ABSTRACT
In the present study we investigated the potential role of Toll-like receptor 4 (TLR-4) Asp299Gly and Thr399Ile polymorphisms as risk factors in the development of gastric cancer. TLR-4 Asp299Gly and Thr399Ile polymorphisms were investigated in 171 Italian patients with sporadic gastric cancer and in 151 controls. Unconditional regression (odds ratio and 95% confidence intervals) were used to investigate the association of the studied polymorphisms with gastric cancer. TLR-4 Thr399Ile polymorphism is linked with an increased susceptibility to gastric cancer (P = 0.023 and hazard ratio = 3.62). No significant association for TLR-4 Asp299Gly polymorphism was found. In the subgroup of patients with intestinal-type gastric cancer, a significant risk of gastric cancer was associated with TLR-4 Thr399Ile genotype (P = 0.006). Our results demonstrated that TLR-4 Thr399Ile polymorphism is linked with an increased susceptibility to gastric cancer. An increased risk for intestinal gastric cancer in carriers of the TLR4 Thr399Ile allele was observed. Future epidemiological studies should consider the possible interactions between proinflammatory genotypes (such as TLR and interleukin-1R polymorphisms) and other risk factors for cancer such as dietary habits and/or exposure to environmental carcinogens.
Subject(s)
Adenocarcinoma/genetics , Polymorphism, Genetic , Stomach Neoplasms/genetics , Toll-Like Receptor 4/genetics , Adenocarcinoma/pathology , Adult , Aged , Aged, 80 and over , Case-Control Studies , Female , Genetic Predisposition to Disease , Humans , Male , Middle Aged , Risk Factors , Stomach Neoplasms/pathologyABSTRACT
Group A streptococci (n = 123), isolated consecutively from paediatric patients with pharyngitis from Palermo, Italy, were analysed. The emm and sof genes were sequenced, the presence of the speA and speC genes was investigated, and the macrolide resistance phenotypes and genotypes were determined. A limited number of emm/sof genotypes was found, and the most prevalent types were different from those found in a previous study from Rome. Macrolide resistance was found in the most prevalent clones, suggesting that the spread of mobile antibiotic resistance genes among the fittest clones in the community was the main mechanism influencing macrolide resistance rates in different emm types.
Subject(s)
Pharyngitis/microbiology , Streptococcal Infections/microbiology , Streptococcus pyogenes/classification , Streptococcus pyogenes/genetics , Adolescent , Antigens, Bacterial/genetics , Bacterial Outer Membrane Proteins/genetics , Bacterial Proteins/genetics , Carrier Proteins/genetics , Child , Child, Preschool , DNA, Bacterial/analysis , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , Drug Resistance, Bacterial/genetics , Exotoxins/genetics , Gene Transfer, Horizontal , Genotype , Humans , Italy , Macrolides/pharmacology , Membrane Proteins/genetics , Microbial Sensitivity Tests , Peptide Hydrolases/genetics , Phenotype , Polymerase Chain Reaction , Sequence Analysis, DNA , Streptococcus pyogenes/isolation & purificationABSTRACT
Atrazine, simazine, and propazine and their major chlorinated degradates (deethylatrazine, deisopropylatrazine, and didealkylatrazine) are considered as a group to be endocrine-disrupting chemicals by the U.S. Environmental Protection Agency. On this basis, regulatory action levels are currently under consideration for the total chloro-s-triazine (TCT) levels in drinking waters. To assess the concentrations of each of these species in drinking water and their treatability in conventional water treatment, a comprehensive, full-scale studywas conducted that included frequent monitoring at 33 and 47 water utilities during 2003 and 2004, respectively. Approximately 900 paired raw and treated water samples were analyzed using a gas chromatography/mass spectrometry method with preconcentration using a mixed-mode, solid-phase extraction that allowed quantitation of each species including didealkylatrazine. The results showed that atrazine concentrations were generally well within the 3 microg/L maximum contaminant level (MCL) and that simazine and propazine concentrations were generally negligible. Ninety-fifth-percentile values for the ratio of TCT/atrazine were 4.8 and 4.7, respectively. Effectiveness of conventional treatment technologies, including carbon, was observed to vary significantly. Concerns that didealkyatrazine concentrations may be high and significantly elevate the TCT appear to be unfounded. In general, the results suggest that potential treatment requirements for TCT are not likely to be any more difficult for utilities to meet than the current requirements for atrazine.