PD-L1 immunohistochemical expression in bladder urothelial cancer with SP263, SP142 and 22C3 antibodies: A comparative study.

Programmed death ligand 1 (PD-L1) is currently the only biomarker used for the selection of patients with bladder urothelial cancer for immunotherapy. Several platforms, antibodies and scores are currently available for the evaluation of the expression of PD-L1 in immunohistochemistry (IHC). In this study three different antibodies (SP263, SP142 and 22C3) were compared to establish their performances and concordance rates. Twenty-four consecutive cases of surgically resected urothelial cancers of the bladder were enrolled. All cases were revised, and appropriate tumor areas were selected for IHC. Three commercially available PD-L1 antibodies were tested: 22C3 pharmDx with Dako Autostainer Link 48 (Dako, Carpinteria, Ca), and SP263 and SP142 with the Ventana BenchMark (Ventana Medical Systems, Tucson, AZ) platform. All slides were evaluated by an expert pathologist and both the tumor proportion score (TPS) and the combined positive score (CPS) were determined and compared at two different cut-off levels (≥ 1 and ≥ 10). The SP263 and 22C3 clones produced more positive results with the CPS and TPS scores, respectively. The CPS score identified more positive cases than the TPS score, irrespectively of the clone or the cut-off used; the difference was statistically significant in both the SP263 and SP142 clones with the ≥1 cut-off. No statistically significant differences were found between the clones when the ≥1 cut-off was used, irrespectively of the score. At the contrary, a statistically significant difference (p = 0.024) and a trend to significance (p = 0.082) were respectively found for the TPS and CPS scores, when the SP22C3 and the SP142 clones were compared at a cut-off level of ≥10. The ICC test using CPS was 0.676 and 0.578 for the ≥1 and ≥ 10 cut-offs respectively, and 0.729 and 0.467 respectively for the same cut-offs using TPS. This suggests that the three antibodies under investigation cannot be used interchangeably, especially the 22C3 and SP142 clones which showed statistically significant difference when TPS was tested at a ≥ 10 cut-off.

Best practices, errors, and perspectives of half a century of plant translocation in Italy.

Conservation translocations are becoming common conservation practice, so there is an increasing need to understand the drivers of plant translocation performance through reviews of cases at global and regional levels. The establishment of the Italian Database of Plant Translocation (IDPlanT) provides the opportunity to review the techniques used in 186 plant translocation cases performed in the last 50 years in the heart of the Mediterranean Biodiversity Hotspot. We described techniques and information available in IDPlanT and used these data to identify drivers of translocation outcomes. We tested the effect of 15 variables on survival of translocated propagules as of the last monitoring date with binomial logistic mixed-effect models. Eleven variables significantly affected survival of transplants: life form, site protection, material source, number of source populations, propagation methods, propagule life stage, planting methods, habitat suitability assessment, site preparation, aftercare, and costs. The integration of vegetation studies in the selection of suitable planting sites significantly increased the success of translocation efforts. Although posttranslocation watering had a generally positive effect on translocation outcome, other aftercare techniques did not always increase transplant survival. Finally, we found that how funds were spent appeared to be more important than the actual amount spent. Plant translocations in Italy and in the Mediterranean area should account for the complexity of speciation, gene flow, and plant migrations that has led to local adaptations and has important implications for the choice and constitution of source material.

