High concentrations of phthalates affect the early development of the sea urchin Paracentrotus lividus.

The toxicity of three phthalates (PAEs) - butylbenzyl phthalate (BBP), diethyl phthalate (DEP), and di-(2-ethylhexyl) phthalate (DEHP) - was tested on the Mediterranean sea urchin Paracentrotus lividus. Fertilized eggs were exposed to environmental and high PAE concentrations for 72 h. The potential toxic effects on larval development and any morphological anomalies were then assessed to estimate PAEs impact. Environmental concentrations never affected development, while high concentrations induced toxic effects in larvae exposed to BBP (EC50: 2.9 ×103 µg/L) and DEHP (EC50: 3.72 ×103 µg/L). High concentrations caused skeletal anomalies, with a slight to moderate impact for DEP/DEHP and BBP, respectively. PAE toxicity was: BBP>DEHP>DEP. In conclusion, the three PAEs at environmental concentrations do not pose a risk to sea urchins. However, PAE concentrations should be further monitored in order not to constitute a concern to marine species, especially at their early developmental stages.

Gene expression response of the non-target gastropod Physella acuta to Fenoxycarb, a juvenile hormone analog pesticide.

Pesticides are an environmental problem. The search for new pest control methods has focused on compounds with low or no toxic effects in non-target organisms. Analogs of the juvenile hormone (JH) interfere endocrine system of arthropods. However, the lack of effect on non-target species requires confirmation. This article analyzes the impact of Fenoxycarb, an analog of JH, on Physella acuta, an aquatic gastropod. For 1 week, animals were exposed to 0.01, 1, and 100 µg/L and the RNA was isolated to analyze the gene expression by retrotranscription and Real-Time PCR. Forty genes related to the endocrine system, the DNA repair mechanisms, the detoxification mechanisms, oxidative stress, the stress response, the nervous system, hypoxia, energy metabolism, the immune system, and apoptosis were analyzed. Three of the genes, AchE, HSP17.9, and ApA, showed responses to the presence of Fenoxycarb at 1 µg/L, with no statistically significant responses in the rest of the genes and at the remaining concentrations. From the results, it can be concluded that Fenoxycarb shows a weak response at the molecular level in P. acuta in the tested time and concentrations. However, Aplysianin-A, a gene related to immunity, was altered so the long-term effect could be relevant. Therefore, additional research is required to confirm the safety of Fenoxycarb in non-arthropod species in the long term.

Analysis of the impact of three phthalates on the freshwater gastropod Physella acuta at the transcriptional level.

Plastic pollution is one of the leading environmental problems. Phthalates are widely used plastic additives released into the environment. Although the effects of phthalates on vertebrates have been extensively studied, there is a knowledge gap regarding their effects on invertebrates. This work analyzes the impact of three phthalates, diethyl phthalate (DEP), benzyl butyl phthalate (BBP), and bis-(2-ethylhexyl) phthalate (DEHP), on the gastropod Physella acuta at the molecular level to establish the putative pathways involved in its response to them. By real-time PCR, we obtained the expression profile of 30 genes in animals exposed for 1 week to 0.1, 10, and 1000 µg/L of each phthalate. The genes cover DNA repair, detoxification, apoptosis, oxidative and stress responses, immunity, energy reserves, and lipid transport. The results show that while DEP and DEHP did not alter the mRNA levels, BBP modulated almost all the analyzed genes. It can be concluded that the impact of BBP is extensive at the molecular level. However, it cannot be dismissed that the increase in transcriptional activity is a general response due to this compound's well-known role as an endocrine disruptor. Additional research is needed to elucidate the differences observed in the impact of these compounds on the gastropod P. acuta.

Transbronchial cryobiopsy in interstitial lung disease: experience in 106 cases - how to do it.

Transbronchial biopsy using forceps (TBB) is the first diagnostic technique performed on patients with interstitial lung disease (ILD). However, the small size of the samples and the presence of artefacts in the tissue obtained make the yield variable. Our objectives were 1) to attempt to reproduce transbronchial cryobiopsy under the same conditions with which we performed conventional TBB, that is, in the bronchoscopy unit without intubating the patient and without fluoroscopy or general anaesthesia; 2) to describe the method used for its execution; and 3) to analyse the diagnostic yield and its complications. We carried out a prospective study that included 106 patients with clinical and radiological features suggestive of ILD who underwent cryo-transbronchial lung biopsy (cryo-TBB) under moderate sedation without endotracheal intubation, general anaesthesia or use of fluoroscopy. We performed the procedure using two flexible bronchoscopes connected to two video processors, which we alternated until obtaining the number of desired samples. A definitive diagnosis was obtained in 91 patients (86%). As for complications, there were five pneumothoraces (4.7%) and in no case was there severe haemorrhage or exacerbation of the underlying interstitial disease. Cryo-TBB following our method is a minimally invasive, rapid, safe and economic technique that can be performed in a bronchoscopy suite under moderate sedation without the need for intubating the patient or using fluoroscopy and without requiring general anaesthesia.

Air embolism: a complication of computed tomography-guided transthoracic needle biopsy.

