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1.
Sci Rep ; 13(1): 10641, 2023 06 30.
Artículo en Inglés | MEDLINE | ID: mdl-37391467

RESUMEN

Heavy metal levels appear to be associated with low bone mineral density (BMD) and the consequent osteoporosis risk, but the relationship with the disease has not been clearly defined. The altered expression pattern of numerous genes, including detoxifying genes, seems to play a pivotal role in this context, leading to increased susceptibility to several diseases, including osteoporosis. The purpose of this study is to analyse circulating heavy metals levels and the expression of detoxifying genes in osteoporotic patients (OPs, n = 31), compared with healthy subjects (CTRs, n = 32). Heavy metals concentration in plasma samples was determined by Inductively Coupled Plasma Mass Spectrometry (ICP-MS), and the subsequent expression analysis of NAD(P)H quinone dehydrogenase 1 (NQO1), Catalase (CAT), and Metallothionein 1E (MT1E) genes in Peripheral Blood Mononuclear Cells (PBMCs) was assessed by real-time polymerase chain reaction (qRT-PCR). Copper (Cu), mercury (Hg), molybdenum (Mo) and lead (Pb) were found to be significantly higher in the plasma of OPs compared to CTRs. Analysis of the expression levels of detoxifying genes showed a significant decrease in CAT and MT1E in OP group. In addition, Cu correlated positively with the expression levels of both CAT and MT1E in CTRs group and MT1E in OPs. This study shows an increased circulating concentration of certain metals combined with an altered expression pattern of detoxifying genes in OPs, highlighting a novel aspect to be investigated in order to better characterize the role of metals in the pathogenesis of osteoporosis.


Asunto(s)
Mercurio , Metales Pesados , Osteoporosis , Humanos , Leucocitos Mononucleares , Osteoporosis/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Expresión Génica
2.
Int J Food Microbiol ; 262: 99-106, 2017 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-28982061

RESUMEN

The inactivation of Salmonella during curing of Italian traditional pork salami was investigated. A total of 150 batches of ground raw meat (GRM) used for salami manufacturing by four producers were tested for Salmonella by real-time PCR followed by ISO 6579 cultural confirmation and MPN enumeration. Salami produced with Salmonella positive GRMs were re-tested at the end of their curing period. Aw, pH and NaCl content were also measured. Detection of Salmonella was performed testing both 25 and 50g of the samples. By Real-Time PCR 37% of the GRMs resulted positive, but cultural detection of Salmonella was obtained in 14% of the samples only. Salmonella enumeration ranged from 31 MPN/g to <1.3 MPN/g. The difference between testing 50g and 25g of the samples was statistically significant (p value≤0.01). In particular, ISO-50g detected Salmonella in 100% of all positive samples, vs. 62% of ISO-25g. Salami made of the contaminated GRMs were 29% Salmonella-positive, as most batches of salami produced with Salmonella-positive GRMs resulted negative after regular curing (20-48days). Overall, 13% of salami produced with Salmonella-contaminated GRMs were positive. They belonged to six batches, which turned out negative after prolonged curing ranging between 49 and 86days. Salmonella enumeration in salami ranged from 8.7 MPN/g to <1.3 MPN/g. Unlike GRMs, no significant difference was observed between the ISO-50g and the ISO-25g in detecting Salmonella in cured salami (p value: >0.05). The most common Salmonella serovars in GRMs were Derby (52%), Typhimurium monophasic variant 4, (Barbuti et al., 1993), 12:i:- (19%) and Stanley (10%). Salmonella Derby (56%), London, Branderup, Panama (13%, respectively) and Goldcoast (6%) were most frequent in cured salami. The study showed negative correlation between real-time CT values and cultural confirmation of Salmonella, as well as the importance of sample size for Salmonella detection. Among considered factors with possible effect on the occurrence of Salmonella in salami, statistical analysis revealed a role for aw in salami and for Salmonella load in GRMs, while pH and NaCl content did not significantly affect the probability of finding Salmonella in dry-cured salami in the context of this study. In particular the lower aw values due to longer curing were associated with lower Salmonella presence in traditional dry-cured salami.