Mejores prácticas, errores y perspectivas tras medio siglo de reubicaciones botánicas en Italia Resumen Las reubicaciones son una práctica cada vez más común en la conservación, por lo que hay una necesidad creciente por entender los factores del desempeño de las reubicaciones botánicas por medio de la revisión de casos regionales y globales. La creación de la Italian Database of Plant Translocation (IDPlanT) proporciona una oportunidad para revisar las técnicas usadas para los casos de reubicación de 186 plantas realizados durante los últimos cincuenta años en el centro del punto caliente de biodiversidad mediterránea. Describimos las técnicas y la información disponible en IDPlanT y usamos estos datos para identificar los factores involucrados en los resultados de las reubicaciones. Usamos modelos logísticos binomiales de efectos mixtos para analizar el efecto de 15 variables sobre la supervivencia de los propágulos reubicados a partir de la última fecha de monitoreo. Once de las variables afectaron de manera significativa la supervivencia de las plantas: forma de vida, protección del sitio, fuente de materiales, cantidad de poblaciones originarias, método de propagación, etapa de vida del propágulo, método de siembra, evaluación de idoneidad del hábitat, preparación del sitio, cuidados posteriores y costos. La integración de los estudios botánicos a la selección de los sitios idóneos para plantar aumentó el éxito de los esfuerzos de reubicación. Aunque el riego posterior a la reubicación tuvo un efecto positivo general sobre el resultado, las otras técnicas de cuidado posterior no siempre incrementaron la supervivencia de la planta reubicada. Por último, descubrimos que parece ser más importante cómo se utilizan los fondos que la cantidad actual empleada. Las reubicaciones botánicas en Italia y en el área del Mediterráneo deben considerar lo complejo de la especiación, el flujo génico y la migración botánica que han derivado en adaptaciones locales y que han tenido implicaciones importantes para la elección y constitución del material de origen.

Intrahepatic bile duct primary cilia in biliary atresia.

AIM: The etiopathogenesis of non-syndromic biliary atresia (BA) is obscure. The primary aim was to investigate intrahepatic bile duct cilia (IHBC) in BA at diagnosis and its correlation with clinical outcome. The secondary aim was to analyze IHBC in routine paraffin-embedded liver biopsies using conventional scanning electron microscopy (SEM). METHODS: Surgical liver biopsies taken at diagnosis from 22 BA infants (age range, 39-116 days) and from eight children with non-BA chronic cholestasis (age range, 162 days -16.8 years) were evaluated for IHBC by immunofluorescence (IF) and SEM. A minimum 18-month follow-up after surgery was available for all patients. RESULTS: By IF, cilia were present in 6/8 (75%) non-BA but only in 3/22 (14%) BA cases, and cilia were reduced or absent in 19/22 (86%) BA and 2/8 (25%) non-BA livers (P < 0.01). In BA, cilia presence was found to be associated with clearance of jaundice at 6-month follow-up (P < 0.05). However, high overall survival rates with native liver, >90% at 12 months, and >70% at 24 months post-surgery, were recorded regardless of cilia presence/absence at diagnosis. Electron microscopy was able to detect bile ducts and cilia in routine liver biopsies, revealing significant abnormalities in 100% BA livers. CONCLUSIONS: The presence of IHBC in BA livers at the diagnosis was associated with resolution of cholestasis, although was not predictive of short-term survival with native liver. Scanning electron microscopy represents a powerful new tool to study routine liver biopsies in biliary disorders. Cilia dysfunction in BA pathogenesis and/or disease progression warrants further investigation.

Mixing Compost and Biochar Can Enhance the Chemical and Biological Recovery of Soils Contaminated by Potentially Toxic Elements.

Biochar and compost are able to influence the mobility of potentially toxic elements (PTEs) in soil. As such, they can be useful in restoring the functionality of contaminated soils, albeit their effectiveness can vary substantially depending on the chemical and/or the (micro)biological endpoint that is targeted. To better explore the potential of the two amendments in the restoration of PTE-contaminated soils, biochar, compost (separately added at 3% w/w), and their mixtures (1:1, 3:1, and 1:3 biochar-to-compost ratios) were added to contaminated soil (i.e., 2362 mg kg-1 of Sb and 2801 mg kg-1 of Zn). Compost and its mixtures promoted an increase in soil fertility (e.g., total N; extractable P; and exchangeable K, Ca, and Mg), which was not found in the soil treated with biochar alone. All the tested amendments substantially reduced labile Zn in soil, while biochar alone was the most effective in reducing labile Sb in the treated soils (-11% vs. control), followed by compost (-4%) and biochar-compost mixtures (-8%). Compost (especially alone) increased soil biochemical activities (e.g., dehydrogenase, urease, and ß-glucosidase), as well as soil respiration and the potential catabolic activity of soil microbial communities, while biochar alone (probably due to its high adsorptive capacity towards nutrients) mostly exhibited an inhibitory effect, which was partially mitigated in soils treated with both amendments. Overall, the biochar-compost combinations had a synergistic effect on both amendments, i.e., reducing PTE mobility and restoring soil biological functionality at the same time. This finding was supported by plant growth trials which showed increased Sb and Zn mineralomass values for rigid ryegrass (Lolium rigidum Gaud.) grown on biochar-compost mixtures, suggesting a potential use of rigid ryegrass in the compost-biochar-assisted phytoremediation of PTE-contaminated soils.

