Circulating Endothelial Cells: A New Possible Marker of Endothelial Damage in Kawasaki Disease, Multisystem Inflammatory Syndrome in Children and Acute SARS-CoV-2 Infection.

BACKGROUND: Kawasaki Disease (KD) and Multisystem Inflammatory Syndrome in Children (MIS-C) are pediatric diseases characterized by systemic inflammation and vascular injury, potentially leading to coronary artery lesions (CALs). Data on vascular injury occurring during acute COVID-19 (AC19) in children are still lacking. The aim of our study was to investigate endothelial injury in KD-, MIS-C- and AC19-dosing circulating endothelial cells (CECs). METHODS: We conducted a multicenter prospective study. CECs were enumerated by CellSearch technology through the immunomagnetic capture of CD146-positive cells from whole blood. RESULTS: We enrolled 9 KD, 20 MIS-C and 10 AC19. During the acute stage, the AC19 and KD patients had higher CECs levels than the MIS-C patients. From the acute to subacute phase, a significant CEC increase was observed in the KD patients, while a mild decrease was detected in the MIS-C patients. Cellular clusters/syncytia were more common in the KD patients. No correlation between CECs and CALs were found in the MIS-C patients. The incidence of CALs in the KD group was too low to investigate this correlation. CONCLUSIONS: Our study suggests a possible role of CECs as biomarkers of systemic inflammation and endothelial dysfunction in KD and MIS-C and different mechanisms of vascular injury in these diseases. Further larger studies are needed.

Investigating morphological changes in treated vs. untreated stone building materials by x-ray micro-CT.

Calcareous stones have been largely used to build historical buildings. Among these, the calcarenites are usually characterized by a high content of calcite and a high open porosity, which make them very sensitive to the weathering caused by physical and chemical agents. In order to prevent their deterioration and to retard their decay, different protective products-mainly polymers-are applied on the stone artefact surfaces. In this work we apply the methodology tested in a preliminary study to investigate the morphological changes of the internal structure of a biocalcarenite (Lecce stone) by micro x-ray computed tomography (micro-CT). The porosity and other morphological parameters of the rock before and after the conservation treatment were calculated on a significant number of samples. The Student's t test was applied for statistical comparison. The results reveal that the treatment with Paraloid B72 (PB 72) is homogenously distributed and causes small changes to the natural properties of the rock, whereas the application of a fluoroelastomer (NH) causes an appreciable decrease in porosity and variation in terms of wall thickness distribution, probably resulting from its inhomogeneous distribution.