Asunto(s)
Conservación de Alimentos/métodos , Productos de la Carne/microbiología , Carne Roja/microbiología , Salmonella/crecimiento & desarrollo , Salmonella/aislamiento & purificación , Animales , Microbiología de Alimentos , Italia , Reacción en Cadena en Tiempo Real de la Polimerasa , Porcinos
4.
Toxicol Ind Health ; 25(4-5): 351-63, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19651808

RESUMEN

In 2003-2006, the distribution of macronutrients and pollutants of environmental interest was investigated in surficial sediments collected from 10 southern Italy harbors selected in four different regions. About 167 stations were sampled to determine levels of total organic carbon, total nitrogen, total phosphorous, trace elements (Al, Cd, Pb, Ni, Cr, Cu, Zn, Hg, As), short- and long-chain aliphatic hydrocarbons (Hy C > 12 and Hy C < 12), and concentrations of persistent organic pollutants (polychlorinated biphenyls, polycyclic aromatic hydrocarbons [PAHs], p-p-Dichlorodiphenyldichloroethylene (4,4'-DDE), and Hexachlorobenzene (HCB). General relationships between studied variables and harbors systems were explored by multivariate statistical approaches. Results show that wide fluctuations are reported for all variables both among harbors and inside each studied system. Principal components analysis suggests that major significance in explaining total average variability is due to lead, copper, zinc, silts, sands, and PAHs. No significance has been observed when testing nonmetric multidimensional scaling distributions relating with the factor "region," while performing analyses on factor "main human activity," a higher significance is observed. These results suggest a strong relationship between the main human use of marine systems and observed pollution levels in sediments.


Asunto(s)
Sedimentos Geológicos/análisis , Agua de Mar , Contaminantes del Agua/análisis , Contaminación del Agua/análisis , Humanos , Italia
5.
Toxicol Ind Health ; 25(4-5): 365-71, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19651809

RESUMEN

The aim of the present study was to assess the environmental quality of Orbetello lagoon (Tyrrhenian coast, Italy), using a biomonitoring method based on measuring organochlorinated pollutants in the Anguilla anguilla, chosen as sentinel organism, and remote sensing data obtained by elaboration of Landsat 7 Enhanced Thematic Mapper (ETM) data of 2002. Polychlorinated biphenyls and organochlorine pesticides were determined by gas chromatography/mass spectrometry in muscle of European eels captured in seven sites having different levels of pollution in Orbetello lagoon. Remote sensing data and chemical analysis showed the Albegna river as a probable vehicle of pesticides (hexachlorocyclohexanes).


Asunto(s)
Ecosistema , Anguilas , Hidrocarburos Clorados/análisis , Agua de Mar , Contaminantes del Agua/análisis , Contaminación del Agua/análisis , Animales , Cromatografía de Gases y Espectrometría de Masas , Humanos , Italia , Residuos de Plaguicidas/análisis , Bifenilos Policlorados/análisis
6.
Euro Surveill ; 14(7)2009 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-19232225

RESUMEN

We report the findings of the first case-control study conducted in both the Republic of Ireland and Northern Ireland to determine risk factors for sporadic Campylobacter infections. A total of 197 cases and 296 case-nominated controls matched for age, were included. Based on Population Attributable Fraction (PAF), the most important risk factors were consuming chicken [adjusted matched (am) OR 6.8; 95%CI 2.1-21.9], consuming lettuce (amOR 3.3; 95%CI 1.5-7.1) and eating in takeaways (amOR=3.1; 95%CI 1.4-6.6). Contact with sheep (amOR=11; 95%CI 1.6-78), peptic ulcer (amOR=19; 95%CI 3.8-93.7), hiatus hernia (amOR=20.3; 95%CI 2.3-183.3), lower bowel problems (amOR=4.5; 95%CI 1.2-16.8) were also independently associated with infection. Mains water supply showed protective effect (amOR=0.2; 95 CI 0.1-0.9). The findings highlight the continued need for consumer food safety education and further control measures throughout the food chain on the island of Ireland.


Asunto(s)
Infecciones por Campylobacter/epidemiología , Adolescente , Adulto , Anciano , Campylobacter/patogenicidad , Estudios de Casos y Controles , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Irlanda/epidemiología , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Clase Social , Encuestas y Cuestionarios , Adulto Joven
7.
Epidemiol Infect ; 136(8): 1027-34, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17892633

RESUMEN

A large outbreak of hepatitis A virus (HAV) infection occurred in 2004 in Campania, a region of southern Italy, with 882 cases reported between 1 January and 1 August. The local public health authorities and the Italian National Institute of Health carried out investigations in order to characterize the agent, identify the source of infection and the route of transmission, and implement appropriate control measures. A web-based reporting system enhanced the flow of information between public health authorities, providing real-time epidemic curves and frequency distributions. The same 1B HAV genotype was found in 90% of sera from a subset of patients with acute disease, suggesting a local common source. A case-control study in the municipality with the highest attack rate showed that raw seafood consumption, in particular if illegally sold in water, was strongly associated with HAV illness. Samples of seafood systematically collected from retailers were found contaminated by HAV.


