 Last updated: 2026-05-07Bibliographically approved
    4. Benjamini–Schramm convergence and subtrees of trees
    Open this publication in new window or tab >>Benjamini–Schramm convergence and subtrees of trees
    (English)Manuscript (preprint) (Other academic)
    Keywords
    local convergence, Benjamini--Schramm convergence, subtree entropy, subtree density
    National Category
    Discrete Mathematics Probability Theory and Statistics Mathematical Analysis
    Research subject
    Mathematics
    Identifiers
    urn:nbn:se:uu:diva-585573 (URN)
    Funder
    Swedish Research Council, 2022-04030
    Available from: 2026-05-06 Created: 2026-05-06 Last updated: 2026-05-12
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  • Public defence: 2026-08-28 09:00 E22, Visby
    D'Agata, Chiara
    Uppsala University, Disciplinary Domain of Science and Technology, Earth Sciences, Department of Earth Sciences, Natural Resources and Sustainable Development.
    Perspectives on coastal vegetated habitats: Integrating ecological dynamics, historical use, and fishers’ ecological knowledge2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Coastal vegetated habitats, including submersed aquatic vegetation (SAV), provide three-dimensional structures essential to marine organisms and supporting key ecosystem services. In the Baltic Sea, eutrophication favours filamentous algae that can outcompete SAV, shifting habitats from long-living canopies to minute, ephemeral assemblages, affecting vegetation-associated fauna. Rising densities of three-spined stickleback (Gasterosteus aculeatus) in the central Baltic Sea have been linked to reinforcing filamentous algae dominance through predation on invertebrate grazers.

    Ecological dynamics unfold within broader social-ecological contexts, where people and ecosystems influence one another, changing over time. This thesis asks how variation in coastal vegetation shapes faunal communities, and what historical human habitat use and fishers’ ecological knowledge can reveal about these dynamics. To address this, I used an interdisciplinary approach centred on Gotland, Sweden, (central Baltic Sea), with complementary insights from Salina, Italy (Tyrrhenian Sea). Five questions were examined: how SAV and filamentous algae shape epifaunal communities; how they affect juvenile and adult sticklebacks; which habitats were historically used on Gotland to capture euryhaline fish; how can engagement with fishers’ ecological knowledge be improved; and how integration of scientific disciplines advances understanding of coastal habitat dynamics? Methods included ecological surveys, isotope analysis of archaeological fish remains, and semi-structured interviews with fishers using photo elicitation. Results showed that SAV vertical structure increased overall epifauna abundance, whereas filamentous algae favoured only gastropod grazers (Paper I). Juvenile sticklebacks increased with all vegetation variables, while adults showed no associations (Paper II). These results suggest that shifts to filamentous algae could alter epifaunal communities and grazing dynamics, while providing nursery habitat for sticklebacks. Paper III reconstructed millennia of coastal and inland vegetated fishing habitats use, and demonstrated long-standing importance of these habitats for supporting humans. Paper IV showed that photo elicitation accesses explicit and tacit dimensions of fishers’ ecological knowledge, revealing rich understandings of habitat dynamics. A final reflection highlighted epistemological agility, effective communication, role clarity, and time allocation as key to interdisciplinary work. By linking present-day ecological patterns with historical human use and methods to engage with fishers’ knowledge, the thesis provides an integrated perspective to inform management and conservation of coastal vegetated habitats.

    List of papers
    1. Submersed Aquatic Vegetation Enhances Density and Diversity of Epifaunal Invertebrates Compared to Filamentous Mats in the Central Baltic Sea
    Open this publication in new window or tab >>Submersed Aquatic Vegetation Enhances Density and Diversity of Epifaunal Invertebrates Compared to Filamentous Mats in the Central Baltic Sea
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    2025 (English)In: Ecology and Evolution, E-ISSN 2045-7758, Vol. 15, no 6, article id e71498Article in journal (Refereed) Published
    Abstract [en]

    Submersed aquatic vegetation (SAV) provides essential habitat and food to numerous coastal invertebrate species. In the eutrophic Baltic Sea, fast-growing drifting algae form extensive mats that can negatively impact SAV. However, these mats also offer additional habitat and food to epifauna. The aim of this study was to assess the effects of SAV and filamentous mats on epifaunal communities in shallow soft-bottom habitats around Gotland, Sweden, in the central Baltic Sea. We used generalised linear models (GLMs) to evaluate the influence of SAV vertical structure, biomass and macrophyte species richness (including macroalgae) and filamentous mat biomass on epifaunal community properties as well as on those of key grazer species. Diversity, vertical structure and biomass of SAV were positively associated with higher total epifaunal abundance and greater abundance gastropod grazers. In contrast, filamentous mats only increased gastropod abundance and biomass. In addition to introducing a rapid tool for quantifying vegetation structural complexity, this study highlights the selective effects of different habitat types on invertebrate communities in a relatively understudied region of the Baltic Sea. As warming temperatures and eutrophication promote filamentous mat growth, reducing nutrient pollution and protecting SAV will be crucial for sustaining abundant and diverse epifaunal communities.

    Place, publisher, year, edition, pages
    John Wiley & Sons, 2025
    Keywords
    benthic vegetation, coastal zone, Gotland, macrophytes, SAV, Sweden, vegetation structure
    National Category
    Ecology
    Identifiers
    urn:nbn:se:uu:diva-558790 (URN)10.1002/ece3.71498 (DOI)001498560900001 ()40454223 (PubMedID)2-s2.0-105007154215 (Scopus ID)
    Funder
    Swedish Research Council Formas, 2020-02834Swedish Research Council Formas, 2023-00297
    Available from: 2025-06-13 Created: 2025-06-13 Last updated: 2026-04-23Bibliographically approved
    2. Juvenile and Adult Three-Spined Sticklebacks Exhibit Different Habitat Use in Shallow Baltic Sea Bays
    Open this publication in new window or tab >>Juvenile and Adult Three-Spined Sticklebacks Exhibit Different Habitat Use in Shallow Baltic Sea Bays
    2026 (English)In: Aquaculture, Fish and Fisheries, ISSN 2693-8847, Vol. 6, no 2, article id e70214Article in journal (Refereed) Published
    Abstract [en]

    Three-spined sticklebacks (Gasterosteus aculeatus) have become dominant in many Baltic Sea coastal fish assemblages, yet life-stage-specific habitat use remains poorly understood. We surveyed shallow water habitats along the coast of Gotland, Sweden, to examine how juvenile and adult stickleback abundances relate to variables such as submersed aquatic vegetation (SAV) biomass and vertical structure, macrophyte species richness, biomass of drift filamentous algae and potential invertebrate prey abundance. Juvenile stickleback abundance increased with SAV variables, macrophyte species richness, and drift filamentous algae, whereas, in contrast, adult abundance was only significantly associated with potential prey (invertebrate abundance). Our findings reveal life-stage-specific habitat associations of three-spined sticklebacks and highlights the importance of both long-living vegetation and ephemeral drift algae in supporting juvenile sticklebacks. This study contributes to a better understanding of sticklebacks' coastal ecology in the central Baltic Sea.

    Place, publisher, year, edition, pages
    John Wiley & Sons, 2026
    Keywords
    Baltic Sea, coastal zone, filamentous algae, Gotland, ontogenetic shift
    National Category
    Ecology Oceanography, Hydrology and Water Resources
    Identifiers
    urn:nbn:se:uu:diva-582734 (URN)10.1002/aff2.70214 (DOI)001711006800001 ()2-s2.0-105032439978 (Scopus ID)
    Funder
    Swedish Research Council Formas, 2020-02834
    Available from: 2026-03-24 Created: 2026-03-24 Last updated: 2026-04-23Bibliographically approved
    3. Tracing Gotlandic Fisheries: Multi-Period fish-teeth provenancing based on Strontium Isotope ratios
    Open this publication in new window or tab >>Tracing Gotlandic Fisheries: Multi-Period fish-teeth provenancing based on Strontium Isotope ratios
    (English)Manuscript (preprint) (Other academic)
    National Category
    Archaeology
    Research subject
    Archaeology
    Identifiers
    urn:nbn:se:uu:diva-552066 (URN)
    Available from: 2025-03-10 Created: 2025-03-10 Last updated: 2026-04-23
    4. Photo elicitation in fishers’ ecological knowledge research: a review and case study on coastal habitats knowledge from the central Mediterranean Sea
    Open this publication in new window or tab >>Photo elicitation in fishers’ ecological knowledge research: a review and case study on coastal habitats knowledge from the central Mediterranean Sea
    (English)Manuscript (preprint) (Other academic)
    National Category
    Ecology
    Identifiers
    urn:nbn:se:uu:diva-584793 (URN)
    Available from: 2026-04-23 Created: 2026-04-23 Last updated: 2026-05-07
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  • Public defence: 2026-08-28 13:00 H:son Holmdahlsalen, Uppsala
    van der Heijden, Jaap
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
    Dynamics of Hyaluronan and Related Proteins in Septic Shock2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Septic shock results from a dysregulated host response to infection, leading to life-threatening organ dysfunction. Limited treatment options and a heterogeneous, complex pathophysiology make septic shock a major challenge for clinicians and researchers. Hyaluronan is a versatile molecule that may influence several biological processes disrupted in septic shock, including macro- and microcirculation, endothelial and glycocalyx integrity, intravascular volume, and inflammation. This thesis aimed to deepen understanding of hyaluronan and its associated proteins in septic shock and to explore potential new treatments.

