Downregulation of exosomal let-7d and miR-16 in idiopathic pulmonary fibrosis.

BACKGROUND: Idiopathic Pulmonary Fibrosis (IPF) is a degenerative interstitial lung disease with both a poor prognosis and quality of life once the diagnosis is made. In the last decade many features of the disease have been investigated to better understand the pathological steps that lead to the onset of the disease and, moreover, different types of biomarkers have been tested to find valid diagnostic, prognostic and therapy response predictive ones. In the complexity of IPF, microRNA (miRNAs) biomarker investigation seems to be promising. METHODS: We analysed the expression of five exosomal miRNAs supposed to have a role in the pathogenesis of the disease from serum of a group of IPF patients (n = 61) and we compared it with the expression of the same miRNAs in a group of healthy controls (n = 15). RESULTS: In the current study what emerged is let-7d down-regulation and, unexpectedly, miR-16 significant down-regulation. Moreover, through a cross-sectional analysis, a clustering of the expression of miR-16, miR-21 and miR-26a was found. CONCLUSIONS: These findings could help the individuation of previously unknown key players in the pathophysiology of IPF and, most interestingly, more specific targets for the development of effective medications.

Can the Rome classification of chronic obstructive pulmonary disease exacerbation severity be applied in the hospital setting?

BACKGROUND: Chronic obstructive pulmonary disease (COPD) exacerbations (ECOPDs) are crucial events in the natural history of the disease. The recent Rome proposal defines exacerbations and their grade of severity using objective parameters derived from published data. AIMS: A) To evaluate the applicability of the Rome proposal in current clinical practice in different hospitals settings, B) to compare the resulting degree of severity with the conventional non-objective classification, C) to evaluate the relationship between ECOPD severity and mortality and D) the outputs in different hospital specialist wards. METHODS: Observational retrospective study in patients admitted to the University Hospital of Ferrara (Italy) with a primary diagnosis of ECOPD in the year 2021. The items of severity of the Rome proposal at admission were acquired from clinical records. A clinical-based score surrogated the missing VAS data on dyspnoea. RESULTS: Data were collected at admission form 320 patients. The data collected allowed the classification of severity based on the Rome proposal in 88.5 % of eligible cases. 18.5 %, 50.5 % and 31 % of ECOPD admissions were categorised as mild, moderate or severe ECOPDs respectively. In-hospital mortality increased with the ECOPD severity and mortality at 12 months was 27 % and 53.2 % in patients who have had a mild vs severe ECOPD, respectively (p = 0.059). Severe ECOPDs were more frequent and mortality rate was lower in patients admitted to Respiratory as compared to Internal Medicine wards. CONCLUSION: The Rome classification is ready to use in hospitalised ECOPD. It could allow for a better identification of the hospital setting most appropriate for ECOPD management.

Update on virus-induced asthma exacerbations.

INTRODUCTION: Viral infections are common triggers for asthma exacerbation. Subjects with asthma are more susceptible to viral infections and develop more severe or long-lasting lower respiratory tract symptoms than healthy individuals owing to impaired immune responses. Of the many viruses associated with asthma exacerbation, rhinovirus (RV) is the most frequently identified virus in both adults and children. AREAS COVERED: We reviewed epidemiological and clinical links and mechanistic studies on virus-associated asthma exacerbations. We included sections on severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), the latest evidence of coronavirus disease 2019 (COVID-19) in asthma patients, and past and future searches for therapeutic and prevention targets. EXPERT OPINION: Early treatment or prevention of viral infections might significantly reduce the rate of asthma exacerbation, which is one of the key points of disease management. Although it is hypothetically possible nowadays to interfere with every step of the infectious cycle of respiratory tract viruses, vaccination development has provided some of the most encouraging results. Future research should proceed toward the development of a wider spectrum of vaccines to achieve a better quality of life for patients with asthma and to reduce the economic burden on the healthcare system.