Asunto(s)
Brotes de Enfermedades , Hepatitis A/epidemiología , Adolescente , Adulto , Anciano , Animales , Anticuerpos Antivirales/análisis , Estudios de Casos y Controles , Niño , Preescolar , Control de Enfermedades Transmisibles/métodos , Femenino , Genotipo , Hepatitis A/sangre , Hepatitis A/virología , Virus de la Hepatitis A/clasificación , Virus de la Hepatitis A/genética , Virus de la Hepatitis A/aislamiento & purificación , Humanos , Lactante , Italia/epidemiología , Modelos Logísticos , Masculino , Persona de Mediana Edad , Vigilancia de la Población , Mariscos/virología
8.
J Appl Microbiol ; 103(6): 2299-308, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18045414

RESUMEN

AIMS: The aim of this study was to isolate arsenic-resistant bacteria from contaminated sediment of the Orbetello Lagoon, Italy, to characterize isolates for As(III), As(V), heavy metals resistance, and from the phylogenetic point of view. METHODS AND RESULTS: Enrichment cultures were carried out in the presence of 6.75 mmol l(-1) of As(III), allowing isolation of ten bacterial strains. Four isolates, ORAs1, ORAs2, ORAs5 and ORAs6, showed minimum inhibitory concentration values equal or superior to 16.68 mmol l(-1) and 133.47 mmol l(-1) in the presence of As(III) and As(V), respectively. Isolate ORAs2 showed values of 1.8 mmol l(-1) in the presence of Cd(II) and 7.7 mmol l(-1) of Zn(II), and isolate ORAs1 pointed out a value of 8.0 mmol l(-1) in the presence of Cu(II). Analysis of 16S rRNA gene sequences revealed that they can be grouped in the three genera Aeromonas, Bacillus and Pseudomonas. Phylogenetic analysis of the four more arsenic-resistant strains was also performed. CONCLUSION: Isolates are highly resistant to both As(III) and As(V) and they could represent good candidates for bioremediation processes of native polluted sediments. SIGNIFICANCE AND IMPACT OF THE STUDY: This study provides original results on levels of resistance to arsenic and to assigning genera of bacterial strains isolated from arsenic-polluted sediments.


Asunto(s)
Arsénico/toxicidad , Bacterias/aislamiento & purificación , Industria Química , Microbiología Industrial , Contaminantes del Suelo/toxicidad , Aeromonas/genética , Aeromonas/aislamiento & purificación , Arseniatos/toxicidad , Arsenicales , Arsenitos/toxicidad , Bacillus/genética , Bacillus/aislamiento & purificación , Bacterias/efectos de los fármacos , Bacterias/genética , Secuencia de Bases , Biodegradación Ambiental , Secuencia de Consenso , Farmacorresistencia Microbiana , Sedimentos Geológicos , Italia , Metales Pesados/toxicidad , Datos de Secuencia Molecular , Filogenia , Pseudomonas/genética , Pseudomonas/aislamiento & purificación , Ribotipificación
9.
Br J Pharmacol ; 151(8): 1377-84, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17603558

RESUMEN

BACKGROUND AND PURPOSE: Recombinant human erythropoietin (rhEPO; Epoetin-alpha; PROCRITtrade mark) has been shown to exert neuroprotective and restorative effects in a variety of CNS injury models. However, limited information is available regarding the dose levels required for these beneficial effects or the neuronal responses that may underlie them. Here we have investigated the dose-response to rhEPO and compared the effects of rhEPO with those of carbamylated rhEPO (CEPO) in a model of cerebral stroke in rats. EXPERIMENTAL APPROACH: Rats subjected to embolic middle cerebral artery occlusion (MCAo) were treated with rhEPO or CEPO, starting at 6 h and repeated at 24 and 48 h, after MCAo. Cerebral infarct volumes were assessed at 28 days and neurological impairment at 7, 14, 21 and 28 days, post-MCAo. KEY RESULTS: rhEPO at dose levels of 500, 1150 or 5000 IU kg(-1) or CEPO at a dose level of 50 microg kg(-1) significantly reduced cortical infarct volume and reduced neurologic impairment. All doses of rhEPO, but not CEPO, produced a transient increase in haematocrit, while rhEPO and CEPO substantially reduced the number of apoptotic cells and activated microglia in the ischemic boundary region. CONCLUSIONS AND IMPLICATIONS: These data indicate that rhEPO and CEPO have anti-inflammatory and anti-apoptotic effects, even with administration at 6 h following embolic MCAo in rats. Taken together, these actions of rhEPO and CEPO are likely to contribute to their reduction of neurologic impairment following cerebral ischemia.