    Study I analysed plasma hyaluronan, hyaluronidase activity, and endogenous hyaluronidase inhibition in experimental and clinical septic shock and in acute alcohol-related pancreatitis. Both the experimental control group and septic shock groups showed increased plasma hyaluronan and hyaluronidase inhibition with decreased hyaluronidase activity. This pattern was also observed in clinical septic shock, but in alcohol-related pancreatitis only plasma hyaluronidase activity was reduced.

    Study II evaluated high-molecular-weight hyaluronan as an adjuvant to fluid resuscitation at the onset of septic shock in an experimental peritonitis model. A hyaluronan injection followed by infusion throughout the experiment did not reduce resuscitation requirements or alter the inflammatory response.

    Study III investigated higher exposure to high-molecular-weight hyaluronan during the early phase of peritonitis-induced septic shock. Hyaluronan infusion, started immediately after induction of peritonitis, did not prevent vascular depletion after 6 hours, nor did it preserve glycocalyx integrity.

    Study IV compared proteomic profiles of hyaluronan-related proteins between septic shock and acute alcohol-related pancreatitis. 663 proteins were identified of which 231 were up- or downregulated in septic shock and fifteen were identified as hyaluronan-related. Changes were more pronounced on day 1 than on day 4, and more marked in septic shock than in pancreatitis. Heavy chains of the inter-alpha-inhibitor family showed marked changes: ITIH1, ITIH2, and ITIH4 were decreased, whereas ITIH3 was increased.

    In summary, plasma hyaluronan and endogenous hyaluronidase inhibition increased whereas hyaluronidase activity decreased in experimental and clinical septic shock. Supraphysiological hyaluronan concentrations did not prevent intravascular volume depletion, nor did they alter the inflammatory response or preserve glycocalyx integrity. Proteomic profiles of hyaluronan-related proteins differed markedly between septic shock and alcohol-induced pancreatitis. 

    List of papers
    1. Plasma hyaluronan, hyaluronidase activity and endogenous hyaluronidase inhibition in sepsis: an experimental and clinical cohort study
    Open this publication in new window or tab >>Plasma hyaluronan, hyaluronidase activity and endogenous hyaluronidase inhibition in sepsis: an experimental and clinical cohort study
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    2021 (English)In: Intensive Care Medicine Experimental, E-ISSN 2197-425X, Vol. 9, no 1, article id 53Article in journal (Refereed) Published
    Abstract [en]

    Background: Plasma hyaluronan concentrations are increased during sepsis but underlying mechanisms leading to high plasma hyaluronan concentration are poorly understood. In this study we evaluate the roles of plasma hyaluronan, effective plasma hyaluronidase (HYAL) activity and its endogenous plasma inhibition in clinical and experimental sepsis. We specifically hypothesized that plasma HYAL acts as endothelial glycocalyx shedding enzyme, sheddase. Methods: Plasma hyaluronan, effective HYAL activity and HYAL inhibition were measured in healthy volunteers (n = 20), in patients with septic shock (n = 17, day 1 and day 4), in patients with acute pancreatitis (n = 7, day 1 and day 4) and in anesthetized and mechanically ventilated pigs (n = 16). Sixteen pigs were allocated (unblinded, open label) into three groups: Sepsis-1 with infusion of live Escherichia coli (E. coli) 1 x 10(8) CFU/h of 12 h (n = 5), Sepsis-2 with infusion of E. coli 1 x 10(8) CFU/h of 6 h followed by 1 x 10(9) CFU/h of the remaining 6 h (n = 5) or Control with no E. coli infusion (n = 6). Results: In experimental E. coli porcine sepsis and in time controls, plasma hyaluronan increases with concomitant decrease in effective plasma HYAL activity and increase of endogenous HYAL inhibition. Plasma hyaluronan increased in patients with septic shock but not in acute pancreatitis. Effective plasma HYAL was lower in septic shock and acute pancreatitis as compared to healthy volunteers, while plasma HYAL inhibition was only increased in septic shock. Conclusion: Elevated plasma hyaluronan levels coincided with a concomitant decrease in effective plasma HYAL activity and increase of endogenous plasma HYAL inhibition both in experimental and clinical sepsis. In acute pancreatitis, effective plasma HYAL activity was decreased which was not associated with increased plasma hyaluronan concentrations or endogenous HYAL inhibition. The results suggest that plasma HYAL does not act as sheddase in sepsis or pancreatitis.

    Place, publisher, year, edition, pages
    Springer NatureSpringer Nature, 2021
    Keywords
    Hyaluronan, Hyaluronidase, Hyaluronidase inhibitor, Sepsis, Pancreatitis, Glycocalyx, Sheddase
    National Category
    Cell and Molecular Biology Anesthesiology and Intensive Care Clinical Medicine
    Identifiers
    urn:nbn:se:uu:diva-457912 (URN)10.1186/s40635-021-00418-3 (DOI)000705396100001 ()34632531 (PubMedID)
    Available from: 2021-11-08 Created: 2021-11-08 Last updated: 2026-05-05Bibliographically approved
    2. High molecular weight hyaluronan - a potential adjuvant to fluid resuscitation in abdominal sepsis?
    Open this publication in new window or tab >>High molecular weight hyaluronan - a potential adjuvant to fluid resuscitation in abdominal sepsis?
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    2023 (English)In: Shock, ISSN 1073-2322, E-ISSN 1540-0514, Vol. 59, no 5, p. 763-770Article in journal (Refereed) Published
    Abstract [en]

    While fluid resuscitation is fundamental in the treatment of sepsis-induced tissue hypo-perfusion, a sustained positive fluid balance is associated with excess mortality. Hyaluronan, an endogenous glycosaminoglycan with high affinity to water, has not been tested previously as adjuvant to fluid resuscitation in sepsis.

    In a prospective, parallel-grouped, blinded model of porcine peritonitis-sepsis, we randomized animals to intervention with adjuvant hyaluronan (add-on to standard therapy) (n=8) or 0.9% saline (n=8). After the onset of hemodynamic instability the animals received an initial bolus of 0.1 % hyaluronan 1 mg/kg/10 min or placebo (0.9% saline) followed by a continuous infusion of 0.1% hyaluronan (1 mg/kg/h) or saline during the experiment. We hypothesized that the administration of hyaluronan would reduce the volume of fluid administered (aiming at stroke volume variation <13%) and/or attenuate the inflammatory reaction.

    Total volumes of intravenous fluids infused were 17.5 ± 11 ml/kg/h vs. 19.0 ± 7 ml/kg/h in intervention and control groups, respectively (p = 0.442). Plasma IL-6 increased to 2450 (1420 – 6890) pg/ml and 3690 (1410 – 11960) pg/ml (18 hours of resuscitation) in the intervention and control groups (NS). The intervention counteracted the increase in proportion of fragmented hyaluronan associated with peritonitis-sepsis alone (mean peak elution fraction (18 hours of resuscitation) control group: 17.9 ± 0.6 vs. intervention group: 16.8 ± 0.9 (p = 0.031).

    In conclusion, hyaluronan did not reduce the volume needed for fluid resuscitation or decrease the inflammatory reaction, even though it counterbalanced the peritonitis induced shift towards increased proportion of fragmented hyaluronan.