Combining biochar and grass-legume mixture to improve the phytoremediation of soils contaminated with potentially toxic elements (PTEs).

The combination of soil amendments with plants can be a viable option for restoring the functionality of PTEs-contaminated soils. Soil recovery could be further optimized through the mixed cropping of plant species (e.g. legumes and grasses) with different physiological characteristics. The aim of this study was to assess the phytoremediation ability of Vicia villosa Roth. And Lolium rigidum Gaud. Grown alone or in mixture in a soil contaminated with PTEs (C), i.e. Cd (23 mg kg-1), Pb (4473 mg kg-1) and Zn (3147 mg kg-1), and amended with 3% biochar (C + B). Biochar improved soil fertility and changed PTEs distribution, reducing soluble fractions and increasing the more stable ones. The addition of biochar increased the plant biomass of hairy vetch and annual ryegrass, both in monoculture and when in mixture. For example, shoot and root biomass of the C + B intercropped hairy vetch and annual ryegrass increased 9- and 7-fold, and ∼3-fold respectively, compared to the respective C plants. The biochar addition decreased PTE-uptake by both plants, while mixed cropping increased the uptake of PTEs by shoots of hairy vetch grown in C and C + B. The bioaccumulation, translocation factors, and mineralomass showed that hairy vetch and annual ryegrass behaved as phytostabilising plants. PTE mineralomasses proved that mixed cropping in C + B increased the overall capacity of PTE accumulation by plant tissues, particularly the root system. Therefore, the combination of biochar and legumes/grasses mixed cropping could be an effective solution for the recovery of PTEs-contaminated soils and the mitigation of their environmental hazard.

Using biochar for environmental recovery and boosting the yield of valuable non-food crops: The case of hemp in a soil contaminated by potentially toxic elements (PTEs).

Hemp (Cannabis sativa L.) is known to tolerate high concentrations of soil contaminants which however can limit its biomass yield. On the other hand, organic-based amendments such as biochar can immobilize soil contaminants and assist hemp growth in soils contaminated by potentially toxic elements (PTEs), allowing for environmental recovery and income generation, e.g. due to green energy production from plant biomass. The aim of this study was therefore to evaluate the suitability of a softwood-derived biochar to enhance hemp growth and promote the assisted phytoremediation of a PTE-contaminated soil (i.e., Sb 2175 mg kg-1; Zn 3149 mg kg-1; Pb 403 mg kg-1; and Cd 12 mg kg-1). Adding 3% (w/w) biochar to soil favoured the reduction of soluble and exchangeable PTEs, decreased soil dehydrogenase activity (by ∼2.08-fold), and increased alkaline phosphomonoesterase and urease activities, basal respiration and soil microbial carbon (by ∼1.18-, 1.22-, 1.22-, and 1.66-fold, respectively). Biochar increased the abundance of selected soil culturable microorganisms, while amplicon sequencing analysis showed a positive biochar impact on α-diversity and the induction of structural changes on soil bacterial community structure. Biochar did not affect root growth of hemp but significantly increased its aboveground biomass by ∼1.67-fold for shoots, and by ∼2-fold for both seed number and weight. Biochar increased the PTEs phytostabilisation potential of hemp with respect to Cd, Pb and Zn, and also stimulated hemp phytoextracting capacity with respect to Sb. Overall, the results showed that biochar can boost hemp yield and its phytoremediation effectiveness in soils contaminated by PTEs providing valuable biomass that can generate profit in economic, environmental and sustainability terms.

From Field to Waste Valorization: A Preliminary Study Exploring the Impact of the Wine Supply Chain on the Phenolic Profile of Three Sardinian Pomace Extracts.