Asunto(s)
Isquemia Encefálica/tratamiento farmacológico , Eritropoyetina/análogos & derivados , Eritropoyetina/farmacología , Fármacos Neuroprotectores/farmacología , Accidente Cerebrovascular/tratamiento farmacológico , Animales , Apoptosis/efectos de los fármacos , Barrera Hematoencefálica , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Ensayo de Inmunoadsorción Enzimática , Epoetina alfa , Eritropoyetina/administración & dosificación , Eritropoyetina/farmacocinética , Hematínicos/administración & dosificación , Hematínicos/farmacocinética , Hematínicos/farmacología , Hematócrito , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Infarto de la Arteria Cerebral Media/fisiopatología , Masculino , Microglía/efectos de los fármacos , Fármacos Neuroprotectores/administración & dosificación , Fármacos Neuroprotectores/farmacocinética , Ratas , Ratas Wistar , Proteínas Recombinantes
10.
Parasitology ; 133(Pt 4): 453-63, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16817992

RESUMEN

Fascioliasis pathogenesis depends on fluke burden. In human hyperendemic zones, individual infection intensities reach very high levels and the majority of infected subjects should be in the advanced chronic phase. The rat model offers a useful approach for pathological research in the advanced chronic period. The influence of infection intensity per rat on fluke development, pre-patent period and egg shedding (eggs/g faeces/worm) was analysed in 3 groups (I: 1-3 worms/rat; II: 4-6; III: 7-9). Ontogenetic trajectories of fluke body measures followed a logistic model. Results showed that when the burden increases, the maximum values of fluke measures decrease. The crowding effect is manifest when fluke measures approximate their maximums in the advanced chronic stage. The pre-patent period and egg production decrease when the burden increases. This means that measurements of eggs per gramme of faeces tend to underestimate the fluke burden. The present study demonstrates how to quantify the fascioliasis experimental rat model crowding effect on adult growth, pre-patent period and egg production. This quantification may be of great interest in epidemiological studies and in experimental research on the in vivo actions of different anthelminthic drugs and vaccines, pathology, immunology and resistance studies.


Asunto(s)
Fasciola hepatica/fisiología , Fascioliasis/parasitología , Modelos Biológicos , Animales , Bolivia , Enfermedad Crónica , Fasciola hepatica/crecimiento & desarrollo , Fasciola hepatica/patogenicidad , Heces/parasitología , Interacciones Huésped-Parásitos , Humanos , Modelos Logísticos , Masculino , Recuento de Huevos de Parásitos , Densidad de Población , Distribución Aleatoria , Ratas , Ratas Wistar , Caracoles/parasitología , Factores de Tiempo
11.
Ann Ig ; 16(5): 647-63, 2004.
Artículo en Italiano | MEDLINE | ID: mdl-15552731

RESUMEN

In November 2001 a one-day prevalence survey of nosocomial infections (NI) was conducted in surgical and intensive care units at two hospitals in Rome. The main goal was to quantify the occurrence of NI and of some patient-care practices, such as antibiotic use. The following NI were studied: pneumonia, bloodstream infections, urinary tract infections, surgical site infections (SSI), central line-related local infections. A total of 517 patients were included. The prevalence of the above mentioned NI was 6.6%. SSI were the most frequent NI (50%), with a prevalence of 6.5% in patients who underwent surgery; the SSI prevalence was 4.7% in clean surgical procedures (SP) and 5.6% in clean-contaminated SP. In 29 NI, 33 micro-organisms were isolated; the most frequent (24.3%) was Staphylococcus aureus, which was methicillin-resistant (MRSA) in 75% of the strains. On the day of the study, 41.8% of the patients were treated with antimicrobials, mainly aminopenicillins and third generation cephalosporins. In 31.8% of cases antibiotics were given for surgical prophylaxis; patients received prophylactic antibiotics more than 2 hours prior the initial incision in almost 40% of clean SP and 60% of clean-contaminated SP. In our hospitals prevalence survey was a very useful tool to identify the following priorities: SSI prospective surveillance in clean and clean-contaminated SP, control of MRSA selection and transmission, guidelines for antimicrobial prophylaxis in surgery.


Asunto(s)
Infección Hospitalaria/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Femenino , Encuestas Epidemiológicas , Hospitales , Humanos , Lactante , Italia , Masculino , Persona de Mediana Edad , Prevalencia
12.
Neuroscience ; 127(1): 53-61, 2004.
Artículo en Inglés | MEDLINE | ID: mdl-15219668