    Place, publisher, year, edition, pages
    Wolters Kluwer, 2023
    Keywords
    animal model, peritonitis, inflammation, fluid therapy, colloid
    National Category
    Anesthesiology and Intensive Care
    Research subject
    Anaesthesiology and Intensive Care
    Identifiers
    urn:nbn:se:uu:diva-494122 (URN)10.1097/SHK.0000000000002089 (DOI)000975611100011 ()36809365 (PubMedID)
    Available from: 2023-01-15 Created: 2023-01-15 Last updated: 2026-05-18Bibliographically approved
    3. Fluid restrictive resuscitation with high molecular weight hyaluronan infusion in early peritonitis sepsis
    Open this publication in new window or tab >>Fluid restrictive resuscitation with high molecular weight hyaluronan infusion in early peritonitis sepsis
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    2023 (English)In: Intensive Care Medicine Experimental, E-ISSN 2197-425X, Vol. 11, no 1, article id 63Article in journal (Refereed) Published
    Abstract [en]

    Sepsis is a condition with high morbidity and mortality. Prompt recognition and initiation of treatment is essential. Despite forming an integral part of sepsis management, fluid resuscitation may also lead to volume overload, which in turn is associated with increased mortality. The optimal fluid strategy in sepsis resuscitation is yet to be defined. Hyaluronan, an endogenous glycosaminoglycan with high affinity to water is an important constituent of the endothelial glycocalyx. We hypothesized that exogenously administered hyaluronan would counteract intravascular volume depletion and contribute to endothelial glycocalyx integrity in a fluid restrictive model of peritonitis. In a prospective, blinded model of porcine peritonitis sepsis, we randomized animals to intervention with hyaluronan (n = 8) or 0.9% saline (n = 8). The animals received an infusion of 0.1% hyaluronan 6 ml/kg/h, or the same volume of saline, during the first 2 h of peritonitis. Stroke volume variation and hemoconcentration were comparable in the two groups throughout the experiment. Cardiac output was higher in the intervention group during the infusion of hyaluronan (3.2 ± 0.5 l/min in intervention group vs 2.7 ± 0.2 l/min in the control group) (p = 0.039). The increase in lactate was more pronounced in the intervention group (3.2 ± 1.0 mmol/l in the intervention group and 1.7 ± 0.7 mmol/l in the control group) at the end of the experiment (p < 0.001). Concentrations of surrogate markers of glycocalyx damage; syndecan 1 (0.6 ± 0.2 ng/ml vs 0.5 ± 0.2 ng/ml, p = 0.292), heparan sulphate (1.23 ± 0.2 vs 1.4 ± 0.3 ng/ml, p = 0.211) and vascular adhesion protein 1 (7.0 ± 4.1 vs 8.2 ± 2.3 ng/ml, p = 0.492) were comparable in the two groups at the end of the experiment. In conclusion, hyaluronan did not counteract intravascular volume depletion in early peritonitis sepsis. However, this finding is hampered by the short observation period and a beneficial effect of HMW-HA in peritonitis sepsis cannot be discarded based on the results of the present study.

    Place, publisher, year, edition, pages
    Springer Nature, 2023
    Keywords
    animal model, inflammation, glycocalyx, fluid therapy, colloid
    National Category
    Anesthesiology and Intensive Care
    Research subject
    Anaesthesiology and Intensive Care
    Identifiers
    urn:nbn:se:uu:diva-494128 (URN)10.1186/s40635-023-00548-w (DOI)001078615400001 ()37733256 (PubMedID)
    Funder
    Uppsala University
    Note

    Title in the list of papers of Annelie Barrueta Tenhunen's thesis: Fluid restrictive resuscitation with high molecular weight hyaluronan infusion in early peritonitis-sepsis

    Available from: 2023-01-15 Created: 2023-01-15 Last updated: 2026-05-05Bibliographically approved
    4. Plasma proteomics in septic shock and alcohol-related pancreatitis: a hyaluronan-centered approach
    Open this publication in new window or tab >>Plasma proteomics in septic shock and alcohol-related pancreatitis: a hyaluronan-centered approach
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    2025 (English)In: Clinical Proteomics, ISSN 1542-6416, E-ISSN 1559-0275, Vol. 22, no 1, article id 31Article in journal (Refereed) Published
    Abstract [en]

    Background: Sepsis is a critical condition characterized by a dysregulated immune response to infection. As sepsis develops to septic shock, its most severe form, morbidity and mortality increases. Hyaluronan is a key component of the extracellular matrix and the endothelial glycocalyx. In sepsis, plasma hyaluronan concentrations are increased and correlate with disease severity. In this study we aimed to explore and compare the proteomic profiles of hyaluronan-associated proteins in patients with the dysregulated immune response of septic shock and the sterile inflammation of acute alcohol-related pancreatitis.

    Methods: The present study involved proteomic analysis of patients with septic shock (n = 13), pancreatitis (n = 8), and healthy controls (n = 8). LC-MS/MS was conducted for peptide analysis. Hyaluronan-associated proteins were identified using the UniProt REST API, followed by functional and pathway enrichment analyses with GOATOOLS and GSEApy. Statistical analyses, including ANOVA and post hoc tests, were performed using Python and SPSS, with significance set at p < 0.05.

    Results: From a total sum of 663 detected unique plasma proteins, 15 were identified as hyaluronan-related proteins. Plasma levels of 11/15 proteins separated septic shock from pancreatitis in a statistically significant manner. Between the groups differences were apparent on day 1 (8 proteins in septic shock versus 3 in pancreatitis) and day 4 (6 proteins in septic shock versus 3 in pancreatitis) relative to controls. Functional enrichment analysis revealed associations with extracellular matrix organization, proteolytic enzyme regulation, and hyaluronan metabolism. Notably, members of the inter-alpha-inhibitor family demonstrated distinct patterns, with ITIH3 levels increasing and ITIH1, ITIH2, and ITIH4 levels decreasing in septic shock compared to controls. Additionally, plasma hyaluronidase inhibition correlated positively with ITIH3 levels.

    Conclusion: The present study explored the role of hyaluronan-related proteins in septic shock pathophysiology, revealing potential dysregulation associated with sepsis severity. The decrease in ITIH1, ITIH2 and ITIH4, as compared to the increase in ITIH3, suggest a complex alteration in the protein balance of the I alpha I-family in sepsis. Overall, the altered proteomic profile of hyaluronan-related proteins as reflected by the GO terms indicates a complex dysregulation not only in hyaluronan metabolism and extracellular matrix, but also in the regulation of several proteolytic enzymes. Future studies on this area are warranted.

    Place, publisher, year, edition, pages
    BioMed Central (BMC), 2025
    Keywords
    Proteomics, Sepsis, Pancreatitis, Hyaluronan, Hyaluronidase, Hyaluronidase inhibition, Inter-alpha-trypsin inhibitor, Extracellular matrix, Glycocalyx
    National Category
    Anesthesiology and Intensive Care Cell and Molecular Biology Hematology
    Identifiers
    urn:nbn:se:uu:diva-567353 (URN)10.1186/s12014-025-09556-2 (DOI)001561169800001 ()40885913 (PubMedID)2-s2.0-105014884649 (Scopus ID)
    Available from: 2025-09-22 Created: 2025-09-22 Last updated: 2026-06-22Bibliographically approved
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  • Public defence: 2026-08-28 13:15 Eva Netzelius-salen, Uppsala
    Ateş, Kardelen Azra
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Why Teach Science?: Scientific Literacy in Teacher Education from a Comparative Perspective2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis investigates how scientific literacy is constituted in elementary science teacher education by examining the perspectives of pre-service science teachers and official teacher education documents, including comparative perspectives. Framed within a sociocultural and comparative didactic perspective, the thesis explores how conceptions of scientific literacy are situated within different educational traditions, curriculum structures, and broader contexts in Sweden and Türkiye. The overarching aim is to understand how scientific literacy is conceptualized, constituted, perceived, and interpreted in science teacher education, and the possible implications of these meanings for future science teaching. The thesis consists of three empirical studies. The first study explored Swedish pre-service science teachers’ perspectives on scientific literacy and their explanations of what, how, and why they plan to teach in the future. The results indicated that while pre-service teachers expressed an interest in science or teaching, their perspectives were often grounded in content or everyday encounters rather than in engagement with societal issues. The second study compared pre-service science teachers’ perspectives on scientific literacy in Sweden and Türkiye. Across both contexts, participants privileged correct explanations and everyday applications of scientific knowledge, whereas socio-scientific issues and scientific engagement were virtually ignored. While pre-service teachers from both countries problematized their teacher education, they did so through distinct lenses. The third study focused on science teacher education policy documents in both countries and revealed two dominant discourses: a disciplinary discourse, dominant in Türkiye, framing scientific literacy as a body of knowledge to be constructed; and an integrative discourse, dominant in Sweden, positioning scientific literacy as a way of connecting science to democracy, sustainability, and everyday life. The findings of the three articles also showed that what pre-service science teachers wished to learn during teacher education did not always align with what was stated in the official documents regarding the curricula and teacher education program descriptions in both countries. Through a comparative didactic approach, this thesis contributes conceptually and empirically to understanding how scientific literacy is context dependent. The thesis includes both practical and theoretical implications. 