Inflammation as Prognostic Hallmark of Clinical Outcome in Patients with SARS-CoV-2 Infection.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is often characterized by a life-threatening interstitial pneumonia requiring hospitalization. The aim of this retrospective cohort study is to identify hallmarks of in-hospital mortality in patients affected by Coronavirus Disease 19 (COVID-19). A total of 150 patients admitted for COVID-19 from March to June 2021 to "F. Perinei" Murgia Hospital in Altamura, Italy, were divided into survivors (n = 100) and non-survivors groups (n = 50). Blood counts, inflammation-related biomarkers and lymphocyte subsets were analyzed into two groups in the first 24 h after admission and compared by Student's t-test. A multivariable logistic analysis was performed to identify independent risk factors associated with in-hospital mortality. Total lymphocyte count and CD3+ and CD4+ CD8+ T lymphocyte subsets were significantly lower in non-survivors. Serum levels of interleukin-6 (IL-6), lactate dehydrogenase (LDH), C-reactive protein (CRP) and procalcitonin (PCT) were significantly higher in non-survivors. Age > 65 years and presence of comorbidities were identified as independent risk factors associated with in-hospital mortality, while IL-6 and LDH showed a borderline significance. According to our results, markers of inflammation and lymphocytopenia predict in-hospital mortality in COVID-19.

Characterization of dried and freeze-dried sea fennel (Crithmum maritimum L.) samples with headspace gas-chromatography/mass spectrometry and evaluation of an electronic nose discrimination potential.

Processed samples (air-dried @ 40 and @ 60 °C and freeze-dried) of sea fennel (Crithmum maritimum L.), an autochthonous spice with interesting market potential, were analyzed by headspace gas-chromatography/mass spectrometry and classification capabilities of an electronic nose in discriminating between samples with stepwise forward statistics were evaluated as well. Freeze-drying process was the most preservative in terms of limiting darkening without compromising appearance of the final product, providing weight loss of about 85% and water activity below the limit for mold growth issues. Headspace analysis of samples highlighted the presence of 35 volatiles grouped as terpene hydrocarbons, oxygenated terpenes, sesquiterpen hydrocarbons, phenyl propanoids, not-terpenic aldehydes and not-terpenic ketones. Correlations emerged between selected sensors and some detected volatile organic compounds. Stepwise linear discriminant analysis and simple K-nearest neighbors obtained a 100% overall correct classification rate in cross-validation of the electronic nose in classifying samples, whereas stepwise quadratic discriminant analysis and Naive-Bayes gave 93.3%. The sea fennel could be a new interesting spice to launch in the food market and the electronic nose showed the potential to be used in monitoring the industrial process aimed at extending its shelf-life.

Greenhouse gas emissions of an agro-biogas energy system: Estimation under the Renewable Energy Directive.

Agro-biogas from energy crops and by-products is a renewable energy carrier that can potentially contribute to climate change mitigation. In this context, application of the methodology defined by the Renewable Energy Directive 2009/28/EC (RED) was performed in order to estimate the 100-year Global Warming Potential (GWP100) associated with an agro-biogas supply chain (SC) in Southern Italy. Doing so enabled calculation of Greenhouse Gas (GHG) emission saving in order to verify if it is at least equal to 35% compared to the fossil fuel reference system, as specified by the RED. For the assessment, an attributional Life Cycle Assessment (LCA) approach (International Organization for Standardization (ISO), 2006a,b) was integrated with the RED methodology applied following the guidelines reported in COM(2010)11 and updated by SWD(2014)259 and Report EUR 27215 EN (2015). Moreover, primary data were collected with secondary data extrapolated from the Ecoinvent database system. Results showed that the GWP100 associated with electricity production through the biogas plant investigated was equal to 111.58gCO2eqMJe(-1) and so a 40.01% GHG-emission saving was recorded compared to the RED reference. The highest contribution comes from biomass production and, in particular, from crop cultivation due to production of ammonium nitrate in the overall amount used for crop cultivation. Based upon the findings of the study, the GHG saving calculated slightly exceeds the related minimum proposed by the RED: therefore, improvements are needed anyway. In particular, the authors documented that through replacement of ammonium nitrate with urea the GHG-emission saving would increase to almost 68%, thus largely satisfying the RED limit. In addition, the study highlighted that conservation practices, such as NT, can significantly enable reduction of the GHG-emissions coming from agricultural activities. Therefore, those practices should be increasingly adopted for cultivation of energy crops, because the latter significantly contribute to biogas production yield enhancement.