RESUMEN

Despite many studies on the functional expression of neuronal nicotinic acetylcholine receptors (nAChRs), an exhaustive description of the long-term effects of nicotine (Nic) stimulation in cerebellar granules is still far to be completed. For this reason, we addressed the experiments stimulating cultured cerebellar granule neurons (CGN) with Nic, focusing on the effects on cell motility and survival. Using electrophysiological and Ca(2+)-fluorescence techniques, we found a subset of rat CGN that responded to Nic by inward whole cell currents and by short-delay Ca(2+) transients. These responses were mediated through both homomeric and heteromeric nAChRs, as assessed by their sensitivity to alpha-bungarotoxin (alpha-BTX), dihydro-beta-erythroidine (DHbetaE), methyllicaconitine (MLA) and 5-hydroxyindole (5OH-indole). Once established the expression of alpha-BTX-sensitive and insensitive nAChRs and their ability to trigger Ca(2+) responses in CGN, we aimed at investigating their possible role on cell survival and motility. We demonstrate that Nic stimulation significantly increases the survival of CGN exposed to the apoptosis-promoting low K(+) medium. This anti-apoptotic effect is likely mediated through alpha7* nAChRs since we found that it was mimicked by choline, was insensitive to DHbetaE and was fully inhibited by alpha-BTX. Furthermore, we report that Nic negatively modulates CGN motility, reducing the basal cell movement through a pored membrane by the activation of alpha-BTX-insensitive nAChRs. We conclude that CGN express various types of nAChRs, which are differently involved in regulating Nic-mediated modulation of cell survival and migration, and we suggest potential regulatory roles for cholinergic receptors during cerebellar development.


Asunto(s)
Movimiento Celular/efectos de los fármacos , Corteza Cerebelosa/efectos de los fármacos , Neuronas/efectos de los fármacos , Nicotina/farmacología , Receptores Nicotínicos/efectos de los fármacos , Acetilcolina/metabolismo , Animales , Bungarotoxinas/farmacología , Señalización del Calcio/efectos de los fármacos , Señalización del Calcio/fisiología , Diferenciación Celular/fisiología , Movimiento Celular/fisiología , Supervivencia Celular/efectos de los fármacos , Supervivencia Celular/fisiología , Células Cultivadas , Corteza Cerebelosa/citología , Corteza Cerebelosa/metabolismo , Dihidro-beta-Eritroidina/farmacología , Interacciones Farmacológicas/fisiología , Humanos , Indoles/farmacología , Potenciales de la Membrana/efectos de los fármacos , Potenciales de la Membrana/fisiología , Neuronas/citología , Neuronas/metabolismo , Deficiencia de Potasio/metabolismo , Ratas , Receptores Nicotínicos/metabolismo , Receptor Nicotínico de Acetilcolina alfa 7
13.
Ann Ig ; 15(4): 329-39, 2003.
Artículo en Italiano | MEDLINE | ID: mdl-14552200

RESUMEN

The worsening of the social-environmental conditions during the period of transition of Albania and an epidemic of cholera (1994) were the cue for the execution of the study. The main objective is the description of knowledge and attitudes of the Albanian mothers about the risk factors for the gastroenteritis. This is a descriptive study of a representative sample (2100 families) of the population who reside in the central area of Albania, in 1996. The sample has been selected by cluster-sampling method. Interviewers trained previously, collected the data with a questionnaire ad hoc. Data elaboration has been carried out with the software Epilnfo 5. 99.7% (2094) of the enlisted mothers, mean age 28.7 years, were interviewed. 2/3 of them reside in rural areas. We considered social-demographic variables and their relation with the generic hygienic norms and those relative to water, foods, animals. The basic knowledge was very insufficient, particularly in rural areas, and in relation with lower social-economic index and instruction. The study reflects the state of transition train of the political and social-sanitary situation of Albania in the last decade. Still the knowledge and the attitudes about the alimentary hygiene are inadequate. It seems opportune to face this emergency with campaigns aimed at health education and public health interventions.


Asunto(s)
Diarrea Infantil/prevención & control , Higiene , Madres/psicología , Abastecimiento de Agua , Adulto , Albania/epidemiología , Preescolar , Cólera/epidemiología , Cólera/prevención & control , Cólera/transmisión , Diarrea Infantil/epidemiología , Diarrea Infantil/etiología , Brotes de Enfermedades , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Higiene/educación , Lactante , Recién Nacido , Factores de Riesgo , Muestreo , Cambio Social , Factores Socioeconómicos , Contaminación del Agua/efectos adversos
14.
Heart ; 89(10): 1138-43, 2003 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12975399