    List of papers
    1. “Why Am I Going to Teach Science?”: Pre-Service Science Teachers` Perspectives on Science Education
    Open this publication in new window or tab >>“Why Am I Going to Teach Science?”: Pre-Service Science Teachers` Perspectives on Science Education
    2025 (English)In: Journal of Science Teacher Education, ISSN 1046-560X, E-ISSN 1573-1847, Vol. 36, no 6, p. 781-802Article in journal (Refereed) Published
    Abstract [en]

    The study delves into the perspectives of pre-service science teachers in Sweden regarding science education and how these perspectives influence their learning process to teach science. By utilizing visions of scientific literacy and curriculum emphases as an analytical framework, interviews were conducted to gain insights into how pre-service teachers reflect on what is essential to teach in science and how they approach it. Thereby, the present study contributes to the knowledge of science teacher education regarding how pre-service science teachers` perspectives on science education guide their future teaching. The study found that the pre-service teachers described science education primarily in terms of learning scientific facts and concepts. Being able to make use of scientific facts for everyday issues was also part of their goal of teaching. Scientific engagement in relation to society and taking action were absent in their talk about scientific literacy and future teaching plans. The findings are discussed in terms of implications for research and teacher education and underscore that teacher education is central to the students’ perspectives. Those perspectives are important to foster scientific literacy of the pupils who are engaged in society.

    Place, publisher, year, edition, pages
    Routledge, 2025
    National Category
    Didactics
    Identifiers
    urn:nbn:se:uu:diva-550521 (URN)10.1080/1046560x.2025.2452070 (DOI)001419211400001 ()2-s2.0-85218828653 (Scopus ID)
    Available from: 2025-02-17 Created: 2025-02-17 Last updated: 2026-05-06Bibliographically approved
    2. What is scientific literacy for future science teachers?: A comparative study of Türkiye and Sweden
    Open this publication in new window or tab >>What is scientific literacy for future science teachers?: A comparative study of Türkiye and Sweden
    2026 (English)In: LUMAT: International Journal on Math, Science and Technology Education, E-ISSN 2323-7112, Vol. 14, no 2, article id 3Article in journal (Refereed) Published
    Abstract [en]

    This study has two related aims; to investigate the perspectives of pre-service science teachers from Türkiye and Sweden on scientific literacy including what content is relevant and important and how these perspectives might be related to their future teaching practices. Utilizing the framework of Visions of Scientific Literacy and Curriculum Emphases by Roberts (1998, 2007), the research conducts a comparative analysis to give an overview of how pre-service teachers privilege specific contents that they attributed to science education in terms of “why to teach science” according to their perspectives. The findings reveal that participants from both countries referred to the curriculum emphases, Everyday Coping (EC) and Correct Explanation (CE), as the most important reasons to teach science, whereas Scientific Skills Development (SSD) and Science, Technology, and Decision (STD) were notably underemphasized in both contexts. However, the study also revealed differences in the perspectives of pre-service science teachers. For the pre-service teachers from Türkiye, teaching science was important to deal with daily life issues, whereas the ones from Sweden privileged more scientific facts and processes. Furthermore, participants from both countries problematized science teacher education but in different ways, including teaching evolution, having too few or too many subject courses in the teacher education. This cross-cultural comparison provides insights into how scientific literacy is promoted within diverse educational environments; the results help to reflect on what may be included and excluded in science teacher education and inform possible future improvements within science teacher education.

    Place, publisher, year, edition, pages
    University of Helsinki, 2026
    Keywords
    scientific literacy, teacher education, comparative didactics, pre-service science teacher
    National Category
    Didactics
    Identifiers
    urn:nbn:se:uu:diva-580397 (URN)10.31129/lumat.14.2.2982 (DOI)
    Available from: 2026-02-24 Created: 2026-02-24 Last updated: 2026-05-06Bibliographically approved
    3. Scientific Literacy in Teacher Education: A Comparative Study of Science Teacher Education Curricula in Türkiye and Sweden
    Open this publication in new window or tab >>Scientific Literacy in Teacher Education: A Comparative Study of Science Teacher Education Curricula in Türkiye and Sweden
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    Scientific literacy (SL) is a widely recognized goal of science education, yet its meaning and purpose are interpreted differently across contexts. This study compares how SL is conceptualized and related to future teaching in elementary science teacher education curricula in Türkiye and Sweden. A pragmatic discourse analysis was conducted on national guidelines and university curriculum documents. The analysis reveals two distinct discourses: the Disciplinary discourse, dominant in the Turkish documents, and the Integrative discourse, foregrounded in the Swedish documents. The Disciplinary discourse presents SL as an explicit and separate body of knowledge, emphasizing subject mastery and preparing pre-service teachers to teach this knowledge. In contrast, the Integrative discourse frames SL as embedded in teaching practices that connect science with sustainability, democracy, and critical engagement with socioscientific issues. The comparison underscores how curriculum and teaching traditions and policy frameworks guide teacher education.

    National Category
    Didactics
    Research subject
    Education
    Identifiers
    urn:nbn:se:uu:diva-585452 (URN)
    Available from: 2026-05-06 Created: 2026-05-06 Last updated: 2026-05-11
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  • Public defence: 2026-09-04 09:00 Västerås
    Täckström, Staffan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland.
    Rectal cancer: Radiological aspects of preoperative staging and surgical complications2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Colorectal cancer remains a major cause of cancer-related morbidity and mortality. In rectal cancer, accurate pretreatment risk stratification is essential for guiding neoadjuvant treatment and surgical planning. Magnetic resonance imaging (MRI) plays a central role in this process, but the interpretation and prognostic value of mesorectal tumor deposits and other malignant nodular structures remain incompletely understood. In parallel, many patients undergoing rectal cancer surgery require a permanent colostomy, and parastomal hernia is a common long-term complication. The roles of prophylactic mesh, stoma placement and abdominal wall changes, including rectus abdominis muscle atrophy, are incompletely understood.

    The overall aim of this thesis was to expand knowledge in two clinically relevant areas of colorectal cancer: MRI-defined and histopathological mesorectal nodular disease as markers of metastatic risk in rectal cancer, and factors associated with parastomal hernia formation after permanent colostomy.

    Paper I investigated the correlation between pretreatment MRI and histopathology for detecting tumor deposits and differentiating them from lymph node metastases in patients with rectal cancer who had not received neoadjuvant therapy. MRI had limited ability to identify histopathologically defined tumor deposits, particularly when deposits were small, and differentiation from metastatic lymph nodes was challenging.

    Paper II evaluated whether MRI-defined mesorectal nodular structures were associated with outcome in rectal cancer. Increasing numbers of strictly defined suspicious lymph nodes and MRI-defined tumor deposits with venous continuity were associated with worse cancer-free and overall survival, suggesting that the burden of confidently malignant mesorectal nodular disease on MRI may provide prognostic information even when precise pathological classification is uncertain.

    Papers III and IV investigated parastomal hernia after permanent colostomy. Paper III found rectus abdominis muscle atrophy to be more frequent after prophylactic mesh placement and associated with lower odds of parastomal hernia. Paper IV, based on data from a prospective randomized multicenter trial, did not confirm the previously observed association between mesh, rectus abdominis muscle atrophy and reduced hernia risk.

    In conclusion, this thesis shows that pretreatment MRI cannot reliably reproduce the histopathological distinction between tumor deposits and metastatic lymph nodes, but that MRI-defined malignant mesorectal nodular burden may still have prognostic value. The findings also indicate that associations between prophylactic mesh, abdominal wall changes after stoma construction and parastomal hernia risk may be context-dependent, highlighting the need for standardized definitions, careful endpoint selection and further validation before changes in clinical practice are implemented.

    List of papers
    1. Tumor deposits on MRI in rectal cancer—detection and differentiation from lymph nodes with histopathological correlation
    Open this publication in new window or tab >>Tumor deposits on MRI in rectal cancer—detection and differentiation from lymph nodes with histopathological correlation
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    2026 (English)In: European Radiology, ISSN 0938-7994, E-ISSN 1432-1084Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    Objective

    Tumor deposits (TDs) are a negative prognostic factor in colorectal cancer, independent of lymph node metastasis (LNM). This study aimed to investigate the ability of pre-operative MRI to identify TDs and differentiate them from LNM in rectal cancer.

    Materials and methods

    Patients with histopathological N1-N2 rectal cancer with and without TDs who underwent curative-intent primary surgery between 2013 and 2023 were retrospectively included. Three radiologists independently reviewed pre-operative MR images for the presence of TDs and LNM. Histopathology served as the reference standard from which interobserver agreement by Cohen’s kappa (κ) was calculated. Unblinded node-to-node comparison of MRI and histopathological images was used to identify sources of discrepancies between the modalities. Post hoc analysis stratified on nodal size (> or ≤ 5 mm) was performed.

    Results

    Eighty-eight patients (50% with TDs on histopathology, 74% male, median age 70 [20–89] years) were included, of whom 27 were excluded due to poor image quality. Agreement between MRI and histopathology (p), both for TD-presence (κ = −0.04) and LNM-presence (κ = 0.16), was low. In the node-by-node comparison, 43 out of 50 pTDs (86%) measured ≤ 5 mm, and 131 of 167 pLNM (78%) measured ≤ 5 mm. In post hoc analysis of smaller (≤ 5 mm) nodules, no pTDs and 3% of pLNM were diagnosed using MRI.