Air embolism is a pathological condition caused by the entry of gas into vascular structures. It is a rare but feared complication due to its serious morbidity. We report two male patients who were diagnosed with air embolism as a complication of computed tomography-guided transthoracic needle biopsy. Both patients referred respiratory symptoms minutes after the procedure. The chest computed tomography of one of the patients showed air in the left ventricle and ascending aorta, and in the other, air was noted only in the left ventricle. Both patients suffered myocardial infarction without associated mortality. One patient showed anthracotic dust deposits in the lung biopsy suggestive of pneumoconiosis, and there was no definitive diagnosis in the other. We strongly believe that because of the very low incidence but high mortality of this entity, all physicians should be aware of this complication in order to know how to proceed in this situation.

T-cell profiling and the immunodiagnosis of latent tuberculosis infection in patients with inflammatory bowel disease.

BACKGROUND: Factors associated with performance of interferon-γ release assays (IGRA) and the tuberculin skin test (TST) in screening for latent tuberculosis infection in patients with inflammatory bowel diseases (IBD) are still poorly understood. The influence of peripheral T-cell subset counts on the results also remain unclear. METHODS: Prospective single-center study in 205 patients with IBD. Latent tuberculosis infection screening included a chest radiograph, TST (retest if negative), and 2 IGRAs: QuantiFERON-TB Gold In-Tube (QFT-GIT) and TSPOT-TB (TSPOT). T-cell subpopulations were determined by flow cytometry. RESULTS: Twenty-one (10.2%) patients had an abnormal chest radiograph, 55 (26.8%) had a positive TST, 16 (7.8%) had a positive QFT-GIT, and 25 (12.6%) had a positive TSPOT. TST positivity was lower in patients on ≥2 immunosuppressants compared with the controls (5-aminosalicylic acid treatment) (10.4% versus 38.2%, respectively) (P = 0.0057). No other drugs influenced TST or IGRA positivity. In patients on corticosteroid treatment, anti-TNF treatment, or ≥2 immunosuppressants, IGRAs detected 10 cases of latent tuberculosis infection not identified by TST. TSPOT and QFT-GIT increased yield by 56% and 22%, respectively. No significant differences in T-cell subpopulations were found between patients with positive or negative TST or TSPOT results. However, patients with positive QFT-GIT findings had more CD8 T cells (mean, 883 ± 576 versus 484 ± 385 cells per microliter in patients with negative results) (P = 0.022). CONCLUSIONS: IGRAs can improve TST-based screening in patients with IBD on immunosuppressive therapy. A low CD8 count can affect QFT-GIT results. We suggest combining TSPOT and TST screening in patients with IBD on immunosuppressants.

Silicosis: a disease with an active present.

Silicosis, an interstitial lung disease caused by the inhalation of crystalline silica powder, despite being one of the oldest occupational diseases, continues being a cause of morbidity and mortality all over the world. The World Health Organisation and the International Labour Organisation (OMS/ILO), aware of the current problem, have designed the World Programme for the Elimination of Silicosis, which includes the identification of occupational groups at risk amongst its actions. We present 3 cases of silicosis in young workers in the construction sector, with exposure to high concentrations of silica due to handling artificial silica conglomerates. The main interest of this observation lies in the identification of new risk sources, in the need to draw attention to the dangers involved in its use without prevention measures, and in the importance of the occupational history to avoid under-diagnosis.

Imagen de carcinomatosis peritoneal secundaria a rotura de carcinoma hepatocelular originado sobre hígado sano / Peritoneal carcinomatosis secondary to spread of hepatocellular carcinoma originated upon a healthy liver

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Silicosis, una enfermedad con presente activo / Silicosis: a disease with an active present

La silicosis, enfermedad pulmonar intersticial causada por la inhalación de polvo de sílice cristalina, a pesar de ser una de las enfermedades de origen ocupacional más antiguas, continúa siendo causa de morbilidad y mortalidad en todo el mundo. La Organización Mundial de la Salud y la Organización Internacional del Trabajo (OMS/OIT), conscientes de la vigencia del problema, han diseñado el Programa Mundial para la Eliminación de la Silicosis, que incluye entre sus acciones la identificación de los grupos de trabajadores en riesgo. Presentamos 3 casos de silicosis en trabajadores jóvenes del sector de la construcción, con exposición a concentraciones elevadas de sílice por manipulación de conglomerados artificiales de sílice. El principal interés de esta observación radica en la identificación de nuevas fuentes de riesgo, en la necesidad de llamar la atención sobre la peligrosidad que entraña su uso sin medidas de prevención, y en la importancia de la historia laboral para evitar el infradiagnóstico(AU)

Silicosis, an interstitial lung disease caused by the inhalation of crystalline silica powder, despite being one of the oldest occupational diseases, continues being a cause of morbidity and mortality all over the world. The World Health Organisation and the International Labour Organisation (OMS/ILO), aware of the current problem, have designed the World Programme for the Elimination of Silicosis, which includes the identification of occupational groups at risk amongst its actions. We present 3 cases of silicosis in young workers in the construction sector, with exposure to high concentrations of silica due to handling artificial silica conglomerates. The main interest of this observation lies in the identification of new risk sources, in the need to draw attention to the dangers involved in its use without prevention measures, and in the importance of the occupational history to avoid under-diagnosis(AU)