RESUMEN

OBJECTIVE: To assess the relative influence of contractile reserve and inducible ischaemia on subsequent left ventricular volume changes after myocardial infarction. DESIGN: Left ventricular end diastolic and end systolic index volumes were calculated prospectively at discharge and at six months in 143 patients referred for early postinfarction dobutamine stress echocardiography. On the basis of their responses to this test, patients were divided into three groups: scar (n = 48; group 1); contractile reserve (n = 36; group 2); inducible ischaemia (n = 59; group 3). RESULTS: At six months, the left ventricular end diastolic index volume decreased in group 2 (mean (SD), -3.9 (9.4) ml/m2) and increased in both group 1 (+2.8 (10.6) ml/m2, p = 0.009 v group 2) and group 3 (+7.5 (11.4) ml/m2, p < 0.0001 v group 2). The end systolic index volume decreased in group 2 (-4.9 (7.3) ml/m2) and increased in both group 1 (+1.3 (8.3) ml/m2, p = 0.0015 v group 2) and group 3 (+2.8 (8.9) ml/m2, p = 0.0002 v group 2). In multivariate analysis, the contractile reserve (hazard ratio 0.19, 95% confidence interval (CI) 0.14 to 0.47), inducible ischaemia (5.86, 95% CI 1.54 to 29.7), and end systolic index volume at discharge (1.04, 95% CI 0.99 to 1.11) were independent predictors of an increase in end diastolic index volume of > or = 15 ml/m2 at six months. CONCLUSIONS: Contractile reserve and inducible ischaemia, as detected by early dobutamine stress echocardiography, identify patients with differences in long term left ventricular remodelling after acute myocardial infarction.


Asunto(s)
Contracción Miocárdica/fisiología , Isquemia Miocárdica/fisiopatología , Remodelación Ventricular/fisiología , Adulto , Anciano , Volumen Cardíaco/fisiología , Diástole , Ecocardiografía de Estrés , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/patología , Infarto del Miocardio/fisiopatología , Isquemia Miocárdica/patología , Estudios Prospectivos , Disfunción Ventricular Izquierda/patología , Disfunción Ventricular Izquierda/fisiopatología
15.
Ann Chir Plast Esthet ; 47(3): 219-21, 2002 Jun.
Artículo en Francés | MEDLINE | ID: mdl-12148229

RESUMEN

The aim of this article is the evaluation of the topical application of a solution of hydrogen peroxide (H2O2) 8% and dimethyl sulphoxide (DMSO) 50% in order to reduce ischaemic failure in random skin flaps. This study was performed using a rabbit model. Two parallel, cephalad-based para-midline random cutaneous flap (10 cm x 2.5 cm) were elevated and resutured in place on the dorsum of 40 New Zealand rabbits. The 80 flaps thus obtained were then randomly divided into one control group and three experimental groups of 20 flaps each. Flaps from the control group (group A) were topically treated with saline, while flaps from experimental group B were treated with H2O2 8%, flaps from experimental group C with DMSO 50%, and flaps from experimental group D with a solution of 50% DMSO + 8% H2O2. Each solution was topically applied, 20 cc per three times a day, on the flaps for seven days, starting on the immediate postoperative period. Transcutaneous oxygen tension (Ptc O2) measurements were carried out in all flaps, 72 h after flap elevation. The percentage of surviving skin area of each flap was determined by planimetry 7 days after flap elevation. The mean surviving area of the group A (control) flaps was 71%. The mean surviving area of the group B (H2O2-treated) flaps was 72%. The mean surviving area of the group C (DMSO-treated) flaps was 76%, and that of the group D (DMSO + H2O2-treated) flaps was 92%. While no statistically significant differences were found between the survival rates of both the flaps treated with H2O2 or DMSO alone and that of the control group, the mean surviving rate of the DMSO + H2O2 treated flaps (+20%) was statistically higher than that of the control flaps. Similarly, a statistically significant difference has been found between the mean Ptc O2 values of the DMSO + H2O2 flaps and those of the other three groups of flaps.


Asunto(s)
Antiinfecciosos Locales/uso terapéutico , Dimetilsulfóxido/uso terapéutico , Depuradores de Radicales Libres/uso terapéutico , Peróxido de Hidrógeno/uso terapéutico , Isquemia/prevención & control , Trasplante de Piel , Colgajos Quirúrgicos/irrigación sanguínea , Administración Tópica , Animales , Antiinfecciosos Locales/administración & dosificación , Dimetilsulfóxido/administración & dosificación , Depuradores de Radicales Libres/administración & dosificación , Supervivencia de Injerto , Peróxido de Hidrógeno/administración & dosificación , Conejos , Distribución Aleatoria
16.
J Neuroimmunol ; 129(1-2): 66-73, 2002 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-12161022

RESUMEN

Experiments were conducted in both HEK cells and cerebellar neurons to investigate whether CXC chemokine receptor 2 (CXCR2) is functionally coupled to GluR1. The co-expression of CXCR2 with GluR1 in HEK cells increased (i) the GluR1 "apparent" affinity for the transmitter; (ii) the GluR1 channel open probability; and (iii) GluR1 binding site cooperativity upon CXCR2 stimulation with CXC chemokine ligand 2 (CXCL2). The affinity of C-terminal-deleted GluR1 for glutamate (Glu) remained stable instead. Furthermore, CXCL2 increased the binding site cooperativity of AMPA receptors in rat cerebellar granule cells; and the amplitude of spontaneous excitatory postsynaptic current (sEPSCs) in Purkinje neurons (PNs). Our findings indicate that the coupling of CXCR2 with GluR1 may modulate glutamatergic synaptic transmission.