Polylactic acid trays for fresh-food packaging: A Carbon Footprint assessment.

This paper discusses application of Carbon Footprint (CF) for quantification of the 100-year Global Warming Potential (GWP100) associated with the life cycle of polylactic acid (PLA) trays for packaging of fresh foods. A comparison with polystyrene (PS)-based trays was done considering two different transport system scenarios for PLA-granule supply to the tray production firm: a transoceanic freight vessel and an intercontinental freight aircraft. Doing so enabled estimation of the influence of the transportation phase on the GHG-emission rate associated with the PLA-trays' life cycle. From the assessment, the GWP100 resulted to be mainly due to PLA-granulate production and to its transportation to the tray manufacturing facility. Also, the study documented that, depending upon the transport system considered, the CF associated with the life cycle of the PLA trays can worsen so much that the latter are no longer GHG-emission saving as they are expected to be compared to the PS ones. Therefore, based upon the findings of the study, it was possible for the authors to understand the importance and the need of accounting for the transport-related issues in the design of PLA-based products, thus preserving their environmental soundness compared to traditional petroleum-based products. In this context, the study could be used as the base to reconsider the merits of PLA usage for product manufacturing, especially when high distances are implied, as in this analysed case. So, the authors believe that new research and policy frameworks should be designed and implemented for both development and promotion of more globally sustainable options.

Foamy polystyrene trays for fresh-meat packaging: Life-cycle inventory data collection and environmental impact assessment.

Food packaging systems are designed to perform series of functions mainly aimed at containing and protecting foods during their shelf-lives. However, to perform those functions a package causes environmental impacts that affect food supply chains and that come from its life-cycle phases. Therefore, package design should be done based upon not only the issues of cost, food shelf-life and safety, as well as practicality, but also of environmental sustainability. For this purpose, Life Cycle Assessment (LCA) can be applied in the packaging field with the aim of highlighting environmental hotspots and improvement potentials, thus enabling more eco-friendly products. In this context, an LCA of foamy polystyrene (PS) trays used for fresh meat packaging was performed here. The study highlighted that the highest environmental impacts come from PS-granule production and electricity consumption. In this regard, the authors underscored that there are no margins for improvement in the production of the granules and in the transport of the material inputs involved as well as of the trays to users. On the contrary, changing the energy source into a renewable one (by installing, for instance, a wind power plant) would enable a 14% damage reduction. In this way, the authors documented that alternative ways can be found for global environmental improvement of the system analysed and so for enhanced environmental sustainability of food packaging systems.

Recycled-PET fibre based panels for building thermal insulation: environmental impact and improvement potential assessment for a greener production.

A screening of Life Cycle Assessment for the evaluation of the damage arising from the production of 1 kg of recycled Polyethylene Terephthalate (RPET) fibre-based panel for building heat insulation was carried out according to the ISO 14040:2006 and 14044:2006. All data used were collected on site based on observations during site visits, review of documents and interviews with technical personnel and management. These data were processed by using SimaPro 7.3.3, accessing the Ecoinvent v.2.2 database and using the Impact 2002+ method. The study showed damage to be equal to 0.000299 points mostly due to the: 1) PET thermo-bonding fibre supply from China by means of a freight-equipped intercontinental aircraft; 2) production of bottle-grade granulate PET; 3) medium voltage electricity consumption during the manufacturing of RPET fibre panel. It was also highlighted that there were environmental benefits due to recycling through mainly avoiding significant emissions and reduced resource consumption. An improvement assessment was carried out to find solutions aimed at reducing the damage coming from the most impacting phases. Furthermore, the environmental impacts due to the production of the analysed RPET fibre-based panel were compared to other materials with the same insulating function, such as polystyrene foam, rock wool and cork slab. Finally, the environmental benefits of the recycling of PET bottles for flake production were highlighted compared to other treatment scenarios such as landfill and municipal incineration.