The winemaking process generates an annual global production of about 10 million tons of waste consisting of stalks, skin, and seeds. The possible reutilization of wine pomace is strictly linked to its chemical composition. In this preliminary study, three different Sardinian white grapes (Malvasia, Vermentino and Nasco) grown in the same area were evaluated through a whole wine production chain. To reduce environmental impact, all the grapes were treated following the integrated production practice (IPP) strategies. The adopted agronomic methods and the main physico-chemical parameters of the fresh fruits and musts were evaluated. A fully qualitative and quantitative characterization of the phenolic fraction of the pomace extracts was performed by HPLC-DAD after a post-winemaking process. Water and ethanol were utilized as green solvents in the extraction process. Additionally, the entire pomace post-winemaking process was carried out within the winery facilities to reduce energy loss and road transportation. The findings demonstrated that large amounts of beneficial polyphenols are present in pomace extracts, and that the type of grape used, agronomic practices, and winemaking method all influence the quantity and quality of the extracts. The polyphenol concentrations in the Vermentino (28,391.5 ± 7.0 mg/kg) and Malvasia pomace (11,316.3 ± 6.5 mg/kg) were found to be the highest and lowest, respectively.

Long-term effect of municipal solid waste compost on the recovery of a potentially toxic element (PTE)-contaminated soil: PTE mobility, distribution and bioaccessibility.

Compost from municipal solid waste (MSWC) can represent a resource for the environmental management of soils contaminated with potentially toxic elements (PTEs), since it can reduce their mobility and improve soil fertility. However, the long-term impact of compost on soil recovery has been poorly investigated. To this end, the influence of a MSWC added at different rates (i.e. 1.5, 3.0 and 4.5% w/w) to a multi-PTE-contaminated (e.g. Sb 412 mg kg-1, Pb 2664 mg kg-1 and Zn 7510 mg kg-1) sub-acidic soil (pH 6.4) was evaluated after 6 years since its addition. The MSWC significantly enhanced soil fertility parameters (i.e. total organic carbon, Olsen P and total N) and reduced the PTE labile fractions. The distribution maps of PTEs detected through µXRF analysis revealed the presence of Zn and Pb carbonates in the amended soils, or the formation of complexes between these PTEs and the functional groups of MSWC. A higher oral, inhalation and dermal bioaccessibility of each PTE was detected in the soil fine-grained fractions (< 2 and 2-10 µm) than in coarse particles (10-20 and 20-50 µm). The MSWC amendment generally did not modify the PTE bioaccessibility, while the relative bioaccessibility of cationic PTEs was greater than that of anionic ones (e.g. Cd > Zn > Pb > Sb > As). Pb and Sb showed the highest hazard quotients (e.g. 2.2 and 10 for Sb and Pb, respectively, in children). Overall, the results indicated that the MSWC used can be an effective option for the recovery of PTE-contaminated soils, even in the long term.

Sorption behavior of sulfamethazine on unamended and manure-amended soils and short-term impact on soil microbial community.

In this study we investigated the sorption of sulfamethazine (SMZ) in two soils with different physico-chemical properties and the sulfonamide short-term influence on the microbial community structure and function. The presence of manure increased the SMZ sorption, the uppermost level being measured on soil with the lower pH and the higher manure content allowed by the Italian regulation. The sulfonamide desorption was hysteretic on both soils. SMZ addition to soil at the concentration of 53.6 µg/g had a significant short-term negative impact on readily culturable bacteria, potential metabolic activity (Biolog CLPP) and soil enzyme activity. Moreover, a shift of the culturable microbial populations towards a lower bacteria/fungi ratio was observed after SMZ addition. Despite the observed SMZ effects disappeared almost completely after 7 day, structural changes of microbial communities were still present in SMZ-treated soils. The results presented are remarkable since previous studies addressing the SMZ impact on soil microbial parameters failed to highlight any significant effect of the sulfonamide on microbial abundance and diversity.

Impact of Horse Grazing on Floristic Diversity in Mediterranean Small Standing-Water Ecosystems (SWEs).