Asunto(s)
Sistema Nervioso Central/metabolismo , Quimiocinas CXC/metabolismo , Ácido Glutámico/metabolismo , Receptores AMPA/metabolismo , Receptores de Interleucina-8B/metabolismo , Sinapsis/metabolismo , Transmisión Sináptica/inmunología , Animales , Sitios de Unión/efectos de los fármacos , Sitios de Unión/inmunología , Células Cultivadas , Sistema Nervioso Central/inmunología , Corteza Cerebelosa/efectos de los fármacos , Corteza Cerebelosa/inmunología , Corteza Cerebelosa/metabolismo , Quimiocinas CXC/inmunología , Quimiocinas CXC/farmacología , ADN Complementario/genética , Relación Dosis-Respuesta a Droga , Antagonistas de Aminoácidos Excitadores/farmacología , Potenciales Postsinápticos Excitadores/efectos de los fármacos , Potenciales Postsinápticos Excitadores/inmunología , Regulación de la Expresión Génica/efectos de los fármacos , Regulación de la Expresión Génica/inmunología , Ácido Glutámico/farmacología , Humanos , Canales Iónicos/genética , Canales Iónicos/inmunología , Neuronas/efectos de los fármacos , Neuronas/inmunología , Neuronas/metabolismo , Ratas , Ratas Sprague-Dawley , Ratas Wistar , Receptores AMPA/genética , Receptores AMPA/inmunología , Receptores de Interleucina-8B/genética , Receptores de Interleucina-8B/inmunología , Sinapsis/inmunología
17.
Minerva Chir ; 56(2): 193-7, 2001 Apr.
Artículo en Italiano | MEDLINE | ID: mdl-11353353

RESUMEN

OBJECTIVE: Indications for endoscopic transthoracic upper dorsal sympathectomy are axillary and palmar hyperhidrosis, upper extremities ischemia (due to, e.g., Raynaud s disease), and upper extremities causalgia. METHODS: At present, this methodology relies on (at least) double trocar insertion (per side) and/or carbon dioxide insufflation. Thus, although this approach, compared with the traditional open sympathectomy techniques, it guarantees the smallest number of postoperative complications, it still determines a certain amount of postoperative discomfort as well as a risk of complications related to carbon dioxide insufflation, as intraoperative profound bradycardia and hypotension due to mediastinal shift, and postoperative subcutaneous emphysema. From December 1995, we are using a minimally-invasive endoscopic transthoracic sympathectomy technique, performed by a single-entry specifically modified thoracoscope and without the need for carbon dioxide insufflation, with the aim to reduce the drawbacks associated with the above-mentioned currently adopted endoscopic techniques. After general anesthesia with double-lumen endotracheal tube, with the patient placed in a half-sitting position with both arms abduced to 90 degrees, a 1 cm incision is performed, along the midclavear line (in male patients) or the anterior axillary line (in female patients), in the second or third intercostal space. RESULTS: The effects of sympathectomy are immediate, and the patients wake up with warm and dry hands and axillae. CONCLUSIONS: In personal opinion, this single-entry technique, compared with other reported approaches, should minimize any damage to the intercostal neurovascular bundle, while avoiding the complications connected with carbon dioxide insufflation.


Asunto(s)
Brazo/inervación , Hiperhidrosis/cirugía , Simpatectomía/métodos , Dióxido de Carbono/administración & dosificación , Endoscopía , Femenino , Estudios de Seguimiento , Ganglios Simpáticos/cirugía , Humanos , Insuflación , Masculino , Procedimientos Quirúrgicos Mínimamente Invasivos , Toracoscopía , Factores de Tiempo
18.
Glia ; 33(3): 181-90, 2001 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-11241736