    Conclusion

    MRI demonstrated limited ability in detecting and differentiating TDs and LNM in pre-operative low-risk patients. Diagnostic performance was particularly poor for nodules ≤ 5 mm, which constituted 174 out of 217 (80%) pathological nodular structures.

    Keywords
    Rectal neoplasms, Magnetic resonance imaging, Extranodal extension, Lymph nodes, Diagnostic accuracy
    National Category
    Radiology and Medical Imaging
    Research subject
    Medical Science
    Identifiers
    urn:nbn:se:uu:diva-585215 (URN)10.1007/s00330-026-12467-x (DOI)
    Funder
    Swedish Research Council, 2023-01934Swedish Cancer Society, 23 2681 Pj
    Available from: 2026-05-04 Created: 2026-05-04 Last updated: 2026-05-20
    2. Mesorectal nodular structures in rectal cancer. Characterization on MRI and association with outcome
    Open this publication in new window or tab >>Mesorectal nodular structures in rectal cancer. Characterization on MRI and association with outcome
    (English)Manuscript (preprint) (Other (popular science, discussion, etc.))
    National Category
    Radiology and Medical Imaging
    Research subject
    Medical Science
    Identifiers
    urn:nbn:se:uu:diva-585243 (URN)
    Available from: 2026-05-05 Created: 2026-05-05 Last updated: 2026-05-22
    3. Use of prophylactic stoma mesh is a risk factor for developing rectus abdominis muscle atrophy
    Open this publication in new window or tab >>Use of prophylactic stoma mesh is a risk factor for developing rectus abdominis muscle atrophy
    2022 (English)In: Hernia, ISSN 1265-4906, E-ISSN 1248-9204, Vol. 26, no 2, p. 517-523Article in journal (Refereed) Published
    Abstract [en]

    Purpose The aim of this study was to evaluate the possible risk factors for developing a parastomal hernia (PSH) in a cohort of rectal cancer patients with and without the application of a retro-muscular prophylactic mesh. The evaluated risk factors included the position of the stoma in the rectus abdominis muscle (RAM), RAM atrophy and shift of abdominal wall midline structures. Methods Rectal cancer patients treated with an abdominoperineal excision or Hartmann's procedure between 2002 and 2015 at Vastmanland Hospital, Sweden was included. Postoperative CT examinations were retrospectively reviewed regarding the presence of PSH and RAM atrophy and for measurements such as position of the stoma in the RAM. Results 116 patients were included, with a median age of 71 years. 70 patients received a prophylactic stoma mesh. 55 patients (47%) had a parastomal hernia at three-year follow-up. Rectus abdominis muscle atrophy was significantly higher in the mesh group compared with the non-mesh group (37% vs 2%; P = 0.04). RAM atrophy was a significant independent protective factor for developing a PSH (P = 0.007; OR 0.15; 95% CI 0.03-0.55). Conclusion Placement of a prophylactic retro-muscular stoma mesh resulted in a high frequency of RAM atrophy distal to the stomal aperture and patients with such atrophy had a lower risk of developing a PSH.

    Place, publisher, year, edition, pages
    Springer Nature, 2022
    Keywords
    Mesh, Parastomal hernia, Risk factors
    National Category
    Surgery
    Identifiers
    urn:nbn:se:uu:diva-473757 (URN)10.1007/s10029-022-02580-3 (DOI)000779022400002 ()35381884 (PubMedID)
    Available from: 2022-05-04 Created: 2022-05-04 Last updated: 2026-05-20Bibliographically approved
    4. Rectus abdominis muscle atrophy, prophylactic mesh, and stoma placement: retrospective findings from a prospective multicenter trial
    Open this publication in new window or tab >>Rectus abdominis muscle atrophy, prophylactic mesh, and stoma placement: retrospective findings from a prospective multicenter trial
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    2025 (English)In: Hernia, ISSN 1265-4906, E-ISSN 1248-9204, Vol. 29, no 1, article id 151Article in journal (Refereed) Published
    Abstract [en]

    Purpose

    The primary aim of this study was to investigate whether rectus abdominis muscle atrophy is associated with a lower risk of developing parastomal hernia. Secondary objectives were to assess whether the use of prophylactic mesh is a risk factor for rectus abdominis muscle atrophy and whether the position of the stoma within the rectus abdominis muscle affects the risk of parastomal hernia.

    Methods

    This retrospective study analysed patients from a prospective, randomised, multicentre trial in which rectal cancer patients were randomised to stoma creation with or without prophylactic mesh. Computed tomography at 12 months was evaluated to identify parastomal hernia, rectus abdominis muscle atrophy and position of stoma in the rectus abdominis muscle.

    Results

    Out of 149 patients, rectus abdominis muscle atrophy was observed in 9% and parastomal hernia in 42% of patients. There was no association between rectus abdominis muscle atrophy and parastomal hernia (p = 0.80; RR 1.07; CI 0.62–1.86), nor between prophylactic mesh and rectus abdominis muscle atrophy (p = 0.19; RR 2.00; CI 0.7–5.73). Stoma placement within the rectus abdominis muscle also showed no association with parastomal hernia development (p = 0.69; RR 0.97; CI 0.81–1.15).

    Conclusion

    This study found no statistically significant association between rectus abdominis muscle atrophy and parastomal hernia. The use of prophylactic mesh was not a risk factor for rectus abdominis muscle atrophy, and stoma placement within the rectus abdominis muscle was not associated with parastomal hernia. The previously reported association between prophylactic mesh, rectus abdominis muscle atrophy, and parastomal hernia was not confirmed in this cohort.

    Place, publisher, year, edition, pages
    Springer, 2025
    Keywords
    Parastomal hernia, Prophylactic mesh, Rectus abdominis muscle atrophy, Risk factors
    National Category
    Surgery
    Identifiers
    urn:nbn:se:uu:diva-556059 (URN)10.1007/s10029-025-03309-8 (DOI)001477976700001 ()40293535 (PubMedID)2-s2.0-105003751324 (Scopus ID)
    Funder
    Swedish Cancer Society, CAN2016/509Knut and Alice Wallenberg FoundationUppsala UniversityRegion Västmanland, LTV-994627Region Västra Götaland, VGRFOU 384331Region Västra Götaland, VGROU 475701Region Västra Götaland, VGRFOU 308311Anna-Lisa and Bror Björnsson Foundation
    Available from: 2025-05-09 Created: 2025-05-09 Last updated: 2026-05-20Bibliographically approved
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  • Public defence: 2026-09-04 09:15 Sal IX, Uppsala
    Butler, Olivia
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Human Geography.
    Fragmented Lives and Labour: Uneven Incorporation of Platform Work in Sweden2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis examines platform-mediated gig work in Sweden as a differentiated and internally contradictory labour regime. Through qualitative interviews with gig workers, supplemented by ethnographic observations and analyses of policy, media, platform, and union material, the thesis explores how platform labour is structured, governed, and experienced. It investigates how contradictions between flexibility and control, autonomy and constraint, and innovation and exploitation emerge through processes of labour market segmentation, digital mediation, spatio-temporal organisation, and platform urbanisation. Drawing on labour geography, Marxist political economy, and Marxist-feminist approaches, the thesis conceptualises platform-mediated gig work not as a singular or exceptional form of work, but as an intensification and reorganisation of longer-standing dynamics of labour market inequality, exploitation, and spatio-temporal discipline. 

    The thesis consists of four research articles. Article I examines labour market segmentation in the Swedish gig economy. It shows that flexibility operates dialectically as both a potential source of autonomy and a mechanism of control, and that experiences of precarity are shaped by workers’ differential positions within labour markets and broader social relations. Article II explores the spatio-temporal organisation of gig work. It argues that the flexibility afforded to platforms and customers depends upon the spatial and temporal inflexibility of workers, particularly migrant workers in cleaning and delivery, who must be available both “just-in-time” and “just-in-place”. Article III examines labour agency through the framework of resilience, reworking, and resistance. It finds that agency is not absent in platform labour, but fragmented and unevenly organised through the spatio-temporal logics of platform work. Resilience emerges under conditions of compression and isolation, reworking through partial decompression, and resistance through fragile moments of synchronisation. Article IV develops the concept of spectral infrastructures to explore how platform urbanism reorganises urban space, visibility, and labour. It demonstrates that the apparent frictionlessness of on-demand consumption depends upon the uneven visibility of the workers and infrastructures that sustain everyday urban life.