Small standing-Water Ecosystems (SWEs), despite their pivotal ecological role due to their participation in hydrogeological processes and their richness in biodiversity, seem to be often overlooked by the scientific community. In this study, the vascular plant diversity in some representative SWEs, that host a peculiar assemblage of plant and animal species, was investigated in relation to the disturbance effects of a wild horse population. A total of 50 plots, equally distributed in small and large SWEs, were surveyed and a level of disturbance was attributed to each plot. We found greater species richness in small and undisturbed SWEs, which suggests the negative impact of horse grazing on the richness of plant species in this type of habitat. Significant differences in plant assemblage were found according to the disturbance level, whereas, contrary to what was observed for species richness, no differences were detected based on their size. The diversity indices, used to evaluate the richness and diversity in these areas, recorded the highest values for small and undisturbed areas. This result highlights that the disturbance of the horse grazing plays a pivotal role in affecting the diversity and richness of species in the SWEs. These findings suggest that SWE systems should be analyzed considering these areas as unique in order to allow the conservation of the plant richness and biodiversity of the SWE systems in conjunction with the protection of horses.

Stabilising fluoride in contaminated soils with monocalcium phosphate and municipal solid waste compost: microbial, biochemical and plant growth impact.

This study evaluated the influence of a municipal solid waste compost (MSWC) and monocalcium phosphate (MCP), alone or combined, on the mobility, toxicity, bioavailability and health risk of fluoride (1000 mg F-·kg-1) in an artificially polluted soil (pH 7.85). The addition of MCP (0.2% w/w) and MSWC (1% w/w) (alone and combined) to the contaminated soil reduced water-soluble (e.g. by more than 50% in MCP and MCP + MSWC-treated soils) and exchangeable F- fractions and increased the residual one. The addition of MSWC and MSWC + MCP to the contaminated soil significantly increased microbial biomass C (SMB-C; 1.3-3.6-fold) while all treatments increased the abundance of culturable heterotrophic bacteria (up to twofold in MSWC + MCP). Overall, dehydrogenase, ß-glucosidase, urease and phosphomonoesterase activities were enhanced in treated soils and positively correlated with SMB-C, but not with labile F-. All treatments increased carrot yield (up to 3.4-fold in MSWC + MCP), while bean growth was significantly enhanced only by MCP and MCP + MSWC (~ twofold). The opposite trend applied for F- uptake which was especially reduced in the edible part of carrot after soil amendment. A limited influence of MCP and MSWC on hazard quotient (HQ), due to bean and carrot consumption, was also recorded (i.e. HQ generally > 1). Results suggest that MCP and MSWC can be used in the recovery of soil chemical, microbial and biochemical status of F-rich agricultural soils. They also indicate that the bean and carrot cultivars employed in this study are likely unsuitable in such soils due to high F- uptake in edible parts.

Anti- and Pro-Oxidant Activity of Polyphenols Extracts of Syrah and Chardonnay Grapevine Pomaces on Melanoma Cancer Cells.

The phenolic composition of Syrah and Chardonnay grape pomaces was studied to assess their antioxidant and prooxidant properties. Polyphenols were extracted by a "green" hydroalcoholic solvent (ethanol/water 1:1 v/v), and a detailed chemical and electrochemical characterization of the phenolic compounds was performed. The antioxidant and prooxidant capacity of the pomace was first studied by cyclic voltammetry (CV) and other reference analytical assays, then with biological tests on B16F10 metastatic melanoma cancer cells. Electrochemical data showed that, when a +0.5 V potential was applied, a low to moderate antioxidant capacity was observed. MTT test showed an increasing viability of melanoma cells, after treatments at low concentration (up to 100 µg/mL) and for a short time (6 h), but when cells were treated with higher doses of extract (≥250 µg/mL for 12/24 h), their viability decreased from 25 to 50% vs. control, depending on treatment time, dose, and extract origin. A stronger prooxidant activity resulted when 250 µg/mL of extract was combined with non-toxic doses of H2O2; this activity was correlated with the presence of copper in the extracts. This study shows the potential of winemaking by-products and suggests the opportunity to exploit them for the production of cosmeceuticals, or for combined therapies with approved anticancer drugs.

Working as a team in airway surgery: History, present and perspectives.

Teamwork is one of the most important trend in modern medicine. Airway team were created in many places to respond in a multidisciplinary and coordinated way to challenging clinical problems which were beyond the possibility of an individual management. In this chapter, we illustrate the historical steps leading to the development of an airway team in a pediatric referral hospital, describe the present teamwork activity defining the key points for the creation of a team and discussing different organization models; finally we delineate possible future directions for the airway teams in the globalized world.