RESUMEN

Microglial cells are believed to be one of the key elements in the development of the HIV-related neuropathology. Not only can microglial cells be productively infected by the virus, but they are also sensitive to viral proteins. Among them, the HIV-1 regulatory protein Tat, which was shown to have neurotoxic activity, is able to promote some proinflammatory functions of microglia. Considering that microglial activation goes along with a change of ion channel profile, we aimed to study whether Tat could influence microglial electrophysiology. When microglial cultures obtained from neonatal rats were treated with Tat (> or = 100 ng/ml), whole-cell recording showed the appearance of a large outwardly rectifying current (OR) virtually absent in untreated control cells. According to voltage dependence of the kinetic variables, K(+) permeability, and pharmacological sensitivity, the Tat-induced current was due to the presence of functional Kv1.3 channels. The effect of Tat was abolished by specific anti-Tat polyclonal antibody and by heat denaturation of Tat protein, confirming that the OR enhancement was due to the viral protein. Interestingly, the OR current induced by Tat was largely prevented by two inhibitors of the transcription factor NF-kappaB, TPCK and SN50, which suggests an involvement of NF-kappaB in the effect of the viral protein. The relatively high dose of Tat needed to observe an effect (> or = 100 ng/ml) might indicate that the action of Tat required entrance of the protein into the cell, rather than being mediated by a membrane receptor. In conclusion, the HIV-1 protein Tat is able to enhance OR K(+) current in rat microglia through a mechanism involving the activation of NF-kappaB. We propose that such effect of Tat could be part of the process of microglial activation known to take place in the brain of persons with neuro-AIDS.


Asunto(s)
Productos del Gen tat/farmacología , Microglía/fisiología , Canales de Potasio/fisiología , Animales , Células Cultivadas , Corteza Cerebral/citología , Lipopolisacáridos/farmacología , Potenciales de la Membrana/efectos de los fármacos , Potenciales de la Membrana/fisiología , Microglía/citología , FN-kappa B/metabolismo , Técnicas de Placa-Clamp , Ratas , Proteínas Recombinantes/farmacología
19.
Minerva Chir ; 55(9): 629-34, 2000 Sep.
Artículo en Italiano | MEDLINE | ID: mdl-11155478

RESUMEN

BACKGROUND: The aim of this study was to test the ex-vivo biomechanical properties of acutely expanded scalp flaps, in order to quantitatively assess the efficacy of acute scalp expansion. METHODS: A total of 14 fresh male cadavers were used for the study. In each cadaver, a rectangular (4 x 10 cm), laterally-based flap was designed on each side of the scalp, starting from the superior margin of the external auditory canal. One randomly-selected flap per each scalp underwent acute-intermittent expansion (3-minute expansion-3-minute rest cycle per three times with the maximal expansion achievable), while the contralateral flap served as control. After the expansion process, the acutely-expanded flaps were measured to assess if the applied biomechanical stress have determined any changes in their dimensions. The biomechanical properties (stress/strain ratio, mean stiffness) of both expanded and control flaps were then assessed by means of a dynamometer and a force-transducer. RESULTS: The obtained data showed that the biomechanical benefits provided by acute scalp expansion were not statistically different (p < 0.05) from those obtained by simple subgaleal undermining. Neither any change of length nor any gain in the compliance have been observed in the acutely-expanded flaps as compared to control scalp flaps. CONCLUSIONS: In our opinion, a possible explanation (to be further validated) for the lack of effect of acute scalp expansion might be that inelastic galea aponeurotica did not allow the mechanical creep to exploit the inherent elastic properties of the overlying scalp skin.


Asunto(s)
Cuidados Intraoperatorios , Cuero Cabelludo/cirugía , Colgajos Quirúrgicos , Expansión de Tejido , Adulto , Anciano , Anciano de 80 o más Años , Fenómenos Biomecánicos , Cadáver , Humanos , Persona de Mediana Edad
20.
Neuron ; 28(2): 437-47, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11144354

RESUMEN

Sensory axons extend from the chick olfactory epithelium to the telencephalon well before the maturation of their target, the olfactory bulb. During a waiting period of several days, olfactory axons arrive and accumulate outside the CNS while the bulb differentiates beneath them. Semephorin-3A is expressed in the tel-encephalon during this period and has been proposed to prevent their entry into the CNS. We show that the misexpression of a dominant-negative neuropilin-1 that blocks SEMA-3A-mediated signaling in olfactory sensory axons induces many of them to enter the tel-encephalon prematurely and to overshoot the olfactory bulb. These results suggest that chemorepellents can prevent the premature innervation of immature targets.


Asunto(s)
Axones/metabolismo , Proteínas del Tejido Nervioso/biosíntesis , Proteínas del Tejido Nervioso/metabolismo , Neuronas Aferentes/metabolismo , Nervio Olfatorio/embriología , Animales , Axones/ultraestructura , Sistema Nervioso Central/citología , Sistema Nervioso Central/embriología , Embrión de Pollo , Electroporación , Genes Dominantes , Péptidos y Proteínas de Señalización Intercelular , Proteínas del Tejido Nervioso/genética , Neuronas Aferentes/citología , Neuropilina-1 , Nervio Olfatorio/metabolismo , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/genética , Semaforina-3A , Telencéfalo/embriología , Transfección
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