    It is concluded that platform-mediated gig work in Sweden constitutes a differentiated labour regime organised through contradiction. Across the papers, the conditions that enable flexibility, autonomy, visibility, and mobility for some workers simultaneously generate insecurity, waiting, opacity, and constraint for others. These contradictions are experienced unevenly and are disproportionately borne by differently positioned workers. The findings further suggest that platform labour develops through existing labour market structures, reproducing inequalities associated with migration status, labour market position, and access to social and institutional protections. The thesis therefore argues that platform labour reconfigures rather than transcends existing inequalities, reproducing uneven conditions of work through digitally mediated forms of organisation, coordination, and control.

    List of papers
    1. The dialectics of labour segmentation in the Swedish gig economy
    Open this publication in new window or tab >>The dialectics of labour segmentation in the Swedish gig economy
    2026 (English)In: Geografiska Annaler. Series B, Human Geography, ISSN 0435-3684, E-ISSN 1468-0467, p. 1-18Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    Flexibility is the defining promise of the gig economy, yet also its central contradiction. Often framed as a benefit, flexibility operates dialectically, as both a mechanism of control and a potential site of agency. Workers’ ability to navigate or resist precarity is shaped by their position within segmented labour markets, their subjectivities, and broader socio-economic structures. The gig economy is not a single labour market, then, but a stratified one in which conditions vary drastically across sectors and worker groups. This paper examines two differently situated workers in distinct segments of gig work to explore the determinants of precarity. It identifies three key dialectical tensions: (1) flexibility as both freedom and control; (2) gig work as promizing autonomy but delivering insecurity; and (3) the gig economy as simultaneously embedded in and excluded from Sweden’s labour market model, undermining protections whilst reproducing exclusion. Through digital mediation, task atomization, and misclassification, gig work entrenches inequality in new ways. In Sweden, Europe’s most segregated labour market, the gig economy exacerbates existing divisions. Whilst some workers benefit, others, particularly racialized migrants, face deepened precarity and algorithmic discipline. Rather than disrupting hierarchies, Sweden’s gig economy reinforces them through new forms of segmentation and spatio-temporal discipline.

    Place, publisher, year, edition, pages
    Routledge, 2026
    Keywords
    Gig economy flexibility segmentation dialectics
    National Category
    Human Geography
    Identifiers
    urn:nbn:se:uu:diva-586538 (URN)10.1080/04353684.2026.2662282 (DOI)2-s2.0-105036562861 (Scopus ID)
    Funder
    Forte, Swedish Research Council for Health, Working Life and Welfare
    Available from: 2026-05-20 Created: 2026-05-20 Last updated: 2026-07-16
    2. Antinomies of the gig economy: The annihilation of space by time or the annihilation of time by space?
    Open this publication in new window or tab >>Antinomies of the gig economy: The annihilation of space by time or the annihilation of time by space?
    2024 (English)In: Population, Space and Place, ISSN 1544-8444, E-ISSN 1544-8452, Vol. 30, no 8, article id e2815Article in journal (Refereed) Published
    Abstract [en]

    This paper concerns migrants in Sweden working in various types of on and offline gig work. It explores how the temporal and spatial flexibility afforded to gig customers is predicated on temporal and spatial inflexibility for workers. The argument moves discussions beyond relational space by promoting a more fully dialectical view of space that understands it as simultaneously relational, relative, and absolute. Without such a view of space-which understands that space is not always open and fluid but just as often closed and fixed-it is impossible to understand the specific relations of labour that structure gig work, particularly offline gig work in such ways as to provide maximal flexibility for customers. This paper shows that the Marxian adage concerning how, in capitalism, space is annihilated by time, does not always hold. For workers doing cleaning and delivery gig work, the converse is oftentimes truer: time is annihilated by space. Gig workers-and even more so migrant gig workers crowded in the above-mentioned industries-experience the annihilation of time by space through the dual mandate that they must be available "just-in-time" and "just-in-place" to produce the spatiotemporal flexibility upon which the gig companies base their model and their success.

    Place, publisher, year, edition, pages
    John Wiley & Sons, 2024
    Keywords
    flexibility, gig economy, migrant labour, space-time dialectics
    National Category
    Human Geography
    Identifiers
    urn:nbn:se:uu:diva-548039 (URN)10.1002/psp.2815 (DOI)001284871800001 ()2-s2.0-85200610676 (Scopus ID)
    Funder
    Forte, Swedish Research Council for Health, Working Life and Welfare
    Available from: 2025-01-22 Created: 2025-01-22 Last updated: 2026-05-21Bibliographically approved
    3. Disaggregating Agency: Resilience, Reworking, and Resistance in the Spatio-Temporal Logics of Sweden’s Gig Economy
    Open this publication in new window or tab >>Disaggregating Agency: Resilience, Reworking, and Resistance in the Spatio-Temporal Logics of Sweden’s Gig Economy
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    This paper examines labour agency in Sweden’s gig economy through a spatio-temporal reading of resilience, reworking, and resistance. Drawing on qualitative interviews with platform workers and union representatives, alongside policy, media, and observational material, it argues that worker agency is not absent under platform capitalism, but fragmented and unevenly organised through the spatial and temporal logics of platform work. Building on Katz’s framework of the 3Rs, the paper shows how resilience emerges under conditions of temporal compression and spatial isolation; how reworking becomes possible through partial decompressions of these pressures; and how resistance depends on fragile moments of synchronisation, when dispersed workers are able to recognise shared grievances and act collectively. Focusing on platform labour in Sweden, the paper demonstrates that these forms of agency are unevenly distributed across lines of migration status, race, gender, sector, and access to institutional support. In doing so, it contributes to labour geography and platform labour studies by developing a spatio-temporal account of disaggregated agency, while also showing how platform labour exposes the limits of collective representation within the Swedish model.

    Keywords
    Platform Labour, Agency, Resilience, Reworking, Resistance, Spatiotemporal
    National Category
    Human Geography
    Identifiers
    urn:nbn:se:uu:diva-586682 (URN)
    Available from: 2026-05-21 Created: 2026-05-21 Last updated: 2026-05-21
    4. Spectral Infrastructures:: Visibility and the Labour of Platform Urbanism
    Open this publication in new window or tab >>Spectral Infrastructures:: Visibility and the Labour of Platform Urbanism
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    This paper develops the concept of spectral infrastructures to examine how platform capitalism reorganises visibility, labour, and value in the contemporary city. Drawing on debates across urban theory, labour geography, logistical urbanism, and the infrastructural turn, it argues that the fulfilment city is sustained by infrastructures that are simultaneously ubiquitous and elusive: dark stores, ghost kitchens, platform interfaces, automated delivery systems, and the workers whose movement keeps these circuits in motion. Through empirical exemplification from Stockholm, the paper shows how these infrastructures appear unevenly across urban space, from branded façades and containerised ghost kitchens to vacant shopfronts, digital traces, dark stores, and delivery robots. Drawing on Walter Benjamin’s analysis of the phantasmagoria of commodity culture, the paper conceptualises spectrality not as absence, but as a regime of selective appearance in which labour is made visible as movement, service, or spectacle whilst remaining socially and politically obscured. By tracing how logistical rationality mediates visibility, value, and everyday urban experience, the paper contributes to debates on urban infrastructural politics and the changing geographies of work. In doing so, it re-embeds labour within analyses of infrastructure and urban form, showing how the apparent smoothness of platform urbanism depends on the uneven organisation of work, visibility, and friction.

    Keywords
    infrastructure; labour; platform urbanism; visibility; fulfilment city; ghost kitchens; dark stores.
    National Category
    Human Geography
    Identifiers
    urn:nbn:se:uu:diva-586681 (URN)
    Available from: 2026-05-21 Created: 2026-05-21 Last updated: 2026-05-21
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  • Public defence: 2026-09-04 13:00 Brusewitzsalen, Uppsala
    Pettersson, Oskar
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.
    Genetics and Politics: Gene-Environment Interplay for Social Life Outcomes and the Normative Implications of Social Science Genetics2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Explaining divergent life outcomes in modern societies is a core issue within social science, and of key relevance for policy makers. This debate has long been defined by an uncompromising struggle between "nature" and "nurture", with social and political science mostly preferring environmental explanations for life outcomes such as educational attainment and political participation. The molecular genetics revolution is now providing new insights into the genetics of complex social outcomes, but much stands to be learned about how genetic influences on life outcomes can be conditioned by the environment. Moreover, and surprisingly, we still know rather little about how genetic insights impacts on citizens' perceptions and attitudes towards inequality and government intervention. Building this knowledge is crucial given the complex and contentious nature of debates concerning genetics and social behavior. This thesis contributes with new insights about the interplay between genetics and different types of environments, operating in the fascinating intersection between social science and molecular genetics. The thesis also contributes by exploring the moral and empirical implications of genetic explanations for social life outcomes. The thesis relies on Swedish administrative registers and original survey data.