Addition of softwood biochar to contaminated soils decreases the mobility, leachability and bioaccesibility of potentially toxic elements.

Softwood-derived biochar (5% w/w) was added to two mining soils (S1 and S2) contaminated with Cd (4.8-74 mg kg-1), Pb (318-1899 mg kg-1) and Zn (622-3803 mg kg-1), to evaluate its immobilization capabilities towards such potentially toxic elements (PTEs). Biochar addition (S + B) increased soil pH, organic carbon content, extractable phosphorous and calcium. Sequential extractions showed that biochar reduced the labile pools of PTEs (e.g. -29, 55 and 79% of water-soluble and exchangeable Cd, Zn and Pb respectively in S1 + B compared to S1) and at the same time increased their most stable and less mobile fractions. Leaching experiments revealed a significant decrease of DOC, N-NO3-, P and PTEs in biochar-treated soils, and an increase of leached K. Kinetic equations derived from leaching data showed that PTEs in control soils were quickly mobilized, while those in biochar-treated soils needed longer time to leachate. In vitro tests showed that biochar was effective at reducing the bioaccessibility of Cd and Pb in the gastric phase of S2 and that of Zn and Pb in the intestinal phase of S1. The results obtained showed that biochar could be used as alternative amendment for the recovery of PTEs-contaminated soils.

Biochar and compost as gentle remediation options for the recovery of trace elements-contaminated soils.

The use of organic-based amendments for gentle remediation options (GRO), i.e. the stabilization of trace elements (TE) in polluted soils and the reduction of their impact on soil microbial and biochemical features, has been constantly growing in last 10 years. To verify the effectiveness of biochar and compost in such context, biochar (1 and 3% w/w), compost (3% w/w) and their combination (compost 2% + biochar 2% w/w) were added to two sub-alkaline soils (FS and MS) contaminated with Sb (41-99 mg kg-1 respectively), As (~18 mg kg-1), and trace metals such as Ni (103-172 mg kg-1 respectively) and Cr (165-132 mg kg-1 respectively). Most of the treatments (especially 3% biochar) reduced labile TE pools (water-soluble and exchangeable) and increased their residual (non-extractable) fractions (e.g. +48, 56, 66, and 68% of residual Sb, As, Cr and Ni in MS-treated soil compared to the untreated control). The amendments addition had both stimulating and inhibiting effects on the activity of soil microbial communities, as shown by the Biolog community level physiological profiles. However, in both soils, 3% biochar produced the highest increase of metabolic potential as well as the use of carboxylic acids and polymers by the soil microbial communities. Likewise, soil dehydrogenase (DHG), ß-glucosidase (ß-GLU) and urease (URE) activities were significantly enhanced in FS and MS soils treated with 3% biochar (e.g. +77, 48, and 17% for DHG, URE and ß-GLU in FS-3% biochar with respect to untreated FS). Overall, the results from this study showed that the amendments investigated (particularly 3% biochar) can be effectively used for GRO of sub-alkaline soils, being able to reduce labile TE and to increase the metabolic potential and actual biochemical activities of the respective soil microbial communities. The manifold environmental implications of such effects are discussed.

An early evaluation of translocation actions for endangered plant species on Mediterranean islands.

In situ conservation is widely considered a primary conservation strategy. Plant translocation, specifically, represents an important tool for reducing the extinction risk of threatened species. However, thus far, few documented translocations have been carried out in the Mediterranean islands. The Care-Mediflora project, carried out on six Mediterranean islands, tackles both short- and long-term needs for the insular endangered plants through in situ and ex situ conservation actions. The project approach is based on using ex situ activities as a tool to improve in situ conservation of threatened plant species. Fifty island plants (representing 45 taxa) were selected for translocations using common criteria. During the translocations, several approaches were used, which differed in site selection method, origin of genetic material, type of propagative material, planting method, and more. Although only preliminary data are available, some general lessons can be learned from the experience of the Care-Mediflora project. Among the factors restricting the implementation of translocations, limited financial resources appear to be the most important. Specific preliminary management actions, sometimes to be reiterated after translocation, increase the overall cost, but often are necessary for translocation success. Translocation using juvenile/reproductive plants produces better results over the short term, although seeds may provide good results over the long run (to be assessed in the future). Regardless, plant translocation success can only be detected over long periods; therefore, proper evaluation of plant translocations requires a long-term monitoring protocol. Care-Mediflora project represents the first attempt to combine the existing approaches in a common plant conservation strategy specifically focusing on the Mediterranean islands.

Association analyses identify 31 new risk loci for colorectal cancer susceptibility.

Colorectal cancer (CRC) is a leading cause of cancer-related death worldwide, and has a strong heritable basis. We report a genome-wide association analysis of 34,627 CRC cases and 71,379 controls of European ancestry that identifies SNPs at 31 new CRC risk loci. We also identify eight independent risk SNPs at the new and previously reported European CRC loci, and a further nine CRC SNPs at loci previously only identified in Asian populations. We use in situ promoter capture Hi-C (CHi-C), gene expression, and in silico annotation methods to identify likely target genes of CRC SNPs. Whilst these new SNP associations implicate target genes that are enriched for known CRC pathways such as Wnt and BMP, they also highlight novel pathways with no prior links to colorectal tumourigenesis. These findings provide further insight into CRC susceptibility and enhance the prospects of applying genetic risk scores to personalised screening and prevention.

Effect of undesalted dissolved organic matter from composts on persistence, adsorption, and mobility of cyhalofop herbicide in soils.

The effect of undesalted dissolved organic matter (DOM) extracted from composts on the degradation, adsorption, and mobility of cyhalofop herbicide in soils was studied. A paddy-field sediment poor in organic matter (OM), an OM-rich forest soil, and DOM from agroindustrial or municipal waste compost were used. DOM increased the cyhalofop-acid but not the cyhalofop-butyl solubility in water. The degradation of cyhalofop-butyl in the sediment was slow, giving cyhalofop-acid as the only metabolite, whereas in forest soil, the process was faster, and three byproducts were detected. Soil pretreatment with DOM did not modify the degradation pattern but only reduced the adsorption of cyhalofop-butyl by soil, whereas it increased the adsorption of cyhalofop-acid. Among the cationic components of DOM solutions, the potassium ion seems to be related to the increased adsorption of the cyhalofop-acid in both OM-poor and OM-rich soils, yielding reversible complexes with the former and favoring hydrophobic interactions with the latter.

Identification and prioritization of areas with high environmental risk in Mediterranean coastal areas: A flexible approach.

Interdisciplinarity and transdisciplinarity are the cornerstone for the future management of coastal ecosystems with many vulnerability and hazard indexes developed for this purpose, especially in the engineering literature, but with limited studies that considered ecological implications within a risk assessment. Similarly, the concept of prioritization of sites has been widely examined in biodiversity conservation studies, but only recently as an instrument for territory management. Considering coastal plant diversity at the species and community levels, and their vulnerability to three main potential hazards threatening coastal areas (oil spills, Hazardous and Noxious Substances pollution, fragmentation of natural habitats), the objective of this paper is to define an easy-to-use approach to locate and prioritize the areas more susceptible to those stressors, in order to have a practical instrument for risk management in the ordinary and extra-ordinary management of the coastline. The procedure has been applied at pilot areas in four Mediterranean countries (Italy, France, Lebanon and Tunisia). This approach can provide policy planners, decision makers and local communities an easy-to-use instrument able to facilitate the implementation of the ICZM (Integrated Coastal Zone Management) process in their territory.

Successful outcome after combined chemotherapeutic and surgical management in a case of esophageal cancer with breast and brain relapse.

Esophageal cancer (EC) is a highly lethal disease. Approximately 50% of patients present with metastatic EC and most patients with localized EC will have local recurrence or develop metastases, despite potentially curative local therapy. The most common sites of distant recurrence are represented by lung, liver and bone while brain and breast metastases are rare. Usually patients with advanced disease are not treated aggressively and their median survival is six months. We report a woman patient who developed breast and brain metastases after curative surgery. We treated her with a highly aggressive chemotherapeutic and surgical combination resulting in a complete remission of the disease even after 11-year follow-up. We think that in super selected patients with more than one metastasis, when functional status is good and metastases are technically resectable, a surgical excision may be considered as a salvage option and chemotherapy should be delivered to allow a systemic control.