    Study I explores how historical political and institutional changes related to equality of opportunity can be reflected in the association between genetics and educational attainment. Studying Swedish twins born across the 20th century, the paper suggests that the influence of education-related genetic propensities on education have increased across time, while the socioeconomic stratification of genetic effects has also decreased. 

    Study II investigates the interaction between education-related genetic propensities and proximal social environments in the shaping of political participation. Contributing to debates concerning inequalities in political participation, the study shows that the effects of genetic resources on voting are lower when family and neighbourhood characteristics are more favourable in terms of socioeconomic status and political engagement.

    Study III explores the public understanding of genetic explanations for socioeconomic outcomes, using a survey experiment fielded in the United States and Sweden. Contrary to expectation, the study shows some evidence that citizens increase their beliefs in the effectiveness, and the fairness, of the government reducing socioeconomic differences, as a result of an increased knowledge about how genetics contribute to shaping such differences.  

    List of papers
    1. Overriding Nature: Favourable Environments in Early Life Reduces Genetic Inequality in Political Participation
    Open this publication in new window or tab >>Overriding Nature: Favourable Environments in Early Life Reduces Genetic Inequality in Political Participation
    2025 (English)In: Political Behavior, ISSN 0190-9320, E-ISSN 1573-6687Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    New research indicates that genetic variants related to educational attainment influence individuals’ political participation. This suggests that political inequality of opportunity is partially rooted in an inequality in genetic resources. However, the possibility that these genetic influences are contingent on individuals’ environments, such that they are amplified or reduced by certain environmental characteristics, remains unexplored. Using longitudinal and geo-coded register data for a large sample of genotyped twins in the Swedish Twin Registry, this paper explores whether early-life proximal environments that are conducive to participation modifies the effects of individuals’ education-related genetic resources on voting, as measured by a polygenic index for educational attainment. The results suggest that the level of political engagement, and of SES, both within the family and within the neighbourhood, can reduce the effects of genetic resources on voting. This has implications for how we can direct policy to ameliorate genetic inequalities in political participation.

    Place, publisher, year, edition, pages
    Springer, 2025
    Keywords
    Political participation, genetic resources, polygenic index, gene-environment interaction, neighbourhoods, equality of opportunity
    National Category
    Political Science (Excluding Peace and Conflict Studies) Medical Genetics and Genomics
    Research subject
    Political Science
    Identifiers
    urn:nbn:se:uu:diva-571408 (URN)10.1007/s11109-025-10096-6 (DOI)001611613500001 ()2-s2.0-105029242570 (Scopus ID)
    Funder
    Uppsala University
    Available from: 2025-11-11 Created: 2025-11-11 Last updated: 2026-06-30Bibliographically approved
    2. No Argument with Biology?: The Effects of Genetic Explanations for Socioeconomic Outcomes on American and Swedish Citizens’ Attitudes Towards Government Intervention
    Open this publication in new window or tab >>No Argument with Biology?: The Effects of Genetic Explanations for Socioeconomic Outcomes on American and Swedish Citizens’ Attitudes Towards Government Intervention
    2026 (English)In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297Article in journal (Refereed) Epub ahead of print
    Abstract [en]

    For half a century, scholars have debated the societal implications of research that suggests genetic explanations for socioeconomic disparities. However, studies of whether and how such genetic explanations affect the attitudes of citizensare surprisingly limited. Using two identical, pre-registered survey experiments fielded in the United States (N=2003) and Sweden (N=2005), this study tests whether a short, twin study-based genetic explanation for income and education differencesleads to citizens adopting a lower perceived possibility, as well as a lower perceived fairness, of the government reducing socioeconomic differences. The results do not provide systematic evidence to this effect. Rather, there are indications that citizens increase their belief in the effectiveness, as well as in the fairness of government intervention. Most clearly, the treatment increased citizens’ support for a set of redistributive policy proposals, particularly in Sweden. Overall, however, the treatment effects appear to have been limited. This is likely attributable to the experimental manipulationbeing inadequate in magnitude. This study suggests that genetic explanations for socioeconomic differences do not necessarily have to cause a naturalization of inequality among citizens, but further research on this important topic is needed.

    Place, publisher, year, edition, pages
    Springer, 2026
    Keywords
    Public understanding of genetics. Genetic attributions, Government intervention, Fairness attitudes, Socioeconomic inequality, Survey experiment
    National Category
    Political Science (Excluding Peace and Conflict Studies)
    Research subject
    Political Science
    Identifiers
    urn:nbn:se:uu:diva-581996 (URN)10.1007/s10519-026-10258-0 (DOI)
    Funder
    Swedish Research Council, 2019-00244
    Available from: 2026-03-11 Created: 2026-03-11 Last updated: 2026-05-08
    3. Raising the Floor?: Genetic Influences on Educational Attainment Through the Lens of the Evolving Swedish Welfare State
    Open this publication in new window or tab >>Raising the Floor?: Genetic Influences on Educational Attainment Through the Lens of the Evolving Swedish Welfare State
    2025 (English)In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 55, no 3, p. 199-214Article in journal (Refereed) Published
    Abstract [en]

    Interest in the role of genetics in influencing key life outcomes such as educational attainment has grown quickly. However, the question of whether genetic influences on educational attainment, on average as well as in conjunction with socioeconomic circumstances, are moderated by macro-level factors has not yet received sufficient attention. This study combines polygenic indices for educational attainment (EA PGI) with high-quality register data in a large sample of Swedish twins of European ancestry born 1920–1999. Employing both conventional between-family and within-family models, the analyses suggest that the influences of education-related genetic propensities on educational attainment have increased in Sweden during the twentieth century, a period featuring major expansions of the Swedish educational system, and decreasing economic inequality. The analyses also suggest that the degree to which socioeconomic background enhances genetic influences on education has decreased across cohorts. Genetic influences on education do not appear to have translated into increased genetic influences on income. Additionally, there is some evidence of floor and ceiling effects in the analyses of dichotomous educational outcomes.

    Place, publisher, year, edition, pages
    Springer, 2025
    Keywords
    Genetics, education, gene-environment interaction, polygenic index, birth cohorts, equality of opportunity
    National Category
    Political Science (Excluding Peace and Conflict Studies)
    Research subject
    Political Science; Education
    Identifiers
    urn:nbn:se:uu:diva-554349 (URN)10.1007/s10519-025-10219-z (DOI)001444979300001 ()40088418 (PubMedID)2-s2.0-105000141875 (Scopus ID)
    Funder
    Riksbankens Jubileumsfond, P18-0782:1Swedish Research Council, 2019-00244Uppsala University
    Available from: 2025-04-11 Created: 2025-04-11 Last updated: 2026-05-08Bibliographically approved
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  • Public defence: 2026-09-04 13:00 Sal IV, Uppsala
    Berruga Fernández, Talía
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Chromosomal Hybrids: A source of globally-spread antibiotic-resistant pathogens2026Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Antibiotic susceptible bacteria can develop resistance to antibiotics through different genetic pathways. Among the most important are mutations occurring within the genome, and the acquisition through horizontal genetic transfer (HGT) of additional genes that can reduce susceptibility to antibiotics, located in mobile genetic elements such as plasmids. The discovery of pathogenic strains of Escherichia coli and Klebsiella pneumoniae that have a chromosome with at least 20% (> 1 Mb) of DNA originating from a foreign strain suggest that an alternative pathway remains unexplored: the conjugative transfer of large areas of chromosomal DNA, generating bacterial strains with hybrid chromosomes. The projects presented in this thesis focused on studying different aspects about the generation of chromosomal hybrids.  

    We first designed and implemented a conjugation method that allows for the selection of bacteria with hybrid chromosomes from large populations and found that a large proportion of clinical strains of E. coli are capable of mobilizing their chromosome and can generate hybrids. Genome sequencing showed that several Mb of foreign DNA could be integrated into the recipient’s chromosome. Multiple resistance genes and alleles could be acquired simultaneously and without direct selection are maintained stably by the hybrid. Furthermore, we showed that any one conjugative mobile element, be it plasmid or ICE, was itself sufficient to mobilize the chromosome. 

    In the second project, we studied interspecies hybrids of K. pneumoniae clinical isolates and E. coli laboratory strains. We found chromosomal hybrids to be stable in the absence of selective pressure and fit for growth. 

    Third, we initiated a study to identify biological barriers that inhibit the formation of chromosomal hybrids in nature. We used both phenotypic selection and transposon generated mutants of the clinical E. coli strain ATCC25922 to identify genes which, when inactivated, lower the conjugation barrier to the formation of hybrids.  

    Finally, we explored whether E. coli could maintain prototrophy in the absence of HGT by acquiring compensatory mutations within its genome. We found that compensatory bypass mechanisms in mutants with gene deletions causing auxotrophy were accessible only to a handful of pathways for amino acid synthesis. 

    These results highlight the importance of HGT in bacterial survival and evolution. 

    List of papers
    1. Integrated conjugative elements drive the formation of pandemic clones of Escherichia coli with hybrid chromosomes
    Open this publication in new window or tab >>Integrated conjugative elements drive the formation of pandemic clones of Escherichia coli with hybrid chromosomes
    Show others...
    2026 (English)In: Molecular biology and evolution, ISSN 0737-4038, E-ISSN 1537-1719, Vol. 43, no 4, article id msag085Article in journal (Refereed) Published
    Abstract [en]

    Pathogenic multidrug-resistant bacteria with hybrid chromosomes have emerged as a significant global healthcare threat. These include the pandemic Escherichia coli ST1193, the product of homologous recombination events involving two phylogenetically distant strains of E. coli, in which mutant alleles of the widely separated genes, gyrA and parC, generating high-level fluoroquinolone resistance were acquired. The mechanisms and frequency of hybrid formation are poorly understood. We developed a robust hybrid selection procedure and applied it to 118 clinical UTI isolates of E. coli mixed with suitable recipient strains. Hybrids were selected from 39% of isolates. All hybrids were recombinants of donor and recipient chromosomal DNA (median length of donor DNA 367 kb), with 90% also acquiring conjugative mobile genetic elements (MGE) from the donor. We showed that individual conjugative plasmids, and integrative conjugative elements (ICE), from donors were sufficient to drive hybrid formation. These observations strongly support conjugative chromosomal DNA transfer as the major mechanism underlying hybrid formation. ICE are genome-integrated and passively propagated but when transferring to recipients they normally do so by excising and producing their own conjugation machinery. We found that ICE were responsible for the highest frequencies of hybrid chromosome formation. They could mobilize DNA around the full length of the chromosome, including the simultaneous acquisition of mutant variants of gyrA and parC, separated by ∼826 kb, generating highly fluoroquinolone-resistant bacteria in a single event. Bacterial hybrid chromosome formation driven by conjugative MGE may be an important and widespread mechanism in the emergence and evolution of high-risk bacterial pathogens.

    Place, publisher, year, edition, pages
    Oxford University Press, 2026
    Keywords
    bacterial evolution, hybrid chromosomes, antibiotic resistance, ICE, conjugative plasmids
    National Category
    Microbiology
    Identifiers
    urn:nbn:se:uu:diva-585561 (URN)10.1093/molbev/msag085 (DOI)001752850900001 ()41950494 (PubMedID)2-s2.0-105037763234 (Scopus ID)
    Funder
    Swedish Research Council, 2021-04814
    Available from: 2026-05-06 Created: 2026-05-06 Last updated: 2026-05-28Bibliographically approved
    2. Clinical isolates of Klebsiella pneumoniae can transfer chromosomal DNA into Escherichia coli to create novel bacteria with stable hybrid chromosomes
    Open this publication in new window or tab >>Clinical isolates of Klebsiella pneumoniae can transfer chromosomal DNA into Escherichia coli to create novel bacteria with stable hybrid chromosomes
    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    Horizontal gene transfer (HGT) between bacterial species is an important contributor to the development of multidrug-resistant (MDR) clinical pathogens. One example is the transfer of MDR conjugative plasmids from Klebsiella pneumoniae into Escherichia coli occurring within co-infected human hosts. Here, we asked whether, in mixed-species bacterial populations, we could also detect the transfer of chromosomal DNA. To address this, we screened 50 K. pneumoniae clinical isolates for their ability to generate chromosomal hybrids with E. coli as recipient. We found that 7/50 (14%) generated chromosomal hybrids at frequencies above our limit of detection (~10-11) up to a frequency of 5x10-10. Genome sequence analysis of 28 hybrids revealed multiple underlying mechanisms of DNA transfer and recombination. These included two different mechanisms by which a region of the E. coli chromosome was replaced with K. pneumoniae chromosomal DNA (Hfr-like mechanisms, with up to 586 kb of K. pneumoniae DNA acquired), and three different mechanisms by which F’-like plasmids carrying K. pneumoniae chromosomal DNA were created and transferred into E. coli. Accordingly, clinical isolates of K. pneumoniae have the ability to transfer, not just plasmids, but also intrinsically non-mobile chromosomal DNA into E. coli to create novel hybrid strains. Several of the isolated hybrids acquired genes related to virulence or antibiotic resistance. Chromosomal hybrids were stable after evolution in rich media and had a 70-95% fitness compared to MG1655. The results provide insights into the mechanisms involved in creating bacteria with novel hybrid chromosomes, which may have important implications for bacterial evolution, and the spread of antibiotic resistance and virulence genes.

    Keywords
    bacterial evolution, hybrid chromosomes, antibiotic resistance, ICE, conjugative plasmids
    National Category
    Microbiology
    Identifiers
    urn:nbn:se:uu:diva-586139 (URN)
    Available from: 2026-05-12 Created: 2026-05-12 Last updated: 2026-05-12
    3. Biological barriers to chromosomal hybrid formation in Escherichia coli
    Open this publication in new window or tab >>Biological barriers to chromosomal hybrid formation in Escherichia coli
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    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    Integrated conjugative elements can drive the transfer of chromosomal DNA from one Escherichia coli strain into another, generating strains with hybrid chromosomes. Several pandemic virulent multidrug-resistant strains of E. coli are chromosomal hybrids. Here we show that the frequency of hybrid formation can differ by orders of magnitude depending on the parental combination. However, the donor-recipient characteristics affecting hybridization efficiency are poorly understood. The laboratory workhorse strain E. coli MG1655 is significantly more proficient as a recipient in hybrid generation than E. coli ATCC25922, the strain used for quality control in antibiotic susceptibility testing. Focusing on these two strains we tested several hypotheses to identify barriers to hybrid formation. Among these, we found that relative conjugation efficiency correlated with hybrid formation frequency. To explore this, we used transposon mutagenesis to identify genes in ATCC25922 whose inactivation relieves a conjugation barrier. Among the first 1500 mutants tested we isolated and identified one that was 500-fold more conjugation-permissive than the parental strain. Whole genome sequencing identified this candidate ‘barrier’ gene as a protein-coding sequence on plasmid 3. Understanding the barrier mechanism will require further study. We are currently testing whether inactivation of this gene also increases chromosomal hybrid formation. The importance of this work is that it could significantly deepen our understanding of preferred pathways of HGT, something that will have broad application in both clinical and evolutionary biology.

    Keywords
    chromosomal hybrids, O-antigen, conjugation, clinical isolates
    National Category
    Microbiology
    Identifiers
    urn:nbn:se:uu:diva-586140 (URN)
    Available from: 2026-05-12 Created: 2026-05-12 Last updated: 2026-05-12
    4. The evolutionary maintenance of amino acid prototrophy in Escherichia coli
    Open this publication in new window or tab >>The evolutionary maintenance of amino acid prototrophy in Escherichia coli
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    (English)Manuscript (preprint) (Other academic)
    Abstract [en]

    Escherichia coli is a prototroph and can synthesize all twenty proteinogenic amino acids when required to grow in minimal medium. There are approximately sixty protein-coding genes individually essential for amino acid synthesis. This is a large mutational target for the accumulation of detrimental mutations. E. coli can rewire biosynthetic pathways in response to mutational damage but the limits of this capacity are poorly understood. Here, to address evolutionary robustness, we asked whether and how the phenotypes of irreversible mutations causing auxotrophy could be suppressed or bypassed in the absence of horizontal gene transfer (HGT). Spontaneous suppressors could be selected for only ten of fifty-nine mutants tested (detection limit ~7x10-11). Mechanisms of suppression included: regional amplifications; mutations increasing gene or operon expression; mutations relaxing enzyme specificity; and mutations causing biochemical pathway diversions. Overall, the data show that spontaneous suppression of auxotrophy caused by an irreversible mutation is an evolutionary survival mechanism relevant only to a minority of the genes essential for amino acid synthesis. As a consequence, the essential genetic foundations for amino acid prototrophy are expected to be degraded over time by mutations (Muller’s ratchet) and metabolic rewiring alone will be insufficient to counteract this effect. This implies that maintaining phenotypes, including prototrophy in E. coli, and potentially other bacterial species, is likely to be reliant on HGT of housekeeping genes to counteract the effects of inevitable mutational inactivation. Accordingly, chromosomal HGT in bacteria may be critical for survival across diverse environmental niches. 

    Keywords
    Muller’s ratchet, auxotrophy, compensatory evolution, tandem amplification, amino acid biosynthesis, biosynthetic pathway diversion
    National Category
    Microbiology
    Identifiers
    urn:nbn:se:uu:diva-586141 (URN)
    Available from: 2026-05-12 Created: 2026-05-12 Last updated: 2026-05-12
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